This book advocates a plant-based diet to prevent and reverse heart disease, arguing that nutritional intervention is superior to medication and procedures like angioplasty and bypass surgery. The author details the detrimental effects of the Standard American Diet, emphasizing the importance of consuming nutrient-rich plant foods like vegetables, beans, nuts, and seeds while minimizing processed foods, animal products, and added salt. Real patient case studies illustrate the effectiveness of this dietary approach, showcasing significant improvements in cardiovascular health. The text also addresses potential risks and benefits of various medications commonly prescribed for heart conditions and suggests complementary nutritional strategies. Finally, the author provides detailed dietary guidelines and recipes to support readers in adopting this heart-healthy lifestyle.
The End of Heart Disease: A Nutritarian Approach
Short-Answer Quiz
Instructions: Answer the following questions in 2-3 sentences.
- What is an essential nutrient and what are the main categories?
- What is the ANDI score and how is it determined?
- What is the difference between subcutaneous fat and visceral fat?
- Why is hypertension often called the “silent killer”?
- What are the risks associated with artificially lowering diastolic blood pressure?
- What is LDL oxidation and what role does lycopene play in preventing it?
- How does the sodium content of processed foods compare to that of natural foods?
- What are the two types of stroke and how do they differ in their causes?
- What are some of the reasons why nuts and seeds are beneficial for weight management?
- What is the relationship between fish size and mercury accumulation?
Answer Key
- An essential nutrient is a nutrient that the body cannot produce in sufficient quantities to meet its needs and must therefore be obtained from the diet. The main categories of essential nutrients are vitamins, dietary minerals, essential fatty acids, and essential amino acids.
- The ANDI score (Aggregate Nutrient Density Index) ranks foods based on their nutrient content per calorie. It is determined by measuring the amount of various micronutrients (vitamins, minerals, phytochemicals) in an equal-calorie serving of each food.
- Subcutaneous fat is the fat located beneath the skin, while visceral fat is the fat stored around internal organs. Visceral fat is more metabolically active and poses a greater risk for health problems than subcutaneous fat.
- Hypertension is called the “silent killer” because it often has no noticeable symptoms until it causes significant damage to the body, leading to potentially fatal events like heart attacks or strokes.
- Artificially lowering diastolic blood pressure, particularly with beta-blockers, can disrupt the natural elasticity of blood vessels, impacting blood flow back to the heart and potentially increasing the risk of diabetes and other health issues.
- LDL oxidation is a process where LDL cholesterol particles become damaged by free radicals, contributing to the formation of atherosclerotic plaque. Lycopene, a potent antioxidant found in tomatoes, helps to protect LDL particles from oxidation, thus reducing the risk of plaque buildup.
- Processed foods typically contain significantly higher levels of sodium than natural foods. While natural foods contain relatively small amounts of sodium inherently, processed foods often have sodium added for preservation, flavor enhancement, and other purposes.
- The two types of stroke are ischemic (or embolic) stroke and hemorrhagic stroke. Ischemic strokes are caused by a blockage of blood flow to the brain, often due to a clot formed as a result of atherosclerosis. Hemorrhagic strokes, on the other hand, occur when a blood vessel in the brain ruptures, leading to bleeding into the brain tissue.
- Nuts and seeds are beneficial for weight management because they are rich in fiber, protein, and healthy fats, which promote satiety, regulate blood sugar levels, and enhance fat oxidation (burning fat for energy). Furthermore, a portion of the fat in nuts and seeds is not absorbed, leading to a lower net calorie intake.
- Larger fish tend to have higher mercury levels because they eat smaller fish, accumulating mercury from the entire food chain throughout their lifespan. As mercury bioaccumulates in fish, larger and older fish pose a greater risk of mercury exposure for humans who consume them.
Essay Questions
Instructions: Answer the following questions in essay format.
- Explain the concept of “nutritional excellence” and how it relates to preventing and reversing heart disease.
- Discuss the risks and benefits of cholesterol-lowering medications (statins) and explain why Dr. Fuhrman advocates for a dietary approach to cholesterol management.
- Analyze the impact of the standard American diet (SAD) on heart health, considering factors such as nutrient density, glycemic load, and sodium intake.
- Evaluate the health benefits of nuts and seeds, citing specific studies and discussing their role in a Nutritarian diet plan.
- Explain Dr. Fuhrman’s recommendations regarding fish consumption, considering the benefits of omega-3 fatty acids and the risks associated with mercury contamination.
Glossary of Key Terms
- Aggregate Nutrient Density Index (ANDI): A scoring system that ranks foods based on the number of micronutrients they contain per calorie.
- Atherosclerosis: A condition in which plaque builds up inside the arteries, restricting blood flow and increasing the risk of heart disease and stroke.
- Beta-blockers: A class of medications that lower blood pressure by blocking the effects of the hormone epinephrine (adrenaline).
- Cholesterol: A fatty substance found in the blood that is essential for cell function, but high levels of certain types of cholesterol (LDL) can increase the risk of heart disease.
- Cruciferous Vegetables: Vegetables such as broccoli, cauliflower, cabbage, and kale that are rich in nutrients and beneficial for overall health, particularly in preventing cancer.
- Diastolic Blood Pressure: The pressure in the arteries when the heart is at rest (between beats).
- Docosahexaenoic Acid (DHA): An omega-3 fatty acid that is important for brain health and can help reduce inflammation.
- Eicosapentaenoic Acid (EPA): An omega-3 fatty acid that is important for heart health and can help reduce inflammation.
- Endothelial Function: The ability of the inner lining of blood vessels to regulate blood flow and pressure.
- Essential Nutrient: A nutrient that the body cannot make in sufficient quantities and must be obtained from the diet.
- Fiber: A type of carbohydrate that the body cannot digest, but it is important for digestive health and can help regulate blood sugar levels.
- Glycemic Load: A measure of how much a food raises blood sugar levels.
- Hemorrhagic Stroke: A type of stroke that occurs when a blood vessel in the brain ruptures.
- Hypertension: High blood pressure, a major risk factor for heart disease and stroke.
- Insulin Resistance: A condition in which the body’s cells become less responsive to insulin, leading to elevated blood sugar levels.
- Insulin-Like Growth Factor-1 (IGF-1): A hormone that promotes cell growth and proliferation. High levels of IGF-1 are associated with an increased risk of cancer.
- Ischemic Stroke: A type of stroke that occurs when a blood vessel in the brain becomes blocked.
- LDL Cholesterol (Low-Density Lipoprotein): Often referred to as “bad cholesterol,” high levels of LDL cholesterol can contribute to atherosclerosis.
- Lignans: Plant compounds found in flaxseeds and other seeds that have antioxidant and anti-inflammatory properties.
- Lycopene: A powerful antioxidant found in tomatoes that has been linked to a reduced risk of heart disease and certain types of cancer.
- Macronutrients: Nutrients that the body needs in large amounts, including carbohydrates, proteins, and fats.
- Methylmercury: A highly toxic form of mercury that can accumulate in fish.
- Micronutrients: Nutrients that the body needs in small amounts, including vitamins and minerals.
- Nutritarian Diet: A dietary approach that emphasizes nutrient-dense, plant-based foods.
- Phytochemicals: Plant compounds that have various health benefits, including antioxidant and anti-inflammatory effects.
- Plant Sterols (Phytosterols): Plant compounds that can help lower cholesterol levels.
- Saturated Fat: A type of fat that is solid at room temperature and found in animal products, as well as some plant-based oils like palm and coconut oil.
- Standard American Diet (SAD): A typical Western diet that is high in processed foods, saturated fat, and sugar, and low in fruits, vegetables, and whole grains.
- Stroke: A brain injury that occurs when blood flow to the brain is interrupted.
- Systolic Blood Pressure: The pressure in the arteries when the heart beats.
- Visceral Fat: Fat that is stored around the internal organs and is associated with an increased risk of health problems.
Briefing Doc: The End of Heart Disease – The Eat to Live Plan to Prevent and Reverse Heart Disease
Source: Excerpts from “15003-The End of Heart Disease: The Eat to Live Plan to Prevent and Reverse Heart Disease” by Dr. Joel Fuhrman
Main Themes:
- Superior Nutrition as a Primary Tool for Heart Disease Prevention and Reversal: Dr. Fuhrman posits that a Nutritarian diet, characterized by high nutrient density and plant-based foods, is the most potent weapon against heart disease. This approach goes beyond merely lowering cholesterol and addresses a spectrum of risk factors.
- “If you consume a diet rich in nutrient-dense foods, you can disease-proof your body. Superior nutrition has such a powerful effect on the body’s ability to defend itself against illness that it can force genetics to take a secondary role.”
- The Dangers of the Standard American Diet (SAD): The book strongly criticizes the typical Western diet, laden with processed foods, saturated fats, and excessive sodium, as a major driver of heart disease and other chronic illnesses.
- The Importance of Micronutrients: The emphasis is on consuming an abundance of vitamins, minerals, and phytochemicals found in plant-based foods. Dr. Fuhrman argues that these micronutrients are essential for optimal health and disease resistance.
- “Cravings and excess hunger diminish when our nutrient requirements are met.”
- The ANDI Scoring System: The book introduces the Aggregate Nutrient Density Index (ANDI) to rank foods based on their nutrient content per calorie. This system encourages prioritizing nutrient-dense choices.
- Addressing Specific Risk Factors: The book delves into specific heart disease risk factors like high blood pressure, high cholesterol, and diabetes, and provides dietary and lifestyle strategies to mitigate them.
- Questioning Conventional Medical Practices: Dr. Fuhrman challenges the overreliance on medications like statins and beta-blockers, highlighting their potential risks and advocating for a nutritional approach as the first line of defense.
- “Additional analyses did not identify any subgroup that benefited from metoprolol. The artificially lowered blood pressures had clear risks; the drugs caused more harm than good.”
Key Ideas and Facts:
- Nutritarian Diet Components:Focus on Nutrient-Dense Foods: Emphasizes vegetables, fruits, beans, nuts, seeds, and minimizes processed foods, added oils, and animal products.
- Limit Sodium Intake: Strongly advises against adding salt and encourages consuming foods with naturally occurring sodium levels.
- “There’s table salt, sea salt, Celtic salt, Peruvian Pink, Hawaiian Black Lava, Himalayan, and fleur de sel. But whatever marketers call it, salt is simply sodium chloride (NaCl)—and despite trendy claims to the contrary, it’s bad for you.”
- Regular Exercise: Recommends daily exercise, including interval training for improved cardiovascular health.
- Lycopene’s Protective Role: Highlights the benefits of lycopene, a potent antioxidant found in tomatoes, in combating LDL cholesterol oxidation and enhancing endothelial function.
- “Lycopene is an extremely potent antioxidant; its antioxidant capability is said to be double that of beta-carotene and ten times that of vitamin E.”
- Omega-3 Fatty Acids: Advocates for sufficient intake of omega-3 fatty acids, particularly DHA, for their anti-inflammatory and blood-clotting prevention properties. Suggests plant sources like flaxseeds and walnuts or low-mercury fish options.
- Nuts and Seeds for Weight Management: Emphasizes the role of nuts and seeds in promoting satiety, enhancing fat oxidation, and aiding in weight management despite their high fat content.
- “Nuts and seeds contain fewer calories per tablespoon than oil, and their fat calories are not all absorbed.”
- The Impact of Saturated Fat: Argues that saturated fat, abundant in animal products, contributes to visceral fat storage, insulin resistance, and inflammation, increasing the risk of chronic diseases.
- Addressing Concerns about Specific Foods and Practices: The book tackles common concerns about fish consumption (mercury), alcohol intake, and supplements, providing evidence-based guidance.
- Recipes and Practical Tips: Includes detailed recipes and practical tips for implementing the Nutritarian diet, emphasizing delicious, plant-based meals.
Strengths of the Source:
- Evidence-Based Approach: The book heavily cites scientific research to support its claims, lending credibility to the proposed dietary and lifestyle recommendations.
- Focus on Prevention and Reversal: The book offers hope to those with existing heart disease by providing a concrete plan for potential reversal, not just management.
- Practical Application: The inclusion of recipes and practical tips makes the book accessible and facilitates the adoption of the Nutritarian diet.
Potential Limitations:
- Generalizability: The book’s recommendations may not be suitable for everyone, particularly those with specific dietary needs or medical conditions. Consultation with a healthcare professional is recommended.
- Restrictive Nature: The strict emphasis on plant-based foods and limited animal product consumption may pose challenges for some individuals accustomed to different dietary patterns.
- Long-Term Adherence: Maintaining long-term adherence to such a restrictive diet can be difficult for some individuals, requiring significant commitment and lifestyle changes.
Overall Impression:
“The End of Heart Disease” presents a compelling argument for the power of nutrition in combating heart disease. While the proposed dietary approach may be demanding for some, the book’s detailed explanations, scientific evidence, and practical tools offer a comprehensive roadmap for those seeking to prevent and reverse heart disease through dietary and lifestyle modifications.
The Nutritarian Diet: A Comprehensive Guide
What is the Nutritarian diet?
The Nutritarian diet is a way of eating focused on nutrient-dense, plant-based foods. This means prioritizing foods rich in vitamins, minerals, and phytochemicals while limiting or avoiding those that are calorically dense but nutrient-poor, such as processed foods, added sugars, and oils.
The Nutritarian diet emphasizes:
- Unprocessed, whole foods: Fresh fruits, vegetables, legumes, nuts, and seeds
- Nutrient density: Choosing foods with a high ratio of nutrients to calories
- Limited added fats and oils: Even healthy oils are calorically dense and can hinder weight loss
- Minimal or no added salt: Processed foods and restaurant meals are typically high in sodium
- Avoiding animal products: Animal products are high in saturated fat and cholesterol, which contribute to heart disease
What are the benefits of following a Nutritarian diet?
Following a Nutritarian diet offers a wide array of health benefits, including:
- Heart Health: Lowers blood pressure, LDL cholesterol, and triglycerides, and improves overall cardiovascular health.
- Weight Management: Promotes healthy weight loss by reducing cravings and increasing satiety.
- Diabetes Control: Improves insulin sensitivity and helps manage or reverse type 2 diabetes.
- Improved Digestion: The high fiber content supports regular bowel movements and a healthy gut microbiome.
- Boosted Immunity: Nutrient-rich foods enhance the body’s natural defenses against illness.
- Reduced Cancer Risk: Antioxidants and phytochemicals found in plant-based foods protect against cellular damage.
- Anti-Aging Effects: Provides the body with the nutrients it needs to age gracefully and maintain youthful vigor.
Does the Nutritarian diet eliminate all cravings and hunger?
While no diet can completely eliminate cravings, a Nutritarian diet significantly reduces them. By meeting the body’s nutrient needs through nutrient-rich foods, cravings for less healthy options diminish.
The high fiber content and low calorie density of Nutritarian foods also promote satiety, keeping you feeling fuller for longer and reducing excess hunger.
What is the ANDI score and how does it relate to the Nutritarian diet?
The Aggregate Nutrient Density Index (ANDI) score measures the nutrient content of foods per calorie. It considers vitamins, minerals, phytochemicals, and other beneficial compounds. Foods with higher ANDI scores are considered more nutrient-dense.
The Nutritarian diet emphasizes foods with high ANDI scores to ensure you get the most nutritional value from your meals. This approach prioritizes foods that provide a wide range of nutrients essential for optimal health.
Why does the Nutritarian diet recommend limiting salt intake?
Salt, specifically sodium, contributes to high blood pressure, a major risk factor for heart disease and other health issues. Processed foods are a major source of hidden sodium in the standard American diet.
The Nutritarian diet encourages minimizing added salt and avoiding processed foods, allowing your taste buds to adjust and appreciate the natural flavors of whole foods. This helps lower blood pressure and improve overall health.
How does the Nutritarian diet approach high blood pressure medication?
The Nutritarian diet is highly effective in lowering blood pressure. As you adopt this eating style, you may need to work with your doctor to reduce your medication dosage. The diet’s effectiveness in improving blood pressure makes it essential to monitor your readings and adjust medication accordingly to avoid excessively low blood pressure.
What is the Nutritarian stance on cholesterol-lowering medications?
While the Nutritarian diet effectively lowers LDL cholesterol, it emphasizes a holistic approach to heart health. It’s important to consider all risk factors, including diet, weight, physical activity, and blood pressure.
If you are on cholesterol-lowering medications, you should consult your doctor before making any changes. The effectiveness of the Nutritarian diet may allow for adjustments to your medication regimen under medical supervision.
What are the recommended daily servings of various food groups on the Nutritarian diet?
The Nutritarian diet encourages generous portions of nutrient-rich foods:
- Greens: Unlimited amount of green vegetables, both raw and cooked.
- Non-Green Vegetables: Aim for several servings per day of non-starchy vegetables like tomatoes, peppers, mushrooms, onions, and garlic.
- Beans: Include a cup of cooked beans daily.
- Nuts & Seeds: Consume 1-2 ounces of raw nuts and seeds, including a tablespoon of ground flaxseeds or chia seeds.
- Fruits: Enjoy a moderate amount of fresh fruits, especially berries.
Remember, these are general guidelines and individual needs may vary. Always listen to your body and consult with a qualified healthcare professional or registered dietitian for personalized guidance.
Lifestyle Medicine and Heart Disease
Lifestyle medicine is a medical specialty that focuses on the use of lifestyle interventions to prevent, treat, and reverse chronic diseases. This approach emphasizes the importance of nutrition, physical activity, stress management, sleep, and social connections in achieving optimal health. The sources highlight the effectiveness of lifestyle medicine, particularly the Nutritarian diet, in treating heart disease.
The sources argue that traditional medical approaches, which often rely heavily on medications and surgical interventions, are not as effective as lifestyle changes in preventing and reversing heart disease. They cite studies showing that:
- Dietary modifications, such as the Nutritarian diet, can radically lower cholesterol and blood pressure, reducing the risk of heart disease much more effectively than medication alone. [1]
- Even moderately healthier choices, like exercising, eating fruits and vegetables, maintaining a favorable weight, and not smoking, can reduce the incidence of heart disease, stroke, and diabetes by 80-90 percent. [2]
The sources criticize the current healthcare system for its overreliance on pharmaceutical interventions, which they argue are often expensive, invasive, and largely ineffective. They advocate for a shift towards patient empowerment and informed consent, where individuals are fully informed about the risks and benefits of different treatment options, including lifestyle changes. [3-9]
They also express concern that many physicians are reluctant to embrace lifestyle medicine due to a lack of training, time constraints, financial incentives, or resistance from peers. [10-12]
Despite these challenges, the sources remain optimistic about the growing recognition of lifestyle medicine. They point to the increasing popularity of organizations like the American College of Lifestyle Medicine and the establishment of lifestyle medicine centers at leading hospitals and research institutions as evidence of this trend. [11]
The sources conclude that lifestyle medicine offers a safer, more effective, and less expensive alternative to conventional medical treatments for heart disease. They urge individuals to take control of their health by adopting a Nutritarian diet and making other healthy lifestyle changes. [13-20]
The sources argue that informed consent requires that patients be advised of the benefits of a dietary approach to treating heart disease. [4] Patients should be informed that:
- Dietary interventions, like the Nutritarian diet-style, are a safer and more effective option than interventions like angioplasty or bypass surgery for stable patients. [4]
- Nutritional excellence has superior power compared with standard cardiovascular medicine to treat and eliminate heart disease. [6]
- A Nutritarian diet-style is the most valuable insurance policy to secure a longer life free of medical tragedy. [7]
- The Nutritarian diet is more effective than aggressive drug treatment and surgery at offering benefits in terms of life span enhancement. [16]
They also highlight the need for physicians to play a more active role in promoting lifestyle medicine:
- Physicians must fight aggressively for patient compliance with nutritional excellence and dispense dietary advice that offers patients the opportunity for a complete recovery. [21]
- Doctors could be highly persuasive in motivating their patients to adopt nutritional excellence as their path to superior health. [12]
The sources emphasize that shifting towards a lifestyle medicine approach is not about denying conventional medical care when necessary, but about prioritizing preventative measures and empowering individuals to make informed decisions about their health. [13, 20, 22]
Nutritarian Diet and Heart Disease
Unfortunately, the text provided does not contain enough information to construct a detailed timeline of events. It focuses on nutritional science, the benefits of a Nutritarian diet, and risks associated with a standard American diet. There are no specific historical events described.
However, I can provide a cast of characters based on the provided text:
Cast of Characters
Joel Fuhrman, M.D. – Author of the book “The End of Heart Disease” and proponent of the Nutritarian diet. He is a strong advocate for a plant-based, nutrient-dense diet and criticizes the Standard American Diet (SAD) for its contribution to chronic diseases like heart disease.
Caldwell Esselstyn, M.D. – Mentioned in the text as the creator of a very strict plant-based diet for reversing heart disease. His diet is even more restrictive than Fuhrman’s Nutritarian approach.
Dean Ornish, M.D. – Known for his research and development of a comprehensive lifestyle program, including a plant-based diet, for reversing heart disease. His approach is less strict than Esselstyn’s but still heavily emphasizes whole plant foods.
Nathan Pritikin – Pioneer of a low-fat, high-fiber diet for preventing and treating heart disease. His diet is mentioned as an effective approach but considered more difficult to adhere to long-term than the Nutritarian diet.
Mark Hyman, M.D. – Director of the Cleveland Clinic Center for Functional Medicine and author of “Eat Fat Get Thin.” He supports Fuhrman’s work and the effectiveness of a Nutritarian diet in reversing heart disease.
Alona Pulde, M.D. and Matthew Lederman, M.D. – Founders of Transition To Health Medical & Wellness Center. They are quoted in the text supporting the effectiveness of Fuhrman’s diet in reversing heart disease.
Please note that this list is not exhaustive. The text refers to many research studies and medical guidelines, but it does not generally name the specific researchers or doctors involved.
Heart Disease: Prevention and Reversal Through Nutrition
Heart disease is the leading cause of death for both men and women in the United States [1]. In fact, cardiovascular diseases claim more lives than all forms of cancer combined [1]. Heart disease kills many people prematurely and most don’t even make it to the hospital [1]. More people die of heart disease than AIDS and all cancers combined [2]. In 2011, the cost of treating cardiovascular disease in the United States was $320 billion [2].
A Nutritarian diet can reverse and prevent heart disease and lower your cholesterol and blood pressure [3, 4]. It can also reverse obstructive coronary artery disease so effectively that it can eliminate the need for angioplasty and bypass surgery [3]. The Nutritarian diet focuses on eating nutrient-dense plant foods and rejuvenates all blood vessels, protecting the entire body against heart attacks, strokes, pulmonary embolisms, venous thrombosis, peripheral vascular disease, and vascular dementia [5, 6].
Modern medical technology for treating heart disease, including surgical intervention and drug therapy, is expensive, invasive, and ineffective [5]. Traditional medical approaches such as angioplasty with stent placement and coronary artery bypass grafting (CABG) pose serious risks [5]. These procedures target stable plaque that is not in danger of rupturing and ignore the dangerous, unstable plaque that doesn’t show up in tests [5].
Most heart attacks are caused by a clot that forms within a blood vessel and obstructs the flow of blood [7]. Clots are prone to form in areas where there is plaque with a thin, calcified cap that is vulnerable to cracking or rupturing [7]. If the plaque cracks, the soft fat inside is exposed, spilling into the artery and attracting platelets to the injury site [7]. When these platelet cells clump together, they can form a clot large enough to block the artery [7].
Heart attack rates in the United States vary tremendously from region to region [8]. For example, the southern states of Alabama, Arkansas, Louisiana, and Mississippi have about four times the heart attacks per thousand compared with Arizona, Colorado, New Mexico, and Utah [8]. More than one and a half million people will have a heart attack or stroke in the United States this year, with about one million deaths caused by heart disease [9]. In 2011, the direct medical costs of cardiovascular disease came to $320 billion [9]. Here are some additional heart disease statistics from the sources:
- More than one in three U.S. adults (83 million) live with one or more types of cardiovascular disease [10].
- Nearly 68 million U.S. adults have high blood pressure [10].
- An estimated 71 million U.S. adults have high cholesterol [10].
The lifetime medical costs for each patient with heart disease averages more than $750,000 and can approach $1 million [10].
Many nutritional experts offer dietary plans to prevent heart disease [11]. These diets have beneficial similarities, such as an emphasis on plant-based nutrition and the restriction of animal products and oil [11]. However, some of these diets are too permissive to protect your health and allow too many animal products, oil, and sugar [11]. Some also needlessly forbid healthful foods, such as nuts and seeds [11]. The USDA-approved DASH diet and the Mediterranean diet have shown cardiovascular benefits when compared with the standard American diet [12, 13]. However, these diets may not be ideal because many people following them are still at risk of heart attacks and strokes [13].
When adopting a Nutritarian diet, be prepared for some astonishing effects and benefits [14]. Your digestion will improve and you will be rid of heartburn, hemorrhoids, and constipation [14]. You will eliminate headaches, gain more energy, and age more slowly [14]. Most importantly, you will lower your risk of other serious diseases, especially dementia, strokes, diabetes, and cancer [14].
The Nutritarian Diet: Science-Based Path to Health
The standard American diet (SAD) damages the heart of almost everyone who eats it. [1] The SAD is so unhealthy that it causes atherosclerosis in everyone who eats conventionally. [1] The result is that almost all Americans develop heart disease regardless of genetics. [1] Autopsy studies show that more than 90% of Americans who die in car accidents have some degree of atherosclerotic heart disease. [1]
The key to making healthy choices is understanding that the right foods have remarkable health-giving properties that can protect against disease and even reverse existing conditions. [2] Conversely, the wrong foods put health at risk and worsen existing diseases. [2]
Here are some specific issues with the SAD and how they affect health:
- Glycemic load: Refined grains like white bread, pasta, and most breakfast cereals are as nutrient-deficient as sugar. [3] They spike glucose levels in the bloodstream, which promotes heart disease and cancer. [3]
- Animal products: Excessive amounts of animal products increase the risk of chronic disease. [4] Scientific data shows a relationship between the percentage of animal products consumed and the risk of developing cardiovascular disease; higher amounts of animal products equate to higher risk. [5]
Some people might argue that a Nutritarian diet is too radical, but the science doesn’t lie. [6] Individuals have the power to make choices about what they eat and control their health destiny. [7] Thousands of people have embraced the Nutritarian diet-style and reaped the rewards. [8]
Many other diets, such as the DASH diet, the Mediterranean diet, and the Ornish diet, offer benefits for heart health. [9] However, some of these diets may be too permissive to adequately protect one’s health. [9] The Nutritarian diet, with its emphasis on nutrient-dense foods high in phytochemicals, is designed to give the body the tools it needs to heal itself. [10]
The first step to adopting the Nutritarian diet is to learn which foods are richest in lifesaving nutrients and how to enjoy them. [11] The cornerstone of the diet is to eat primarily natural, whole plant foods. [11] At least 90% of the diet should consist of these foods. [11]
The Nutritarian diet is not about deprivation. [8] It is about eating natural, nutrient-dense foods prepared in delicious ways. [8] People should use sample menus and recipes as a starting point and then create their own tasty and healthy combinations. [8]
Conquering Hypertension: Diet, Exercise, and Medication
High blood pressure, also known as hypertension, is typically the first sign of heart attack risk [1]. It is a strong risk factor for developing heart disease, kidney failure, strokes, and death [1].
Hypertension is often called “the silent killer” because it usually has no symptoms until the body is already damaged [1]. Blood pressure is made up of two numbers: systolic and diastolic [1]. Systolic pressure is considered normal when it is 120 mmHg or lower, and diastolic should be less than 80 mmHg: that is, 120/80 mmHg [1].
About 95 percent of hypertension is essential hypertension, meaning that the high blood pressure is not the secondary effect of some other condition [2]. Essential hypertension is caused mostly by enhanced peripheral resistance from blood vessels that have lost their elasticity [2]. Three main causes of high blood pressure are:
- Atherosclerosis (stiffened and narrowed blood vessels) [3]
- Chronic high salt intake [3]
- Chronic inflammation damaging the endothelial lining, causing constriction and decreased elasticity [3]
The current consensus among physicians and medical authorities is that once established, high blood pressure is a lifelong condition that requires medication [4]. However, the sources argue that high blood pressure is reversible in most cases through dietary excellence [4]. Dietary excellence is also effective in reducing morbidity and premature mortality, whereas medications usually are not [4].
A Nutritarian diet dramatically lowers blood pressure [5]. A study of Nutritarian patients with high blood pressure showed that the average drop in systolic blood pressure was 26 mmHg, compared to an average drop of about 10 mmHg for standard blood pressure medications [6, 7]. The drop for the Nutritarian patients in diastolic blood pressure was about 15 mmHg [6, 7].
Doctors often do not review the potential negative consequences of medications when they prescribe them [8]. Blood pressure-lowering medications, the most commonly prescribed class of medications in the United States, carry serious, but rarely discussed, health risks [8]. For example:
- Calcium-channel blockers (CCBs), a commonly prescribed class of blood pressure medication, have been linked to higher rates of cancer in women [8].
- Beta-blockers have been shown to increase the risk of stroke and death in some patients [9].
- Diuretics may increase the risk of developing gout and diabetes, especially when combined with a statin drug used for lowering cholesterol [10].
Perhaps the largest danger of blood pressure medications, in general, is the increased risk of death secondary to lowering diastolic blood pressure too far [11]. Medications are often prescribed in a dose sufficient to drop systolic pressure into a safe range [11]. However, this can sometimes lower diastolic blood pressure too low, which can be very unfavorable and even deadly [11, 12].
The only way to lower systolic blood pressure into a safe range without lowering diastolic too low is with diet and exercise, not drugs [13]. If blood pressure is elevated, immediately take the steps necessary to bring it down [14]. These include:
- Eating a Nutritarian diet [15]
- Not adding any salt to food or eating any food or dish with added salt [15]
- Doing some exercise every day, including interval training [15]
A medicated blood pressure is not the same as a nonmedicated blood pressure [16]. Lowering blood pressure to a normal level with drugs will not make a person live longer or reduce their risk of developing cardiovascular disease [16]. In fact, taking drugs to achieve normal blood pressure readings can increase the risk of a heart attack [16].
The Eighth Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 8) has issued updated guidelines for physicians, suggesting that millions of U.S. adults could be taken off their blood pressure medications [17]. The guidelines state that there is strong evidence that a benefit exists from treating people older than 60 with medications if their blood pressure is above 150/90 mmHg [18]. However, setting a drug-induced goal of systolic pressure lower than 140 mmHg in this age group provides no additional benefit compared with a higher goal of 140 to 150 [18].
The sources argue that the key point in the discussion of blood pressure is that for the greatest level of protection against heart disease, kidney disease, and brain disease later in life, it is vital to live in a manner that produces a favorable blood pressure without medications [19]. You may need medication for now, and some people may have to remain on medication in the long term [19]. However, even if that is necessary, you should be working aggressively to fix the blood vessel damage, with the expectation that your blood pressure can improve, and the dosage of medication can be reduced and eventually eliminated [19].
Eating more fruits and vegetables lowers blood pressure and reduces the risk of stroke [20]. Foods that are effective at lowering blood pressure include:
- Tomato paste [20]
- Pomegranates [20]
- Berries [20]
However, the food with the most powerful ability to lower blood pressure is flaxseed, which has been shown to be more effective than most medications [20].
Nutritarian Diet and Medication Management
The sources caution against making dietary changes without the assistance of a physician if you are taking medication, especially for diabetes or high blood pressure. This is because the Nutritarian diet is very effective at lowering blood pressure and blood sugar, so medication will need to be adjusted to prevent excessive lowering of these levels [1]. Low blood glucose (hypoglycemia) and low blood pressure (hypotension) can be dangerous and cause weakness and fainting, which could lead to a fall or motor vehicle accident [2].
Many physicians may be hesitant to taper medications sufficiently because they don’t realize how effective the Nutritarian diet is [3]. Therefore, it is important to warn your physician about this and to monitor blood pressure and blood sugar levels carefully, especially in the first few weeks of the program [3].
The sources state that medications should be slowly reduced as you follow the Nutritarian program, and they should not be stopped suddenly [4]. When systolic blood pressure averages below 130, it is time for your doctor to reduce your medication dose [4].
It is important to note that a medicated blood pressure is not the same as a non-medicated blood pressure. Achieving a normal blood pressure with medication does not provide the same benefits as having a naturally healthy blood pressure [5]. In fact, some studies have shown that taking blood pressure medication to lower blood pressure to normal levels can actually increase the risk of heart attack and stroke [5, 6].

By Amjad Izhar
Contact: amjad.izhar@gmail.com
https://amjadizhar.blog
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