Tuesday, September 04, 2007

McCleary: Ketone Bodies Produced By A Low-Carb Diet Are High-Octane Brain Food

Dr. Larry McCleary says sharpen your brain by livin' la vida low-carb

It doesn't take a brain surgeon to figure out that the low-carb lifestyle is one of the healthiest nutritional plans out there to battle obesity, heart disease, diabetes, and so many other health ailments that plague modern society. But what about that actual gray matter between our ears? Can a low-carb diet do anything to improve brain function, memory, and even diseases like Alzheimer's?

One of America's top neurosurgeons says YES!

His name is Dr. Larry McCleary and his brand new book about this subject entitled The Brain Trust Program: A Scientifically Based Three-Part Plan to Improve Memory, Elevate Mood, Enhance Attention, Alleviate Migraine and Menopausal Symptoms, and Boost Mental Energy released today. I'm happy to share an exclusive interview I conducted with Dr. McCleary with you today so we can all learn from one of the brightest minds in the field of cognitive health.

You'll be pleased to hear that Drs. Mike & Mary Dan Eades not only endorse this book, but they actually wrote the foreword to it. And I was also asked by Dr. McCleary to preview the book and provide a blurb quote included on the jacket of the book. COOL!

Here's my quote about The Brain Trust Program:

"It isn't difficult to find people who are suffering from a wide range of debilitating neurological conditions such as migraine headaches, Alzheimer's disease, brain cancer, and worse these days. But leave it to a brain surgeon to figure out many of these can actually be treated and even reversed metabolically through some rather simple changes in the diet. Dr. Larry McCleary has figured out that controlling the amount of insulin production by consuming a healthy low-carb diet is indeed the most 'brain-friendly' way you could possibly eat. The Brain Trust Program he has developed from his many years of experience challenges people to think about the long-term impact of the high-carb foods they are eating not just on their waistline, but also on that gray matter between their ears! This book is guaranteed to shake up the status quo and quite literally turn traditional brain treatment on its head!"

You must get your hands on a copy of Dr. McCleary's book because it is absolutely stunning information that neurosurgeons and patients alike need to be aware of to protect the health of their brains (this book will make a very nice complement to your low-carb library along with the upcoming Gary Taubes' masterpiece Good Calories, Bad Calories).

Are you ready to hear from Dr. Larry McCleary himself? Here he is!

1. Today we have a bona fide expert in the field of brain function and the surprising metabolic connection. He is Dr. Larry McCleary, a brain surgeon currently serving as the Director of Research for the Advanced Metabolic Research Group as well as the former acting Chief of Pediatric Neurosurgery and former Director of the Neuroscience Research Program at the famous Children’s Hospital in Denver, Colorado. A world-renowned speaker who has been published extensively in some of the most prestigious medical journals dedicated to brain health, Dr. McCleary is THE go-to man for all things related to the brain.

It's an honor to have you with us today, Dr. McCleary, and we look forward to gleaning from your knowledge and experience in this interview. What first got you interested in brain health and is it everything you expected it to be? What has been most surprising to you about this particular field of medicine that you never would have expected going into it?

Hi Jimmy. It's great to be with you today.

As a pediatric neurosurgeon I took care of thousands of very sick brains. They were suffering from blood clots, infections, birth problems, tumors and traumatic insults. I was always searching for things that could help these sick brains recover and stay healthy.

Early in my career, I had the pleasure of working with a neuroscientist who was investigating the therapeutic potential for certain nutrients to improve brain function. Hollywood types were always stopping by to hear about the latest brain health tips from Dr. Harry Demopoulis. I had the opportunity of experiencing the dramatic impact of some of these brain-healthy compounds first hand.

So when I moved to Denver Children's Hospital I continued the research. Working hand-in-hand with the Neuro-Rehab Division at the hospital, we provided the children under our care with a mix of essential fats, medium chain triglycerides, amino acids and other nutrients. We were convinced that these sped up brain recovery and enhanced mental function. The take-home message for me was if they could help the sickest of brains they could certainly help our brains as we aged.

2. Brain health entails more than most people even realize as you so brilliantly share in your brand new book entitled The Brain Trust Program. It is an outstanding resource that I was privileged to review and in it you share a three-part method for actually improving brain function through the use of diet, supplementation, and brain exercises. How does your novel new approach differ from the most common ways to correct brain abnormalities and conditions?

Jimmy, I think we have all heard that the brain burns glucose, or sugar. So if that's the case, then giving it lots of sugar must make it work better. Although that might seem logical, the science doesn't back it up. Just the opposite, there is a groundswell of medical evidence that documents how too much sugar can make the brain shrink, wither, atrophy and just plain work badly.

If you want to age your brain just eat the typical diet most Americans consume. That will lead to memory, attention and mood difficulties and will hasten the path to Alzheimer's. The Brain Trust Program builds upon this concept and provides the science behind the recommendations.

3. Many eyebrows will certainly be raised when people find out what a “brain-healthy diet” actually looks like. Foods like fish, berries, green leafy vegetables, eggs, avocados, nuts, seeds, and coffee—conspicuously all low-sugar and low-carb, by the way—are highly recommended by you for maximized brain function. It falls right in line with the latest research for neurological diseases.

Essentially, you are stating that the health of the brain is directly tied to blood sugar levels in the body—something that medical literature confirms. I’m sure some of your colleagues will no doubt scoff at your contention that a simple nutritional approach is what is needed to preserve this most vital of our organs.

What led you to go down this path for treating your patients? Have you seen similar or better improvements in brain health compared with prescription drugs and other treatment options?

As you well know, prescription drugs usually act on a single metabolic, or cellular, pathway. By increasing or decreasing a specific functions, drugs might be able to treat something like an under-active thyroid. However, all of the diseases associated with aging such as heart disease, arthritis, thinning of bones, memory loss and stroke are hardly changed by drug therapy. The key question is why.

As we have seen, drugs act on a single highly specialized pathway. The diseases that cause most concern today involve disruption to multiple cellular pathways. That is why the pharmaceutical industry has failed us. We need a solution that improves MANY cellular functions. This is the very act of eating well. It is also closely tied to our DNA and evolutionary history. Simply stated, that is why nutrition is so important and so beneficial.

4. There’s a lot of controversy right now being discussed over the role of artificial sweeteners in a healthy diet. In terms of their impact on the brain, what do you think about the most popular sugar substitutes being used these days, including Nutrasweet (aspartame), Sweet ‘N Low (saccharin), and Splenda (sucralose)? What about the claim that these substances are merely excitotoxins that fool the brain into thinking they are sugar and, thus, the body responds in the same manner as sugar?

How about the plant-based stevia which is set to be approved as a sweetener by the FDA soon? Is it safer? Or is it just better to eat pure cane sugar, honey, and other natural sources of sugar in moderation as some studies have suggested for good brain health rather than risking any adverse side effects from these alternatives?

Most of the artificial sweeteners share a dark chemical side with the drugs that are prescribed like water in this country. Both share the fact that they are chemicals to which the body has never been exposed. For this reason they may be patented. When this occurs only one manufacturer may produce them and the profit margin is high. That is what is driving both industries.

Since the body has never seen them before, they may cause problems in certain people. This has been documented abundantly in the drug and artificial sweetener arena. For these reasons I would stick to fruits (which contain natural sweeteners) and spices (which are akin to stevia). I think we all must realize that sweetness is an acquired taste and just as we have been conditioned by the food manufacturing industry to crave sweets, we can de-condition ourselves be choosing natural foods. In time we will lose the urge to eat foods containing such additives.

5. Nutritional supplementation has become a multi-billion dollar industry these days with people taking every vitamin they can get their hands on in an effort to improve their health and ward off disease. Drugstore shelves are full of everything from A to Z, but who knows what to take? And are there better quality supplements people need which are not easily found in stores?

What are the absolutely essential supplements that everyone should be taking to give their brain the best potential for maximum function? Are there any supplements or gimmick “brain health” products out there that should be avoided like the plague?

I think this is a very important question. We are a society looking for a "quick fix" or magic bullet. I think we all know that those don't exist. That is why proper nutrition is so important and remains the cornerstone of a healthy lifestyle. Once a good diet is in hand, there are a few nutritional supplements that can aid the aging brain. I discuss these in the Brain Trust Program. Basically they reinforce the effects of a healthy diet but add nutrients that are specific for the insults associated with aging.

There are a number of products that make egregious brain health claims. That alone should be a tipoff. Be careful to choose manufacturers who use quality ingredients, avoid sources that incorporate heavy metals and make sure they deliver what the label says.

6. A large part of your book includes some simple, but effective exercises for the brain. Why is this oft-neglected part of brain health so important and what are the benefits to setting aside time each day to do this? Can't people just read or do a crossword puzzle and work their brains enough? What happens to those people who fail to exercise their brain beyond their regular, day-to-day activities?

The brain goes through "phases" if you will as it develops. When we are children, we soak up information like sponges. Learning is effortless. Difficult things like picking up language skills come easily. As we age the brain "solidifies" and becomes less flexible. This is not bad because by this time we know what we need to do to function in society to be successful.

The down side is that we can get "fixed in our ways" and lose the ability to look at things in novel ways. That is why a mentally challenging outlook on life is vital. It keeps the cobwebs away and stimulates ALL the important areas of our brain. That is what keeps us mentally young.

For this reason we need to continually be stimulating our brains in novel ways. This means reading books, solving problems, social interactions, doing puzzles, and even exercising. Aerobic activities, weight training and balance and coordination drills such as ping-pong, jump rope and trampoline activity activate different brain regions
and keep us mentally young.

7. Diabetes has become the health crisis of our time with millions of new cases popping up every year while its twin epidemic obesity continues to get worse and worse. We all know about Type 1 and Type 2 diabetes, but what about this new version some researchers are calling “Type 3 diabetes” which is the new way of referring to Alzheimer’s Disease because of the impact sugar has on this condition?

I've highlighted several published studies here at my blog showing various versions of a low-carb diet can effectively reverse the symptoms of this condition, including one study by Dr. Thomas Seyfried from Boston College in February 2007 using a high-fat, low-carb diet to actually shrink brain cancer tumors. What has been your experience with treating brain diseases like these through innovative dietary improvements compared with the recommended Standard American Diet?

Type 3 diabetes as you have referred to, was a phrase coined by researchers at Brown University. It suggests that the brain is unable to effectively use glucose as a fuel, much the same as the body of a diabetic can no longer use glucose as a fuel. The ability to deliver a low, stable and continuous supply of glucose to the brain is what makes it most happy.

The dramatic spikes, surges, or continuous excessive supply delivered by today's diet is toxic for the brain. It is now well-known that insulin resistance, glucose intolerance, or the worst form of sugar problem--diabetes, ages the brain and doubles the risk for all types of memory problems and even Alzheimers disease. As you have suggested, the types of fats and carbohydrates in our diets are key in accomplishing this goal.

We need to include more of the brain-friendly omega 3 fats and veggies and fruits (especially berries), and less of the refined carbohydrates such as cakes, cookies, and breads and trans fats in items like margarine.

8. Many of my readers who deal with less severe brain conditions like migraine headaches, menopause, hot flashes, dimming of the senses, brain fog, and memory loss will be pleased to learn that you actually recommend a specific “cocktail” for each of these in your book. Fascinating! Each of these contains all-natural and healthy ingredients that will supercharge your brain and make it better and stronger than ever.

Give us an example of your most prescribed “cocktail” for a common brain ailment. How quickly can people expect to find relief for their condition using these treatment options and will they need to keep up these regimens for the rest of their lives?

Many common conditions of the brain are directly related to its inability to produce the energy it needs to get through the day. Our brains are being asked to do more today than ever before. They consume energy 10x faster than the rest of the body. Our dietary and lifestyle choices impair the brain's ability to meet these energy needs which depend upon glucose.

The suggestions I make in The Brain Trust Program depend on an alternative energy source the body developed millions of years ago for times when the brain couldn't depend upon glucose. This alternative fuel is ketone bodies which are merely partially burned fats. They are burned differently than sugars and the brain loves them.

They have been shown to help a multitude of brain afflictions from memory loss to migraine headaches to hot flashes. They are generated in the body from a nutritional supplement called pure MCT (medium chain triglyceride) oil that is available from high end vitamin stores or on the internet. When consumed the results and response can be surprising and may be measured in days! Another easy way to produce ketone bodies is simply by restricting carbohydrate intake.

9. You are a big believer in the body’s use of the ketone bodies that form in a carb-restricted state for optimal brain health. What has your research on ketones shown you to make you so confident that they are an excellent replacement for glucose as fuel for the brain? What is your professional response to those who oppose a low-carb nutritional approach as an unhealthy, dangerous, fad diet that is potentially harmful and deadly over the long-term?

Fad diets come and go. The diet we cut our evolutionary teeth on is essentially a low-carb diet that generates high levels of ketone bodies. You need look no further than the brains of children with intractable seizures to see how miraculous ketones are for brain health and function. They work where all drugs fail by increasing the energy available for the nerve cells and keeping them from becoming over-excited which is after all what causes seizures to develop in the first place.

10. THANK YOU for sharing a few moments of your time with us today here at the “Livin’ La Vida Low-Carb” blog, Dr. McCleary. You truly are one of the leading voices in the health debate over the veracity of low-carb diets for health and the information you have provided about brain health and function in your new book and in this interview today is absolutely incredible. What is the ultimate take-home message that you hope people will remember (no pun intended!) about The Brain Trust Program?

We all age and our brains age--but at different rates. As this occurs, there is a period when the brain cells weaken, but before they die. This is when we have symptoms, but also when we can make a difference. If we change our diets, lifestyles and level of brain stimulation we can "nurse" a sick brain cell back to health. But the sooner you start, the better the outcome! So don't wait...jump start your brain now before it is too late!

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Blogger Science4u1959 said...

"The diet we cut our evolutionary teeth on is essentially a low-carb diet that generates high levels of ketone bodies. You need look no further than the brains of children with intractable seizures to see how miraculous ketones are for brain health and function."

I could not have said it better myself. Numerous studies have pointed out the fantastic benefits of low-carb dietary approaches for brain health and function. The body of evidence keeps growing and growing. The results that researchers are getting, for many years already, with children suffering from epilepsy are nothing short of miraculous.

So much for the (constantly repeated) BS that the brain can only function on glucose... another one of these nonsensical lies that the late great dr. Atkins already debunked. In the presence of (an abundance of) carbs the brain uses glucose, yes. So what? What does that prove? Nothing. if anything, it only proves that one consumes too many carbs... that's all. The truly healthy (and truly preferred) fuel for the brain is ketone bodies. As is proven, here, once again.

Excellent and very valuable interview, Jimmy.

9/05/2007 6:12 AM  
Anonymous Anonymous said...

Great post, Jimmy; thanks for bringing this information to my attention--I'm always reassured when you interview a professional who has done the hard work of showing not only the benefit but the necessity of livin' la vida low-carb. This is great news.
And you, my friend, are writing beautifully these days--your blurb for this book is exquisite! Keep up the good work, Jimmy!

9/05/2007 7:34 AM  
Blogger Orvette said...

Wow, Jimmy, this is just an amazing interview! Livin Low Carb is getting more exciting all the time- what hope this news brings to all of us! Thanks for what you do here, Jimmy. I'm going straight to Amazon to buy Dr. McCleary's book!

9/05/2007 9:36 AM  
Blogger renegadediabetic said...

Great post. I know my brain functions much better on low carb than it did before.

9/05/2007 9:46 AM  
Blogger Jimmy Moore said...

It's my pleasure Orvette! There's so much positive happening with low-carb--now we just need to get the word out!

9/05/2007 10:37 AM  
Blogger Dana Seilhan said...

Hey, I found this particular entry of yours on a Google search for a post I was writing in my own blog. I just ran into another piece of work about glucose and cancer cells--research was published earlier this year indicating that some kinds of cancer cells kind of fall apart without access to glucose. This at least partially explains why doctors and researchers have noticed for so many years that cancer cells need more glucose than normal cells do--even Dr. Atkins remarked upon it.

Anyway, point is, in the article I found about this, they mentioned that whatever drugs they come up with, "the central nervous system [brain] needs glucose to function," so they have to come up with something that won't cross the blood-brain barrier. Oh yeah, what about brain cancer? Why not just put the patient on a ketogenic diet and see what happens? Oh no, we've gotta reinvent the wheel, even if it kills people. Puke.

Oh and did you ever hear that very young infants are constantly in a state of ketosis? I haven't verified it yet but it would be a very easy thing to test. ;) Apparently, some folks think that the reason babies are born fat is that they use their body fat to build up their brains in the first year or two of life. Well, ketosis is apparently part of that process. It is also a failsafe in case something happens to the mom--the baby won't starve immediately. Isn't it incredible how the human body works?

5/24/2008 4:10 PM  
Blogger Jimmy Moore said...

Amazing stuff, Dana! God knew exactly what He was doing when he created us. :)

5/24/2008 6:06 PM  

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