[jimbo2012]

More Commonly Asked Questions

Protein - Where do I get my protein / What protein drink is best?
Extra protein powder and shakes are truly unnecessary and have the potential for harm if they contain animal protein. The protein available through plant-based nutrition is adequate to nourish professional champion athletes such as the iron man, professional football, mixed martial arts, track and field, etc.

Calcium – Where do I get calcium?
Calcium supplementation is unnecessary. There is more than adequate calcium in a plant- based diet of whole grains, legumes and grains and especially the green leafy vegetables.

Vitamins – What Vitamins should I take?
A multivitamin is a reasonable way to be sure of obtaining the full spectrum of vitamins, but my preference, especially if one is eating copious amounts of green leafy vegetables, is to limit supplements to Vitamin D as necessary to maintain blood level in the normal range and B -12.

Fish Oil - Should I take fish oil?
Fish oil is not essential. Fish get their omega 3 from plants. It is difficult to be deficient in Omega 3 if eating 1-2 tablespoons of flax seed meal and green leafy vegetables at several meals. There is also research that suggests that those on plant based nutrition become highly efficient in their own manufacture of omega 3. Patients on fish oil are also at increased risk for bleeding.

Flax Seed Oil/ Flax Seed Meal – What about flax seed oil?
Flax seed meal is well tolerated and supplies a bonus of omega 3 using 1 or 2 tablespoons on cereal daily. Avoid flax seed oil.

Olive oil, canola oil, coconut oil, Sunflower oil, soybean oil, peanut oil, any oil –
Which oil is best?
Avoid oils. They injure the endothelium, the innermost lining of the artery, and that injury is the gateway to vascular disease.

Lotions with oil – Is it all right to use lotions with oil on my skin?
It is fine to use lotions with oil on your skin.

Omega 3 – How do I get my Omega 3’s?
Omega 3 ‘s are essential fatty acids supplied in adequate amounts in people consuming plant based nutrition with plenty of green leafy vegetables.

Family history –I have a bad family history? Does it matter?
Family history can shed light on whether one has an increased risk, but multiple autopsy studies of the young confirm that all who are consuming the standard western diet have established, albeit early, vascular disease. Family history loads the gun but lifestyle pulls the trigger.

Nuts – What about nuts? I hear so many different opinions.
For those with established heart disease to add more saturated fat is inappropriate.
For people with no heart disease who want to eat nuts and avocado and are able to achieve a cholesterol of 150 and LDL of 80 or under without cholesterol lowering drugs, some nuts and avocado are acceptable. No nuts for heart disease patients, includes peanuts and peanut butter, even though peanuts are officially a legume. Chestnuts are the one nut, very low in fat, it is ok to eat.

Seeds (sunflower, pumpkin, sesame) Are seeds ok to eat?
Some seeds sprinkled on bread or crackers, etc., are acceptable. Just don’t eat handfuls.

Prostate cancer- Does plant based eating help prostate cancer?
Prostate cancer is greatly lessoned by plant- based nutrition as best exemplified by the 1958 report confirming by autopsy 18 deaths in the entire nation of Japan.

Egg whites, fat free milk, yogurt – So What is wrong with egg whites, fat free yogurt, skim milk?
Egg whites, fat free milk and yogurt are ALL animal protein, and animal protein injures the lining of the arteries. Do not eat.

Cholesterol Number fluctuation – Why do my cholesterol numbers fluctuate?
Fluctuation of cholesterol is normal. It is nice to have it fluctuating in a range that would indicate you are unlikely to have cardio vascular problems.

Losing weight –What can I do to stop losing too much weight?
If you are losing too much weight, EAT MORE calories. Increase portion size. Eat snacks. Eat more whole grains and beans.

HDL- My doctor is so concerned because my HDL has gone down
It is not uncommon for HDL to fall when cholesterol falls. Do not be alarmed. The capacity of HDL to do its job has been shown recently by scientific research that there is no relationship between the capacity of the HDL molecule to function optimally and its blood level. Recent research has confirmed that the HDL molecule can be injured and weakened when one is ingesting a pro inflammatory western diet and conversely it appears despite a lower than normal level to be optimized by anti inflammatory plant based-nutrition.

LDL - Where should my LDL be?
LDL is the bad cholesterol. The closer it can be to 80-85, the better. However, if one is unable to take statin drugs and eating plant-based nutrition, and the LDL won’t go lower than 95-105, it would appear that they will still be fine. The lesson we learned from the Tarahumara Indians, who never have cardiovascular disease, is that the most key protective element is not so much the pure LDL number as is knowing that nothing ever is eaten which is a building block of vascular disease or can injure endothelium.

Statins - Should I take statins or not?
Statins are not the reason that cultures such as the Tarhumara and the Papua Highlanders do not have cardiovascular disease. Statins appear to have no benefit in primary prevention but are of some help in slowing disease progression for those who already have an established diagnosis of cardiovascular disease. Clearly some of our most profound successes in arresting and reversing disease were with patients who either refused or were incapable of taking statins. Nothing is as powerful for the prevention of cardiovascular disease as plant based nutrition.

Coumadin – Can I eat leafy greens when I am on Coumadin?
Coumadin (Warfarin) is an anti clotting drug shown to have significant benefit in protecting people with atrial fibrillation from having a stroke. Can patients on Coumadin eat all the green leafy vegetables with vitamin k, which may shorten their clotting time? The answer most emphatically is YES! Merely inform the physician who is monitoring the Coumadin and clotting time that you are regularly going to be eating copious amounts of healthy green leafy vegetables. He/she will appropriately adjust the Coumadin dose.

Juicing- Is it all right to juice?
Do not juice. You lose all the fiber and its benefits.

Fruit juice – What about fruit juice?
Drinking fruit juice is like pouring the sugar bowl down your throat. It is fine to eat the whole fruit. Do not drink the juice.

Smoothies – How about smoothies? I love them!
Avoid smoothies. The fiber is so finely pureed that its helpful properties are destroyed. The sugar is stripped from the fruit, bypasses salivary digestion and results in a surge of glucose and the accompanying fructose contributes to inflammation and hypertension.

A Fib- Will plant nutrition work for A Fib?
While A Fib is largely independent of nutrition, and is a heart rhythm abnormality, there are some subset of cases which are presumably related to less than optimal heart circulation. While it would be totally inappropriate for me to suggest plant - based nutrition would cure atrial fibrillation, the many ancillary benefits would indicate plant based nutrition would be of value.

Calcium score- Is a calcium score helpful?
With cardiac CT you get a big hit of radiation. If you have been eating the typical American diet, you have heart disease as autopsy studies have shown.

Erectile dysfunction- Will erectile dysfunction reverse with plant based nutrition?
We have seen erectile dysfunction reverse on multiple occasions. Those who follow the program most closely have the best results. How long it takes varies.

Do Cholesterol Numbers Matter?
What you eat matters most. LDL 85 or under is the ideal but it can vary if you eat plant based.

Sugar- How much sugar is safe?
Newer information suggests that excess sugar is harmful, especially fructose, one of the most commonly ingested sugars, which can contribute to inflammation and hyper tension as well as weight gain and exacerbating diabetes

Coffee – Can I drink coffee?
Avoid coffee with caffeine. Several studies indicate it may contribute injury to the lining of the artery.

Soy products – What about soy products?
Soy products are 40% fat and most of them are highly processed. An excess of soy protein may stimulate insulin growth factor, which is a tumor promoter. Eat soy products cautiously.

Does eating plant based help with congestive heart Failure?

There are multiple components in the treatment of congestive heart failure. It is our experience that when all the usual therapies have been instituted, there can be additional improvement with the introduction of whole food, plant based nutrition.

I am looking for a cardiologist or someone who practices life style like you in my area.
This is the most common question I get. There are a few doctors who practice lifestyle change, and hopefully there will be more. For those wanting to come for guidance, we have developed once to twice month a single day intensive seminar at the Cleveland Clinic Wellness Institute.

There are so many different diets out there…Paleo, blood type, how do I know which one to choose?
That is not as challenging as it may appear. You can separate hype from scientific reality by seeing if the author has done peer reviewed scientific research prior to bringing the ideas to the public.

What is the difference between plant protein and animal protein?
While the precise mechanisms need to be elucidated, animal and epidemiological studies as well as the brachial artery tourniquet test, confirm that animal protein accelerates both atherosclerosis and cancer, whereas plant protein does not.

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