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	<title>Comments on: So big and so healthy, indeed.</title>
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	<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/</link>
	<description>A critical look at nutritional science and anything else that strikes my fancy.</description>
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		<title>By: oliver t griswold</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-91203</link>
		<dc:creator>oliver t griswold</dc:creator>
		<pubDate>Fri, 18 Jan 2008 17:59:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-91203</guid>
		<description>&quot;An early 20th epidemiologist studying the differences in aging between whites and Native Americans who lived in the same area found that their were about 20 Native American centenarians to every white centenarian. At the time the Native Americans were still living a Paleolithic lifestyle (or at least the centenarians had been for most of their lives). So, in brief, the old argument that it doesn’t matter what was healthy for Paleolithic man because he died young doesn’t really hold water.&quot;

would you provide this reference? this is a great stat. 

thanks much...

&lt;em&gt;I don&#039;t have the reference.  If anyone does, I would love to see it.  If someone has the citation, let me know, and I&#039;ll be able to retrieve it and make it available to all.

Best--

MRE&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>&#8220;An early 20th epidemiologist studying the differences in aging between whites and Native Americans who lived in the same area found that their were about 20 Native American centenarians to every white centenarian. At the time the Native Americans were still living a Paleolithic lifestyle (or at least the centenarians had been for most of their lives). So, in brief, the old argument that it doesn’t matter what was healthy for Paleolithic man because he died young doesn’t really hold water.&#8221;</p>
<p>would you provide this reference? this is a great stat. </p>
<p>thanks much&#8230;</p>
<p><em>I don&#8217;t have the reference.  If anyone does, I would love to see it.  If someone has the citation, let me know, and I&#8217;ll be able to retrieve it and make it available to all.</p>
<p>Best&#8211;</p>
<p>MRE</em></p>
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		<title>By: jeff</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-576</link>
		<dc:creator>jeff</dc:creator>
		<pubDate>Sun, 20 Aug 2006 14:51:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-576</guid>
		<description>I also hear the argument about the short lifespan of Paleolithics. Your reply makes sense to me but it is not the conventional wisdom. To shore up my defense of my &quot;wacky new diet&quot;  as well as satisfy my own curiosity, I would like to read more on the Paleolithic human diet and physical development. Any books or published research you could recommend that would help fill in the gaps? Much obliged!

Hi Jeff--

As far as aging and Paleolithic man goes, take a look at the book Why We Age by Steven N. Austad.  It is an excellent book on aging and, I think, deals with the aging of early man.  I say I think because I&#039;m in the middle of rearranging my books right now and can&#039;t lay my hands on my copy to check specifically.  If it&#039;s not in the book, then it&#039;s in one of his many papers.  Even if it is not in the book, the book is by far the best book I&#039;ve ever read on aging.

To read a ton of stuff on Paleolithic man take a look at the following website:

http://paleodiet.com/

This website contains a wealth of information on all aspects of the Paleolithic diet.  But, beware, it is, like virtually everything on the web, subject to double checking.

Have fun--

MRE
</description>
		<content:encoded><![CDATA[<p>I also hear the argument about the short lifespan of Paleolithics. Your reply makes sense to me but it is not the conventional wisdom. To shore up my defense of my &#8220;wacky new diet&#8221;  as well as satisfy my own curiosity, I would like to read more on the Paleolithic human diet and physical development. Any books or published research you could recommend that would help fill in the gaps? Much obliged!</p>
<p>Hi Jeff&#8211;</p>
<p>As far as aging and Paleolithic man goes, take a look at the book Why We Age by Steven N. Austad.  It is an excellent book on aging and, I think, deals with the aging of early man.  I say I think because I&#8217;m in the middle of rearranging my books right now and can&#8217;t lay my hands on my copy to check specifically.  If it&#8217;s not in the book, then it&#8217;s in one of his many papers.  Even if it is not in the book, the book is by far the best book I&#8217;ve ever read on aging.</p>
<p>To read a ton of stuff on Paleolithic man take a look at the following website:</p>
<p><a href="http://paleodiet.com/" rel="nofollow">http://paleodiet.com/</a></p>
<p>This website contains a wealth of information on all aspects of the Paleolithic diet.  But, beware, it is, like virtually everything on the web, subject to double checking.</p>
<p>Have fun&#8211;</p>
<p>MRE</p>
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		<title>By: Audley</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-575</link>
		<dc:creator>Audley</dc:creator>
		<pubDate>Thu, 10 Aug 2006 13:01:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-575</guid>
		<description>Although the civil war vet was small, was he lean? I&#039;m guessing not. I know a person who is small, yet when he takes off his shirt, he has a gut, and looks like his bodyfat is high. He is on statins, eats the low fat/high carb diet, and believes he is eating right. His doctor and dietitian tell him what to eat, I can&#039;t convince him otherwise. I also can&#039;t get him to weight train either. My wife and I call this group the &quot;skinny-fat guys&quot;.

Hi Audley--

Given the diet the Civil War soldiers followed, I would imagine that the guy pictured was mainly skin and bones.

I&#039;ve seen many people like your friend, and &#039;skinny-fat guys&#039; is a good name for them.  The old saying that you can lead a horse to water but you can&#039;t make him drink certainly applies to these people.

Best--

MRE</description>
		<content:encoded><![CDATA[<p>Although the civil war vet was small, was he lean? I&#8217;m guessing not. I know a person who is small, yet when he takes off his shirt, he has a gut, and looks like his bodyfat is high. He is on statins, eats the low fat/high carb diet, and believes he is eating right. His doctor and dietitian tell him what to eat, I can&#8217;t convince him otherwise. I also can&#8217;t get him to weight train either. My wife and I call this group the &#8220;skinny-fat guys&#8221;.</p>
<p>Hi Audley&#8211;</p>
<p>Given the diet the Civil War soldiers followed, I would imagine that the guy pictured was mainly skin and bones.</p>
<p>I&#8217;ve seen many people like your friend, and &#8216;skinny-fat guys&#8217; is a good name for them.  The old saying that you can lead a horse to water but you can&#8217;t make him drink certainly applies to these people.</p>
<p>Best&#8211;</p>
<p>MRE</p>
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		<title>By: Ron</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-574</link>
		<dc:creator>Ron</dc:creator>
		<pubDate>Tue, 08 Aug 2006 16:19:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-574</guid>
		<description>The picture used to show the difference between what someone would look like now compared to then is a bit unfair.

The original Civil War man was around 20 years old when the picture was supposedly taken whereas the current soldier  is 55 years old.

Many 20 year olds when they reach the age of 55 will look like the current soldier.

Hi Ron--

That&#039;s a valid point.  The article pointed out that the 55 year old man was larger in every dimension, not just in belly size.  Pictures of average people back then--even at age 55--show most of them to be non-obese, even slim.

Best--

MRE</description>
		<content:encoded><![CDATA[<p>The picture used to show the difference between what someone would look like now compared to then is a bit unfair.</p>
<p>The original Civil War man was around 20 years old when the picture was supposedly taken whereas the current soldier  is 55 years old.</p>
<p>Many 20 year olds when they reach the age of 55 will look like the current soldier.</p>
<p>Hi Ron&#8211;</p>
<p>That&#8217;s a valid point.  The article pointed out that the 55 year old man was larger in every dimension, not just in belly size.  Pictures of average people back then&#8211;even at age 55&#8211;show most of them to be non-obese, even slim.</p>
<p>Best&#8211;</p>
<p>MRE</p>
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		<title>By: Mark Levin</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-573</link>
		<dc:creator>Mark Levin</dc:creator>
		<pubDate>Mon, 07 Aug 2006 10:36:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-573</guid>
		<description>&quot;Eighty percent had heart disease by the time they were 60, compared with less than 50 percent today&quot;.

The following is from ï¿½The Skinny on Fatsï¿½ from Mary Enig, PhD, and Sally Fallon on The Weston A. Price Website.

Before 1920 coronary heart disease was rare in America; so rare that when a young internist named Paul Dudley White introduced the German electrocardiograph to his colleagues at Harvard University, they advised him to concentrate on a more profitable branch of medicine. The new machine revealed the presence of arterial blockages, thus permitting early diagnosis of coronary heart disease. But in those days clogged arteries were a medical rarity, and White had to search for patients who could benefit from his new technology. During the next forty years, however, the incidence of coronary heart disease rose dramatically, so much so that by the mid fifties heart disease was the leading cause of death among Americans. Today heart disease causes at least 40% of all US deaths.

So which is it? Was heart disease rare due to early death from infectious diseases or was it not noticed due to poor statistical reporting or is Dr. Fogel incorrect in his statistics? Another possibility is the extreme stress of war, especially the Civil War, also contributed to heart disease. My readings on the subject indicated that foot soldiers in the civil war lived in very poor conditions and thus may not be suitable subjects as a typical American male of the 19th Century.

As always thanks for the time and space. 

P.S. There&#039;s a discussion of the limitations of statistical reporting on the Cholesterol Skeptics website at http://www.thincs.org/discuss.April02.htm.

Hi Mark--

A couple of things.  First, there is a fair amount of controversy over whether or not heart disease was common in the late 19th/early 20th century.  Heart disease (we&#039;re talking myocardial infarction, i.e., heart attack) is typically a disease of older people.  When lifespans are short due to infectious diseases and trauma--as they were in those days--many people die before they are able to have a heart attack.  As people start living longer--thanks to antibiotics and good trauma care--they live into the ages where they do have heart attacks.  Also, there is some speculation that, since the first symptom of an acute heart attack is sudden death in a third of the cases, deaths from heart attack were undiagnosed and underreported.  In fact, I&#039;ve heard some of my ancient relatives--before they passed on--talk about how so and so took such and such medicine and fell over dead.  I&#039;m sure in many cases like these that so and so was feeling some measure of discomfort from the early stages of an MI, took a dose of something for it, and succumbed to sudden death.  I don&#039;t really have an opinion on whether or not heart disease was as rampant 100 years ago as it is today because I haven&#039;t looked into it in depth and so don&#039;t have a firm opinion.  I am pretty sure that the famous Scottish surgeon John Hunter died of a heart attack in 1793 at the age of 65.  He had experience several years of classic angina, crushing substernal chest pain, whenever he became agitated, leading to his famous remark: &quot;I&#039;m at the mercy of any rogue who chooses to provoke me.&quot;  He ultimately had the big one.

I should have mentioned it in my post, but I believe the heart disease most of the post-Civil War subjects of this study had was probably congestive heart failure or so-called dropsy, which can also occur with protein malnutrition.  I doubt that they had myocardial infarction type heart disease.

Also, the men that were the subjects of this study fought in the Civil War but were studied using their medical information from then along with their medical information throughout their lives.  Presumably, after the war their living conditions improved considerably.   If my living conditions now were the same as they were when I was in college, God only knows what kinds of health problems I would have.

Cheers--

MRE</description>
		<content:encoded><![CDATA[<p>&#8220;Eighty percent had heart disease by the time they were 60, compared with less than 50 percent today&#8221;.</p>
<p>The following is from ï¿½The Skinny on Fatsï¿½ from Mary Enig, PhD, and Sally Fallon on The Weston A. Price Website.</p>
<p>Before 1920 coronary heart disease was rare in America; so rare that when a young internist named Paul Dudley White introduced the German electrocardiograph to his colleagues at Harvard University, they advised him to concentrate on a more profitable branch of medicine. The new machine revealed the presence of arterial blockages, thus permitting early diagnosis of coronary heart disease. But in those days clogged arteries were a medical rarity, and White had to search for patients who could benefit from his new technology. During the next forty years, however, the incidence of coronary heart disease rose dramatically, so much so that by the mid fifties heart disease was the leading cause of death among Americans. Today heart disease causes at least 40% of all US deaths.</p>
<p>So which is it? Was heart disease rare due to early death from infectious diseases or was it not noticed due to poor statistical reporting or is Dr. Fogel incorrect in his statistics? Another possibility is the extreme stress of war, especially the Civil War, also contributed to heart disease. My readings on the subject indicated that foot soldiers in the civil war lived in very poor conditions and thus may not be suitable subjects as a typical American male of the 19th Century.</p>
<p>As always thanks for the time and space. </p>
<p>P.S. There&#8217;s a discussion of the limitations of statistical reporting on the Cholesterol Skeptics website at <a href="http://www.thincs.org/discuss.April02.htm" rel="nofollow">http://www.thincs.org/discuss.April02.htm</a>.</p>
<p>Hi Mark&#8211;</p>
<p>A couple of things.  First, there is a fair amount of controversy over whether or not heart disease was common in the late 19th/early 20th century.  Heart disease (we&#8217;re talking myocardial infarction, i.e., heart attack) is typically a disease of older people.  When lifespans are short due to infectious diseases and trauma&#8211;as they were in those days&#8211;many people die before they are able to have a heart attack.  As people start living longer&#8211;thanks to antibiotics and good trauma care&#8211;they live into the ages where they do have heart attacks.  Also, there is some speculation that, since the first symptom of an acute heart attack is sudden death in a third of the cases, deaths from heart attack were undiagnosed and underreported.  In fact, I&#8217;ve heard some of my ancient relatives&#8211;before they passed on&#8211;talk about how so and so took such and such medicine and fell over dead.  I&#8217;m sure in many cases like these that so and so was feeling some measure of discomfort from the early stages of an MI, took a dose of something for it, and succumbed to sudden death.  I don&#8217;t really have an opinion on whether or not heart disease was as rampant 100 years ago as it is today because I haven&#8217;t looked into it in depth and so don&#8217;t have a firm opinion.  I am pretty sure that the famous Scottish surgeon John Hunter died of a heart attack in 1793 at the age of 65.  He had experience several years of classic angina, crushing substernal chest pain, whenever he became agitated, leading to his famous remark: &#8220;I&#8217;m at the mercy of any rogue who chooses to provoke me.&#8221;  He ultimately had the big one.</p>
<p>I should have mentioned it in my post, but I believe the heart disease most of the post-Civil War subjects of this study had was probably congestive heart failure or so-called dropsy, which can also occur with protein malnutrition.  I doubt that they had myocardial infarction type heart disease.</p>
<p>Also, the men that were the subjects of this study fought in the Civil War but were studied using their medical information from then along with their medical information throughout their lives.  Presumably, after the war their living conditions improved considerably.   If my living conditions now were the same as they were when I was in college, God only knows what kinds of health problems I would have.</p>
<p>Cheers&#8211;</p>
<p>MRE</p>
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		<title>By: simon Fellows</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-572</link>
		<dc:creator>simon Fellows</dc:creator>
		<pubDate>Sat, 05 Aug 2006 14:57:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-572</guid>
		<description>Sir any thoughts on thinning hair and insulin as it seems to be implicated from what i&#039;ve read ?

Thankee kindly

Hi Simon--

There is indeed evidence that hyperinsulinemia causes apical (on the crown of the head) baldness.  I don&#039;t know that anyone knows the mechanism.

Best--

MRE</description>
		<content:encoded><![CDATA[<p>Sir any thoughts on thinning hair and insulin as it seems to be implicated from what i&#8217;ve read ?</p>
<p>Thankee kindly</p>
<p>Hi Simon&#8211;</p>
<p>There is indeed evidence that hyperinsulinemia causes apical (on the crown of the head) baldness.  I don&#8217;t know that anyone knows the mechanism.</p>
<p>Best&#8211;</p>
<p>MRE</p>
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		<title>By: Patricia Beninato</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-571</link>
		<dc:creator>Patricia Beninato</dc:creator>
		<pubDate>Sat, 05 Aug 2006 13:30:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-571</guid>
		<description>I look forward to the full post about Dr. Smith&#039;s findings--so much for the belief that the British ate three things, beef, bread, and beer.  More like bread, bread and bread.

Not to jump the subject track, one thing I&#039;ve always been curious about is that Paleolithic man is always touted as being big and strong due to the high-protein diet, but didn&#039;t he also die young?  I remember in my anthropology classes in college life expectancy 100,000 years ago was late twenties or early thirties.  Was this a falsehood or were their other factors involved?  Low-carb has worked swimmingly for me but I have a friend who&#039;s terrified that if she eats like a cave person she&#039;ll be dead in five years. 

Hi Patricia--

Actually the Brits in Dr. Smith&#039;s study did drink some beer, but not nearly as much as would be expected.

The idea that Paleolithic man died early is a misconception.  In fact, it&#039;s such a misconception that I&#039;ll probably blog about it in detail in due course.  Studies of the lifespan of early man have shown that some individuals lived as long as we do today.  The overall shortness of mean lifespan came as a result of their extremely hostile environment as compared to ours today.  An early 20th epidemiologist studying the differences in aging between whites and Native Americans who lived in the same area found that their were about 20 Native American centenarians to every white centenarian.  At the time the Native Americans were still living a Paleolithic lifestyle (or at least the centenarians had been for most of their lives).  So, in brief, the old argument that it doesn&#039;t matter what was healthy for Paleolithic man because he died young doesn&#039;t really hold water.

Best--

MRE</description>
		<content:encoded><![CDATA[<p>I look forward to the full post about Dr. Smith&#8217;s findings&#8211;so much for the belief that the British ate three things, beef, bread, and beer.  More like bread, bread and bread.</p>
<p>Not to jump the subject track, one thing I&#8217;ve always been curious about is that Paleolithic man is always touted as being big and strong due to the high-protein diet, but didn&#8217;t he also die young?  I remember in my anthropology classes in college life expectancy 100,000 years ago was late twenties or early thirties.  Was this a falsehood or were their other factors involved?  Low-carb has worked swimmingly for me but I have a friend who&#8217;s terrified that if she eats like a cave person she&#8217;ll be dead in five years. </p>
<p>Hi Patricia&#8211;</p>
<p>Actually the Brits in Dr. Smith&#8217;s study did drink some beer, but not nearly as much as would be expected.</p>
<p>The idea that Paleolithic man died early is a misconception.  In fact, it&#8217;s such a misconception that I&#8217;ll probably blog about it in detail in due course.  Studies of the lifespan of early man have shown that some individuals lived as long as we do today.  The overall shortness of mean lifespan came as a result of their extremely hostile environment as compared to ours today.  An early 20th epidemiologist studying the differences in aging between whites and Native Americans who lived in the same area found that their were about 20 Native American centenarians to every white centenarian.  At the time the Native Americans were still living a Paleolithic lifestyle (or at least the centenarians had been for most of their lives).  So, in brief, the old argument that it doesn&#8217;t matter what was healthy for Paleolithic man because he died young doesn&#8217;t really hold water.</p>
<p>Best&#8211;</p>
<p>MRE</p>
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		<title>By: Jennifer Colby</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-570</link>
		<dc:creator>Jennifer Colby</dc:creator>
		<pubDate>Fri, 04 Aug 2006 15:54:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-570</guid>
		<description>Thank you for reinforcing my gut instinct to follow PP while pregnant.  I ate plenty of protein and good fats, very little carbs.  I do the same now that I am nursing.  I have a very healthy 3 month old little boy.  I wish I had found PP before my other 2 children were born.   
Now, I think I&#039;ll go eat a steak..  
jenny

Hi Jenny--

One thing I would change about PP during pregnancy would be to add more colorful fruits and vegetables to the regimen of meat and good fats.

Thanks for writing.

MRE</description>
		<content:encoded><![CDATA[<p>Thank you for reinforcing my gut instinct to follow PP while pregnant.  I ate plenty of protein and good fats, very little carbs.  I do the same now that I am nursing.  I have a very healthy 3 month old little boy.  I wish I had found PP before my other 2 children were born.<br />
Now, I think I&#8217;ll go eat a steak..<br />
jenny</p>
<p>Hi Jenny&#8211;</p>
<p>One thing I would change about PP during pregnancy would be to add more colorful fruits and vegetables to the regimen of meat and good fats.</p>
<p>Thanks for writing.</p>
<p>MRE</p>
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		<title>By: James Hickman</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-569</link>
		<dc:creator>James Hickman</dc:creator>
		<pubDate>Thu, 03 Aug 2006 23:56:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-569</guid>
		<description>Dr. Mike,  Please run some photos of scantily clad women eating meat -- just make sure they are fit and trim so they won&#039;t be embarrassed by a photo appearing on the web for all the world to see.  And to be on the safe side, you should probably say nice things about them too. Maybe you could mention how nice it is to see that they&#039;ve had such good returns on their high protein diet.  I&#039;m sure that will put a stop to any more comments about your lack of taste and sensitivity.

Hi James--

I already posted one.  See the first photo in the Eades/Cordain picnic blog.  Right in the middle is a scantily clad woman eating meat.  And you&#039;re right; I&#039;ve had no comments about my lack of taste and sensitivity since.  Maybe you&#039;re on to something.

Cheers--

MRE</description>
		<content:encoded><![CDATA[<p>Dr. Mike,  Please run some photos of scantily clad women eating meat &#8212; just make sure they are fit and trim so they won&#8217;t be embarrassed by a photo appearing on the web for all the world to see.  And to be on the safe side, you should probably say nice things about them too. Maybe you could mention how nice it is to see that they&#8217;ve had such good returns on their high protein diet.  I&#8217;m sure that will put a stop to any more comments about your lack of taste and sensitivity.</p>
<p>Hi James&#8211;</p>
<p>I already posted one.  See the first photo in the Eades/Cordain picnic blog.  Right in the middle is a scantily clad woman eating meat.  And you&#8217;re right; I&#8217;ve had no comments about my lack of taste and sensitivity since.  Maybe you&#8217;re on to something.</p>
<p>Cheers&#8211;</p>
<p>MRE</p>
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		<title>By: Nancy M</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/so-big-and-so-healthy-indeed/comment-page-1/#comment-568</link>
		<dc:creator>Nancy M</dc:creator>
		<pubDate>Thu, 03 Aug 2006 17:58:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=264#comment-568</guid>
		<description>I just listened to a lecture by Dr. Ken Fine, from Enterolab.com, talking about how something close to 30% of us have the antibodies to gliadin in our intestines.  I wonder how much of the malnutrition back then was due to eating so much bread, and causing subsequent damage to the small intestine.  Although, I must say, their diet sounded pretty awful.

Hi Nancy--

I&#039;m quite sure that a lot of it came from their large consumption of bread.  Their diet sounded awful, indeed.

Best--

MRE</description>
		<content:encoded><![CDATA[<p>I just listened to a lecture by Dr. Ken Fine, from Enterolab.com, talking about how something close to 30% of us have the antibodies to gliadin in our intestines.  I wonder how much of the malnutrition back then was due to eating so much bread, and causing subsequent damage to the small intestine.  Although, I must say, their diet sounded pretty awful.</p>
<p>Hi Nancy&#8211;</p>
<p>I&#8217;m quite sure that a lot of it came from their large consumption of bread.  Their diet sounded awful, indeed.</p>
<p>Best&#8211;</p>
<p>MRE</p>
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