Heart Health Fuhrman Ornish
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Hey, interesting thing. Nathan Pritikin felt that people were especially susceptible to a heart attack, when they were very tired.
At one time, Nathan Pritikin's only "patient" who had had a heart attack, was low on sleep, late for a plane, and was running carrying a heavy suitcase. This was long before roller suitcases, as of today.
Just FYI.
Best regards, EngineerGuyView Thread


Sounds great !
Food for thought - suggestions for your consideration:
The fastest regression of heart disease, is during weight loss. Are you lean enough? - Again, no need to answer.
Do you get enough sleep?
Do you exercise, both aerobic and resistance? You don't need bone crusher workouts, nor lenthy workouts. But a person does have to develop strength, and probably run 2 miles easily. It may take a while to develop this, which is fine. Some exercise daily. Exercise before meals, can help with blood sugar, as discussed in The End of Diabetes.
Best to you, Dolores. Don't get discouraged.
Best regards, EngineerGuyView Thread

BTW, I am not perfect on all these things. I sometimes eat when I am not hungry, and sometimes I stuff myself. As I get older, I try to be more compliant... When traveling, or on social occasions, I generally try to minimize the damage, but do not generally do well. I am doing better. In my daily routine, I am quite happy with the delicious diet.
So, is your program adequate, given you heredity, which you can only guess at? I think it's valuable to get an IMT test. This is an ultrasound of the carotid arteries. It is completely safe and noninvasive. It's just like a baby ultrasound. It takes about 10 minutes, some KY jelly on your neck, and about $200. I recommend the intima-media thickness test. This provides a number, how thick the media of the artery is, average for the left and right artery, plus pictures of any blockages found. BE SURE TO VERIFY THE PRICE AHEAD OF TIME. One benefit is that you can track your thickness with time. I have made my arteries thinner, which is good. I had lipid inclusions (fat pockets) in the artery wall, which have gone away. This is actually nifty, because in the Ornish study, where the Ornish group had 1/2 the heart attacks compared to standard medical care, neither group had any change in their IMT results.
Best regards, EngineerGuyView Thread

Dr. Esselstyn ran the most effective treatment for heart disease, ever medically documented. He had 18 heart disease patients, who had 48 cardiac events in the 8 years prior to starting his diet, and zero cardiac events in the 22 years subsequent. These were worse heart patients than ususal. 5 were told by their cardiologists that they had less than a year to live, prior to starting Dr. Esselstyn's diet. Dr. Esselstyn's medical publications are listed on his website www.heartattackproof.com . He wrote a book "Prevent and Reverse Heart Disease", at the 20 year mark.
Some may criticize this study because there was no control group. Dr. Esselstyn answers that the patients are their own control group, in that they had 48 cardiac events in the 8 years before the diet.
Dr. Ornish ran a study, with a control group randomly assigned between standard medical care, and the Ornish diet and stress relief and support. Dr. Ornish did not use statin drugs, for this study. The Ornish group had half of the heart attacks compared to the standard medical care group. This is very good, but is actually not good at all, compared to Dr. Esselstyn's results.
Why did Dr. Esselstyn do so much better than Dr. Ornish? One reason is that statins are beneficial, and do reduce heart attacks and strokes, by about 27%, in randomized trials. But I do not believe that would not account for most of the difference between the two doctor's results.
Dr. Esselstyn was very strict in the diet. Ornish allows non-fat dairy, Esselstyn allows no meat, fish, poultry or dairy. Esselstyn had his patients have a cholesterol test every 2 weeks, for the first 5 years!! He watched them very closely. All the doctors (Esselstyn, Ornish, McDougall, Fuhrman, and Mr. Pritikin) have observed that the most strict patients do the best.
In my opinion, Dr. Fuhrman has improved upon the other excellent programs. Each of these initiatives are very valuable. Dr. Fuhrman emphasizes checking for deficiencies, such as vitamin D (I was severely deficient, I found out by a blood test), Omega-3 fats, and many other other less common. Dr. Fuhrman talks about meal frequency, promoting 2 or 3 meals a day, not 6. I ate 6 meals a day for 30 years, on the Pritikin diet. Animals fed fewer meals, but same total calories, live longer.
Dr. Fuhrman emphasizes eating a wide variety of high nutrient foods. Many foods are emphasized for many benefits, including anti cancer properties.
I believe, for myself, curing my vitamin D deficiency, plus changing meal frequency, cured my occasional painful dry mouth at night, my mild but genuine occasional depression, and my 30 years of very severe lactose intolerance. These things went away, and the only changes that line up with them, is the vitamin D supplementation and meal frequency reduction.
So, what is the most important thing to do, to avoid heart disease? In my opinion, there is no single most important thing. There are over a dozen very important things. Strictly cutting out the bad stuff is critical. Being vegan most days or most weeks. Cut out the salt, oils, and simple or refined carbs. Emphasize lots of veggies. It is helpful to eat a large salad, even a small salad before every meal. Be very lean. Exercise. Lots of sleep. Do not eat ideally 4 hours before going to bed. Get hungry between meals. Do not eat until you are stuffed.
Best regards, EngineerGuyView Thread

Thanks for the kind words. Back at u.
Hi Dolores,
If you like, you could describe your program. Please don't beat yourself up, or blame yourself as to why you had a heart attack. We only want to be helpful.
Best regards, EngineerGuyView Thread

You are right. Poor Garnet was surrounded by rich tempting food, and worked full time at work and at home. I myself do not do well, visiting family and traveling. I just saw family for 4 days, and did better. That's progress, for me.
On the both the Fuhrman and McDougall websites, there are posts of people who say they are doing better than they did on the other diet. I myself am doing better on Fuhrman, compared to McDougall. But I think you are right, that McDougall would be easier in some situations.
I believe that Dr. Fuhrman has more valuable advice on a variety of subjects. I believe that the meal frequency that Dr. Fuhrman advocates, is very valuable. I believe that emphasizing a wide variety of veggies is very valuable, and emphasizing certain ones. I am certain that getting a blood test for vitamin D and taking a supplement, if deficient, is valuable, as I was seriously deficient in June (blood level of 16, normal 30 -55), in spite of carefully getting an hour of sunlight 7 days a week for 2 years, at noontime, wearing only trunks, if over 60F.
The take away is that we all are individuals, and sometimes we are surprised that our program is not adequate to achieve our health goals. We have to look to how we might improve.
Best regards, EngineerGuyView Thread

I might have been wrong about the Fit For Life being low fat vegan. Thanks for pointing that out.
Best regards, EngineerGuyView Thread

DO NOT FORGET - You are a CHAMP !! Congratulate yourself for what you have accomplished, which is PLENTY. Do not beat yourself up or blame yourself. That is simply counterproductive anyway. Almost any other person in your place, would have succumbed long ago, but you have gone forward and taken care of business, with a great lifestyle.
OK, so we get a surprise that we have to do more.
More ideas, for your consideration:
You eat 4 meals daily, as I recall. You might read "The End Of Diabetes, and consider if you want to reduce to 3 or 2 meals. (I used to eat 6 meals, for 30 years on Pritikin, but dropped to 3 meals daily, and usually 2 meals on weekends.) There is a huge amount in The End of Diabetes. And, anything that is good for diabetes, is good for heart disease, and good for everyone. I certainly follow all advice in the book, for myself. I think I'll re-read it, just to make sure that I am not forgetting something.
Work with your doctor to analyze your blood tests, to look for clues as to where you should work, based on your individuality.
I got a more expensive cholesteol test, called the VAP test. I believe there are other excellent tests, today, also. The improved tests break down the LDL and HDL to small, medium and large particles. The VAP cholesterol test told my I have famlial type B lipid profile, so my LDL is mostly the small dense type, the worst type. My HDL runs very low, and is mostly the small dense HDL, the only type of HDL that is bad. The take home message is, that familial type B lipid profile is very sensitive to abdominal fat. So, I have to be very lean, to prevent heart disease. This is just an example of using blood tests, etc. to try to determine particular sensitivities that have to be addressed, particular to an individual.
Dolores, you are a treasure, and jc and I and H and all of us care for you.
Wishing you all the best, EngineerGuyView Thread

Since you were having a heart attack, a stent or bypass is absolutely the right thing to do, as it had a great chance to minimize or prevent the damage being done by the heart attack.
For those reading, is anyone having a heart attack or stroke, RIGHT NOW?
If so, get to a hospital immediately, because as a modern miracle of medicine, a stent or bypass may be able to prevent the damage from the heart attack or stroke.
OK - happily, nobody replied that they are having a heart attack or stroke RIGHT NOW.
If you want to prevent a heart attack or stroke next month, should you go get a stent or bypass? Unfortunately, no. 70% of heart attacks or strokes occur at fresh, new plaque, which ruptures and causes a clot. The old established severe blockages often have considerable collateral circulation, and the plaque does not rupture as easily. The only way to prevent next month's heart attack is to promptly and diligently adopt a healthy lifestyle. And a diligent healthy lifestyle can take effect that quickly. Don't forget lots of sleep, too.
Dolores, eating ham in one meal on Easter, I don't think should cause a heart attack. True, Dr. Esselstyn has no tolerance for "moderation", but ham on Easter is not really "moderation". It's one meal.
Please understand, I am only trying to be helpful. Please absolutely believe that the heart attack was not "your fault". You have worked very hard to have an excellent lifestyle, and you are to be congratulated for it. You can rightfully be very proud of your accomplishments, to take control of your health.
Should you take H's advice? Well, bless H for his perseverence and dedication. But H still points to the Masai as an example of a healthy population on a program similar to his. And this is even after Dr. Mann publicly reversed himself, to Dr. Mann's credit, and stated that "The coronary arteries showed intimal thickening by atherosclerosis which equaled that of old U.S. men. The Masai vessels enlarge with age to more than compensate for this disease. It is speculated that the Masai are protected from their atherosclerosis by physical fitness which causes their coronary vessels to be capacious."(1) Ultimately, H attributed the bad results of the Masai to occasional white flour use, which H completely dreamed up. And, if H were right that occasional white flour use was the Masai's downfall, that would imply that the SAD was actually very protective against heart diesase, compared to H's program, since the SAD has vastly more white flour than the Masai, but the SAD makes less atherosclersis.
My recommendation is to carefully consider Dr. Fuhrman's recommendations, compared to your present program.
I was pretty shocked, 5 years, ago, after faithfully and strictly following the Pritikin program for 2 years, and pre vs post IMT tests showed the development of lipid inclusions (fat pockets) in my carotid arteries. Well RATS.
After 2 years on Fuhrman, (with occasional binges) my lipid inclusions are gone.
We all have different heredity. Our heredity tells us how hard we have to work to be healthy.
Below I am listing aspects of our program, only as suggestions for your consideration. Whether you decide you might work to improve some aspect of your program, only you can decide.
Are you very lean? Are you near to pinching 1 inch by the navel? Some people are very sensitive to abdominal fat, and for some sensitive people, even 5 pound of extra fat, can make problems. Do you exercise daily? Do you get plenty of sleep?
continued...
Best regards, EngineerGuy
(1) http://aje.oxfordjournals.org/cgi/content/abstract/95/1/26View Thread
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