Indigestion? food intolerance?

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FOOD INTOLERANCE? INDIGESTION? RELAX, SLOW DOWN... Alex Nedvetsky, MD, PhD Shape up, USA!

Transcript of Indigestion? food intolerance?

FOOD INTOLERANCE? INDIGESTION?

RELAX, SLOW DOWN...

Alex Nedvetsky, MD, PhD

Shape up, USA!

Eat Like a Patriot (Leaders)

Eat Like a Patriot (Masses)

Road From Skinny To Buff

SKINNY DAVID BUFF DAVID

Bulked Up Body, Screwed Up Health

ACID REFLUX DISEASE (GERD) IRRITABLE BOWEL SYNDROME (IBS)

Abdominal Pain Bloating Flatulence Nausea Constipation Diarrhea

Heartburn Chest Pain Regurgitation Bitter Taste Sore Throat Laryngitis

Doctor’s Orders

Antacids More Antacids Loads of Antacids

+ Pepto-Bismol

+ Proton Pump Inhibitor (PPI)

IS IT ALL YOU’VE GOT, DOC?

How ’Bout Some Lateral Thinking

Bites and Chews Method

Small bites < cubic ½ in

Thorough chewing

>10 – 20 - 30 chews per bite

Fast Mindless vs Slow Mindful Eating

TURTLE’S LIFESPAN ~ 150 YRS

HARE’S LIFESPAN ~ 8 YRS

Compelling Science Behind Bites & Chews Method

Mastication-induced activation of HA neurons suppressed physiological food intake through H1-receptor in the hypothalamus.

Toshiie Sakata et al. http://ebm.rsmjournals.com/

We conclude that bite size and oral-sensory exposure time could contribute to higher satiation within a meal for equal calories.

Forde CG et al. Nestle Research Centre, Vers-Chez-Les-Blanc, Switzerland

Hunger was acutely suppressed below baseline (P < 0.05), and fullness was elevated above baseline longer (P < 0.05) after 40 chews than after 25 chews.

BA Cassady et al. Department of Foods and Nutrition, Purdue University 

Mastication makes you eat less

Mastication creates higher satiation

Mastication suppresses hunger

Bites’n’Chews App

Food IntoleranceTrue or False?

Gluten Intolerance... Is that so?

A third of US adults ( 108 M) expressed their willingness to exclude gluten from their diets.

Official numbers:

Celiac Disease – 1 % ( 3.2 M)

Non Celiac Gluten Sensitivity (NCGS) – 5.6 % (18 M)

National Foundation for Celiac Awareness

WTF!

Too Much Oil - Bad 4 Engine!

Smoking

Damaged turbo oil seals

Damaged oxygen sensors

Damaged oil control rings

Damaged oil pump

Fire!

Interesting Cross-PollinationFI IBS OE

Abdominal pain ✔ ✔ ✔

Heartburn ✔ ✔ ✔

Nausea ✔ ✔

Bloating ✔ ✔ ✔

Flatulence ✔ ✔ ✔

Vomiting ✔ ✔

Diarrhea ✔ ✔ ✔

Constipation ✔ ✔

Headaches ✔

Irritability ✔ ✔ ✔

Nervousness ✔ ✔

Fatigue ✔ ✔

FI – Food IntoleranceIBS – Irritable Bowel SyndromeOE - Overeating

Actual Culprits

Bad Oral Processing

Chronic Overeating

Eatometer – A Pedometer 4 Eating

Daily Goals

Ingestion Tracker (Eatom)

Health Score

Texture

Number of Foods

Calories

Eatom App

Chew Long and Prosper