The Fiber Hoax/Paradox/Dilemma

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tex
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The Fiber Hoax/Paradox/Dilemma

Post by tex »

Hi All,

For decades, "experts" have been recommending increased fiber in the diet to prevent colorectal polyps and/or cancer, to treat/prevent constipation, diverticulous, hang nail (OK, maybe I'm exaggerating about the hang nail issue) — the point is, whenever someone has a digestive problem, what do the "experts" recommend? That's right — they recommend more fiber in the diet. I've been skeptical about this for years, and I even mentioned it in my book, and cited a reference that reached the same conclusion that I've reached — namely that fiber doesn't actually seem to do any of these things that have been attributed to it by "experts" with vivid imaginations.

Research shows that fiber does not prevent the development of colorectal polyps or cancer, nor does it improve or prevent diverticulitis — in fact, it appears to make diverticulitis worse (as can be seen by the worldwide increase in diverticulitis problems as people have added more fiber to their diet).

And now a recent research project has shown that the long-standing claim that fiber helps to treat or prevent constipation, is also bogus. Dr. Briffa discusses this in a recent blog:
The study focused on 63 adult (average age 47) individuals who had persistent constipation for which no medical cause could be identified [1]. Stool (bowel motion) frequency was less than once every three days for at least three months. All participants were on a high-fibre diet and/or were taking fibre supplements.

Study participants were instructed to adopt a low-fibre diet, and specifically to eliminate fruit, vegetables, breakfast cereals, wholemeal bread and brown rice for two weeks. After this, participants were asked to continue eating as little fibre as possible if this helped their symptoms.

6 months after the start of the study, 41 patients had persisted with the ‘no-fibre’ diet, 16 were eating a reduced fibre diet, and 6 were on a high-fibre diet for a variety of reasons (including being vegetarian or religious reasons).

In the 41 patients on the no-fibre diet, average bowel frequency had increased from an average of once every 3.75 days to once every day.

In the 16 patients on the reduced-fibre diet, average bowel frequency had increased from an average of once every 4.19 days to once every 1.9 days.

In the 6 patients who remained on a high-fibre diet, bowel frequency was once a week initially, and it remained the same on the high-fibre diet (as expected).

Symptoms of bloating occurred in 0 and 31 per cent of the low- and reduced-fibre eaters respectively. Of those on the no-fibre diet, no one had to strain to pass a stool. Abdominal pain also improved in this group and any anal bleeding they had resolved completely.
Study finds dietary fibre is more likely to be cause of, rather than a cure for, constipation and other bowel symptoms

Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms

That's pretty strong evidence, IMO. I'm beginning to wonder — are any of the dietary recommendations that have been made by the "experts" in the past century actually valid? Or did they just arbitrarily make them up all those claims? One by one, they're falling by the wayside, as researchers actually check them out and find that they're simply not true.

Don't try this at home, as they say, but about 10 years ago, when it finally dawned on me that my severe digestive system problems were probably due to my diet, I removed most of the fiber from my diet, (along with the removal of food sensitivities), and since then, every time that I have experimented with adding fiber back in, my body has demonstrated either disapproval, or no benefits, so my current diet is still virtually devoid of fiber, and always will be.

We are all well aware that fiber is contraindicated for anyone who has active MC (or any other IBD). But is it actually good for anyone? Archaeological records show that the paleo people actually ate much less fiber than has been traditionally attributed to them, and the evidence suggests that they typically ate from a third to half the amounts recommended today. Could it be that they simply ate fiber in order to prevent having an empty stomach, until they could find some "real" food to sustain them?

Beyond that, I'm beginning to wonder if fiber might be implicated in the environment that predisposes us to the development of MC and/or other autoimmune type diseases. After all, research shows that fiber causes "regularity" by physically tearing the cells in the mucosa of the intestines, to cause them to dump their mucin, as the immune system marks them for apoptosis (programmed destruction) and replacement. Why would a lifetime of physical trauma to an organ be beneficial? :headscratch: :monkey:

The traditional medical view of chronic insults that are in the form of long-term abuse and/or physical or chemical damage to an organ, is that such abuse leads to cancer.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by ant »

Dear Tex,

I am sure you know what I am going to say........who is making money out of selling fiber? "Follow the money".

Best Ant
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Post by JeanIrene »

Tex, I was thinking the same thing about fiber causing MC in whole or at least in part. I was a big time fiber eater and got to where I'd feel guilty if I had a meal without a lot of it. I also had read reports of this being the best way to prevent colon cancer, and since my brother died of it, I thought this would prevent it happening to me. I do think now it was destroying my intestines. I remember being angry after my diagnosis, wondering how this could be when I'd eaten so "healthy" all these years. In reading posts on this site, it seems many of us were big fiber eaters and now are frustrated by their inability to eat it.

Jean
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Post by jgivens »

I need to get my mother this article about fiber. It confirms that her problem with constipation most of her adult life was not due to lack of fiber in her diet. My training was all about getting people (seniors especially) to increase the fiber in their diets, as they are usually constipated and we were supposed to press fiber on them. Makes me embarrassed that I blindly went along, not questioning b/c we all knew that the doctor knows best!
Indeed! :mad:
Jane
Diagnosed with Lymphocytic Colitis 12/19/12
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Post by tex »

Jane,

What really bugs me is the fact that doctors receive precious little training on nutrition and diet, in medical school. But since they have a medical degree, most people just assume that they are qualified to give dietary advice. Since they charge big bucks for their advice, whenever someone asks them for dietary advice (whether a patient or someone in the media, working on a news article), they are not about to admit that they don't actually know any more about it than the average individual on the street, so to save face, they pretend that they are qualified to give such advice (sort of the way that so many GI specialists pretend that they know how to treat MC). LOL.

And it's as easy as falling off a log, because all they have to do is to parrot the current USDA recommendations, along with whatever fads the food industry happens to be promoting at the time, supported by bogus research. Since virtually all dietary research is financed by food industry money, the research conclusions and recommendations are a no-brainer. Their arrangement with the FDA is the same as the pharmaceutical industry — they supply the research, and the FDA either approves the label or denies it. The FDA never does any original research. FDA approvals are made by a committee of industry "experts". Well duh! Does anyone besides me suspect that they just might be biased toward the industry? When unknowns require judgment calls, whose side are they likely to be inclined to favor — the consumer, or the industry?

The bottom line is that it all appears to boil down to a conspiracy against the consumer, where the fox is guarding the hen house, and everyone along the line is either making money at the expense of consumer health, or doesn't know any better, and doesn't care

The thing that ultimately convinces me that only herbivores were designed to eat fiber is the way that dogs and cats handle an upset stomach. When they have a tummy problem, what do they do? If they are free to roam outdoors, they eat some grass, and after a short interval, they vomit up whatever was upsetting them, and they happily go on about their way. You don't see them topping off their meals with a salad — they view fiber as a way to purge their digestive system when something they ate was spoiled, or otherwise didn't digest properly. Remember that dogs (wolves) were originally drawn to humans because they ate the same food as humans, so they learned to follow them around, so that they could scavenge the remains of kills made by humans.

For some strange reason, most people consider humans to be omnivores, because we can eat such a wide variety of foods. But just because we can eat a wide variety of foods does not mean that it is necessary, or even that it is good for our health. The paleo people developed that characteristic in order to be able to survive tough times. It kept them from starving, whenever they couldn't find any animals, birds, or fish to dine on.

Basically, from our position at the top of the food chain, we are carnivores, whether we wish to admit it or not. And our original relationship with wolves proves that claim. That is how we evolved. Wolves certainly did not follow paleo people around hoping for an opportunity to finish off the leftovers of a feast based on roots and herbs. LOL. Clearly, we didn't evolve with fiber as a major part of our diet. The destiny of human health was permanently side-tracked when the neolithic period came along, and we began to eat grains. The general health of the human species has been progressively declining ever since.

The point is, we can eat a wide variety of foods, but that doesn't mean that doing so is essential, or even desirable. In the final analysis, carbs are not essential to human health, and neither is fiber. We can get along quite well without them. Protein and fat, on the other hand, are indeed essential to human health, and we have to have both, in order to survive.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by jgivens »

Absolutely. I love it when I have a doctor who actually admits that s/he doesn't know anything about nutrition. Nurses don't know anything about nutrition either and they often feel free to pass out advice. I was grateful when I got to nursing school that I had already had a term of nutrition because I had a degree in Health Education.

The very best books I have read in the last couple of years have been The Vegetarian Myth by Lierre Keith-- she has a 30 minute YouTube ( http://www.youtube.com/watch?v=rNON5iNf07o ) which is a "taste" (pun intended) of what she says in her book and is very much like your entry above--and Wheat Belly. The latter is everywhere and I think Dr. William Davis (the author) has added a lot of non-gluten eaters to the population because it is now "cool" to say you are gluten-free. Who knew that we are all such "cutting edge" and cool people??

I think and hope that the Baby Boomers and younger have become more skeptical of Western Medicine and know enough to question their doctors and not blindly follow without more facts. I find that people in my mother's generation expect that their doctors know everything. When I see that mentality in someone my age I want to shake them and say, "Don't be so lazy! You have to research some of this stuff for yourself and ask questions. Never stop asking questions, because when you do, it could cost you your life!"
Jane
Diagnosed with Lymphocytic Colitis 12/19/12
"When it gets dark enough,you can see the stars."
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Post by tex »

What I don't understand is why doctors are fighting the GF movement so aggressively. They have very little to gain by doing so (the power to decide who should follow a GF diet), and a heck of a lot to lose (credibility), because one of these days they are going to have to eat a lot of crow because of their opposition to anyone dropping gluten from their diet without their official approval. What on earth ever gave them the idea that it was their duty to micromanage anyone's diet in the first place? Instead, they choose to try to convince us that we are fools if we drop gluten from our diet if we do not have an official diagnosis of celiac disease. That's just plain goofy.

What is it about gluten that makes people (not just doctors) feel as though it is an absolutely essential part of the diet for anyone who is not officially diagnosed as a celiac, when everyone is well aware that celiacs live perfectly well without it, and so can anyone else?

Thanks for the link.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by jgivens »

Look at how crazed doctors, our government and many dieticians have been for years making grain the largest portion of the food pyramid. To retract that now, would make them look really bad AND they would have to learn something about nutrition. The doctors figure that med school was "enough". There is more money to be made keeping us sick eating (and addicted to) wheat, barley and rye and doing endoscopies to tell us there is nothing wrong than to have us dump gluten from our diets.

I figure that we are a very small group of people (those of us who have been actually diagnosed with an IBD) and there are thousands walking around who cannot afford to find out why they feel so awful or are too scared to want to know.

Even the Let's Move program that Michelle Obama is doing to help prevent childhood obesity, while it talks about too much processed food in our diets, is more interested in getting the fat out of the food than recognizing the havoc grains are wrecking on children and their parents. There is a whole re-education that must take place before anyone can turn this thing around. We still have the mistaken belief that plant oils are good, animal fat is bad. As you said before, dogs became our friends because our diets were so similar. Even dogs are suffering from the cereal-type dog food they are given. They have had diagnoses of MC as well as we have.

If you are a doctor and you are told that you can spend only 7 minutes with each patient, you are going to rely on what you were taught in med school and for expediency's sake not entertain any "wild" ideas the patient (who knows his/her body better than you do!) has about some silly gluten-free diet plan--especially if you (the Dr.) think it is a fad.
Jane
Diagnosed with Lymphocytic Colitis 12/19/12
"When it gets dark enough,you can see the stars."
Charles A. Beard
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Post by Deb »

Jane, we had a little health group that got together and brought in speakers. One time we had the lawyers that successfully defended the MN farmer who
sold colostrum. http://connection.ebscohost.com/c/artic ... s-mistrial They said that doctors are afraid
to recommend ANYTHING outside of their medical training or they can be liable for a lawsuit. Once, I asked my PCP where she obtained her CSA organic foods. She said, "Don't tell anyone I told you but ......" Pitiful when they're too afraid of legalities to be able to treat us effectively. Deb
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the fiber hoax

Post by wmonique2 »

Tex,


Thanks for your post and the responses by all. Very interesting. In my case, I simply switched to non fiber diet b/c all that fiber made me very, very sick. Doctors can pontificate all they want, I have to do what's right for my body.

Tex, can you give us a sample of what you eat on an average day? Just so that we have an idea on how you structure your meals...I also have to consider high-histamine foods in addition to all the other considerations :cry:

Love,

Monique

P.S so Ant is a dude and we even have a pic now :lol:
Diagnosed 2011 with LC. Currently on Low Dose Naltrexone (LDN)
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Post by tex »

Monique,

I don't believe that there's anything inherently bad about anyone eating a lot of fiber, providing that they like it, and their digestive system is up to the task of handling it — I just happen to view it as junk food. :lol: But on the other hand, I'm convinced that no one should ever feel obligated to apologize for ignoring the USDA guidelines on fiber, because fiber clearly is not the cure-all that it's claimed to be, and in fact, the opposite seems to be true in many instances.

Health experts would quickly label my diet as dangerously unhealthy, and everyone else will view it as extremely boring, to boot, but I've managed to survive for many a moon on it, so I'm not likely to change anytime soon. LOL.

For breakfast:

I usually fire up a griddle and cook 4 thick slices of bacon (bigger and thicker than the prepackaged stuff). After I flip the bacon, I fry 2 eggs in the grease, and throw 2 corn tortillas on the griddle. By the time the tortillas are beginning to brown slightly on the second side, I take them off, and usually about 15 or 20 seconds later, the eggs will be done, so I plop one on each tortilla, and then add 2 slices of bacon to each one. I simply roll 'em or fold 'em over to make sort of a breakfast burrito, and if I use a paper plate, the only thing that needs cleaning afterward is the griddle, and it's easy to wipe off. Yep, that's a greasy breakfast, but it's good. :grin:

About once a week, I'll substitute a good-sized pancake made from King Arthur Pancake Mix (using almond milk), with maple syrup, for the eggs (and leave off the tortillas, of course). I usually make the pancakes ahead of time, and freeze them in individual ziploc bags, so that all I have to do is to thaw one in a microwave, and warm it on the griddle as the bacon finishes frying.

If I'm short on time, I might eat a bowl of Chex GF cereal with almond milk, but that rarely happens.

Mid-day:

I'll usually nuke a piece or two of leftover grilled pork sausage (usually jalapena pork sausage), with some tortilla chips or Fritos.

Sometimes during the winter I'll eat stew or chili, with tortilla chips.

If a neighbor comes through with some tamales, about once a week I'll eat a few homemade tamales, but those neighbors are getting up in age, and it's been a while since they have called, so I'm afraid that my tamale-eating days may be past, because I wouldn't trust just any tamales to be GF, and I'm too lazy to make them myself. :lol:

Supper:

Usually the same, except that in order to avoid any risk of digestive problems during the night, I'll use plain smoked pork sausage instead of the jalapeno pork sausage that I usually eat around noon, and I'll avoid the chips. I usually make a wraparound with a piece of sausage and a tortilla, both nuked.

Occasionally, I'll substitute a grilled pork chop, with either rice or a baked potato, but I eat more pork sausage than anything.

Rarely, I'll cook a pork roast, and add a baked potato or some rice.

I got inspired and bought a good deep fryer a while back, but they're so messy (as if a griddle isn't, LOL), that I prefer to cook outside somewhere with them, so now that the weather is warming up again, I may fry a few fish and French fries now and then, for variety.

As you can see, vegetables and fruit are not a major part of my diet. I used to eat a few, but fiber is contraindicated with an ileostomy, so I had to cut them out about 3 years ago. :sigh:

Love,
Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by wmonique2 »

Tex,

I just got up and read your post. You crack me up! Thank you for starting my day with a good laugh! If you ever come to Atlanta and come to visit, all I'll have to do is buy you a bunch of pork, eggs and tortillas and let you have at it :lol: What an easy guest you'll make!


Love,

Monique
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Post by tex »

Monique,

If I should ever find myself headed in that direction, I'll give you at least a week's advance notice so that you'll enough have time to locate everything on that list. :lol:

Yep, I'll bet I have the shortest grocery shopping list on the continent. If I were to come to Atlanta, I'd probably want to add grits to the list, though. I think the last time I had grits was several years ago in a small cafe in Lamont, Florida, next to a truck stop, where I spent the night. They were part of the package when I ordered bacon and eggs. Around here though, you almost never see grits on the menu.

Thanks for the reminder — I think I'll add them to my shopping list, but I'll be surprised if I can even find them in any of these little one-horse towns around here. :lol:

Love,
Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by wmonique2 »

Tex,

L O L! It's a deal!!!!!

(btw, I took a hankering to grits this last year when I eliminated gluten! grits are EVERYWHERE here. My favorite in fancy restaurants? Grits and shrimps! Made with heavy cream, butter, gruyere cheese and shrimps). When I first heard this combination, I didn't think that it would work but I tried it once and got addicted to it. I even make it at home now!

Love,

Monique
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Post by JeanIrene »

Hey guys, now I'm getting hungry. Those grits sound wonderful! And I am starting to smell bacon frying I think.

Tex, do you worry about sodium nitrate in your bacon or do you buy the kind without? Monique is right, you seem pretty easy to please. No fancy stuff there, just real food!

Jean
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