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Got Fiber?
One of the simplest ways to know that you are getting enough dietary fiber is to examine your stool. The normal stool is 12-18 inches long and 1-1.5 inches thick. I'll bet you haven't seen one of those in quite a while. If yours doesn't look like that, you are not getting enough dietary fiber.

By the way, you should see one of those at least once, preferably twice, or even three times a day. Also, the normal transit time (from mouth to rectum) is 24 - 36 hours. The average transit time in the developed world is 72 hours because we eat refined foods. (The ancient Egyptians knew to use white flour to stop diarrhea. Even 5,000 years ago they knew that refined foods are constipating.) One way to check your transit time is to eat several cooked beets and wait for the red stool to appear (the coloring makes it through the digestive process pretty well).

"So what if your stool doesn't measure up," you ask? Listen up. Dietary fiber helps to eliminate toxins and general waste material by trapping it in the stool and giving enough bulk for your intestinal contractions to move the waste out. A prime example of this Cholesterol and bile salts (needed to digest fats) sit in our intestines for several days and are converted by bacteria into carcinogenic toxins which are then absorbed and sent to the liver increasing the risk of bowel and liver cancer. The recycled bile also accumulates in the gallbladder leading to gallstones. The liver toxicity creates a back pressure on the hemorroidal veins causing - you guessed it - hemorrhoids and varicose veins, etc. In fact many "modern" diseases are caused by a lack of dietary fiber and an excess of fat. In much of the third world, rates of cancer, heart disease, stroke and diabetes are around 2% of the population. In this country, cancer occurs in 12.5% of the population, diabetes in 9% and heart disease 22%. Living off the "fat of the land" is painfully killing us. So if we know how to prevent the most serious killers of our age why don't we do something about it? The answer lies in the fact that foods which have most of their nutritional value removed have a longer shelf life. Fresh whole wheat bread spoils in a few days, whereas a white flour loaf will last much longer. One of my patients pointed out to me that when he came back home after a two week surf safari, he found that the food in his cupboards had not molded or attracted bugs. He concluded that if bugs and bacteria were smart enough to recognize that these things in his cupboard had no food value, perhaps he shouldn't be eating them either.

By example, white flour has had over 2 dozen known nutrients (and there may be more) removed in the refining process. A handful have been added back and the bread or pasta is called "enriched". "Enriched" - doesn't that sound better than nature could have done it? Aren't we a clever species?

Do we know it all?
In the middle ages, people thought that all we needed to eat was meat and bread (and of course wine or beer) to survive. Now and then, if you weren't feeling well or to freshen your breath, you could eat a vegetable. When sailors began getting scurvy (vitamin C deficiency) from long ocean voyages, it was concluded that you also needed to have a lime a day, hence sailors in the British navy became known as "limeys". When rice was milled to become white rice and beriberi appeared, B vitamins were recognized as essential nutrients. In this century, the chemical structure and function of the known vitamins have been identified and synthesized. Again we thought we knew it all. You need to eat proteins, carbohydrates, fats, vitamins and minerals.

In the last 20-30 years, the importance of many other nutrients have been identified, from long chain fatty acids to flavenoids (like pycnogenol). There are still thousands of chemicals in foods whose use in human nutrition is unknown. In our arrogance, we assume that they must be useless. Of course, when some research about one of the nutrients gets popularized in the press, you will see intense advertising about how that nutrient cures everything. A good example is pycnogenol. It is one of at least 20 bioflavenoids. In my opinion, it is no more important than ascorbic acid, rutin, quercetin, etc., all of which can be found when eating the pith (white inner skin) of citrus, or many other fresh fruits and vegetables. Even the seed of citrus (grapefruit seed extract) has been found to have powerful antibiotic and antiviral effects.

What to do? The smartest thing to do is to eat whole foods. Do not assume that through the wonders of modern science we have all the answers. Nature still knows best. The reason no one will give this advice is because it doesn't sell a product. If you can take wheat, which costs pennies a pound (wholesale) and separate it into white flour, vitamins, minerals, bran, etc., and sell it back for several dollars an ounce (and have nearly unlimited shelf life), why spend your advertising dollars telling people to eat whole foods instead? Every commercial message is designed to separate you from your money by selling you an idea disguised as a product.

I am amazed when I go to an upscale health food store and find a gift wrapped box of 7 strawberries marked up to $6 because of the clever packaging. I have even seen avocados (which are about 50% fat, but of course contain no cholesterol because only animals can produce cholesterol) advertised as "cholesterol free avocados". As if health food stores have found a way to breed out the cholesterol. If a dessert is "fat and sugar free", what does it have in it? How toxic are the substitutes like Olestra and Nutrasweet? Be an intelligent consumer. Eat real food in moderation and find an enjoyable form of exercise. There are no short cuts, no calorie-free lunch. Step off the commercial treadmill and enjoy a simpler and much healthier life.

By the way, fiber doesn't mean eating bread that has the consistency of home plate. Nor does it mean eating bran muffins or fiber bars. In order to sell, most of those products are loaded with sugar and artificial colors/flavors. Even bran flakes are not necessary. You would still be succumbing to the 'take it apart and sell all the pieces separately' mentality. Eat oatmeal, or brown rice, or a large green salad, cooked vegetables, etc. If you have trouble with raw foods, eat them cooked. Fiber doesn't go away when cooked. The bottom line is eat whole foods.

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