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The Right to Bear Farms Mark Cucuzzella MD Professor of Family Medicine West Virginia University Gus Schumacher Executive Vice President Wholesome Wave American Gothic Grant Wood 1930

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Page 1: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

The Right to Bear Farms

Mark Cucuzzella MD

Professor of Family Medicine

West Virginia University

Gus Schumacher

Executive Vice President

Wholesome Wave

American Gothic Grant Wood 1930

http://en.wikipedia.org/wiki/File:Grant_Wood_-_American_Gothic_-_Google_Art_Project.jpg
Page 2: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

“Let thy food be thy medicine and

thy medicine be thy food”

Hippocrates, 480 B.C

Page 3: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

3

Farmacology

“All that mankind needs for good health and healing is provided

by God in nature, … the challenge for science is to go

find it.”

Paracelsus

Father of Pharmacology

c. 1493-1541

Page 4: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 5: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Test and Replace Model One Symptom One Cause One Treatment

Page 6: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

What is a Healthy Diet?

Atkins Diet?

Vegetarian/Vegan?

Zone Diet?

Macrobiotic?

South Beach Diet?

Juicing?

Food Combining?

Metabolic Typing?

All Raw?

Paleo?

Fast?

Even Lisa is confused!

Page 7: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Gary Taubs New York Times

Page 8: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Or is it the

US Government Official Diet. . .

. . . designed to promote the products of

commodity agriculture?

Page 9: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

10 Companies That Control Enormous Number Of Consumer Brands

Page 10: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

What is Our Natural Diet?

Page 11: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Do we have all the answers?

Page 12: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

How Did We Get Here? Lessons From Dilbert

Page 13: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Where will be in 20 years? 100 years?

Page 14: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 15: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Who’s Responsibility is This?

• It seems incredible, but these are the facts: As of 2005, at least 9 million young adults -- 27 percent of all Americans ages 17 to 24 -- were too overweight to serve in the military. And since then, these high numbers have remained largely unchanged.

Gen John M. Shalikashvili and Gen Hugh Shelton, Retired Chairmen of Joint Chiefs of Staff

Page 16: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes

Among U.S. Adults Aged 18 Years or older

Obesity (BMI ≥30 kg/m2)

Diabetes

1994

1994

2000

2000

No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0%

No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0%

CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at

http://www.cdc.gov/diabetes/statistics

2010

2010

Page 17: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

10 Most Obese States 10 Laziest States

> 30% obese < 63% active

3/2/12 api.imapbuilder.net/1.0/map/15787/

1/1api.imapbuilder.net/1.0/map/15787/

Interactive Map by iMapBuilder

10 Most Unhappy States

Adult Heart Disease Rate

Shared by Dr. Robert Lustig

Page 18: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

11/2/11 StatPlanet

1/1rob.sfchamberlain.us

Worldwide per capita sugar supply, 2007

FAOStat, 2007

Page 19: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Prevalence of diabetes, 2010

Prevalence of diabetes, 2010

Shared by Dr. Robert Lustig

Page 20: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 21: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

We’ve only had Freedom’s Run 5 Years

Page 22: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Is this child to blame?

Page 23: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Why Won’t Johnny Play?

Page 24: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Not a lack of awareness

Page 25: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Maybe Just Eat Less?

Page 26: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

On to the Gym!

Page 27: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Or Do some More Cardio in the Gym Above the Sweet Shop

Page 28: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Counting Calories?

Page 29: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 30: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 31: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

ANCEL KEYS (1904-2004) C

HD

(de

aths

per

100

0)

50 0

Percent calories from fat

8

7

6

5

4

3

2

1

0 10 20 30 40

Japan

Italy

England & Wales

Australia

Canada

US

Keys A. Atherosclerosis: a problem in newer public health. J Mt Sinai Hosp N Y 1953; 20: 118-139. .

Observational associational study

Page 32: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 33: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 34: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 35: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Clogged artery

Elevated total

cholesterol

concentrations

THE DIET HEART MODEL OF CORONARY ATHEROSCLEROSIS

* Same process explains stroke

Myocardial ischaemia

Coronary thrombosis

Acute myocardial infarction

Ventricular arrhythmias

Sudden death.

Page 36: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

UNITED STATES SENATE SELECT COMMITTEE ON NUTRITION AND

HUMAN NEEDS (1968-1977)

• Reduce consumption of fat

• Switch from saturated fat to vegetable fats

• Reduce cholesterol to 1 egg per day

• Eat more carbohydrate, especially grains

The McGovern Report was written by a junior staffer, Nick

Mottern, a vegan, who had no training in the nutritional

sciences.

Page 37: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

INVERSE RELATIONSHIP BETWEEN SATURATED FAT INTAKE AND CHD

MORTALITY RATES IN 19 COUNTRIES

www.dietdoctor.com Total energy from saturated fat (%)

Mal

e ag

e-st

anda

rdis

ed C

HD

dea

ths

per

100

000

0 5

50

100

150

200

250

7.5 10 12.5 15

Page 38: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 39: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 40: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

No Added Sugar

Page 41: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Snackwell Nutrition Label- No Fat

Page 42: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 43: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

I Did Not Make This Up

Page 44: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Maybe this is what we should be eating more of

Page 45: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Maybe They Are Right

Page 46: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 47: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Is this better than Butter?

Page 48: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

True or False?

Page 49: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Obesity is NOT the Disease

Page 50: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

More than Just the Big 4

Page 51: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Obese can be Metabolically Well Many Non Obese are Sick

60% Adult Population now Sick

Page 52: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Well We Have Medicines for This Stuff

Page 53: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 54: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Obesity bigger problem in developing world than infectious disease

Page 55: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 56: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 57: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of
Page 58: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Less Carbs…Less Insulin

Page 59: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Lots of Carbs….Lots of Insulin

Page 60: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

30 grams of Carbs

Page 61: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Leptin Made Simple

Page 62: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Fat Produces Leptin Leptin sends signals to cease eating

and storing and start moving

Page 63: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Why is Leptin not Doing its Job- Insulin

Page 64: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

A Little about Dopamine and Happiness

Page 65: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

More Dopamine….More Happy

Page 66: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Dopamine Centers Light Up

Page 67: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Is this stuff safe? Does it trigger sweet cravings later?

Page 68: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

Recipe for Disaster

Page 69: The Right to Bear Farms - West Virginia University Right to Bear Farms Mark Cucuzzella MD ... Paracelsus Father of Pharmacology ... . . . designed to promote the products of

THE RIGHT TO KEEP and BEAR ARMS - LIVING In A POLICE STATE

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