Why Smoothies are Better Than Juicing


Studies such as a recent Harvard School of Public Health investigation found that the consumption of whole fruits is associated with a significantly lower risk of type 2 diabetes, whereas fruit juice consumption is associated with a higher risk, highlighting the dramatic difference between eating whole fruits and drinking fruit juice. Cholesterol serves as another example. If we eat apples, our cholesterol drops. On the other hand, if we drink apple juice, our cholesterol may actually go up a little. Leaving just a little of the fiber behind--as in cloudy apple juice--was found to add back in some of the benefit.

We used to think of fiber as just a bulking agent that helps with bowel regularity. We now know fiber is digestible by our gut bacteria, which make short chain fatty acids (SCFAs) out of it. SCFAs have a number of health promoting effects, such as inhibiting the growth of bad bacteria and increasing mineral absorption. For example, experimentally infused into the rectum of the human body, SCFAs can stimulate calcium absorption, so much so that we can improve the bone mineral density of teenagers just by giving them the fiber naturally found in foods like onions, asparagus, and bananas.

Our good bacteria also uses fiber to maintain normal bowel structure and function, preventing or alleviating diarrhea, stimulating colonic blood flow up to five-fold, and increasing fluid and electrolyte uptake. The major fuel for the cells that line our colon is butyrate, which our good bacteria make from fiber. We feed them, and they feed us right back.

If the only difference between fruit and fruit juice is fiber, why can't the juice industry just add some fiber back to the juice? The reason is because we remove a lot more than fiber when we juice fruits and vegetables. We also lose all the nutrients that are bound to the fiber.

In the 1980's, a study (highlighted in my video, Juicing Removes More Than Just Fiber) found a discrepancy in the amount of fiber in carob using two different methods. A gap of 21.5 percent was identified not as fiber but as nonextractable polyphenols, a class of phytonutrients thought to have an array of health-promoting effects. Some of the effects associated with the intake of dietary fiber in plants may actually be due to the presence of these polyphenols.

Nonextractable polyphenols, usually ignored, are the major part of dietary polyphenols. Most polyphenol phytonutrients in plants are stuck to the fiber. These so-called missing polyphenols make it down to our colon, are liberated by our friendly flora and can then get absorbed into our system. The phytonutrients in fruit and vegetable juice may just be the tip of the iceberg.

For those that like drinking their fruits and vegetables, these findings suggest that smoothies may be preferable. I can imagine people who eat really healthy thinking they get so much fiber from their regular diet that they need not concern themselves with the loss from juicing. But we may be losing more than we think.

For those that like drinking their fruits and vegetables, this suggests smoothies are preferable. I can imagine people who eat really healthy thinking they get so much fiber from their regular diet that they need not concern themselves with the loss from juicing, but they may be losing more than they think.

Why are polyphenol phytonutrients important? See, for example, my video How to Slow Brain Aging by Two Years

Not that fiber isn't important in its own right. Check out:

For more on smoothies, check out:

In health,
Michael Greger, M.D.

PS: If you haven't yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of Death, More Than an Apple a Day, From Table to Able, and Food as Medicine.

Image Credit: Craig Sunter / Flickr

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Eating Garlic and Raisins May Help Prevent Preterm Birth

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The United States has one of the worst premature birth rates in the world, now ranking 131st worldwide. Even worse, over the last few decades, the rate of preterm birth in the U.S. has been going up.

We've known that preterm delivery is associated with significant problems during infancy, and almost three quarters of all infant deaths. Unfortunately even preemies who survive past infancy may carry a legacy of health issues, such as behavioral problems, moderate to severe neurodevelopmental disabilities and psychiatric disorders in half of those born extremely preterm by the time they reach school-age. There's even evidence now that adults born very prematurely are at increased risk for things like heart disease and diabetes. And babies don't even have to be born that premature to suffer long-term effects. Even so-called near-term births at 36 or 37 weeks are now thought to be related to subtle developmental problems. So what can pregnant women do to decrease this risk?

66,000 pregnant women were studied to examine whether an association exists between maternal dietary patterns and risk of preterm delivery. Researchers compared a so-called "prudent," which was more plant-based versus a Western or traditional Scandinavian diet (vegetables, fruits, oils, water as beverage, whole grain cereals, fiber rich bread) versus the "Western" (salty and sweet snacks, white bread, desserts, processed meat products), and found that the "prudent" pattern was associated with significantly reduced risk of preterm delivery.

Inflammation is thought to play a role in triggering delivery, so a diet characterized by high intakes of vegetables, fruit and berries can reduce both systemic and local inflammation, and the lower saturated fat levels would also be associated with reduced inflammation. Any foods in particular?

A significant percentage of preterm deliveries are thought to be related to infections and inflammatory conditions in the genital tract. Garlic is well-known for its antimicrobial properties, and also has probiotic dietary fibers that feed our good bacteria. Dried fruit is also packed with fiber and has antimicrobial activities against some of the bacteria suspected to play a role in preterm delivery.

Researchers (highlighted in my video, Garlic and Raisins to Prevent Premature Birth) studied the garlic, onion and dried fruit intake of nearly 19,000 pregnant women, and indeed, they observed a reduced risk of spontaneous preterm delivery related to groups of garlic and onion family vegetables and dried fruits. In particular, garlic stood out for the vegetables and raisins stood out for the dried fruit. Both were associated with a reduced risk of both preterm delivery and preterm pre-labor rupture of membranes, which means your water breaking prematurely (before 37 weeks). And it didn't seem to take much. The so-called "high" garlic intake associated with the lowest risk was just about one clove a week or more, and "high" raisin intake was defined as just one of those mini snack boxes of raisins a month.

Here's the video on aspartame (NutraSweet) and diet soda during pregnancy: Diet Soda and Preterm Birth.

Some other popular pregnancy videos include:

More on garlic in #1 Anti-Cancer Vegetable and Cancer, Interrupted: Garlic and Flavenoids.

Videos on dried fruit include:

In health,
Michael Greger, M.D.

PS: If you haven't yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of Death, More Than an Apple a Day, From Table to Able, and Food as Medicine.

Image Credit: Isabel Eyre / Flickr

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How to Suppress the Aging Enzyme TOR

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Over the last decade, more than 5,000 papers have been published about TOR, an engine-of-aging enzyme inhibited by the drug rapamycin. (What is TOR? Check out my videos Why Do We Age? and Caloric Restriction vs. Animal Protein Restriction.) Rapamycin has been used experimentally to extend lifespan, but is already in use clinically to prevent the rejection of kidney transplants. Patients who received rapamycin due to renal transplantation had a peculiar "side effect," a decrease in cancer incidence. In a set of 15 patients who had biopsy proven Kaposi's sarcoma (a cancer that often affects the skin), all cutaneous sarcoma lesions disappeared in all patients within three months after starting rapamycin therapy.

TOR functions as a master regulator of cellular growth and proliferation. For example, TOR is upregulated in nearly 100% of advanced human prostate cancers (See Prevent Cancer From Going on TOR). So, reductions in cancerous lesions after rapamycin therapy make sense. TOR may also be why dairy consumption has been found to be a major dietary risk factor for prostate cancer. We used to think it was just the hormones in milk, but maybe prostate cancer initiation and progression is also promoted by cow's milk stimulation of TOR.

Our understanding of mammalian milk has changed from a simple food to a "species-specific endocrine signaling system," which activates TOR, promoting cell growth and proliferation and suppressing our body's internal housecleaning mechanisms. Normally, milk-mediated TOR stimulation is restricted only to infancy where we really need that constant signal to our cells to grow and divide. So from an evolutionary perspective, "the persistent 'abuse' of the growth-promoting signaling system of cow's milk by drinking milk over our entire life span may maintain the most important hallmark of cancer biology, sustained proliferative signaling."

TOR appears to play a role in breast cancer, too. Higher TOR expression has been noted in breast cancer tumors, associated with more aggressive disease, and lower survival rate among breast cancer patients. Altered TOR expression could explain why women hospitalized for anorexia may end up with only half the risk of breast cancer. Severe caloric restriction in humans may confer protection from invasive breast cancer by suppressing TOR activation.

We don't have to starve ourselves to suppress TOR; just reducing animal protein intake can attenuate overall TOR activity. Moreover, diets emphasizing plants, especially cruciferous vegetables, have both decreased TOR activation from animal proteins and provide natural plant-derived inhibitors of TOR found in broccoli, green tea, soy, turmeric, and grapes, along with other fruits and vegetables such as onions, strawberries, blueberries, mangoes and the skin of cucumbers.

The downregulation of TOR may be one reason why plant-based in general are associated with lower risk for many cancers. "Are we finally on the threshold of being able to fundamentally alter human aging and age-related disease?" asks researchers in the journal Nature. Only time will tell, but if the pace and direction of recent progress are any indication, the next 5,000 studies on TOR should prove very interesting indeed.

More on dairy and prostate cancer in Prostate Cancer and Organic Milk vs. Almond Milk.

This story continues in my video: Saving Lives By Treating Acne With Diet.

-Michael Greger, M.D.

PS: If you haven't yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of Death, More Than an Apple a Day, From Table to Able, and Food as Medicine.

Image Credit: Grempz / Flickr

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What to Eat to Reduce Our Toxic Exposure

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It is not very common that a single molecule attracts enough interest to merit international scientific conferences of its own. "Ah receptor," however, "belongs to the rare elite of such molecules." Ah receptors are an important factor in how our immune system works. For background, see my video, The Broccoli Receptor: Our First Line of Defense. The latest conference offered "new reports about the way plant-derived compounds in our diet are necessary for a fully functioning immune system of the gut." One study in particular out of the journal Nature, "expanded our understanding of how diet impacts immunity and health by showing that a plant-derived nutrient profoundly shapes the capacity for intestinal immune defense." And intestinal defense not only protects us against the pathogens we may ingest, but also against toxic chemicals.

We're constantly exposed to a wide range of toxins, from such sources as cigarette smoke, exhaust fumes, furnace gases, cooked meat and fish, cow's milk, and even mother's milk (because of what mothers themselves are exposed to) as seen in my video Counteracting the Effects of Dioxins Through Diet. Many of these pollutants exert their toxic effects through the Ah receptor system. For example, dioxins invade the body mainly through the diet (where we get more than 90% of our exposure) as it concentrates through the food chain, presenting a serious health concern. But there are phytonutrients in fruits, vegetables, tea, red wine, and beans that block the effects of dioxins at levels close to what we find in people's bloodstream. Just three apples or about a tablespoon of red onion a day may cut dioxin toxicity in half. And the half-life of these phytonutrients in the body is only about 25 hours, so we have to keep eating these health-promoting foods day after day.

At first we just thought that it was only cruciferous vegetables that could dock in these receptors and fend off toxins, but does that make evolutionary sense? As Lora V. Hooper from the Howard Hughes Medical Institute notes, "Given the variety and flexibility of most mammalian diets, a specific dependence on cruciferous vegetables for optimal intestinal immune function would seem overly restrictive. Rather, it seems likely that many other foods contain compounds with similar immune-stimulatory properties."

Indeed, "the search for foods containing similar immunomodulatory compounds has begun." We now know that a wide variety of natural plant compounds can counteract the chemical pollution to which we're all exposed. There is actually one animal product that has also been shown to potentially block the cancer-causing effects of dioxins: camel urine. Camel urine--but not cow urine--was found to inhibit the effects of a known carcinogenic chemical. Importantly, the researchers emphasize that virgin camel urine showed the highest degree of inhibition, performing better than pregnant camel urine, for example. So the next time our kids don't want to eat their fruits and veggies, we can just say, "It's either that, or camel pee."

I report different mechanisms but similar outcomes in Plants vs. Pesticides and Eating Green to Prevent Cancer. So this all suggests a double benefit of eating lower on the food chain, since it would also entail lower exposure to toxic contaminants in the first place (Industrial Pollutants in Vegans).

How Chemically Contaminated Are We? Check out the CDC Report on Environmental Chemical Exposure. Where are dioxins found so we can avoid them in the first place? See Dioxins in the Food Supply.

-Michael Greger, M.D.

PS: If you haven't yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of Death, More Than an Apple a Day, and From Table to Able.

Images thanks to Feliciano Guimaraes / Flickr

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Can We Fight the Blues With Greens?









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Why does frequent consumption of vegetables appear to cut one’s odds of depression by more than half? And "frequent" was defined as eating vegetables not 3 or more times a day, but just 3 or more times a week.

A 2012 study was found that eliminating animal products improved mood within two weeks. The researchers blamed arachidonic acid, found primarily in chicken and eggs, which might adversely impact mental health via a cascade of brain inflammation. More on this inflammatory omega-6 fatty acid in:

But better moods on plant-based diets could also be from the good stuff in plants—a class of phytonutrients that cross the blood brain barrier into our heads. A recent review in the journal, Nutritional Neuroscience, suggests that eating lots of fruits and vegetables “may present a noninvasive natural and inexpensive therapeutic means to support a healthy brain.” But how?

To understand the latest research, we need to understand the underlying biology of depression—the so-called monoamine theory of depression. It's the idea that depression may arise out of a chemical imbalance in the brain. In my video Fighting the Blues with Greens? I run through an oversimplified version.

One of the ways the billions of nerves in our brain communicate with one another is through chemical signals called neurotransmitters. Two nerve cells don’t actually touch—there’s a physical gap between them. To bridge that gap, when one nerve wants to tap the other on the shoulder it releases chemicals into that gap, including three monoamines: serotonin, dopamine and norepinephrine. These neurotransmitters then float over to the other nerve to get its attention. The first nerve then sucks them back in to be reused the next time it wants to talk. It’s also constantly manufacturing more monoamines, and an enzyme, monoamine oxidase, is constantly chewing them up to maintain just the right amount.

The way cocaine works is by acting as a monoamine re-uptake inhibitor. It blocks the first nerve from sucking back up these three chemicals and so there’s a constant tapping on the shoulder—constant signaling—to the next cell. Amphetamines work in the same way but also increase the release of monoamines. Ecstasy works like speed, but just causes comparatively more serotonin release.

After awhile, the next nerve may say “enough already!” and down-regulate its receptors to turn down the volume. It puts in earplugs. So we need more and more of the drug to get the same effect, and then when we’re not on the drug we may feel crappy because normal volume transmission just isn’t getting through.

Antidepressants are thought to work along similar mechanisms. People who are depressed appear to have elevated levels of monoamine oxidase in their brain. That’s the enzyme that breaks down those neurotransmitters. In the video mentioned previously, I show the levels of monoamine oxidase in the brains of depressed individuals versus healthy individuals. If the levels of our neurotransmitter-eating enzyme is elevated, then our levels of neurotransmitters drops, and we become depressed (or so the theory goes).

So a number of different classes of drugs have been developed. The tricyclic antidepressants, named because they have three rings like a tricycle, appear to block norepinephrine and dopamine re-uptake, and so even though our enzymes may be eating these up at an accelerated rate, what gets released sticks around longer. Then there were the SSRIs (the selective serotonin reuptake inhibitors) like Prozac. Now we know what that means—they just block the re-uptake of serotonin. Then there are drugs that just block the re-uptake of norepinephrine, or block dopamine re-uptake, or a combination. But if the problem is too high levels of monoamine oxidase, why not just block the enzyme? Make a monoamine oxidase inhibitor. They did, but monoamine oxidase inhibitors are considered drugs of last resort because of serious side effects—not the least of which is the dreaded “cheese effect,” where eating certain foods while on the drug can have potentially fatal consequences. If only there was a way to dampen the activity of this enzyme without the whole bleed-into-our-brain-and-die thing.

Now we can finally talk about the latest theory as to why fruits and vegetables may improve our mood. There are inhibitors of the depression-associated enzyme in various plants. There are phytonutrients in spices, such as clove, oregano, cinnamon, and nutmeg, that inhibit monoamine oxidase, but people don’t eat enough spices to get enough into the brain. A certain dark green leafy has a lot, but its name is tobacco, which may actually be one of the reasons cigarettes make smokers feel so good. OK, but what if we don’t want brain bleeds or lung cancer? Well, there is a phytonutrient found in apples, berries, grapes, kale, onions, and green tea that may indeed affect our brain biology enough to improve our mood, which may help explain why those eating plant-based diets tend to have superior mental health.

For other natural treatments for mental illness, check out:

-Michael Greger, M.D.

If you haven’t yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of Death and More Than an Apple a Day.

Image credit: liz west / Flickr

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