SHOULD WE TAX SODA AND PIZZA?

By Dr John Ellis MD // 2 Comments

Food is much cheaper today for Americans than when my parents were children.  Back then, people ate out very seldom; now, Americans spend almost half of their food dollars outside of the home.  Many “bad” foods are cheaper in part because of government subsidies in the US.

I believe we should tax “bad” foods to lower consumption.  In a similar manner, taxing cigarettes and raising their prices has reduced smoking, especially amongst teens.

A study published today showed that, over time, as milk prices rose, Americans consumed less.  As soda and pizza prices fell, Americans consumed more.

I believe we should tax “bad”  (high in fat, sugar, and/or salt) foods to lower consumption, and also to offset the health care costs they impose on the society.  Taxing cigarettes (raising the price) has reduced smoking, especially amongst teens.

Invest in your future and the health of your family – avoid the soda and fast food as much as possible.

Fresh fruit

I almost always travel with fresh fruit

Here is food I cooked for recent air travel (which I do quite a lot of).  Chicken/spinach/spices/mustard.  I did eat their “wheat” bread on the flight – not ideal, but it added some starch.  Be prepared!

Chicken/spinach/spices/mustard

Chicken/spinach/spices/mustard

WHEN IN ROME…

By Dr John Ellis MD // 2 Comments

Keep on doing what you’re doing!  Food in Rome normally has more oil than I eat  (I usually have 2 teaspoons olive oil and 1 teaspoon fish oil a day).  So, I made a pit stop at the supermecato…

Supermercato check out

I did NOT eat this!

I actually ate some canned salmon (packed in water; added some mustard) and broccoli (nuked without anything else)  BEFORE going out to dinner.  Then, I ate very judiciously from the pretty but rich (not to them, but to me) food they served.  I had grilled fish and wild asparagus.  I declined the eggplant (an oil sink), and oily zucchini.

Moral of the story:  be prepared!  And don’t be afraid to make requests and/or decline things you shouldn’t have.

Great wild asparagus; oily zucchini

Great wild asparagus; oily zucchini

Gym in Rome

Gym in Rome

TAKE THE STAIRS!

By Dr John Ellis MD // 1 Comment

One of my recommendations to those starting out is “1 up, 2 down.”

What that means is to get off of the elevator 1 flight below or 2 flights above your final destination and walk up 1 flight or down 2.  Rome wasn’t built in a day, so don’t think that you can suddenly go from a couch potato to climbing 7 flights.  In a few weeks, you can add a flight… and then another…

Vigorous activity like stair climbing has been associated with reduced premature death from heart disease in a large study.

Dr. Ellis on the Spanish steps

Step climbing at the gym

“THE ECONOMICS OF EATING”

By Dr John Ellis MD // Leave a comment

The Economics of Eating: Living off a dollar menu may save you money now, but you’ll pay for it in the long run.”

If you want something healthy but of lower cost, sweet potatoes and beans are a great place to start.

Sweet Potatoes at Hyde Park Produce

SPRING IS HERE! GET YOUR GEAR!

By Dr John Ellis MD // Leave a comment

It will be 43 degrees and sunny in Chicago today!  That doesn’t mean much to those of you in the South, but that’s spring for us.

Do you have your gear ready to begin to walk outside?  Comfortable clothes (especially if you put on a few lbs over the holidays)?  Comfortable walking/running shoes?  Pedometer?  Heart rate monitor?  Walking buddy?

Commit to walking 30 min a day… preferably with a buddy… or your kids!

See this story which says that playing soccer builds bones and aerobic capacity in women… even better than running.  So, soccer moms, help coach the team; or show your kids some moves; don’t just stand on the sidelines!

JEE elliptical

Dr. Ellis on the elliptical


DR. ELLIS, THEN AND NOW

By Dr John Ellis MD // 5 Comments

Dr. John Ellis 2005
Mar 2008 ~330lbs

Dr. Ellis Mar 2008 ~330lbs

Ellis lectures NJ June 2008 290lbs
Dr. Ellis Feb09 240lbs

Dr. Ellis Feb10 211lbs

TONIGHT’S DINNER

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See more photos on Facebook page

Spiced cut pork chop (no salt)

Spiced cut pork chop

LOW-FAT OR LOW-CARB?

By Dr John Ellis MD // 2 Comments

A low-fat diet with complex carbs and abundant green vegetables (and fish and meats without added oils) has worked for me for almost 2 years and 125 lbs now…

But, maybe one size does NOT fit all.

Very preliminary work described in today’s Wall Street Journal suggests that one day we may examine our genetics to figure out which kind of eating plan works best in a given individual to promote weight loss.

The truth is not always simple…

WSJWSJ

COULD I HAVE DIABETES AND NOT KNOW IT?

By Dr John Ellis MD // Leave a comment

The answer is, yes!  Some estimate that 40% of people with diabetes don’t know it; the percentage is higher for African-Americans.  Problem is, diabetes is a devastating disease.  Aggressive lifestyle management, medication (metformin), and weigh-loss surgery (bariatric, gastric bypass, banding, etc) may reduce or prevent progression to diabetes.

In the past diabetes was suspected if the fasting blood sugar was high.  The definitive test has been the oral glucose tolerance test, where a persons swallows a sugar load and has serial blood sugars measured soon thereafter.

The hemoglobinA1c (HgbA1c) gives an estimate of your average blood sugar level over the past 2-3 months.  It measures how much sugar sticks to the hemoglobin (oxygen-carrying protein) in your red blood cells.

This week, the New England Journal of Medicine published a study showing that an elevated HgbA1c predicts progression to diabetes, heart disease, and stroke.   They studied 11,092 black or white adults who did not have a history of diabetes or cardiovascular disease at baseline.

It does so better than baseline fasting glucose levels.

“In general, the reference range (that found in healthy persons), is about 4%–5.9%.[16] Higher levels of HbA1c are found in people with persistently elevated blood sugar, as in diabetes mellitus. While diabetic patient treatment goals vary, many include a target range of HbA1c values. A diabetic person with good glucose control has a HbA1c level that is close to or within the reference range. The International Diabetes Federation and American College of Endocrinology recommend HbA1c values below 6.5%, while American Diabetes Association recommends that the HbA1c be below 7.0% for most patients.[17]“

In this week’s study, a HgbA1c > 6.0% was particularly ominous.

Take the American Diabetes Association test to see how likely you are to have diabetes.

DR. OZ’S CHURCH-BASED INTERVENTION

By Dr John Ellis MD // 1 Comment

“Doctor Oz is helping the congregation at the Abyssinian Baptist Church to get healthy!  Mrs. Patricia Butts, the First Lady at the Abyssinian Baptist Church, says that their congregation is on shaky ground when it comes to health – the church wants to be spiritually and physically healthy.  The congregation at the Abyssinian Baptist Church is predominantly African American, which means that there is a greater risk of Type 2 Diabetes, Hypertension and Heart Disease…. Doctor Oz said that on average, each person at the church is 80 pounds overweight and their real age on average is 11 years older than it should be. “

Thanks, VB, for showing me this.  Dr. Oz’s show has 25% black audience, and mostly female, so this is great to target, given average 80# overweight.  My good buddy Dr. Mike Roizen is medical director of the show.

The recipes are far better than the “traditional,” though the okra/tomatoes (my mother, from Charleston SC, made this all the time) and sweet potatoes are old, old staples.
Still, one must read carefully. The recipes are a great improvement, but salt is still salt, even if “sea” or “Kosher”; too much is bad. African Americans, in particular, should limit salt intake because of high rates of hypertension.  Limiting salt intake in African-Americans might decrease heart attack, death , and stroke by 15-20% (see bar graph below)!

Olive oil is good, but too much is not. I use a TEAspoon of olive oil (40 cal) for my green veggies, and none in my sweet potatoes; 3 TABLEspoons of olive oil are 360 cal!!!

My mom, a proud Charlestonian who loved her okra and tomatoes!