Keep It Simple With food, we covered three simple rules that get you quite far: don’t eat added sugar, don’t eat industrially processed vegetable and… - Casey Means

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Keep It Simple With food, we covered three simple rules that get you quite far: don’t eat added sugar, don’t eat industrially processed vegetable and seed oils, and don’t eat highly processed grains. With fitness, I also suggest three simple rules. Walk at least 7,000 steps per day and space these steps out throughout the day. Work up to 10,000 per day. Get your heart rate above 60 percent of your maximum for at least 150 minutes a week. (That’s 30 minutes, five days a week.) Lift heavy things multiple times per week in a way that hits every major muscle group.

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I deeply respect doctors, but I want to be very clear on something: at every hospital in the United States, many doctors are doing the wrong things, pushing pills and interventions when an ultra-aggressive stance on diet and behavior would do far more for the patient in front of them. Suicide and burnout rates are astronomical in health care, with approximately four hundred doctors per year killing themselves. (That’s equivalent to about four medical school graduating classes just dropping dead every year by their own hand.) Doctors have twice the rate of suicide as the general population. Based on my own experience with depression as a young surgeon, I think a contributor to this phenomenon is an insidious spiritual crisis about the efficacy of our work and a sense of being trapped in a system

nonalcoholic fatty liver disease has become the most common chronic liver disease in the world, increasing from 25 percent of the global population in 1990 to close to 40 percent by 2019. NAFLD is full-blown metabolic dysfunction in kids and adults, representing liver cells filling with fat, which worsens insulin resistance. Key contributors are processed foods, refined sugars, refined grains, sweet beverages, high-fructose corn syrup, fast food, low fiber and phytochemical intake, habitual eating close to bedtime, sedentary behavior, and oxidative stress. Liver transplants have gone up close to 50 percent in the past fifteen years, and while alcohol and hepatitis C used to be the leading causes, now NAFLD is taking the lead in women as the cause of liver failure and is a top cause for men. Fatty liver disease is now the most common cause of liver transplant in young adults in the United States. We are failing our children.

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