Doctor's Note

Please feel free to post any ask-the-doctor type questions here in the comments section and I’d be happy to try to answer them. Also, there are 1,686 other subjects covered in the rest of my videos--please feel free to explore them as well!

Also, be sure to check out my associated blog posts for more context: Breast Cancer and Diet, The last heart attack, Kiwi Fruit for Irritable Bowel SyndromeStool Size and Breast Cancer Risk, and Generic Lipitor is not the answer to our heart disease epidemic.

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  • Rebecca

    Thank you for this and the other videos! A Convergence of Evidence, yes. Like the index and all of it. Very nice.

    • Michael Greger M.D.

      Isn’t the index great? I couldn’t be happier with how the site turned out.

  • dilip

    Dr. Greger, thanks for launching such an invaluable resource! Yay! –Dilip

    • Michael Greger M.D.

      I’m glad you found it useful–please help me spread the word.

  • Eric Needs

    And what’s even more amazing is how no one know this… Spread the word!

  • Michael Greger M.D.

    The food and beverage industry spends billions of dollars every year marketing junk to us, to our children, contributing to the public’s confusion about basic, accepted nutrition principles. I’m glad to be one little voice trying to push out some science!

  • yummy

    Is Co-Q-10 necessary for heart health…if so, is ubiquinol so much better than ubiquinone? Or, is this just a lot of hype and another waste of money?

  • http://www.facebook.com/profile.php?id=1667461271 Marc Slavin

    Dr Greger: I had artery bypass surgery in 1997 and have a prescription for 40 mg. of lipitor to lower my cholesterol. Three months ago I went to a vegan no oil diet, and even though I cut the lipitor dose in half, I was pleased to learn that my cholesterol measured a mere 97. My LDL reading was also only 50 but my concern is that my HDL level was only a very low 27. Should I be concerned?

    • DrDons

      Congratulations on improving your diet and reducing your medication. You have made great strides in minimizing the chance of recurrent problems. I would not worry about the low HDL. HDL goes down with the other cholesterols when you adopt an improved diet… partly due to the reduction in a transport molecule in your blood so free HDL is not as low as you might assume. The levels of LDL and total cholesterol you report should allow you to further reduce or eliminate your statin. You need to continue to work with your physician(s). I would suggest reading Dr. Caldwell Esselstyn’s book on Preventing and Reversing Heart Disease… he also has a new DVD out but I haven’t had a chance to view it yet. I would also suggest you read Dr. McDougalls newletter article on Statins, http://www.drmcdougall.com/misc/2007nl/may/statins.htm and keep tuned to nutrtionfacts as the science and recommendations keep changing. Good luck.

  • wickedchicken

    Incredible info. It’s such a shame that this info is NOT given attention from the media. One would think newspapers and media would be ALL OVER it. Ground-breaking news that is too practical to make the cut???

    The thing is, vegetarian diets for lipid lowering advice… It’s not first line advice, as of yet anyway, and to suggest it as a healthcare professional, one can be seen as promoting their own lifestyle without sufficient guidelines to back you up. So, when will this get enough regognition to be used as a first-line Rx????

  • aguccione@sbcglobal.net

    Hi,
    We too long for the day that healthcare providers will have the majority voice on the optimal diet, but until then, we can have that one voice crying in the wilderness! Even one soul won will put out the word exponentially through their circle of influence, and so on and so on! One patient at a time. People still put a lot of stock on the word of a trusted physician, especially one who practices what he or she preaches. Physicians ought to promote what they have actually experienced. Their message will be that much more impactful.
    Walk your talk, talk your walk,
    Arlene

  • John Duda

    Dr. Gregor, could you please let us know where to find the interesting figure with phytonutrient compounds from different vegetables? I would love to use that when I talk to my patients about the benefits of a vegan diet. 

    • Michael Greger M.D.

       I’ve added the source above and placed the graphic in supplementary materials. Too bad we can’t squeeze all 10,000-or-so in :)

  • Michael Greger M.D.

    Also be sure to check out my associated blog post Breast Cancer and Diet!

  • Julia LaCava

    Excellent lecture you gave at the Nat’l Animal Rights Conference!!  Thank you for all you do.  It is very frustrating when I suggest the benefits of a plant-based diet to people, only to hear them reply that their physician tells them to keep eating lean meats and dairy…end of story.  They are done listening to anything I have to say.

  • abeleehane

    B12 is not well absorbed, thus the larger pills. Since it is stored in the liver and there is no known detrimental effect for overdosing, you should be fine with the 1200mcg a few times a week .

  • Leah Stolar

    Dr. Greger, I had the pleasure of meeting you at Health Fest in Marshall, Tx and loved your presentation Uprooting the Leading Causes of Death and bought several CDs. I eat a low fat, whole food, plant-based diet but recently my total cholesterol and LDL shot up. A year ago I was at 183 and LDL of 101, not as good as I’d like, but as low as I think I can get. This week I retested and it was 225 and LDL 137, HDL 70. I exercise strenuously 30 minutes/day and my BMI is 21. I am 52 years old. So . . . I’m wondering what other factors are at play and whether stress is a factor. Have you reviewed literature on the relationship between cholesterol and stress?

    • http://www.DonForresterMD.com/ Don Forrester MD

      I have the pleasure of taking care of patients at the McDougall Whole Foods program. One area you might look at is fruit and fructose consumption. Whereas “glucose” is our bodies fuel and burned by every cell in the body… “fructose” is only metabolized by the liver to uric acid, inflammatory aldehydes, triglycerides, cholesterol and glycogen. I have had several patients adjust their fruit consumption down or reduce consumption of recovery drinks or bars which might contain fructose. Even though your LDL is high your LDL/HDL ratio is good. As far as stress goes… it has been linked to a wide range of disorders… in my almost 40 years of practicing medicine I’ve been more impressed by the fact that when patients are under stress they eat and exercise differently. Keep up the good habits and stay tuned to NutritionFacts.org. As an athlete you might enjoy Scott Jurek’s book, Eat Run. He has recipes he uses for recovery.

  • judithv

    As a newly diagnosed breast cancer patient, I was hoping to find specific information regarding treatment in this video. I did not.
    I have followed a vegetarian diet for over 15 years, and a mostly plant based diet for the last three. Additionally I take multiple vitamins everyday, go to exercise classes at the gym 4 days a week and do not smoke, drink alcohol, coffee, tea or soft drinks. I still developed breast cancer. Stop telling people that this will not happen if they will only make better choices.

    • GreenLight

      I’m a vegan going on 6 months now. What I’ve garnered from all I’ve read is that it improves your odds against diseases. There are no gaurantees in life. No one here or anywhere has stated illness will not happen. I can tell you since I’ve changed my diet to entirely WFPB I feel so much better on so many levels. For one, I was borderline diabetic with very high cholesterol. Not anymore. That alone makes it worth it to me.
      I wish you well!

  • Maureen

    I have been listening to many of your videos and I´m always impressed and schoked as to why we don´t know so much more. Thank you, thank you, thank you…. What about juicing, which seems to be a new fad?

  • http://www.naturallifeenergy.com/ Aqiyl Aniys

    A plant based diet contains over 100,000 different disease preventing nutrients! I love it!

  • Karoline Müller

    I switched to a plant based diet nearly 3 years ago, lost 70 lbs and feel a lot better. One thing is still bothering me: I easily get cold. Right now I’m sitting in 80 degree F in shirt&shorts and feel comfortable. But at work, I’m wearing winter clothes and am still freezing. 2 weeks ago it hit me and I actually got a cold and sick. Any thing I could do?

    • Karoline Müller

      Additional info: I came to healthy eating listening to Dr. McDougall and then many more through his Advanced Study Weekends. I’m eating mostly whole plant and lately really ramped up my green leaves consumption. I’m easily constipated even on a whole plant diet. I’m now thankful for this near instant feedback.

  • Paul

    Dear Doc, I suffer from fluctuating blood pressure. It’s high in the mornings and drops to low BP around noon and rises again bY night. What would be Your advice for this issue? – Paul

    • JacquieRN

      Hi Paul, as you can see I am not the “Doc”!

      Is this an ongoing issue of fluctuations? For how long? How high? How low? Do you have any other health problems? Caffeine use? Tobacco Use? Stressed? Do you work at night or sleep at night-so morning for you is? In other words need some more information.

      The BP does normally have fluctuations throughout the day usually in pattern of: normally lower at night while sleeping. BP starts to rise a few hrs. before you wake up. BP continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, BP begins dropping again.

  • Alice

    Hi Guys,
    My Dr recently commented on my Orange Palms and said I most probably have carotenemia- I eat a lot of coloured vegetables because I eat salads and cooked veg every day and I like my food to be colorful.
    I was trying to find out which fruits and veg I should cut out to reduce the orangeness… I eat carrots, including the purple variety, pumpkin, beetroot, red and yellow capsicums, tomatoes and sun dried tomatoes, and I have strawberries/ other berries/ mandarines at least once a wk- do I need to cut out all of these or just carrots?
    One source I found even said that spinach and broccoli where high in Carotene! Can you shed some light?

    Alice