Transcript: Prunes vs. Metamucil vs. Vegan Diet
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
Though there is an International Prune Association, keeping us all apprised of the latest prune news from around the world, in the U.S., the California prune board successfully pressured the FDA to change the name from prunes to “dried plums”—which evidently evokes more of a “positive ‘fresh fruit goodness’ image,” in hopes of attracting their “target audience, women.” Of course, it might help if they actually included one or two on their board.
The name change is in hopes of “de-emphasiz[ing] its connections to digestive regularity issues.” But, hey, why sell yourself short? Check this out: “Randomised clinical trial: prunes vs. [Metamucil, also known as] psyllium.” “Constipation is a common problem that affects up to [a fifth] of the world’s population. Nearly 60 million Americans suffer from chronic constipation;” particularly a problem in women and the elderly. A “pathological condition that is often severe enough to disrupt daily activities, derange quality of life, respond poorly to available medical remedies and [may] prompt sophisticated and potentially harmful surgical procedures.”
Despite all this, it is still frequently considered a trivial issue, and affected individuals tend to self-medicate either using OTC laxatives or ‘natural’ remedies, but none of these [have] been adequately investigated,” until now. Fiber supplements can be inconvenient, taste nasty, cause bloating—even choking.
So, we need “a food-based, natural, convenient…tasty alternative.” But, do prunes actually work? Here’s the study subjects at baseline. Each dot is a complete, spontaneous bowel movement. Note how many people had zero bowel movements per week, at baseline. About an average of 1.7 a week, which went up to 3.5 on prunes; a bowel movement every other day or so. Then, back to baseline, off of the prunes; then, on Metamucil, got up to 2.8; then, back down.
And, remember the Bristol stool scale? Significantly better stool consistency on the prunes, as well. The researchers conclude that “treatment with dried plums resulted in a greater improvement in constipation symptoms…[than the] commonly used fibre supplement, psyllium.”
So, “[g]iven their palatability, tolerability…availability, dried plums should be considered” as a first-line therapy for chronic constipation.
If this is what adding one plant can do—3.5 bowel movements a week—what if all you ate was plants? Where do vegans rate? Going, going, gone. Not 2, not 3, but 10.9 a week.
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I always wanted to be the tops at something! Hooray! Were #1!Report
As Dr. Greger says, “We’re #1 at #2”. ;-)Report
Love it! Nothing like a good poo pun! :) That Dr. G sure does have a good sense of humor.Report
at #2Report
My whole life has changed since I eat way more and mostly vegetables. Thank you for this info.Report
So glad to hear it!Report
I have had IBS for over 40 years, I need the natural amount of crude fiber. I get that fiber from 1/4 cup/day Wheat Bran (AKA years ago Miller’s Bran)Report
What a Crappy study!
In a good way.
;-)Report
3.5 a week?! holy hell.Report
It’s true. As a vegan I help keep the toilet paper manufacturers in business. Report
Me, too.
I used to think I needed dairy yogurt to stay regular, but that was because I did not eat enough fiber in beans and dark leafy greens.Report
What study does the 10.9 BM/week for vegans number come from?Report
Just click on the Sources Cited link above for all the linked citations.Report
Is prune juice just as good as the whole fruit?Report
Fruit always has more fiber than fruit juice. Search for his juicing video.Report
Invegat……I also was a long time sufferer of IBS…..HIGHLY recommend the book Irritable Bowel Solutions by John Hunter, whose advice has solved my problems. Report
Since going vegan in July, I now have one very smooth, stress-free bowel movement every morning at about 7:30am. Also, thank you so much for these videos. They’ve helped a lot!Report
To quote Anthony Hopkins playing Kellogg in the film Road to Wellville, “They’re huge and smell no more than a hot muffin.” That’s what a plant diet has done for me.Report
How many prunes was it?Report
Yes, I would also like to know how many Prunes a day/week each of the study participants ate?Report
I can only think of this sticker!
http://www.foodfightgrocery.com/im-vegan-and-i-poop-3-times-a-day-sticker/Report
Any research on coffee and bms?Report
Yes, I’d be interested in knowing this as well. Eating a mostly plant-based diet and a cup of joe in the morning really seems to help me with regularity.Report
Coffee works great for me!Report
Everybody poops — we vegans are just better at it. ;)Report
“Whoever invented prunes must have been a genius!”
http://www.youtube.com/watch?v=A5NxG_rr5aU&feature=youtu.beReport
I had my 0.9 BM this morning.Report
Stewed prunes work even better! Report
Thanks. Great video. Was just trying to talk someone out of supplements and into more whole foods. Science always helps.Report
Vegans are the shit!Report
I’ve lived a life of struggling with off and on bad eating habits all while claiming to be a vegetarian. Finally, I made the decision to never eat anything except whole, high fiber foods. No more dairy or vegetarian junk. It’s taken a couple years to go all the way and start to heal a sick gut. It’s working…Yay, Vegan! Oh, and about the prunes. I’ll take them over all the horrible medications any day. Fresh is best.Report
So the appropriate slogan might be “At least vegans aren’t FOS?”Report
Prunes can be effective for treating constipation but they are inferior to psyllium. Here’s why: (1)Prunes contain large amounts of the cancer-causing growth hormone, IGF-1. (2)Although eating prunes will cause less weight gain than the calories that they contain would predict, they are still extremely high in sugars, extremely high in calories, and prunes will cause weight GAIN, not weight loss. (3)Prunes are expensive compared to psyllium capsules or psyllium powder, which comes in cylindrical canisters. (4)Psyllium has been shown to cause substantial weight LOSS by feeding the good bacteria, reducing the absorption of calories from fats and sugars, and by speeding bowel transit time. (5)Psyllium has been shown to lower colorectal cancer risk in humans by about 20%. (6)Because psyllium is less fermented than other plant fibers, it causes less flatulence than other plant sugars, starches, and fibers. (7)Psyllium is sugar-free and has been shown to be heart-healthy. (8)Psyllium has been shown to work better than docusate sodium, which is what medical doctors still prescribe.
http://www.ncbi.nlm.nih.gov/pubmed/19561384
http://www.ncbi.nlm.nih.gov/pubmed/8287381
http://www.ncbi.nlm.nih.gov/pubmed/10966900
http://www.ncbi.nlm.nih.gov/pubmed/9663731
http://www.ncbi.nlm.nih.gov/pubmed/17413119
http://www.ncbi.nlm.nih.gov/pubmed/22863407
Psyllium works faster for constipation than docusate sodium or prunes because soluble fiber can soften bowels that are already hard. If you need even quicker relief than psyllium, use gum arabic (a.k.a. Acacia Senegal or acacia gum), which is a less viscous soluble fiber than psyllium. However, for maximum weight loss benefit, use glucomannan soluble fiber (from shirataki noodles, konnyaku blocks, or sukiyaki) because it has a higher viscosity than mucilage soluble fiber (psyllium). Diarrhea washes away the weightloss-caising good bacteria and strengthens the weightgain-causing bad bacteria. Acacia gum can easily cause diarrhea. Glucomannan soluble fiber is the least likely to cause diarrhea. Mucilage soluble fiber (psyllium) can cause diarrhea but only if used in large quantities.Report
Wikipedia mentions another diasadvantage of prunes.
Prunes contain substantial quantities of the neurotoxin, acrylamide, which forms in all dried fruits (especially in prunes and in pears) during the drying process with hot air :
http://en.wikipedia.org/wiki/Prunes
The Environmental Working Group says that prunes contain more pesticide residues than most other fruits or vegetables:
http://www.ewg.org/foodnews/list.phpReport
Is acrylamide an issue if the fruit is sun-dried, and not machine/oven-hot air dried?
I doubt IGF issue with sun-dried dates and raisins. Maybe you know.Report
How many prunes should one consume dauky?Report
I’m a vegan and am chronically constipated!!! Eating prunes, kiwifruit, broccoli, and pears (I read these help.) What else can I do?Report
Do you consume whole unrefined plant foods or do you consume processed foods, such as white flour, mock meats, etc. Being constipated as a vegan is quite strange if your following a whole foods plant based diet.Report
Water is a major factor! Timing is very important too! Drink 10-16 ounces in the morning when you wake up before you eat anything!
Your body needs to be rehydrated!
stay hydrated throughout the day by continually drinking water.
At night drink a glass of water before you go to bed (as much as you can without having to wake up in the middle of the night).
Water recommendations: Take your body weight and divide it by 2
Ex: A person weighing 200
pounds should drink at least 100
ounces of water each day.
If overweight use your ideal body weight calculation found here: http://www.scymed.com/en/smnxpn/pndfc237.htmReport
Drink MORE water. If you are vegan, you should not be constipated…Report
I punch my daily food intake into Cronometer.com and it tells me I get right around 100 grams of fiber a day. I have at least 20 BMs a week. Been a vegan for just over a year and love everything about it.Report
Mark: Nice! Thanks for sharing.Report
1.7 a WEEK??? OMG those poor people. I can’t imagine. I hope I never find out what that’s like.Report
I used to be like that. Now, I go once a day, but it’s still the same sad consistency and size. :(Report
water…water and probiotics supplements (if you are not vegan, yogurt mixed with psyllium husk is great).Report
How many prunes are needed daily to be effective ?Report
I find that taking freshly ground flax seed, about 1 tablespoon in a small amount of fresh juice or water daily really helps me a lot, and also drinking lots of water. It also reduces appetite by making me feel fuller, so I eat less too!Report
I’m certainly very happy to read this blog site posts which carries
plenty of helpful data, thanks for providing such information.JamesReport
aren’t psylium seeds a whole, plant-based food? I am not talking about the mucilage alone. I imagine the seeds are available and would contain significant amounts of protein, good oils and other nutrients as well as fiber, right?Report
I think so. psyllium husk is grown in farms and it grows in India (I get it in bulk). You can buy it in Indian grocery store. Add a small teaspoon with water and drink it immediately as it starts to bulk up within seconds…and becomes jello like, impossible to drink. One caceat, if you take psyllium husk, drink LOTS of water otherwise you may BECOME constipated because it will bulk up inside the gut and absorb all water like sponge. So any fiber you take (as supplement) drink water, water, water.Report
I am a 73 year old male, whom eats about 75 of my daily diet based on plants, and good fiber. On the BM daily scale of frequency I have spontaneous BM’s of 3-4 per day ! Never constipated. Eat plants and fiber, and never ever have a BM problem. Simple !Report
I, sometimes, go 3 times a day on whole-food, plant-based diet.Report
and vegetarian poop smells great (I have heard that)….like flowers….Report
We poop for all mankind.
For justice.Report
I always enjoy your sense of humor, and this video made me laugh. I’ll never forget one constipation episode that lasted a week. It felt as if I was having a baby. Since going on a whole food plant based diet in 2014, I am regular and so happy just knowing my body is functioning better than ever.Report
At age 18 I had a very painful hemorrhoid operation, and then rectal stretching. After I stopped screaming, I asked the doctor what do I do to prevent this from ever ever ever happening again. He said, you know what you have been eating, meat, fried foods and drinking soda. I said yes. He said well you know what you have not been eating, fruit, vegs, fiber. I said yes. He said reverse them ! I did. That was 55 years ago ! I eat 2+ pounds of fresh fruit and vegs, and natural fiber, every single day. Very little meat, some broiled wild fish, and lots of fresh home made soups. I have a BM 3-4 times per day, and have not had a problem going to the bathroom for a BM, ever since ! Simple solution. Listen to Dr. Greger, and you cannot go wrong. At age almost 74, I have no medical problems. Oh, and I go to the gym, 7 days per week, for a full hour, and I work out hard ! Of course I do not smoke, do drugs, or drink any alcohol, except a glass of dry red wine, only when I dine at night. Good nutrition, and exercise really works !Report
Thanks for sharing your story. Congratulations on all your healthy habits!Report
I am a 74 year old white male. I eat 2-3 pounds of raw fruits and vegs per day, plus lots of fiber supplements. Broiled fish 2-3 times per week. Don’t smoke, don’t drink hard liquor. I do have a glass of dry red wine with my dinner nightly. On the subject of BM. I have 3-4 good BMs per day. Have not been constipated in probably 40 years. I do go to the gym every day for one hour and I work out hard. Dr. Greger’s recommendations for a healthy life works 100 % of the time, all of the time. Do it and have a great life !Report
Mine is even higher. several times a day :-)Report
meat eater poop is stinky and vegetarian poop is good smelling.
Taking magnesium supplements will make you poop too. loose.Report
OK, what about the potassium sorbate in prunes? Is that a healthful ingredient?Report
Hi, Ruth Henriquez. I am Christine, a NF volunteer. First, with regard to your question about potassium sorbate, I invite you to check out this video: http://nutritionfacts.org/video/is-potassium-sorbate-bad-for-you/
A quick check of ingredients for several products shows that organic prunes generally do not include potassium sorbate, so it would probably be best to buy organic when it comes to prunes. I hope that helps!Report
I’ve got a question: Is it harmful or helpful to take daily a soup spoon full of psyllium? I have had a discussion with my wife. We are both on a whole, plant-based, low fat diet. My wife likes to take daily a soup spoon of psyllium in addition – I argue it is not necessary because we get enough fiber by eating whole (grain) food, lentils, beans etc. The finally question for us is: Can we get to much psyllium fiber? Are there any scientific trials?Report
Hi, Steffen Jurisch. I am Christine, a NF volunteer moderator. Assuming adequate water intake, psyllium husks should be safe for most people. Inhaling the dust can be detrimental, some people are allergic to psyllium, and I found one case study in which psyllium caused adverse effects in a person with adrenal insufficiency. Barring those circumstances, I am unaware of adverse effects from psyllium husk consumption. I hope that helps!Report
Hello Christine, thank you so much for the quick answer, it helps.Report