Daily Mail

Want to feel FABULOUS Cut carbs, quit sugar and eat More fat

It’s a healthy eating revolution. Drawing on the latest research, a top cardiologi­st explains a whole new way to lose weight AND increase your happiness

- by Dr Aseem Malhotra

MY NIGHT shift had been a busy one. As a trainee cardiologi­st at Harefield Hospital, I’d treated a steady stream of patients — among them, a man who was suffering from advanced heart disease and required emergency surgery.

As I toured the wards early the next morning to check on him, the breakfast trolley was doing the rounds. What was on the menu? Sugary cereals, white toast, jam and marmalade galore.

As I began my speech on the benefits of a healthy diet, my patient looked at me steadily before saying: ‘How do you expect me to change my ways when the place I’ve come to for healing is serving the same c**p that got me here in the first place?’

This was six years ago — but I still remember it clearly. Because it was at this moment I had something of an epiphany.

He was right. The hospital trolley laden with processed foods was emblematic of how badly we were eating as a nation. And my night of inserting emergency stents (a thin tube to hold open an artery) showed all too clearly the impact poor diets were having on our health and happiness.

Yet I couldn’t answer his all-too pertinent question.

So where had we gone so wrong? Yes, we’d ditched the old dietary demons of bacon sandwiches and fatty fry-ups — but for what?

Troubled, I went home and embarked on a project of research that was to absorb me for years. And what I discovered was revolution­ary.

Today, yes, I work for the NHS. But I find myself in the peculiar position of opposing the dietary advice we doctors are taught and expected to preach to our patients: that we should cut back on fat to lose weight and keep our hearts healthy, and fill up on carbohydra­tes instead.

This mantra is blindly preached and repeated by health profession­als despite numerous studies now confirming that some fats are essential to our survival, and that eating more fat, not less, is actually very good for you.

It’s this misguided advice that led to my poor patient recovering from a serious heart operation being served processed, sugar-laden junk by the very people who were supposed to help him get better.

And I believe it is this misguided advice that has partly contribute­d to processed carbs and sugar becoming an endemic part of the British diet. D oN’T think that just because you aren’t one for a biscuit at elevenses or a bar of Dairy Milk for an afternoon pick-p me- up you’re immune from all this.

Anyone who eats anything out of a packet — f from sliced bread to pasta sauce — is at risk. Food today is packed withwit hidden sugars, so much so that sugar has become a component of almost 80 per cent of all processed foods.

Add to this the fact that simple carbs, such as white flour, potatoes and rice, are metabolise­dm into sugar by the body, a and you can see we’re sitting on a di dietary time bomb.

So even if wew don’t succumb to a slice of cake with our afternoon cuppa, a significan­tsign proportion of us are consumingc­on up to 40 teaspoons o of sugar every day without even realising it.

Meanwhile,Meanwhile fat has been completely demonised. We’re ordered to drinkdr skimmed milk, to cut the crispy skin off our chicken and dt to use processed margarines, not butter — even though these natural fats are exactly the type our body needs to function efficientl­y.

I’m convinced this high- sugar, low-fat diet has become a leading cause of death in the Western world — and not just because sugar is a leading contributo­r to the worldwide obesity epidemic, it’s an independen­t risk factor for so many chronic ailments ranging from type 2 diabetes to heart disease.

For as well as triggering an overload of insulin, which can have a catastroph­ic metabolic impact on the body, sugar also appears to make cholestero­l more inflammato­ry — and therefore even more damaging to the heart’s arteries.

Not only this, but a daily diet of processed foods leaves our body on a roller coaster, bouncing from sugar spike to sugar spike, our mood veering wildly along with it.

No wonder so many of us feel lethargic and jaded. My own research, which took into account numerous studies from all over the world, has turned up compelling scientific evidence for cutting sugar in favour of boosting fat intake. Yet, worryingly, this research is consistent­ly dismissed or ignored by the bulk of the medical establishm­ent.

In this regard, we Brits are falling far behind our neighbours. Even the Americans, so often criticised for being sluggish when it comes to dietary health and with even more alarming obesity statistics than ours, are ahead of us on the sugar front.

In 2009, the American Heart Associatio­n published a paper outlining the dangers of sugar and recommendi­ng a maximum daily limit — for heart health if nothing else — of no more than nine teaspoons for men and six for women.

I assumed there would be recommende­d upper limits in the UK, too, but when I checked, all I could find was a ‘guideline daily amount’ of 22 teaspoons. I was appalled.

So what did I do in the face of all this bad advice? Just what I recommend you to do — I ignored it, and transforme­d my eating habits with my own personal food revolution, one that ran completely counter to all my medical training.

I cut back on carbs and radically upped my intake of fats. In short, I ate what made me feel fabulous.

This was no strict diet or punishing regime. I can still sit down to a glass of red wine and a big, juicy steak topped with butter. And guess what? I’ve never felt better. And my health has never been so tip-top, either.

I’ve recommende­d all my heart patients follow this type of eating plan. And you can, too, with exclusive, mouthwater­ing recipe guides from health and diet expert Karen Thomson, who will show you how to eat to feel fabulous all next week in the Mail.

So how have my patients fared? After all, by encouragin­g them to increase their intake of fats — including saturated fats such as butter, cheese and yoghurt — I’ve effectivel­y been promoting the socalled ‘poison’ they were told damaged their hearts in the first place.

Happily, I can tell you their lives have been transforme­d — and that’s no exaggerati­on.

My patients leave my office with two simple instructio­ns: cut out processed carbohydra­tes and sugar, and eat more fat. I tell them

not to follow the Government­recommende­d low-fat diet.

I also tell them to avoid all food labelled ‘ low fat’ or ‘proven to lower cholestero­l’ and instead just eat real, whole foods.

To their amazement, the health impact can be extremely swift. one man in his 50s lost 3 st in six months just by cutting out sugar.

He couldn’t believe this simple step could work when convention­al H dietary advice had failed for most of his life. But I could. E’S not alone. I received an email recently from a man with type 2 diabetes who had read a newspaper story in which I had extolled the virtues of eating more fat.

He said that to his family’s ‘horror’ he had started eating butter again while cutting down on carbohydra­tes. He was writing to thank me because his cholestero­l levels were the best they had been in years.

A female patient in her 40s was referred to me with dangerousl­y high blood pressure. After two months of cutting out sugar and refined carbohydra­tes, her blood pressure normalised and she came off medication.

My own life has been transforme­d, too. I’d always had a sweet tooth. I used to start my day with sweetened cereal and fruit juice, drink a bottle of Lucozade after my gym workout, grab a panini and a chocolate bar for lunch and then sit down to a huge bowl of pasta or curry with rice and naan bread in the evening.

Incredibly, given the amount of food I was eating, I was always hungry. I’d often polish off a large slice of chocolate cake to quell the hunger pangs before going to bed.

I started my diet revolution by simply cutting out sugar and refined carbohydra­tes — white bread, pastries, pasta and white rice — and being more generous with the olive oil, nuts and seeds.

Then, 18 months ago, I stopped eating bread altogether ( even wholemeal) and reduced my intake of starchy vegetables such as potatoes and pulses.

Cauliflowe­r rice or courgetti spaghetti are my options instead these days. And my overall food intake more closely resembles that of the Greek/Mediterran­ean diet, which has a rich, scientific evidence base for good health. I’ve radically upped my intake of saturated fats because I’m sure they will protect my heart, not attack it. After all, the most natural and nutritious foods available — meat, fish, eggs, dairy, nuts, seeds, olives and avocados — all contain saturated fat.

And so today, I may have a two or three- egg omelette packed with vegetables for breakfast or lunch, along with a handful of nuts.

I’ll reinforce my coffee with either a knob of butter or a spoonful of coconut oil to keep me feeling fuller for longer.

I pour extra virgin olive oil lavishly over my salads and vegetables. Indeed, I aim to consume at least four tablespoon­s of olive oil every day because studies show it is great for heart health. And, yes, I enjoy a glass of red wine, too.

While people think fruit juices and smoothies are healthy, they really are little better than liquid sugar. So instead, I have berries alongside my egg-based breakfast and — once a day — an apple for pudding after dinner.

All in all, I couldn’t feel better. In the old days, I had a pot-belly which stubbornly resisted my

attempts to slim despite an intense daily exercise regime.

Now, at 38, I’m a stone lighter than I was five years ago.

The belly fat has disappeare­d, even though I now exercise far less than I used to. Why? Well, when you eat a carbohydra­te-based diet, carbs and sugars are converted to blood sugar.

Any excess sugar that’s not used for energy is converted to fat. However, if you restrict your carbohydra­tes, your body has to use other fuel — and that fuel comes from your body’s fat stores.

Aside from these benefits, life is much simpler when you’re not distracted by the cravings and gnawing hunger eating sugar and processed carbohydra­tes generates. Indeed, carbohydra­tes induce addictive eating behaviours.

When your diet is predominan­tly based on refined carbohydra­tes, the body’s ability to recognise it’s full is hindered because sugar interferes with appetite signals.

So if the dietary advice I was given at medical school was right, today I should be a walking time bomb with soaring cholestero­l levels and advancing heart disease.

But I have regular check-ups and have never been healthier. I’m convinced my diet is protecting me against heart disease, premature ageing, cancer and dementia.

New research that supports my food revolution is being published all the time. Just this week, significan­t research by Tufts University near Boston, in the U.S., proved that even a whole tablespoon of butter a day would not raise the risk of heart disease — yet more proof that the demonisati­on of butter for decades has been a mistake.

Provided you cut back on sugar and refined carbohydra­tes, butter can be very much part of a healthy diet. I probably get through a whole block of butter every four days. Unsurprisi­ngly, I have met plenty of resistance along the way.

And despite all the evidence, the ‘healthy eating’ guidelines in this country remain unchanged, something that I believe is nothing short of scandalous.

So why aren’t all doctors recommendi­ng this plan to patients?

The wheels of bureaucrac­y move very slowly. And so much establishe­d dietary advice incorporat­es the commercial interest of large food companies. You can’t escape the fact that lowfat processed food is big business.

What can we expect when in 2012 the London Olympic Games, the biggest celebratio­n of fitness and health in this country for decades, was sponsored by CocaCola and McDonald’s?

And as long as influentia­l organisati­ons such as the British Nutrition Foundation have membership­s that reads like the Who’s Who of the sugar industry — Coca-Cola, Kellogg’s, McDonald’s, Nestle and Pepsi among them — and the British Dietetic Associatio­n can promote fruit juice as part of a balanced diet, I fear it will still be some time before advice is changed.

But change it must. I have coproduced a documentar­y, The Big Fat Fix, which explains how cutting sugar and eating healthy fats can boost our longevity. It will be released in the next few weeks. We’ll see if that does the trick.

In the meantime, I plead with you to join my food revolution. You’ll simply never feel better.

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