Nutrition. 
It's a weird topic. 
The CrossFit message
is a contrarian, it's
against the grain of what
what has been going on commercially in most facilities.
They got machines—we detest them—
in isolation movements we're compound.
Big box, little box,
low intensity, high intensity.
Everything about this message is,
for many people, antithetical 
to all they thought they knew,
and it's a mind full. Now
comes the nutrition thing and
there's not much relief here. The theme
continues that
what most everyone thinks is wrong.
In July of 1989 in the "Archives of
Internal Medicine"—write it down
everybody—July '89
"Archives of Internal Medicine," it's a
peer-reviewed journal.
A fellow by the name of Norman Kaplan
wrote a piece that became
dubbed the "Deadly Quartet," and it was
absolutely breathtaking bit of research
and analysis that has gone entirely, completely,
absolutely unchallenged—that doesn't mean it's right either, by the way—
but there's been no challenge to it.
By the way, a dozen Nobel Prizes in
total have been awarded now for cholesterol-synthesis research
and Norman Kaplan will undoubtedly
get a Nobel Prize for this work someday.
And the impact continues to rip through
the research,
and medical and clinical communities
to this day. And what he was able to
demonstrate
by operative mechanism and through
correlation, but more importantly
causally, was able to show that
hyper-insulinism was at the root
of upper-body obesity—and we now know all of obesity, that's just
what he was able to
demonstrate metabolically.
Glucose intolerance, it's basically a
quantifiable measure
as to how close you are to becoming
diabetic. If you are
fully glucose intolerant you need
insulin. Hypertriglyceridemia: elevated
triglycerides, hypertension,
blood pressure high. And he was able to show that
it was hyperinsulinism—too much
insulin—
that was at the cause of this. Now, what is
insulin? Insulin is a hormone
produced by the pancreas and
you can't live without it. You got a couple of choices: You can
either produce insulin through the pancreas,
or you can inject it,
you can take it orally or you can die.
You can't live without it. And what insulin does
is it puts
things into the cells and as a counter
regulatory hormone glucagon. There's a big
story here, don't worry if some of this 
is swimming over you because I'll make it easy for you know in a punchline at the end
that anyone can wrap themselves around.
But a glucagon is a counter-regulatory hormone, it lets things out of cells
and one other things that insulin puts
into cells is fat. 
And insulin is the normal, essential
response
to the ingestion of carbohydrate if
you're healthy.
And so you can see now that the way to
get your insulin level
too high is to eat too much carbohydrate.
How much carbohydrate is that? In the
qualitative sense,
your insulin level is too high if it's driving
up your blood pressure, making you fat,
jacking up your triglycerides
or effecting
you're ability to suppress blood sugar
after
consuming sugar. If you're
glucose intolerant, hypertensive, your
triglycerides are too high or you're
fat, you're getting too much insulin
and thus too much carbohydrate. Definitionally, 
that's the case, if you're concerned
about your health.
And what we recognize here is those
total risk factors—markers—for what?
Heart disease.
Sudden death. Myocardial infarct. And this
is the process, by the way,
by which we induce, what we say,
atherogenic.
It produces atherosclerotic disease. For
us simple people,
arteries paved over with plaque.
Which leads to thrombosis, occlusion
myocardial infarction, and death
and debilitation. But when physicians are
polled, "What is it doc that
you don't wanna get?" Cancer and heart disease don't rank nearly so high—
not by large margins—as does diabetes.
You've got to find a doctor that has
really seen a lot of people dying and
what he's gonna tell you is 
"I don't want diabetes." I can tell you how
to get it, 
it's easy. You can get it—and I'm not
talking about the juvenile onset, the
Type 1—I'm talking about the Type 2. 
In Type 1, by reasons
probably
viral, the pancreas stops producing
insulin, you're fucked. It happens to
children, it's horrible. 
It's sad. Type 2 diabetes—the one that
grandma has—
is caused by
a receptor-downgrade phenomenon, the red blood cells,
they have a receptor site
where insulin attaches. So the insulin
molecule
lands on this thing, and it's got a funky little shape, and the receptor has a
matching funky little shape, it's a key
lock kind of
physical deal. And when
insulin binds to the cell site, the cell
can now receive all good things
including amino acids and fat. And if you
expose yourself to too much
insulin, pretty soon these cells and their
receptors become blind
to the mechanism, and the lock-and-key phenomenon doesn't work so well.
It's a receptor-downgrade phenomenon, and it's not really much different,
mechanically, the mechanism, than going
out and staring at the sun. You stare at the
sun, you're getting a whole bunch of light, right? 
Do it for a few minutes and later you'll
never see any light again.
You just burn out the receptors. That's
what happens in Type 2 diabetes.
It's a horrible, horrible
thing. Now,
what was revolutionary about this— and there is no better word
for it, none at all—is that it
put this model in the trash can, and this
is the old-school way of looking at it.
And what we used to say is that a clinician—I would see
 
Tony, this doctor,
annually, and you're in perfect health, you're in perfect health, you're in perfect health,  
whoa, your up 10 pounds but you're in perfect health. 
Next year, you're up 15 pounds but you're in perfect health.
Next year, you're up 20 pounds, and
funky thing is,
check this out, your cholesterol's really
jumped up, it was up a little but not
like its decision to go rapid jump
and not the good question I tht over the
bad cholesterol VLDL
and in a year to later they've been
doing your blood pressure is running
away from here
and then ultimately we either see death
or glucose intolerance you become
diabetic
and the ordering was roughly
obesity then hypercholesterolemia class
struggle up then the blood pressure goes
up then you become diabetic
and there was an assumption an
assumption
and it is a classic a logical fallacy
that the ordering
suggested causality that because this
happen first
Dennis than this than that this caused
ultimately was the root cause of all
these things
this mall is now understood to be
fatally flawed it was wrong and we can't
even tell you what is %uh Post hoc ergo
propter hoc fallacy
after this therefore because I've that
order of the fence
does not does not necessitate causality
you understand that
just doesn't work that way
and what Norman Kaplan was able to do
was created
scientific understanding to demonstrate
with powerful evidence
that hyper insulin -ism was indeed
because of all these things in the cause
a bath ranch in this city
at the root about her chin is Seattle
sclerotic disease
and & Co and cardiac death all this is
collectively known as coronary heart
disease CHD
or chair or even at Stanford University
referred to is syndrome acs.
and has been a very powerful we ship $3
understanding
and where the point right now usually
can't find anyone anymore worth a shit
that doesn't know
that what's causing heart disease is not
dietary fat intake
but excessive consumption of
carbohydrates
that's what's it cost
and things like the French Paradox the
many times the
the fact that Americans do and have a
tribute to bono
small percentage of the heart disease
that we do
there's no paradox the paradigm was
flawed
they also consume almost adjusted just a
little bit under five percent to the
refined sugar we do
reading right now about 250 pounds
of sugar per man woman and child
annually here Cheers
it's amazing what what
efforts will go to the consumer I sugar
for instance I know you had a banana
because it's got potassium in it right
inorite shared in it wasn't for the
potassium
the quick energy when's the last time
you had kahler black beans they have a
lot more
out see anyway I mean my black beans I
want a passive know they
your banana the potassium because it's
foolish over to jacks have your blood
sugar makes you feel good
your
interest in carbohydrates in its
profound is really no different in your
interest in beer or a crack
or opiates it tickles the brain and it
feels good
and excuses will make this shit the
people come up with the get their
unbelievable things people do to get to
that high
are phenomenal phenomenal
now
and tell you how to avoid all that you
ready
he did I dove meat vegetables nuts and
seeds some fruit little starch into
sugar
you know that their new example of magic
no problem
meat and vegetables nuts and seeds
some fruit little starch no sugar
no CHD it's just that easy now some have
said
I've got physician on closet yes but
we've inherited the thrifty gene and
there are diff Oct you it's got nothing
genetics the genetic part is an
intolerance
to excessive amounts a carbohydrate
that's the genetic part and it's really
no different than having print genetic
predisposition alcoholism
suppose you have the gene for alcoholism
does that mean it will by necessity
express
what do you have to make express drink
alcohol if you don't drink alcohol we
suffer from alcoholism
probably not at least not have the met
Matt clinical manifestations ovett
no different with atherosclerotic
disease I don't care what your
grandfather died if your mother died of
your uncle byron your brother died at
like Barry Sears
all his uncles and father died all of
them at 49 from
atherosclerotic induced thrombosis MI my
car to win for heart attack
all awful he's not gonna is not in the
cards they ate
meat and vegetables
nuts and seeds some fruit little starch
into sugar it's also the pale your diet
her to that if you can't have you
couldn't have harvested
out of your garden or
or or or or or farm and brought it in
and meet me in an hour later
%uh if it if it's not like that it's not
going to give you another
way to get to the right endpoint shop
around the perimeter of the grocery
store
don't go down the aisles I give you know
the easy way to eat when I get to the
same endpoint these are all just models
for effective nutritional
strategies for avoiding heart disease
death and misery
arm if it's got a food label on it it's
not food
you know like how many grams of fat
Afghan
Van Buren also do you know if it's got
that on it isn't food you don't see that
on the chicken is not on the tomatoes
it's not on the apples it's not on the
corn it's not on the pairs at maraniss
Paris
is not on the brussel sprouts it's not
you get it but it's on the chips a hoy
en no fuckin snack well at all the
bullshit Scott on
if it's gotten a little labels Tony did
and you won't have heart disease
hey if it's not paracha beloved says
best if used before 2017
it's not food it some other bullshit my
two star of one says
corn somewhere but it came out at the
factory non-food not good for you
anyone stand a table with it in 95 for
delivering
almost the same lecture with just less
clinical experience
and a the people just like home kidney
in an era when in fact makes you fat
right
I mean it's just that network of the pun
nicely it's not true
it's not true
