Andi-ando

@WilliamWallace Or eat something that isn't made of white flour to begin with, as is nearly all of commercial fermented sourdough bread. The post is well founded, but the graph is very misleading, and wrong. Also, they show fermented sourdough as being a darker product.

@WilliamWallace No it didn't lower blood sugar, as the graph is mis-titled. It caused a lesser rise than did the non-fermented type. But, eating the real sourdough bread did cause a rise in blood sugar.

Sourdough has become a wellness signal. People believe it is healthier than regular bread, especially for blood sugar. The biology is real, but it depends on whether the bread was actually fermented. Many supermarket "sourdoughs" were not. The mechanism. Real sourdough is made with a starter, a living culture of wild yeast and lactic acid bacteria. Over 12 to 24 hours of fermentation, the bacteria produce lactic acid and acetic acid. These organic acids lower postprandial glucose and insulin through some combination of slower starch digestion and slower gastric emptying. The starch is also partly modified by long contact with acids and enzymes, making it digest more slowly. Same carbs, slower release into your blood. The human data. Liljeberg and Bjorck (Am J Clin Nutr 1997) showed that adding lactic acid or propionate to bread lowered postprandial glucose and insulin in healthy adults. The acids do the work. Ozer and colleagues (Wien Klin Wochenschr 2023) tested 43 women with gestational diabetes and 38 healthy pregnant women. Same breakfast, same carb dose, different bread. White wheat caused 45 percent more insulin and 9.6 percent more first-hour glucose than sourdough whole grain. Both groups. The difference was the bread. The industry problem. In the United States, "sourdough" is not a regulated term. Manufacturers can label any bread sourdough. Real Bread Campaign auditors in the UK have documented widespread use of commercial yeast, added vinegar or acetic acid, and "sourdough flavoring" in loaves sold as sourdough. The bread is leavened in roughly two hours, then dosed with acid to mimic the tang of a long ferment. Why this matters. Added vinegar is not nothing. Liljeberg 1997 showed adding acid to bread produces some glucose-lowering effect. But it does not replicate full sourdough fermentation, which produces both lactic and acetic acid in specific ratios plus slow modification of the starch itself. Commercial "sourdough" with added vinegar gets you a fraction of the benefit. A note on the data. The Ozer 2023 comparator was white wheat bread, not commercial "yeasted vinegar sourdough." The graphic extends that by inference. Commercial sourdough without real fermentation behaves like white bread plus a small added-acid effect. A note on labels. Authentic sourdough should list flour, water, salt, and starter. If the label says yeast, vinegar, acetic acid, or "natural flavor," the bread was not fermented in the traditional sense. Hybrid labels ("made with sourdough starter" plus commercial yeast) get some flavor compounds but skip most of the ferment. The takeaway. The glucose effect of sourdough is real and is one of the more rigorously documented benefits in fermented foods. But the benefit lives in the fermentation, not the label. Check the ingredient list. If it has yeast or vinegar, you are eating fast bread with a marketing claim. Liljeberg, Am J Clin Nutr 1997 · Ozer, Wien Klin Wochenschr 2023

@WilliamWallace Why eat that flour in the 1st place.

@ddale8 Even a quick google shows 35 countries offering birthright citizenship equal to ours.

Trump later says no other country has birthright citizenship "the way we're doing it," but that's not true, either; various other countries have equally-minimally-restricted birthright citizenship, including Canada and Mexico.

"We're the only country in the world that has" birthright citizenship, President Trump lies even though this claim from him has been debunked for at least the last eight years.

@MichaelAlbertMD It's always easy to state a problem.

Obesity isn’t a transient state—it reflects underlying, durable biology. Your cells “remember” it. Once established, it behaves like a chronic disease—much like Type 2 Diabetes—with a strong tendency to recur even after weight loss. That distinction matters: control is not the same as cure.

@AdamG620 @Idomeneus_OG @dr__idz @nicknorwitz One can pass the bar exam without setting foot in law school, and put out your shingle. Legally.

@Idomeneus_OG @dr__idz @nicknorwitz That's like saying if you get a JD then you have impressive credentials as a lawyer. No, the JD is basically the cover charge to the party. It's literally the first hoop you jump through and not evidence of being an expert.

I don’t understand why @nicknorwitz continues to appeal to his apparent “authority” as an MD. 🤔 He quite literally has not prescribed a single medication to a single patient as a qualified medical doctor. He hasn’t worked a single day in hospital so has no real world experience of how medications affect patients at the individual level. This level of delusion is mind-boggling. He claims his MD gives him further insight and expertise into medical interventions, yet the only things he knows about medications are from papers and things he reads online. 🤦🏽‍♂️

@Metabolicmonstr So a rational sane adult purposely harms their eyesight. Bogus.

Individual tries low vitamin A diet. Eye sight worsens, TSH increases from 1 to 21. Many such cases.

@VatsalThakkarMD @DoctorTro How long between those last 2 readings? HbA1C. With curtailed sugar.

@DoctorTro Yes yes yes. I dropped my fasting insulin in half, and A1C out of the pre-diabetic range. Didn’t happen until I stopped all sugar intake (last column)

If you have prediabetes or diabetes, dropping sugar and processed carbs is the most potent dietary intervention available Many times it works better than medications and is still considered FIRST LINE

@domdyer70 Grok: is this for real?

Drone technology without brings all the beauty & wonder without the terrible noise of fireworks

@ifixhearts Yes

They told us in medical school that cholesterol causes heart attacks. 3,000 surgeries taught me that it is just not that simple. Reply "Yes" and I'll DM you the 5 things I wish knew earlier about cholesterol.

@NefflynBe West wing

@MariaEmmerich Backstrap! Yumm

Check out this amazing buck Craig got this morning! So proud of him. He has been working hard for this. ❤️

@robertlufkinmd By all means avoid all fat.

I don't trust the dietary advice from Stacy, the American Diabetes Association's Director of Nutrition & Wellness unless I would like to get diabetes too. No wonder we are beginning the largest diabetes epidemic in recorded history.

@davidasinclair The swap was "less red/processed meats and sugars and sugar-sweetened beverages". Ie 4 categories lumped.

Modeling across seven nations shows that swapping meat and sweets for beans, nuts, and whole grains could add a decade to life expectancy ajcn.nutrition.org/article/S0002-…

@HalCranmer 10 yrs owning AL homes, in which no one ever had a cardiovascular event? No CHF, no Ventricular arrhythmia nor tachycardia.

We work with our doctors to deprescribe statins all the time. In 10 years of owning assisted living homes, we've never had a cardiovascular event other than a few mini-strokes.

@TElizabethPhD @abysmalpudding Restore metabolic flexibility with sugar?

Type 2 Diabetes = metabolic collapse •Insulin resistance, fatty liver, PUFA burden, stress hormones, low thyroid •Terrain approach = reverses the cause We remove PUFA, fortified grains, iron overload Restore metabolic flexibility with sugar + salt + saturated fat Lower cortisol, support thyroid, reopen energy pathways Result: Blood sugar normalizes because the system starts working again. Type 1 Diabetes = autoimmune terrain breakdown •The pancreas has been attacked •The body no longer produces insulin •Insulin must be taken. We don’t replace that. Type 2 Diabetes Yes, terrain healing can cure it. Type 2 is not a permanent diagnosis. It’s a metabolic survival adaptation that happened because: •You were flooded with PUFA, seed oils, and fake “healthy” foods •You were taught to fear sugar, salt, and rest •Your mitochondria collapsed from years of stress, undernourishment, and toxicity •Your cells stopped trusting insulin because they were being asked to metabolize in a war zone We don’t need to so much fight insulin resistance, we need to restore the terrain. Terrain cures Type 2 by: •Removing PUFA and fortified grains •Restoring metabolic safety (sugar, salt, saturated fat, light) •Replenishing minerals and bile •Rebuilding circadian + nervous system trust •Reconnecting thyroid, liver, gut, and mitochondria We’ve seen it reverse within weeks or months using this method with real food, not fear. Type 1 Diabetes Not “cured,” but transformed. Type 1 is an autoimmune collapse, not insulin resistance. The pancreas’ beta cells are destroyed or dormant. You still need insulin. But terrain healing: •Calms the immune system so further destruction slows or stops •Reduces daily insulin needs dramatically •Stabilizes blood sugar so you don’t spike and crash •Lowers inflammation, fatigue, nerve pain, mood instability •Rebuilds mitochondrial function and terrain coherence Many Type 1s feel like they “get their life back” through terrain, even if they still take insulin. The chaos goes down. The clarity goes up. And in rare cases, especially early on, pancreatic function does partially recover.

Nah. Healing Type Two Diabetes is not about carbs… It’s about removing iron-fortified, PUFA-glued, B-vitamin-bombed cereal grain products that hijack methylation, dysregulate hormones, and feed parasites and tumors.

@drcateshanahan Have you researched the meaning of a 654% discount?

They make most of their money from asthma and COPD drugs. I can't make heads or tails of what any of this means, and the article text does not help. Hopefully, it will be a real improvement and not just smoke and mirrors.

Drug prices coming down, thanks MAHA! The second screenshot shows the new pricing. Still a bit murky, I'd say. Heaven forbid we ever get a straight answer about anything that has to do with the cost of our healthcare!!

Hummingbird cooling down on a very hot day