Welcome to the qualys a subscriber exclusive podcast of qualities is just a shorthand slang for a qualification round, which is something you do prior to the race just a little bit quicker qualities podcast features episodes that are short and we're hoping for less than ten minutes each which highlight the best questions topics tactics Etc discussed on previous episodes of the drive. We recognize many of you as new listeners to the podcast may not have the time.
Go back and listen to every episode and those of you have already listened may have forgotten. So the new episodes of the qualities are going to be released Tuesday through Friday, and they're going to be published exclusively on our private subscriber only podcast feed now occasionally, we're going to release quality episodes in the main feed, which is what you're about to hear. Now if you enjoy these episodes and if you're interested in hearing more as well as receiving all of the other subscriber exclusive content, which is growing by the month. You can visit us at Peter tmz.com forward slash subscribe.
So without further delay, I hope you enjoy today's quali. I want to get into some more geeky biochemistry stuff. But I also know that there's probably at least one person listening to this who's a parent who's thinking. Oh man. Do I have to simmer down how much sugar my kids are reading. So when you saw kids in the clinic, obviously, you're seeing their parents. That's one of the advantages of Pediatrics is so some of the disadvantage of right. That's right. You have to patience to patience and I don't
get paid for both, but the beauty of it is
you have your
Who you need to take care of which is this child? But then you also have another caregiver who for the most part wants what's best for that child mostly and how would you counsel a parent who would say look dr. Lustig? There's no way my kids going to have no sugar in their life. Can you give me a way to create a sustainable environment and set of rules that's going to prevent my kid from having the metabolic derangement that hoses them for the rest of their life, but allows them to still be a kid.
Yes. So that's what we did in clinic every single day.
Here's the problem. It's not the added sugar. You know, it's the added sugar. You don't know
it almost looks like a Rumsfeld tone to that. Right? Well,
yeah, there's the known knowns then there's the unknown knowns and the fact is when you look at the amount of sugar that is in sodas, it's bad when you look at the amount of sugar that's in candy cake ice cream. It's about half as much.
That adds up to 50% of the added sugar consumed by
children. And what is that number by the way in grams per day
approximately runs the gamut but the median is 18
teaspoons. It's about 90 grams of sugar per day. Yeah
used to be a hundred twenty. It's actually come down because the Obesity epidemic 92 94 grams of added sugar per day half of the sugar is in Foods. You didn't know how hot it
bread pasta
sauce pretzels or
Pretzels have sugar. Okay Brett, right? Why do they put sugar in bread any idea if you buy it
probably helps with preserving it
does exactly so if you buy a loaf of bread at the bakery how soon before it's Tails two days typically two days if you buy a loaf of bread at the grocery store how long before its Tail's
10 days three weeks.
Okay why they're both Brad, right? Well what they did in the grocery store bread was they added?
Sugar very specifically because the sugar doesn't boil off when you put it in the oven water does so it acts as a humectant
it that's why it's so much moister when you have store-bought bread.
Exactly. That's why if you threw a loaf of bread at my head it would just bounce off is because it's kind of spongy right but they're also breads like German Fitness bread, which don't have that there.
Real bread. They use whole grains. They're lumpy bumpy and they're small the loaves that the size of their weapons and their weapons, right? You could like kill somebody if you through German Fitness Predator head, okay, it is dense. They're both bread, but the store bought bread had sugar added very specifically to hold onto water because sugars polar and so the water stays in and therefore the bread doesn't stale as quickly therefore.
You can put a cell on the by date way later decreased depreciation increase
profit. So if the kid came in and the kids got nafld e and you've surmised that this child's eating about a hundred grams of sugar a day. Do you say to the parent our Target is what 20 grams per
day? What we say is we don't worry about Target numbers. What we say is processed food is the problem because processes food is high sugar low fiber. What you want is a
Low sugar high fiber diet that's called real food every diet out there that works and their whole bunch of diets that work. Okay, certain vegan diets work. Remember Coke is vegan. So it's not like every vegan diets. Okay, the college vegan diet doesn't necessarily the college being good night does not work exactly right the traditional Japanese diet the Atkins diet ketogenic diet paleo diet Mediterranean diet all of these
diets race time.
Diets
sure, they all work because they're all real food every diet that works Israel food and every diet that doesn't is because it's processed food. The problem is parents don't know the difference. They don't understand that grocery store bread is processed food. They think it's food. They think you know, if it's sold in the supermarket, it's food know there's real food and you know what that is, but the parents don't and what we teach them in clinic is
If there's a label on the food that's a warning label because that's means it's been processed because real food doesn't need a label. Is there a you know nutrition facts label on Broccoli. Is there a nutrition facts label on carrots? No, is there a nutrition facts label on the meat in the meat case know the reason is because it's all real food. Now when we get to meet, you know, there's ways of making meat a problem.
M2 it's called corn-fed, but the bottom line is at least they're real food because so that means you'll
you don't necessarily fixate on targets. You say look we're going to talk about we're going to make a conceptual
change. We don't ask them to do math. We ask them to purchase and consume real food. Now we have to teach them what that is. So what we do we bring all the new patients in on the same day. We see all the new patients on one day. It's like chaos.
And they all meet with a dietitian they come in fasting and we draw their blood and you know, we evaluate them and then they all sit down at a communal table. And we do an hour-long teaching breakfast and The dietitian narrates why those foods are available for breakfast. So whole grain bread natural peanut butter, you know, not Skippy GIF Peter Pan, but you know the real stuff
Plain yogurt cetera, and we explain why these Foods were chosen and how they meet the criteria of real food as opposed to what they're currently buying most parents get it now, there are some who don't there are some who say I'm sorry that takes too long. I can't spend the time preparing real food. And then is there an
economic consideration also have what is the do you have a sense of what it costs all things equal oo4 so apparent
going to basically have to double their food budget if they want to start eating real
food. That's right. They're gonna have to double their food your budget and they're also going to have to double their food time in terms of preparation.
I hope you enjoyed today's quali now sit tight for that legal disclaimer. This podcast is for General informational purposes only and does not constitute the practice of medicine nursing or other professional health care services, including the givings of medical advice and note no doctor-patient relationship is formed the use of this information.
And the materials link to the podcast is that the users own risk, the content of this podcast is not intended to be a substitute for professional medical advice diagnosis or treatment users should not disregard or delay in obtaining medical advice for any medical condition. They have and should seek the assistance of their Healthcare Professionals for any such conditions lastly and perhaps most importantly I take conflicts of interest in very seriously for all of my disclosures the companies I invest in and or advise please visit Peter Atia m
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