Deprescribe the world! New study shows low-carb diets would save BILLIONS currently wasted on drugs. But will Big Pharma allow it?

3 Nov, 2020 06:54

By Malcolm Kendrick, doctor and author who works as a GP in the National Health Service in England. His blog can be read here and his book, 'Doctoring Data – How to Sort Out Medical Advice from Medical Nonsense,' is available here.

The work of a British family doctor demonstrates that stopping eating carbohydrates helps with blood pressure, diabetes and weight loss - helping save lives during Covid-19. But the medical industry doesn’t want you to know this.

If you want to avoid dying of Covid-19, one of the most important things you can do, if you are overweight, is to shed the pounds

A recent study by an international team of researchers using data from 399,000 patients found that people with obesity who contracted coronavirus were 113 percent more likely than people of healthy weight to end up in hospital, 74 percent more likely to be admitted to intensive care, and 48 percent more likely to die. 

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Why? Well, the ‘why’ centres around the damaging effect of raised blood glucose on endothelial cells and… it gets complicated.

The most important thing is not to understand the complex metabolic and physiological pathways involved, but simply to help people to lose weight, and this is where Dr. David Unwin comes in. 

For years, this family doctor from Southport, in northwest England, has believed, as I do, that the main driver of weight gain, eventually leading on to type 2 diabetes, is a high-carbohydrate diet. That means consuming too much pasta, potatoes, rice, bread, processed sugar, and so on, and not enough red meat, olive oil, butter, eggs, and the like.

This, of course, is exactly the opposite of what we have been told for decades by the ‘experts’ who demonise fat and promote carbohydrates. We have the ‘eat-well’ plate, and the ‘food pyramid’, and hundreds of thousands of dieticians around the world, all promoting carbohydrates as the ‘healthy’ option. 

Dutifully following this advice, the entire population of the Western world has become fatter, and fatter… and fatter. And more and more unhealthy. By the way, this is not a coincidence; it is cause and effect.

But getting back to Dr. Unwin – years ago, he despaired of ever getting any of his patients to lose weight. It was so disheartening, he furtively studied his pension plan and dreamed of retirement. Then, one day, a patient came in to his surgery who had lost a lot of weight and kept it off.

At first, this woman was reluctant to say how she had done it, as she feared the inevitable criticism. In the end, however, she confessed to Dr. Unwin that she had achieved it by eating a low-carbohydrate diet. In Dr. Unwin’s own words:

“I was interested to find out how the patient had improved her diabetic control. She confessed she had ignored my advice and learnt a much better way to look after herself from the internet. I suppressed my wounded pride and looked at the low-carb forum on diabetes.co.uk. There were thousands of type 2 diabetics on there ignoring their doctors – and getting great results ([but] now that is just not allowed).” 

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The GP did not criticise his patient; instead, he was intrigued. Could this possibly be true? It went against everything he had been told about healthy eating, weight loss, and type 2 diabetes – fat has twice the calories per gram as carbohydrates… and suchlike. Eating fat, he’d been programmed to believe, makes you fat, and then you develop diabetes and heart disease. 

Dr. Unwin did more research, then made the decision to work with his patients, mainly those with diabetes, to see if a low-carbohydrate diet could be beneficial. Lo and behold, it was – very beneficial. In fact, it was like a miracle cure.

In 2014, he published a paper on his results on a small number of patients. It stated:

“It was observed that a low-carbohydrate diet achieved substantial weight loss in all patients and brought about normalisation of blood glucose control in 16 out of 18 patients. At the same time, plasma lipid profiles improved, and BP [blood pressure] fell, allowing discontinuation of antihypertensive therapy in some individuals…

“Conclusions: Based on our work so far, we can understand the reasons for the internet enthusiasm for a low-carbohydrate diet: the majority of patients lose weight rapidly and fairly easily [and,] predictably, the HbA1c levels are not far behind. Cholesterol levels, liver enzymes, and BP levels all improved. This approach is simple to implement and much appreciated by people with diabetes.”

Now, he has published results of a much larger study, of nearly 200 patients over a six-year period, which has just been published in the British Medical Journal’s Nutrition, Prevention & Health.

Its main findings make an impressive case for the low-carb diet and how it can lead to people being much healthier and getting off lifelong medication:

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This paper will be attacked, of course, as there are massive financial interests involved here. The savings that the NHS could achieve would be dwarfed if the US, with its much higher drugs costs, adopted the policies: we could be looking at around $2 billion a year. Around the world, who knows, but it would be vast sums of money.

So, you can imagine the joy that this paper will be met with in pharmaceutical company boardrooms around the world. The words ‘lead’ and ‘balloon’, spring to mind. Equally, the massive low-fat high-carb food manufacturers will be throwing their hands up in horror – “My bonus, my bonus! Nooooo!’ You can take all your low-carb yoghurts and…

As for the rest of us, I can assure you that Dr. Unwin has only ever been interested in one thing: working out how to help people lose weight and control their diabetes. He has achieved this for his patients and is showing the rest of the world how to do the same.

Will his research now be taken up by the authorities around the world? Will we move away from promoting a high-carbohydrate diet? You have to be joking. There is far too much money to be lost by the companies who exert tight control over the world of medical research, and whose lobbyists swarm around politicians in rich countries.

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Which is a damn shame, because more than ever in this endless Covid-19 pandemic, obesity represents a health crisis. This paper, and the tireless work by Dr Unwin, clearly tells us what we need to do – now, urgently. If Boris Johnson is serious about his plan for the nation to get slimmer and fitter, he himself should go on a low-carb diet and extol its virtues.

Dr Unwin’s approach won’t work instantly, and it won’t work for everyone – nothing ever does. However, it represents hope. It could save hundreds and thousands of lives. Perhaps more than any vaccine. His research should be shouted from the rooftops.

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