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AWLR Goes to tufts Human nutrition research center

1/28/2014

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I am back from Boston where I presented PhotoCalorie and AWLR data to Dr. Susan Roberts's research group at Tufts Human Nutrition Research Center. They were gracious hosts and I am very thankful for the opportunity.  The main points of my talk highlighted how we believe PhotoCalorie could revolutionize the way dietary research is performed, by allowing the investigator to literally see what their study subjects are eating in real time, and objectively confirm that their description matches the foods depicted in the photo. Right now the gold standard in dietary research is a 3-day food record, which is scientific jargon for pen and paper. Check out a real copy of this incredible technology below!

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Of course, when the researchers receive this piece of paper they have no choice but to trust that the study subject accurately portrayed the foods they ate, which massive amounts of research would refute. They tend to overreport healthy foods, under report foods deemed unhealthy, forget what they had for breakfast, etc.

The second portion of the talk dealt with AWLR and the huge amount of data we've collected. Over 3,100 people from over 55 countries, making AWLR one of the largest international databases of health and nutrition information to date. 

Most surprising was when I was presenting all the randomized clinical trials supporting low carb, Dr. Susan Roberts stepped in and said "You are preaching to the choir. None of us believes low fat is the way to go at this point. Just too much evidence against it."

I couldn't believe my ears.

I was also told the 58 Native Americans who have registered (as of a few months ago) make AWLR probably the largest study of Native American diet in recent history. Interesting. 

There was no video to share, but I gave a similar talk to the American Society of Bariatric Physicians last year that you can see here.

More updates to come.... STAY TUNED!

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With Adam Marcus PhD, PhotoCalorie co-founder and director of data at GoDaddy.
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Visit with Peter Attia at Nusi

1/19/2014

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"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat."

-Teddy Roosevelt
For those of you who may be unfamiliar, the Nutrition Science Initiative is a non-profit company started by Gary Taubes and Peter Attia that has a chance to change the world forever. With millions in funding from a billionaire philanthropist, they are planning, organizing and funding highly rigorous studies to address our most pressing health issues.  There are already multiple studies in the pipeline, most notably the Energy Balance Consortium, which will finally test the age-old idea that all calories are created equal through a highly rigorous, highly controlled feeding study. If common wisdom holds true, people that eat 2000 calories of fat should gain or lose the identical amount of weight as people that consume 2000 calories from carbs.  As described on their website, "An alternative hypothesis is that the macronutrient composition of the diet influences adiposity through its effect on the hormones that regulate uptake of fat (technically “fatty acids”) by fat cells and their subsequent mobilization and use for fuel (that is, oxidation)."

Just the fact that NuSI has been created and funded with a superstar cast of advisors and board members is a real victory for the camp of relentless scientific inquiry over dogmatic belief.  But overall, it is a tribute to people like Gary Taubes, a real soldier and pioneer in the idea that what we believe to be true about nutrition, health and obesity may be fundamentally flawed. To come out against the entire global medical community as a journalist takes some serious guts and overwhelming confidence that above all else, the scientific method will prevail. 

Gary's ultra controversial New York Times article published 12 years ago summarized the problem nicely. 
"After 20 years steeped in a low-fat paradigm, I find it hard to see the nutritional world any other way. I have learned that low-fat diets fail in clinical trials and in real life, and they certainly have failed in my life. I have read the papers suggesting that 20 years of low-fat recommendations have not managed to lower the incidence of heart disease in this country, and may have led instead to the steep increase in obesity and Type 2 diabetes...I have even lost considerable weight with relative ease by giving up carbohydrates on my test diet, and yet I can look down at my eggs and sausage and still imagine the imminent onset of heart disease and obesity, the latter assuredly to be caused by some bizarre rebound phenomena the likes of which science has not yet begun to describe. The fact that Atkins himself has had heart trouble recently does not ease my anxiety, despite his assurance that it is not diet-related. This is the state of mind I imagine that mainstream nutritionists, researchers and physicians must inevitably take to the fat-versus-carbohydrate controversy. They may come around, but the evidence will have to be exceptionally compelling."
Of course at the time, no one could have imagined that the journalist writing this article would be responsible for raising the capital required to come up with this 'exceptionally compelling' evidence. 
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Among their other ongoing research is an effort to develop methods for collecting high quality data from free living people around the world. I had the chance to visit NuSI offices in San Diego to discuss how we are collecting data at AWLR, and how we could potentially collaborate.  It was an honor to meet and brainstorm with Dr. Peter Attia about bringing dietary research into the 21st century, and how I've tried to do that either through PhotoCalorie or AWLR. 

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We are working very hard to improve AWLR and will be adding improvements and new features shortly. I will also be traveling to Boston on the 27th to present our data to Susan Roberts's research group at the Tufts School of Nutrition Science and Policy. 

Should be interesting.
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View our Marketplace of paleo and low carb experts that compete against eachother to help you lose weight and get healthy!
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