Are You Eating Too Many Carbs? | Dr. Neal Barnard on The Exam Room Live

Are there too many carbs in your diet? We hear from someone who is concerned because their nutrition app says they're eating more carbs than they should. Dr. Neal Barnard joins "The Weight Loss Champion" Chuck Carroll to discuss the amount and type of carbs you should be including in your diet.
Plus, Dr. Barnard answers other questions from The Doctor's Mailbag:
- What are healthy options for salad dressing?
- Is fiber destroyed by freezing fruits and vegetables?
- Which foods can cause migraines?
- And many more!
Have a question? Leave it in the chat or comments.
Subscribe to The Exam Room Podcast: apple.co/2JXBkpy​​

[@dianabarker3815]

I have been on a plant based diet for two months now. I feel so good. I have more energy. I am now exercising everyday walking and swimming. My mood is 💯better. My blood pressure is near perfect. I am a 68 old woman. This is now a way of life for me.

[@littlerainbow44]

I have been transitioning to a plant based diet for about ten weeks and I'm off metformin for the first time since I was sixteen years old! I can't believe how fast its worked! Course my doctor recommended greek yogurt and cheese sticks for my blood sugar lows! Thank you for getting all this information out there!

[@marykearns4463]

Cheese and Greek yogurt are from animals made from cheese cows or goats and Greek yogurt is from milk

[@DJMovit]

Congratulations on getting off the metformin!

[@erichardson8811]

Congratulations on ridding metformin..a Boss move.

[@doddsalfa]

Greek yogurt and cheese contribute to diabetes of course

[@ellapresley8634]

WOW, I love Dr. Barnard. His advice is ALWAYS on target. I follow "all" his advice, and I get "amazing" results!! I am eating the "plant based diet", and seeing amazing results!!

[@kathyrobertson6468]

My husband was taken off metformin today. His number great. Thank you for all the information! Update, my numbers have improved, so much that I don't have to get on Metformin. My doctor was elated!! And so was I!

[@ceasaresquivel4344]

Was he type 2 diabetic, what kind of foods does he eat.. I'm on a keto diet right now, everytime I try to switch to wfpb diet i urinate too much.. do you know why this happens

[@pamelamyers9634]

73 year old, having been plant based for 2 months.I did not have to have my face waxed this month. PRobably having some kind of hormone rebalance. YAaaay!

[@engjaptranslator6771]

れ

[@starcatcher3691]

That's great

[@katiehargrave3731]

I am a woman that has also experienced less body hair and a much healthier menstrual cycle, along with decreased body fat, and increased muscle mass.

[@supermeseriasu]

I had weekly headaches, even 2-3 times a week. I became vegan for almost 2 months and I had absolutely nothing. It was shocking to me. Now I find out why. It is the best result after switching to a vegan diet for me. I hated headaches especially at work

[@rbeane]

Glad to see this post about headaches. Will have to let my sister-in-law know. She has headaches all the time - perhaps diet can help. kzbin.info/www/bejne/pGPaYYqhZ7OXbdk

[@bobalinga]

sadly I still have terrible migraines and I've been vegan for decades :-(

[@supermeseriasu]

@@bobalinga maybe u dont eat alot.

[@bobalinga]

I've upped my cars and cut out all processed vegan food. I'll see how that goes

[@supermeseriasu]

@@bobalinga I eat almost nothing processed. rice, beans, vegetables and lots of fruit in one day. I don't expect to get hungry.No meat , no eggs, no dairy. Daily 1 multivitamin conplex.

[@neilclaypoole7529]

You can make simple dressings in a blender no oil use 1/2 cup of your favorite beans water vinegar garlic or ginger herbs and a little maple syrup / experiment

[@flattlandermontgomery1524]

Good advice. Another way to make dressing is to blend watery vegetables like tomatoes or zucchini as the base. I like tomato, red bell pepper, spring onion, garlic, ginger, cilantro, lemon juice, dates and celery.

[@markgoodwin183]

No oil! OMG olive oil and Avocado oils is so good for you! No one says that anymore!!!! I do not like this doctors opinions. Check out other doctors on KZbin, who have newer ideas based on real facts.

[@jamesjuhlin6886]

@@markgoodwin183 Why would we need to eat processed oils? Just eat the fats in their natural forms; olives and avocados.

[@m.taylor]

I make the infamous Japanese carrot-onion-tamari-lemon juice dressing with a bit of sesame seeds and no oil added. It is so darn good on anything...or I make an umeboshi-onion dressing.

[@richardweiss4167]

what's wrong with oil? - not seed oils but olive and coconut oil. Vegans rejecting these oils embrace unhealthiness.

[@Kimberlygreen2271]

I make plant based chili and pour it on my potato and it is incredible.:)

[@meatismurder2862]

Same 😋

[@RiDankulous]

Nice!

[@dollybudhram3007]

Hi doctor, I hope you can help me. I have high blood pressure, Diverticulosis low bone density A swollen thyroid and recently protein leaks into my kidneys. I was eating all kind of beans but because of of the protein leaks I had to stop eating beans and a lot of fruits. Iam worried .Don't know what to eat .I desperately need some help on what I can and cannot eat. Thank you dotor. Looking forward to hear from you

[@valerietomsic8454]

Hummus is great on a potato.....salsa too!

[@dimitrisskar4174]

@@dollybudhram3007 why are you saying this in someone's comment o-o

[@happycook6737]

Japanese rice servings are very small. Yes they eat it for every meal but women only eat 3/4 cup serving. Then other small dishes are served like veggie dishes, miso soup, pickles, tamagoyaki omelette, etc. Diners eat a few bites of each communal dish. They also walk more, bike more, clean more, etc. Small portions, regular meals, loads of exercise built into every day. Even fat me lost 100 pounds effortlessly living in Japan eating "traditional diet".

[@happycook6737]

@@dariaizabela6598 I disagree. What the doctor says matches my own personal experience.

[@tigana]

They also have higher levels of esophageal and stomach cancer due to the high salt, pros and cons

[@happycook6737]

@@tigana Yes they have high rates stomach and esophageal cancers in Japan.

[@Nina-hk7ub]

I gained on vegan but I stopped weight training cuz of covid. 145 lbs size 6 , 5'7". My body fat >32%! I'm starting back up next week to get lean again.

[@happycook6737]

@@Nina-hk7ub I have to eat a salad of only greens with some lemon, a plate of half steamed non-starchy veggies, 1/4 plate beans/legumes, and 1/4 plate unprocessed starch for meals. I eat 3 pieces whole fruit per day, 1/2 cup dry oatmeal cooked with water for breakfast. I eat no oil, no added sugar, no added salt, and only minimally processed or unprocessed foods. If I deviate much from this, I gain weight. Not sure if you are similar. Sometimes I add cabbage soup. I hear people say vegan= eat all you want but for me, I can't.

[@bonniebenz8792]

Great show. I am very new to the plant based diet. Still learning, olive oil is my last to go. I am also trying hard to let go of salmon but I’m a work in progress at this point. So far no meat or dairy for several weeks.

[@angelamoore3726]

Rtrrtrttttttttttttt tttt I can call 🤙 you and

[@shamirarose5]

Eating our way to extinction a must watch documentary ..I won't eat fish anymore or chicken or any meat or dairy or eggs ..

[@jassna83]

I am on vegan almost 6 months, 8kg goes down, all result are much more better, suger, holesterol, blod pr. I am so happy with much more energy. Thanks to You and dr.Bernard. Big support from Germany

[@arsonne]

Crazy that Dr. Barnard is about to be 68 years old.

[@eugeniebreida1583]

His heart will beat forever : ). So many complain about his pencil neck. Gee whiz, how about complimenting the extraordinary squared jaw? Yes, he'd look more 'Western-Eye Perfect' if he were to throw on some nice pounds of meaty muscle, but truly . . . no improvement to his health. I'm really not even sure that going into old age that skinny is a bad thing for a man. I think for women the osteoporosis may be more probably with zero gravitational forces on the joints for the last few decades of life.

[@barbarafairbanks4578]

@@eugeniebreida1583 with an increasingly low level of quality protein (per this diet) as we age, we are putting ourselves at risk of muscle mass loss, specifically skeletal muscle loss, which puts us on an accelerated path to sarcopenia. Sarcopenia is debilitating. Skeletal muscle is what supports and maintains our body's structur. Muscle is a metabolic organ...that 8s a biological fact. So many people are completely unaware that failing to increase their quality protein (*complete protein) intake as they age.. is why the aged are now relying on motorized scooters to get around, AND eventually are unable to walk without using a walker. This is also why Dr. Bernard has a pencil neck. The pronounced square jaw you see on his face is because his face has lost fat & muscle....we are seeing more & more of his skeletal frame because of his diet which is lacking in sufficient complete protein AND healthy fats. Think about what his body looks like under his clothing...not pretty. Now compare Dr. Barnard's face/body with, for instance, Dr.Andrew Weil, who is a year older than Dr. Barnard and looks healthy and robust. We do not see bones sticking out on his face. Dr. Neal looks like he could be knocked over with a feather. His face looks skeletal and gaunt. Dr. Weil follows the Mediterranean diet and is not meat, (animal protein) phobic nor is he lipid phobic (i.e. healthy fats). Depriving ourselves of the increasing QUALITY protein (i.e., complete protein) that we REQUIRE as we age (specifically complete protein, i.e., all 9 essential amino acids - in other words *animal protein s sufficient animal protein. And no aim not talking 'carnivore' diet). Without incorporating complete protein in sufficient amounts in our diet, especially as we age, will put us squarely on the path to sarcopenia. After the age of 25 our body's natural hormones, which in our youth encouraged muscle protein synthesis, begin to wane. Every year these muscle growth hormones are lowered even further, and we need to begin relying more and more on ingesting sufficient amounts of whole *complete protein to help maintain our muscles. And I'm not just referring to muscles like biceps, glute muscle, quadricep muscle that make us look good and keep us strong - I'm talking about skeletal muscle (muscle mass that attaches to our bones) that keeps our body functional well into advanced age. Two things that are imperative in older age to help maintain our muscular structure- strength (resistance) training exercises AND sufficient QUALITY (complete) protein in our diet - that means the full complement of all 9 essential amino acids in quantities that surpass the protein RDA (protein RDA is outdated and was established decades ago at the lowest amount of protein to sustain life - not to THRIVE, but to sustain life) - we need higher amounts of complete protein than the current RDA the older we get...again, because our bodies no longer have the hormones we had in our youth to build/sustain a healthy amount of muscle mass. Google Dr. Gabrielle Lyon, MD who practices 'Muscle Centric Medicine' in N.Y. , for the correct data on why we need to increase our quality protein intake (and regularly strength train) as ws age, to avoid debilitating sarcopenia in our older years. . She knows what she is talking about (& practicing in her medical clinic) Her medical training included a post-doctoral internship in Geriatric Medicine.

[@odelyalevy]

Lol. 😁. Dr. Barnard is so avid. It is contagious. He is in a mission. Pleasure to hear him.

[@elizabethyekini6483]

Always a pleasure listening to doctors Bernard

[@verygreenyt9812]

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[@lukeclaydon6670]

Dr Bernard great teacher. Healing people world wide. Great to listen to. Such clear explanations

[@katiuskasotomayor1285]

I can't get enough of Dr Barnard! thanks another great episode.

[@jasonchaney777]

So thankful for Doctors like Dr. Neal Barnard

[@veganian2019]

Hi guys, love your content. Thank you for everything you do for us. 🌱

[@debveve2839]

Another excellent podcast, covering a great range of important questions! Thanks so much.

[@LH-fp8kr]

Thank you. Carbs have been the villain for so long. Whole grain and unprocessed carbs are now my staple. Healthy and slim.....

[@kotamrajuprasad2742]

So far this is the best question answer session. The questions are well organized and addresses most of the common health issues.

[@ordinarypoopletalkshow]

Thank you! These Q&A videos are so helpful! Thank you so much!

[@jasminealixandranorth]

Thank you! Excellent as always.

[@76vike19]

I think I’m on day 14. My resting heart rate has gone from 70 to 62. I’m so proud of myself. The kickstart app is wonderful. I love you Dr. Barnard. I used to think vegans were lunatics. I’ve lost 5 lbs.

[@shealorena]

Grateful for Dr. Barnard’s calm wisdom.

[@naturalississimo]

Thank you both for this. Somehow this half hour was chocked full of so many relevant topics, with fantastic answers to the questions. Terrific!

[@melyndaduh3501]

Amen!

[@pete49327]

Condiments: For vegetables, potatoes, I use regularly low sodium BBQ sauce, in particular Foy's Low Sodium bbq sauce, just 35 mg sodium per serving of 2 tbsp. And salsa, Texas Pete's low sodium mild/hot, with 45 mg per 2 tbsp serving. Also, balsamic vinegar daily, delicious.

[@roku3216]

I never knew about a pain-safe food list, wow, thanks!

[@joannegaribay4802]

Great information! Thank you so much Gma Jo

[@mikigiusti1239]

Great informations 😻 thank you 🌱

[@annparker4903]

Thank you! I have a healthy BMI and so tired of the skinny comments, it’s rude

[@melyndaduh3501]

I'm jealous. I'm 25.9. Down from obese range, though. I sure my hbo would be better or gone if I ever get to 18/20 range.

[@annparker4903]

@@melyndaduh3501 great job! Keep it up!!

[@melyndaduh3501]

@@annparker4903 😁

[@frenchustube]

I am French/American and the skinny comments are really typical of Americans because we are used to see overweigh people and dont really know anymore what a normal BMI looks like. If you go to Europe you will see plenty of "skinny" people.

[@melyndaduh3501]

@@frenchustube Oh my!

[@Slavocean]

Loved this!!

[@23Bentley45]

Love Dr. Bernard!!!

[@SpiritHawk]

probiotic dressing for your gut...miso (salty), apple cider vinegar (sour), some honey or maple syrup (sweet), a squirt of mustard (pungent), and a squeeze of lemon (astringent), over greens (bitter). Now you have a perfectly balanced salad ( all 6 tastes needed for satisfaction according to Ayurveda). It's thick and creamy, particularly if you use honey. Sometimes I add a little dash of dark sesame oil for a treat but omit if you are anti-oil :)

[@WestVirginiaDee]

Thank You so very much! I miss having a good dressing sometimes. Stay Blessed 💘

[@kaypee4704]

Kimchee is the best addition to all foods, for probiotics..

[@AB-ee5tb]

Honey isn’t vegan

[@sophiehawkins7178]

@@AB-ee5tb so I gave you another option. Just because you are an extremist, doesn’t mean others can’t benefit from a wonderfully health promoting product. I hope you are living in a warm climate. Good luck in the global famine. Let’s see what you eat then.

[@choonkoktan9716]

Never listen to people without basis, Chuck. I eat lots of rice, and other grains, all kinds of sweet potatoes, glutinous rice, etc, my blood glucose is just slightly above 4 mmole/liter. Most of the vegans who have these problems are not contributed by the wholesome carbo foods but from other foods like eggs or dairy! Many adventists are oval-lacto vegans and their data is about the same as any omnivores! Just go for yearly medical screening to check your blood glucose! Like what Dr Bernard have explained are based on scientific data not hearsay, everthing goes according data! Eat as simple as possible like salt, pepper, spices, garlic, onion, ginger, etc. I have been a vegan for 21 years, my HDL, LDL, blood glucose, heamoglobin were excellent as commented by my non vegan doctor! Many people who reverse their vegan diet back to omnivore diet are people who are lack of faith and normally eat something 1. Man-made, 2. Without fibers! Of all the questions raised by listeners Chuck raised with all kinds of health problems like migraines, high cholesterol, high blood pressure, etc even they are vegans, I would say they are unwholesome vegans! or oval or oval-lacto vegans! It is impossible to have high cholesterol, if you are a vegan! As for high blood pressure, even dehydration, too much blood glucose, irregular sleeping time, etc can cause high blood pressure!

[@5unshineBear]

Thank you so much for creating this video, I appreciate it so much. There was SO MUCH information. Are we eating too much carbs or not? :(

[@MadalinaZbranca]

You can make your own salad dressing. It's so easy! And it keeps well in the fridge for 3-5 days in a sealed container. Meal prep is essential for busy people and it makes it really easy to eat healthy too. I have some dressings and dips and they are all oil free and delicious.

[@sandytraugott]

can you share just your favorite dressing?

[@MadalinaZbranca]

@@sandytraugott These 3 are the ones I use the most: kzbin.info/www/bejne/jZDIhXeAmdWieJY

[@Teeyah2]

Just went to your channel and will try the 1st salad dressing recipe today. Thank you!

[@MadalinaZbranca]

@@Teeyah2 You're welcome! I hope you like them as much as I do!

[@debbielente4766]

So happy to hear this information, believe it or not, sometimes give a second listen, thinking of eliminating animal products, Giving up my favorites dairy(Greek yogurt, cottage cheese, hard cheddar, and OM Gosh Feta) this is crazy, ok, truly appreciate You Both. Take care, God Bless

[@MiwaKaursKitchen]

Thank you so much for answering our questions. It means so much to me. I've been looking for a plant-based medical doctor for awhile but due to my limited insurance coverage it is not easy... Thank you thank you and thank you!!!!

[@RiDankulous]

I believe there are doctors at PCRM that do telemedicine, as well as conventional primary care, also. :)

[@MiwaKaursKitchen]

@@RiDankulous I checked with the insurance company but unfortunately it doesn't cover :(

[@RiDankulous]

@@MiwaKaursKitchen All I can think of and it's something I do is paying out of pocket, saving up for at least an appointment and some tests. I hope you get the medical care you need, Miwa. Best wishes.

[@MiwaKaursKitchen]

@@RiDankulous thanks so much!

[@ellapresley8634]

@@MiwaKaursKitchen It's really SAD that you have to pay these "non-healthy" doctors so much, either out of pocket or thru your insurance, or medicade, and all they do is prescribe "medications that eventually kill you"

[@michaelworsham2724]

I hope that Dr. Barnard will do a video on all the COVID vaccines, because I would trust his evaluation.

[@EMunaBee]

Michael Worsham I would like that, too. In the meantime, he said he's getting one so he probably already got it.

[@EMunaBee]

Check out Danielle Belardo on KZbin for a panel discussion of different vegan doctors discussing the vaccine.

[@Nina-hk7ub]

I am waiting for Novavax that is made using moths, not fetal stem lines. Not an mRNA either.

[@kaypee4704]

@@Nina-hk7ub ..... in countries that have used Novovax it has been found to have side effects affecting the ovaries and male gonads... young women are having menstrual issues. Lymph nodes, are swollen in the groin in males..

[@Nina-hk7ub]

@@kaypee4704 I recall reading that about Moderna during testing...might have been on mice. Can't recall.

[@parisgirl3090]

Love, love listening to you two. I have just recently started to eat more plant based and I’m learning so much from this channel. I’m wondering about vegan diets and vitiligo. Do you know if going completely vegan has helped this auto immune disease? Thanks for all the great information you share.

[@nancyj5490]

I have had migraines since puberty. When I was younger I didn’t eat that much protein and doing research on causes of migraines made me realize how much it was lacking in my diet. As soon as I incorporated tuna on a regular basis in my diet, my migraine frequency reduced by 50%.

[@GailWaut]

I just read something about why your headaches could go away with a vegan diet yesterday so I thought I'd share for those asking. Dilation of blood vessels in the head is a common cause of chronic headaches. It's thought that fat from our food absorbed from the intestine into the bloodstream can cause blood components such as platelets to stick together as mentioned. This begins a complicated chemical process in our bodies and results in the release of hormone like substances called prostaglandins., which cause the headaches by dilating the blood vessels in the head. Eating low fat vegan diet however the platelets are much less likely to clump so that prostaglandins are released less often and headaches are prevented. Which makes sense because that's why we love drinking coffee because the caffeine in coffee constricts blood vessels also and its the reason it's in Excedrin.

[@eugeniebreida1583]

Thank you. That was an excellent explanation, I understand much better now. And once again why I love my morning coffee quite so much! I believe a lot of us get confused between vasodilation and vasoconstriction… I know that I do. Everything in moderation, a?

[@giomarramirez9644]

I became vegan a yr ago bc of several medical problems, one of them were constantly having horrible migraine. After I made my transition, the migraine disappeared. 😊

[@amystarobin6765]

I am poor and eating old fashioned oats 1500 calories 5 meals with 1/8 cup raisins in each di1 cup portion. 270 calories. 5/8 cup raisins in all. I also flavor with stevia. We lost in Wisconsin when our state supreme court was sued and they sided with the suer which took our food share away.

[@Nina-hk7ub]

Sorry. Good to know you are healthier than those meat eaters.

[@amystarobin6765]

@@Nina-hk7ub I got whole wheat pasta .99 a bag and broccoli frozen bags chip and nonfat marinara sauce cheap and 2 high fiber oat boxes . 50 dollars for everything

[@Nina-hk7ub]

@@amystarobin6765 it's very inexpensive to eat vegan.

[@wishingb5859]

@@amystarobin6765 My heart goes out to you. I don't make much money either and I will say that WFPB can either be expensive if you are buying produce or cheap if you are buying beans and rice and oats. I recommend watching videos on plant foods you can buy once and then grow. Like potatoes or ginger kzbin.info/www/bejne/q16sf4OhltylaJo&ab_channel=Mary%27sNestMary%27sNest

[@Levisgenie]

It’s much cheaper to be on a WFPB diet. Buy from bulk bins and veggies / fruits that are in season. So much cheaper that way.

[@loveispower248]

I love this! Thank you Dr. Barnard ❤what you think about tofu. Is it ok to eat tofu?

[@RiDankulous]

I eat 385-400 grams of carbs daily: healthy carbs only. :) I have been at BMI 22 or less, a healthy weight, for 4+ years and no blood sugar problems.

[@dj-fe4ck]

I eat anywhere from 400-800 grams of carbs a day depending on how hungry I am and my bmi is 19, and I'm not even working out.

[@RiDankulous]

@Bill Ding the constructor That's nice you can get away with that, Bill. I have to watch it a little bit. I'm 52 but don't exercise. I'm ok though, much, much better than when on a standard food diet, at the end I would be famished and quit. Not this time. It's totally different. :)

[@RiDankulous]

@Bill Ding the constructor There's a denial of a massive and serious health problem in most people. I guess it's too shocking to believe.

[@RiDankulous]

@Bill Ding the constructor ty ty!

[@Atheria444]

@Bill Ding the constructor My BMI is like 17. :-)

[@janetl9984]

I agree that carbs are less calories and it is harder to overdo, but you CAN do so! If you habitually stuff yourself and eat ANY food all day, you can can eat too many of them. If you did it with cheese, ice cream, and meat, you can overdo it earlier. The act of eating can be compulsive. Discipline is needed until it becomes habitual to stop eating and limit or avoid in-between meal snacking of any kind.

[@dj-fe4ck]

@Janet I strongly disagree. Try and eat 5000 calories everyday of fruits, potatoes, boiled grains and beans everyday, without any overt fats or oils. It's impossible unless you are extremely active.

[@dj-fe4ck]

@Bill Ding the constructor I agree. People have actually told me that I need to eat more even though I'm eating 2000-3000 calories a day, very low fat high carb. My bmi is only 19

[@chiyerano]

I would just focus on whole plant based foods. Limit processed foods and no animal based foods. Calorie density as well as nutrient density is key. A person would go a lot further just eating whole plant based foods with low calorie density rather than will power and discipline.

[@dj-fe4ck]

I'm not convinced that calorie density matters that much, at least with high carb plant foods. Dates are about 1200 calories per pound and it's almost impossible to eat more than 2000 calories of them in one day. Boiled grains and legumes like, quinoa, oats, rice, buckwheat, beans and lentils are about 600 calories per pound, half the calorie density, and I can eat 2500-3500 calories of them in a day. If I also eat whole grain bread, about 1200 calories per pound, I still eat the same amount of calories as I would have if I ate boiled grains at 600 calories per pound. I think limiting fat and oils matters much more than calorie density.

[@chiyerano]

@@dj-fe4ck Well I am just focusing on whole plant based foods without oil, sugar, and very little salt as the sources of my calories and macros since I don't want to count calories or be concerned about macros which becomes more of a challenge when you add processed foods such as oils and refined sugar. I have noticed others do this type of thing and successfully lose weight so I think there may be something to the whole calorie density thing. Of course you go do what you want.

[@stanblackburn700]

Okay, something should be said about the individual's response to carbohydrate amounts in a meal, even with PBWF. I, for instance, get sugar spikes if I ingest more than 80 grams of carbohydrate per meal, and I only eat whole food sources, no processed junk. I experience tiredness and fatigue 30-45 minutes after a meal with say 100-110 grams of carbohydrate (2700 calories maintenance daily over 5 meals). If I ingest 65-80 grams of the same carb sources, no spike. Because of this, I track my macros and calorie intake to find the best mix. This is essential if I want to feel my best. Blanket statements like the amount of carbohydrates does not matter can be misleading. For it does matter according to the individual, and this requires tracking, at first, to find the optimal dialed-in ratio.

[@smudge8882]

I appreciated what you said about the migraines and the allergic-like reactions that can cause them. I'd definitely like it if you could talk more about mast cell issues, especially given that Mast Cell Activation Syndrome is incredibly underdiagnosed (it is estimated to affect up to 17% of the population but few have a diagnosis), and mast cells are also implicated in numerous other health issues. I think you could help a lot of people if you discussed this

[@jeremybarlow2291]

My favorite salad dressing is salsa. 5 calories per table spoon. It tastes great. It is fat & oil free. You can even mix in a little unfiltered apple cider vinegar with it to give it more kick. It goes really well on a salad when you top that garden salad with diced peaches or mandarin oranges along with some chickpeas too, don't forget a little sliced pickle as well. Mmmm. It's one of my staples. Even with half a cup of garbanzo beans & like 10 table spoons of salsa on a monster garden salad with onions, celery, peppers, tomatoes, shredded carrots & lots of leafy greens it's less than 300 calories.

[@stefano13no]

For migraines keep in mind that you could also have some gut issues and you react even to some / most vegetables, it's not only the animal products. For me I can get migraines with most vegetables, legumes and nuts. Can only eat grains and sugar pretty much 😔.

[@Atheria444]

I am shocked that a lot of vegetables, beans, and nuts give you migraines! Ack! I mean, the nuts aren’t TOTALLY shocking, but the other foods are worrisome.

[@stefano13no]

@@Atheria444 that's what happens when doctors overprescribe antibiotics... My gut diversity is down to basically zero. And repopulating it isn't as simple as throwing in some probiotics or fermented foods.

[@smudge8882]

I am in a similar boat! Have you tried pumpkin seeds? Of all the nuts and seeds, they are the only one that doesn't hurt. It might also help to cook your beans from scratch (and like possibly soak them first). Idk why, but it seems like people will mast cell overactivation are sensitive to the antinutrients in legumes and canned ones aren't great in that regard. And this is not talked about much outside the Mast Cell Activation Syndrome and Mastocytosis community, but in general, overactive mast cells are actually a big reason for why people get migraines even without the presence of a mast cell disorder. pubmed.ncbi.nlm.nih.gov/15960987/#:~:text=Brain%20mast%20cells%20can%20also,to%20precipitate%20or%20exacerbate%20migraines. And of course talk to your doctor about this, but it might help to do a quercetin supplement. This paper talks about that is helpful or migraines, and the reasoning for why it helps is just like Dr. Bernard said in the video. Some people have allergic-like reactions to certain foods (the mechanism is through mast cells), and so things that target the mast cells does often work. Quercetin is a natural mast cell stabilizer, along with curcumin, vitamin C (but many seem to react badly to citrus), and some other things. www.ncbi.nlm.nih.gov/pmc/articles/PMC7070237/ Based on what you said about the antibiotic issue, it might help to find a low-histamine probiotic. Histamine is one of the things that makes mast cells activate, and fermented foods and probiotics tend to have a lot of histamine. I know there's at least one or two low histamine probiotics on the market luckily.

[@thewronggamer1054]

Dr. Neal Barnard is a hero! Along with all the vegan doctors!

[@stanleyrogers1735]

Viewing from Trinidad keep the good work up.

[@SafiarTaliaferro]

He said be concerned that you got the wrong app 😄

[@hannah5245]

I’m a senior and mostly eat wfpb. I can’t let go fish. Whatever minimal ALA found in wfpb is not enough, I literally feel my brain needs something more. I don’t take flaxseed, because it’s not recommended for the cancer I had. I know my brain says thank you when I take Omega 3 fish oil. Once in a while, I eat chicken. And lots of colourful rice (no white rice).

[@alpinelove6225]

If she's vegan and her cholesterol is still high then she may be consuming coconut and/or palm oil. Sometimes these oils are hidden in vegan processed foods and supplements.

[@karielletheracare7628]

As cholesterol is an animal generated fat,, then coconut and palm oil may not be the source.

[@gesund_mit_chris_IG]

@@karielletheracare7628 It may be because increasing saturated fat intake is correlated with an increase in blood cholesterol levels (even mroe so than cholesterol intake itself).

[@ludicrousone8706]

She also may have genetically high lipid protein a Lpa levels

[@Fearzero]

@@karielletheracare7628 Plant based cholesterol is called phytosterol and can indeed cause issues as it competes with cholesterol in the body. Coconut oil is basically pure poison.

[@eugeniebreida1583]

@@Fearzero How do you feel about ingesting avocados??

[@erikberg849]

No, the big issue is complex as opposed simple carbs! People, esp. Americans, are simple. Please don't just say rice, potato, etc. Be specific. Also, sugar is very bad for many Americans.

[@TheJust22az]

Gone vegan but have to keep my coffee. I don't drink coffee to wake up, I wake up to drink coffee. 😄

[@BAM-BAM]

Sea vegetables are a very high source of amino/ omega 3 acids as well are hemp seeds & raw cannabis & hemp, avocados omega 6 rich. As for B12 water lentils/duckweed is a good unprocessed source. As for D1-2-3 sunshine soaked upside down mushrooms along with K2 from lactofermented plant foods.

[@annefricker4528]

My friend could not eat onions garlic or celery for years. He used to get horrendous migraines. however years on he gets no migraines and can now eat anything.

[@Nina-hk7ub]

I get migraines still. I have no aches & pains on vegan diet.

[@Nina-hk7ub]

I get head pain often w sip of red wine... sux

[@SevenEllen]

@@Nina-hk7ub How much water do you drink? Sleep? Caffeine?

[@Nina-hk7ub]

@@SevenEllen i drink one cup of coffee in morning. I sleep about 7 hours nightly but don't use alarm but drink almost no water. I never feel thirsty. I forgot that could be a trigger! Glad you asked.

[@miracoli16]

Rice, especially brown rice, very often contains high amounts of arsen. This is a huge problem! So why do'nt you mention that at all?

[@rosewood513]

I tried to put a pat of butter on my sweet potato once, never did it again. I eat 1-4 sweet potatoes per day if you need to top them you are not roasting them long enough. They are almost as sweet as a candy bar.

[@Nina-hk7ub]

My fiance makes us egg nog w them. So delish

[@eugeniebreida1583]

@@Nina-hk7ub does he use eggs? If not please tell me the trick!!

[@Nina-hk7ub]

@@eugeniebreida1583 no. He uses plant milk, sweet potatoes, dates & spices..

[@abbygailhavel3655]

How do I lose weight on a plant based diet with Thyroid problems, hypo.? Finding it very difficult! Help?

[@kennethjones8653]

I have glaucoma. Have been plant based 3 years. Do you have any advice. Thanks Ken

[@sandytraugott]

I am interested in your question and the answer also. Thank you!

[@EMunaBee]

Kenneth Jones I know you're asking about food, but I'm going to remind you - please always take your eye drops & keep your appointments every three to six months. You can keep your vision this way. Do not be lax in any of this. Take care.

[@nitaram22]

Have you ever heard of coconut oil applied topically raising cholesterol levels? I've been vegan, low fat, no oil for about two years. Just recently had blood tests done showing very high cholesterol. Also, had acne appear just before going wfpb, no oil. This continued to be a problem for two years (I'm 60!). My doctor suggested I check my skin care products for coconut oil. Sure enough the topical B-12 lotion (applied to inside of forearms) I was using every morning lists it as the first ingredient. Also, the tooth powder I was using has coconut oil. I discontinued both and haven't had a breakout since. Haven't had new blood work done yet.

[@dj-fe4ck]

No, applying oil on your skin is NOT the same as eating it. I eat very high carb low fat and don't eat any overt fats or added oils, but even I am not that extreme to worry about oil on the skin or in soaps or toothpastes.

[@smudge8882]

@@dj-fe4ck Idk I think OP's doctor knows more than you

[@ulyssesmarshall5061]

@@dj-fe4ck Is olive oil okay?

[@ulyssesmarshall5061]

@@dj-fe4ck I mean eat it they always say olive oil is the best

[@randy-U.I.O.G.D.]

How low is really low when limiting/avoiding your oil consumption or when your cooking?

[@Rachel-bc9kj]

How long does it take on average for your health to be reversed from “unhealthy” to “healthy” or from say from hypothyroidism to “healthy”; having energy and no more symptoms of hypothyroidism when going vegan?

[@gilles5592]

Dear all, Does someone knows the introduicing music ? Thanks G

[@tiffanycarter3299]

This may be a dumb question, but how do I submit a question for Dr. Barnard?

[@kefirheals7383]

Dr. Barnard - my friend had a gastric sleeve put in and was told to eat a high protein diet. When she learned I was eating a WFPB diet, she wanted to know if she could implement a WFPB diet with her sleeve? I told her "I don't know". What do you say?

[@eugeniebreida1583]

Put it this way, the likelihood that her MD knows anything about nutrition is quite low. Probably the doctor meant low fat. And they think that may equals fat, which it does, should I say low protein? Just a thought

[@leahleblanc6687]

I am 57 years old and I have been a plant-based for 2 years now. I eat no meat products and no dairy products at all. I went to the doctor to have my blood drawn and I found out that I am a diabetic, its range was at at 12. Everything else on the test was great. I don't know what I'm doing wrong to be a diabetic. What are your thoughts of what I am doing wrong? Thank you very much.

[@maxinef6654]

Wow 😯. How is that possible? Is it weight related?

[@foggypatchfarm6048]

Any chance you're using a lot of oils? It's usually animal fats that are the culprit, but a high amount of plant oils might be of concern in your situation.

[@HillLeeHill]

I've been vegan longer than I've been getting my migraines!

[@tonivandyke5066]

Me to Lee. Thinking of giving the rice, green and yellow veggies and cooked fruit a try - it's only for a week as Dr. Barnard says..

[@HillLeeHill]

@@tonivandyke5066 Yup, I've done that. I've had these for about 20 years now. I've done that for much longer than a week. I went vegan in 95 and my migraines started in 01 or 02. But thanks.

[@kimglover8018]

Maybe the triggers aren’t diet related?

[@HillLeeHill]

@@kimglover8018Yes! :) That was kind of my point. There are so many different triggers and they are cumulative until you reach your threshold. So even if food is one one day that puts you over, it may not be al the time. It so much more complex than this makes it sound.

[@michaels4255]

An old herbal remedy that I knew to work for one life long migraine sufferer: feverfew. Can cause nausea, so start with a small dose and work up to a larger one so your body can build tolerance. You can probably find suggested dosages with google. You might also try taking it in different ways, such as capsules, extracts, and teas.

[@patriciamartinsen7900]

Do we need to be concern with keeping blood sugar from spiking insulin?

[@ruthcarter2761]

I've been eating plant-based the past couple years, but noticed something strange - I'm fine eating tofu, tempeh, and edamame, but have lower digestive issues (cramping and diarrhea) when I eat soy milk or soy milk-based frozen desserts. My mom says she also shares this sensitivity. What is it about soy milk that causes me digestive distress when other soy products don't? Would love to know! Thx!

[@marykearns4463]

I to can not eat nor drink soya makes me sick I get itchy skin so I avoid it all ,and I make sure when I'm shopping to look at soya in the foods I'm buying a friend had some lovely bars this was before I took up a vegan lifestyle and when I was half way through I suddenly felt unwell so that was a red flag so I'm more aware to look out for it .

[@margaretpage6021]

Good evening, I have sciatica in my right Hip and it travels down the side of my leg and into my ankle... very painful. I’m 6 weeks in to my wfpb and sos life style... feeling great but at the end of the day I’m still in pain.....what else could you recommend? Or is it just time.... thank you. Scotland UK.

[@Atheria444]

@margaret page Diet won’t fix sciatica. Try yoga or a chiropractor.

[@happycook6737]

You may wish to search youtube for sciatica release stretch. I saw some physiotherapists addressing that. It helped my 84 year old father.

[@bluejayjitsu4429]

Hey :) you may need a physiotherapist instead, 'First Contact' do online consults (better in these covid times!) in the uk and they can refer you for scans near you and stuff, or go to gp.

[@Fearzero]

Up the cooked greens to 3 times a day to increase nitric oxide and therefore blood flow and do stretches. I have parathesia which is similar. Another thing that helps is taking L Arginine supplements as it also boosts nitric oxide.

[@wishingb5859]

Diet will help if you keep with low enough fat for long enough your blocked arteries won't press on your nerves. Plus, most plants have the same ingredients as aspirin and also bring down inflammation. Losing weight also will help. When I was young, I used to get sciatica and pinched neck nerves all the time and they used to give me muscle relaxants to stop the nerve being pinched. I never get it anymore. I believe when you are 6 months into this walk you won't have it anymore.

[@bobmintz214]

#doctor room live, what would you due when you're vegan and you have been diagnosed with prostrate cancer how would you ad vise then I listen to you often

[@Rachel-bc9kj]

What about basmati rice? How much oil is too much for average vegan as well as a athletic runner?

[@lizabethaelizabeth9515]

I have low bloodpressure and if I eat garlic To muchfor my body or lime juice. I do get headaches.

[@kaypee4704]

Garlic lowers the blood pressure. The Headache, is probably from the low flow of blood to the brain, due to the drop in blood pressure...🙂

[@zebscircle]

I got rid of migraines eating eggs, bacon without nitrites, no grains, no added sugar, lettuce, no root vegetables, pork, chicken, red meat, lamb, tuna. Any processed foods.

[@SevenEllen]

Eggs are very high in cholesterol though.

[@delananicholson3444]

I’ve been eating WFPB for 6 weeks and my fasting blood sugar was 139 this morning. How long should it take for the number to get to the normal range?

[@ceasaresquivel4344]

Did your fasting blood sugar ever get better, I wanna do a wfpb diet.. but everytime I try it I urinate too much

[@doddsalfa]

I remember for some reason in the radio news ça 77 Icelanders are the longest living people in the world Japan comes second .The following year I heard in the news Japan is the longest living people in the world Iceland comes second. In Iceland at that time fruits and vegetables was unknown except maybe potato’s but fish and lamb meat was Iceland staple foods

[@23Bentley45]

My husband need to loose about 60 lb and is asking if he can have some alcohol while on this weight loss diet, or better no alcohol at all. Is bread ok? If so how much. Note: I have been a vegan for many years and never ever gain weight. Perfect cholesterol and perfect heart rate.

[@SevenEllen]

Brown bread is fine, but best to get in in fibre along with a bread maker to avoid all the fake crap commercially-made bread has added in, along with the plastic.

[@wishingb5859]

I would say that most doctors say that lowering alcohol and flour products helps during the weight loss phase and that is even the WFPB doctors but lowering sugar and fat helps even more. Dr. Greger adds that lowering both alcohol and flour to his 21 tweaks of things that help with weight loss.

[@mara3842]

Can you please talk about iodine? If fish is contaminated, wouldn't the much recommended seaweed be contaminated as well? What to do?

[@Atheria444]

Take an iodine supplement. @Mara

[@ArtyAntics]

Animals will always have higher contamination than plants because they feed on the plants/plankton and the toxins build up in the flesh. If you eat the flesh you are getting the concentration of everything the fish has eaten.

[@ludicrousone8706]

Depends on the source of the seaweed. Some is grown in large tanks. Also the pollution doesn't accumulate in seaweed in the same rate as in fish, since it's the first on the food chain

[@Fearzero]

Fish is way worse as toxins like mercury, dioxins, PCBs, microplastics, radiation etc. bioaccumulate in the fatty tissues of the fish. Seaweed is the preferred way of getting iodine.

[@DashingPartyCrasher]

Corn is not a vegetable -- it's a grain. Corn has a medium-high glycemic index (slightly higher than wheat, but lower than rice). And cooked corn has little nutritional value compared to real vegetables and even compared to many other grains. I love the occasional bit of farm-bought corn-on-the-cob like anyone, but otherwise I avoid anything with lots of corn.

[@nunya898]

Primal kitchen dressing

[@crystalrose8673]

Bananas give me migraines especially if I eat them in the morning or had a very light lunch, basically if I have a relatively empty stomach. Took me years to figure it out.

[@RiDankulous]

Sorry to hear that. It's good you eventually nailed down the cause though.

[@happycook6737]

Do you also have a latex allergy? Bananas have a latex like substance on their outer skin. I'm latex allergic. The allergist helped me figure it out

[@crystalrose8673]

@@happycook6737 no allegery to latex.

[@crystalrose8673]

@@RiDankulous thanks. It was a great discovery.

[@avowoman]

It's the amines in bananas that cause the headaches. Same is true for dairy and meat. It depends on how fresh the meat is and how it's cooked.

[@JG-yh9rh]

Ok this video is kinda what I had been looking for. Twice now I have gotten bad liver tests and my doctor keeps telling me to get off the carbs asap. Can you please tell me why??? I am very worried for my health and am starting to get off so much plant based just because of this. And I cant find anywhere how to fix it other than just getting off the carbs. Someone help please!?

[@dianamartin9295]

Dr what do you do with a 16 year old who will not eat anything except carb foods n nothing in veggies n she stopped eating breakfast most days

[@miracoli16]

Can someone please explain to me why i should not pour a little bit if Olive oil over my salad ore use a little bit for frying? What ist wrong with that? Olive oil containes flavonoids and doesn't contain much Omega-6. But why should'nt I use it? I always thought that it is "only" the Omega-6 and saturated fat that is bad for the body...is that wrong?

[@christinechristensen7211]

Love my vegan plant based diet however I do count my carbs by watching serving size helps me to picture a divided plate largest compartments hold whole food organic produce and protein source smaller compartments hold carbs and healthy fats now when I reach an acceptable weight and my A1C is where I want it I may eat slightly more good carbs

[@karlwheatley1244]

What percent of calories are you getting from fat?

[@lauram2140]

Where can I find the list of foods he was talking about- elimination diet?

[@ludicrousone8706]

Have you checked the physician committee website

[@eugeniebreida1583]

One way would be to buy his book? :-) I think it would be worth it.

[@Rachel-bc9kj]

Where should I get my B12, what company has the best for vegans?

[@louannhuber2651]

If you don’t eat dairy, Supplements. Nutritional yeast has B vitamins and recommended for vegans.

[@terrianton3564]

It took me 4 days to stop having headaches after I stopped caffeine. Ugh! But I’m off caffeine

[@5unshineBear]

Congrations! So proud of you!! I quit coffee during an exam and I fell asleep during it.. LOL

[@liseagnant4161]

I am plant based but I need coffee in my life 😂

[@8brightside8]

There are so many holes in his selling points. Folks should review research on advantages for hflc diet, also. Experts are cherry picking research on both philosophies - hflc & nfhc.

[@volon287]

Oatmeal is one of the recipes in your books. I am IDDM II and oatmeal sends my blood sugar extremely high. I take mimamally 120 u of insin per day regular insulin, 140 long acting. I am scared to death to eat some of these recipes due to the total carbohydrate, especially since I an now experiencing liver problems.

[@kimberleymack5527]

Sounds like you are very insulin resistant with a struggling liver. I'm sorry that you are facing this. Moving to WFPB can certainly help but you definitely need to work with a plant based doctor to adjust your meds as your body heals itself. Finding that person can be challenging as (in my experience) many physicians don't know about or even consider the impact of diet on health/illness. There are numerous books and other resources to help as well. Good luck, I hope that things go well for you and your health improves dramatically.

[@leezhang81]

Too much carbs will raise alt and ast on liver panel?

[@susiegutierrez7505]

How soon can one see a positive change in labs and weight-loss?

[@m.taylor]

This doc said the Japanese maintain a low fat diet of 10-15%. In reality, the typical Japanese diet includes more than 3 ounces salmon or chicken per day which, given that it tends to be grilled or sauteed with a little oil, would take their fat intake over 10-15%, so I don't think that is the reason for many of them staying so slim. It might be the green tea that's helping. Btw, I agree that maintaining fat intake to 10-15% is healthier, but I don't think the Japanese diet is like that.

[@wishingb5859]

But Japan used to have healthy diet and now they have a worse diet and the question was whether carbs were a problem and they were doing better when they were eating more rice.

[@ebggabs3549]

Does eating bread or pastries affect your cholesterol level?