Dana's Low-Carb for Life (Podcast)
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Under the thread about my liverwurst omelet, reader Sally asks:
On a separate topic, and I promise not to routinely take up so much of your cyber-time, I have heard more recently about body alkalinity and an acid body environment being linked to all sorts of health problems -- cancers especially. I can't shake this feeling that low carb is really the answer to the vast majority of America's health problems. Am I right in thinking that a low carb diet will naturally limit acid PH? I'm no scientist, but the way it seems to work in the mouth alone makes me suspect this is true (the more sugar/starch we consume the more bacteria thrives in the mouth, the more their by-products increase acid and inflamation. Tissues are then weak and susceptible to infections and diseases.). I'd love to know any thoughts you have on this. Thanks!
Sally, thanks for bringing this up, and I'm sorry I didn't get to it the first time around. I've actually meant to write about this for some time.
I've read a bit about the acid/alkaline theory of health, and I really have no idea how true it is or isn't. There are parts of it that make terrific sense to me, especially the part about cancer not growing in an alkaline environment because of the increased oxygenation of tissues. And it seems to me that that increased oxygenation would also make for greater energy over-all. The rest of it, I don't know.
I have also had it thrown at me once or twice that quite clearly a low carb diet was "bad" because we all know that meat is acid-forming, and vegetarian diets are alkaline-forming, so obviously we're all killing ourselves. Having long since learned that much of what the general public finds "obvious" about healthful living is not only wrong but dangerous, I wanted to find out.
I should insert here that many people scorn the pH theory of health because, as they point out, the body holds the blood within a very narrow range of pH. Indeed, if our blood goes outside of that very narrow balance between acid and base, we would quickly die. This is one of the reasons why it is important to get enough calcium, magnesium, and other minerals -- because blood pH is so important that if you don't get enough of them, your body will draw minerals from your bones and other tissues to buffer your blood, with dire long-term results.
However, the narrow pH range of the blood does not mean that other body fluids don't have a wider range. People interested in their pH status generally test their saliva, urine, or both.
So I bought some pH paper at my local health food store (Hi, Sahara Mart!) and started randomly testing my own saliva. I was unsurprised but gratified to know that after years and years of an animal protein-and-fat based diet, it was right in the optimal range -- right at 7.25, mildly alkaline. Interestingly, the only time I have found it to be outside this range was when I had Lyme disease this past summer, when it dropped to 6.75, very slightly acidic.
(I got my father to humor me and let me test his saliva once. He was the Poster Boy for Bad Nutrition, and had a slow-growing cancer at the time, and sure enough, he was acidic, around 6.)
But here's where it gets sticky: A cursory web search turns up the annoying fact that various "authorities" cannot seem to agree on what foods are "acid forming" versus what foods are "alkaline forming." (Understand: We are not talking about the pH of the food when you put it in your mouth. We are talking about the effect of the food on your system, which can be quite different.) All of them seem to agree that meat is acid -- yet here I am, stubbornly alkaline, and stubbornly healthy.
On other things they do not agree. Interestingly, some say that grains and beans are alkaline-forming, while others insist that no, grains and beans are acid-forming. If, indeed, grains and beans are acid-forming, then a low carb diet, which eliminates most, if not all, grains, would knock out a big whack of "acidity." All the charts agree that sugar is acid-forming, too, so chalk up another one for us.
Another thing they agree on is soda pop, which is strongly acid-forming (and just plain strongly acid; why do you think it's so bad for teeth?) This would seem to indicate that my total avoidance of all soda pop, including diet pop, would work in my favor; those of you who depend on diet soda might not do as well.
The charts all agree that the vast majority of vegetables are alkaline-forming, so our tendency to eat main-dish salads instead of sandwiches, steamed vegetables in place of the baked potato, and cauliflower in place of, well, most everything, works in our favor.
Too, I take supplements, including calcium and magnesium, which are alkalizing; I imagine this is a strong influence.
In short, I don't know whether the acid/alkaline theory of health is accurate, but I do know that I test mildly alkaline, and am healthy. I do not know know for certain -- nor, apparently, does anyone else (!), which foods are acid- or alkaline-forming, but I do know that 14 years of basing my diet on animal protein and fat, plus vegetables, nuts and seeds, with very little grain and almost no sugar, has left me with what the "authorities" recognize as an ideal pH.
More than that I cannot tell you. Hope this much helps.
cancer and acidity
I've read Gary Taubes' Good Calories Bad Calories more than once. In it he explains that cancer cells while being mutants are something that periodically grow in our bodies. Generally they die before they become a problem. He also said that cancer cells have more glucose receptors than normal cells and eagerly gobble up any glucose distributed by the insulin in your body. That implies that a carbohydrate low diet would not feed the cancer cells as much as one rich in carbohydrates.
Dr Michael Eades (Protein Power)talks on his blog about how most people on a low carb diet don't experience acid reflux. That may imply an alkaline environment.
Reflux and Low Carb
No, the stomach is going to be an acid environment regardless; it has to be for food to digest. From what I understand, the best explanation for the disappearance of heart burn on a low carb diet is this:
Proteins digest in the stomach. Carbohydrates, however, digest in the small intestine. If you eat the two together -- ie, steak and potatoes, spaghetti and meatballs, a big ol' sub sandwich, whatever -- the stomach keeps all of that food in it together while the stomach acids work on the proteins. This gives the carbohydrates time to ferment, and they create gas, which pushes the stomach acid up into the esophagus, creating heartburn. Also creates that lovely bloated feeling you may recall after eating a big meal of protein and carbohydrates together.
Get rid of the carbs, and the protein can digest without gas.
PH 101
This much does help Dana -- in your usual fashion it's an overview course that is well thought out and enlightening, even lays out some data points with the saliva testing and all, and clearly points out where the answers are just unknown as of yet. Thanks for taking the time and working to translate and speculate on the topic for all of us!
Sally