The Whole-Food Plant-Based Diet- What Every Practitioner Should know - Tabula Rasa HealthCare
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The Whole-Food Plant-Based Diet—
What Every Practitioner Should know
Prepared for the CareVention HealthCare
Clinical Advisory Panel Meeting
9/20/19
Lake Nona, Florida
Orsula V. Knowlton, PharmD, MBA
Graduate of e-Cornell Certificate Course on Plant-Based Nutrition, August, 2019
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TRHC.
Goals and Objectives
+Explain the potential root cause of diet as it relates to cancer, cardiovascular disease,
diabetes and obesity
+Identify the conflicts that exist in the U.S. as it relates to dietary recommendations
+Through case studies, describe the potential role for the prescribing of a whole-food
plant-based diet in PACE
+List the food content of a whole-food plant-based diet
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Conflict of Interest
+I have no conflicts related to this presentation (the Whole Food Plant
Based Diet can result disease reversal and fewer medications).
Fundamental #1—Do the right thing always.
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Chronic Disease in the US
+Most people consider various therapies (i.e., medication,
surgery, PT, OT, etc…) as treatment for chronic disease.
Yet, little time is spent on getting to the root cause for
the disease. Thus, therapies are PALLIATIVE not
CURATIVE.
+An example of this is that a house is on fire, and dousing
it with fuel (animal fat and protein) instead of putting it
out with a change in diet, the root cause (i.e., Whole
food Plant Based Diet (WFPBD)).
+A WFPBD can minimize therapies, and health care related
expenses, if adopted as a lifestyle.
+A WFPBD and prevent and even REVERSE these chronic
disease, e.g., heart disease and diabetes.
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Economic Impact of Heart Disease and Cancer
+According to the American College of Cardiology
(Feb 19th, 2019) “By 2035, nearly half of the US
+Cardiovascular disease is the leading cause of population will have some form of
death in the US, since 1920. Cardiovascular disease.”
-American Heart Association
- Every 40 seconds, an American will have an MI, From AHA 2017 Report: Cardiovascular Disease: A costly
with an average age of 65 years old for men and burden for American | Projections through 2035.
72 for women.
Cardiovascular Current 2035
- Risks: obesity, smoking, LDL >130, hypertension, Disease
diabetes, chronic kidney disease, lack of exercise. Direct cost $318 B $749 B
Indirect cost $237 B $368 B
+According to the American Cancer Society Total Cost $555 B $1.1 Trillion
- Cost of Cancer Treatment $80 Billion in 2015, and
1700 people per day die of cancer.
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Let ’s look at Obesity In Countries with low rates of CV
Disease
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What about Fat?
+ Humans, unlike cats, get atherosclerosis from
eating animal fat.
+ Nitric Oxide production is a key benefit of WFPBD.
Pinterest Medication Risk Identification and Mitigation
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Evidence —The China Study and Others
Animal protein promotes the growth of cancer. Heart Disease can be Reversed with WFBPD
+ T. Colin Campbell, PhD • Caldwell B. Esselstyn, Jr., MD, The Cleveland
+ Multiple, peer-reviewed animal studies, Clinic, treated 18 patients with established
researchers discovered that the growth of cancer coronary disease using a whole food, plant-
cells can be turned on and off by raising and based diet.
lowering doses of casein, the main protein found • Disease progression stopped of the WFPBD
in cow’s milk. intervention group
+ Conclusion: Animal protein is a carcinogen. • 70 percent of the patients saw an opening of
their clogged arteries.
Eat plants for health.
• People who ate the most animal-based foods had the
most chronic disease. Dr. Dean Ornish, Harvard Medical School,
• People who ate the most plant-based foods were the completed a similar study with consistent
healthiest. results.
Conclusion: Heart disease can be reversed.
Plant-Based or not, put as many plants on your plate
as possible at every meal.
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What is a Whole Food Plant Based Diet (and why is the US Dept of
Agriculture providing nutrition guidelines over the NIH)?
USDA Guidelines Compared to the WFPBD (‘Whole’ refers to minimally processed)
https://www.choosemyplate.gov/
https://i.pinimg.com/originals/df/64/e3/df64e35e219c375da0e57f69dfe9853f.jpg
No counting calories, or carbs. Medication Risk Identification and Mitigation
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WFPBD—Guidelines A lifestyle change
+ WFPB diet– No meat, poultry, fish, dairy, or eggs.
+ Not the same as a vegan diet, defined only by what it
eliminates.
+ Includes:
- whole grains, fruits, vegetables, and legumes.
- Moderation: nuts, seeds, avocados, natural sweeteners,
and certain soy or wheat products that don’t contain
added fat (e.g., tofu).
+ Not included: Heavily processed foods, avoiding
- Highly refined grain products (e.g., white rice, white flour)
- Foods containing added sugars or artificial sweeteners
(e.g., confectioners sugar, high fructose corn syrup), and
foods containing added fat, including olive oil).
https://www.google.com/search?q=cns+food+guide&tbm=isch&source=iu&ictx=1&fir=UNOqofmYCQkL
4M%253A%252CsZSjUmb_Lo5btM%252C_&vet=1&usg=AI4_-
kQaEkFsZoUGMt7n910QRyGWNnjxSQ&sa=X&ved=2ahUKEwjrjqKkxdrkAhVMm-
AKHQ_uAf4Q9QEwA3oECAcQBg#imgrc=UNOqofmYCQkL4M:&vet=1
Medication Risk Identification and Mitigation
Copyright © 2019 Tabula Rasa HealthCare, Inc., All Rights Reserved. May not be used without permission. | NASDAQ – TRHC.“From where do you get your protein? ”
+ We have been conditioned to think that
protein is the #1 most important nutrient.
Why is that?
+ Protein--every cell, tissue and organ
constantly broken down and replaced.
Our bodies will use protein from all
sources.
Protein
Protein in Digested into
replacement
Food Amino Acids
in our bodies
+ Most animals that we eat, eat plants for
their protein. Eating plants takes out the
‘middle man’ to get our protein.
Medication Risk Identification and Mitigation
Copyright © 2019 Tabula Rasa HealthCare, Inc., All Rights Reserved. May not be used without permission. | NASDAQ – TRHC.What are the driving factors against the widespread
adoption of WFPBD
+ Our own experiences, conditions and cultural beliefs
+ American Food Politics
E.g., Dairy--laden with sugar, fat, and salt Why
is dairy still promoted in the American
diet?
Government Checkoff programs
• Developed and organized by the US government
• Responsible for collecting funds from
• certain sectors of agri-business
• Funds used for research and advertisement on
behalf of those businesses
• food groups (dairy, beef, etc.).
https://www.google.com/search?biw=1920&bih=969&tbm=isch&sa=1&ei=MDqCXZOwFdCJggeegaSQBA&q=
got+milk+ad+beef+it%27s+what%27s+for+dinner%2C+incredible+egg+pork+the+other+white+meat&oq=got
+milk+ad+beef+it%27s+what%27s+for+dinner%2C+incredible+egg+pork+the+other+white+meat&gs_l=img.3
...3341.13472..13634...2.0..2.187.4510.68j2......0....1..gws-wiz-
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=pZXuHVx_z5LZZM:
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Copyright © 2019 Tabula Rasa HealthCare, Inc., All Rights Reserved. May not be used without permission. | NASDAQ – TRHC.Want to Learn More?
Two books we have for you during this meeting on the topic:
“A good diet is the most powerful weapon we have against disease and sickness.” T Colin Campbell, PhD
Documentary Movies to Watch:
1. Forks over Knives
2. What the Health
Certificate in Plant-Based Nutrition (3 credits) 3. PlantNation
4. The Game Changer
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Enjoy the plant-based
lunch.
Medication Risk Identification and Mitigation
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