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1/8 In the midst of a pandemic that predominantly affects people with poor metabolic health, why is nobody talking about nutrition?

A Twitter thread..

This is the ELEPHANT IN THE ROOM discussed in the fab @EuropeScientist article by @DrAseemMalhotra 👍

europeanscientist.com/en/article-of-… elephant in the room
2/8 Evidence (refs at end) tells us some medical conditions are strongly associated with poor outcomes and death ⚠️in #Covid_19 eg:

Hypertension (high BP) 2.5x⬆️
Diabetes 10x⬆️
Overweight/obesity (accounts for 73% of 🇬🇧hospital admissions with #COVID19 )
Heart disease 10x⬆️risk
3/8 What have these conditions got in common?

ANSWER: They're all associated with poor metabolic health

Some people can be TOFI - Thin Outside Fat Inside

It's not just about your weight says @DrAseemMalhotra

"THERE’S NO SUCH THING AS A HEALTHY WEIGHT, ONLY A HEALTHY PERSON"
4/8 So why does this matter?🤷‍♂️

Well, ONLY 12.2% 😲of peple in 🇺🇸 are considered metabolically healthy and it's likely the situation is similar in 🇬🇧

That's a real worry 😨when we're in a pandemic that has such dreadful outcomes for people with poor metbolic health 🤒
5/8 There's clear evidence that ultra-processed foods are a major contributor to poor metabolic health. So why is the 🇬🇧 rushing to re-open fast food 🍔 restaurants @MattHancock ? 🤔

This is the last thing we need⚠️

#Covid_19 FEEDS on fast food 🤒

bbc.co.uk/news/business-…
6/8 How quickly can changing my diet make a difference?

@DrAseemMalhotra says benefits in weeks
@DrPaulMason says in days

Fastest reversal of #T2DM @lowcarbGP and I have seen with dietary change occurred in 38 days 💪

BENEFITS ARE QUICK
THERE'S TIME TO ACT - IF YOU START NOW
7/8

5 ways to improve your metabolic health FAST:

1⬇️ultra-processed food (typically those with >5 ingredients on the label)🍔🍕
2⬇️sugar 🍩
3 Swap starchy carbs eg rice 🍚potato🥔pasta 🍝 bread🍞for green veg🥦
4 Cook from fresh using REAL food🐔🐄🐟🥦🍆🍅
5 Avoid seed oils
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