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Jan 10, 2023 20 tweets 8 min read Read on X
Thread: What I learned from a 140-Year-Old Keto Diary

While researching Ravenous — the Kindle version is temporarily on sale for $2.99: amzn.to/3vPpndl — I came across a surprising find in…
2/ … an 1884 Wales newspaper: a candid, first-person account of what it’s like to go on a low-carb, high-fat weight-loss diet.
3/ Low-carb eating was nothing new in the UK in 1884. The royal undertaker William Banting made low-carb popular in the 1860s, following the dietary advice of the surgeon William Harvey. But, by the 1880s, a pushback against the “high-fat” side of low-carb was already underway.
4/ Harvey’s 1872 book, On Corpulence in Relation to Disease, called for limiting fat along with sugar and starches.
5/The true pioneer of the low-carb, high-fat weight-loss diet was the little known German-Jewish physician Wilhelm Ebstein, who is best remembered for discovering a rare heart defect known as Ebstein’s anomaly.
6/ Ebstsein thought Harvey had made a terrible mistake by restricting fat. In Ebstein’s view, the low-fat version of low-carb, left dieters feeling weak and wretched. “[T]he so-called Banting cure...,” he wrote, “can be recommended neither as rational nor practical.”
7/ In 1882, Ebstein published his own treatise on obesity, calling for a full embrace of fat: “Of meats I exclude none, and the fat in the flesh I do not wish to be avoided, but on the contrary sought after.”
8/ Ebstein, who also published books on medicine in the Bible and Talmud, was steeped in ancient practices. Wrote Ebstein, “That fats reduce the craving for food was already known to Hippocrates who remarks…’The dishes must be succulent, for in this way we are easiest sated.’”
9/ Ebstein’s treatise appeared in some 20 editions in the decades after its publication. It was published in English in 1884. Ebstein stressed that he was not advocating for a diet but for a life-long approach to eating.
10/ On April 14, 1884, the London newspaper The Standard ran a long article on Ebstein’s high-fat regimen: “The crucial difference [between Ebstein and Banting/Harvey] in on the question of eating fat. Fat is the sheet anchor for Dr. Ebstein.”
11/ Later that month, Western Mail, began running a diary by a correspondent who wanted to try Ebstein’s diet. The first installment appeared on April 29, 1884. The diarist admits to having failed at Banting and promises to try Ebstein’s diet for a week and to report back.
12/ One week later (5/5) the diet was off to a good start, and the anonymous dieter decided to keep going. I’ve also posted the diary entry from 5/12 here.
13/Here are the diary entries from 5/19 and 5/26: a bit of disappointment followed by a bit euphoria: “…I was never better in my life. I am getting anxious, though, about the fit of my my clothes, which are becoming increasingly baggy with each day’s persistence…”
14/ The last entries are from 6/3 and 6/30. The diarist has lost 17.5 pounds in two months “without any alteration in his normal habits of life, which are to a great extent sedentary, and it has been accompanied with a most satisfactory improvement in health and spirts.”
15/ To be sure, not everyone has so much success with a low-carb, high-fat diet. But what struck me most about the 1884 diary is how similar it sounds to the reports of so many people who experiment with low-carb, high-fat diets today.
16/ Ebstein concludes his 1882 book with a note about the prejudice against dietary fat and the urgency of answering the scientific questions he addresses.
17/ But, some 140 years later, we remain in much the same place with regards to nutrition and dietary fat. People who try the diet today seem just as surprised that it works as the 1884 diarist.
18/ While the low-carb, high-fat (keto) diet is often dismissed as a “fad,” the most remarkable part of the story may be that the diet has been excitedly rediscovered by each new generation despite the persistence of an anti-fat bias that has never had a solid basis in science.
19/ Like most stories about German-Jews, Ebstein’s comes with a sad addendum. His daughter Amalie and her husband, the mathematician Otto Blumenthal, were victims of the Nazis.And Ebstein’s contributions to German science have been largely forgotten.
If you found this thread of interest, I hope you’ll check out my book, Ravenous. The Kindle edition is currently on sale for $2.99. amzn.to/3vPpnd

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More from @Sam_Apple1

Mar 25, 2023
The Baltimore Sun, 1923

"Many authorities on diabetes have denied that excessive consumption of sugar is a cause...However, it is a well-known fact that incipient cases...of diabetes are made worse by excessive use of carbohydrate foods." --Dr. William S. McCann, Johns Hopkins
From the same 1923 article:

"There has never been a period in the history of the human race that sugar has been as freely consumed as it is today."

--Dr. William S. McCann, who would later become the President of the Association of American Physicians
Interestingly, McCann and others speculated that part of the problem could be traced to prohibition, with Americans turning to sugar when they couldn't drink.
Read 4 tweets
Jan 15, 2023
Thread: How nutrition was understood in 1885.

What follows are passages from the 1885 edition of Banting in India—a book I came across while researching Ravenous ( amzn.to/3vPpndl )
2/ How carbohydrates fatten our bodies. (Excerpt from Banting in India, 1885)
3/ How starches and sugars affect the liver. (Excerpt from Banting in India, 1885)
Read 9 tweets
Jul 1, 2022
Still can't believe this Associated Press article is from 1931.

(Full story of sugar, insulin, and cancer in Ravenous: amzn.to/2RHUy9H)
Also pretty cool that the research was carried out by two women at a time when so few women had opportunities in science.
Just found a 1927 photo of one of the researchers, Gladys E. Woodward, in action.
Read 4 tweets
Jun 17, 2022
🧵1/ Four New York Times Articles from 1928 -- and the Haunting Story of The Sugar Institute.

-While researching Ravenous (just released in paperback: amzn.to/39wIwsE), I came across a New York Times article from April 8, 1928 that led me to some disturbing findings… ImageImage
🧵2/ The 1928 Times headline is "Too Much Sugar for the World to Eat." Americans in 1928 consumed far less sugar than we do today, but, the article explains, there had already been an extraordinary increase: "For every pound [of sugar] consumed a century ago, today there is 20." Image
🧵3/ "Bake-shop windows are gaudy with frosted pastries that resemble nothing mother used to make. Sugar comes close to being the American staff of life." 
(The attached paragraph from the 1928 New York Times article is really worth reading.) ImageImage
Read 26 tweets
May 26, 2022
🧵1/ The Cancer that Changed European History -- And Gave Rise to the Glucose-Cancer Connection

In this thread, I want to share a fascinating historical episode I discovered while researching Ravenous (just released in paperback amzn.to/39wIwsE). ImageImage
🧵2/ It's a story that I think has important implications for how we think about cancer and, in particular, cancer prevention. It begins in 1887, the year German Crown Prince Friedrich, next in line to be kaiser, was found to have throat cancer. ImageImage
🧵3/Desperate for anything that might help, the crown prince's doctors reached out to Ernst Freund, then a 23-year-old Viennese doctor who had just earned his medical degree. Ernst Freund
Read 25 tweets
Dec 11, 2021
Thread-1: Did we ever truly have a chance of winning the “war on cancer”?

This month marks the 50th anniversary of the National Cancer Act--the launch of the so-called "war on cancer." While writing my new book Ravenous (amzn.to/2RHUy9H), I tried to understand why…
Thread-2: …we aren't winning this "war." In this thread, I want to pose a question that I did not directly address in Ravenous: Is it possible the "war on cancer" was undermined from the very start?
Thread-3: To be sure, the "war on cancer" has not been a complete failure. There have been incredible breakthroughs since 1971. The many brilliant researchers who have worked on cancer over the last 50 years have saved an extraordinary number of lives.
Read 23 tweets

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