How Not to Die
Educational

How Not to Die Discover the Foods Scientifically Proven to Prevent and Reverse Disease

From the physician behind the wildly popular website NutritionFacts.org, How Not to Die reveals the groundbreaking scientific evidence behind the only diet that can prevent and reverse many of the causes of disease-related death. The vast majority of premature deaths can be prevented through simple changes in diet and lifestyle. In How Not to Die, Dr. Michael Greger, the internationally-renowned nutrition expert, physician, and founder of NutritionFacts.org, examines the fifteen top causes of premature death in America — heart disease, various cancers, diabetes, Parkinson's, high blood pressure, and more — and explains how nutritional and lifestyle interventions can sometimes trump prescription pills and other pharmaceutical and surgical approaches, freeing us to live healthier lives. The simple truth is that most doctors are good at treating acute illnesses but bad at preventing chronic disease. The fifteen leading causes of death claim the lives of 1.6 million Americans annually. This doesn't have to be the case. By following Dr. Greger's advice, all of it backed up by strong scientific evidence, you will learn which foods to eat and which lifestyle changes to make to live longer. History of prostate cancer in your family? Put down that glass of milk and add flaxseed to your diet whenever you can. Have high blood pressure? Hibiscus tea can work better than a leading hypertensive drug-and without the side effects. Fighting off liver disease? Drinking coffee can reduce liver inflammation. Battling breast cancer? Consuming soy is associated with prolonged survival. Worried about heart disease (the number 1 killer in the United States)? Switch to a whole-food, plant-based diet, which has been repeatedly shown not just to prevent the disease but often stop it in its tracks. In addition to showing what to eat to help treat the top fifteen causes of death, How Not to Die includes Dr. Greger's Daily Dozen — a checklist of the twelve foods we should consume every day. Full of practical, actionable advice and surprising, cutting edge nutritional science, these doctor's orders are just what we need to live longer, healthier lives.
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Reviews

Photo of Amena Elkayal
Amena Elkayal@amena_elkayal
4 stars
Oct 20, 2023

4 out of 5.... This is really so helpful! A lot of information but not absolutely boring. I LOVE IT!

Photo of matej yangwao
matej yangwao@yangwao
5 stars
Aug 22, 2023

** spoiler alert ** Today I slept less than usual, so my review is bit biased. Books shows you with some scientific based studies what's best to control your diet and regulate your weight even w/o gym Regarding slow eating, learned there is 21 minutes rule to eat your food, no less with reducing bite size or increase number of chews. I'm taking away that plant based diet has lack of palatability. ≥There are various health benefits of fiber, but here are the two major benefits. Number one, fiber is an appetite suppressant, which means when you take adequate fiber, you won't feel the usual urge to consume too many calories than you can burn. Secondly, fiber serves as nutrients to the mutual bacteria in your gut. These bacteria help facilitate processes like body vitamin production, while they are in turn fed and sheltered by the body. ≥Some even believe fiber can be taken from steaks and other animal sources. But the truth is, plants are the only genuine sources of fiber. Fruits, legumes and whole grains are wonderful sources to consider. ≥water rich foods “add bulk to food without adding calories.” Foods like vegetables and fruits which have high water content will get you satisfied easily, and reduce your appetite for any high calorie food. ≥You should also consider foods that are low in fat and added sugar. Foods like leafy greens (spinach, lettuce and kale are good examples), beans, legumes, and fruits. ≥Insanity: Doing the same thing over and over again and expecting different results. ≥The top seven water–rich foods are cucumber, tomatoes, spinach, broccoli, Brussels sprouts, oranges, and apples. ≥we have two appetite control systems: the homeostatic system (which seeks to maintain weight balance) and the hedonic system (which responds to pleasure and palatability). When food appeals strongly to our senses of sight, taste and smell, then the hedonic system kicks in immediately, making us eat as much as — or even more than — our stomach can take. ≥Chronobiology is a branch of biology that studies how rhythms of the sun, moon and seasons may affect our natural — physical, mental and emotional — cycles. ≥Matter of fact, if you're going to skip any meals regularly, it should be dinner because most foods we eat late into the night have difficulty digesting before morning. ≥Here are some chronobiological tips that encourage weight loss: • Sleep at night so you can be active during the day • Sleep 6–7 hours a night • Go to bed early • Don't go to bed immediately after dinner; dinner should be served at least two and a half hours before going to bed ≥Firstly, Dr. Greger recommends drinking two cups of (unflavored) water before you begin eating. This should be followed by “negative calorie foods” — foods like fruits and veggies that fill you up easily without adding calories. ≥Try hard not to rush your eating. Studies show that the more time people spend eating, the less their chances of overeating. So, drop distractions and eat slowly. You could increase the number of chews before you swallow, or decrease the bite size, whatever you want to do. Just don't rush the meal. Greger calls this“the 21 minutes rule.” As much as possible, don't take less than 21 minutes to eat. ≥The reason many people find it hard to follow through on purely plant based sources is the lack of palatability.

Photo of Olga V
Olga V@berrybell
4 stars
Apr 21, 2023

This is an impressive resource for nutrition knowledge; some recommendations probably should be taken with a grain of salt (pun intended re: Dr. Greger's anti-salt crusade) but ultimately will be helpful to many in changing their dietary habits. Plus, it's an easy read and the puns are not half bad!

+1
Photo of Sarah Morris O’Keefe
Sarah Morris O’Keefe@sarahmorrisokeefe
5 stars
Feb 19, 2023

This book is the primary reason my husband and I decided to try going vegan, and we've been ~90% vegan since then (1.5 years since reading the book). It has a wealth of knowledge and is convincing if you're moved by data!

Photo of Izza
Izza@m0thermayi
4 stars
Dec 9, 2022

4 stars |

Photo of Carol Bailey
Carol Bailey@cab
3 stars
Nov 23, 2022

Much of the info is something I was aware of peripherally but this helped put several things in perspective as it relates to my specific health.

Photo of McKlayne Marshall
McKlayne Marshall@mcklayne
4 stars
Nov 13, 2022

There are some great nuggets in this book. We spend so much of our time eating, thinking about eating, and preparing to eat; however, how much time do we spend learning about what we eat. Great read.

Photo of Thea MacDonald
Thea MacDonald@tmac
3 stars
Feb 15, 2022

Fantastic read.

Photo of Flore Detry
Flore Detry@flore
5 stars
Nov 3, 2021

This is SUCH an eye opener! Would give it 10 stars if I could.

Photo of Luca Conti
Luca Conti@lucaconti
5 stars
Sep 10, 2021

the best book You can read this year, really

Photo of Lara
Lara @lara_daniela
3 stars
Jun 2, 2022
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Alexander@avarn
5 stars
Aug 3, 2021
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Kevin Wammer@cliophate
5 stars
Jul 18, 2024
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Gelaine Trinidad@gelaine
3 stars
Jul 5, 2024
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Erin G.@toughcakes
5 stars
Jul 4, 2024
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William Buller@tuttifruttikid
5 stars
Mar 21, 2024
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Jana@janabananaaa
5 stars
Jan 4, 2024
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Heiki Riesenkampf@hrk
3 stars
Dec 18, 2023
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Pierke Bosschieter@pierke
4 stars
Aug 21, 2023
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Barbara@brubru
4 stars
May 7, 2023
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HannahNergaard@handlebar
5 stars
Mar 18, 2023
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Hayley Sarra@jellofish580
5 stars
Mar 5, 2023
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4 stars
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Keven Wang@kevenwang
2 stars
Feb 4, 2023

Highlights

Photo of Sam Skurka
Sam Skurka@last_heir_83

For example, until recently, we assumed plants and plantlike organisms were the only ones that could directly capture and utilize the energy from the sun. Plants photosynthesize. Animals don't. That's because plants have chlorophyll and animals do not. Well, technically, you do have chlorophyll in your body-temporarily, at least-after you eat greens. But it would seem there's no way the chlorophyll that enters your bloodstream after that salad could react with sunlight. After all, light can't penetrate through your skin, right? Wrong. Any kid who's ever shined a torch through her or his fingers could have told you that.

The red wavelengths of sunlight do penetrate into your body." In fact, if you step outside on a sunny day, there's enough light reaching your brain that you could actually read this page inside your skull. Your internal organs are bathed in sunlight, along with any chlorophyll circulating in your bloodstream. Although any energy produced by the chlorophyll would be negligible," it turns out that light-activated chlorophyll in your body may help regenerate a critical molecule called coenzyme Q10.

Page 353
Photo of Sam Skurka
Sam Skurka@last_heir_83

The choline in eggs, like the carnitine in red meat, is converted into a toxin called trimethylamine" by bacteria that exist in the guts ofthose who eat meat." And trimethylamine, once oxidized in the liver, appears to increase the risk of heart attack, stroke, and premature death.

Page 246

Choline and Carnitine

Photo of Sam Skurka
Sam Skurka@last_heir_83

They found out that people who drank two or more cups of coffee daily appeared to have about only half the suicide risk compared to non-coffee drinkers." What about drinking more than four cups a day? A Kaiser Permanente study of more than one hundred thousand people found that suicide risk seemed to continue to drop with increases in coffee dose. People who drank more than six cups a day were 80 percent less likely to commit suicide, though drinking eight or more cups a day has been associated with increased suicide risk.

Page 236

Coffee

Photo of Sam Skurka
Sam Skurka@last_heir_83

They found out that people who drank two or more cups of coffee daily appeared to have about only half the suicide risk compared to non-coffee drinkers." What about drink ing more than four cups a day? A Kaiser Permanente study of more than one hundred thousand people found that suicide risk seemed to continue to drop with increases in coffee dose. People who drank more than six cups a day were 80 percent less likely to commit sui cide, though drinking eight or more cups a day has been associated with increased suicide risk. 49

Photo of Sam Skurka
Sam Skurka@last_heir_83

HCA - heterocyclic amines

Page 211
Photo of Sam Skurka
Sam Skurka@last_heir_83

So why are vegetable nitrates and nitrites okay but the same compounds from meat are linked to cancer? Because nitrites themselves are not carcinogenic; they turn into carcinogens. Nitrites only become harmful when they turn into nitrosamines and nitrosamides. For them to do that, amines and amides must be present, and amines and amides are found in abundance in animal products. This transformation can happen in the meat itself or in your stomach after you eat it. In the case of plant foods, the vitamin C and other antioxidants that are found naturally in them block the formation of these carcinogens in your body. This process would explain why intake of both nitrate and nitrite from processed meat has been linked to kidney cancer, but no increased risk was found for nitrate or nitrite intake from plant sources.

Page 203

Carcinogens

Photo of Sam Skurka
Sam Skurka@last_heir_83

Those who eat plant-based diets may even have an 11 percent higher resting metabolic rate. That means vegetarians could be burning more calories even in their sleep. Why? This could be because vegetarians have a higher gene expression of a fat-burning enzyme called carnitine palmitoyltransferase, which effectively shovels fat into the mitochondrial furnaces in your cells.


Page 130
Photo of Sam Skurka
Sam Skurka@last_heir_83

Not all fats affect our muscle cells in the same way. For example,palmitate, the kind of saturated fat found mostly in meat, dairy, and eggs, causes insulin resistance. On the other hand, oleate, the monounsaturated fat found mostly in nuts, olives, and avocados, may actually protect against the detrimental effects of the saturated fat. Saturated fats can wreak all sorts of havoc in muscle cells and may result in the accumulation of more toxic breakdown products (such as ceramide and diacylglycerol) and free radicals and can cause inflammation and even mitochondrial dysfunction-that is, interference with the little power plants (mitochondria) within our cells."This phenomenon is known as lipotoxicity (lipo meaning fat,as in liposuction).“ If we take muscle biopsies from people, saturated fat buildup in the membranes of their muscle cells correlates with insulin resistance. Monounsaturated fats, however, are more likely to be detoxified by the body or safely stored away.

This discrepancy may explain why individuals eating plant-based diets are better protected from diabetes.


Page 123

Saturated Fat and Diabetes

Photo of Sam Skurka
Sam Skurka@last_heir_83

The Washington, D.C., Circuit Court of Appeals upheld the meat industry's position, asserting that the USDA can allow potentially deadly Salmonella in meat because "American housewives and cooks normally are not ignorant or stupid and their methods of preparing and cooking of food do not ordinarily result in salmonellosis That's like saying minivans don't need airbags or seat belts, and kidsdon't need car seats, because soccer moms don't ordinarily crash into things.

Photo of Sam Skurka
Sam Skurka@last_heir_83

The Washington, D.C., Circuit Court of Appeals upheld the meat industry's position, asserting that the USDA can allow potentially deadly Salmonella in meat because "American housewives and cooks normally are not ignorant or stupid and their methods of preparing and cooking of food do not ordinarily result in salmonellosis." That's like saying minivans don't need airbags or seat belts, and kids don't need car seats, because soccer moms don't ordinarily crash into things.

Photo of Sam Skurka
Sam Skurka@last_heir_83

Nearly three-quarters of all emerging and reemerging human diseases arise from the animal kingdom.

Page 91
Photo of Sam Skurka
Sam Skurka@last_heir_83

The U.S. health care system runs on a fee-for-service model in which doctors get paid for the pills and procedures they prescribe, rewarding quantity over quality.

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