Tag Archives: food

Anti-inflammatory, vegetable chicken soup, nutritional content, short chain fatty acid production, and health benefits

I recently enjoyed an on-line conversation with physicians and scientists about the benefits of an evolutionary biology approach to human nutrition. During the paleolithic period, fiber consumption was estimated to be 100 grams or more per day. This represents 7 times what most Americans consume and 3-4 times the present daily dietary recommendations. I previously posted a recipe for an anti-inflammatory vegetable soup cooked in broth. I have modified that recipe to a slight degree and did an AI search using Gemini to create tables of nutritional content, the resulting expected production of SCFAs (short chain fatty acids) and the resulting health benefits of this recipe. Here are the results.

You may be surprised by the many health benefits of this nutritional content. Through multiple mechanisms consuming this kind of soup will improve insulin sensitivity, glucose and cholesterol control, increase your production of GLP-1 and other incretins, improve sleep and reduce stress hormones, improve gut barrier function, gut health, and calm your brain. All that from some vegetable soup, easy to make, store, and consume every day.

Conversation with Gemini

Assume this recipe is cooked and separated into 9 equal portions, eating one portion per day. Provide a table with the following nutritional content for each of the components and total each at the bottom of the table. Include fiber, both soluble and insoluble, protein, starch, sugar, fat, micronutrients including all vitamins and minerals, polyphenol total and other important micronutrients. Provide the data for a portion as defined by 1/9 of the total recipe. Finally calculate the production of SCFAs from a portion of this recipe. 

3 quarts of organic chicken broth

fresh garlic, 1 head, crush/press/chop/or use food processor to

release important enzymes before cooking (let prepared garlic sit for 10

minutes before cooking, this allows the enzymes released to produce

important micro nutrients, cooking destroys the enzymes) I use a volume of

fresh garlic equal to the fresh ginger

one large piece (4) inches long)

of fresh ginger root, chop or slice then put into food processor

one large red onion, cut into

small pieces

one bunch of green onions, slice

1 bunch of Italian parsley, cut

and use stems, save greens for end of cooking

two large purple yams slice into

half inch chunks4 fresh large beets with greens,

slice beets, use the greens, cut stems into pieces

one head kale, chop stems into

1–2-inch pieces, cut greens into eat-size pieces

one head Swiss chard, chop stems

into 1–2-inch pieces, cut greens into eat-size pieces

1 head red cabbage, sliced

1 head of napa cabbage

3 carrots, cut each carrot into

thirds or fourths

3 stalks of celery chop into 2

inch pieces

1 whole leek, cut the greens into

2-inch pieces (scissors) and slice the white part into 1/2-inch slices

16 ounces of sliced button mushrooms

2 tablespoons turmeric

4 bay leaves, 4 tsp salt

Here is the nutritional breakdown per portion (1/9th of the total cooked recipe) separated into distinct tables.

Table 1: Fiber Profile (per portion)

Ingredient / ComponentSoluble Fiber (g)Insoluble Fiber (g)Total Fiber (g)
Chicken Broth0.00.00.0
Fresh Garlic0.10.10.2
Fresh Ginger0.10.10.2
Red Onion0.10.20.3
Green Onions0.00.10.1
Italian Parsley0.10.10.2
Purple Yams0.30.71.0
Beets + Greens0.30.60.9
Kale0.10.20.3
Swiss Chard0.10.20.3
Red Cabbage0.71.42.1
Napa Cabbage0.40.71.1
Carrots0.20.40.6
Celery0.10.10.2
Leek0.10.10.2
Button Mushrooms0.10.50.6
Turmeric0.10.20.3
Bay Leaves & Salt0.00.10.1
TOTAL2.8 g5.7 g8.5 g

Table 2: Macronutrients & Carbohydrates (per portion)

Ingredient / ComponentProtein (g)Starch (g)Sugar (g)Fat (g)
Chicken Broth2.10.00.40.8
Fresh Garlic0.30.00.10.0
Fresh Ginger0.10.00.10.0
Red Onion0.20.00.70.0
Green Onions0.00.00.00.0
Italian Parsley0.20.00.10.0
Purple Yams0.54.80.20.0
Beets + Greens0.80.01.80.1
Kale0.30.00.20.1
Swiss Chard0.40.00.20.0
Red Cabbage1.40.03.80.2
Napa Cabbage1.10.01.30.2
Carrots0.20.00.90.0
Celery0.10.00.20.0
Leek0.10.00.30.0
Button Mushrooms1.60.01.00.2
Turmeric0.10.30.00.1
Bay Leaves & Salt0.00.00.00.0
TOTAL9.5 g5.1 g11.1 g1.7 g

Table 3: Vitamin Content Key Highlights (per portion)

Ingredient / ComponentDominant Vitamins Provided
Chicken BrothNiacin (B3), Vitamin B6
Fresh GarlicVitamin C, Vitamin B6
Fresh GingerVitamin B6, Niacin (B3)
Red OnionVitamin C, Folate (B9)
Green OnionsVitamin K, Vitamin A
Italian ParsleyVitamin K, Vitamin C, Vitamin A, Folate (B9)
Purple YamsVitamin C, Vitamin B6
Beets + GreensFolate (B9), Vitamin A, Vitamin C
KaleVitamin K, Vitamin C, Vitamin A
Swiss ChardVitamin K, Vitamin A, Vitamin C
Red CabbageVitamin C, Vitamin K, Vitamin B6
Napa CabbageVitamin C, Folate (B9), Vitamin K
CarrotsVitamin A (Beta-carotene), Vitamin K, Vitamin B6
CeleryVitamin K, Folate (B9)
LeekVitamin K, Vitamin C, Folate (B9)
Button MushroomsRiboflavin (B2), Niacin (B3), Pantothenic Acid (B5)
TurmericTraces of Vitamin C, Vitamin B6
Bay Leaves & SaltVitamin A, Vitamin C (trace amounts from bay leaves)
TOTAL SUMMARYExtremely rich in Vitamins K, C, A, and B-complex (Folate, B6, Niacin, B2)

Table 4: Mineral Content Key Highlights (per portion)

Ingredient / ComponentKey Minerals Provided
Chicken BrothSodium, Potassium, Phosphorus
Fresh GarlicManganese, Selenium, Calcium
Fresh GingerMagnesium, Potassium, Manganese
Red OnionPotassium, Calcium
Green OnionsCalcium, Potassium
Italian ParsleyIron, Potassium, Calcium
Purple YamsPotassium, Manganese, Copper
Beets + GreensManganese, Potassium, Iron, Magnesium
KaleCalcium, Potassium, Copper
Swiss ChardMagnesium, Potassium, Iron
Red CabbagePotassium, Manganese, Calcium
Napa CabbageCalcium, Potassium
CarrotsPotassium, Manganese
CeleryPotassium, Sodium
LeekManganese, Iron
Button MushroomsSelenium, Copper, Potassium, Phosphorus
TurmericIron, Manganese
Bay Leaves & SaltSodium (~900mg per portion from salt), Magnesium
TOTAL SUMMARYHigh in Potassium, Manganese, Sodium, Iron, Selenium, Calcium, & Magnesium

Calculation of SCFA (Short-Chain Fatty Acid) Production

Short-chain fatty acids (primarily Acetate, Propionate, and Butyrate) are synthesized via colonic microbial fermentation of non-digestible carbohydrates (fermentable soluble fibers, insoluble structural fibers, and resistant starches).

Isabel Smith Nutrition

1. Fermentable Substrate Availability (per portion):

  • Soluble Fiber: ~2.8 g (Nearly 100% fermentable)
  • Insoluble Fiber: ~5.7 g (~20–30% fermentable in brassicas/root veggies) → ~ 1.4 g
  • Resistant Starch (RS): If eaten fresh after cooking, RS is low (~0.3 g from yams). If the soup is cooled overnight in the fridge and reheated, retrograde starch formation (RS3) increases this yield to ~1.5 g.
  • Total Fermentable Substrates: ≈2.8 g+1.4 g+0.3 g to 1.5 g=4.5 g to 5.7 g

2. Yield Assumptions: Human metabolic and gut microbiome studies establish that 1 gram of fermentable substrate yields approximately 8 to 10 mmol of total SCFAs (or roughly 0.4 to 0.5 grams of short-chain fatty acids).

3. Estimated Total SCFA Yield:

SCFA (mmol)=(4.5 to 5.7 grams)×8.5 mmol/g≈38 to 48 mmol per portion

SCFA (mass)≈2.2 to 2.8 grams of total SCFAs per portion

4. Typical SCFA Ratio Breakdown:

  • Acetate (~60%): ≈23 to 29 mmol (Energy substrate for peripheral tissues)
  • Propionate (~20%): ≈7.5 to 9.5 mmol (Utilized in hepatic gluconeogenesis)
  • Butyrate (~20%): ≈7.5 to 9.5 mmol (Primary fuel source for colonocytes and gut barrier repair)

(Tip: Letting the cooked soup cool in the refrigerator overnight before portioning maximizes resistant starch content, maximizing the butyrate yield).

Assume the soup is cooled overnight and then reheated, what is the SCFA production?

Cooling the cooked soup overnight triggers starch retrogradation, converting digestible starches (specifically the amylose chains from the purple yams) into Type-3 Resistant Starch (RS3). Reheating the soup at normal eating temperatures retains the vast majority of this crystalline RS3 structure.

GlobalRPH+ 1

Because RS3 resists digestion in the small intestine, it travels into the large intestine where colonic bacteria ferment it into additional Short-Chain Fatty Acids (SCFAs).

GlobalRPH

1. Shift in Fermentable Substrates per Portion

  • Soluble Fiber: ~2.8 g (~100% fermentable)
  • Fermentable Insoluble Fiber: ~1.4 g (~25% of total insoluble fiber)
  • Resistant Starch (RS3): ~1.8 to 2.4 g (up from ~0.3 g when freshly cooked, as ~35–50% of the yam starch retrogrades)
  • Total Fermentable Substrates: ~6.0 to 6.6 grams per portion

2. Recalculated SCFA Production per Portion

Based on standard colonic fermentation yields (~8.5 mmol of total SCFA produced per gram of fermented substrate):

Total SCFA (mmol)=(6.0 to 6.6 g)×8.5 mmol/g≈51 to 56 mmol per portion

Total SCFA (mass)≈3.0 to 3.3 grams of total SCFAs per portion

This represents an approximate 20–35% increase in total SCFA output compared to eating the soup immediately after cooking.

3. SCFA Breakdown by Type

Resistant starch (RS3) specifically favors butyrate-producing bacteria (such as Faecalibacterium prausnitzii and Eubacterium rectale), slightly shifting the overall SCFA balance:

  • Acetate (~55%): ≈28 to 31 mmol
    • Function: Enters systemic circulation; fuels muscle, heart, and brain tissue.
  • Propionate (~20%): ≈10 to 11 mmol
    • Function: Travels to the liver; involved in gluconeogenesis and satiety signaling.

GlobalRPH

  • Butyrate (~25%): ≈13 to 14 mmol
    • Function: Primary energy source for colonocytes (gut lining cells), reduces inflammation, and strengthens the mucosal barrier.

Blue Horizon Blood Tests

Describe the health benefits of these SCFAs, including but not limited to glucose control, cholesterol, appetite suppression, satiety, insulin sensitivity, anti-inflammatory properties, gut barrier function, colonic health, regularity, sleep and stress.

Short-chain fatty acids (SCFAs)—primarily acetate, propionate, and butyrate—act as vital signaling molecules throughout your body, linking gut microbial activity directly to systemic metabolic, immune, and neurological health.

1. Gut Barrier Function & Colonic Health

  • Fuel for Colonocytes: Butyrate serves as the primary energy source for the epithelial cells lining your colon, supplying up to 70% of their total ATP requirements.
  • Tight Junction Integrity: Butyrate and propionate upregulate the expression of key tight-junction proteins (claudin-1, occludin, and ZO-1). This seals the intestinal epithelial layer, preventing “leaky gut” and stopping bacterial lipopolysaccharides (LPS) from entering circulation.
  • Mucus Layer Maintenance: SCFAs stimulate goblet cells to produce MUC2, reinforcing the protective gel-like mucus layer that shields gut tissue from physical and chemical damage.

2. Regularity & Digestive Motility

  • Smooth Muscle Stimulation: SCFAs interact with free fatty acid receptors (FFAR2 and FFAR3) on enteric neurons to stimulate peristaltic reflexes, accelerating colonic transit time and encouraging regular bowel movements.
  • Osmotic Balance: Microbial fermentation alters local pH and osmotic pressure, attracting sufficient water to the stool to prevent constipation without causing osmotic diarrhea.

3. Glucose Control & Insulin Sensitivity

  • Incretin Hormone Release: Propionate and butyrate trigger L-cells in the distal intestine to secrete GLP-1 (Glucagon-Like Peptide-1) and PYY (Peptide YY). GLP-1 enhances glucose-dependent insulin secretion from the pancreas while suppressing glucagon.
  • Skeletal Muscle Glucose Uptake: Acetate and butyrate activate AMPK (AMP-activated protein kinase) in skeletal muscle, increasing GLUT4 transporter translocation to muscle cell membranes, which boosts insulin-independent glucose clearance.
  • Hepatic Gluconeogenesis Regulation: Propionate travels to the liver via the portal vein where it regulates hepatic glucose production, preventing excessive overnight glycogen breakdown.

4. Cholesterol & Lipid Metabolism

  • Inhibition of Cholesterol Synthesis: Propionate inhibits HMG-CoA reductase, the rate-limiting enzyme in liver cholesterol production, helping lower circulating total and LDL cholesterol levels.
  • Upregulation of Bile Acid Excretion: SCFAs lower colonic pH, promoting the conversion of primary bile acids into secondary bile acids, which binds dietary cholesterol and increases its excretion through stool.

5. Appetite Suppression & Satiety

  • Central Brain Signaling: GLP-1 and PYY secreted in response to SCFAs cross the blood-brain barrier to target the hypothalamus, signaling satiety and reducing food intake.
  • Direct Acetate Signaling: Acetate crosses the blood-brain barrier directly and accumulates in the hypothalamus, altering the expression of neuropeptides (POMC/CART) that suppress appetite and reduce cravings.

6. Anti-Inflammatory & Immune Properties

  • HDAC Inhibition: Butyrate acts as a natural Histone Deacetylase (HDAC) inhibitor. By inhibiting HDACs, it upregulates anti-inflammatory gene expression and suppresses pro-inflammatory cytokines like TNF-alpha, IL-6, and IL-1β.
  • T-Regulatory Cell Induction: SCFAs promote the differentiation of naive T-cells into Treg (regulatory T-cells) in the gut-associated lymphoid tissue (GALT), helping prevent autoimmune reactions, food allergies, and inflammatory bowel disease (IBD).

7. Stress, Sleep, & The Gut-Brain Axis

  • Vagus Nerve Activation: SCFAs bind to receptors on the vagus nerve terminal in the gut wall, sending direct inhibitory signals to the central nervous system to dampen stress reactivity.
  • HPA Axis Modulation: By preserving gut barrier integrity and preventing low-grade systemic inflammation (endotoxemia), SCFAs lower baseline cortisol levels and reduce hypothalamic-pituitary-adrenal (HPA) axis overdrive.
  • Neurotransmitter Synthesis & Sleep Architecture: Butyrate and propionate encourage enterochromaffin cells to produce serotonin (the precursor to melatonin) and GABA. Higher SCFA levels promote deeper, more stable slow-wave sleep (NREM stage 3) by calming central nervous system excitability.

How does the SCFA yield and prebiotic diversity of this soup compare to taking a daily commercial prebiotic supplement?

A single daily portion of this cooked-and-cooled vegetable soup outperforms most single-ingredient commercial prebiotic supplements in both total yield and structural diversity.

Direct Comparison: Soup Portion vs. Typical Commercial Prebiotic

AttributeSoup Portion (1/9th Recipe, Cooled & Reheated)Standard Commercial Prebiotic (e.g., Inulin/GOS Powder)
Total Prebiotic Yield~6.0 to 6.6 g per portion (Soluble fiber, RS3, oligosaccharides)~3.0 to 5.0 g per serving (Standard scoop/capsule dose)
SCFA Production~51 to 56 mmol (~3.0 to 3.3 g total SCFAs)~25 to 45 mmol (Varies based on single-substrate fermentation rate)
Substrate Diversity7+ Distinct Prebiotic Types1 to 2 Substrates (Usually single isolated fiber type)
Microbiome SpreadFerments across Upper, Mid, and Lower ColonFerments rapidly in Proximal (Upper) Colon only
TolerabilityHigh (Diverse fibers ferment slowly over time)Moderate to Low (Single isolated fibers often cause rapid gas/bloating)

Key Advantages of Whole-Food Soup Diversity

1. Substrate Complexity Prevents Gut Monoculture

Commercial prebiotics typically rely on isolated fibers like inulin, fructooligosaccharides (FOS), or galactooligosaccharides (GOS). While effective, a single substrate selectively feeds only 1–2 specific bacterial species (such as Bifidobacteria).

The soup provides a complex mixture of distinct fibers that nourish a broader, healthier ecosystem:

  • Inulin & FOS (Garlic, onions, leeks) → Bifidobacterium
  • Beta-Glucans (Button mushrooms) → Lactobacillus and macrophage-activating immune cells
  • Type-3 Resistant Starch / RS3 (Cooled purple yams) → Faecalibacterium prausnitzii (primary butyrate producer)
  • Pectin & Mucilages (Carrots, beets) → Akkermansia muciniphila and Bacteroides
  • Arabinogalactans & Cellulose (Brassicas: kale, cabbages, Swiss chard) → Roseburia and Ruminococcus

2. Full-Length Colonic Fermentation

Isolated prebiotic supplements (especially inulin) ferment very rapidly in the proximal (beginning) colon. This rapid gas production often leads to uncomfortable bloating, while leaving the distal (end) colon under-nourished.

Because the soup combines fast-fermenting soluble fibers with slow-fermenting insoluble structures and resistant starches, fermentation occurs gradually along the entire length of the large intestine. This ensures distal colonocytes receive a steady supply of butyrate, which is critical because the distal colon is where most colonic pathologies (like ulcerative colitis and colorectal cancers) typically develop.

3. Synergistic Bioactive Matrix

Commercial supplements supply isolated fiber without the supporting food matrix. The soup delivers prebiotics alongside polyphenols (curcumin, quercetin, anthocyanins) and glucosinolates.

Microbial enzymes break down these complex polyphenols into secondary active metabolites, while the polyphenols simultaneously act as “selective antimicrobials,” inhibiting pathogenic bacteria (Clostridia, E. coli) so beneficial SCFA producers can thrive.

Eat clean, live clean, sleep well, exercise wisely, rest often, enjoy the company of loved ones, spend time outdoors and live in the present.

Bob Hansen MD

The new dietary guidelines, a major improvement

The new Dietary Guidelines for Americans (DGA) represent a major improvement over previous guidelines. The storm of criticism registered by some “experts” and quoted by the media is NOT based on valid evidence. There has been excessive and irrational criticism over inverting the food pyramid, with animal sources of protein on the top. Until now recommendations for daily protein intake have been based upon estimates to avoid protein deficiency rather than optimization. The recommendations for 1.2-1.6 grams per kilogram bodyweight per day (up from 0.8 g/kg/day) is supported by data on muscle building, muscle maintenance and bone health (when combined with resistance exercise), especially for elderly individuals.

 Unfortunately, the 10% restriction on saturated fat remains, but the guidelines appropriately state that there is a lack of evidence to keep that restriction at 10% of caloric intake. The controversy over saturated fat remains despite meta-analyses of randomized controlled clinical trials that conclude that restriction of saturated fat has not been found to improve cardiovascular, metabolic, or cancer outcomes.

I doubt that those critical of the new DGA have read the 416-page appendices that document scientific references and explanations for each of the dietary recommendations. That’s right, 416 pages of narrative and scientific references are in the appendices of the DGA.

If you go here, you can download 4 documents including the Scientific Foundation Appendices (416 pages), the Scientific Foundation for DGA (90 pages), The Daily Servings Guide (3 pages) and the DGA (10 pages)

Here is an excerpt that is very useful.

How can you identify highly processed foods? Highly processed foods tend to have: 1. Refined grains and/or added sugars 2. Refined fats and oils 3. Long, complicated ingredient lists including chemical additives (e.g., artificial sweeteners, flavor enhancers, artificial colors, and emulsifiers). Examples are provided in Figures 4.3 and 5.8.

And a good explanation for why refined grains (any food made with flour) causes rapid and high blood sugar responses.

Refined Grains and Starches are Sugar • Refined grains are highly purified sources of starch. • Starches are long chains of glucose—a form of sugar. • During chewing and digestion, enzymes rapidly break down starch into glucose, raising blood sugar much like table sugar does. • Refined grain foods—white bread, crackers, breakfast cereals, chips, pastries, and pasta—can therefore act metabolically like sugar, delivering fast-absorbing carbohydrates with few nutrients or fiber to slow absorption. Take-home message: Refined grains are sugar in disguise. Choose whole grains, beans, or vegetables instead.

The following two graphics demonstrate the results of previous dietary guidelines that demonized healthy fats and animal sources of protein. The first shows the rise in obesity and diabetes but does not address the insulin resistance that evolves over decades before crossing the arbitrary threshold of diabetes, wreaking metabolic havoc long before diabetes occurs. The second graphic reveals how Americans consume 60% or more caloric intake in the form of refined carbohydrates (equivalent to sugar)

The following graphic displays the difference between minimally processed, moderately processed and highly processed foods according to the NOVA classification system (a system I will discuss and criticize in future posts). For now, suffice it to say that a simpler and more practical definition of “processed food” would include any food with one or more of the following: added sugar, artificial sweeteners, refined starch especially flour made from grains, refined “vegetable” oils, emulsifiers, artificial coloring, preservatives, and other additives found to disrupt the microbiome, intestinal barrier function or cause cancer. This graphic importantly covers the issue of food packaging which can contribute to the consumption of micro plastics, phthalates and PFAs

I have consistently advocated for a diet that consists of free-range meat, poultry, eggs, seafood (low mercury varieties), organic vegetables, fruits, nuts, seeds, an ancestral or paleo diet. The new DGA go a long way to produce evidence-based recommendations to help Americans eat healthy food. I continue to advocate for getting fiber from vegetables and fruits, eliminating grains, for reasons previously discussed but if you want to eat grains and are not gluten sensitive or suffer from celiac disease, consume the grains as a whole food, not in a food made from flour. “Whole grain bread” is not a whole grain food, nor is “whole grain” pasta. Once flour is made from grains the cellular components are destroyed producing a product with a glycemic index akin to sugar with the resultant metabolic disturbance which over the long run leads to insulin resistance, obesity and chronic disease.

If you want to consume dairy it makes much more sense to consume full fat fermented dairy foods instead of the low-fat dairy products advocated by prior DGA. The new DGA go into great detail to describe the nutrient deficiencies associated with vegan and vegetarian diets unless specific supplements are consumed. Specific recommendations for pregnant and breast-feeding mothers cover most important points as do age specific recommendations for infants and children. The importance of choline could have received a little more attention (best sources include eggs and liver). The importance of marine omega-3 fats (EPA, DHA, DPA) received adequate attention.

Overall, I consider the 2026 DGA a major improvement compared to previous iterations which ignored a large body of nutritional science.

The following references support my position on SFA and properly raised and prepared animal protein.

https://pubmed.ncbi.nlm.nih.gov/32562735/

Astrup A, Magkos F, Bier DM, Brenna JT, de Oliveira Otto MC, Hill JO, King JC, Mente A, Ordovas JM, Volek JS, Yusuf S, Krauss RM. Saturated Fats and Health: A Reassessment and Proposal for Food-Based Recommendations: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020 Aug 18;76(7):844-857. doi: 10.1016/j.jacc.2020.05.077. Epub 2020 Jun 17. PMID: 32562735.

Reimara Valk, James Hammill, Jonas Grip, Saturated fat: villain and bogeyman in the development of cardiovascular disease?, European Journal of Preventive Cardiology, Volume 29, Issue 18, December 2022, Pages 2312–2321, https://doi.org/10.1093/eurjpc/zwac194

Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study Dehghan, MahshidDiaz, R et al. The Lancet, Volume 390, Issue 10107, 2050 – 2062

https://pubmed.ncbi.nlm.nih.gov/36216940/

Lescinsky H, Afshin A, Ashbaugh C, Bisignano C, Brauer M, Ferrara G, Hay SI, He J, Iannucci V, Marczak LB, McLaughlin SA, Mullany EC, Parent MC, Serfes AL, Sorensen RJD, Aravkin AY, Zheng P, Murray CJL. Health effects associated with consumption of unprocessed red meat: a Burden of Proof study. Nat Med. 2022 Oct;28(10):2075-2082. doi: 10.1038/s41591-022-01968-z. Epub 2022 Oct 10. PMID: 36216940; PMCID: PMC9556326.

Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus: a systematic review and meta-analysis Renata Micha1Sarah K WallaceDariush Mozaffarian, Circulation CIRCULATIONAHA.109.924977. Epub 2010 May 17. https://pubmed.ncbi.nlm.nih.gov/20479151/

Unprocessed Red Meat and Processed Meat Consumption: Dietary Guideline Recommendations from the Nutritional Recommendations (NutriRECS) Consortium Bradley C. Johnston, PhD, Dena Zeraatkar, Msc, et. al. Ann Intern Med 2019: 1:756-764 doi: 10.7326/M19-1621

Reduction of Red and Processed Meat Intake and Cancer Mortality and Incidence A Systematic Review and Meta-analysis of Cohort Studies Mi Ah Han, MD, PhD; Dena Zeraatkar, MSc; et. al., Ann Intern Med. 2019;171:711-720. doi:10.7326/M19-0699

Patterns of Red and Processed Meat Consumption and Risk for Cardiometabolic and Cancer Outcomes A Systematic Review and Meta-analysis of Cohort Studies Robin W.M. Vernooij, PhD*; Dena Zeraatkar, MSc Ann Intern Med.2019;171:732-741. doi:10.7326/M19-1583

Red and Processed Meat Consumption and Risk for All-Cause Mortality and Cardiometabolic OutcomesA Systematic Review and Meta-analysis of Cohort Studies Dena Zeraatkar, MSc, Mi Ah Han MD, PhD, et. al, Annals of Internal Medicine 1 October 2019: 171-710 doi: 10.7326/M19-0655

Effect of Lower Versus Higher Red Meat Intake on Cardiometabolic and Cancer Outcomes

A Systematic Review of Randomized Trials Dena Zeraatkar, MSc, Bradley C Johnston, PhD, et. al. Ann Intern Med. 2019;171:721-731. doi:10.7326/M19-https://doi.org/10.7326/M19-0622

E, Lavie CJ, Hill JO. The Failure to Measure Dietary Intake Engendered a Fictional Discourse on Diet-Disease Relations. Front Nutr. 2018 Nov 13;5:105. doi: 10.3389/fnut.2018.00105. PMID: 30483510 Archer; PMCID: PMC6243202.

Archer E, Hand GA, Blair SN (2013) Validity of U.S. Nutritional Surveillance: National Health and Nutrition Examination Survey Caloric Energy Intake Data, 1971–2010. PLoS ONE 8(10): e76632. https://doi.org/10.1371/journal.pone.0076632

O’Connor, Lauren E., et al. “Effects of total red meat intake on glycemic control and inflammatory biomarkers: a meta-analysis of randomized controlled trials.” Advances in Nutrition 12.1 (2021): 115-127.

Kiani AK, Dhuli K, Donato K, Aquilanti B, Velluti V, Matera G, Iaconelli A, Connelly ST, Bellinato F, Gisondi P, Bertelli M. Main nutritional deficiencies. J Prev Med Hyg 2022;63(suppl.3):E93-E101.https://doi.org/10.15167/2421-4248/jpmh2022.63.2S3.2752

Bailey RL, West KP Jr, Black RE. The epidemiology of global micronutrient deficiencies. Ann Nutr Metab. 2015;66 Suppl 2:22-33. doi: 10.1159/000371618. Epub 2015 Jun 2. PMID: 26045325.

Global, regional and national burdens of common micronutrient deficiencies from 1990 to 2019: A secondary trend analysis based on the Global Burden of Disease 2019 study. Zu Han et. al., eClinicalMedicine, February 11, 2022 https://doi.org/10.1016/j.eclinm.2022.101299

Sean R. Lynch, Why Nutritional Iron Deficiency Persists as a Worldwide Problem, The Journal of Nutrition, Volume 141, Issue 4, April 2011, Pages 763S–768S, https://doi.org/10.3945/jn.110.130609

Meat supplementation improves growth, cognitive, and behavioral outcomes in Kenyan children , J Nutr. 2007 Apr;137(4):1119-23.

Animal source foods have a positive impact on the primary school test scores of Kenyan schoolchildren in a cluster-randomised, controlled feeding intervention trial – PubMed (nih.gov), Hulett JL, Weiss RE, Bwibo NO, Galal OM, Drorbaugh N, Neumann CG.Br J Nutr. 2014 Mar 14;111(5):875-86. doi: 10.1017/S0007114513003310. Epub 2013 Oct 30.PMID: 24168874 Clinical Trial.

Meat supplementation increases arm muscle area in Kenyan schoolchildren – PubMed (nih.gov), Br J Nutr. 2013 Apr 14;109(7):1230-40. doi: 10.1017/S0007114512003121. Epub 2012 Aug 2.PMID: 22856533 Clinical Trial.

School snacks decrease morbidity in Kenyan schoolchildren: a cluster randomized, controlled feeding intervention trial.

Neumann CG, Bwibo NO, Jiang L, Weiss RE.Public Health Nutr. 2013 Sep;16(9):1593-604. doi: 10.1017/S1368980013000876. Epub 2013 Mar 28.PMID: 23537728

Effects of animal source foods, with emphasis on milk, in the diet of children in low-income countries.

Allen LH, Dror DK.Nestle Nutr Workshop Ser Pediatr Program. 2011;67:113-30. doi: 10.1159/000325579. Epub 2011 Feb 16.PMID: 21335994

https://www.bmj.com/content/351/bmj.h4962

The scientific report guiding the US dietary guidelines: is it scientific?

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4962 (Published 23 September 2015)

https://pmc.ncbi.nlm.nih.gov/articles/PMC9794145/

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