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How Much FIBER Do You Need Each Day?

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    we've all been told a million times that
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    we should include
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    more fiber in our diet and we're given
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    multiple reasons for this
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    the purpose of this video is to question
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    how much
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    fiber should we be getting in our diet
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    and more importantly what does the
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    research
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    actually say about this not necessarily
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    epidemiological observational research
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    that's based on food
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    frequency questionnaires but what does
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    actual randomized control research
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    say about the fiber question i'm dr ken
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    berry a family physician with 20 years
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    of clinical practice
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    and this video is going to help you
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    understand how much fiber do you need to
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    eat each and every day
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    all you have to do is turn on the
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    television or read a magazine article or
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    jump on twitter
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    and you're going to be told things over
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    and over like
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    eating more fiber helps support weight
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    loss lowers your cholesterol
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    lowers your blood sugar improves your
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    heart health prevents diabetes
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    completely
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    helps constipation decreases your risk
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    of colon cancer or my personal favorite
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    that it detoxes some part of your
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    body now people who have ever taken
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    too much fiber either from fiber
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    containing foods
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    or from a fiber supplement will tell you
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    that the side effects of having too much
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    fiber are
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    no fun whatsoever they include gas
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    lots of gas bloating constipation
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    diarrhea wait a minute constipation
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    yeah and cramping and actually worsening
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    of irritable bowel syndrome
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    symptoms so it's it's almost like your
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    bowel is telling you
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    hey don't eat all this fiber but
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    many powers that be including the fda
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    and the american heart association say
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    hey you need to eat lots of fiber
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    if you're a man you should eat from 30
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    to 38 grams each and every day if you're
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    a woman
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    you should eat 21 to 25 grams each and
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    every day
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    if you're a child between the ages of
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    one and eight you should eat 14 to 31
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    grams
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    each and every day so what does the
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    research say
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    but first let's talk about where this
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    idea even came from
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    who had the bright idea that we should
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    eat lots of fiber
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    in our diets it actually comes from a
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    british surgeon by the name of dennis
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    burkett
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    and he was a very very intelligent
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    surgeon
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    there's actually a childhood cancer
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    burkitt's lymphoma
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    named after him he was very prominent
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    british surgeon
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    he practiced in africa for years and he
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    noticed that the african natives
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    who were his patients had these
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    ginormous poops several times a day
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    and he also noticed that they ate a lot
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    of fiber in their diet
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    and he also noticed that they didn't
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    have colon cancer
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    very often and they definitely didn't
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    have constipation
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    and they didn't really seem to have any
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    other bowel issues
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    and so he came up with this hypothesis
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    that eating a high fiber diet
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    should protect the human body from lots
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    of things including constipation and
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    colon cancer
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    so this idea literally came from an
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    impromptu
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    hunch that a single individual had
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    he did not do any control research he
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    did not do
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    any meaningful research on this
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    whatsoever he just
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    wrote a book about this and became known
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    as the fiber guy
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    and lectured all over the world and
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    since as i
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    mentioned earlier he was a very
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    prominent british surgeon
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    and he had done some very good work in
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    other areas people
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    tended to take what he said as gospel
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    one thing that you need to understand is
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    that these africans that he was studying
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    and practicing on
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    they also didn't need any added sugar
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    whatsoever and they also didn't eat any
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    highly processed grains and they also
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    didn't eat
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    any vegetable oils so there's that
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    he also had one other hypothesis which i
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    tend to agree with
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    uh he hypothesized that squatting is a
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    better
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    position to take a bowel movement in
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    than sitting and that it would help with
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    constipation and other bowel problems
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    now
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    i think that hasn't been proven either
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    but i think he may have been onto
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    something there
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    now let's talk quickly about what fiber
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    actually is
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    fiber is plant matter that our gut
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    absolutely cannot digest it
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    is well basically it's the same exact
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    thing as sawdust
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    or cardboard okay so uh
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    when you start looking at some of these
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    claims like it prevents
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    it it helps you lose weight well if i
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    took you
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    where you're at right now and i replaced
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    10 or 20
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    of your diet with sawdust and every day
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    we just mix sawdust into your oatmeal
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    and into your corn flakes
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    and so you were getting 10 to 20 more
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    fiber a day
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    fiber that your body cannot break down
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    cannot use as nutrition in any way
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    whatsoever
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    doesn't contribute any calories
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    carbohydrates protein fat to your diet
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    well duh yeah you're going to lose
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    weight because i'm feeding you something
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    you cannot use
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    is nutrition right this is also the way
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    it lowers your blood sugar
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    because however much of your diet you're
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    replacing
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    with fiber is giving you no nutritional
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    benefit at all including no
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    carbohydrates so of course your blood
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    sugar is going to come down
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    as for the claim that it improves heart
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    health or decreases your risk of heart
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    attack or stroke
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    again we're replacing 10 to 20 percent
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    of your diet with
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    sawdust or cardboard every day so you're
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    not able to eat
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    that much in volume of sugars and grains
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    and vegetable oils so we're basically by
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    putting 10 to 20 sawdust into your diet
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    you're not able to eat the things that
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    are actually increasing your risk of
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    heart attack and stroke
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    so yeah that kind of makes sense now
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    there is the argument
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    that gut bacteria living in your large
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    intestine
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    can break down this fiber and use it
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    and then somehow magically you derive
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    nutrition from that now it is true that
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    the
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    the bacteria in your gut can break down
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    this fiber and they can use it as fuel
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    because they can actually break the
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    cellulose down
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    but you cannot now there is some limited
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    evidence that the short chain fatty
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    acids that these bacteria produce
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    from eating the cardboard and the
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    sawdust
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    can move across the cell membrane of
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    your enterocytes which are the cells
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    that line your gut wall
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    and you're parasites probably do benefit
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    from these short
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    chain fatty acids a little bit but
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    that's not really nutrition for you
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    that's just those cells now
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    the truth is those cells get plenty of
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    short chain fatty acids from your
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    circulation
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    like your cells are supposed to get
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    nutrition from right
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    and there's very little evidence that
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    your entire body actually benefits
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    from these short chain fatty acids
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    whatsoever now
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    what these bacteria also make in
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    addition to the short chain fatty acids
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    is they also produce lots of greenhouse
  • 7:05 - 7:06
    gases
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    like methane and carbon dioxide and you
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    experience this
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    in the form of gas and farts and so by
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    eating a high fiber diet
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    are you actually contributing to global
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    warming
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    now let's look at the actual research
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    to support all these claims about fiber
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    so the weight loss claim with regards to
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    eating more fiber
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    has literally never been proven there
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    are some epidemiological studies that
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    show a possible
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    association but there is no control
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    research showing any causation
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    whatsoever
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    so mark that one off your list what
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    about preventing diabetes and lowering
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    blood sugar
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    well i talked about earlier how this
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    might happen if i made you eat twenty
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    percent of your diet as
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    cardboard well yeah you're not getting
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    any carbohydrates that you can use
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    so therefore your blood sugar is going
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    to come down and your you won't develop
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    diabetes
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    but that's kind of a weird way to
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    prevent diabetes and
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    surely there's a better way than that
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    what about improving your heart health
  • 8:05 - 8:08
    well uh there's literally no research
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    that's that's of a controlled fashion
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    that proves this or shows any
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    kind of causation it's all
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    epidemiological research
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    now the detox thing anybody anytime
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    anybody
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    on the planet says hey buy my product
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    and it will
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    detox your liver or your kidneys or
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    whatever
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    you can officially hit the unfollow
  • 8:28 - 8:29
    button right
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    there or the block button because that's
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    [ __ ]
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    okay if you want to detox any part of
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    your body
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    you fast that's how you do that that
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    it's cheap easy free
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    side effect free you never buy a product
  • 8:42 - 8:44
    to detox your body
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    what about the claim about constipation
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    eating more fiber helps with
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    constipation
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    anybody who has irritable bowel c or
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    chronic constipation or idiopathic
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    constipation they'll answer this
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    question for you anybody
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    who's tried to eat more fiber for
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    constipation put put in the comments
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    what your actual results were
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    because the results are always more gas
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    more bloating
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    maybe more constipation or diarrhea and
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    cramping
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    those are not solutions okay just
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    because you're putting more
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    roughage in that your body has to expel
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    as quickly as possible
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    that doesn't mean you're you're
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    meaningfully treating the constipation
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    there's actually a a very well done a
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    little study on this let me read you the
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    conclusion
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    this was a study done in 63 patients and
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    what they did was they gave them
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    different and they all suffered from
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    idiopathic constipation
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    and the researchers gave them different
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    amounts of
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    fiber and and one group they gave no
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    fiber and then they they kind of swapped
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    them around and kept playing with this
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    and here's their conclusion idiopathic
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    constipation and its associated symptoms
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    can be effectively reduced
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    by stopping or even lowering the intake
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    of dietary fiber so
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    there's a link down in the show notes if
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    you want to read the whole study it
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    i know really you're probably sitting
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    there going wait what
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    i thought what what yeah exactly so
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    fiber does not help in any meaningful
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    way with idiopathic constipation chronic
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    constipation
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    or ibs c
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    it doesn't help with any of those it's
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    going to make you have worse symptoms
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    the more you cut your fiber the better
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    your symptoms will be
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    now let's talk about colon cancer
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    because that's really once you've
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    narrowed some a pro fiber person down
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    this is the one they're always going to
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    cling to is that it decreases your risk
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    of colon cancer
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    so let's talk about a study and again
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    the links are down in the show notes
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    below so you can check this out for
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    yourself
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    it's a meta-analysis of five randomized
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    control
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    trials in humans that's important right
  • 10:50 - 10:52
    and so they they analyzed these five
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    different studies
  • 10:54 - 10:55
    that purported to well they had the
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    hypothesis that that eating more fiber
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    decreased your risk of colon cancer
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    here's the conclusion from this study
  • 11:02 - 11:03
    there is currently
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    no evidence from randomized controlled
  • 11:06 - 11:08
    trials to suggest that increased dietary
  • 11:08 - 11:09
    fiber intake
  • 11:09 - 11:11
    will reduce the incidence or recurrence
  • 11:11 - 11:14
    of adenomas polyps within a two to four
  • 11:14 - 11:15
    year period
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    adenominous polyps are the precursors of
  • 11:17 - 11:19
    colon cancer so
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    no evidence no rcts to even suggest this
  • 11:24 - 11:26
    okay now let's go to another study this
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    study was published in
  • 11:27 - 11:29
    the journal of the american medical
  • 11:29 - 11:31
    association it was a meta-analysis of
  • 11:31 - 11:34
    13 cohort studies very very large
  • 11:34 - 11:35
    studies
  • 11:35 - 11:37
    and after they crunched all the numbers
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    here's the conclusion they found
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    in this large pooled analysis dietary
  • 11:42 - 11:44
    fiber intake was inversely associated
  • 11:44 - 11:45
    with
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    risk of colorectal cancer in
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    age-adjusted analysis
  • 11:48 - 11:52
    however however that's an important word
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    after accounting for other dietary risks
  • 11:58 - 12:01
    high dietary fiber intake was not
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    associated
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    with a reduced risk of colorectal cancer
  • 12:07 - 12:10
    yep you heard me right so now let me
  • 12:10 - 12:12
    answer the question that was asked in
  • 12:12 - 12:13
    the title of this video
  • 12:13 - 12:16
    how much fiber do you need each day well
  • 12:16 - 12:17
    according to the randomized controlled
  • 12:17 - 12:20
    trials and the actual research on actual
  • 12:20 - 12:21
    human beings
  • 12:21 - 12:24
    you don't need any okay if you happen to
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    eat some fiber occasionally i don't
  • 12:26 - 12:28
    think it's dangerous or bad
  • 12:28 - 12:30
    it's probably not a big deal it may lead
  • 12:30 - 12:31
    to increased
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    gas bloating constipation diarrhea and
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    cramping if you eat too much
  • 12:35 - 12:38
    but do you need to try to get the the 21
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    to 38 grams that the american heart
  • 12:41 - 12:42
    association
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    recommends no you don't there's zero
  • 12:45 - 12:46
    research
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    reports supporting this so why did the
  • 12:48 - 12:49
    aha say this
  • 12:49 - 12:51
    i'm not sure maybe we should ask them in
  • 12:51 - 12:53
    a tweet the fda
  • 12:53 - 12:55
    said the same thing what research did
  • 12:55 - 12:56
    they base it on
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    none it is all based on an impromptu
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    hypothesis had by a very famous british
  • 13:03 - 13:04
    surgeon
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    decades ago and there has never been a
  • 13:07 - 13:08
    credible study
  • 13:08 - 13:11
    to show causation between fiber and any
  • 13:11 - 13:12
    of the things
  • 13:12 - 13:15
    that you will hear as potential benefits
  • 13:15 - 13:16
    for getting more fiber
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    in your diet therefore stop trying to
  • 13:20 - 13:21
    get fiber in your diet
  • 13:21 - 13:23
    if you're taking a fiber supplement
  • 13:23 - 13:25
    throw that crap in the garbage it's a
  • 13:25 - 13:26
    waste of money
  • 13:26 - 13:29
    if you're trying to eat high fiber foods
  • 13:29 - 13:30
    that you don't really like
  • 13:30 - 13:33
    stop doing that okay just eat more fatty
  • 13:33 - 13:34
    meat
  • 13:34 - 13:36
    you don't need fiber fiber's never been
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    proven to help you in any meaningful way
  • 13:38 - 13:41
    now your gut bacteria they appreciate it
  • 13:41 - 13:42
    when you eat fiber
  • 13:42 - 13:45
    and they make carbon dioxide and methane
  • 13:45 - 13:46
    to warm the
  • 13:46 - 13:49
    the atmosphere when you do so maybe
  • 13:49 - 13:49
    think
  • 13:49 - 13:52
    twice before taking another fiber
  • 13:52 - 13:54
    supplement or eating another high fiber
  • 13:54 - 13:55
    food
  • 13:55 - 13:57
    i sure hope this video has cleared up
  • 13:57 - 13:58
    some confusion you may have had about
  • 13:58 - 13:59
    fiber
  • 13:59 - 14:02
    in your diet if you haven't already done
  • 14:02 - 14:03
    so please consider clicking that
  • 14:03 - 14:04
    subscribe button and the bell button
  • 14:04 - 14:05
    right beside it
  • 14:05 - 14:08
    i try to post two to three new videos
  • 14:08 - 14:09
    every week and that way you'll get a
  • 14:09 - 14:11
    notification and you don't miss it
  • 14:11 - 14:14
    when i call out institutions that are
  • 14:14 - 14:16
    saying something they should know better
  • 14:16 - 14:18
    than to say this is dr barry i'll see
  • 14:18 - 14:21
    you next time
Title:
How Much FIBER Do You Need Each Day?
Description:

more » « less
Video Language:
English
Team:
Dr Berry Video Translations
Duration:
14:20

English (auto-generated) subtitles

Incomplete

Revisions

  • Revision 1 ASR: YouTube automatic subtitles
    Amara Bot