Carb Syndrome Blog Articles
Christine Blasey Ford’s Brain is in the Tank
Fear of Flying? What the Heck is that all About? First of all, I have no idea whether or not Brett Kavanaugh sexually abused Christine Blasy Ford. This sort of “he said, she said” situations are always difficult to sort out. As a physician with an interest in...
Why the US Healthcare System Sucks: Part 1
If I am going to write about everything that's wrong with the health care system in the United States, I would need to write at least a 2,000-part series, assuming that I stuck with only the major flaws. To keep things simple, I'll start by examining what our...
The Elusive Meaning of Hunger
In a way, it seems like a silly question. With world poverty, trade wars, possibly nuclear war, environmental devastation and other disasters on the menu of current events, the fact remains that many people in the world don't have enough food to sustain a reasonable...
The Mystery of Jumping Legs
As long as I can remember, one of my favorite activities has been intense people watching. For me this has never been a casual activity. When my Greek wife and I first started dating almost 15 years ago, she sometimes accused me of “ogling” other women when we were...
The Universe Isn’t our Greatest Unknown: It’s Our Brain
That’s why I anticipated the recent Science journal article from the Brain Consortium. Huge, humongous, enormous, gargantuan, colossal—I’m not sure if any of these adjectives fully grasp the impact of this article. Even though the title “Analysis of Shared...
Diagnose and Treat Your Own CARB syndrome
Now that you have been exposed to the concept of Carbohydrate Reversible Brain syndrome or CARB syndrome, the next critical strep is to decide whether or not you have the disease. When the Harvard Psychiatrists Hudson and Pope first introduced this concept, they...
Did Anthony Bourdain have CARB syndrome?
When I woke up Friday morning, along with the rest of the world I was shocked to learn of the apparent suicide of celebrity TV personality and chef Anthony Bourdain. Most of you are probably familiar with his hit show Anthony Bourdain Parts Unknown where he traveled...
Unpacking Bipolar Disorder
Bipolar disorder (BPD) or what has historically been referred to as manic depressive disorder is one of the big 3 classic psychiatric disorders. Major depressive disorder (MDD) and schizophrenia round out this sad triad that has likely plagued humans since the dawn of...
Great News! Antidepressants
Work–Or Not
Or "Honey, I Just Blew up the Field of Psychiatry!" A “humongous” study was recently published in Lancet that supposedly laid to rest the issue of whether or not antidepressants are effective. The study was titled “Comparative efficacy and acceptability of 21...
The Five Keys to Navigating the Nutrition World
Because of my long-standing interest in nutrition, especially the connection between diet and brain function, I am constantly amazed at the number and variety of folks who claim to have some degree of nutritional expertise. It seems that every Tom, Dick and Harry...
The Supplement SmackDown by Academic Medicine
Academic medicine has never been enthusiastic about the general public taking unregulated supplements. These supplements cover a broad range, from common vitamins and minerals to more esoteric targeted supplements. I suspect one big reason for their distain is because...
I’m Not Dead Yet!
I’m not normally the type of person who focuses on the end of my life. In my opinion life is for the living, so this is where I like to spend my time and effort. That is until I was recently scheduled for a cardiac ablation procedure for my intermittent irregular...
When it Comes to Sugar, Did Mexico Trump America?
You’ll have to excuse my pun but America, Mexico, Sugar and Trump do seem to be part of the same twisted and distorted tale. First things first. Unless you are deaf, dumb and blind or living on the moon, the science is in and sugar is out. If has been confirmed beyond...
Tangoing with Substances of Abuse
The human race has a somewhat convoluted relationship with substances of abuse. Some of these problematic substances have been around since the dawn of mankind but somehow we keep adding to the list of these potentially life-destroying substances. I think we need to...
Social Anxiety Disorder
Being from Boston, I like reading my “home town” medical journal, the New England Journal of Medicine. This is likely the most prestigious medical journal in the world, yet I find it interesting just how often they get things wrong. NEJM—Master of Mistakes? In 1980...
Deconstructing Stress
Although stress seems to be on everyone’s mind, it is a surprisingly difficult term to define. The ancient Greek stoic Epictetus stated: “People are disturbed not by a thing, but by their perception of a thing”. Overall I think this statement is true, but it doesn’t...
The Mindlessness of Mindfulness
Recently as we rushed through the Tampa airport I noticed in one of the bookstores a glossy “Special Edition” from Time titled “Mindfulness—The New Science of Health and Happiness.” On the cover was a picture of a blissful young lady who appeared to be totally tuned...
Why Mexicans Can’t Resist Coca-Cola
One of the first things I noticed after I purchased my condo in Mazatlan Mexico in 2003 was the massive amounts of Coca-Cola that were being consumed by virtually all Mexicans at virtually every income level. I later found out that per capita, Mexican’s are the...
Amen, Shaman—A Truly Sad Tale
A few years ago, I wrote a blog post about Daniel Amen and his Psychiatric clinics. He has many popular Infomercials on public television and as I write this I am watching their most current version on Boston’s WGBH. In my original blog post I mentioned that I agreed...
Optimize Your Brain Function in Six Easy Steps
Trust me, nobody wants to grow old without taking your brain along for the ride. I’m 68 years old and I have a three-year old daughter, so leaving my brain behind would be a very poor personal choice and trust me when I say choice. When it comes to protecting and...
Reversing Alzheimer’s Disease
I have had a very personal relationship with Alzheimer’s disease for many years. As a primary care physician I have treated hundreds of patients with this devastating illness for over four decades. My grandmother Amber succumbed to this horrible disease in her 60s and...
Don’t Panic – It’s Probably Your Diet!
The Curse of Panic Attacks Just about all of us have experienced severe anxiety or panic at some point in our lives. You know, the feeling of absolute and uncontrollable anxiety and dread accompanied by cold sweats, rapid and labored breathing, a pounding heart and...
Once Again the CDC Gets Obesity Wrong
The Centers for Disease Control and Prevention (CDC) has a trademarked motto that states: “Saving Lives, Protecting People”. That sounded good to me until I came across their recently published “Adult Obesity Prevalence Maps” informing us about the level of obesity...
Nutritional Psychiatry
For over 40 years I have been preaching the wisdom of eating healthy whole foods and avoiding highly processed manufactured “fake” food. For decades many professionals, researchers, the government and the general public were caught up in the low fat debacle but today...
The Food-Brain Connection
For over 40 years I have been studying the extremely complex connection between food and brain function. Many experts have recognized the connection between highly processed food and various common brain disorders. Their perspective goes something like this: You eat...
Massachusetts and Mental Health: A Man Made Mess
A recent article in the Boston Globe titled “A Broken Covenant” outlines the dismal failure of Massachusetts’s efforts to manage mental health over the past few decades. A long line of Governors, politicians and bureaucrats has closed many of the state’s inpatient...
The ADHD Diet Connection
The topic of the connection between diet and various brain disorders keeps hitting the headlines. Several years ago a study that literally shook the medical world was published in The Lancet, one of our major medical journals. This remarkable study was led by Dr. Lidy...
The Messy World of Science and Biology
It seems like daily we are exposed to headlines implying that two variables are somehow connected. From there it is a short step to concluding that one variable is causing or strongly influencing the other variable. On the surface this is the “correlation suggests...
It’s About Time— The Experts Finally Agree that Diet Affects Mental Health
A Broken Record For years my friends have accused me of sounding like a broken record. I keep insisting that diet plays an absolute key role in brain function. I also believe that a diet of highly processed food increases your risk of getting many common brain...
I Don’t Want to be an Expert — I Want to be a Future Expert!
It seems like the ultimate goal for anyone in medicine and science is to become an “expert” because experts rule. The media wants their opinion on every medical and scientific issue and whenever they bloviate, common slobs are expected to listen. Experts are...
Daily Table’s Attack on Food Insecurity
Am I Food Insecure? The Boston Globe recently ran a story written by Taryn Luna about a new grocery store concept called Daily Table. Doug Rauch, former president of the upscale grocery chain Trader Joe’s, runs the non-profit company that developed this unique...
I’m hatin’ it!
It was almost midnight and I found myself trying to force down a Big Mac and stale French fries that came in a bag with the phrase “I’m lovin’ it” plastered in large letters on the side of it. I hadn’t eaten at McDonald’s since at least 2003, the year that the “I’m...
The Evolution of Processed Food
When it comes to issues of diet and health, the term “processed food” is sure to come up. Defining processed food is somewhat challenging. Perhaps it would be helpful to first define non-processed or whole food. This is food that you can kill, catch or find in nature....
The Sugar Season
I certainly agree with most of the points in this recent New York Times Op-Ed article "Sugar Season. It’s Everywhere and Addictive." I communicate frequently with my friend Dr. DiNicolantonio and we share many views about the dangers of refined sugars. Pioneers like...
Gateway Foods
I’m fairly certain that you’ve heard about the concept of “gateway drugs”. The gateway theory is based on the idea that those who use substances like alcohol, nicotine or marijuana are much more likely to move on to more dangerous and addictive drugs like heroin, methamphetamine and cocaine. Although this connection isn’t universally accepted by all experts, there is a fair amount of empirical and research data supporting the concept.
Dueling Diagnoses: The Tragic Case of Justina Pelltier
The case of Justina Pelltier is troubling on many different levels. She is the 16-year old girl from Connecticut who was removed from her home by the state of Massachusetts based on a flimsy and controversial psychiatric diagnosis. At one point in time Justina was a...
Soldiers and Implantable Brain Devices: It’s 1984 All Over Again!
As I was driving to work the other day a story caught my attention on WBUR, my local NPR station. Apparently the Defense Advanced Research Projects Agency, or DARPA, is launching a $70 million program to help military personnel with certain key psychiatric disorders...
Medical Shenanigans: Misusing Science for Financial Gain
I spend a lot of time looking over medical studies that cover my areas of interest and I am often dismayed how certain medical studies can be used to distort and twist the truth. Science can lead us down the road to improved health, but it can also have a dark side...
Introducing my Fantastic New and Amazing Anti-Aging Strategy: Parenthood
I want to apologize to the regular readers of my blog for the lack of any posts for the past six weeks. My wife Irene and I have experienced a minor interruption in our hectic lives and her name is Rafaella Avge Tsirozidou. She was born on February 28th, 2014. She...
Obesity: The Die is Cast by the Age of 5
A recent study titled “Incidence of Childhood Obesity in the United States” recently published in the NEJM has sent obesity experts around the world scrambling. The study took a longitudinal view of over 7,000 kindergarten children and followed their weight and height...
A New Name For Type 2 Diabetes: “Carbabetes”
It’s the beginning of a new year, so it’s out with the old and in with the new. Let’s start with the most common disease in our modern world—type II diabetes mellitus. I like descriptive names but the term “diabetes mellitus” just doesn’t do the trick for me. For my New Years resolution I decided to look for a more descriptive and relevant term.
Is Eating All Three Meals at School Really a Good Idea?
A recent news article caught my attention where some students in New Orleans now eat breakfast, lunch and dinner at school. This is apparently part of the Federal Healthy, Hunger Free Kids Act, a program geared at eliminating hunger and improving nutrition in school...
Age Like a Lobster, Rather Than Sugar-Guzzling Worm
The concept of aging has many dimensions. The simplest parameter we can measure is chronlogical age, the number of years you have spent on this earth since your birth. This is your so-called birthday age. Physiological aging is a much more nuanced yet more important...
Obesity Rate Once Again Heads Upward
The Gallop Well-being poll has been tracking obesity rates since 2008 and so far this year the rate has increased from 26.2% to 27.2%, the largest increase since they starting tracking obesity in adults.
Are Oreos as Addictive as Cocaine?
A recent study by Joseph Schroeder at Connecticut College suggests that Oreos are as addictive as drugs of abuse, at least for rats.
Food Fight: The Battle for Your Plate
As a practicing physician, I have spent decades studying the nutritional literature trying to figure out how I should advise my patients when it comes to a healthy diet. Vegan or Paleo? Atkins or Ornish? Low-fat or ketogenic? The options are as endless as their associated health claims.
Is Your Hunger Hijacked by Processed Food?
We have come to a place where most people agree that hunger should be eliminated in our country.
Wacky Washington – As Seen Through My Nutritional Lens
I often think that I see the world somewhat differently than most people. That’s because I tend to see things through what I call my “nutritional glasses”. When I look at human behavior I try to pick out those behaviors that might be strongly influenced by nutritional factors.
What the Heck Should I Eat?
My tips are a set of basic principles that allow for some flexibility to take into account individual differences and the fact that we don’t have all the answers. Even if we did discover some rigid eating program that guaranteed a long and healthy life, I doubt that I could get my patients—and likely myself, to follow it for any length of time if it didn’t include some pleasurable aspects of eating. For example, I don’t care what the science says, if I turned down a piece of my wife’s homemade baklava, my health might be just fine but my taste buds definitely wouldn’t be happy and marital harmony would be out the window! In my opinion eating a diet that lacks any pleasure certainly will make life seem like it lasts forever.
Does CarbSane Have CARB Syndrome?
After spending a lot of time in the world of low carb and Paleo, I can’t imagine how I missed her. The “her” is an anonymous blogger who calls herself CarbSane.

















































