May

04 Covid 19 and the elephant in the room

By Kokila Kothandan

Nutrition

Covid 19 and the elephant in the room

Obesity and chronic metabolic disease is killing COVID -19 patients: now is the time to eat real food, protect the NHS and save lives.

A HEALTHCARE SYSTEM ISSUE

Last week I inquired as to how a close friend of mine, a director of research and a senior clinical doctor in one of New York’s’ busiest ER departments, was coping amongst the coronavirus outbreak.

“A dire situation. Our already broken health care system is on the verge of collapse. Please pray for us” he replied.

Much has been reported in the media that, like the UK, the richest nation in the world been slow to react to the advice issued by the World Health Organisation on Ja...

May

04 Chronic Disease and Medicine: Prevention Doesn't Pay

By Kokila Kothandan

Why your doctor only wants to see you after something has gone wrong.

Dr. Stephen Schimpff calls it the paradox of American medicine.

“We have really well-trained, well-educated providers. We are the world’s envy for biomedical research. We’ve got excellent pharmaceutical (and) biotechnology companies and diagnostics (tools). But the paradox is on the other hand we have a terribly dysfunctional health-care delivery system,” said the retired CEO of the University of Maryland Medical Center in Baltimore.

Despite our technology, education and wealth—in 2014, total national health-care expenditures hit US$3 trillion—chronic disease remains the nation’s t...

May

04 It Is Time to Bust the Myth of Physical Inactivity and Obesity: You Cannot Outrun a Bad Diet

By Kokila Kothandan

crossfit nutrition

It Is Time to Bust the Myth of Physical Inactivity and Obesity: You Cannot Outrun a Bad Diet

Question
Can exercise alone prevent metabolic disease?
Takeaway
The narrative that exercise alone can prevent obesity and metabolic disease is largely the product of food industry PR campaigns; scientific evidence indicates sugar and carbohydrate consumption, specifically, contributes to disease progression.

In this 2015 editorial, Aseem Malhotra, Tim Noakes, and Stephen Phinney argue that in addition to exercise, specific dietary changes are necessary to prevent or reverse metabolic disease.

A 2015 report from the Academy of Medical Royal Colleges described exercise as a “miracle cure” and arg...

May

04 Is Alzheimer’s Disease a Type 3 Diabetes? A Critical Appraisal

By Kokila Kothandan

Is Alzheimer’s Disease a Type 3 Diabetes? A Critical Appraisal

1

ByCrossFit January 23, 2020

This 2017 review summarizes multiple mechanisms by which insulin resistance and metabolic dysfunction could drive development and/or progression of Alzheimer’s disease.

Current evidence suggests hyperinsulinemia, and/or insulin resistance specifically, is most strongly linked to increased risk of Alzheimer’s. The link between obesity and Alzheimer’s disease is more tenuous, with some studies showing no increased risk of cognitive impairment due to obesity. Conversely, Alzheimer’s patients show higher levels of fasting insulin than controls, and individuals with di...

May

04 Influenza Virus and Glycemic Variability in Diabetes: A Killer Combinatio

By Kokila Kothandan

Influenza Virus and Glycemic Variability in Diabetes: A Killer Combination

Question: What are some of the mechanisms by which diabetes may increase risk of morbidity and/or mortality from the flu and related conditions?

Takeaway: This 2017 review argues diabetes affects the immune system, vascular function, and endothelial function in ways that increase susceptibility to harm from infectious diseases affecting pulmonary function. These mechanisms are related both to chronically elevated blood glucose levels and blood glucose variability. It is not completely understood if one of these mechanisms is specifically responsible for the increased rate of flu morbidity and mortality seen in diabetics...

May

04 Chronic Disease: Key to COVID-19 Deaths

By Kokila Kothandan

Chronic Disease: Key to COVID-19 Deaths

In a version of a talk he has delivered during grand rounds at medical schools around the country, CrossFit Founder Greg Glassman groups various common cause...

In a version of a talk he has delivered during grand rounds at medical schools around the country, CrossFit Founder Greg Glassman divides various common causes of death into five categories: chronic, microbic, genetic, kinetic, or toxic.

The chronic disease category includes conditions such as obesity, heart disease, diabetes, stroke, hypertension, and kidney disease. Microbic deaths are caused by things like ebola, malaria, and SARS-CoV-2, the virus behind the COVID-19 outbreak. The genetic cat...

May

04 The Coronavirus Pandemic

By Kokila Kothandan

A fiasco in the making? As the coronavirus pandemic takes hold, we are making decisions without reliable data

By JOHN P.A. IOANNIDIS

MARCH 17, 2020

A nurse holds swabs and a test tube to test people for Covid-19 at a drive-through station set up in the parking lot of the Beaumont Hospital in Royal Oak, Mich.PAUL SANCYA/AP

The current coronavirus disease, Covid-19, has been called a once-in-a-century pandemic. But it may also be a once-in-a-century evidence fiasco.

At a time when everyone needs better information, from disease modelers and governments to people quarantined or just social distancing, we lack reliable evidence on how many people have been infected with SARS-CoV-2 or who continue to...

May

04 Evidence over hysteria — COVID-19

By Kokila Kothandan

Evidence over hysteria — COVID-19

After watching the outbreak of COVID-19 for the past two months, I’ve followed the pace of the infection, its severity, and how our world is tackling the virus. While we should be concerned and diligent, the situation has dramatically elevated to a mob-like fear spreading faster than COVID-19 itself. When 13% of Americans believe they are currently infected with COVID-19 (mathematically impossible), full-on panic is blocking our ability to think clearly and determine how to deploy our resources to stop this virus. Over three-fourths of Americans are scared of what we are doing to our society through law and hysteria, not of infection or spreading...

Crossfit Charlotte-Blog

May

04

By Kokila Kothandan

A HEALTHCARE SYSTEM ISSUE

May

04

By Kokila Kothandan

May

04

By Kokila Kothandan

May

04

By Kokila Kothandan

May

04

By Kokila Kothandan

May

04

By Kokila Kothandan

Chronic Disease: Key to COVID-19 Deaths

May

04

By Kokila Kothandan

May

04

By Kokila Kothandan

Evidence over hysteria — COVID-19

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