Kurt G. Harris MD

PāNu means paleonutrition. The "paleo" here signifies "old" and not necessarily paleolithic. The PāNu approach to nutrition is grounded on clinical medicine and basic sciences disciplined by knowledge of evolutionary biology and paleoanthropology. The best evidence from multiple disciplines supports eating a pastoral (animal-based) diet rather than a grain-based agricultural one, while avoiding what I call the neolithic agents of disease - wheat, excess fructose and excess linoleic acid.

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Optimal Nutrition by Kwasniewski

Jan Kwasniewski is a polish doctor who has used a diet he calls "optimal diet" for several decades.

There is a lot of overlap with the PaNu approach.

Add some sensitivity to PUFAs and PUFA ratios and avoidance of wheat and it is similar to PaNu.

Peter at Hyperlipid follows this approach somewhat.

I was planning a review but have not had time yet.

It has a few flaws, but I recommend reading it.



Reader Comments (9)

Is there an easier source to buy the book, one that doesn't require you to fax in a credit card signature?

August 27, 2009 | Unregistered CommenterJeremy

Dr. Harris,

You recently wrote that you consume whipping cream daily or almost daily. I do the same, as does Peter at Hyperlipid. As I recall, even though whipping cream has little protein, Peter ferments his cream to make crème fraîche. I have been fermenting my own yogurt mix, with a combo of grass-fed whole milk and grass-fed cream, which results in a 80% fat homemade yogurt. I'm wondering what risks I'm taking by not using cream only, however, as Peter does. Do you think my yogurt unnecessarily (I make this mix in large part for the taste and texture) might expose my gut to too much casein? I also have concerns about how insulinogenic whey (much of which can be strained out) seems to be.

Below is a somewhat relevant excerpt from Peter's blog:

"I think there is a case to be made for both the pasteurisation of liquid milk and the drying of powdered milk altering the shape of the protein structure of casein to render the 1-28 amino acid sequence protected from digestion in the stomach. This is absolute speculation, there's no data to support this. Except the world is full of anecdotes about people tolerating raw milk but not pasteurised milk. I'm also willing to speculate that bacteria used to ferment milk to yogurt or kefir may cleave this amino acid sequence, making fermented dairy products far less problematical, even if they are derived from pateurised milk."

August 27, 2009 | Unregistered CommenterPA

I can get copies of the book from a local polish market. books in polish or in easier to read english. If you know someone in chicago I can let you know where it is. They're about $20. Plus it's optimal nutrition and I guess there's another better book they don't stock.

August 27, 2009 | Unregistered Commenterwes

wes, would the chicago store be interested in shipping the book to someone, say, in florida?

August 28, 2009 | Unregistered Commenterkathy

I rely upon a daily ribeye steak, and drink coffee with a great deal of cream through the day.

I ketostrip out at mild to moderate; why would I not be keto-adapted?

I've been trying to fast and get light-headed each time, with bad headaches.

I can't figure it out.

August 31, 2009 | Unregistered Commentermarjorie


If the coffee is not decaf that can certainly cause headaches

Keto-adapted does not mean no ketones in the urine, i use it to mean tolerant of ketosis

I have no science to say how long it has to take. It took me weeks but I never had high carbs to begin with. some might take years but 6 months seems a reasonable guess

from your other post, you seem to be altering a whole lot of variables at once

Why on earth do you need protein powder? Are you sure it is not made from soy?

Why not eat an egg?

August 31, 2009 | Unregistered CommenterKurt G. Harris MD

mostly because of curiosity what Volek's program would do. His book is pretty mainstream resistance training with low carb, and all the pieces he discusses (such as alternating workouts, multiple joints being used with one exercise, etc) are standard techniques.

He's a former power lifting state champ and an active researcher in the material he's dispensing advice on, so he seems a trustworthy source. I heard his interview with Jimmy Moore, listened to his philosophy, and read some of his abstracts on PubMed. All in all, he merely states protein powder is an efficient delivery system for boosting strength, a steak is 2nd best.

I was curious what would happen if I followed his program, which he's studied for a while now. As long as the protein powder does no damage, which he says it does none at all, I'll try it.

There are many variables that I'm altering at once. I just quit a brutal night shift job and am coming off accutane for alopecia. Accutane can alter blood glucose and triglycerides.

On top of all that, I'm lifting and doing intervals. So it's not entirely surprising that I'm stalled, nevertheless, though, I want some sort of qualitative results.

I'm wondering if caffeine itself could cause a stall. I like cream a great deal, as you do. I do NOT want to give it up.

I have gone on a ketogenic twice before in the last year and both times lasted about 2 months. So I'm hardly expecting to be non adapted to the keto-lifestyle.

I've spent the better part of the past year in ketosis. And my initial 'induction' phase was mild and very effective.

Hence my confusion over the light headedness of trying to fast. Maybe working out is too much and i need a larger later afternoon meal to be ok for an extended fast. I like the idea of fasting and it worked a bit about two months ago. Lately I can't do it and the only new thing is the exercise, a big change.

Thanks for your feedback

August 31, 2009 | Unregistered Commentermarjorie

Just curious...if one is drinking decaf with heavy cream to stave-off cravings, is she technically still fasting? Also, I have experiemented with LC on-and-off. I am once again in an 'on' phase, but again want to head back to 'off' for one reason - I see more subcutaneous fat when I am LC. Why might this be and what can I do about it? I am very much into health and fitness, and it seems that I keep coming back to the Paleo approach because the research supports it, but this one thing always makes me stray...

Thanks for your time!

October 24, 2009 | Unregistered Commenterjessica

Sorry, this is just an an additional note/query about the coffee thing...if heavy cream is okay (I'm assuming because it has little effect on blood sugar?), would unsweetened almond milk be okay, too (20 cals, 1.5 fat, 1 carb, 0 sugar/ half-cup)?

October 24, 2009 | Unregistered CommenterJessica
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