In Nutrition and Physical Degeneration by Weston Price, we learn that skulls and teeth are a reliable and accurate indicator of diet and health. That's how we know they were more healthy than we are.
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Those robust skeletons hide another ugly truth. Older individuals or those who have anything wrong with them quickly fall by the wayside when living a migrant paleolithic lifestyle. There is no way a hunting gathering band can carrying along people who can't walk many miles every day. Any severe illness or disability lasting for more than a few weeks will mean that the individual must be abandoned because the group must keep moving to find food. Game isn't stupid and it avoids hunters who stay in one place. Gatherers (i.e. women who supply most of the calories in contemporary hunting/gathering societies) must keep moving because edibles are scarce, seasonal and an area gets picked out pretty fast. So people don't develop the disease of age, like arthritis, because they don't live long enough to do so.
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This entire paragraph is based on the assumption that as they (our ancestors) grew older, they also grew weaker, slower, sicker, feebler, and stupider. That assumption is unfounded because it is based on our current elder population, not on our ancestors'. Further, if cutting out carbohydrate returns us to good health, then never having eaten it never makes us sick to begin with. Thus, our ancestors, who ate little to no carbohydrate (which is confirmed by their perfect skulls and teeth), would not have grown weak or sick or stupid with age.
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The Inuit, so beloved of Paleo fantasists, lived a life of such extreme deprivation that it is hard to understand why anyone would make them the poster child of any diet. While most Native American peoples developed agriculture thousands of years before--the Inuit lived isolated in an environment where it is impossible to grow anything. They did what they could to survive but their numbers were small and their health and that of their children not anything you would envy--their real diet included the stomach contents of their prey--the semi digested vegetable matter now digested since the cellulose had been broken down--and entirely raw meat and fat. No Inuit survived to age 7 who was not metabolically able to cope with that diet. Natural selection works that way.
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This paragraph is pure fiction. The Inuit don't eat the contents of the stomach of animals they kill for the simple reason that's it disgusting. Further, they didn't live a life of extreme deprivation. Or, I don't know what she means by deprivation. Maybe she means deprived of advanced technology? But they never needed it nor did they know about it thus would not have been deprived from their point of view. Stefansson speaks of the Inuit as a happy people. Deprived and happy are opposite. I believe Stefansson.
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But heart attacks have always been relatively rare in people younger than 55. and when they occur they are usually due to specific genetic conditions or side effects of other serious disease processes. Because until the second half of the 20th century a much smaller number of people lived into the decades where heart attacks occur, it should not surprise us that heart attacks were rare.
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Insulin is directly atherogenic. Carbohydrate drives insulin. End of argument.
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Another reason why people did not live long enough to develop heart disease was that until the 1950s there were no effective treatments for high blood pressure so people who developed cardiovascular disease who nowadays might die of a heart attack were much more likely to die of stroke or kidney failure caused by high blood pressure first. When Franklin Roosevelt's blood pressure in 1944 was measured at 210/110 his doctors had no way of lowering it.
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Uric acid drives blood pressure. Fructose drives uric acid. Sugar is half fructose. End of argument.
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The physical labor so adulated by today's gym culture did not lead to a longer life, it wore people out. There is a huge difference between spending an hour or two at the gym and putting in 12 hours six days a week at the steel mill, coal mine, or farm. Physical labor takes a very big toll on the body over time. Add the tuberculosis bacillus to the mix, a disease that preys on overworked crowded populations--or syphilis, one of the most frequent killers in the 19th century, though rarely one that appeared on death certificates, stir in a pinch of cholera, typhoid and other water-borne killers, and you have a very good explanation for the lack of heart disease deaths. Most people didn't live long enough to die of heart attacks.
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Glucose is an immuno-suppressant. Sugar is half glucose. It's not the exercise that made them vulnerable, it's the sugar.
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But let's not fall into the trap of imagining that over all health was better in the past and that the reason for this was dietary. For most of human (and hominid) history, food was scare and hard to come by. Starvation was always a possibility. For anyone dwelling in the latitudes where winter brings snow, six months of the year were the "starving time" and agriculture was all that made it possible for large populations to colonize those areas successfully.
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Starvation leaves distinct and unmistakable traces on the bones during growth. If our ancestors starved during that time in their lives, we will find those traces on their bones.
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Living long enough to develop the "diseases of civilization" was, in many ways, a triumph. You have only to look at the curve of population over the past twenty thousand years to see, in evolutionary terms, which diet and lifestyle made people the most successful in terms of reproductive success.
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Developing the diseases of civilization has nothing to do with living long enough but everything to do with eating enough carbohydrate. It may look like there's a connection between how old we are and how sick we are but it's only because in order to eat enough carbohydrate, it takes a long time. But these days, even that is challenged in view of the growing number of young people with diabetes type 2 which used to be called adult-onset. Further, those disease are merely the symptoms of carbohydrate poisoning.