Food – Protein and the Vegan Diet

Some Americans are obsessed with protein. Vegans—individuals who refrain from eating all animal products—are bombarded with questions about where they get their protein. Athletes used to eat thick steaks before competition because they thought it would improve their performance. Protein supplements are sold at health food stores. This concern about protein is misplaced. Although protein is certainly an essential nutrient which plays many key roles in the way our bodies function, we do not need huge quantities of it. In reality, we need small amounts of protein. The protein recommendation for vegans amounts to close to 10 percent of calories coming from protein. This contrasts with the protein intake of non-vegetarians, which is close to 14–18 percent of calories.

Being vegetarian does not mean your diet will be lacking in protein. Most plant foods contain protein, and in fact, it would be very difficult to design a vegetarian diet that is short on protein. In the United States, it appears that vegan diets are commonly lower in protein than standard American diets. Remember, though, with protein, more is not necessarily better. There do not appear to be health advantages to consuming a high protein diet. Diets that are high in protein may even increase the risk of osteoporosis and kidney disease. It is now thought that one of the benefits of a vegetarian diet is that it contains adequate but not excessive protein.

Proteins are made up of smaller units called amino acids. There are about 20 different amino acids, 8 of which must be present in the diet. These are the essential amino acids. Unlike animal proteins, plant proteins may not contain all the essential amino acids in the necessary proportions. However, a varied vegetarian diet means a mixture of proteins are consumed, the amino acids in one protein compensating for the deficiencies of another.

It is very easy for a vegan diet to meet the recommendations for protein. Nearly all vegetables, beans, grains, nuts, and seeds contain some, and often much, protein. Fruits, sugars, and fats do not provide much protein, so a diet based only on these foods would have a good chance of being too low in protein. Vegans eating varied diets containing vegetables, beans, grains, nuts, and seeds rarely have any difficulty getting enough protein as long as their diet contains enough energy (calories) to maintain weight.

Eating a variety of unrefined grains, legumes, seeds, nuts, and vegetables throughout the day, so that if one food is low in a particular essential amino acid another food will make up this deficit, is strongly recommended.

Restoring the Temple – Diet and Diabetes

Glucose, a simple sugar, is the body’s main fuel. It is present in the bloodstream, but in people with diabetes it cannot get into the cells where it is needed. In type 1 diabetes (which was once referred to as childhood-onset diabetes), the problem is an inadequate supply of insulin, the hormone that ushers sugar into the cells of the body. Without insulin, the cell membranes keep sugar out. About 5 to 10 percent of people with diabetes have this type.

The more common type of diabetes, type 2, usually does not occur until adulthood. In this form, there may be plenty of insulin in the bloodstream, but the cells are resistant to it. Glucose cannot easily get into the cells, and it backs up in the bloodstream. Over the short run, people with uncontrolled diabetes may experience fatigue, thirst, frequent urination, and blurred vision. In the long run, they are at risk for heart disease, kidney problems, disorders of vision, nerve damage, and other difficulties.

Dietary Approaches to Diabetes

Food can be powerful in preventing and reversing diabetes. However, dietary approaches have changed as we have learned more about the disease.

The traditional approach to diabetes focuses on limiting refined sugars and foods that release sugars during digestion—starches, breads, fruits, pasta, etc. With carbohydrates reduced, the diet may contain an unhealthful amount of fat and protein. So diabetes experts have taken care to limit fats—especially saturated fats that can raise cholesterol levels—and to limit protein for people with impaired kidney function.

The new approach focuses more attention on fat. Fat is a problem for people with diabetes. The more fat there is in the diet, the harder time insulin has in getting glucose into the cells. Conversely, minimizing fat intake and reducing body fat help insulin do its job much better. Newer treatment programs drastically reduce meats, high-fat dairy products, and oils. At the same time, they increase grains, legumes, fruits, and vegetables. One study found that 21 of 23 patients on oral medications and 13 of 17 patients on insulin were able to get off of their medications after 26 days on a near-vegetarian diet and exercise program. During two- and three-year follow-ups, most people with diabetes treated with this regimen have retained their gains. The dietary changes are simple, but profound, and they work. Low-fat, vegetarian diets are ideal for people with diabetes.

A 2006 study, conducted by the Physicians Committee for Responsible Medicine with the George Washington University and the University of Toronto, looked at the health benefits of a low-fat, unrefined, vegan diet (excluding all animal products) in people with type 2 diabetes. Portions of vegetables, grains, fruits, and legumes were unlimited. The vegan diet group was compared with a group following a diet based on American Diabetes Association (ADA) guidelines. The results of this 22-week study were astounding:

  • Forty-three percent of the vegan group and 26 percent of the ADA group reduced their diabetes medications. Among those whose medications remained constant, the vegan group lowered hemoglobin A1C, an index of long-term blood glucose control, by 1.2 points, three times the change in the ADA group.
  • The vegan group lost an average of about 13 pounds, compared with only about 9 pounds in the ADA group.
  • Among those participants who did not change their lipid-lowering medications, the vegan group also had more substantial decreases in their total and LDL cholesterol levels compared to the ADA group.

This study illustrates that a plant-based diet can dramatically improve the health of people with diabetes. It also showed that people found this way of eating highly acceptable and easy to follow.

Exercise plays an important role in diabetes management. Through regular exercise, the need for insulin injections or oral medications can often be reduced. This holds true not only for people with type 2 diabetes, but also to some extent for those with type 1. Exercising muscles have a voracious appetite for fuel. When an individual is engaged in regular aerobic exercise, glucose is able to enter the cells without the need for as much—or perhaps any—insulin.

While people with type 2 diabetes can often reduce (and sometimes eliminate) medications when their weight is reduced and food and exercise are better controlled, those with type 1 diabetes will always need a source of insulin. The cause of type 1 diabetes remains elusive. Several studies have implicated cow’s milk consumption as a possible contributor. When milk consumption patterns were examined across various nations, there was a strong correlation with the incidence of type 1 diabetes. It may be that milk proteins cause an autoimmune reaction in which the body mistakenly attacks its own insulin-producing cells. Even so, a good diet and regular exercise can minimize the amount of insulin required.

The New Dietary Approach to Diabetes

This new and effective approach to diabetes is remarkably simple. Here are four simple steps to managing your blood sugar (and weight, blood pressure, and cholesterol) with diet.

  1. Begin a Vegan Diet: Avoid Animal Products

Animal products contain fat, especially saturated fat, which is linked to heart disease, insulin resistance, and certain forms of cancer. These products also contain cholesterol and, of course, animal protein. It may surprise you to learn that diets high in animal protein can aggravate kidney problems and calcium losses. Animal products never provide fiber or healthful carbohydrates. A vegan diet is one that contains no animal products at all. So, you will want to avoid red meat, poultry, fish, dairy products, and eggs.

  1. Avoid Added Vegetable Oils and Other High-Fat Foods

Although most vegetable oils are in some ways healthier than animal fats, you will still want to keep them to a minimum. All fats and oils are highly concentrated in calories. A gram of any fat or oil contains nine calories, compared with only four calories for a gram of carbohydrate. Avoid foods fried in oil.

  1. Favor Foods with a Low Glycemic Index

High-glycemic-index foods include sugar itself, white potatoes, most wheat flour products, and most cold cereals.

  1. Go High Fiber

Start slowly. Load up on beans, vegetables, and fruits. Choose whole grains (try barley, oats, quinoa, millet, whole wheat pasta, etc.). …

To put these guidelines to work, … choose unlimited amounts of grains, legumes, fruits, and vegetables. …

Grains: pasta, rice, high-fiber cereals, corn, oatmeal, couscous, bulgur wheat, millet, barley, rye, etc. …

Legumes: beans (black, pinto, kidney, garbanzo, white, etc.), peas, split peas, lentils, nonfat soy products.

Fruits: . . . Bananas, apples, grapes, pears, peaches, oranges, melons, grapefruit, kiwi, and berries, among others, are all good choices.

Vegetables: all, except white potatoes. Examples include tomatoes, cucumbers, carrots, broccoli, cauliflower, spinach, kale, collards, squash, green beans, bok choy, sweet potatoes, and artichokes.

©2007 Physicians Committee for Responsible Medicine; all rights reserved. Reprinted by permission.

Restoring the Temple – Foods and Arthritis

Millions of people suffer from painful and swollen joints associated with arthritis. In the past, many doctors told arthritis patients that dietary changes would not help them. However, this conclusion was based on older research with diets that included dairy products, oil, poultry, or meat.1,2 New research shows that foods may be a more frequent contributor to arthritis than is commonly recognized. It is clear that, at least for some people, a healthier menu is the answer.

Different Types of Arthritis

Arthritis is actually a group of different diseases. Osteoarthritis is a gradual loss of cartilage and overgrowth of bone in the joints, especially the knees, hips, spine, and fingertips. Over 20 million Americans, mostly over age 45, suffer from osteoarthritis, which seems to be the result of accumulated wear and tear. Although it can cause painful episodes, it is characterized by only transient stiffness and does not cause major interference with the use of the hands.

Rheumatoid arthritis (RA), which affects over 2 million people, is a more aggressive form of the disease. It causes painful, inflamed joints, which sometimes become damaged.

Rheumatoid arthritis is one of medicine’s mysteries. There were no medical reports of the disease until the early 1800s. Some have suspected that a virus or bacterium may play a role, perhaps by setting off an autoimmune reaction. Genetics may also be a factor, in that it may influence susceptibility to the disease.

The Role of Diet

For years people have suspected that foods are an important factor in the development of rheumatoid arthritis. Many notice an improvement in their condition when they avoid dairy products, citrus fruits, tomatoes, eggplant, and certain other foods. . . .

A 1989 survey of over 1,000 arthritis patients revealed that the foods most commonly believed to worsen the condition were red meat, sugar, fats, salt, caffeine, and nightshade plants (e.g., tomatoes, eggplant).3 Once the offending food is eliminated completely, improvement usually comes within a few weeks. Dairy foods are one of the principle offenders, and the problem is the dairy protein, rather than the fat, so skim products are as much a problem as whole milk.4

An increasing volume of research shows that certain dietary changes do in fact help. For example, polyunsaturated oils and omega-3 supplements have a mild beneficial effect, and researchers have found that vegan diets are beneficial.5 One 2002 study looked at the influence of a very low-fat vegan diet on subjects with moderate-to-severe RA. After only four weeks on the diet, almost all measures of RA symptoms decreased significantly.6 The journal Rheumatology published a study that found a gluten-free vegan diet improved the signs and symptoms of RA.7 An uncooked vegan diet, rich in antioxidants and fiber, was shown in another study to decrease joint stiffness and pain in patients with RA.8 Some research studies have looked at fasting followed by a vegetarian or vegan diet. A review of multiple research studies concluded that this dietary treatment might be useful in the treatment of RA.9

Vegan diets dramatically reduce the overall amount of fat in the diet, and alter the composition of fats. This in turn can affect the immune processes that influence arthritis. The omega-3 fatty acids in vegetables may be a key factor, along with the near absence of saturated fat. The fact that patients also lose weight on a vegan diet contributes to the improvement.

In addition, vegetables are rich in antioxidants, which can neutralize free radicals. Oxygen free radicals attack many parts of the body and contribute to heart disease and cancer, and intensify the aging processes generally, including of the joints. Iron acts as a catalyst, encouraging the production of these dangerous molecules. Vitamins C and E, which are plentiful in a diet made of vegetables and grains, help neutralize free radicals. Meats supply an overload of iron, no vitamin C, and very little vitamin E, whereas vegetables contain more controlled amounts of iron, and generous quantities of antioxidant vitamins.

As well as being helpful in preventing arthritis, antioxidants may also have a role in reducing its symptoms. Some arthritis treatments, including non-steroidal anti-inflammatory drugs, work at least in part by neutralizing free radicals. For the most part, however, vitamins and other antioxidants will be of more use in preventing damage before it occurs, rather than in treating an inflamed joint.10

A diet drawn from fruits, vegetables, grains, and beans therefore appears to be helpful in preventing and, in some cases, ameliorating arthritis. . . .

Pain-Safe Foods

Pain-safe foods virtually never contribute to arthritis or other painful conditions. These include

  • Brown rice
  • Cooked or dried fruits: cherries, cranberries, pears, prunes (but not citrus fruits, bananas, peaches or tomatoes)
  • Cooked green, yellow, and orange vegetables: artichokes, asparagus, broccoli, chard, collards, lettuce, spinach, string beans, summer or winter squash, sweet potatoes, tapioca, and taro (poi)
  • Water: plain water or carbonated forms, such as Perrier, are fine. Other beverages—even herbal teas—can be triggers.
  • Condiments: modest amounts of salt, maple syrup, and vanilla extract are usually well-tolerated. . . .

Avoid Major Arthritis Triggers

  • Dairy products*. . .
  • Meats**. . .
  • Eggs. . .
  • Coffee

*All dairy products should be avoided: skim or whole cow’s milk, goat’s milk, cheese, yogurt, etc.

**All meats should be avoided: beef, pork, chicken, turkey, fish, etc.

References

  1. Panush RS, Carter RL, Katz P, Kowsari B, Longley S, Finnie S. Diet therapy for rheumatoid arthritis. Arthritis and Rheumatism 1983;26:462-71.
  2. Lithell H, Bruce A, Gustafsson IB, et al. A fasting and vegetarian diet treatment trial on chronic inflammatory disorders. Acta Derm Venereol 1983;63:397-403.
  3. Sobel D. Arthritis: What Works. New York, St. Martin’s Press, 1989.
  4. Skoldstam L, Larsson L, Lindstrom FD. Effects of fasting and lactovegetarian diet on rheumatoid arthritis. Scand J Rheumatol 1979;8:249-55.
  5. Skoldstam L. Fasting and vegan diet in rheumatoid arthritis. Scand J Rheumatol 1986;15:219-23.
  6. McDougall J, Bruce B, Spiller G, Westerdahl J, McDougall M. Effects of a very low-fat, vegan diet in subjects with rheumatoid arthritis. J Altern Complement Med. 2002 Feb;8(1):71-5.
  7. Hafstrom I, Ringertz B, Spangberg A, von Zweigbergk L, Brannemark S, Nylander I, Ronnelid J, Laasonen L, Klareskog L. A vegan diet free of gluten improves the signs and symptoms of rheumatoid arthritis: the effects on arthritis correlate with a reduction in antibodies to food antigens. Rheumatology (Oxford). 2001 Oct;40(10):1175-9.
  8. Hanninen, Kaartinen K, Rauma AL, Nenonen M, Torronen R, Hakkinen AS, Adlercreutz H, Laakso J. Antioxidants in vegan diet and rheumatic disorders. Toxicology. 2000 Nov 30;155(1-3):45-53.
  9. Muller H, de Toledo FW, Resch KL. Fasting followed by vegetarian diet in patients with rheumatoid arthritis: a systematic review. Scand J Rheumatol. 2001;30(1):1-10.
  10. Merry P, Grootveld M, Lunec J, Blake DR. Oxidative damage to lipids within the inflamed human joint provides evidence of radical-mediated hypoxic-reperfusion injury. Am J Clin Nutr 1991;53:362S-9S.

©2007 Physicians Committee for Responsible Medicine; all rights reserved. Reprinted by permission.

[Editor’s Note: Avoid foods that may cause an allergic reaction. Some people with arthritis cannot use nightshade vegetables such as potatoes, tomatoes, green peppers, and eggplant. Ellen White wrote: “Some persons cannot subsist upon the same foods upon which others can do well . . . .” Testimonies, vol. 2, 254.]

Food – Health Gains From Whole Grains

For centuries, the grains humans ate came straight from the stalk. That means they had a carbohydrate package rich in fiber, healthy fats, vitamins, minerals, plant enzymes, hormones, and hundreds of other phytochemicals. Even after we learned how to grind grain, we still received all of the goodness that grains pack in their three layers. Whole grains have a tough, fibrous outer layer called bran that protects the inside of the kernel. The interior contains mostly the starchy endosperm. Its job is to provide stored energy for the germ, the seed’s reproductive kernel, which nestles inside the endosperm. The germ is rich in vitamins, minerals, and unsaturated oils.

The invention of industrialized roller mills in the late 19th century changed what we obtained from grains. Milling strips away the bran and germ, making the grain easier to chew, easier to digest, and easier to keep without refrigeration (the healthy oils in the germ can turn rancid, giving the grain an off taste). Processing also pulverizes the endosperm, turning it from a small, solid nugget into millions of minuscule particles.

Refining wheat creates fluffy flour that makes light, airy breads and pastries. But there is a nutritional price to be paid. The process strips away more than half of wheat’s B vitamins, 90 percent of the vitamin E, and virtually the entire fiber. It also makes the starch easily accessible to the body’s starch-digesting enzymes.

Returning to whole grains and other less-processed sources of carbohydrates improves health in a myriad of ways. As researchers have begun to look more closely at carbohydrates and health, they are learning that the quality of the carbohydrates you eat is at least as important as the quantity. Most studies show a connection between eating whole grains and better health.

The bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose. Soluble fiber helps lower cholesterol. Insoluble fiber helps move waste through the digestive tract. Fiber may also kindle the body’s natural anticoagulants and so help prevent the formation of small blood clots that can trigger heart attacks or strokes. The collection of antioxidants prevents low-density lipoprotein (LDL) cholesterol from reacting with oxygen. Phytoestrogens (plant estrogens) found in whole grains may protect against some cancers.

Question – What do my eating habits have to do with my religion?

Question:

What do my eating habits have to do with my religion?

Answer:

We all have certain eating habits. Some are very neat and dainty; some are course and rough, but we all eat, or we would not have life. What we eat and how we eat are an individual matter.

Health is one of the most important possessions we human beings can have. We may have wealth or intelligence, but if we do not have the health to use them properly, we cannot be the blessing God intends us to be.

God Himself instructed our first parents as to what they should and should not eat. (Geneses 1, 2, and 3.) Since sin entered this world when Adam and Eve ate what God told them not to eat, getting out of this sinful world may have something to do with what we eat. Regarding this, Ellen White wrote: “The reason why many of us will fall in the time of trouble is because of laxity in temperance and indulgence of appetite.

“Moses preached a great deal on this subject, and the reason the people did not go through to the promised land was because of repeated indulgence of appetite. Nine-tenths of the wickedness among the children of today is caused by intemperance in eating and drinking. Adam and Eve lost Eden through the indulgence of appetite, and we can only regain it by the denial of the same.” Review and Herald, October 21, 1884.

The Bible is the very best guide for our religious principles, so we should consider what it says about health. John, the beloved disciple of Jesus, wrote: “Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth.” III John 2.

God is love, and every instruction that He gives us is for our best good and happiness. (See Deuteronomy 6:24.) Since He tells us that He wants us to prosper in health as well as in our spiritual lives, it would be well for us to study how we can have good health. Good health depends on good health habits, which includes our diet. Therefore, it is well for us to study what our bodies need in the way of nutrition that we may fulfill the desire of the Lord in having good health as well as a good religious experience.

Paul wrote: “Whether therefore ye eat, or drink, or whatsoever ye do, do all to the glory of God.” “Know ye not that ye are the temple of God, and [that] the Spirit of God dwelleth in you? If any man defile the temple of God, him shall God destroy; for the temple of God is holy, which [temple] ye are.” I Corinthians 10:31; 3:16, 17.

One way that many people destroy their bodies is by poor choices of food. Many people are suffering from obesity, heart attacks, strokes, and many other maladies that could be prevented by proper diet.

The psalmist says, “I will praise thee; for I am fearfully [and] wonderfully made: marvelous [are] thy works; and [that] my soul knoweth right well.” Psalm 139:14. God gave us a wonderful body, and He also gave us intelligence. It is up to us to use our intelligence in choosing healthful food to eat.

“There is work for us to do—stern, earnest work. All our habits, tastes, and inclinations must be educated in harmony with the laws of life and health. By this means we may secure the very best physical conditions, and have mental clearness to discern between the evil and the good.” Christian Temperance and Bible Hygiene, 25.

Food – Biblical Nutrition

The Bible tells us in I Corinthians 6:19, “Know ye not that your body is the temple of the Holy Ghost which is in you, which ye have of God, and ye are not your own?” When we use something that does not belong to us, we tend to be extra careful with what is lent to us. One way we can take care of the bodies in our care is to nurture them properly.

God addresses how we can best do this in the Bible. He gave Adam and Eve a diet to follow to maintain the perfect health with which they were created. Man was given fruit and every “herb bearing seed.” [Genesis 1:29.] After man sinned, God added the “herb of the field” to our diet. (See Genesis 3:18.) Our diet was changed once more following the flood when flesh was added to the diet. Not all flesh was permitted though. God gave very strict guidelines to adhere to. Clean meats only were acceptable and without the blood or fat. (See Genesis 9:3,4; Leviticus 3:17; 11:47.)

During the Jews captivity in Egypt, the diet was polluted by the Egyptians. “The perverted appetite was to be brought into a more healthy state, that they might enjoy the food originally provided for man—the fruits of the earth, which God gave to Adam, and Eve in Eden.” Christian Temperance and Bible Hygiene, 118. (See also Exodus 16:1–4, 35.) During their deliverance from the land, God once again changed the diet of His people and provided manna.

Many people believe that Peter’s vision was yet another modification in God’s prescribed diet, giving man permission to eat all flesh, but this is not the case. In reading Acts:10:9–17, 28, it is seen that the vision did not pertain to diet at all.

We will have yet another change in our diet in heaven. It is clear that all living species will be returned once again to a vegetarian diet. Isaiah 11:6–9 and 21–25 says, “The cow will feed with the bear, their young will lie down together, and the lion will eat straw like the ox.”

“The education of the Israelites included all their habits of life. Everything that concerns their well-being was the subject of divine solicitude and came within the province of divine law. Even in providing their food, God sought their highest good. The manna with which He fed them in the wilderness was of a nature to promote physical, mental, and moral strength.” Child Guidance, 378. I Corinthians 10:11 speaks in regard to the purpose God had for His dealing with the Israelites in the wilderness.

God has entrusted to us the bodies he created. It is surely a wonderful thing that He would provide us also with a manual to care for His creation.

Health – Deadly Meats

Adventism is a faith known for health reform. A particular way which this is exhibited is in the vegetarian diet that is practiced. This is not an arbitrary decision; rather a conscious and informed practice based on results of scientific research, daily evidence, and a desire to best maintain the most amazing and efficient machines God created, our bodies.

“Beef; it’s what’s for dinner!” Every American has heard this line. And most Americans salivate at the thought. Yet, at the same time we see headlines like, “Meat Consumption Linked to Cancer,” “Mad Cow Killer,” and “Is your Steak at Stake?” proclaiming the dangers of meat-eating. Headlines such as these have been seen everywhere from the New York Times to Science Daily to the Health Journal, and first began appearing in the New York Times in the mid-1800s. In contrast, if you were to Google “vegetables and cancer” the results speak only of the preventative properties of vegetables toward cancer and other health issues, and of the healthfulness of vegetarianism. What is it about these two different classes of diet that makes one potentially deadly and the other a possible agent in reversing the effects of the former?

The make-up of our bodies is primarily protein; hair skin, blood, muscle, and organs are all protein. The protein in our bodies is made up of 20 different amino acids which are essential to the maintenance of our systems. Of these 20, we naturally produce only 9, the rest of which must be obtained through adequate nutrition. When we partake of one serving of animal protein, we are getting more than seven times the amount of protein we need; whereas, in plant protein the concentration in a serving is the recommended amount for the needs of the human body to be fulfilled. What does the body do with the excess protein? It is processed through the kidneys and returned to the body in stored energy that we know as “fat.” It is quite understandable, then, why America is the obese capital of the world!

Obesity carries with it serious health problems. The first and foremost issue is the likelihood of an obese person to develop diabetes. Someone with such a surplus of weight is three times more likely to develop this disease, which also raises the risk of coronary heart disease (CHD), strokes, osteoarthritis, gallstones, and sleep apnea.

When we eat protein, our bodies break down the protein and convert it into a form that is constructive: amino acids. These amino acids then are specialized and sent to the different parts of the body where they are needed. Yet, when there is an excess of amino acids, the body is forced to excrete the extra through the kidneys. Each amino acid strain must be neutralized before the kidneys can do this. The neutralization is done by calcium. Once the calcium is processed through the kidneys, our bodies get rid of both the extra amino acids and the calcium through urination. The calcium for this process comes from the bloodstream forcing the body to then tap into the bone’s stores of calcium, thus depleting the bone density. This is especially dangerous for women. It has been found that women who partake regularly of meat have lost 35% of their bone density by the age of 65.

In addition to the issue of high protein concentration, the meat the average American consumes in a day contains over 75% of the daily caloric recommendation, most of which are calories from fat! Meat also consists of high levels of saturated fat and low-density lipoproteins (LDL), also known as “bad cholesterol”. Saturated fat by itself contains cholesterol, but there is additional cholesterol in meat that is not a part of the strains of saturated fat. Our bodies naturally produce cholesterol in the very limited quantities that we need. Additional amounts, however, are responsible for the clogging and hardening of the arteries. This often leads to issues with heart disease, obesity, strokes, heart attacks, cancer, diabetes, and more. A diet consisting of raw vegetation lacks the necessary properties to induce these physiological issues. Cholesterol is found only in animal products. The Journal for the American Medical Association (JAMA) has stated that a vegetarian diet can prevent 97% of coronary occlusions, or blocked arteries.

In the book The China Study, T. Colin Campbell compares the diet, health statistics (i.e. cholesterol level, blood pressure, mortality rate, etc.), and diseases of China and the United States. The results of this study were astounding! Blood cholesterol levels have been thought by traditional medicine to be dangerously low at 150mg/dl. This was being proclaimed in a country ranked as one of the highest in cancer and heart disease mortality rates. China, on the other hand has an average cholesterol level of 127 mg/dl (America’s average is 215!), and the mortality rate due to the “western diseases” dropped by nearly 70%. What made these findings far more provocative was another study conducted by W. Haenszel and M. Kurihara that tracked the Japanese immigrants to America. This study found that those immigrants who adopted the dietary patterns of the Americans also assumed the health risks of their new geographical area. The implication here is quite strong that these diseases are not caused primarily by genetics, which the western world likes to think, but rather a result of diet and lifestyle. Congress summarized a compilation of these studies and found that only 2–3% of these diseases, particularly cancer, are attributed to genes.

There are ample studies that have proven over and over again that meat consumption is linked with heart disease and cancer. Some of these “studies” have been unintentional. During World War I, Denmark’s supply of meat was cut off. In seeing that one pound of meat is equal to 15 pounds of grain, the government decided to open their grain stores to the people. Not only did the people survive just fine on this diet, they thrived! The death rate dropped 34% from all causes. These results have been repeated throughout history. Whenever there has been a shortage of meat supply, the health of those affected has increased and the disease rate has fallen dramatically. And to drive the point home a little harder, the rate of death and disease rose once again once the supply of meat was restored.

The controlled studies have come to the same conclusion. Caldwell B. Esselstyn M.D. conducted a study of 18 patients who had experienced 48 cardiac events collectively. He placed them on a vegetarian diet low in cholesterol and reviewed the results over a 12 year period. Among those who were placed on this diet, only one patient, who was non-cooperative with the diet, suffered another cardiac event. In those patients who followed the diet, Esselstyn found that the more closely a patient followed the prescribed program, the better off they were.

According to the JAMA, acidity levels in the body causes 97% of the health issues that we encounter, cancer being a leading disease. A meat based diet is a main cause for the high acidity level in the human body. One of the body’s highest priorities is to maintain a healthy pH balance in the blood. The pH range is very narrow; between 7.35 and 7.45. If the pH level in the body goes below 7.355, the body begins to lose its proper function. Cell production is slowed, energy production in the cells lessens, and the body’s ability to absorb nutrients and minerals is hindered. The effects of this may be somewhat subtle at first and easy to blame on other causes; however, left unattended, the consequences could turn severe. Fatigue, depression, headaches, sleep depravation, lack of energy, lack of concentration, achiness, and increased illness are just some of the short-term effects. If the body’s pH remains acidic over a period of time, Crohn’s Disease, colitis, arthritis, kidney stones, heart disease, Alzheimer’s, diabetes, cancer, and a myriad of other diseases come into play.

Here is where we see the link between cancer and the consumption of flesh meat. Meat has a natural pH ranging from 4.0 to 5.0, although, to help tenderize the flesh, a lower pH is artificially induced, bringing the acidity level as low as 2.5. Dieticians recommend four parts alkali to one part acid in our diet. An appropriate acidic level for consumption is not below 6.0! When our bodies ingest this amount of acidity, the cell production is slowed down significantly and the new cells often are mutated. In addition to this, the reparation of cells is dangerously inhibited. Cancer occurs when there is an interruption in the cell’s natural process. If a newly developing cell splits before it has all the information required to function properly, these cells may not die when they are supposed to and duplicate when they should not. They also may not have received the information that dictates with what part of the body they belong, which allows them to travel to places where they are not needed and can be harmful. This is what forms tumors.

The fact of the matter is that cancerous cells are anaerobic, meaning that they survive without oxygen, and they are acidic, which means that they thrive in a low pH. This means that cancer cells cannot survive in an alkaline environment! Different parts of our body, out of necessity, vary in their pH balance. Yet, every part is affected by what we put into our bodies. The nutrients that we ingest, along with the toxins and acids, are transported through our bloodstream. So the entire body is fed through our blood. Whatever is in the bloodstream is carried to every portion of the body and distributed, toxins and all. If the blood is acidic, the entire body will be also. By maintaining a diet that is primarily alkaline, we can take our health into our own hands.

Through diet and a healthy life style we can take a responsible stance with our health and prevent the top five leading causes of death in our country: heart disease, cancer, medical care, stroke, and chronic lower respiratory diseases (in order from greatest to least). God has blessed us through His provision of the means to maintain the health of our bodies, and the necessary remedies to heal them. While we are just now figuring this out, Ellen White wrote on this very matter: “While He [Christ] did not give countenance to drug medication, He sanctioned the use of simple and natural remedies.” Counsels on Health, 30. “By the use of poisonous drugs, many bring upon themselves lifelong illness, and many lives are lost that might be saved by the use of natural methods of healing. The poisons contained in many so-called remedies create habits and appetites that mean ruin to both soul and body. … The use of natural remedies requires an amount of care and effort that many are not willing to give. Nature’s process of healing and upbuilding is gradual, and to the impatient it seems slow. The surrender of hurtful indulgences requires sacrifice. But in the end it will be found that nature, untrammeled, does her work wisely and well. Those who persevere in obedience to her laws will reap the reward in health of body and health of mind.” The Ministry of Healing, 127, 128. “Our Saviour is the restorer of the moral image of God in man. He has supplied in the natural world remedies for the ills of man, that His followers may have life, and that they may have it more abundantly. We can with safety discard the concoctions which man has used in the past. The Lord has provided antidotes for disease in simple plants, and these can be used by faith, with no denial of faith; for by using the blessings provided by God for our benefit we are cooperating with Him. We can use water and sunshine and the herbs which He has caused to grow for healing maladies brought on by indiscretion or accident.” Selected Messages, Book 2, 289.

Alicia Freedman works at Steps to Life as a part of the LandMarks team. She can be reached by e-mail at: landmarks@stepstolife.org.

Health – Process This

The Bible talks about the refining process whereby God prepares His people for everlasting life. (See Malachi 3.) This refining process is necessary and good because it removes impurities from the character just as impurities must be removed from gold or silver by a refining process. However, not all refining is necessarily good. Ecclesiastes 3:14 says that when God does something, nothing can be added to it and nothing can be taken from it; in other words, when we try to add something to it or take something from it we end up getting ourselves into trouble, and this trouble becomes worse the more that we attempt to add or the more that we attempt to take away from what God has made. In no other area is this fact more evident than in the food that we eat. God made certain foods for His children to eat (Genesis 1:29), and when we attempt to add to these foods or take away from them by refining, we can get ourselves into trouble when this becomes a significant part of our diet.

This does not mean that refining of our food is wrong—just that we need to understand exactly what we are doing and not allow this refined food to become a major part of our diet. The fact that refined food is all right in moderation is shown by the communion supper. At the communion supper we do not eat grapes or raisins but a refined product of the grape, the juice of the grape which, of course, is a refined product of the grape. However, this was never intended to become a major part of our diet (See I Corinthians 11:21, 22). Not only do we drink a refined product at the communion supper, but we also eat a refined product—the unleavened bread used at the Passover season was made with oil, which is also a refined product from the olive (or sesame seed in ancient times).

Just as there is nothing wrong with using grape syrup or sugar, in the same way there is nothing wrong with using oil from the olive, even though both are refined products, but we should understand exactly what we are doing and not allow these refined foods to become a major part of our diet.

There has been a great amount of confusion about fat intake and the relation of this fat intake to serious diseases such as heart disease and cancer. A most revealing observation is made by Dr. T. Colin Campbell in The China Study, pages 82 and 83, about this confusion: “The unanswered questions on fat remain unanswered, as they have for the past forty years. … The details that underlie these questions, when considered in isolation, are very misleading. … The correlation between fat intake and animal protein intake is more than 90%. This means that fat intake increases in parallel with animal protein intake; in other words, dietary fat is an indicator of how much animal-based food is in the diet. It is almost a perfect match.”

As Christians we should know what we are eating. With this in mind, we are now going to explain to you briefly how refined oils are processed so that you will have information to evaluate what you are seeing on food labels in the grocery store.

There are three methods of extracting oils from nuts or grains or beans or seeds or fruits such as the olive. Probably the most ancient method is by the use of a press. Today we use hydraulic presses to do this. This method yields a good quality of oil. It can be used only on sesame seeds and olives. These are the only two oils that can truthfully be called “cold-pressed.”

A second method of extracting oils is with a screw or press that has a constantly rotating worm shaft (called an expeller). Cooked material goes into one end and at the other end is discharged with the oil squeezed out. Although this oil is sometimes referred to as cold-pressed, normal temperatures for this process are from 200 to 250 degrees.

The third method of extracting oil from these same plant sources is called solvent extraction. The products containing the oils are ground up and then cooked and then mixed with a petroleum-based solvent which dissolves out of the oils, leaving a dry residue. The solvent is separated from the oils. Naptha solvents are used such as pentane, heptane, hexane or octane, the one most commonly used in the past has been hexane. (Synthetic Trichlorethylene has also been used.) These oils are not processed by a press, but are extracted by the solvent.

Sodium hydroxide and temperatures over 400 degrees are commonly used, but the oil generally undergoes further processing to make it more palatable. These processes include filtration, deodorization and bleaching. Even after considerable refining, it has been acknowledged that traces of solvent (usually hexane) remain in the oil.

Natural oils from plant products contain many nutrients, including pro-Vitamin A, Vitamin E, and a variety of fatty acids. Some of the natural nutrients are either altered, removed or destroyed by the refining processes.

Our ancestors did not eat these oils because they were not available to them, they only had access to what we call cold-pressed oils. Refining of corn began in about 1844, and the first commercial production of corn oil was in 1889.

In the 1950s as a result of conclusions made from the Framingham study (on heart disease), polyunsaturated fat was promoted to the American consumer. The idea was that if we increased our intake of polyunsaturated fat, we would decrease our risk of heart disease. (Study carefully the quotation from Dr. Campbell above in this regard.) Intake of polyunsaturated fat has increased a great deal since the 1950s and many are now asking the question, “Is there any danger in this high intake of polyunsaturated fat?” The answer to this question is sobering. We know now that large amounts of polyunsaturated fats are associated with numerous health problems, including cancer. Excessive use of vegetable oils are damaging to the lungs and the reproductive organs and huge increases in cancer at these sites have occurred during the last few decades.

A new controversial question about oil has emerged in the last 20 years. A hybridized rapeseed oil (given the commercial name “canola,” the actual name is “Low Erucic Acid Rapeseed” or LEAR oil) was developed and was given GRAS status (generally recognized as safe) by the US FDA in 1985. Use of this oil has soared all over the world. It is commonly used in spreads such as margarines, baked goods, snack foods, and use of hydrogenated canola oil for frying is increasing in restaurants.

There are no research studies that would give strong proof that this oil is harmful to humans, but the problem with this statement is that no long-term studies on humans have been done—it has not been used long enough to do a long-term study. We are in unknown territory. We are using a food that has only been in existence for a few years, and we simply do not know what the long-term consequences might be. Some have stated that this oil has been used for thousands of years in China, but remember that it was not the new hybridized rapeseed, and also, just as importantly, it was crude oil processed by stone presses that pressed out the oil at low temperatures, whereas today it is solvent-extracted at high temperatures and with chemicals as explained in the explanations earlier. The standard deodorization process removes a large portion of the omega-3 fatty acids and turns them into trans fatty acids. The University of Florida found trans fatty acids as high as 4.6 percent in the commercial liquid oil. (If the oil is then hydrogenated, the level of trans fatty acids could be as high as over 40%.) You should always read the labels of the products you are buying to see if the oil or fat is hydrogenated or partially hydrogenated.

There are scientific studies using canola oil that point in the direction that this oil may not be healthy for the cardiovascular system. One of the apparent problems with the use of canola oil is lack of saturated fat that can occur if other fats containing saturated fatty acids, such as butter, lard, tallow, palm oil or coconut oil are not part of the diet. It now appears that high levels of omega-3 fatty acids and low levels of saturated fats could be dangerous. In other words, eating some coconut might not be at all as dangerous as you have read in the past.

In our technologically advanced age we might still profitably ponder and choose to adopt some of the dietary practices of our ancestors who chose mainly traditional whole foods which had been grown with biological rather than chemical methods and were processed only minimally, and did not have their fat content altered by chemical means or removed by processing.

Pastor John Grosboll is Director of Steps to Life and pastors the Prairie Meadows Church in Wichita, Kansas. He may be contacted by e-mail at: historic@stepstolife.org, or by telephone at: 316-788-5559.

Mighty Minerals, Vital Vitamins

Our bodies are built up from the food we eat. There is a constant breaking down of the tissues of the body; every movement of every organ involves waste, and this waste is repaired from our food. Each organ of the body requires its share of nutrition. The brain must be supplied with its portion; the bones, the muscles, and the nerves demand theirs. It is a wonderful process that transforms the food into blood and uses this blood to build up the varied parts of the body; but this process is going on continually, supplying with life and strength each nerve, muscle, and tissue.” Child Guidance, 378.

Our bodies were designed to operate without our conscious effort. We do not have to think through our body’s digestive process in order for it to happen, nor do we process out our blood’s circulation to get the life sustenance to our extremities. We do not usually pump our lungs manually to get air into them. We breathe without conscious effort. But in order to be able to do all these things, we need to provide our bodies with sufficient calories, vitamins, and minerals, which can best be done through a varied diet. Also, since the invention of dietary supplements, those who have a poor diet, or are compromised in their health condition, are able to use these aids to improve their overall health.

The substances that the body needs to develop and maintain properly are vitamins. There are 13 vitamins that are essential to our livelihood: A, C, D, E, K, and the B-family (thiamine, riboflavin, niacin, pantothenic acid, biotin, B6, B12, and folate). To break things down a little further, a vitamin is an organic compound that an organism cannot create in sufficient amounts on its own and must be obtained via another source, mainly through diet. As the word “compound” implies, each vitamin consists of several vitamers. These collective vitamers work together to produce the vitamin and the effect each vitamin has on the body. For example, cyanocolabim, hydroxocolabim, methylocolabim, and 5-deoxadenosylcolabim are all vitamin B12 vitamers. Each unique combination of vitamers are what allow the 13 different vitamins to play their different roles in the body’s upkeep. These roles are as diverse as regulating tissue growth and hormones and aiding in vision.

Today, we have an abundant supply of vitamins that come in the form of pills. But before these were available, food was the only way to obtain these necessary nutrients. Hippocrates, who is known as the Father of Modern Medicine said, “Let thy food be thy medicine, and thy medicine, thy food;” which is still the best health practice. His finding, among many others, was that feeding his patients liver which is packed with vitamin A, was a cure for night blindness. We now recognize vitamin A as necessary for night vision.

The Renaissance period spawned the growth of oceanic travel which led also to the rise in scurvy cases. Scurvy is a disease defined by the lack of collagen formation which prevents wounds from healing, bleeding from the gums, extreme fatigue, and severe joint and muscle pain. James Lind, a Scottish surgeon, found that citrus fruits prevented the onset of this terrible ailment. The ultimate finding was that scurvy was brought on by a vitamin C deficiency. Throughout the late 1800s and early 1900s, scientists were able to identify necessary components of the diet through deprivation studies. However, it was not until 1912 that the word “vitamine” was pronounced as a vitally necessary component to the human body and its functionality. Later, in 1920, the word was changed to vitamin.

Since then, vitamins have been classified into two groups: fat soluble and water soluble. Four of the thirteen human vitamins are fat soluble: A, D, E, and K. The eight B vitamins and vitamin C are water soluble. Water soluble vitamins are dissolvable in water and thus are eliminated through urination. Because of this, the water-soluble vitamins must be replenished on a daily basis.

Both groups of vitamins are absorbed through the intestinal tract with the aid of lipids, or fats. However, fat soluble vitamins are stored in the body’s fat for long periods of time and do not need to be replaced as frequently as the water-soluble vitamins. Replacing these vitamins too frequently leaves to a higher danger of toxicity (known as hypervitaminosis).

From the moment of conception, the human body develops through the use of vitamins and minerals. The nutrients play an integral role in the chemical reactions that are responsible for the creation of the body’s many intricate systems. When even one vitamin or mineral is lacking in an appropriate amount, the development can be seriously impaired. In order for the body to be properly maintained, these same nutrients must be available for use. They are necessary for everything from tissue repair to the support of chemical reactions that keep the body operational.

Minerals are the second of these two vital components. Unlike vitamins, which are carbon compounds, or derived from living matter, minerals are inorganic and make up about 4% of our body mass. There are two types of minerals: major or (macro) minerals, and trace minerals. Trace minerals are iron, zinc, copper, selenium, iodine, cobolt, fluorine, manganese, molybdenum, and chromium. The body requires less than 100 milligrams of trace minerals per day for optimum upkeep. The major, or macrominerals, are sodium, potassium, calcium, phosphorus, magnesium, manganese, sulfur (provided through adequate protein intake) and chlorine (amply provided through sodium). These minerals are needed by the body in quantities higher than 100 milligrams daily. Minerals serve three principle roles in the body. They provide structure in forming bones and teeth. Minerals maintain normal heart rhythm, muscle contractility, neural conductivity, and acid-based balance. Also in their realm is the regulation of cellular metabolism. Just like vitamins, minerals are obtained through our diet.

Vitamins and minerals interact with each other to produce the necessary effects in the body. For example, a combination of vitamin D, calcium, phosphorus, magnesium, zinc, fluoride, chloride, manganese, copper, and sulfur is necessary to keep bones healthy. And calcium, for instance, depends on the presence of certain vitamins such as vitamin D for its proper absorption. Because vitamins and minerals depend on the presence of one another to function optimally in the body , it is not enough to ensure that your body is just obtaining enough of one or the other; maintaining a proper balance of both is vital to optimum health.

“Health reformers, above all others, should be careful to shun extremes. The body must have sufficient nourishment. We cannot subsist upon air merely; neither can we retain health unless we have nourishing food.” Counsels on Diet and Foods, 207.

“A diet lacking in the proper elements of nutrition brings reproach upon the cause of health reform. We are mortal and must supply ourselves with food that will give proper nourishment to the body.” Testimonies, vol. 9, 161.

1 Vitamins: Their role in the Human Body, by George F. M. Ball.

Restoring the Temple – Fruits, Cereals, Vegetables

The Lord intends to bring His people back to live upon simple fruits, vegetables, and grains.” Counsels on Diet and Foods, 322.

“The Lord desires those living in countries where fresh fruit can be obtained during a large part of the year, to awake to the blessing they have in this fruit. The more we depend upon the fresh fruit just as it is plucked from the tree, the greater will be the blessing.

“It would be well for us to do less cooking and to eat more fruit in its natural state. . . . Eat freely of the fresh grapes, apples, peaches, pears, berries, and all other kinds of fruit that can be obtained.” Ibid., 309.

An Adequate Diet

“Grains, fruits, nuts, and vegetables constitute the diet chosen for us by our Creator. These foods prepared in as simple and natural a manner as possible, are the most healthful and nourishing. They impart a strength, a power of endurance, and a vigor of intellect, that are not afforded by a more complex and stimulating diet.” Ibid., 310.

“Those who eat flesh are but eating grains and vegetables at second hand; for the animal receives from these things the nutrition that produces growth. The life that was in the grains and vegetables passes into the eater. We receive it by eating the flesh of the animal. How much better to get it direct, by eating the food that God provided for our use!” Ibid., 313.

“It is a mistake to suppose that muscular strength depends on the use of animal food. The needs of the system can be better supplied, and more vigorous health can be enjoyed, without its use. The grains, with fruits, nuts, and vegetables, contain all the nutritive properties necessary to make good blood.” Ibid.

“We are built up from that which we eat. Shall we strengthen the animal passions by eating animal food? In the place of educating the taste to love this gross diet, it is high time that we were educating ourselves to subsist upon fruits, grains, and vegetables. . . . A variety of simple dishes, perfectly healthful and nourishing, may be provided, aside from meat. Hearty men must have plenty of vegetables, fruits, and grains.” Ibid., 322.

Temporary Fruit Diet

“Intemperate eating is often the cause of sickness, and what nature most needs is to be relieved of the undue burden that has been placed upon her. In many cases of sickness, the very best remedy is for the patient to fast for a meal or two, that the overworked organs of digestion may have an opportunity to rest. A fruit diet for a few days has often brought great relief to brain workers. Many times a short period of entire abstinence from food, followed by simple, moderate eating, has led to recovery through nature’s own recuperative effort. An abstemious diet for a month or two would convince many sufferers that the path of self-denial is the path to health.” Ibid., 310.

Abundantly Supplied

“Nature’s abundant supply of fruits, nuts, and grains is ample, and year by year the products of all lands are more generally distributed to all, by the increased facilities for transportation. As a result, many articles of food which a few years ago were regarded as expensive luxuries, are now within the reach of all as foods for everyday use.

“If we plan wisely, that which is most conducive to health can be secured in almost every land. The various preparations of rice, wheat, corn, and oats are sent abroad everywhere, also beans, peas, and lentils. These, with native or imported fruits, and the variety of vegetables that grow in each locality, give an opportunity to select a dietary that is complete without the use of flesh meats.” Ibid., 313, 314.

Cereals

“Grains used for porridge or ‘mush’ should have several hours’ cooking. But soft or liquid foods are less wholesome than dry foods, which require thorough mastication.

“Some honestly think that a proper dietary consists chiefly of porridge. To eat largely of porridge would not ensure health to the digestive organs; for it is too much like liquid. Encourage the eating of fruit and vegetables and bread.” Ibid., 314, 315.

The Staff of Life

“Bread should be thoroughly baked, inside and out. The health of the stomach demands that it be light and dry. Bread is the real staff of life, and therefore every cook should excel in making it.

“Some do not feel it is a religious duty to prepare food properly; hence they do not try to learn how. They let the bread sour before baking, and the saleratus added to remedy the cook’s carelessness makes it totally unfit for the human stomach. It requires thought and care to make good bread. But there is more religion in a good loaf of bread than many think.” Ibid., 315, 316.

“Bread should be light and sweet. Not the least taint of sourness should be tolerated. The loaves should be small, and so thoroughly baked that, as far as possible, the yeast germs shall be destroyed. When hot, or new, raised bread of any kind is difficult of digestion. It should never appear on the table. This rule does not, however, apply to unleavened bread. Fresh rolls made of wheaten meal, without yeast or leaven, and baked in a well-heated oven, are both wholesome and palatable. . . .

Zwieback

“Zwieback, or twice-baked bread, is one of the most easily digested and most palatable of foods. Let ordinary raised bread be cut in slices and dried in a warm oven till the last trace of moisture disappears. Then let it be browned slightly all the way through. In a dry place this bread can be kept much longer than ordinary bread, and if reheated before using, it will be as fresh as when new.

“Bread which is two or three days old is more healthful than new bread. Bread dried in the oven is one of the most wholesome articles of diet.” Ibid., 316, 317.

Dangers of Sour Bread

“The stomach has not power to convert poor, heavy, sour bread into good food; but this poor bread will convert a healthy stomach into a diseased one. Those who eat such food know that they are failing in strength. Is there not a cause? Some of these persons call themselves health reformers, but they are not. They do not know how to cook. They prepare cakes, potatoes, and graham bread, but there is the same round, with scarcely a variation, and the system is not strengthened. They seem to think the time wasted which is devoted to obtaining a thorough experience in the preparation of healthful, palatable food. . . .

“Many have been brought to their death by eating heavy, sour bread. An instance was related to me of a hired girl who made a batch of sour, heavy bread. In order to get rid of it and conceal the matter, she threw it to a couple of very large hogs. Next morning the man of the house found his swine dead, and upon examining the trough, found pieces of this heavy bread. He made inquiries, and the girl acknowledged what she had done. She had not a thought of the effect of such bread upon the swine. If heavy, sour bread will kill swine, which can devour rattlesnakes, and almost every detestable thing, what effect will it have upon that tender organ, the human stomach?” Ibid., 317, 318.

“We have been going back to Egypt rather than on to Canaan. Shall we not reverse the order of things? Shall we not have plain, wholesome food on our tables?” Ibid., 319.

Ellen G. White (1827–1915) wrote more than 5,000 periodical articles and 40 books during her lifetime. Today, including compilations from her 50,000 pages of manuscript, more than 100 titles are available in English. She is the most translated woman writer in the entire history of literature, and the most translated American author of either gender.