I’m Diane Kress; author of the NY Times Bestselling “Metabolism Miracle” books and creator of this medically sound and scientifically proven lifestyle program. Yes, for over 35+ years I was a registered dietitian and Certified Diabetes Educator….but for over 25 years, I realized that the key to preventing and treating many medical conditions, including Type 2 diabetes, was a lower carb, lean protein, healthy fat diet with LOTS of neutral vegetables.
The problem with this lower carb healthy diet is that many “loved” foods simply didn’t make it to the approved list to stay healthy for those with overweight/obesity, metabolic syndrome, pre diabetes, Type 2 diabetes, or PCOS. Can you imagine knowing that over-time, bagels, subs , pizza, pasta, and most desserts could eventually worsen these conditions?
Another problem for those who need to reduce their carbohydrate intake? MANY breads, rolls, pastas, etc. are MISLABELED as low carbohydrate. A once very popular low carb pasta (Dream******) was the focus of a multi million dollar class action lawsuit as their “dream” pasta products were a nightmare. They were simply regular pasta in their fake box.
Unfortunately, Nutrition Facts and Ingredient lists on many packaged products we purposely buy (and pay more for) because of their low carb claims never have to prove their statements. Unless they are sued for being BOGUS in their labeling, their claims are never checked.
As a person with Type 2 diabetes, I have seen my own blood glucose rise from several “low carb products.” I can make a judgement on the validity of a product only if something as obvious as Nutrition Facts that cannot possibly add up to reported Nutrition Facts.
Let’s talk about The Great Low Carb Bread Company’s products. Find them on http://www.greatlowcarb.com. You can also find GLCBC’s products on Netrition.com. The ingredients are “the real deal” and of the highest quality. Best of all, Great Low Carb Bread Company’s ingredients match the Nutrition Facts!!!!
Bread, rolls, buns, bagels, pizza crust, pasta, cookies, baking mixes, muffins, and many more low carb/Paleo products are delicious and legitimate.
The whole bagel has only 2 grams net carbohydrate and it is NEUTRAL on The Metabolism Miracle. We’re talking about a bagel replacement! Toast and add your favorite spread; whipped cream cheese, lox, butter, egg salad, lunch additions like turkey and cheese, ham, tuna salad….and ENJOY.
Why not just eat a regular Everything Bagel? Check your blood glucose 1-2 hours after a http://www.greatlowcarb.com bagel (2 grams net carb) and get happy. Check your blood glucose 1-2 hours after a regular bagel (contains about 60 grams net carb) and get a shock. My normally controlled blood glucose can rise to over 200mg/dL.
Your products will arrive at your doorstep, freeze immediately, and take them out as you need them. I promise they will cure your carbohydrate cravings as you stay true to your lower carbohydrate lifestyle.
I’ve seen reports of Ivermectin being prescribed “off-label” for decreasing the severe symptoms of COVID-19. I have also read reports of the wonderful benefits of Hydrochlorquinone in decreasing severe symptoms of COVID-19. Heck, I’ve seen Plaquenil work for over 10 family and friends who fit the profile for severe COVID.
These are just two of the already developed medications that may act similarly to taking Tamiflu within 3 days of flu symptoms; If you have the flu and visit your MD for Tamiflu within 3 days, you will feel much better much sooner.
Cost of a full treatment of Ivermectin In the US? $6.00.
Since no significant clinical trials are being done for “COVID-19 TREATMENTS” like Ivermectin or Hydrochloroquine, the FDA will never approve their use for COVID-19. 6.00/treatment to decrease deaths and severe symptoms of COVID. WHY DOESN’T THE US MEDICAL COMMUNITY/ RESEARCHERS perform CLINICAL TRIALS on medications for the treatment of COVID-19? The drugs are already available and have been used for years!
Those who at high risk for severe COVID-19, those who are elderly, have cardiovascular disease, diabetes, chronic respiratory disease, hypertension, cancer, prior stroke, heart disease, or chronic kidney disease would be advised to take the experimental “vaccine”.
The COVID-19 “vaccine” requires signing a waiver that takes away your legal recourse should you develop issues caused by the shot at any time in the future; 1 minute after or 50 years after. By signing the waiver, you are agreeing to be part of this world-wide experiment.
The “vaccine” is EXPERIMENTAL and not approved by the FDA except for this “emergency” use. This “vaccine” is not a vaccine as we know it. When you were vaccinated for polio, measles, mumps, rubella, diphtheria, tetanus, pertussis, ….you were protected from that disease. (Some vaccines require boosters later in life). The traditional vaccines eradicated the disease.
Have you noticed the terminology used for this Covid-19 “vaccine?” “We need to get shots in arms”.
A traditional vaccine prevents a person from contracting a disease. This is how some deadly and debilitating illnesses have been practically eradicated in the US. With the Covid-19 “vaccine”, we are told to continue wearing masks even after we are completely vaccinated.
Truth is, even after being totally “vaccinated” from COVID-19, you can still get and pass along COVID.
Best result? They say you will have less severe symptoms if you get COVID-19. Many people have asymptomatic COVID-19. Those who are fully vaccinated can pass along asymptomatic COVID-19.
I find it interesting that the most highly vaccinated states/areas are seeing a climb in COVID-19 cases. Are new variants the cause of the increasing numbers? Or does the vaccine not really prevent transmission of the virus? At best, it appears the current “vaccine” may only cover severe symptoms from certain variants of COVID-19.
We are told that once over 70-ish percent of the population are fully vaccinated, we can live normally. But, no one knows how long the vaccine lasts, no one says you can’t pass along or get COVID-19 after the vaccination. Despite being prioritized for COVID-19 vaccinations by the Centers for Disease Control, nearly half of front-line health care workers in our country have not gotten one or more doses, according to a survey conducted by the Washington Post and the Kaiser Family Foundation. Over 53% of medical workers in NYC are not choosing to be vaccinated. If you are hospitalized, 1 in 2 members of your healthcare team are NOT vaccinated.
I should mention that I am not an anti-vaxer. Myself, my children, my grandchildren are all fully vaccinated. I am not a conspiracy theorist. But, I feel differently about the COVID-19 vaccine than traditional vaccines. This is the first “vaccine” with mRNA. There is no long term data. There is no data as to how long the “vaccine” is viable in the body. This is not a political opinion as it was developed under the leadership of one political party and mainly distributed by another. This is only my opinion…food for thought. When the FDA approves the vaccine as something other than experimental, I will consider it.
I will wait until a COVID-19 “vaccine” is no longer an experiment. I will wait until the FDA lifts “experimental” from this injection. It usually takes years for adequate testing to be done to approve the safety and efficacy of a vaccine. Covid-19 was discovered, researched, vaccines were developed, manufactured, made available to the public, and injected in less than a year. Zero long term testing. If COVID-19 can still be passed along and I can still get COVID-19….why join in this experiment with a signed waiver? As usual, Follow the money regarding this virus and experimental COVID-19 “vaccines”.
I know many people will disagree with me. This is only my opinion.
A dosage mix-up at a Baltimore production facility, which ruined about 15 million doses of Johnson & Johnson’s COVID vaccine, has prompted the U.S. Food and Drug Administration to delay shipments of the vaccine.
Employees at Emergent BioSolutions, a production facility in Baltimore, reportedly mixed-up two vaccine dosages.
The offices and manufacturing facility of Emergent Biosolutions, which is manufacturing vaccines for AstraZeneca and Johnson & Johnson, are seen through a security fence on February 8, 2021, in Baltimore, Maryland. (Getty Images)
Shipments of Johnson & Johnson’s vaccine have been delayed pending an investigation by the FDA.
US officials said the vaccine spoilage will not impact plans to provide enough vaccine to immunize every adult by May.
In a statement provided to Fox Business, Johnson & Johnson said it expects to deliver its vaccine at a rate of more than one billion doses by the end of 2021.
The company said quality control identified one batch of drug substance that did not meet quality standards at Emergent Biosolutions, and that batch was never advanced to the filling and finishing stages of its manufacturing process.
FILE: A member of the Philadelphia Fire Department prepares a dose of the Johnson & Johnson COVID-19 vaccine at a vaccination site setup in Philadelphia. (AP)
Johnson & Johnson vaccine doses that are currently being shipped nationwide were produced in the Netherlands, where regulators have fully approved operations, The New York Times reported.
Informed consent disclosure to vaccine trial subjects of risk of COVID-19 vaccines worsening clinical disease
Abstract: Aims of the study: Patient comprehension is a critical part of meeting medical ethics standards of informed consent in study designs. The aim of the study was to determine if sufficient literature exists to require clinicians to disclose the specific risk that COVID-19 vac-cines could worsen disease upon exposure to challenge or circulating virus.
Methods used to conduct the study: Published literature was reviewed to identify preclinical and clinical evidence that COVID-19 vaccines could worsen disease upon exposure to challenge or circulating virus.
Clinical trial protocols for COVID-19 vaccines were reviewed to determine if risks were properly disclosed.
Results of the study:COVID-19 vaccines designed to elicit neutralizing antibodies may sensitize vaccine recipients to more severe disease than if they were not vaccinated.Vaccines for SARS, MERS and RSV have never been approved, and the data generated in the development and testing of these vaccines suggest a serious mechanistic concern: that vaccines designed empirically using the traditional approach (consisting of the unmodified or minimally modified corona-virus viral spike to elicit neutralizing antibodies), be they composed of protein, viral vector, DNA or RNA and irrespective of delivery method, may worsen COVID-19 disease via antibody-dependent enhancement (ADE).This risk is sufficiently obscured in clinical trial protocols and consent forms for ongoing COVID-19 vaccine trials that adequate patient comprehension of this risk is unlikely to occur, obviating truly informed consent by subjects in these trials.
Conclusions drawn from the study and clinical implications:The specific and significant COVID-19 risk of ADE should have been and should be prominently and independently disclosed to research subjects currently in vaccine trials, as well as those being recruited for the trials and future patients after vaccine approval, in order to meet the medical ethics standard of patient comprehension for informed consent.1 |
THE RISK OF ADE IN COVID-19 VACCINES IS NON-THEORETICAL AND COMPELLING
Vaccine-elicited enhancement of disease was previously observed in human subjects with vaccines for respiratory syncytial virus (RSV), dengue virus and measles.1 Vaccine-elicited enhancement of disease was also observed with the SARS and MERS viruses and with feline coronavirus, which are closely related to SARS-CoV-2, the causative pathogen of COVID-19 disease. The immune mechanisms of this enhancement have invariably involved antibodies, from direct antibody-dependent enhancement, to immune complex formation by antibodies, albeit accompanied by various coordinated cellular responses, such as Th2 T-cell skewing
7 Notably, both neutralizing and non-neutralizing antibodies have been implicated. A recent study revealed IgG-mediated acute lung injury in vivo in macaques infected with SARS that correlated with a vaccine-elicited, neutralizing antibody response
8 Inflammation and tissue damage in the lung in this animal model recapitulated the inflammation and tissue damage in the lungs of SARS-infected patients who succumbed to the disease. The time course was also similar, with the worst damage occurring in delayed fashion in synchrony with ramping up of the immune response.
Remarkably, neutralizing antibodies controlled the virus in the animal, but then would precipitate a severe, tissue-damaging, inflammatory response in the lung. This is a similar profile to immune complex-mediated disease seen with RSV vaccines in the past, wherein vaccinees succumbed to fatal enhanced RSV disease because of the formation of antibody-virus immune complexes that precipitated harmful, inflammatory immune responses.
It is also similar to the clinical course of COVID-19 patients, in whom severe COVID-19 disease is associated with the development of anti-SARS-CoV-2 serum antibodies,9 with titres correlating directly with the severity of disease
.10 Conversely, subjects who recover quickly may have low or no anti-SARS-CoV-2 serum antibodies.
11The elicitation of antibodies, specifically neutralizing anti-bodies, is the goal of nearly every current SARS-CoV-2 vaccine candidate. The prior evidence that vaccine-elicited, antibody-de-pendent enhancement (ADE) of disease is likely to occur to some degree with COVID-19 vaccines is vertically consistent from controlled SARS studies in primates to clinical observations in SARS and COVID-19.
Thus, a finite, non-theoretical risk is evident in the medical literature that vaccine candidates composed of the SARS-CoV-2 viral spike and eliciting anti-SARS-CoV-2 antibodies, be they neutralizing or not, place vaccinees at higher risk for more severe COVID-19 disease when they encounter circulating viruses. Indeed, studies in mice of prior SARS vaccines revealed this exact phenotype, with four human vaccine candidates eliciting neutralizing antibodies and protecting against SARS challenge, but viral re-challenge of thus vaccinated animals resulting
in immunopathologic lung disease.
5 Independently, SARS/MERS vaccine candidates, commonly exhibited ADE associated with high inflammatory morbidity in preclinical models, obstructing their advancement to the clinic.
4,12 SARS ADE of both disease in non-human primates and viral infection of cells in vitro was clearly mapped to specific antibody-targeted SARS viral spike epitopes.
6 This phenomenon was consistent across a variety of vaccine platforms, including DNA, vector primes and virus-like particles (VLP), irrespective of inoculation method (oral, intramuscular, subcutaneous, etc). An unknown variable is how long this tissue damage lasts, possibly resulting in permanent morbidity (eg, diabetes from pancreatic damage
7).Current data on COVID-19 vaccines is limited, but does not so far reveal evidence of ADE of disease. Non-human primate studies of Moderna’s mRNA-1273 vaccine showed excellent protection, with no detectable immunopathology.
13 Phase 1 trials of several vaccines have not reported any immunopathology in subjects administered the candidate vaccines. However, these subjects were unlikely to have yet encountered circulating virus.
14 Nevertheless, all preclinical studies to date have been performed with the Wuhan or closely related strains of the virus, while a mutant D614G virus is now the most prevalent circulating form. Several observations suggest that this alternative form may be antigenically distinct from the Wuhan derived strain, not so much in composition, but in conformation of the viral spike and exposure of neutralization designed around immunogenicity as an efficacy end point and have not been designed to capture exposure of subjects to circulating virus after vaccination, which is when ADE/immunopathology is designed to occur.
Thus, the absence of ADE evidence in COVID-19 vaccine data so far does not absolve investigators from disclosing the risk of enhanced disease to vaccine trial participants, and it remains a realistic, non-theoretical risk to the subjects.2 |
CHALLENGES TO INFORMED CONSENT FOR COVID-19 VACCINE STUDIES Informed consent procedures for vaccine trials commonly include disclosure of very minor risks such as injection site reactions, rare risks from past, unrelated vaccines/viruses, such as Guillain-Barre syndrome for swine flu (interest in which is likely behind the interest in Astra Zeneca’s recent vaccine transverse myelitis event) and generic statements about the risk of idiosyncratic systemic adverse events and death. Specific risks to research participants derived from biological mechanism are rarely included, often because of ambiguity about their applicability.
19Signed consent forms from the COVID-19 vaccine trials are not publicly available because of privacy concerns. They also vary from clinical site to clinical site, and sample consent forms on which they are based are not required to be disclosed until after the trial is over, if at all. However, these consent forms are usually very similar in content to the “Risks to participants” section of the trial protocols, which have been released publicly by Pfizer, Moderna and Johnson & Johnson for their COVID-19 vaccine trials
(20 & Supplement). As these three vaccines are representative of the diversity of vaccines being tested, it is very likely that the consent form inferred from these protocols is similar or identical to those from any and all of the vaccine trials currently underway. All three protocols mention the risk of disease enhancement by the vaccine, but all three list this risk last or next to last in the list of risks, after risks from the Ad26-Cov2 vector, adenovirus vectors in general, risks of vaccination in general, risks for pregnancy and birth control (which are said to be “un-known”), risks of blood draws and risks from collection of nasal swab samples (for the Johnson and Johnson vaccine), after allergy, fainting, local site injection reaction, general systemic adverse reactions and laboratory abnormalities for the Moderna vaccine and after local site injection reactions and general systemic adverse events for the Pfizer vaccine.In addition, both Moderna and Johnson and Johnson term the risk of vaccine-elicited disease enhancement as “theoretical.” Finally, in citing the risk, Pfizer and Moderna note prior evidence of vaccine-elicited disease enhancement with RSV and dengue, as well as feline coronavirus (Pfizer) and measles (Moderna), however, SARS and MERS are not mentioned. Johnson and Johnson discusses SARS and MERS, but make an unusual scientific argument that vaccine-elicited disease enhancement is because of non-neutralizing antibodies and Th2-skewed cellular responses and that Ad26 vaccination does not exhibit this profile. Blank consent forms for AstraZeneca and Johnson and Johnson are also available online at https://restoringtrials.org/2020/09/18/covid19trialprotocoland-studydocs/, and while the AstraZeneca form clearly discloses the specific risk of ADE, the disclosure is listed last among risks only in an attached information sheet.
In all, the evidence from the Pfizer, Moderna and Johnson & Johnson protocols for their COVID-19 vaccine trials and the standards required that, given the extent of evidence in the medical literature reviewed above, the risk of ADE should be clearly and emphatically distinguished in the informed consent from risks observed rarely as well as the more obvious risk of lack of efficacy, which is unrelated to the specific risk of ADE. Based on the published literature, it should have been obvious to any skilled medical practitioner in 2019 that there is a significant risk to vaccine research subjects that they may experience severe disease once vaccinated, while they might only have experienced a mild, self-limited disease if not vaccinated. The consent should also clearly distinguish the specific risk of worsened COVID-19 disease from generic statements about risk of death and generic risk of lack of efficacy of the vaccine.
CONCLUSION: Given the strong evidence that ADE is a non-theoretical and compelling risk for COVID-19 vaccines and the “laundry list” nature of informed consents, disclosure of the specific risk of worsened COVID-19 disease from vaccination calls for a specific, separate, informed consent form and demonstration of patient comprehension in order to meet medical ethics standards. The informed consent process for on-going COVID-19 vaccine trials does not appear to meet this standard. While the COVID-19 global health emergency justifies accelerated vaccine trials of candidates with known liabilities, such an accelera-tion is not inconsistent with additional attention paid to heightened informed consent procedures specific to COVID-19 vaccine risks.
Supported by NIH award R21AI157604 (to TC).
DISCLOSURE The authors have declared no conflicts of interest for this article.
AUTHOR CONTRIBUTIONS TC and RV conceived this commentary. TC wrote the manuscript. RV edited and approved the manuscript.
DATA AVAILABILITY STATEMENT All data referenced in this report have been published in peer-re-viewed literature or are available on the World Wide Web/Internet at the URL’s indicated in the References section. Therefore, all data referenced in this report are publicly available in widely available data repositories .Timothy Cardozo1Ronald Veazey21Department of Biochemistry and Molecular Pharmacology, NYU Langone Health, New York, NY, USA2Division of Comparative Pathology, Department of Pathology and Laboratory Medicine, Tulane University School of Medicine, Tulane National Primate Research Center, Covington, LA, USACorrespondenceTimothy Cardozo, Department of Biochemistry and Molecular Pharmacology, NYU Langone Health, 550 First Avenue, MSB 222, New York, NY 10016, USA.Email: email@example.comORCIDTimothy Cardozo https://orcid.org/0000-0002-0643-4497 REFERENCES 1. Huisman W, Martina BE, Rimmelzwaan GF, Gruters RA, Osterhaus AD. Vaccine-induced enhancement of viral infections. Vaccine. 2009;27:505-512. 2. Boyoglu-Barnum S, Chirkova T, Anderson LJ. Biology of infection and disease pathogenesis to guide RSV vaccine development. Front Immunol. 2019;10:1675. 3. Chen WH, Hotez PJ, Bottazzi ME. Potential for developing a SARS-CoV receptor-binding domain (RBD) recombinant protein as a het-erologous human vaccine against coronavirus infectious disease (COVID)-19. Human Vacc Immunother. 2020;16:1239-1242. 4. Jiang S, He Y, Liu S. SARS vaccine development. Emerg Infect Dis. 2005;11:1016-1020. 5. Tseng CT, Sbrana E, Iwata-Yoshikawa N, et al. Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus. PLoS One. 2012;7:e35421. 6. Wang Q, Zhang L, Kuwahara K, et al. Immunodominant SARS coro-navirus epitopes in humans elicited both enhancing and neutral-izing effects on infection in non-human primates. ACS Infect Dis. 2016;2:361-376. 7. Yang JK, Lin SS, Ji XJ, Guo LM. Binding of SARS coronavirus to its receptor damages islets and causes acute diabetes. Acta Diabetol. 2010;47:193-199. 8. Liu L, Wei Q, Lin Q, et al. Anti-spike IgG causes severe acute lung injury by skewing macrophage responses during acute SARS-CoV infection. JCI insight. 2019;4:e123158. 9. Liu ZL, Liu Y, Wan LG, et al. Antibody profiles in mild and severe cases of COVID-19. Clin Chem. 2020;66:1102–1104. 10. Piccoli L, Park YJ, Tortorici MA, et al. Mapping neutralizing and immunodominant sites on the SARS-CoV-2 spike receptor-bind-ing domain by structure-guided high-resolution serology. Cell. 2020;S0092-8674:31234-4 11. Robbiani DF, Gaebler C, Muecksch F, et al. Convergent antibody responses to SARS-CoV-2 infection in convalescent individuals. bioRxiv. 2020. 12. Yong CY, Ong HK, Yeap SK, Ho KL, Tan WS. Recent advances in the vaccine development against middle east respiratory syn-drome-coronavirus. Front Microbiol. 2019;10:1781. 13. Corbett KS, Flynn B, Foulds KE, et al. Evaluation of the mRNA-1273 Vaccine against SARS-CoV-2 in Nonhuman Primates. N Engl J Med. 2020;383:1544–1555. 14. Mulligan MJ, Lyke KE, Kitchin N, et al. Phase 1/2 study of COVID-19 RNA vaccine BNT162b1 in adults. Nature. 2020;586: 589–593. 15. Becerra-Flores M, Cardozo T. SARS-CoV-2 viral spike G614 mutation exhibits higher case fatality rate. Int J Clin Pract. 2020;74:e13525. 16. Korber B, Fischer WM, Gnanakaran S, et al. Tracking changes in SARS-CoV-2 spike: evidence that D614G increases infectivity of the COVID-19 virus. Cell. 2020;182:812-827.e819. 17. Mansbach RA, Chakraborty S, Nguyen K, Montefiori D, Korber B, Gnanakaran S. The SARS-CoV-2 spike variant D614G favors an open conformational state. bioRxiv. 2020. 18. Zhang L, Jackson C, Mou H, et al. The D614G mutation in the SARS-CoV-2 spike protein reduces S1 shedding and increases infectivity. bioRxiv. 2020. 19. Wendler D. What should be disclosed to research participants? Am J Bioeth. 2013;13:3-8. 20. McNamara D.Three Major COVID Vaccine Developers Release Detailed Trial Protocols. https://wwwme dscap ecom/viewa rticl e/937845; 2020.
This is a fun learning exercise from my website at “Miracle-Ville.com.” Come join me on The Metabolism Miracle’s online support site: http://www.Miracle-ville.com. I’m onsite most days to personally help you with your Metabolism Miracle questions and concerns.
Miracle-ville.com is now 10 years in the making. All information is accurate and checked by the author of the program; me! There are videos, forum chats, discussions, and thousands of recipes. If I find a question that was not yet answered, I will answer it and tag it for future reference. You’ll have wonderful support from members, too. So let me show you how things are done on Miracle-Ville.com.
“Since we are all living the Metabolism Miracle or Diabetes Miracle program (abbreviated MM or DM) and have learned so much about the program, uncontrolled Metabolism B, and what we can do to help improve long -term health, lose weight, and increase energy, focus, immunity… let’s help a new “friend”
Here’s Mettie B’s story. Take a few minutes and give it a read. Then, have some fun pointing out what stands out from her “history”, food log, lifestyle, symptoms, labs to prove she most likely has uncontrolled Met B.
Mettie B. is a 46 year old woman who has always taken pride in living a healthy lifestyle. A well-respected CPA, she goes to the gym when she can. Lately, that’s less and less between her job, 3 children, and husband.
She is 5’5″ and weighs 165 pounds. Her weight bothers her because she feels her calorie intake does not match what she weighs. And her shape is changing…what’s up with that belly roll and back fat?
Mettie has a hectic life. Her youngest of three children is just four years old .He was her largest baby…a healthy 8 pounds, 14 ounces, 21 inches long and 2 weeks early! For the first time, Nelly gained 60 pounds during her last pregnancy. She swears that she ate as she had eaten during the other pregnancies…but she was left with 15 extra pounds that she could never lose after her son was born.
Come to think of it, Mettie’s period has been erratic lately. She is no longer right on time and she notices heavier bleeding during the months she actually gets a period. Maybe she is peri-menopausal.
Despite some exercise (twice a week at the gym if “she’s lucky”), she is starting to get a roll around the middle. This belly fat is driving Mettie bonkers. She thinks she should add another gym day and work off this roll…or maybe stop snacking between meals. Lately, she’s been getting the munchies midmorning and midafternoon. A quick trip to vending brings her some much needed energy and calms her hunger….she especially likes a bag of M& M’s and a coffee.
Some days she worries she may be developing Alzheimer’s disease. Her livelihood depends on accuracy, but she finds her mind wandering, she’s having trouble remembering where she placed things, and is having a harder time concentrating at work. Her grandfather (her mom’s dad) was overweight, had type 2 diabetes, and developed AD….and her mom is overweight with hypertension, high cholesterol, and type 2 diabetes. Mettie doesn’t have diabetes, her fasting blood sugar was 93 at her last physical. That’s a little higher than it was before, but her doctor told he not to worry about it. “Cut down on your carbs and exercise.” Her blood pressure is finally normal. For years, she has had low blood pressure and at this appointment, she had 120/72….(her usual was 108/62).
Mettie’s doctor mentioned that her triglycerides were up a bit…he told her to cut back on her fat intake. She was up 10 pounds since last year, maybe she should cut her calories down.
Mettie decided to keep track of her daily intake of food….
Wake up 5:30
No time for breakfast but she grabs a cup of coffee, black with sugar. This coffee in the morning is something Mettie has done since college…it saves her breakfast calories and gives her some get up and go.
Drives son to pre-school after his bowl of cereal, milk, banana and a small glass of OJ (his teacher mentions he’s starving soon after he gets to school????)
9:00AM at work: Another cup of coffee and 1/2 bagel (they’re so big, 1/2 will be better) skips the butter, ..has to watch fat and calories.
11:00AM...getting tired….to vending for a coffee cake…..gives half to her coworker to save some calories Grabs some M&M’s as she walks past her friend’s desk…
1:00PM Lunch: Chicken Caesar salad (picks out the croutons)…and a diet coke. Eats at her desk while she works
3:PM...getting tired…a cup of coffee and a bag of M&M’s
5PM..leaves work, picks up son at after-care….drives home to make dinner
7PM..Going low fat for dinner tonight….Pasta with marinara, breadsticks, salad, and Italian Ice for dessert.
Was going to do a few minutes on the exercise bike before TV…just too tired
9:00PM…homework done, baths done, kids ready for bed, Mettie sleeping in her chair…..
Less physical activity than was her “norm” in the past.
2. Ten pound weight gain since last year. Noticeable weight gain around the middle with back fat and belly fat.
3. Last child born close to 9 pounds and was two weeks early.
4. Up fifteen pounds after the birth of her large child that she is unable to lose and has gained even more weight since his birth.
5. Family history of overweight, type 2 diabetes, Alzheimer’s disease.
6. Losing focus and concentration.
7. Feeling hungry 2 hours after eating and needs caffeine and carbohydrates mid morning and mid afternoon.
8. Mettie’s blood glucose, triglycerides, and blood pressure have risen and her Vitamin D level has decreased over the past year.
9. Problems with food diary:
Wakes up, skips breakfast, and drives son to pre-school. Does not eat until 9:00AM; 3 1/2 hours without eating first thing in the morning.
Two hours after having a 1/2 bagel, she has the munchies and “needs” 1/2 vending coffee cake and caffeine.
Skips carbohydrate at lunch
“Needs” another coffee and some MM’s mid afternoon.
High carb dinner; pasta, breadsticks, and Italian ice (but hey, she was told to cut down on fat!)
No night snack
So….this little story of Mettie B proves that she does, indeed, have the profile for Metabolism B. She got The Metabolism Miracle and took her weight and body measurements. She read The Metabolism Miracle, second edition and joined Miracle-ville.com. Within 10 days of beginning the program, she had renewed energy, no carb cravings, improved focus and concentration. At the end of 8 weeks she had equal pounds and inches lost and much improved lab work and blood pressure. She will continue on Steps 1 and 2 until she reaches the size and weight she desires and then move to Step 3 for easy maintenance based on MM principles. The Metabolism Miracle is a lifetime lifestyle plan that actually works! No fad dieting, no crazy restrictions, no false promises….just healthy guidelines that work.
INGREDIENTS: The Cilantro and Lime Marinated CHICKEN 6 chicken thighs, skinless, boneless, cut in half (you will have 12 pieces). Cut from top to bottom of thigh 1/4 cup chopped fresh cilantro 2 limes, juiced 3 tbsp. olive oil 1/2 tsp. salt
Low carb SLIDER BUNS 12 Great Low Carb Bread Company slider buns. Purchase at http://www.greatlowcarb.com. These slider buns are NEUTRAL on the Metabolism Miracle Program and each slider bun has only 1 gram net carb on low carb programs!
The amazing TOMATO AVOCADO GUAC 1 1/4 cup chopped tomatoes 2 peeled avocados 1 tbsp. finely chopped onion 2 tbsp. finely chopped fresh cilantro 2–3 Tbsp. fresh lime juice 1/4 tsp. garlic powder 1/4 tsp. sea salt fresh ground black pepper
INSTRUCTIONS 1. Prepare the chicken marinade by whisking together cilantro, lime juice, olive oil, and salt until combined.
2. Add chicken pieces to a medium bowl and pour the marinade over the chicken, coating all around. Cover the bowl and marinate for 30 minutes, refrigerated. (You can also put the chicken and marinade in a Zip-Loc bag, shake until all coated, place bag in a bowl and refrigerate for at least 30 minutes.
3. While the chicken is marinating, prepare the guacamole by combining tomatoes, avocado pulp, onion, cilantro, lime juice, garlic powder, and sea salt in a medium bowl. With a fork or potato masher, mash everything together until chunky consistency. Season with fresh black pepper to taste. Cover and refrigerate until ready to serve.
4. Preheat the grill on medium high and grill the chicken for 3 minutes per side or until no longer pink on the inside or brown the chicken thighs in a small amount of olive oil, 10 minutes on each side or until no longer pink of the inside. (165F internal temp)
To assemble: place chicken on the bottom buns, top with a good heaping of guacamole. Serve immediately. Serves 6 as main dish (2 sliders each).
The following article, from Diabetes Daily, motivated me to write a Diane Kress commentary. My hope is to demystify the “which came first, COVID-19 or Diabetes” question.
COMMENTARY BY DIANE KRESS, MARCH 3, 2021
I believe that many of those who develop the most serious cases of COVID-19 have unknowingly had the underpinnings of metabolic syndrome before they developed COVID. Metabolic syndrome is a precursor to pre-diabetes and type 2 diabetes. Remember, most of the serious COVID-19 cases occur in people who have pre-existing conditions including: advanced age, overweight/obesity, hypertension, elevated blood lipids, asthma, and low Vitamin D.. With the exception of respiratory problems and asthma, all the other medical conditions have a metabolic backdrop.
In a perfect world, everyone over age 12 would have the chance to find out if they had metabolic issues that could, if left uncontrolled, put them at a much higher risk of developing over 25 diseases linked to metabolic issues.
Once a year: fasting blood glucose, hemoglobin A1C, blood lipids, Vitamin D level, waist measurement, and blood pressure. These tests could be funded by our government. Why? In finding metabolic issues early rather than later, we can prevent many diseases, decrease the need for ridiculously priced prescriptions, MD/specialist visits, hospitalizations and control of these issues . People would be healthier, more energetic, leaner, more focused with improved concentration, better sleep, and enjoy the freedom wellness enables.
If the US can send money all over the world for things un-related to COVID-19, surely we can screen our citizens for the warning markers for so many other diseases. From these labs and measurements, we would be able to predict those who have metabolic syndrome, pre- diabetes, type 2 diabetes. We can also stop the progression at the metabolic syndrome stage; years before Type 2 diabetes manifests. Regardless of what you read, type 2 diabetes is controllable but not reversible.
Some of the many medical conditions with metabolic roots:
atherosclerosis (hardening of the arteries)
elevated cholesterol/ triglycerides
type 2 diabetes
certain cancers (breast, colon, skin , ovaries, prostate, pancreas)
inflammatory disease/autoimmune disease
Vitamin D deficiency
NAFLD (non-alcohol related fatty liver disease)
sleep apnea or sleep disorders
visceral fat (fat between the organs)
Did you even know that these diseases had metabolic roots? If not, you are in the majority.
I have had type 2 diabetes for over 22 years and my most recent A1C is 5.6. I take metformin, 1000mg/day. After 22 years, that’s all I take to manage my blood glucose; and truth be known, I initiated the prescription based on the research showing tremendous health benefits from metformin. At one time, years ago, I had hypertension, high cholesterol, elevated triglycerides, and was 30 pounds overweight. I control my diabetes, blood pressure, cholesterol, triglycerides, and Vitamin D through diet and exercise. Most would say I cured these medical conditions. That would be false.
I control my medical conditions with lifestyle changes.. If I were to eat like many Americans, I might have a bagel with cream cheese, egg on a hard roll, Danish or donuts, etc. for breakfast. I might even skip breakfast! I might have a club sandwich, pizza, Big Mac and fries, or a sub with a bag of chips for lunch. Energy slump in the afternoon? A chocolate candy bar seems to sooth afternoon cravings! For dinner, take- out Chinese food….maybe shrimp and broccoli with white rice and won ton soup. At night, while watching TV: a bowl of ice cream and some chips.
If I ate this way, I would be injecting insulin for my diabetes and one or several medications for hypertension, cholesterol, triglycerides, GERD, sleep issues, and more. But when I eat in a way the works with my metabolism, I have controlled diabetes, and no other issues. When I eat my lower carb, high fiber. lean protein, healthy fat, liberal veggie way, my 2 hour after the start of a meal is usually 100-120 or less. If I checked my blood glucose 2 hours after the start of the “Americanized” type of meals, it would easily exceed 180mg/dL. This would happen at least 4 times every day….after each meal and high carb snack.
After all these years of controlled diabetes and without hypertension, cholesterol, weight, midline fat, low Vitamin, sleep, focus/concentration, I may have thought I “cured” my diabetes and metabolic-related conditions. Nope…never cured, must be controlled.
We carry the genes for type 2 diabetes from birth but it’s a lifetime of stressors + genes that = type 2 diabetes. What are lifetime stressors? inactivity, increasing age, mental/emotional stress, physical pain, ILLNESS, recovering from surgery, certain medications like steroids, continued weight gain around the middle, over-eating carbohydrate foods. If you have the genes for type 2 diabetes and you apply enough “lifetime stressors” you will board the train at metabolic syndrome–>pre-diabetes–>type 2 diabetes. Metabolic syndrome and pre diabetes are reversible. Type 2 diabetes is not. We need to “diagnose” people with metabolic issues as early as possible and provide lifestyle guidance and the support they need.
If you get walloped with a major stressor, and you have the genes for type 2 diabetes, you can move straight to type 2 diabetes all at once. Serious COVID would do that! Most people who develop COVID are already overweight, inactive, stressed (who isn’t?) may take steroids (asthma) or beta-blockers, and possibly eat mostly carbs. So they are sitting on the edge and COVID pushes them forward into metabolic mayhem.
In my opinion, this is how COVID and type 2 diabetes go together. ____________________________________________________________________________ As for type 1 diabetes. Type 1 diabetes may have a genetic component and is an autoimmune disease. When the body’s immune system targets the pancreas, it ultimately destroys alpha and beta cells that should produce amylin, insulin, and glucagon. I think there should be more acknowledgement of the fact that a person with the genes for type 2…who would eventually develop type 2 based on genes and lifetime stressors, can first develop type 1 diabetes. For example, an 11 year old who is diagnosed with type 1 diabetes, developed type 1 before their body had a chance to develop metabolic syndrome, pre-diabetes, type 2 diabetes. You can also develop type 1 diabetes after years of type 2 diabetes…..this condition is sometimes called type 1.5 diabetes.
From NIH/NLM; Dec 2020. With the progression of the COVID-19 pandemic, there have been different reports about the development of autoimmune diseases once the infection is controlled. After entering the respiratory epithelial cells, SARS-CoV-2—the virus that causes the disease—triggers a severe inflammatory state in some patients known as “cytokine storm” and the development of thrombotic phenomena—both conditions being associated with high mortality. Patients additionally present severe lymphopenia and, in some cases, complement consumption and autoantibody development. There is a normalization of lymphocytes once the infection is controlled. After this, autoimmune conditions of unknown etiology may occur. A hypothesis for the development of post-COVID-19 autoimmunity is proposed based on the consequences of both a transient immunosuppression (both of innate and acquired immunity) in which self-tolerance is lost and an inappropriate form of immune reconstitution that amplifies the process.”
So, both Type 1 diabetes and Type 2 diabetes can be triggered by COVID-19. Both Type 1 diabetes and Type 2 diabetes can be triggered by COVID-19 or uncontrolled diabetes of either type can make someone more susceptible to more severe COVID-19.
What to do? If you want to have a much decreased risk of COVID-19, metabolic syndrome, pre-diabetes, type 2 diabetes, type 1 diabetes….you need to make changes to your lifestyle so that it works WITH your metabolism instead of AGAINST it.
The program: The Metabolism Miracle, Revised Edition by Diane Kress. Everything you need to know to regulate your metabolism is in this book. You will see changes in weight, inches, blood glucose, insulin levels, cholesterol/triglycerides, hypertension, Vitamin D. You will look better, feel better, live better when you live peacefully with your metabolism. Just do it. This is something we can control!!!
Endocrinologists, Physician’s, Nurse Practitioners, RN’s, CDE’s , RD’s who have an interest in purchasing the rights to The Metabolism Miracle program, contact Diane Kress at firstname.lastname@example.org.
Speaking engagements: email@example.com (virtual at this time)
The 13 main points of this post are from Healthline.com. I want to emphasize that these benefits come from coffee and not just the caffeine in coffee. Energy drinks or caffeine supplements do not provide all of these benefits. Think coffee! I know readers will want to know…how much coffee is beneficial? Much research suggests 4 cups of coffee/day. That would be four 8 ounce cups; 32 ounces. Most of us use large mugs or large insulated cups for our favorite beverage. Two 16 ounce coffee’s would meet the “4 cups” recommendation.
Here are the top 13 health benefits of coffee.
Coffee can help people feel less tired and increase energy levels (1Trusted Source, 2). That’s because it contains the stimulant; caffeine— the most commonly consumed psychoactive substance in the world (3).After you drink coffee, the caffeine is absorbed into your bloodstream. From there, it travels to your brain (4).In the brain, caffeine blocks the inhibitory neurotransmitter adenosine. When this happens, the amount of other neurotransmitters like norepinephrine and dopamine increases, leading to enhanced firing of neurons (5, 6Trusted Source). Many controlled studies in humans show that coffee improves various aspects of brain function — including memory, mood, vigilance, energy levels, reaction times and general mental function (7, 8, 9)
The caffeine in coffee is one of the few natural substances proven to aid fat burning.
Caffeine stimulates your nervous system, signaling fat cells to break down body fat (13Trusted Source, 14).But it also increases epinephrine (adrenaline) levels in your blood (15Trusted Source, 16Trusted Source). This is the fight-or-flight hormone, which prepares your body for intense physical exertion. Caffeine breaks down body fat, making free fatty acids available as fuel (17Trusted Source, 18). Given these effects, it’s unsurprising that caffeine can improve physical performance by 11–12%, on average (20Trusted Source, 29). Therefore, it makes sense to have a strong cup of coffee about half an hour before you head to the gym.
Many of the nutrients in coffee beans make their way into the finished brewed coffee. Coffee contains small amounts of several important nutrients, including riboflavin, pantothenic acid, manganese, potassium, magnesium and niacin.
For some reason, coffee drinkers have a significantly reduced risk of type 2 diabetes. Type 2 diabetes is a major health problem, currently affecting millions of people worldwide. It’s characterized by elevated blood glucose levels caused by insulin resistance or a reduced ability to secrete insulin. Studies observe that people who drink the most coffee have a 23–50% lower risk of getting this disease. (22, 23Trusted Source, 24Trusted Source, 25, 26). According to a large review of 18 studies in a total of 457,922 people, each daily cup of coffee was associated with a 7% reduced risk of type 2 diabetes (27Trusted Source).
Coffee may decrease the risk of Alzheimer’s disease; the most common neurodegenerative disease and the leading cause of dementia worldwide. This condition usually affects people over 65, and there is no known cure. Several studies show that coffee drinkers have up to a 65% lower risk of Alzheimer’s disease (28, 29Trusted Source)
Parkinson’s disease is the second most common neurodegenerative condition, right behind Alzheimer’s. It’s caused by the death of dopamine-generating neurons in your brain. As with Alzheimer’s, there is no known cure, which makes it that much more important to focus on prevention. Studies show that coffee drinkers have a much lower risk of Parkinson’s disease, with a risk reduction ranging from 32–60% (30, 31, 32Trusted Source, 33).
Interestingly, coffee may protect the liver — people who drink 4 cups per day have up to an 80% lower risk of cirrhosis. Your liver is an amazing organ that carries out hundreds of important functions. Several common diseases primarily affect the liver, including hepatitis, fatty liver disease and many others. Many of these conditions can lead to cirrhosis, in which your liver is largely replaced by scar tissue. In non alcohol related fatty liver disease NAFLD), the liver contains excess fat. (35Trusted Source, 36Trusted Source, 37Trusted Source).
Coffee appears to be protective against two types of cancer: liver and colorectal cancer. Cancer is one of he world’s leading causes of death. It is characterized by uncontrolled cell growth in your body. Studies show that coffee drinkers have up to a 40% lower risk of liver cancer (41, 42). Similarly, one study in 489,706 people found that those who drank 4 cups of coffee per day had a 15% lower risk of colorectal cancer (43Trusted Source).It’s often claimed that caffeine can increase your blood pressure. This is true, but with a rise of only 3–4 mm/Hg, the effect is small and usually dissipates if you drink coffee regularly (44Trusted Source, 45Trusted Source). However, it may persist in some people, so keep that in mind if you have elevated blood pressure (46Trusted Source, 47). That being said, studies don’t support the idea that coffee raises your risk of heart disease (48Trusted Source, 49). On the contrary, there is some evidence that women who drink coffee have a reduced risk (50). Some studies also show that coffee drinkers have a 20% lower risk of stroke (51Trusted Source, 52Trusted Source).
Given that coffee drinkers are less likely to get many diseases, it makes sense that coffee could help you live longer. Several observational studies indicate that coffee drinkers have a lower risk of death. In two very large studies, drinking coffee was associated with a 20% reduced risk of death in men and a 26% decreased risk of death in women, over 18–24 years (53Trusted Source). This effect appears particularly strong in people with type 2 diabetes. In one 20-year study, individuals with diabetes who drank coffee had a 30% lower risk of death (54).
Coffee is a highly popular beverage around the globe that boasts a number of impressive health benefits.
Not only can your daily cup of joe help you feel more energized, burn fat and improve physical performance, it may also lower your risk of several conditions, such as type 2 diabetes, cancer and Alzheimer’s and Parkinson’s disease.
In fact, coffee may even boost longevity.
If you enjoy its taste and tolerate its caffeine content, don’t hesitate to pour yourself a cup or more throughout the day.
Want to learn more about increasing longevity, improving health, mood, energy, wellness? Read Diane Kress’ METABOLISM MIRACLE, REVISED EDITION. You’ll find coffee is “on” this lifetime, lifestyle program!
It’s been years since Oprah Winfrey made her stunning proclamation in a advertisement for Weight Watchers (she was a major WW stockholder at the time). ” I LOVVVVVVVE Breaddddd”.
I have to agree with Oprah as I love bread, too. An occasional Everything Bagel, pizza, sub rolls, dinner rolls, soft pretzels, burger/hot dog buns, toast, sandwiches and so on. But….for many years I was unable to enjoy bread or bread products without having my blood glucose rise and my diabetes become out of control.
I have had type 2 diabetes for over 22 years. Over the years, it became obvious that many carbohydrate foods directly impacted my blood glucose; bread, grains, rice, pasta, cereal, potatoes, fruit/fruit juice, sweets, candy, to name a few.
After practicing as a registered dietitian/certified diabetes educator for my first ten years, I had to admit that the recommended diet for type 2 diabetes; the ADA diet, was wreaking havoc on my diabetic patients weight and health. The ADA diet consisted of 50-55% carbohydrate. In addition, we were teaching “A CARB IS A CARB.” This meant that blood glucose reacted to white bread, rice, potatoes, sweets the same way it reacted to whole grain bread, brown rice, whole grain pasta, sweet potatoes. The amount of carbohydrate was key…not the type. Worse yet…RD’s and CDE’s recommended about 45-60 grams carbohydrate at each meal and 15-30 grams carbohydrate at a snack.
Diane Kress practiced as a registered dietitian and certified diabetes educator for over 37 years. During this time she rewrote the book on diet and lifestyle for weight loss, pre diabetes, and type 2 diabetes with her program: The Metabolism Miracle.
So…those with diabetes were instructed to eat the majority of their calories as carbohydrate, “a carb is a carb”, and fuel the body with a large portion of carbohydrate at each meal.
A patient of mine was hospitalized last week and put on a “diabetic diet”. She received pancakes, white pasta, mashed potatoes, orange juice, white bread!
Meanwhile, those with type 2 diabetes became fatter and sicker and needed a greater quantity of and additional “varieties” of diabetes medication. RD’s were taught: “If you have type 2 diabetes and are lucky enough to live long enough…you WILL require insulin.” Unfortunately, on the ADA diet, this statement was absolutely true.
Time passed and for many diabetes educators, it became obvious that this emphasis on eating excess carb grams from all types of carb sources was not appropriate.
I broke away from ADA diet teaching and spent years researching a “way of eating” designed to match the unique metabolism of a person with pre-diabetes and type 2 diabetes. Long story short, my research and development lead to the Metabolism Miracle Program that became a NY Times Best Seller and has been licensed in 8 languages.
But….what about that bread? The Metabolism Miracle (MM instead of Weight Watchers WW) needed to decrease the amount of carbohydrate consumed and focus on lower glycemic index carbs with a focus on high fiber. Bread, rolls, pizza crust, bagels, buns, and pasta were high in carb and usually made with white flour …even carmel -colored flour to give the appearance of whole grain flour. And that wouldn’t work on MM.
Unfortunately, many low carbohydrate products (especially bread products) are falsely labeled “low carb.” My readers know that most Nutrition Facts Labels are never tested against the ingredients. We are trusting that the products really contain the ingredients listed on Nutrition Facts and that Low Carb means low carb. Truth is, MANY low carb products are no different from regular products. This is a big reason you can’t lose weight and keep it off or get your blood glucose under good control.
You many wonder why I often write about The Great Low Carb Bread Company’s products on my blog and elsewhere. When I see a quality, valid, accurate, good tasting product for those of us watching our carb grams, I will promote it. And I’ve been recommending http://www.greatlowcarb.com products for years.
Take a look at their product line of all types of bread, bagels (I love the Everything bagels), pizza crust (regular or thin), pasta (many varieties), soft pretzels, buns, rolls, bread crumbs, even treats. They are 100% accurate in their Nutrition Facts as well as their high quality ingredients. Most are NEUTRAL on The Metabolism Miracle program! They are shipped directly to your door and can be stored in your freezer until you are going to use them.
On a very low carb program (like Step 1 of Metabolism Miracle), you can safely have a GLCBC bagel at breakfast, a sub on a sub roll at lunch, have pasta at dinner, and toast with natural peanut butter for a night snack! And….at the same time….you will experience no impact on your blood glucose. Amazing.
Do you notice any unpronounceable ingredients on the label? No. Do you see the high quality ingredients: vital wheat gluten, flax seed meal, almond flour? Yes. Do you see Nutrition Facts that match the ingredients? Yes. Can you trust this product? YES. On The Metabolism Miracle, we count this rye bread as NEUTRAL!
The company’s newest offerings include baking mix, brownie mix, mini cookies, orzo, and more.
So take it from me….your “all about the truth” nutrition specialist….shop for reliable low carb products from http://www.greatlowcarb.com. You’ll be thrilled with the ease, taste, and quality of their RELIABLE low carb foods.
You can “Lovvvvvvve” Bread again….lose weight…..and control your blood glucose!
The BIG 2021 Start-up/Restart is happening on http://www.Miracle-Ville.com. It’s not too late to join us! With every day, members are becoming leaner, healthier, and more energetic! Our own support- site gives us answers to any Metabolism Miracle questions we may have and positive support from others also following The Metabolism Miracle, Revised Edition by Diane Kress. And the RECIPES….oh, the recipes!
It’s so much easier to follow the program knowing that we have the opportunity to have Great Low Carb Bread Company’s low carb bakery products! http://www.GreatLowCarb.com makes top quality bread (many varieties), rolls, buns, pizza crust, soft pretzels, pasta, bread crumbs, desserts, sub rolls, and so much more. All http://www.GreatLowCarb.com‘s products fit seamlessly into all Steps of The Metabolism Miracle…even Step 1!
No kidding….you can be on Step 1 and have this delicious pizza bagel as a neutral food!
So……These PIZZA BAGELS are Neutral on the Metabolism Miracle! Low Carb Pizza Bagels? Yasssss……
The Great Low Carb Bread Company’s Everything Bagel makes a delicious pizza bagel, but they also bake plain, sesame, and more!
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