The China Study: Fact or Fallacy?

Disclaimer: This blog post covers only a fraction of what’s wrong with “The China Study.” In the years since I wrote it, I’ve added a number of additional articles expanding on this critique and covering a great deal of new material. Please read my Forks Over Knives review for more information on what’s wrong with the conclusions drawn from Campbell’s casein/aflatoxin research, and if you’d rather look at peer-reviewed research than the words of some random internet blogger, see my collection of scientific papers based on the China Study data that contradict the claims in Campbell’s book. I’ve also responded to Campbell’s reply to my critique with a much longer, more formal analysis than the one on this page, which you can read here.

When I first started analyzing the original China Study data, I had no intention of writing up an actual critique of Campbell’s much-lauded book. I’m a data junkie. Numbers, along with strawberries and Audrey Hepburn films, make me a very happy girl. I mainly wanted to see for myself how closely Campbell’s claims aligned with the data he drew from—if only to satisfy my own curiosity.

But after spending a solid month and a half reading, graphing, sticky-noting, and passing out at 3 AM from studious exhaustion upon my copy of the raw China Study data, I’ve decided it’s time to voice all my criticisms. And there are many.

First, let me put out some fires before they have a chance to ignite:

  1. I don’t work for the meat or dairy industry. Nor do I have a fat-walleted roommate, best friend, parent, child, love interest, or highly prodigious cat who works for the meat or dairy industry who paid me off to debunk Campbell.
  2. Due to food sensitivities, I don’t consume dairy myself, nor do I have any personal reason to promote it as a health food.
  3. I was a vegetarian/vegan for over a decade and have nothing but respect for those who choose a plant-based diet, even though I am no longer vegan. My goal, with the “The China Study” analysis and elsewhere, is to figure out the truth about nutrition and health without the interference of biases and dogma. I have no agenda to promote.

As I mentioned, I’m airing my criticisms here; this won’t be a China Study love fest, or even a typical balanced review with pros and cons. Campbell actually raises a  number of points I wholeheartedly agree with—particularly in the “Why Haven’t You Heard This?” section of his book, where he exposes the reality behind Big Pharma and the science industry at large. I admire Campbell’s philosophy towards nutritional research and echo his sentiments about the dangers of scientific reductionism. However, the internet is already flooded with rave reviews of this book, and I’m not interested in adding redundant praise. My intent is to highlight the weaknesses of “The China Study” and the potential errors in Campbell’s interpretation of the original data.

(IMPORTANT NOTE: My response to Campbell’s reply, as well as to some common reader questions, can be found in the following post: My Response to Campbell. Please read this for clarification regarding univariate correlations and flaws in Campbell’s analytical methods.)

(If this is your first time here, feel free to browse the earlier posts in the China Study category to get up to speed.)

On the Cornell University website (the institution that—along with Oxford University—spawned the China Project), I came across an excellent summary of Campbell’s conclusions from the data. Although this article was published a few years before “The China Study,” it distills some of the book’s points in a concise, down-n’-dirty way. In this post, I’ll be looking at these statements along with other overriding claims in “The China Study” and seeing whether they hold up under scrutiny—including an in-depth look at Campbell’s discoveries with casein.

(Disclaimer: This post is long. Very long. If either your time or your attention span is short, you can scroll down to the bottom, where I summarize the 9,000 words that follow in a less formidable manner.)

(Disclaimer 2: All correlations here are presented as the original value multiplied by 100 in order to avoid dealing with excessive decimals. Asterisked correlations indicate statistical significance, with * = p<0.05, ** = p<0.01, and *** = p<0.001. In other words, the more stars you see, the more confident we are that the trend is legit. If you’re rusty on stats, visit the meat and disease in the China Study page for a basic refresher on some math terms.)

(Disclaimer 3: The China Study files on the University of Oxford website include the results of the China Study II, which was conducted after the first China Study. It includes Taiwan and a number of additional counties on top of the original 65–and thus, more data points. The numbers I use in this critique come solely from the first China Study, as recorded in the book “Diet, Life-style and Mortality in China,” and may be different than the numbers on the website.)

From Cornell University’s article:

“Even small increases in the consumption of animal-based foods was associated with increased disease risk,” Campbell told a symposium at the epidemiology congress, pointing to several statistically significant correlations from the China studies.

Alright, Mr. Campbell—I’ll hear ya out. Let’s take a look at these correlations.

Campbell Claim #1

Plasma cholesterol in the 90-170 milligrams per deciliter range is positively associated with most cancer mortality rates. Plasma cholesterol is positively associated with animal protein intake and inversely associated with plant protein intake.

No falsification here. Indeed, cholesterol in the China Project has statistically significant associations with several cancers (though not with heart disease). And indeed, plasma cholesterol correlates positively with animal protein consumption and negatively with plant protein consumption.

But there’s more to the story than that.

Notice Campbell cites a chain of three variables: Cancer associates with cholesterol, cholesterol associates with animal protein, and therefore we infer that animal protein associates with cancer. Or from another angle: Cancer associates with cholesterol, cholesterol negatively associates with plant protein, and therefore we infer plant protein protects against cancer.

But when we actually track down the direct correlation between animal protein and cancer, there is no statistically significant positive trend. None. Looking directly at animal protein intake, we have the following correlations with cancers:

Lymphoma: -18
Penis cancer: -16
Rectal cancer: -12
Bladder cancer: -9
Colorectal cancer: -8
Leukemia: -5
Nasopharyngeal: -4
Cervix cancer: -4
Colon cancer: -3
Liver cancer: -3
Oesophageal cancer: +2
Brain cancer: +5
Breast cancer: +12

Most are negative, but none even reach statistical significance. In other words, the only way Campbell could indict animal protein is by throwing a third variable—cholesterol—into the mix. If animal protein were the real cause of these diseases, Campbell should be able to cite a direct correlation between cancer and animal protein consumption, which would show that people eating more animal protein did in fact get more cancer.

But what about plant protein? Since plant protein correlates negatively with plasma cholesterol, does that mean plant protein correlates with lower cancer risk? Let’s take a look at the cancer correlations with “plant protein intake”:

Nasopharyngeal cancer: -40**
Brain cancer: -15
Liver cancer: -14
Penis cancer: -4
Lymphoma: -4
Bladder cancer: -3
Breast cancer: +1
Stomach cancer: +10
Rectal cancer: +12
Cervix cancer: +12
Colon cancer: +13
Leukemia: +15
Oesophageal cancer +18
Colorectal cancer: +19

We have one statistically significant correlation with a rare cancer not linked to diet (nasopharyngeal cancer), but we also have more positive correlations than we saw with animal protein.

In fact, when we look solely at the variable “death from all cancers,” the association with plant protein is +12. With animal protein, it’s only +3. So why is Campbell linking animal protein to cancer, yet implying plant protein is protective against it?

In addition, Campbell’s statement about cholesterol and cancer leaves out a few significant points. What he doesn’t mention is that plasma cholesterol is also associated with several non-nutritional variables known to raise cancer risk—namely schistosomiasis infection (correlation of +34*) and hepatitis B infection (correlation of +30*).

Not coincidentally, cholesterol’s strongest cancer links are with liver cancer, rectal cancer, colon cancer, and the sum of all colorectal cancers. As we saw in the posts on meat consumption and fish consumption, schistosomiasis and hepatitis B are the two biggest factors in the occurrence of these diseases. So is it higher cholesterol (by way of animal products) that causes these cancers, or is it a misleading association because areas with high cholesterol are riddled with other cancer risk factors? We can’t know for sure, but it does seem odd that Campbell never points out the latter scenario as a possibility.

Campbell Claim #2

Breast cancer is associated with dietary fat (which is associated with animal protein intake) and inversely with age at menarche (women who reach puberty at younger ages have a greater risk of breast cancer).

Campbell is correct that breast cancer negatively relates to the age of first menstruation—a correlation of -20. Not statistically significant, but given what we know about hormone exposure and breast cancer, it certainly makes sense. And there is a correlation between fat intake and breast cancer—a non-statistically-significant +18 for fat as a percentage of total calories and +22 for total lipid intake. But are there any dietary or lifestyle factors with a similar or stronger association than this? Let’s look at the correlation between breast cancer and a few other variables. Asterisked items are statistically significant:

Blood glucose level: +36**
Wine intake: +33*
Alcohol intake: +31*
Yearly fruit consumption: +25
Percentage of population working in industry: +24
Hexachlorocyclohexane in food: +24
Processed starch and sugar intake: +20
Corn intake: +20
Daily beer intake: +19
Legume intake: +17

Looks to me like breast cancer may have links with sugar and alcohol, and perhaps also with hexachlorocyclohexane and occupational hazards associated with industry work. Again, why is Campbell singling out fat from animal products when other—stronger—correlations are present?

Certainly, consuming dairy and meat from hormone-injected livestock may logically raise breast cancer risk due to increased exposure to hormones, but this isn’t grounds for generalizing all animal products as causative for this disease. Nor is a correlation of +18 for fat calories grounds for indicting fat as a breast cancer risk factor, when alcohol, processed sugar, and starch correlate even more strongly. (Animal protein itself, for the record, correlates with breast cancer at +12—which is lower than breast cancer’s correlation with light-colored vegetables, legume intake, fruit, and a number of other purportedly healthy plant foods.)

Campbell Claim #3

For those at risk for liver cancer (for example, because of chronic infection with hepatitis B virus) increasing intakes of animal-based foods and/or increasing concentrations of plasma cholesterol are associated with a higher disease risk.

Ah, here’s one that may be interesting! Even if animal products don’t cause cancer, do they spur its occurrence when other risk factors are present? That would certainly be in line with Campbell’s research on aflatoxin and rats, where the milk protein casein dramatically increased cancer rates.

So, let’s look only at the counties with the highest rates of hepatitis B infection and see what animal food consumption does there. In the China Study, one documented variable is the percentage of each county’s population testing positive for the hepatitis B surface antigen. Population averages ranged from 1% to 29%, with a mean of 13% and median of 14%. If we take only the counties that have, say, 18% or more testing positive, that leaves us with a solid pool of high-risk data points to look at.

Animal product consumption in these places ranges from a meager 6.9 grams per day to a heftier 148.1 grams per day—a wide enough range to give us a good variety of data points. Liver cancer mortality ranges from 5.51 to 59.63 people per thousand.

Let’s crunch these numbers, shall we? Here’s a chart of the data I’m using.

When we map out liver cancer mortality and animal product consumption only in areas with high rates of hepatitis B infection (18% and higher), we should see cancer rates rise as animal product consumption increases—at least, according to Campbell. That would indicate animal-based foods do encourage cancer growth. But here’s what we really get.

In these high-risk areas for liver cancer, total animal food intake has a correlation with liver cancer of… dun dun dun… +1.

That’s it. One. We rarely get a perfect statistical zero in the real world, but this is pretty doggone close to neutral. Broken up into different types of animal food rather than total consumption, we have the following correlations:

  • Meat correlates at -7 with liver cancer in high-risk counties
  • Fish correlates at +11
  • Eggs correlate at -29
  • Dairy correlates at -19

In other words, it looks like animal foods have virtually no effect—whether positive or negative—on the occurrence of liver cancer in hepatitis-B infected areas.

Campbell mentioned plasma cholesterol also associates with liver cancer, which is correct: The raw correlation is a statistically significant +37. If it’s true blood cholesterol is somehow an instigator for liver cancer in hepatitis-B-riddled populations, we’d expect to see this correlation preserved or heightened among our highest-risk counties. So let’s take a look at the same previous 19 counties with high hepatitis B occurrence, and graph their total cholesterol alongside their liver cancer rates.

In the high-risk groups, the correlation between total cholesterol and liver cancer drops from +37 to +8. Still slightly positive, but not exactly damning.

If I were Campbell, I’d look at not only animal protein and cholesterol in relation to liver cancer, but also at the many other variables that correlate positively with the disease. For instance, daily liquor intake correlates at +33*, total alcohol intake correlates at +28*, cigarette use correlates at +27*, intake of the heavy metal cadmium correlates at +38**, rapeseed oil intake correlates at +25*—so on and so forth. All are statistically significant. Why doesn’t Campbell mention these factors as possible causes of increased liver cancer in high-risk areas? And, more importantly, why doesn’t Campbell account for the fact that many of these variables occur alongside increased cholesterol and animal product consumption, making it unclear what’s causing what?

Campbell Claim #4

Cardiovascular diseases are associated with lower intakes of green vegetables and higher concentrations of apo-B (a form of so-called bad blood cholesterol) which is associated with increasing intakes of animal protein and decreasing intakes of plant protein.

Alright, we’ve got a multi-parter here. First, let’s see what the actual correlations are between cardiovascular diseases and green vegetables—an interesting connection, if it holds true. The China Study accounted for this variable in two ways: one through a diet survey that measured how many grams of green vegetables each county averaged per day, and one through a questionnaire that recorded how many times per year citizens ate green vegetables.

From the diet survey, green vegetable intake (average grams per day) has the following correlations:

Myocardial infarction and coronary heart disease: +5
Hypertensive heart disease: -4
Stroke: -8

From the questionnaire, green vegetable intake (times eaten per year) has the following correlations:

Myocardial infarction and coronary heart disease: -43**
Hypertensive heart disease: -36*
Stroke: -35*

A little odd, oui? When we look at total quantity of green vegetables consumed (in terms of weight), we’ve got only weak negative associations for two cardiovascular conditions, and a slightly positive association for heart attacks (myocardial infarction) and coronary heart disease. Nothing to write home about. But when we look at the number of times per year green vegetables are consumed, we have much stronger inverse associations with all cardiovascular diseases. Why the huge difference? Why would frequency be more protective than quantity? What accounts for this mystery?

It could be that the China Study diet survey did a poor job of tracking and estimating greens intake on a long-term basis (indeed, it was only a three-day survey, although when repeated at a later date yielded similar results for each county). But the explanation could also boil down to one word: geography.

Let me explain.

The counties in China that eat greens year-round live in a particular climate and latitude—namely, humid regions to the south.  The “Green vegetable intake, times per year” variable has a correlation of -68*** with aridity (indicating a humid climate) and a correlation of -60*** with latitude (indicating southerly placement on the ol’ map). Folks living in these regions might not eat the most green vegetables quantity-wise, but they do eat them frequently, since their growing season is nearly year-round.

In contrast, the variable “Green vegetable intake, grams per day” has a correlation of only -16 with aridity and +5 with latitude, indicating much looser associations with southern geography. The folks who eat lots of green veggies don’t necessarily live in climates with a year-round growing season, but when green vegetables are available, they eat a lot of them. That bumps up the average intake per day, even if they endure some periods where greens aren’t on the menu at all.

If green vegetables themselves were protective of heart disease, as Campbell seems to be implying, we would expect their anti-heart-disease effects to be present in both quantity of consumption and frequency of consumption. Yet the counties eating the most greens quantity-wise didn’t have any less cardiovascular disease than average. This tells us there’s probably another variable unique to the southern, humid regions in China that confers heart disease protection—but green veggies aren’t it.

Some of the hallmark variables of humid southern regions include high fish intake, low use of salt, high rice consumption (and low consumption of all other grains, especially wheat), higher meat consumption, and smaller body size (shorter height and lower weight). And as you’ll see in an upcoming post on heart disease, these southerly regions also had more intense sunlight exposure and thus more vitamin D—an important player in heart disease prevention.

(And for the record, as a green-veggie lover myself, I’m not trying to negate their health benefits—promise! I just want to offer equal skepticism to all claims, even the ones I’d prefer to be true.)

Basically, Campbell’s implication that green vegetables are associated with less cardiovascular disease is misleading. More accurately, certain geographical regions have strong correlations with cardiovascular disease (or lack thereof), and year-round green vegetable consumption is simply an indicator of geography. Since only frequency and not actual quantity of greens seems protective of heart disease and stroke, it’s safe to say that greens probably aren’t the true protective factor.

So that about covers it for greens. What about the next variable in Campbell’s claim: a “bad” form of cholesterol called apo-B?

Campbell is justified in noting the link between apolipoprotein B (apo-B) and cardiovascular disease in the China Study data, a connection widely recognized by the medical community today. These are its correlations with cardiovascular disease:

Myocardial infarction and coronary heart disease: +37**
Hypertensive heart disease: +35*
Stroke: +35*

And he’s also right about the negative association between apo-B and plant protein, which is -37*, as well as the positive association between apo-B and animal protein, which is +25* for non-fish protein and +16 for fish protein. So from a technical standpoint, Campbell’s statement (aside from the green veggie issue) is legit.

However, it’s the implications of this claim that are misleading. From what Campbell asserts, it would seem that animal products are ultimately linked to cardiovascular diseases and plant protein is ultimately protective of those diseases, and apo-B is merely a secondary indicator of this reality. But does that claim hold water? Here’s the raw data.

Correlations between animal protein and cardiovascular disease:

Myocardial infarction and coronary heart disease: +1
Hypertensive heart disease: +25
Stroke: +5

Correlations between fish protein and cardiovascular disease:

Myocardial infarction and coronary heart disease: -11
Hypertensive heart disease: -9
Stroke: -11

Correlations between plant protein and cardiovascular disease (from the China Study’s “diet survey”):

Myocardial infarction and coronary heart disease: +25
Hypertensive heart disease: -10
Stroke: -3

Correlations between plant protein and cardiovascular disease (from the China Study’s “food composite analysis”):

Myocardial infarction and coronary heart disease: +21
Hypertensive heart disease: 0
Stroke: +12

Check that out! Fish protein looks weakly protective all-around; non-fish animal protein is neutral for coronary heart disease/heart attacks and stroke but associates positively with hypertensive heart disease (related to high blood pressure); and plant protein actually correlates fairly strongly with heart attacks and coronary heart disease. (The China Study documented two variables related to plant protein: one from a lab analysis of foods eaten in each county, and one from a diet survey given to county citizens.) Surely, there is no wide division here between the protective or disease-causing effects of animal-based protein versus plant protein. If anything, fish protein looks the most protective of the bunch. No wonder Campbell had to cite a third variable in order to vilify animal products and praise plant protein: Examined directly, they’re nearly neck-and-neck.

If you’re wondering about the connection between animal protein and hypertensive heart disease, by the way, it’s actually hiked up solely by the dairy variable. Here are the individual correlations between specific animal foods and hypertensive heart disease:

Milk and dairy products intake: +30**
Egg intake: -28
Meat intake: -4
Fish intake: -14

You can read more about the connection between dairy and hypertensive heart disease in the entry on dairy in the China Study.

At any rate, Campbell accurately points out that apo-B correlates positively with cardiovascular diseases. But to imply animal protein is causative of these diseases—and green vegetables or plant protein protective of them—is dubious at best. What factors cause both apo-B and cardiovascular disease risk to increase hand-in-hand? This is the question we should be asking.

Campbell Claim #5

Colorectal cancers are consistently inversely associated with intakes of 14 different dietary fiber fractions (although only one is statistically significant). Stomach cancer is inversely associated with green vegetable intake and plasma concentrations of beta-carotene and vitamin C obtained only from plant-based foods.

This is congruous with conventional beliefs about fiber being helpful for colon health. And as a plant-nosher myself, I hope it’s true—but that’s no reason to omit this claim from critical examination. Here are all of the China Study’s fiber variables as they correlate to colorectal cancer:

Total fiber intake: -3
Total neutral detergent fiber intake: -13
Hemi-cellulose fiber intake: -10
Cellulose fiber intake: -13
Intake of lignins remaining after cutin removed: -9
Cutin intake: -14
Starch intake: -1
Pectin intake: +3
Rhamnose intake: -26*
Fucose intake: +2
Arabinose intake: -18
Xylose intake: -15
Mannose intake: -13
Galactose intake: -24

Surprise, surprise: I agree with Campbell on this one! All but two of the fiber variables have inverse associations with colorectal cancers. The first part of Campbell Claim #5 passes Denise’s BS-o-Meter test. Let us celebrate!

…But before we get too jiggy with it, I do have a nit to pick. Fiber intake also negatively correlates with schistosomiasis infection, a type of parasite. Try Googling “schistosomiasis and colorectal cancer” and you’ll get more relevant hits than you’ll ever have time to read. I’ll elaborate on this in a few paragraphs, so hang tight—but for now, I’ll just point out two things:

  1. Schistosomiasis infection is a very strong predictor for colon and rectal cancers, more so than any of the other hundreds of variables studied in the China Project (it has a correlation of +89 with colorectal cancer).
  2. The only fiber factions that don’t appear protective of colorectal cancer (pectin and fucose) also have the most neutral associations with schistosomiasis infection (+1 and -5, respectively—whereas other fiber factions had correlations ranging from -9 to -27 with schistosomiasis). In all cases, the correlation between each fiber faction and colorectal cancer parallels its correlation with schistosomiasis.

In other words: Is it the fiber itself that’s protective against colorectal cancer, or is it the fact that the counties eating the most fiber happened to also have the lowest rates of schistosomiasis? It would, I think, be wise to prune these variables apart before declaring fiber itself as protective based on the China Study data.

There is research conducted outside of the China Project suggesting fiber benefits colon health, but often that association dissolves when researchers adjust for other dietary risk factors, such as with the this pooled analysis of colorectal cancer studies published in the Journal of the American Medical Association. Bottom line: It’s never a good idea to go looking for a specific trend just because we believe it should be there. Chains of confirmation bias are often what cause nutritional myths to emerge and persist. Fiber may be beneficial, but we shouldn’t approach the data already expecting to find this—lest we overlook other important influences.

Moving on. Now, what about the second part of this claim: Stomach cancer is inversely associated with green vegetable intake and plasma concentrations of beta-carotene and vitamin C obtained only from plant-based foods.

Is this a fair assessment? Let’s find out. Here are the correlations between stomach cancer and each of these variables.

Green vegetables, daily intake: +5
Green vegetables, times eaten per year: -35**
Plasma beta-carotene: -14
Plasma vitamin C: -13

Ah, looks like we’re facing the Green Veggie Paradox once again. The folks with year-round access to green vegetables get less stomach cancer, but the the folks who eat more green vegetables overall aren’t protected. Once again, I’ll suggest that a geographic variable specific to veggie-growing regions could be at play here.

As for beta-carotene and vitamin C concentrations in the blood, Campbell is correct in noting an inverse association with stomach cancer. However, the correlations aren’t statistically significant, nor are they very high: -14 and -13, respectively.

Campbell Claim #6

Western-type diseases, in the aggregate, are highly significantly correlated with increasing concentrations of plasma cholesterol, which are associated in turn with increasing intakes of animal-based foods.

From his book, we know Campbell defines Western-type diseases as including heart disease, diabetes, colorectal cancers, breast cancer, stomach cancer, leukemia, and liver cancer. And indeed, the variable “total cholesterol” correlates positively with many of these diseases:

Myocardial infarction and coronary heart disease: +4
Diabetes: +8
Colon cancer: +44**
Rectal cancer: +30*
Colorectal cancer: +33**
Breast cancer: +19
Stomach cancer: +17
Leukemia: +26*
Liver cancer: +37*

Perhaps surprisingly, total cholesterol has only weak associations with heart disease and diabetes—weaker, in fact, than the correlation between these conditions and plant protein intake (+25 and +12, respectively). But we’ll put that last point aside for the time being. For now, let’s focus on the diseases with statistical significance, which include all forms of colorectal cancer, leukemia, and liver cancer. (Despite classifying stomach cancer as a “Western disease,” by the way, China actually has far higher rates of this disease than any Western nation. In fact, half the people who die each year from stomach cancer live in China.)

First, let’s dive into the dark, murky chambers of the digestive tract and start with colorectal cancers. Off we go!

What Campbell overlooks about colorectal cancers and cholesterol

As I mentioned earlier, a little somethin’ called “schistosomiasis” is a profoundly strong risk factor for developing colon cancer and rectal cancer. In the China Study data, schistosomiasis correlates at +89*** with colorectal cancer mortality. Yes, 89—higher than any of the other 367 variables recorded.

This, ladies and gentlemen, is what we call a positive correlation.

It just so happens that total cholesterol also correlates with schistosomiasis infection, at a statistically significant rate of +34*:

Basically, this means that areas with higher cholesterol levels also had—for whatever reason—a higher incidence of schistosomiasis infection. It’s hard to say for sure why this is, but it’s likely that the high-cholesterol and high-schistosomiasis groups had a third variable in common, such as infected drinking water or other source of schistosomiasis exposure.

From this alone, it shouldn’t be too shocking that higher cholesterol also correlates with higher rates of colorectal cancer (+33*):

Clearly, we have three tangled-up variables to sort through: total cholesterol, colorectal cancer rates, and schistosomiasis infection. Is it really higher cholesterol that increases the risk of developing colon and rectal cancers, or is the influence of schistosomiasis deceiving us?

To figure this out, let’s look at what cholesterol and colorectal cancer rates look like only in regions with zero schistosomiasis infection. If cholesterol is a causative factor for colorectal cancers, then cancer rates should still increase as total cholesterol rises.

The above graph showcases a correlation of +13. Still positive, but not statistically significant, and a major downgrade from the original correlation of +33*. It does seem schistosomiasis inflates the correlation between cholesterol and colorectal cancers—something Campbell never takes into account. Is blood cholesterol still a risk factor? It’s possible, but we would need more data to know whether the +13 correlation persists or whether there are additional confounding variables at work. For instance, beer intake is another factor correlating significantly with both total cholesterol (+32*) and colon cancer (+40**).  If we remove the three counties that drink the most beer from of the data set above, the correlation between cholesterol and and colorectal cancer drops to -9.

See how tricky the interplay of variables can be?

What Campbell overlooks about leukemia and cholesterol

Next in our lineup of “Western diseases” is leukemia, which has a statistically significant correlation of +26* with total cholesterol. (Although the implication here is that animal product consumption raises leukemia risk, it should be noted that animal protein intake itself has a correlation of -5 with leukemia, whereas plant protein actually has a correlation of +15 with this disease. But let’s humor this claim anyway by looking solely at the role of blood cholesterol.)

If you’ll recall from the post on fish and disease in the China Study, leukemia correlates very strongly with working in industry (+53**) and inversely with working in agriculture (-53**). Although it’s possible the cause is nutritional, it’s also quite likely that an occupational hazard is to blame—such as benzene exposure, which is a major and well-known cause of leukemia in Chinese factory and refinery workers.

Lo and behold, cholesterol also correlates strongly with working in industry (+45**) and inversely with working in agriculture (-46**). If an industry-related risk factor raises leukemia rates, it could very well appear as a false correlation with cholesterol. How can we tell if this is the case?

Let’s try looking at the correlation between leukemia and cholesterol only in counties where few members of the population were employed in industry. If cholesterol itself heightens leukemia risk, our positive trend should still be in place. In the China Study data set, the range for percent of the population working in industry is 1.1% to  41.3%, so let’s try looking at the counties where the value is under 10%:

For the low-industry counties, the correlation between leukemia and total cholesterol is close to neutral—a mere +4. As you can see, this is hardly a damning trend. And in case you’re wondering if higher cholesterol could possibly spur the rates of leukemia in folks who are already at risk, this isn’t the case either: Using only counties that had 20% or more of the population working in industry, presumably the folks who had the most exposure to chemicals like benzene, the correlation between cholesterol and leukemia is a slightly protective -3.

What Campbell overlooks about liver cancer and cholesterol

I may not be vegan, but that doesn’t mean I like beating dead horses. Instead of rehashing the earlier analysis of liver cancer under Campbell Claim #3, I’ll just repeat that cholesterol does not have a significant correlation with liver cancer when you divide the data set into separate groups: areas with high hepatitis B rates an areas with low hepatitis B rates.

From page 104 of his book:

Liver cancer rates are very high in rural China, exceptionally high in some areas. Why was this? The primary culprit seemed to be chronic infection with hepatitis B virus (HBV). …

… But there’s more. In addition to the [hepatitis B] virus being a cause of liver cancer in China, it seems that diet also plays a key role. How do we know? The blood cholesterol levels provided the main clue. Liver cancer is strongly associated with increasing blood cholesterol, and we already know that animal-based foods are responsible for increases in cholesterol.

Campbell connects some of the dots, but misses a very important one. Indeed, hepatitis B associates strongly with liver cancer. Indeed, cholesterol associates with liver cancer. But what he doesn’t mention is that cholesterol also associates with hepatitis B infection. In other words, the groups with higher cholesterol are already at greater risk of liver cancer than groups with lower cholesterol—but it’s not because of diet.

In addition to greater rates of hepatitis B infection, higher-cholesterol areas had additional risk factors for liver cancer, such beer consumption, which also inflated the trend. Despite Campbell’s claims, cholesterol itself does not appear to significantly heighten cancer rates in at-risk populations.

Given Campbell’s casein research and earlier observations about the animal-protein consuming children in the Philippines getting more liver cancer, I wonder if Campbell approached the China Study already expecting a particular outcome. In a massive data set with 8,000 statistically significant correlations, even a smidgen of confirmation bias can cause someone to find a trend that isn’t truly there.

An example of bias in “The China Study”

Body weight, associated with animal protein intake, was associated with more cancer and more coronary heart disease. It seems that being bigger, and presumably better, comes with very high costs. (Page 102)

Consuming more protein was associated with greater body size. … However, this effect was primarily attributed to plant protein, because it makes up 90% of the total Chinese protein intake. (Page 103)

Let’s read between the lines. Here we have Campbell claiming two things, a few paragraphs apart: One, that body weight is associated with more cancer and heart disease, and two, that body size in China is linked not only with a greater intake of animal protein, but also with a greater intake of plant protein. In fact, the link between body size is stronger with plant protein than with animal protein.

Yet notice how Campbell only implicates animal protein in the association between body weight, cancer, and heart disease. If he were to describe the data without bias, Campbell’s first statement would be this:

Body weight, associated with animal protein intake and plant protein intake, was associated with more cancer and more coronary heart disease.

Maybe his editor just overlooked that omission, eh? Right afterward, Campbell notes:

But the good news is this: Greater plant protein intake was closely linked to greater height and body weight. Body growth is linked to protein in general and both animal and plant proteins are effective! (Page 102)

Wait a minute. This is good news? Didn’t Campbell just say being bigger “comes with very high costs” and that it’s associated with “more cancer and coronary heart disease?” Why is body size a bad thing when it’s associated with animal protein, but a good thing when it’s associated with plant protein?

Does less animal foods equal better health?

People who ate the most animal-based foods got the most chronic disease. Even relatively small intakes of animal-based food were associated with adverse effects. People who ate the most plant-based foods were the healthiest and tended to avoid chronic disease.

This oft-repeated quote from “The China Study” is compelling, but is it true? Based on the data above, it seems like an unlikely conclusion—but let’s try once more to see if it could be valid.

As an illustrative experiment, let’s look at the top five Chinese counties with the lowest animal protein consumption and compare them against the top five counties with the highest animal protein consumption. A data set of 10 won’t yield any confident conclusions, of course, and I won’t treat this as representative of the collective body of China Study data. But since animal protein consumption among the studied counties ranged from 0 grams* to almost 135 grams per day, we should see a stark contrast between the nearly-vegan regions and the ones eating considerably more animal foods. That is, assuming it’s true that “even relatively small intakes of animal-based food” yield disease.

*The county averaging zero grams per day wasn’t completely vegan, but the yearly consumption of animal foods was low enough so that the daily average appeared less than 0.01 grams.

Here are the counties I’ll be using. The first five are our near-vegans; the second five are our highest animal product consumers. From both groups, I had to exclude a top-five county due to missing data for most mortality variables (illegible documentation, according to the authors of “Diet, Life-style and Mortality in China”) and replaced it with a sixth county where animal protein consumption matched within a few hundredths of a gram.

Below are the names of each county, as well as values for their daily animal protein intake, the percentage of their total caloric intake coming from fat, and their daily intake of fiber (in case the latter two variables are also of interest).

To give you a visual idea of these quantities, 135 grams of animal protein is the equivalent of 22 medium eggs per day, 24 grams of animal protein is the equivalent of four medium eggs per day, 12 grams is two eggs, and 9 grams is one and a half eggs. Obviously, that’s quite a wide range even among the top consumers of animal foods, so the highest animal-food-eating counties (Tuoli and XIanghuang qi) may be the most important to study in contrast with the near-vegan counties.

Animal protein intake by county:

For reference, some other diet variables:

And now, mortality rates for important variables (as per 1000 people). I’ll save you my commentary and just show you the graphs, which should speak for themselves. Remember, the five left-most bars (Jiexiu through Songxian) on each graph are the near-vegan counties, and the five right-most bars (Tuoli through Wenjiang) are the highest consumers of animal products.


As you can see, the mortality rates for both groups (near-vegan and higher-animal-foods) are quite similar, with the animal food group coming out more favorably in some cases (death from all cancers, myocardial infarction, brain and neurological diseases, lymphoma, cervix cancer). This little comparison might not carry a lot of scientific clout due to its small sample size, but it does blatantly undermine Campbell’s assessment:

People who ate the most animal-based foods got the most chronic disease … People who ate the most plant-based foods were the healthiest and tended to avoid chronic disease.

Sins of omission

Perhaps more troubling than the distorted facts in “The China Study” are the details Campbell leaves out.

Why does Campbell indict animal foods in cardiovascular disease (correlation of +1 for animal protein and -11 for fish protein), yet fail to mention that wheat flour has a correlation of +67 with heart attacks and coronary heart disease, and plant protein correlates at +25 with these conditions?

Speaking of wheat, why doesn’t Campbell also note the astronomical correlations wheat flour has with various diseases: +46 with cervix cancer, +54 with hypertensive heart disease, +47 with stroke, +41 with diseases of the blood and blood-forming organs, and the aforementioned +67 with myocardial infarction and coronary heart disease? (None of these correlations appear to be tangled with any risk-heightening variables, either.)

Why does Campbell overlook the unique Tuoli peoples documented in the China Study, who eat twice as much animal protein as the average American (including two pounds of casein-filled dairy per day)—yet don’t exhibit higher rates of any diseases Campbell ascribes to animal foods?

Why does Campbell point out the relationship between cholesterol and colorectal cancer (+33) but not mention the much higher relationship between sea vegetables and colorectal cancer (+76)? (For any researcher, this alone should be a red flag to look for an underlying variable creating misleading correlations, which—in this case—happens to be schistosomiasis infection.)

Why does Campbell fail to mention that plant protein intake correlates positively with many of the “Western diseases” he blames cholesterol for—including +19 for colorectal cancers, +12 for cervix cancer, +15 for leukemia, +25 for myocardial infarction and coronary heart disease, +12 for diabetes, +1 for breast cancer, and +10 for stomach cancer?

Of course, these questions are largely rhetorical. Only a small segment of “The China Study” even discusses the China Study, and Campbell set out to write a publicly accessible book—not an exhaustive discussion of every correlation his research team uncovered. However, it does seem Campbell overlooked or ignored significant points when discerning the overriding nutritional themes in the China Project data.

What about casein?

Along with trends gleaned from the China Project, Campbell recounts the startling connection he found between casein (a milk protein) and cancer in his research with lab rats. In his own words, casein “proved to be so powerful in its effect that we could turn on and turn off cancer growth simply by changing the level consumed” (page 5 of “The China Study”). Protein from wheat and soy did not have this effect.

This finding is no doubt fascinating. If nothing else, it suggests a strong need for more research regarding the safety of casein supplementation in humans, especially among bodybuilders, athletes, and others who use isolated casein for muscle recovery. Unfortunately, Campbell extrapolates this research beyond its logical scope: He concludes that all forms of animal protein have similar cancer-promoting properties in humans, and we’re therefore better off as vegans. This claim rests on several unproven assumptions:

  1. The casein-cancer mechanism behaves the same way in humans as in lab rats.
  2. Casein promotes cancer not just when isolated, but also when occurring in its natural food form (in a matrix of other milk substances like whey, bioactive peptides, conjugated linoleic acid, minerals, and vitamins, some of which appear to have anti-cancer properties).
  3. There are no differences between casein and other types of animal protein that could impose different effects on cancer growth/tumorigenesis.

Campbell offers no convincing evidence that any of the above are true. We do share some metabolic similarities with rats, so for the sake of being able to entertain the possibility that #2 and #3 are valid, let’s assume that the effect of casein on rats translates cleanly to humans.

How does Campbell justify generalizing the effects of casein to all forms of animal protein? Much of it is based on a study he helped conduct: “Effect of dietary protein quality on development of aflatoxin B[1]-induced hepatic preneoplastic lesions,” published in the August 1989 edition of the Journal of the National Cancer Institute. In this study, he and his research crew discovered that aflatoxin-exposed rats fed wheat gluten exhibited less cancer growth than rats fed the same amount of casein. But get this: When lysine (the limiting amino acid in wheat) was restored to make the gluten a complete protein, the rats had just as much cancer occurrence as the casein group. Jeepers!

Campbell thus deduced that it’s the amino acid profile itself responsible for spurring cancer growth. Because most forms of plant protein are low in one or more amino acids (called “limiting amino acids”) and animal protein is complete, Campbell concluded that animal protein, but not plant protein, must encourage cancer growth. Time to whip out the veggie burgers!

Of course, this conclusion has some gaping logical holes when applied to real life. Unless you consume nothing but animal products, you’ll be ingesting a mixed ratio of amino acids by default, since animal foods combined with plant foods still yield limiting amino acids. The rats in Campbell’s research consumed casein as their only protein source, the equivalent of someone eating zero plant protein for life. An unlikely scenario, to be sure.

Moreover, certain combinations of vegan foods (like grains and legumes) have complementary amino acid profiles, restoring each other’s limiting amino acid and resulting in protein that’s complete or nearly so. Would these food combinations also spur cancer growth? How about folks who pop a daily lysine supplement after eating wheat bread? If Campbell’s conclusions are correct, it would seem vegans could also be subject to the cancer-promoting effects of complete protein, even when eschewing all animal foods.

Also, it seems Campbell never mentions an obvious implication of a casein-cancer connection in humans: breast milk, which contains high levels of casein. Should women stop breastfeeding to reduce their children’s exposure to casein? Did nature really muck it up that much? Are children who are weaned later in life at increased risk for cancer, due to a longer exposure time the casein in their mothers’ milk? It does seem strange that casein, a substance universally consumed by young mammals, is so hazardous for health—especially since it’s designed for a time in life when the immune system is still fragile and developing.

At any rate, Campbell’s theories about plant versus animal protein and cancer are essentially speculation. Despite a single experiment with restoring lysine to wheat gluten, he hasn’t actually offered evidence that all animal protein behaves the same way as casein.

But check this out. After delineating his discovery of the link between casein and cancer, Campbell writes:

We initiated more studies using several different nutrients, including fish protein, dietary fats and the antioxidants known as cartenoids. A couple of excellent graduate students of mine, Tom O’Conner and Youping He, measured the ability of these nutrients to affect liver and pancreatic cancer. (Page 66)

So he did experiment with an animal protein besides casein! Unfortunately, Campbell never mentions what the specific results of this research were. In describing the studies he conducted with his grad students, Campbell says only that a “pattern was beginning to emerge: nutrients from animal-based foods increased tumor development while nutrients from plant-based foods decreased tumor development.” (Page 66)

I don’t know about you, but I’d sure like to see the actual data for some of this.

After a little searching, I found one of the aforementioned experiments conducted by Campbell, his grad student Tom, and two other researchers. It was published in the November 1985 issue of the Journal of the National Cancer Institute: “Effect of dietary intake of fish oil and fish protein on the development of L-azaserine-induced preneoplastic lesions in the rat pancreas.”

(A preneoplastic lesion, by the way, is a fancy term for the growth that occurs before a tumor.)

In this study, Campbell and his team studied three groups of carcinogen-exposed rats: One fed casein plus corn oil, one fed fish protein plus corn oil, and one fed fish protein plus fish oil (from a type of high omega-3 fish called menhaden). All groups received a diet of about 20% protein and 20% fat and ate the same amount of calories.

Providing background for the study, the authors note that previous research has showed fish protein to have anti-cancer properties (emphasis mine):

Gridley et al. [n15,n16] reported on two studies in which intake of fish protein resulted in a reduced tumor yield when compared to other protein sources. Spontaneous mammary tumor development in C3H/HeJ mice was reduced. The incidence of herpes virus type 2-transformed cell-induced tumors in mice was also reduced in animals fed a fish protein diet.

Perhaps this should’ve tipped Campbell off that not all sources of animal protein spur cancer growth like casein does. For reference, the cited studies are “Modification of herpes 2-transformed cell-induced tumors in mice fed different sources of protein, fat and carbohydrate” published in the November-December 1982 issue of Cancer Letters, and “Modification of spontaneous mammary tumors in mice fed different sources of protein, fat and carbohydrate” published in the June 1983 issue of Cancer Letters.

So what were the results of Campbell’s experiment? According to the study, both the casein/corn oil and fish protein/corn oil groups had significant preneoplastic lesions. We don’t know whether to blame this on the protein or the corn oil, since—according to the researchers—intake of corn oil has previously been shown to promote the development of L-azaserine-induced preneoplastic lesions in rats.” However, the group that ate fish protein plus fish oil exhibited something radically different:

It is immediately apparent that menhaden oil had a dramatic effect both on the development in the number and size of preneoplastic lesions. The number of AACN per cubic centimeter and the mean diameter and mean volume were significantly smaller in the F/F [fish protein and fish oil] group compared to the F/C [fish protein and corn oil] group. Furthermore, no carcinomas in situ were observed in the F/F group, whereas the F/C group had an incidence of 3 per 16 with 6 total carcinomas.

There’s some significant stuff here, so let’s break this down point by point.

One: The cancer-inducing properties of fish protein, if there are any to begin with, were neutralized by the presence of fish oil. This means that even if all animal protein behaves like casein under certain circumstances, its effect on cancer depends on what other substances accompany it. Animal protein is therefore not a universal cancer promoter; only a situational one, at best.

Two: What does “fish protein” plus “fish fat” start to resemble? Whole fish. Campbell just demonstrated that animal protein may, indeed, operate differently when consumed with its natural synergistic components.

Since there wasn’t a rat group eating casein plus fish oil, we don’t know what the effect of a dairy protein plus fish fat would have been. However, it would be interesting to have more studies looking at cancer growth in mice fed diets of casein plus milk fat. If casein loses its cancer-promoting abilities under that circumstance, as fish protein did with fish oil, then we’d have good reason to think the various factions of whole animal products might reduce any cancer-promoting properties a single component has in isolation.

And Campbell and his team conclude:

[A] 20% menhaden oil diet, rich in omega 3 fatty acids, produced a significant decrease in the development of both the size and number of preneoplastic lesions when compared to a 20% corn oil diet rich in omega 6 fatty acids. This study provides evidence that fish oils, rich in omega 3 fatty acids, may have potential as inhibitory agents in cancer development.

Remember how Campbell said, summarizing this research, that “nutrients from animal-based foods increased tumor development while nutrients from plant-based foods decreased tumor development”? Last I checked, fish oil ain’t no plant food.

Why does Campbell avoid mentioning anything potentially positive about animal products in “The China Study,” including  evidence unearthed by his own research? For someone who has openly censured the nutritional bias rampant in the scientific community, this seems a tad hypocritical.

But back to casein and milk for a moment. It’s interesting that the only dairy protein Campbell experimented with was casein, since whey—the other major protein in milk products—repeatedly shows cancer-protective and immunity-boosting effects, including when tested side-by-side with casein. Just a sampling of the literature:

Given all this, it seems unlikely that casein’s effects on cancer apply to other forms of milk protein—much less all animal protein at large. Isn’t it possible (maybe even probable) that casein has deleterious effects when isolated, but doesn’t exhibit cancer-spurring qualities when consumed with the other components in milk? Could casein and whey work synergistically, with the anti-cancer properties of whey neutralizing the pro-cancer properties of casein?

I’ll let you be the judge.

In summary and conclusion…

Apart from his cherry-picked references for other studies (some of which don’t back up the claims he cites them for), Campbell’s strongest arguments against animal foods hinge heavily on:

  1. Associations between cholesterol and disease, and
  2. His discoveries regarding casein and cancer.

For #1, it seems Campbell never took the critical step of accounting for other disease-causing variables that tend to cluster with higher-cholesterol counties in the China Study—variables like schistosomiasis infection, industrial work hazards, increased hepatitis B infection, and other non-nutritional factors spurring chronic conditions. Areas with lower cholesterol, by contrast, tended to have fewer non-dietary risk factors, giving them an automatic advantage for preventing most cancers and heart disease. (The health threats in the lower-cholesterol areas were more related to poor living conditions, leading to greater rates of tuberculosis, pneumonia, intestinal obstruction, and so forth.)

Even if the correlations with cholesterol did remain after adjusting for these risk factors, it takes a profound leap in logic to link animal products with disease by way of blood cholesterol when the animal products themselves don’t correlate with those diseases. If all three of these variables rose in unison, then hypotheses about animal foods raising disease risk via cholesterol could be justified. Yet the China Study data speaks for itself: Animal protein doesn’t correspond with more disease, even in the highest animal food-eating counties—such as Tuoli, whose citizens chow down on 134 grams of animal protein per day.

Nor is the link between animal food consumption and cholesterol levels always as strong as Campbell implies. For instance, despite eating such massive amounts of animal foods, Tuoli county had the same average cholesterol level as the near-vegan Shanyang county, and a had a slightly lower cholesterol than another near-vegan county called Taixing. (Both Shanyang and Taixing consumed less than 1 gram of animal protein per day, on average.) Clearly, the relationship between animal food consumption and blood cholesterol isn’t always linear, and other factors play a role in raising or lowering levels.

For #2, Campbell’s discoveries with casein and cancer, his work is no doubt revelatory. I give him props for dedicating so much of his life to a field of disease research that wasn’t always well-received by the scientific community, and for pursuing so ardently the link between nutrition and health. Unfortunately, Campbell projects the results of his casein-cancer research onto all animal protein—a leap he does not justify with evidence or even sound logic.

As ample literature indicates, other forms of animal protein—particularly whey, another component of milk—may have strong anti-cancer properties. Some studies have examined the effect of whey and casein, side-by-side, on tumor growth and cancer, showing in nearly all cases that these two proteins have dramatically different effects on tumorigenesis (with whey being protective). A study Campbell helped conduct with one of his grad students in the 1980s showed that the cancer-promoting abilities of fish protein depended on what type of fat is consumed alongside it. The relationship between animal protein and cancer is obviously complex, situationally dependent, and bound with other substances found in animal foods—making it impossible extrapolate anything universal from a link between isolated casein and cancer.

On page 106 of his book, Campbell makes a statement I wholeheartedly agree with:

Everything in food works together to create health or disease. The more we think that a single chemical characterizes a whole food, the more we stray into idiocy.

It seems ironic that Campbell censures reductionism in nutritional science, yet uses that very reductionism to condemn an entire class of foods (animal products) based on the behavior of one substance in isolation (casein).

In sum, “The China Study” is a compelling collection of carefully chosen data. Unfortunately for both health seekers and the scientific community, Campbell appears to exclude relevant information when it indicts plant foods as causative of disease, or when it shows potential benefits for animal products. This presents readers with a strongly misleading interpretation of the original China Study data, as well as a slanted perspective of nutritional research from other arenas (including some that Campbell himself conducted).

In rebuttals to previous criticism on “The China Study,” Campbell seems to use his curriculum vitae as reason his word should be trusted above that of his critics. His education and experience is no doubt impressive, but the “Trust me, I’m a scientist” argument is a profoundly weak one. It doesn’t require a PhD to be a critical thinker, nor does a laundry list of credentials prevent a person from falling victim to biased thinking. Ultimately, I believe Campbell was influenced by his own expectations about animal protein and disease, leading him to seek out specific correlations in the China Study data (and elsewhere) to confirm his predictions.

It’s no surprise “The China Study” has been so widely embraced within the vegan and vegetarian community: It says point-blank what any vegan wants to hear—that there’s scientific rationale for avoiding all animal foods. That even small amounts of animal protein are harmful. That an ethical ideal can be completely wed with health. These are exciting things to hear for anyone trying to justify a plant-only diet, and it’s for this reason I believe “The China Study” has not received as much critical analysis as it deserves, especially from some of the great thinkers in the vegetarian world. Hopefully this critique has shed some light on the book’s problems and will lead others to examine the data for themselves.

1,337 comments

  1. There are Four Cycles the body and mind must go through to create health – Cleansing, Building, Energizing, and Rest. This is the Wheel Of Health. The Vegan diet is a strong cleansing diet and that is good. But can cause an imbalance in the others when used over an extended period. Yes, you can over cleanse the body and mind as well as over build, energize (stimulate) or REST them The human organism is a TRI consisting of a Mechanical Body, Chemical Body, and a Electrical Body (Nervous System). The ions in meat are more higher than plant based foods (because of the structure). This causes a greater energy field and should be balanced by a good plant food to stabilize it. Any research is one-sided because of an over consumption of one food source being investigated. We need water and air, but they too are lethal when over consumed. I too was a strict vegan for 15 years and did very well. Then I started having liver, gallbladder, and kidney failures. One of the normal functions of the human body is cleansing. We can create a weakening of these organs by eliminating certain foods that make them work or function properly. Such as…a small amount of grease makes the gallbladder stronger, not weaker. The real problems with health is found in OILS, SUGARS, and FLOUR products, not in eating meat, dairy, and eggs in moderation. We certainly should do our best to treat animals in a more humane way. Grass fed…cage free. But, to create a wave of idealistic view points on what is RIGHT or WRONG is NOT humane to those who may need to eat higher density protein source. I’m a Zerotarian ( A Zerotarain is a person who can make sudden changes in diet when needed. They live in a 360 degree View Point that see’s ALL has its place). As state earlier – The Vegan Diet is a great Cleansing Diet and should be used for that purpose. But, one should understand – If there’s noting to clean – what you’re doing is slowly robbing the body of vital nutrients as well. Stay in touch with a Reality. GOGDIET.COM

  2. All I know is, when I eat it, my digestion is on point. Digestion is everything. I could not live without legumes. All of this stuff is subjective. Even Campbell spends a good deal of time making it clear that just because science says there’s a probability of you getting cancer/heart disease doesn’t mean you will.

  3. Fiber helps prevent constipation and it can add bulk to your diet which makes you feel fuller faster, helping you control your weight. There are two kinds Soluble and Insoluble. Soluble can lower total and LDL cholesterol, which may reduce the risk of cardiovascular disease. but this needs to be in combo with both a low sat fat diet and exercise. It can also delay the absorption of glucose. Insoluble can help regulate blood sugar levels, which may reduce glucose and insulin levels in diabetic patients and may lower risk of diabetes. It also speed up the passage of foods through the digestive system, which facilitates regular defecation and adds bulk to the stool, which alleviates constipation. Both can help balance intestinal pH and stimulates intestinal fermentation production of short-chain fatty acids, which may reduce risk of colorectal cancer too

  4. Harddanceuk, We’ve heard all that before but there is no data to back it up. I found that out when I switched to raw milk. See if you can find an empirical study to support even one of your assertions.

  5. The simple fact that you believe that milk (by far the most unnatural, weird and stupid thing that humans consume) – whether it be raw, pasteurised or otherwise – is the answer to anything, completely invalidates anything you have to say about anything health-related, certainly when it comes to talking about scientific research. Let that be absolutely clear. The fact you fell for the delusion that milk is good for you in any shape, form or fashion shows you just got played big time by the milk industry’s marketing machine. Apart from being a source of B12, not a single claim they have ever made about the nutritional benefits of milk is true, in any shape, form or fashion. Don’t feel too bad, you’re one of many millions that fell for the scam. But please don’t go around spreading this nonsense to other people.

  6. Mark M, if you had a real argument you would have made it. The simple fact that you believe that weeds growing out of dirt fertilized with shit (by far the most unnatural, weird and stupid thing that humans consume) – whether it be raw, cooked or otherwise – is the answer to anything, completely invalidates anything you have to say about anything health-related. That’s why you refuse to talking about scientific research. Let that be absolutely clear. The fact you fell for the delusion that weeds are good for you shows you just got played big time by the pharmaceutical industry’s marketing machine. Humans require among other things a source of B12. Not a single claim the medical industry has ever made about the nutritional benefits of plants is true. You definitely got played big time. It doesn’t take a rocket scientist to know there is a difference between processed and fresh foods. The pharmaceutical and processed milk industry’s marketing machines are desperately trying to destroy our sources of fresh drinking milk. The nutritional benefits of raw milk are obvious to the millions of Americans who have switched from processed to fresh. For them there is no speculation involved and no conflict of interest. Don’t feel too bad, you’re one of many millions that fell for the scam. But please don’t go around spreading this nonsense to other people.

  7. I bet you don’t even realize how stupid that comment you made was. You say that milk has no nutritional benefit, yet you also say that it is a source of b12. Don’t you think that if it’s a source of b12 other nutrients may be present in it as well? Don’t you think that at least the rest of the b vitamins would be in it? Surely, you don’t think that milk is an isolated b12 supplement… right?

  8. Haha so many long sentences, zero substance. It doesn’t take scientific studies or big words to accept the undeniable reality that cow’s milk, goat’s milk any non-human milk was never is never and will never be fit for human consumption. Even human milk is not meant for consumption past the infant age. It’s far and away the most unnatural and idiotic thing that humans have decided to consume, no other species on this planet does such a thing. It’s really that simple. Come with all the studies, theses and mental gymnastics you wish, this fact will not change. It doesn’t take a scientist to accept this fact, just takes a little bit of common sense.

  9. Mark M, “So many long sentences and zero substance.” That was my point. It would take at least one scientific study and not just big words to prove the ridiculous idea that cow’s milk, goat’s milk or any non-human milk was never is never and will never be fit for human consumption. Aside from the fact that women usually have more important things to do, it’s absurd to suggest that human milk is not meant for consumption past the infant age. “infant /in·fant/ the human young from the time of birth to one year of age.” A vegan diet is far and away the most unnatural and idiotic thing that humans have decided to consume, no other species on this planet could do such a thing. It’s really that simple. Come with all the insults and mental gymnastics you wish, this fact will not change. It doesn’t take a scientist to see this, just takes a little bit of common sense. It is very difficult for a real scientist to accept simple propaganda as fact.

  10. Raw milk mike had too much raw milk and can’t make arguments up himself.
    Another reason to stay away from milk for me.
    Since I quit milk I experienced:
    – no more constipation
    – less akne
    – better flexibility

    And now I know why they give away free cheese, too. :P

  11. Koghden had too much soy milk and can’t make arguments.
    Another reason to stay away from soy milk for me.
    Since I quit pasteurized milk I experienced:
    – no more diarrhea
    – fewer allergies
    – better flexibility
    And now I know why they gave away free margarine, too.

  12. Speaking as someone whom doesn’t handle simple sugars and high G.I. too well. I find eating certain fruits whole, not juiced, and only when i’ve been working hard physically – strawberries, peaches, oranges for e.g. The fibre present slows the natural sugars down enough for me not to have any ill effects. I don’t touch cane sugars generally, only occasionally when really, really run down, and then only a single can of lemonade or low carb beer for e.g. Soluble fiber won’t do too much for the sugars present in wheat for me, but still, far better to eat high fibre pasta than low fiber pasta. Although i do find 4-6 high fibre cracker biscuits to be fine every so often.

    I’m generally eating a paeleo type diet, but with whole potatoes, milk, yogart and basmati rice. I try to primarily avoid concentrated forms of all the simple sugars, stimulant foods (inc. Cafeine) and the 600 number flavour enhancers. Due to these things greatly increasing fatigue and socially unacceptable aggression.

    I do think there are likely some vegans whom have the right genetic constitution to be healthy, intelligent, energetic vegans. There are lots of variations and adaptations in nature. That is so that at least some life forms are more likely to survive during a cataclysmic event. But I do get annoyed at the extremist vegan types pushing their pseudo science “proof” to fit their philosophical agendas. I don’t like anyones, one size fits all theories. Because that one size often only benefits them best.

  13. Paul, have you tried the GAPS diet? Do you drink raw milk or pasteurized? Raw “strawberries, peaches, and oranges” are a lot more than just sugar and fiber. How do you know it’s the sugar that’s the problem? Wheat’s toxicity has little to do with sugar. Soft drinks have HFCS and aspartame which are toxins in their own right. Cakes also contain hydrogenated GM soy and cotton seed oils.

  14. Mike, I don’t follow a known diet as such, instead it’s a process of elimination and addition, to find what works for me and what does not. I’ve been doing this, albiet more haphazardly early on, since 1987. Over the last 3-4 years I’ve been much more proactive about my health out of neccessity. I was really quite sick. Struggling to concentrate, irritable and often fatigued. I found my major personal intolerances/allergies where from simple sugars (glucouse, fructose and sucrose), stimulant foods (e.g. caffeine and aspartame amoungst others that act like “speed” on me. The 600 number (msg type) flavour enhancers (and concentrated glutamates).

    I know fruit is a lot more than sugar and fibre, just gave that as an example of food with sugar that I do pretty well on. No sugar spike, that has the effect of making me much more aggressive, followed by a large energy crash. I talked about wheat because processed wheat products are fast carbohydrates (having the same impact on me as simple sugars). I tolerate high fibre wheat product much better, but generally prefer potato and long grain rice as my main carb foods. I’m not certain that gluten itself is a problem for me? Fast carbs and sugars are without doubt.

    Yep I steer clear of aspartame and it’s relatives. I’ve even tried pure fructose as a sweetener as it’s LOW GI, and presto! had the same problems as the other simple sugars.

    I’m just getting up my knowledge with soy being a potential issue, even though I rarely have it these days.

    I drink full cream, non permeate milk. Would love to try raw milk, but think i’ll need a cow or dairy farmer for that. I remember when milk tasted very different to the crap we drink now. Much less cream for starters.

  15. Mercola is not to be trusted. The information in the report is colored and not credible. Of all the herbicides used throughout history, Roundup is the most benign.

  16. His big 4: Corn, soy, and wheat contain Round Up and dairy has been a processed food in our cities for over 100 years. “About 65 percent of Jersey cows exclusively produce A2 milk.” So it’s hard for me to take Dogtor J serious. I have a few more links on Round Up if you’d like to see them? “Struggling to concentrate, irritable and often fatigued.” Sounds like sleep disruption and Round Up poisoning and maybe not enough cholesterol. If you can’t find raw milk it’s best to eliminate it all together with the exception of homemade yogurt and kefir. It’s possible some cheeses may be OK but it’s hard to know for sure unless someone has tried it, maybe in conjunction with the GAPS diet. You should definitely check into the GAPS diet.

  17. I did not compare roundup to agent orange…it is compared to all herbicides of the last thousand years and much less toxic than organic pesticides. It’s funny how all the things that supposedly cause autism are now suddenly appearing…and disappearing.

  18. Waynegage, there are only three things said to cause autism, vaccines, antibiotics, and roundup and none of them have disappeared. You’re still not saying Roundup is safe or that it doesn’t cause autism.

  19. much less toxic than garlic, sea salt and white vinegar??? I doubt it. Show me the comparision test results. I then will humbly agree.

  20. Mike, His big 4 are seen as problem foods for many people and animals, thought to be due too the intestinal villi being obstructed/damaged by gluten, casein, corn and soy. You maybe right in that what all these foods have in common is that they contain trace elements of roundup, possibly causing issues in those sensitive to them.

    But from my personal diet experience, I can eat as much unprocessed meat, plain milk and veg as I like without issue. I assume these food groups would come into contact directly and indirectly with round up. incidentally, I used to spray the weeds in my garden with the stuff years ago before I became suspicious of it, along with all weed and insect poisons.

    I don’t seem to have problems with the plain pasturised dairy I consume. But understand the problems and sensitivities some people suffer with allergies and low level toxins that may be present.

    GAPS generally works for me, with the exception of coconut oil (very stimulating to me), Seaweed (the basis for MSG), wine (a simple sugar), dates, figs sultanas (all too much sugar). There foods recommended are in the majority not problem foods for me.

    glyphosate, i agree, should be avoided if possible along with all pesticide and herbicidal chemicals. What are the best alternatives? Garlic? Sea salt and white vinegar?

  21. waynegage, you said “It’s funny how all the things that supposedly cause autism are now suddenly appearing…and disappearing.” Since “vaccines, antibiotics, and roundup” haven’t disappeared yet which causes are you referring to? I’m not sewing Monsanto so I don’t need to prove Roundup causes autism. If Monsanto wants me to feed weed killer to my kids they need to do at least some research. Especially with so many other more believable people saying it’s highly toxic. “Those three things may not be proven but they are supported by evidence” You have already admitted that Roundup is hazardous. The only question is, how hazardous. Could it cause autism? Is there a possible mechanism? There is such a thing as safety testing Wayne. We are only asking for proper labeling so we know what foods not to buy.

  22. Mike, So what are you implying? open minded to what exactly? I have come a very long way from the days of irritability, fatigue and poor concentration. My workmates think I’m very reasonable about things these days, even things most would find very annoying and even infuriating.

    Are you suggesting eliminating glypho from my diet sources completely will help me tolerate simple sugars better? Or are you generally implying that glypho should be eliminated for the good of everyone?

    I by no means am arrogant enough to assume my diet and knowlege of toxins is some how perfected and I have nothing more to learn. I fully acknowledge that glyphosate ‘could be’ causing some very minor symptoms with fatigue in myself. But sugar, stimulants and exitotoxins have much, much more pronounced impact on me than the known low level toxins in fresh and raw food. I acknowledge the Glypho IS a major problem for a great many people sensitive to it. Yes, I’d love to see it replaced with something with a shorter life toxicity, or no toxicity at all. And, I prefer to eat clean foods, i.e. those grown without the use of pesticides and herbicides. But that would pretty much involve me growing my own food, which at present is impractical for me. Or spending a fortune on items labeld as certified organic, and hoping the certification is legit.

    Also, my learning continues. Wheat, even when high fibre, still causes fatigue, to a lesser degree than low fibre. So, no more for me. And yes, Glypho could be a common link, but so too could the 4 KNOWN “foods” that can induce villous atrophy of the small intestine (gluten, casien, soy and corn). Although, personally with casien I don’t seem to have issues. If glypho in pasturised milk causes any difference to my concentration for e.g. I will probably only know a difference if I switch to raw dairy for a period of time, which I’m now seriously thinking I will try that experiment. Or just going off dairy for a month? Something I prefer not to do.

    Mike, is Organic pasturised whole milk contaminated with glypho? I can get this readily in local shops.

    Thanks, for the links.

  23. First, you keep suggesting that Roundup is in all vegetables and milk. That isn’t true. Next, sleep: I have down loaded ten pages but Bananas and L-tryptophan are 2 that worked for me. Roundup does the same thing to everyone and sugar should also. Restricting fruit juice is only a band-aid until you address the underling cause. I haven’t started my own Roundup reduction diet yet. Got-a take my son to school. I’ll be back.

  24. I’m not suggesting round up is in all foods. But I do understand trace pesticides and herbicides are in many. You say – “Roundup does the same thing to everyone and sugar should also”. Do you mean if roundup was in sugar (or wheat products) then it should have the same effect as roundup alone? This makes sense. Or do you mean sugar should have the same effect on everyone just as round ups does? Sugar effects diabetics and glucose intolerants differently to other people. Farming levels of Roundup may effect everyone the same, or it may not? I don’t have the research on this, but am open to seeing it?

    Dr Stephanie Seneff’s the mind reviewed interview was very informative. I got something useful out of it immediately – She said – glyphosate depletes the availability of manganese. Manganese is used to detoxify glutamate turning it into glutamine. Wheat gluten is 25% glutamic acid by weight. Casein from cow’s milk is 20% glutamic acid by composition. Soy protein has much more glutamate than either of these two. So what might be happening is we are eating those foods that have been treated with Glypho, and the glypho depletes the minerals needed to detox glutamate. So perhaps a temporary work around to going the agreed and more water tight, but expensive, organic and pesticide/herbicide free route, is to increase manganese by diet and suppliments in order to off set the glypho present in certain foods? On further reading on another site, n-acetylcysteine was mentioned as a more effective glutamate detoxifier. I’m only mentioning manganese and n-acetylcysteine because, lets face it, who knows how much glyphosate is out there. People still use it to weed gardens in residential areas, parks and gardens.

    I think what you may be getting at in a nut shell, is that Glypho is the root cause responsible for the toxic symptoms, and if we ate wheat, corn, soy, casein that is free of glypho, then we wouldn’t have to worry about it depleting manganese, or other minerals responsible for detoxing the glutamates that are free to cause the toxic symptoms when Glyphosate is present? Now, if glutamate toxicity is the problem, then celiacs would not exist before the widespread use of Glyphosate? Something else to look into.

  25. Well, here’s a start, Celiacs are 4X more common than 50 years ago. So how long has roundup been in widespread use?

    http://www.celiac.nih.gov/prevalence.aspx

    “Murray and colleagues’ research compared blood samples collected 50 years ago from more than 9,000 young adults, mostly men, at Warren Air Force Base in Wyoming with current samples from age-matched men. The investigators found that celiac disease is four times more common today than a half-century ago.” 2014 article.

  26. http://en.wikipedia.org/wiki/Glyphosate#Monsanto

    Monsanto’s Roundup is the earliest formulation of glyphosate.

    Monsanto developed and patented the use of glyphosate to kill weeds in the 1970s, and has marketed it as Roundup since 1973. It retained exclusive rights in the United States until its patent expired in September, 2000.

    okay…now it’s getting interesting. That coincides with the rise of ceilacs. What about autism? I think Seneff stated that there was a direct correlation with that too?

  27. “It has actually been shown by quite a number of papers that resistance training for insulin resistance is better than aerobic training. There are a variety of other reasons too. Resistance training is referring to muscular exercises. If you just do a bicep curl, you immediately increase the insulin sensitivity of your bicep. Just by exercising you are increasing the blood flow to that muscle, and one of the factors that determines insulin sensitivity is how blood can get there. It has been shown conclusively that resistance training will increase insulin sensitivity.”

  28. This is where we disagree. “If you knew someone with an allergy to peanuts, strawberries or shrimp, you wouldn’t really consider them to be diseased. Try to think of the insulin resistant person as someone that is intolerant of certain types of diet and management. This is a management and care issue with no real cure. The solution is to avoid the triggers that can get the person into trouble.”

  29. Looks like we are both reading articles and posting at the same time. “Not sustainable for most people – It is important to note that an insulin resistance diet isn’t something that is considered to be a long-term, sustainable approach to nutrition for most people simply because following a nutritional plan that excludes so many foods, particularly those containing carbohydrates, is very difficult to do for a long period of time.”

  30. Waynegage – problem is that many Celiacs are also intolerant to soy and dairy. And to a lesser degree corn. So is there a glyphosate connection? I’m curious about the use of glyphosate in the dairy industries. I assume the cattle are eating grain and corn and other product treated with glyphosate?

  31. mike- i’m not diabetic, just glucose intolerant. Interesting thing to me is that I can eat all the long grain rice i want and don’t get the sugar spike followed by irritability, poor concentration, fatigue. So, perhaps rice isn’t affected by glyphosate and most wheat is?. This might be why I react to one and not the other?

  32. Glyphosate, pathways to modern diseases II: Celiac sprue and gluten intolerance

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945755/

    from: National Center for Biotechnology Information

    I didn’t realise “ripening” sugar cane with glyphosate was a practice.

    “we have ‘systematically’ shown how all of these features of celiac disease can be explained by glyphosate’s known properties. These include (1) disrupting the shikimate pathway, (2) altering the balance between pathogens and beneficial biota in the gut, (3) chelating transition metals, as well as sulfur and selenium, and (4) inhibiting cytochrome P450 enzymes. We argue that a key system-wide pathology in celiac disease is impaired sulfate supply to the tissues, and that this is also a key component of glyphosate’s toxicity to humans.”

    Very damning article indeed. If it’s affecting celiacs, then it’s affecting everyone to a degree.

  33. More importantly waynegage, who says it’s “Less toxic than sodium chloride, hydrogen peroxide, chocolate etc.”? Roundup is actually toxic to humans at any concentration. Some of it’s worst damage is done at the lowest concentrations.

  34. Wayne, First of all, we are talking about Roundup which is much more toxic than Glyphosate. “LD50 is the amount of a toxic agent (poison, virus, or radiation) that is sufficient to kill 50 percent of a population of a specified animal (usually mice or rats) within a specified test duration usually defined as a period of minutes, hours (up to 24) or days (up to about 2weeks) but rarely longer. (Glyphosate tests need to be more than 3 months) As a measure of toxicity, LD50 is somewhat unreliable and results may vary greatly between testing facilities due to factors such as the genetic characteristics of the sample population, animal species tested, environmental factors and mode of administration. There can be wide variability between species as well; what is relatively safe for rats may very well be extremely toxic for humans and vice versa. For example, chocolate, comparatively harmless to humans, is known to be toxic to many animals. Some chemicals, such as hydrogen cyanide, are rapidly detoxified by the human body, and do not follow Haber’s Law. Comparing substances (especially drugs) to each other by LD50 can be misleading in many cases due (in part) to differences in effective dose (ED50). In nearly all cases, LD50 tests are performed using a pure form of the chemical. Mixtures are rarely studied.”

  35. waynegage, Which is meaningless because glyphosate is always used with surfactants that make it much more toxic. Also RoundUp makes vaccines much more toxic and it destroys our vital gut bacteria.

  36. Ya, does he think a calf only needs B12 to live. Even though the ratios may be a little different, obviously raw cow’s milk, just as raw human breast milk contains all the components necessary for human life. Isn’t interesting he should mention B12, the one essential vitamin not found in a vegan diet.

  37. Ya, does he think a calf only needs B12 to live. Even though the ratios may be a little different, obviously raw cow’s milk, just as raw human breast milk contains all the components necessary for human life. Isn’t it interesting he should mention B12, the one essential vitamin not found in a vegan diet.

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