I first wrote it on the back of an envelope before sending it as an email to by brother-in-law Jason.
I have done a minor update of the 12 steps with no carefully-thought-out anal-retentive logic, just using the same kind of gestalt, impressionistic process I first wrote it with.
The fact that there is 12 steps is totally arbitrary, obviously. The point is to avoid the neolithic agents. It is written from the standpoint of a north american starting with the SAD.
There is no particular significance to the re-ordering. It was and remains a roughly-sketched heuristic and not some kind of dogma or ritual.
I have added some disclaimer-type language about macronutrient ratios, as the silence of the 12 steps on eating non-grain starches, as well as my own lack of tolerance for same, is often misconstrued as some kind of doctrinal aversion to glucose in all forms. This is not any kind of change, just a clarification.
In this case, neutral silence really is a neutral silence.
PaNu has always stressed the three horsemen of wheat, linoleic acid and fructose as important deviations from the EM2 and prime suspects in the diseases of civilization (DOCs), including epithelial cancers, degenerative diseases, cardiovascular disease and autoimmune disorders.
Inasmuch as 2/3 or more of the carbohydrate content of the SAD is nothing but sucrose equivalents or wheat flour, I still feel Gary Taubes was spot-on using the phrase “Easily digestible carbohydrates” to describe the putative cause of the DOCs and the obesity epidemic. Whether insulin or leptin or adiponectin or PPAR gamma or NF KB or a bajillion cytokines are the proximate mediators of obesity or atherosclerosis is hardly the point, is it? "Easily digestible carbohydrates" certainly includes added fructose and wheat flout, doesn't it?
Taubes rekindled dormant knowledge of how evolutionarily novel forms and amounts of food intake can cause disease. GCBC is not just about insulin or the metabolic advantage. It is a narrative that destroys Keys (deserves a Nobel prize just for that) and redirects us to look at the neolithic agents.
I believe that for those trying to lose weight or who have a “broken metabolism” that close attention to macronutrient ratios is important, along with other tweaks as listed in “How to Lose Weight”.
That said, far too much attention has been paid to macronutrient ratios elsewhere and maybe here as well. I respect Kwasniewski but cannot believe the human organism requires tight ratios of anything (outside of minimizing poisons) in order to be healthy. So maybe stop obsessing over protein ratios as well as carbohydrate (if you are).
If you have transitioned from the SAD and are now eating 10% of calories as carbs after eliminating sugars and wheat flour, I see no reason to change that. You will not “ruin your metabolism”.
If you have no idea what your ratios are and you feel fine, why measure them?
If you want, for whatever reason, to eat 50% of calories as carbohydrate and it does not make you gain weight, knock yourself out.
Eat yams and sweet potatoes, or limited amounts of white potatoes or white rice.
Starch or glucose per se are not Neolithic agents.
I would sooner eat three potatoes a day than a tablespoon of corn oil.
If you do eat a higher carb diet, infrequent meals or some IF may be in order. I still think that spending some part of your life (more than the SAD) in or near ketosis is part of the EM2. That's easier to achieve on VLC. Ketosis being a more frequent part of the EM2 is just a working hypothesis for now.