Steven Gundry
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Steven Robert Gundry (born July 11, 1950) is an American physician,
low-carbohydrate diet Low-carbohydrate diets restrict carbohydrate consumption relative to the average diet (nutrition), diet. Foods high in carbohydrates (e.g., sugar, bread, pasta) are limited, and replaced with foods containing a higher percentage of fat and pro ...
author and former cardiothoracic surgeon. Gundry is the author of ''The Plant Paradox: The Hidden Dangers in "Healthy" Foods That Cause Disease and Weight Gain'', which promotes the controversial and pseudoscientific lectin-free diet. He runs an experimental clinic investigating the impact of a lectin-free diet on health. Gundry has made erroneous claims that
lectin Lectins are carbohydrate-binding proteins that are highly specific for sugar Moiety (chemistry), groups that are part of other molecules, so cause agglutination (biology), agglutination of particular cells or precipitation of glycoconjugates an ...
s, a type of plant protein found in numerous foods, cause
inflammation Inflammation (from ) is part of the biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The five cardinal signs are heat, pain, redness, swelling, and loss of function (Latin ''calor'', '' ...
resulting in many modern diseases. His Plant Paradox diet suggests avoiding all foods containing lectins. Scientists and dietitians have classified Gundry's claims about lectins as
pseudoscience Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method. Pseudoscience is often characterized by contradictory, exaggerated or unfalsifiable cl ...
. He sells supplements that he claims protect against or reverse the supposedly damaging effects of lectins.


Career


Cardiothoracic surgeon

Gundry graduated from
Yale University Yale University is a Private university, private Ivy League research university in New Haven, Connecticut, United States. Founded in 1701, Yale is the List of Colonial Colleges, third-oldest institution of higher education in the United Stat ...
with a
Bachelor of Arts A Bachelor of Arts (abbreviated B.A., BA, A.B. or AB; from the Latin ', ', or ') is the holder of a bachelor's degree awarded for an undergraduate program in the liberal arts, or, in some cases, other disciplines. A Bachelor of Arts deg ...
degree in 1972 and went on to earn a
M.D. A Doctor of Medicine (abbreviated MD, from the Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of physician. This ge ...
at the
Medical College of Georgia The Medical College of Georgia (often referred to as MCG) is the medical school of Augusta University, the state's only public medical school, and one of the top 10 largest medical schools in the United States. Established in 1828 as the Medical ...
(a division of
Augusta University Augusta University (AU) is a public research university and academic medical center in Augusta, Georgia, United States. It is part of the University System of Georgia and has satellite medical campuses in Savannah, Albany, Rome, and Athens, Geo ...
) in 1977. ''
People The term "the people" refers to the public or Common people, common mass of people of a polity. As such it is a concept of human rights law, international law as well as constitutional law, particularly used for claims of popular sovereignty. I ...
'' reported in 1990 that an infant boy's heart spontaneously healed itself while waiting weeks on life support for a transplant from Gundry and Leonard Bailey. The boy's recovery made the need for a heart transplant unnecessary, and he underwent a successful four-hour surgery from Gundry to repair the
mitral valve The mitral valve ( ), also known as the bicuspid valve or left atrioventricular valve, is one of the four heart valves. It has two Cusps of heart valves, cusps or flaps and lies between the atrium (heart), left atrium and the ventricle (heart), ...
. Gundry has authored articles and registered several patents for medical devices during his career as a cardiothoracic surgeon. In 2002, Gundry began transitioning from Clinical Professor of Cardiothoracic Surgery at Loma Linda University School of Medicine to private practice by starting The International Heart & Lung Institute in
Palm Springs, California Palm Springs (Cahuilla language, Cahuilla: ''Séc-he'') is a desert resort city in Riverside County, California, United States, within the Colorado Desert's Coachella Valley. The city covers approximately , making it the largest city in Rivers ...
.


Nutritionist

By mid-2000s, Gundry was providing dietary consulting through The Center for Restorative Medicine, a branch of his private surgery practice. While not a registered dietitian or provider with verified training in the field, Gundry's advice focused on heart health and followed
conventional wisdom The conventional wisdom or received opinion is the body of ideas or explanations generally accepted by the public and/or by experts in a field. History The term "conventional wisdom" dates back to at least 1838, as a synonym for "commonplace kno ...
of Western diets such as drinking a glass of red wine per day, increasing intake of plants and nuts, reducing simple carbohydrates, and consuming fish and grass-fed meats. Gundry has authored books focused on food-based health interventions. Although not mentioned in his first book, ''Dr. Gundry's Diet Evolution: Turn Off the Genes That Are Killing You and Your Waistline'' (2008), his second book, ''The Plant Paradox'' (2017), advocates avoiding
lectin Lectins are carbohydrate-binding proteins that are highly specific for sugar Moiety (chemistry), groups that are part of other molecules, so cause agglutination (biology), agglutination of particular cells or precipitation of glycoconjugates an ...
s, a class of proteins found in numerous plants. In 2018, he published an accompanying recipe book. He is the host of the ''Dr. Gundry Podcast'' on health and nutrition. Gundry writes articles for Gwyneth Paltrow's
Goop Goop may refer to: People * Alfons Goop (1910–1993), Liechtenstein Nazi leader *Björn Goop (born 1976), Swedish trotting driver and trainer, son of Olle * Olle Goop (1943–2022), Swedish trotting driver and trainer Other uses * Goop, a ''Ben ...
website, which has been criticized for promoting
quackery Quackery, often synonymous with health fraud, is the promotion of fraudulent or Ignorance, ignorant medicine, medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or public ...
. Gundry has also supported the website of
Joseph Mercola Joseph Michael Mercola (; born July 8, 1954) is an American alternative medicine proponent, osteopathic physician, and Internet business personality. He markets largely unproven dietary supplements and medical devices. On his website, Mercola ...
for giving "very useful health advice". Gundry advocates a low-carbohydrate diet. In 2022, he authored ''Unlocking the Keto Code'' which promotes a lectin-free
ketogenic diet The ketogenic diet is a high-fat, adequate-protein, low-carbohydrate diet, low-carbohydrate dietary therapy that in conventional medicine is used mainly to treat hard-to-control (refractory) epilepsy in children. The diet forces the body to b ...
consisting of goat and sheep dairy products, fermented foods, grass-fed beef,
shellfish Shellfish, in colloquial and fisheries usage, are exoskeleton-bearing Aquatic animal, aquatic invertebrates used as Human food, food, including various species of Mollusca, molluscs, crustaceans, and echinoderms. Although most kinds of shellfish ...
, olive oil, and red wine. Gundry's ketogenic diet encourages the consumption of
polyphenol Polyphenols () are a large family of naturally occurring phenols. They are abundant in plants and structurally diverse. Polyphenols include phenolic acids, flavonoids, tannic acid, and ellagitannin, some of which have been used historically as ...
s, time-restricted eating, and "
mitochondrial uncoupling An uncoupler or uncoupling agent is a molecule that disrupts oxidative phosphorylation in prokaryotes and mitochondria or photophosphorylation in chloroplasts and cyanobacteria by dissociating the reactions of ATP synthesis from the electron transp ...
" to facilitate weight loss.


Reception


Lectins

Gundry sells supplements that he claims protect against the damaging effect of lectins. Gundry's claims supporting the efficacy of the what he calls "dangerous" lectins have been thoroughly rebuked and rejected by the scientific community. T. Colin Campbell, a biochemist and advocate for plant-based diets, states that ''The Plant Paradox'' contains numerous unsupported claims, and refutes that it makes a "convincing argument that lectins as a class are hazardous." Campbell also commented that "even more egregious are the wild claims he makes with no referencing at all, which is most of the text... Sometimes it almost seems like this author is just making things up that sound good".
Robert H. Eckel Robert H. Eckel is an American endocrinologist. He holds the Charles A. Boettcher II Endowed Chair in atherosclerosis at the University of Colorado Denver, where he is also a professor of medicine and professor of physiology and biophysics. In 2 ...
, an
endocrinologist Endocrinology (from ''endocrine'' + '' -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental events ...
and past president of the
American Heart Association The American Heart Association (AHA) is a nonprofit organization in the United States that funds cardiovascular medical research, educates consumers on healthy living and fosters appropriate Heart, cardiac care in an effort to reduce disability ...
, argues that Gundry's diet advice contradicts "every dietary recommendation represented by the
American Cancer Society The American Cancer Society (ACS) is a nationwide non-profit organization dedicated to eliminating cancer. The ACS publishes the journals ''Cancer'', '' CA: A Cancer Journal for Clinicians'' and '' Cancer Cytopathology''. History The society w ...
,
American Heart Association The American Heart Association (AHA) is a nonprofit organization in the United States that funds cardiovascular medical research, educates consumers on healthy living and fosters appropriate Heart, cardiac care in an effort to reduce disability ...
,
American Diabetes Association The American Diabetes Association (ADA) is a United States-based nonprofit that seeks to educate the public about diabetes and to help those affected by it through funding research to manage, cure and prevent diabetes, including type 1 diabetes ...
and so on" and that it is not possible to draw any conclusions from Gundry's own research due to the absence of control patients in his studies. Writing in ''
New Scientist ''New Scientist'' is a popular science magazine covering all aspects of science and technology. Based in London, it publishes weekly English-language editions in the United Kingdom, the United States and Australia. An editorially separate organ ...
'', food writer and chef Anthony Warner notes that Gundry's theories "are not supported by mainstream
nutritional science Nutritional science (also nutrition science, sometimes short ''nutrition'', dated trophology) is the science that studies the physiological process of nutrition (primarily human nutrition), interpreting the nutrients and other substances in food ...
" and that evidence of the benefits of high-lectin-containing diets "is so overwhelming as to render Gundry's arguments laughable".
Harriet Hall Harriet A. Hall (July 2, 1945 – January 11, 2023) was an American family medicine, family physician, U.S. Air Force flight surgeon, author, Science communication, science communicator, and scientific skepticism, skeptic. She wrote about alterna ...
of ''
Science-Based Medicine ''Science-Based Medicine'' is a website and blog with articles covering issues in science and medicine, especially medical scams and practices. Founded in 2008, it is owned and operated by the New England Skeptical Society, and run by Steve ...
'' has noted that Gundry's alleged evidence for the benefits of a lectin-free diet is anecdotal and meaningless as there are no studies with control groups in the medical literature to support his claims. Hall concluded that Gundry is not a reliable source of medical information and asserts that "the lectin foods that Gundry prohibits are part of a science-based healthy diet. Avoiding them might lead to inadequate nutrition." Mario Kratz of ''Red Pen Reviews'' gave Gundry's book ''The Plant Paradox'' an overall score of 49% and a 29% score for scientific accuracy. Kratz stated that the book's strong claim that a lectin-free diet can prevent and reverse most chronic diseases is not supported by scientific evidence. He also commented that the book makes an unusual claim that consumption of fruit leads to
obesity Obesity is a medical condition, considered by multiple organizations to be a disease, in which excess Adipose tissue, body fat has accumulated to such an extent that it can potentially have negative effects on health. People are classifi ...
and
weight gain Weight gain is an increase in body weight. This can involve an increase in muscle mass, fat deposits, excess fluids such as water or other factors. Weight gain can be a symptom of a serious medical condition. Description Weight gain occurs ...
which is not supported by any evidence and is contradicted by cohort and experimental studies which show an inverse association. Kratz concluded that "while the diet recommended in ''The Plant Paradox'' probably has general health benefits for people who can stick with it, it's not clear whether avoiding common dietary lectins is beneficial". Although ''Today's Dietitian'' acknowledges that consuming raw beans, which contain lectins, could be harmful, it concludes that "it would be nonsensical for any dietetics professional to recommend a lectin-free diet."


COVID-19

In November 2021, Gundry published a poster abstract in '' Circulation'' which claimed that mRNA vaccines against the
COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the coronavirus SARS-CoV-2. In January 2020, the disease spread worldwide, resulting in the COVID-19 pandemic. The symptoms of COVID‑19 can vary but often include fever ...
virus "dramatically increase" inflammation and that this was associated with heart disease. Commentators in British media cited the abstract as evidence of the mRNA vaccines being unsafe. The abstract was not peer-reviewed before publication. The American Heart Association issued an
expression of concern In academic publishing, an expression of concern is a notice issued by a publisher against a particular publication, warning that it may contain errors or be otherwise untrustworthy. Definitions Practice for issuing expressions of concern is not ...
, warning that the abstract may not be reliable and that, among other problems, there were "no statistical analyses for significance provided, and the author is not clear that only anecdotal data was used". The
Reuters Reuters ( ) is a news agency owned by Thomson Reuters. It employs around 2,500 journalists and 600 photojournalists in about 200 locations worldwide writing in 16 languages. Reuters is one of the largest news agencies in the world. The agency ...
Fact Check team concluded that it did "not provide reliable evidence that mRNA vaccines increase risk of heart disease".
Full Fact Full Fact is a British charity, based in London, which checks and corrects facts reported in the news as well as claims which circulate on social media. History and structure Full Fact was founded in 2009 by businessman Michael Samuel, the ...
noted that the claims in the abstract relied on results from a test for which there was little evidence that it could accurately predict the risk of heart attacks.


Selected publications

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References


External links

{{DEFAULTSORT:Gundry, Steven 1950 births 20th-century American physicians 21st-century American physicians Living people American cardiac surgeons American cookbook writers American health and wellness writers American nutritionists Fasting advocates Loma Linda University faculty Low-carbohydrate cookbook writers Low-carbohydrate diet advocates Medical College of Georgia alumni Pseudoscientific diet advocates Yale University alumni