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OT: The Optimal Diet

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    chicagotribune.comchi
    0406090030jun09,1,5499275.story?coll=chi-homepagenews2-utl

    Praise the lard

    The 'Polish Atkins diet' recommends eating prodigious
    amounts of animal fat. Can this possibly be good for you?

    By Monica Eng Tribune staff reporter Published June 9, 2004

    Vinka Peschak starts each day by knocking back a full cup of
    heavy whipping cream.

    That's at 8 a.m.

    "At around 11 o'clock I take three or four egg yolks and
    make some kind of omelet with lard for breakfast," the
    Portage Park resident explains. Peschak, a native of
    Poland, eats her omelet with a cup of buttery boiled
    vegetables and a slender piece of almond toast slathered in
    more butter or lard.

    Dinner is usually a fatty piece of pork or some kind of
    organ meat with lard-cooked french fries and more butter-
    soaked vegetables.

    In the middle of the day she might have a cup of coffee,
    "but only with a lot of heavy whipping cream in it."

    Peschak has been eating like this for more than five years.
    She is slim, energetic, and says, "I feel wonderful, never
    tired and never hungry."

    She is not on Atkins. She is not on South Beach. Peschak,
    along with an estimated 2,000 Polish Chicagoans -- and 2
    million folks worldwide -- is on the Optimal Diet, a Polish
    eating plan that requires the consumption of prodigious
    amounts of animal fat -- preferably lard.

    The diet was hatched in Poland some 40 years ago by Dr. Jan
    Kwasniewski, who started developing it while working as a
    dietician for a military sanitarium in Ciechocinek, Poland.
    There he observed that many of his patients were sick, "not
    because of any pathogenic factors . . . but the result of
    one underlying cause -- bad nutrition," according to his
    English language "Optimal Nutrition" book. After
    experimenting on his family and himself, Kwasniewski
    concluded that the ideal nutritional combo came from eating
    three grams of fat for every one gram of protein and half a
    gram of carbohydrates.

    After a couple of decades of refining this theory,
    Kwasniewski published his first book in Poland in 1990. But
    it wasn't until converts came forward with their stories of
    weight loss and recovery from disease in the mid-'90s that
    the diet really took off it its native land and
    Kwasniewski's books went into wide circulation. Today there
    are at least two magazines devoted to the Optimal lifestyle
    and Kwasniewski writes a twice weekly column for the
    regional Polish newspaper Dziennik Zachodni.

    It was one of these books that made it into Peschak's hands
    in late 1998, when she was having lunch with other Polish
    women at a Chicago factory. "One lady who just came back
    from vacation in Poland showed me this book she got there
    and it made a lot of sense to me." A few weeks later,
    Peschak started the diet.

    It wasn't until more than three years later, though, that
    Chicago would become the North American capital for this
    eating plan. That's when Tomasz Zielinski bought a little
    storefront on Milwaukee Avenue and opened Calma Optimal
    Foods. The first and only one of its kind in the nation, it
    operates as a deli, meeting center and, as of this spring, a
    restaurant for those on the lard-laden plan. Peschak serves
    as its manager.

    Sometimes called the Polish Atkins, the Optimal Diet
    severely restricts the intake of carbohydrates and sugars,
    but differs from Atkins by de-emphasizing protein and
    beefing up, or more accurately porking up, the fat to a
    level that would have even made the late Robert Atkins reach
    for his heart.

    250 grams of fat per day

    On average, the diet recommends a whopping 250 grams of fat
    per day, about four times what the FDA recommended for the
    average person to maintain his/her weight and about 10 times
    the amount of saturated fat allowed.

    So despite its popularity in Poland -- Lech Walesa is
    reported to have lost 44 pounds and cured his diabetes on it
    recently -- the mainstream medical establishment there and
    here is skeptical.

    "I am very against diets like this," says Jadwiga Roguska, a
    practicing internist at the Feinberg School of Medicine at
    Northwestern University. "All high-fat diets are unhealthy
    in the long term and there is absolutely no benefit to
    weight reduction of this sort because it is threatening to
    health. . . . Of course, high-fat diets will give you the
    benefits of energy and weight loss, but they are just not
    good for you."

    Roguska based her comments on a brief overview of its
    principles, but Chicago physician Mark Sobor has seen it up
    close and has watched an increasing number of his patients
    in the Polish community embrace it.

    "Kwasniewski is pure fat," says Sobor who practices in
    Jefferson Park and is also a licensed acupuncturist. "Eat
    fat non-stop. Everything is pure fat. The more fat you can
    take in the better and these people are fanatics about it.
    But the thing is they're all skinny."

    On a recent Sunday morning at the Optimal deli/center in
    Portage Park, about 30 followers of the Kwasniewski plan
    gathered for a weekly meeting and shared their stories.

    There was the ginger-haired firecracker Irena Kozlowicz, 78,
    of Niles, who went on the diet five years ago after
    Kwasniewski came to speak at the Copernicus Center in 1999.
    At the time she was suffering from chronic eye problems,
    asthma and pain in her knees.

    "Now I can walk better than a young person," she chirps. "I
    can run up six floors of stairs and my grandson can't catch
    me. He's 17 years old. I meet young ladies and they are
    always tired and sweating, but I never am. I didn't need to
    lose weight, but I lost 8 pounds. I am 78, but I feel like I
    am 50. I thank God for the diet."

    Then there is Jozef Michael Ostrowski, 71, who says he has
    been on a variation of the diet his whole life.

    "Since the occupation of Poland my parents could only afford
    pork meat and liver and blood sausage and lard," Ostrowski
    says through an interpreter. "It is not like I was following
    this diet precisely but generally. At that time I didn't
    know this kind of natural food was good for me. I just knew
    that I could eat scrambled eggs with a thin piece of bread
    and lard and I would be full all day. I started eating
    regular food like McDonald's and I could not handle the pain
    and so I went back to the diet and have felt better and
    better every day."

    Chicago physician Christopher Kubik wasn't at the meeting,
    but in a phone interview he said that 4 1/2 years ago he was
    overweight and suffering from fatigue and stones in the
    bladder. But within a couple of months of embarking on this
    high-fat journey he saw results.

    No more problems

    "I was losing weigh gradually [he lost about 25 pounds in
    six weeks] but I felt fine. Since then, I didn't have any
    more problems with stones, my skin complexion improved and I
    am still feeling a lot of energy," says Kubik, 57, who
    reports that he breakfasts on fried eggs, bacon and string
    cheese seven days a week. "While I was losing the weight I
    could feel the ketones as a metallic tasted on the mouth,
    but after I reached my optimal weight, [the ketosis]
    stopped. Now my weight has remained steady at about 185,
    which is in the upper limit of normal for my height."

    Kubik, who also has degrees in public health and health law,
    says he does not actively promote the diet, "because it is
    not considered a standard of care and the medical community
    still recommends low-fat diets and it is not something I
    could support if I were sued." But if patients ask, "I tell
    them that I am on it and have seen positive results."

    Sobor has also seen a growing number of Kwasniewski
    converts who claim weight loss is only one of the benefits
    they've reaped.

    Chester Matuszewski, 46, for instance says that four years
    ago he was diagnosed with rheumatoid arthritis and was told
    there was no way he could be totally cured.

    "Every single joint imaginable in my hips, elbows, knees and
    hands hurt," the Jefferson Park resident recalled.
    Remembering something he had read in a Polish newspaper
    about the Optimal diet, he decided to check it out even
    though it seemed unappetizing.

    "For years I thought that pork is not good for you and I
    didn't like the smell, but I forced myself. . . . After
    two months I started to feel better and I didn't want to
    attribute it to the diet. But my friends also saw a
    difference in me and I had so much energy. Today after
    four years, I have no pain and no swelling and I am
    totally cured."

    Sobor hears these stories all the time, but still has his
    reservations.

    "I'm sure you've heard their claims that their joint pain is
    gone and diabetes is gone," he says. "And they say it
    because it's true. You can apparently get a lot of benefits
    if you decrease your carbohydrate intake, and stop taking in
    all the white flour and stop taking in all the refined foods
    because you are not stressing your body out all the time
    with all of the insulin spikes and becoming hyperglycemic
    and hypoglycemic."

    "But do I recommend the diet? I don't know," he says. "I
    don't think Kwasniewski is as good as Atkins or that it
    is something you should go on for a long time. Now the
    South Beach Diet that is a nice diet with more
    flexibility. But this Optimal diet is the most radical of
    the low-carb diets."

    No position from the AMA

    In the U.S. the Optimal Diet hasn't yet caught the attention
    of the medical establishment. The American Medical
    Association doesn't have a position on Atkins, much less
    Optimal. And Lisa Dorfman, spokeswoman for the American
    Dietetic Association, had not heard of it either.

    Still, based on a quick description of the diet, she didn't
    condemn it outright.

    "I can see how this would be a very attractive program,
    certainly in the senior citizen community because these are
    nutrient dense foods and seniors don't need to eat a lot of
    food," says Dorfman, a licensed nutritionist.

    "But for the general public I see where there could be
    potential problems. We just know that long-term high-fat
    diets leave one with a heightened risk of heart disease,
    stroke and hypertension. This is certainly not for children,
    teenagers or pregnant women.

    "But for this group of Polish seniors I think it's adorable,
    especially if it was developed by someone from the old
    country. As a psychotherapist, I can see where they must
    feel like you've got to be healthy eating this because there
    is a psychological connection to eating these foods. It's
    old country eating."

    Mmmmm ... headcheese

    Here's a sample daily menu from the Optimal Diet Web site
    homodiet.netfirms.com

    BREAKFAST

    Two slices of homemade headcheese loaf* with mustard One soft-
    boiled egg Two cheese-lard pancakes with butter Tea with
    lemon (no sugar)

    LUNCH

    Two slices of baked blood sausage fried in bacon fat Tea
    with lemon (no sugar)

    DINNER

    Broth with two egg yolks Hash browns One strip of bacon

    DAILY TOTAL: 254 grams of fat and 2,923 calories

    *This Optimal daily menu comes with a recipe for home-made
    headcheese, which requires the following ingredients: half-
    skinned and de-eyed pig's head with ears chopped into
    pieces, one bay leaf, a couple of kernels of allspice and
    salt and pepper to taste.

    Larding it on

    Here's what you'll find in the deli cases, coolers and
    shelves of Calma Optimal Foods:

    Polish specialties: flaczki (tripe soup), bigos (hunter's
    stew), borscht, Polish sausages, blintzes, even pierogi
    and paczki.

    Organ delights: pork liver pate, brain croquettes, blood
    sausage, headcheese, brain with vegetable soup and liver and
    tongue stew.

    Desserts: Jell-O-whipped cream slices; low-sugar, high-fat
    ice creams; poppy seed cakes; and low-sugar cheesecake.

    Dairy products, miscellaneous: heavy whipping cream, jumbo
    Amish eggs, Amish butter, nut-based breads, collagen
    soups, tubs of house-rendered lard, lard with bacon and
    beef tallow.

    In a nod to the diet's arrival in the States, there's even
    Optimal pizza, larded up with extra bacon, butter-fried
    mushrooms and a butter crust.

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