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Mark Hyman, MD

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10 Reasons to Quit Your Coffee!

Posted: 07/01/2012 9:20 am

Coffee: Is it good or bad for us? You might get media whiplash trying to figure that out. The truth is, I find this subject to be as confusing as you probably do.

After all, the media certainly doesn't help clarify whether America's favorite cup of joe is going to land you in the doc's office or set you free with a clean bill of health. And when one night's news report conflicts with another's blatantly-contradictory messages, it is no wonder why so many of you shrug your shoulders in utter confusion as you refill your morning mug and get on with your day!

And with the velvety aroma and promise of energy from that caffeine jolt, you might rather just assume that there must be something to those beneficial claims...

I know all about this adoration of coffee. I too was smitten and enamored with Coffea Arabica. We had our courtship during the 1990s, when I worked more than 80 hours in the emergency room and saw 30 to 40 patients a day.

I traded sleep for espresso, authentic energy for Haagen Daz coffee ice cream and normal circadian rhythms for high-speed, caffeinated adrenaline rushes.

But then, my body began to communicate to me what I had been attempting to not hear -- slow down and let the natural systems assume their proper course. You can read more about how I successfully turned my health around here.

As I began to tune into my body and provide it with what it really wanted -- fresh, whole, real, unprocessed foods, sleep, relaxation, and the time to enjoy the life I had created for myself and my family -- I was able to break up with coffee and make up with my health.

You can too, and I'm going to tell you how. But first, let's discuss what makes coffee such a hot topic widely disputed in today's health circles.

While there are many controversies about coffee's role in the prevention of Parkinson's disease to breast cancer, I'm mostly interested in the conversation relating to its effect on blood sugar metabolism. If you have read my latest book, The Blood Sugar Solution, then you already know how insulin resistance and inflammation are at the core of modern-day chronic diseases.

The single most important healthy habit all of us can adopt is to manage our blood sugar by decreasing the triggers that push it out of balance. Curious if coffee is one of those triggers?

As Dr. Walter C. Willet of Harvard School of Public Health says, "Coffee is an amazingly potent collection of biologically active compounds." Like any food-like substance, coffee has far-reaching effects on the body and needs to be respected as a potent drug.

Caffeine, perhaps the most widely appreciated "drug" compound in coffee, only makes up a mere 1 to 2 percent of the bean. The chlorogenic acids, caffeol, polyphenols, phytoestrogens and diterpenes are now beginning to be researched on their effects on human health and glucose metabolism as well.

In the 1980s and 1990s several prospective cohort studies were done to investigate the correlation between coffee and diabetes. Many of those studies reported that there is an inverse dose-dependent association with the risk of Type 2 diabetes. This means that for reasons still unclear, all those research studies found that the more coffee people with normal blood sugar drank, the less risk appeared for developing Type 2 diabetes. Several constituents in coffee might be responsible for these consistent findings.

Chlorogenic acid in coffee might inhibit glucose-6-phosphatase, an enzyme that regulates blood sugar metabolism in the liver. It could also be due to the indisputably-high levels of antioxidants, which have a benign effect on insulin sensitivity.

Not surprisingly, the news channels then sounded the bell that coffee was protective, and we all enjoyed our cup of joe without any remorse.

Until the next report.

Some curious minds wanted to know exactly who was protected. And why? How? These studies showed that in people with Type 2 diabetes coffee intake was correlated with insulin spikes and increased blood sugar after a meal. Further research has shown that the caffeine in coffee might be the culprit responsible for the secretion of higher levels of insulin from the pancreas.

Clearly higher insulin and glucose levels are not the work we want to bestow on a body healing from insulin resistance. Considering that diabesity affects nearly 1.7 billion people worldwide and growing, the nightly news now sounded the alarm of caution that perhaps our coffee habit is a detrimental addiction needing to be kicked to the curb.

I often am asked why coffee is removed from my programs. While certain populations of people may tolerate coffee and even enjoy some health benefits, it is evident that it is not for everyone.

Chances are if you are reading this either you or someone you care about is sick, inflamed, hormonally imbalanced, nutritionally-compromised, overworked, stressed out, fatigued, depressed, and toxic. Coffee is not part of the medicine required for your healing.

Here are 10 reasons why:

  1. The caffeine in coffee increases catecholamines, your stress hormones. The stress response elicits cortisol and increases insulin. Insulin increases inflammation, and this makes you feel lousy.
  2. Habituation to caffeine decreases insulin sensitivity, making it difficult for your cells to respond appropriately to blood sugar. High blood sugar levels lead to arterial deterioration and increased risk of mortality related to cardiovascular disease.
  3. Unfiltered coffee has the highest amount of beneficial antioxidants yet also leaks the most diterpenes into your system. These diterpenes have been linked to higher levels of triglycerides, LDL and VLDL levels.
  4. The helpful chlorogenic acids that may delay glucose absorption in the intestine have also been shown to increase homocysteine levels -- an indicator for increased risk of cardiovascular disease, which tends to be elevated in diabesity.
  5. The acidity of coffee is associated with digestive discomfort, indigestion, heart burn, GERD and dysbiosis (imbalances in your gut flora).
  6. Addiction is often an issue with coffee drinkers and makes it really difficult to rely on the body's natural source of energy. Ask any coffee drinker about how it feels to withdraw from coffee, and you will mistake their story for that of a drug addict's...
  7. Associative addictions trend with coffee -- who doesn't immediately think of warm, frothy sweet cream and sugar when they picture coffee? Surely the business of coffee has inspired a culture addicted to the sugary, fatty tastes of what has become more of a meal than a drink! That morning latte is the epitome of food lacking nutrition density yet packing energy!
  8. 5-HIA, an organic acid and component of the neurotransmitter serotonin (the happy chemical) seen in the urine tends to be elevated in coffee drinkers, which means they may be at risk for lower levels of serotonin synthesis in the brain. Serotonin is necessary for normal sleep, bowel function, mood, and energy levels. It is a vicious cycle, as caffeine can disrupt sleep and promote anxiety and depression. We all know someone who tends to be tired, wired and over-caffeinated!
  9. Elevated urinary excretion of important minerals such as calcium, magnesium and potassium have been noted in coffee drinkers. An imbalance in your electrolyte status can lead to serious systemic complications.
  10. Constituents in coffee can interfere with normal drug metabolism and detoxification in the liver, making it difficult to regulate the normal detoxification process in the liver. Another issue to be aware of with coffee intake is how certain medications such as levothyroxine (thyroid) as well as tricyclic antidepressants are poorly absorbed, making symptoms curiously worse for patients.

Now what... If you think you can't cut that coffee out, think again. I did it and now I want you to feel the same level of renewal and restoration I experienced.

It's a wise experiment to provide yourself a break from coffee intake and see what it feels like to live your life on your own fuel. Remove coffee and caffeine safely from your system and see how authentically energized you feel!

How to Avoid Withdrawal Symptoms

Those who consume the most caffeine, alcohol and sugar, and those who have the highest toxic load, tend to have the most difficulty initially. In any event, symptoms of withdrawal usually disappear after three or four days. It is best to slowly reduce your intake of caffeine and coffee.

  1. Make sure you drink at least six to eight glasses of filtered water daily. Instead of coffee in the morning, take some warm water with freshly-squeezed lemon juice.
  2. The best water to drink is water that has been passed through a filtering process. Common and inexpensive filters are available, such as carbon filters like the ones Brita makes. The best filter is a reverse osmosis filter that puts the water through a multi-step process to remove microbes, pesticides, metals, and other toxins. This can be installed under the sink. It's a great filtering system and cheaper over the long run. Avoid water in plastic bottles, which contains phthalates, a toxic petrochemical. Mineral water or still water in glass bottles is also acceptable.
  3. To prevent headaches, make sure your bowels are clean. If you tend toward constipation, follow the steps to address constipation in my book The UltraSimple Diet or work with one of my nutrition coaches.
  4. If you are tired, allow more time for sleep.
  5. Take 1,000 mg buffered vitamin C with breakfast and dinner.
  6. Make sure you exercise daily to help fight off fatigue. Even simple walking is good -- 30 minutes daily.
  7. Some people rely on substituting coffee for real food. When you are hungry make sure to eat and do not let your blood sugar get low. Have some protein in the afternoon such as a handful of nuts or seeds like almonds, pecans, walnuts, or pumpkin seeds, cooked beans, or a piece of steamed or baked fish.
  8. If you're irritable or have trouble sleeping, take a combination of calcium citrate 500 mg and magnesium citrate 250 mg before bed.
  9. Drink 1-3 cups of green tea. The small amount of caffeine won't hurt and the antioxidants will heal.
  10. Take a sauna or heat therapy in a bath. See my book The Ultra Simple Diet for how to create an UltraBath.
  11. Practice pressing the pause button. Withdrawal can be stressful and research has shown that meditation and other mindful activities can help calm an overstimulated and stressed system while boosting the immune system.
  12. Keep a journal and track your symptoms. Note the difference in quality of energy you experience while off of coffee.
  13. Consider a complete elimination program and avoid all refined sugars, flours, caffeine, alcohol, dairy, gluten and any other addictive substance. By allowing certain triggers to stay in the diet the body stays on the vicious cycle of cravings and addictive behavior. Reset your biology by eliminating all these dietary triggers for inflammation and fatigue.

Take this quiz to find out how toxic you are.

I know this is a difficult goal, but I assure you that your body and mind will thank you. The sense of calm, clarity and restful sleep will reward you with the simple pleasures of innate health and an energy that is rightfully yours.

Now I'd like to hear from you...

Are you addicted to coffee and need caffeine to get through your day?

What have you tried to break free from caffeine and what worked best for you?

Have you developed an appreciation for teas and if so, which are your favorite?

Please leave your thoughts by adding a comment below.

To your good health,

Mark Hyman, M.D.

Resources:

van Dam RM, Willett WC, Manson JE, Hu FB. 2006. "Coffee, caffeine, and risk of type 2 diabetes: a prospective cohort study in younger and middle-aged U.S. women." Diabetes Care (2) 398-403

Tuomilehto J, Hu G, Bidel S, et al. 2004. "Coffee Consumption and Risk of Type 2 Diabetes Mellitus Among Middle-aged Finnish Men and Women." JAMA 291: 1213-9.

Moisey LL, Kacker S, Bickerton AC, Robinson LE, Graham TE. 2008. "Caffeinated coffee consumption impairs blood glucose homeostasis in response to high and low glycemic index meals in healthy men." Am J Clin Nutr 87 (5): 1254-1261

Lane JD, Feinglos MN, Surwit, RS. 2008. "Caffeine Increases Ambulatory Glucose and Postprandial Responses in Coffee Drinkers With Type 2 Diabetes." Diabetes Care. 31(2): 221-222

Mark Hyman, M.D. is a practicing physician, founder of The UltraWellness Center, a four-time New York Times bestselling author, and an international leader in the field of Functional Medicine. You can follow him on Twitter, connect with him on LinkedIn, watch his videos on YouTube, become a fan on Facebook, and subscribe to his newsletter.

For more by Mark Hyman, M.D., click here.

For more on personal health, click here.

 
 
 

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Coffee: Is it good or bad for us? You might get media whiplash trying to figure that out. The truth is, I find this subject to be as confusing as you probably do. After all, the media certainly doe...
Coffee: Is it good or bad for us? You might get media whiplash trying to figure that out. The truth is, I find this subject to be as confusing as you probably do. After all, the media certainly doe...
 
 
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06:25 PM on 07/11/2012
Dr. Hyman is right about this. I used to be hooked on coffee (no doubt for the caffeine), and I really did feel SO much better when I quit it. Physically better. (Plus I saved a bunch of $ each month when I kicked that habit.) And I noticed that the health of each of my parents improved after they quit coffee.

By the way, re the contradictory headlines: I saw the results of a study years ago that may explain why caffeine seems to affect different people differently. It's not "one size fits all" -- instead, genetic differences play a role. That study showed that coffee triggered heart palpitations in people with a particular genetic variation. Which made sense, because in my own life I knew that my mother had long complained that coffee would bring on that sort of symptom, so it was interesting to see that verified by a study... and it did seem to be genetic, because like my mother, I seemed to be more adversely affected by caffeine than other people. So there is no single "one size fits all" right or wrong answer about coffee. Some people experience worse effects, apparently due to their genetic profile.

But I was not aware of some of the other data against coffee that Dr. Hyman presented, for example, re "5-HIA." Thanks Dr. Hyman -- that was helpful. I knew I felt better when I stopped coffee, and you helped me to understand why.
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PRONESE
Somewhat Opinionated Curmudgeon
05:19 AM on 07/09/2012
Comment Redacted.
More Coffee...
R/ PRONESE
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
09:29 PM on 07/08/2012
Quit caffeine and take rhodiola rosea instead. It's an "adaptogen", related to ginseng. Called that because it adapts to your state, it doesn't keep you up if you want to sleep. And it gives true strength, doesn't get you wired. Athletes who take it for a month perform better on stress tests, even if not on it at the time. Many find rhodiola rosea cures depression, including the main Soviet researcher.

The Soviets researched some 220 herbs, looking for non-addictive drugs that gave their soldiers and astronauts energy, yet could be used indefinitely without "crashing", which rules out meth. They came up with three herbs they mixed and called "Adapt" (for adaptogen): ginseng, rhodiola and some berry I forget.

The Russian cosmonaut who still holds the record for time in space swears by rhodiola, says he could not have done without it. Try it, but not if are still using caffeine. You won't feel a thing, caffeine is too powerful a drug.
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
09:21 PM on 07/08/2012
Don't quit coffee, quit caffeine. Decaf coffee and tea are healthy, you can drink all you want.
Coffee drinkers live longer, whether caf or decaf, as just reported in Science News.
Mix decaf with your caf, add more each day. Don't go cold turkey, you'll get headaches.
07:59 PM on 07/08/2012
Hey Doc do you have a book on sale or something? I didn't see one mentioned anywhere in the article. Also, do you know how I can lose up to 10 lbs in 7 days?!? That'd be great!!
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Richbruin
We'll walk this world together through the storm
07:52 PM on 07/08/2012
"To avoid headaches, make sure your bowels are clean."........Sorry, but I'm going to need to see your license to practice medicine......
07:40 PM on 07/08/2012
But I don't want to.
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majorwood
My micro-bio is empty, just like my wallet
07:12 PM on 07/08/2012
So I took the doc's quiz. Based on the results it will only cost me $469.00 a month for the vitamins and supplements to improve my health. Only. Sorry doc, but my budget is stretched to the max as it is. Can't understand why he omitted the terrible headaches associated with caffeine withdrawal in his article.
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tobynsaunders
Vegan (& so should you!), Progressive (join us!),
06:35 PM on 07/08/2012
"...you will mistake their story for that of a drug addict's." Doctor, I have news for you: caffeine is a drug. This is not controversial; we needn't pander to cultural norms here... caffeine is a drug, alcohol is a drug... these facts seem to escape so many! Anyway, I used to have a nice routine of coffee in the morning until I had too much caffeine over a couple of days & it's like I burnt out my stimulant neural pathways or something... I can't get that high feeling anymore, & now if I have a whole cup it has a depressant effect. It seems to be taking lots of time for the burnt neural pathways to come back (or whatever happened); it seems I can only handle a few sips of coffee before going from the stimulant to the depressant threshold (where I don't want to be). Fun story.
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thinkingwomanmillstone
great, green, globs of greasy grimey GOPerspeak.
06:14 PM on 07/08/2012
Trying to follow all of the advice would be a full time job. How many people have time to fix a nice bit of steamed or baked fish for a protein laden snack in the afternoon? Of course the money to follow the good Doctor's diet suggestions is also a problem for many, many people.
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Steve Machol
Speaking Fact to Fantasy one word at a time.
05:04 PM on 07/08/2012
I've given up coffee many times for months at a time. I experienced none of the benefits he describes.

However he misses a key component about caffeine, and that is that caffeine withdrawal can cause terrible headaches and migraines. To eliminate this problem I would start taking caffeine tablets instead of coffee, then lower the amount every day (even cutting up the tablets) until I can go a day without the caffeine. It usually takes about a week of this to get off the stuff without the withdrawal symptoms.
Sepiano
Krugmanista
03:59 PM on 07/08/2012
When I was not drinking coffee, I got headaches a lot more frequently. Maybe it was due to caffeine variations from other foods. With one cup in the morning, the daily variations seem less affecting. Maybe the one cup acts as a buffer.

Have to keep in mind that this fellow's article is a marketing campaign dressed up as news. He is selling a program and wants to make as compelling a case as he can for it.
03:55 PM on 07/08/2012
Once again the doctor voices his opinion and calls it fact. Is too much of anything bad? Probably. Does the doctor give us any scientific research or trial references? No. I wouldn't mind if this was on the editorial page, but to call it a medical article is wrong.
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Anoop Kammaran
02:26 PM on 07/08/2012
I have never liked coffee, on being suggested by parents, I did try once. I have never been able tolerate even the smell. So, I guess my point is that you can live without coffee. The same goes for other caffeine drinks as well.
02:11 PM on 07/08/2012
You reach 100+ years old.
You have outlived most, if not all of your friends and family.
You keep going in an increasingly dysfunctional society: partisan, violent, disinclined towards the intellectual
As an elderly person, you are largely invisible to the culture

Tell me, again, why anyone should want to live a long life? Is is not better to live moderately, exercise reasonably, and enjoy the occasional treat (steak/ice cream/coffee/cannabis/insert_name_of_favorite_treat_here) that is _not_ going to kill you, and die (and yes, _doctor_, we ALL SHALL DIE, someday) at the right time and place, hopefully not alone, abandoned or isolated?

Peace be upon you all .....