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Neal Barnard, M.D.

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Soy and Your Health

Posted: 08/23/2012 7:52 am

Soybeans are handy. Aside from the traditional foods they bring us -- edamame, tofu, tempeh, and many others -- they transform into tasty substitutes for milk, yogurt, ice cream, bacon, burgers, and sausage. With no animal fat, cholesterol, or sensitizing animal proteins, they side-step the problems that animal products can cause. Cow's milk, for example, is linked to Type 1 diabetes and anemia in children and increases the risk of prostate cancer in men. Hamburgers are linked to heart disease, diabetes, and colon cancer. Soy-based milks and burgers help you skip all this. But soy has other huge benefits you may not know about.

Soy Products Reduce Cancer Risk

In the 1930s, researchers discovered that soybeans and other legumes contain natural isoflavones, compounds that appeared to have an anticancer effect.

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However, their chemical structure was similar to human estrogens. Compare the molecular structure of genistein, a common soy isoflavone, with that of estradiol, the most abundant human estrogen in women during their reproductive years. So some people wondered whether soy products might have hormonal effects -- feminizing men or increasing cancer risk in women, for example.

Researchers put these concerns to the test. The results of human studies clearly show no negative effect at all on men's hormonal function, testosterone levels, or sperm count.[1],[2]

As for breast cancer, it turns out that soy has a preventive effect. Researchers from the University of Southern California compiled the results of eight prior studies, finding that women who have a cup of soymilk or a half-cup of tofu each day have about a 30 percent reduced risk of developing breast cancer, compared with women who consume little or no soy.[3]

Soy Products Boost Survival in Breast Cancer Patients

Some doctors have advised women with breast cancer to avoid soy-based products on the notion that soy is similar to estrogens. However, studies have shown that soy is actually a boon to cancer survivors. In 2012, the American Journal of Clinical Nutrition published a report compiling the findings of three separate studies in the U.S. and China, including the experiences of 9,514 breast cancer survivors.[4] It showed that, among women with a history of breast cancer, regular consumption of at least a modest amount of soy products cut the risk of recurrence by 25 percent.

So, soy products don't increase cancer risk; they reduce it. And they boost survival odds for women previously diagnosed with cancer.

Soy Products Lower Cholesterol. First of all, soy products replace cholesterol-laden sausage, bacon, and burgers. But soy protein directly lowers blood cholesterol.

Soy skeptics -- and the dairy industry -- are fond of attacking soy products. Here is what you need to know about the issues they raise:

GMO foods: They are easy to avoid. Genetically modified products may be a cause for concern. But people who buy soy products find it easy to avoid them. Just look for the word "organic" on soymilk, tofu, and other foods. By law, they cannot be GMO. Who needs to worry? GMO soy products are fed to cattle and other animals on a daily basis, so it's meat-eaters who should be concerned.

Thyroid Health: Soy products do not affect it. Soy products do not cause thyroid problems in people with normal functioning thyroids. However, if you are taking medications for an underactive thyroid, you should be aware that many foods, including soy products, can reduce the absorption of medications, including thyroid supplements.[5] Your doctor will periodically check to see if your dose needs to be adjusted.

Minerals: They are well-absorbed. Phytate is a natural compound found in legumes and whole grains, and some people have pointed out that it reduces mineral absorption. However, clinical studies show that calcium in typical calcium-fortified soymilk and tofu products made with calcium is absorbed as well as calcium from cow's milk. Also, research suggests that the iron in soy products is well absorbed.

Protein: It is well-digested. Some writers have suggested that protease inhibitors in beans, including soy, reduce protein absorption. However, studies show that soy protein is, in fact, highly digestible.

Fermented or unfermented soy: They are both fine. Some have suggested that the good health many Asians enjoy is due to their choice of fermented soy products (eg, miso or tempeh), rather than unfermented products (tofu and soymilk). However, in Japan, about half of soy products consumed are unfermented (mainly tofu). In China, Hong Kong, and Singapore, nearly all is unfermented foods (tofu and soymilk).

Having said all of this, soy products are strictly optional. A healthy vegan diet could be based on a Mediterranean tradition, emphasizing vegetables, fruits, chickpeas, and pasta. It could be based on Latin American tastes, with plenty of beans, tortillas, and fresh fruit. Soy products come from the traditions of Asian countries where people are generally thinner and healthier and live longer than Americans. But soy is still entirely optional.

However, if you are not a soy fan, the worst thing to do is to retreat to meat or dairy products. Omnivorous children and adults have a higher risk of many health problems, compared to their vegetarian friends. Whether you replace animal products with beans, vegetables, fruits, whole grains, or soy products, you're doing your body a favor.

References:

1. Hamilton-Reeves JM, Vazquez G, Duval SJ, et al. Clinical studies show no effects of soy protein or isoflavones on reproductive hormones in men: results of a meta-analysis. Fertil Steril 2010;94:997-1007.

2. Messina M. Soybean isoflavone exposure does not have feminizing effects on men: a critical examination of the clinical evidence. Fertil Steril 2010;93:2095-104. (see attached PDF)

3. Wu AH, Yu MC, Tseng CC, Pike MC. Epidemiology of soy exposures and breast cancer risk. Br J Cancer 2008;98:9-14. Wu AH, Yu MC, Tseng CC, Pike MC. Epidemiology of soy exposures and breast cancer risk. Br J Cancer 2008;98:9-14.

4. Nechuta SJ, Caan BJ, Chen WY, et al. Soy food intake after diagnosis of breast cancer and survival: an in-depth analysis of combined evidence from cohort studies of US and Chinese women. Am J Clin Nutr. 2012;96:123-32.

5. Messina M. Redmond G. Effects of soy protein and soybean isoflavones on thyroid function in healthy adults and hypothyroid patients: a review of the relevant literature. Thyroid. 2006;16:249-58.

Neal D. Barnard, M.D., is an Adjunct Associate Professor of Medicine at the George Washington University School of Medicine and President of the Physicians Committee for Responsible Medicine in Washington, DC.

For more by Neal Barnard, M.D., click here.

For more on diet and nutrition, click here.

 
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09:08 AM on 09/10/2012
Please address my main question regarding soy: my understanding is that unfermented soy contains phytoestrogens that are not healthy, while fermented soy has metabolized these to more healthy forms. Hence, the recommendation to minimize tofu, fake meats, etc, that use nonfermented soy and prioritize fermented soy such as tempeh and miso.

Can you please speak to this? Thanks!
09:33 PM on 09/01/2012
Thank your Dr. Barnard for sharing the truth about soy, and its many beneficial effects to human health.
04:16 PM on 08/25/2012
Thank you Dr. Barnard for setting forth the truth about soy!! I found it very interesting what you said about animals being fed GMO soy so that meat eaters should be concerned. http://veganamericanprincess.com
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HUFFPOST SUPER USER
StopGlobalWarmingBeVegan
★ Abolish Animal Slavery in Factory Farms ★
01:26 PM on 08/25/2012
Hi Dr. Bernard!
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HUFFPOST SUPER USER
April Pells
08:40 PM on 08/23/2012
http://www.huffingtonpost.com/dr-mercola/soy-health_b_1822466.html?utm_hp_ref=food&ir=Food

Please see the article listed right below yours on this very site.
I-US
Beware the monsters lurking in word swamps.
12:39 PM on 08/24/2012
For egregious misinformation, yes.
05:54 PM on 08/25/2012
This article discusses the dangers of GMO soybeans, which are easily avoided, and the possibility of B12 deficiency, especially for vegans, also easily avoided (take a B12 supplement! Many of us do anyway).
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plantbasedpunk
live from the PHX
02:44 PM on 08/23/2012
Always love to see Dr. Barnard on HuffPost. I think it's funny how so many people think that if you don't eat meat or dairy that you are thriving off of soy and soy products. Soy burgers with soy cheese, right? I saw an article on this guy's website the other day that claimed vegans eat potatoes and bread fortified with soy! And soy cookies! Still keeping an eye out for those tofu-taters.

Like with all things I try to keep my soy consumption moderate. If you're eating tofu scramble for breakfast, a tempeh bacon sandwich for lunch and soybean burgers for dinner you might want to re-valuate your diet. Grill an eggplant for goodness sake!
I-US
Beware the monsters lurking in word swamps.
03:07 PM on 08/23/2012
Good points. It seems more and more obvious that the anti-soy "information" is just propaganda to scare people from going meatless. Some of them are even suggesting that Asians don't eat soy. That must be news to millions of people who have been nourished by the bean for thousands of years!
09:14 AM on 08/24/2012
Scaring people from not just being meatless but that dairy is a MUST for your health. My son is allergic to milk but people still INSIST there has to be a way to get it into him or he'll never be healthy.
I have to point out that he doesn't necessarily have to have another animals breast milk. Especially since he doesn't need to grow like a calf does.
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Lesley MacIntyre
Please pass the bacon.
08:33 PM on 08/23/2012
Now go and read Dr. Mercola's take on soy also on Huff Post. And by the way, I hardly doubt that Bernard can be taken as a seriously when it comes to nutrition since he was trained in Psychology. He is also a front man for PETA so he has an agenda
09:10 AM on 08/24/2012
How can Mercola be taken seriously? He is vilifying soy (a source of protein for many) while selling Whey powder shakes (a dairy by-product). Don't forgot to by his shake mixer to help break up the clumps of powder. And it's all labeled with the Mercola name.
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plantbasedpunk
live from the PHX
11:56 AM on 08/24/2012
I have read it and you can read my response there. Also fact doesn't stop becoming fact simply because PETA donates to PCRM.
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hornedcog
Tax Tea Now!
08:44 AM on 08/23/2012
With careful consideration of the arguments presented I have concluded that twenty eight percent of a random sampling from our population will blame Obama.