「王醫師，為何妳那麼反對生酮？很多醫師都說只要能持續一輩子就是好方法欸。」

孩子，恕我無法鄉愿，你可以斷食+重訓一輩子活得像苦行僧我沒有意見。但是 #高飽和脂肪（富含動物性蛋白質跟脂肪）的飲食是正常專科醫師都應該反對的，我說過不下數百次，「低碳」跟「高脂肪」要分開來看，不要只看到低碳的好就覺得吃高脂肪沒關係。

所謂胰島素肥胖假說，一直是個被近年研究駁倒數次的錯誤假說，今年一月《Nature medicine》做的人類隨機對照研究，發現比起 #以植物為主的低脂高碳飲食， #以動物為主的低碳高脂飲食， #更容易掉瘦肉組織，而且 #不需要自我感覺良好的覺得都是水份。

那篇研究有看尿液中的氮含量，發現即使生酮組的蛋白質吃的比較多，但是卻呈現負氮平衡（身體用掉的比吃進去的多），表示肌肉的分解量的確變多，可能就像我重申數次的， #高脂肪會降低蛋白質的吸收率， #高脂肪造成的胰島素抗性導致肌肉異化大於合成，因為植物組的蛋白質攝取量沒有比較多，尿液中卻沒觀察到這樣的現象。（原文：the difference between dietary nitrogen intake and urinary excretion was significantly lower with the low carbo diet，indicating that the LC diet resulted in a greater net loss of body protein despite consumption of more dietary protein than low fat diet)

蛋白質確實流失，應該無法用什麼脫水或肌肉肝醣來解釋。有人說那我就生酮+重訓hold住肌肉可以了吧？這⋯⋯為何要做 #拿破網捕魚的事呢？不能好好跟 Kai Chang 楷教練一樣多吃植物性高蛋白+重訓不是很好嗎？（乾脆承認你就只是想吃肉吃到爽，但是不要把別人的健康拖下水）

另外這個研究也有發現，生酮組的 #胰島素抗性變高（對！生酮派很愛講的胰島素抗性，事實上高脂肪會誘使胰島素抗性是非常基礎的觀念），我不知道怎麼會有人看到「單純低碳」導致的低血糖就很開心的覺得高脂肪好棒棒。

而且這篇研究也發現「純脂肪」來說，植物低脂高碳組比動物高脂低碳組下降的純脂肪更多，欸⋯⋯ #低脂肪比高脂肪有助於降低體脂率，這不是也是最基本的觀念嗎？應該不意外吧？

再來反對長久吃生酮， #是擔心肝臟的傷害。
去年在《美國生物實驗學會聯合會會刊》有一篇談討高BCAA支鏈脂肪酸+高脂肪餵食老鼠，來模擬人類吃肉類導致生酮的環境。

結果發現，當肝臟長期暴露在「高脂肪生酮」的環境，會導致大量進入的脂肪酸在肝臟產生酮體的過程中，誘導肝臟脂質氧化，並通過 TCA 檸檬酸循環的各個步驟，產生大量ROS活性氧物質，雖然生酮飲食使肝臟的脂肪新生減少，但是這種代謝重塑 #不但沒有改善胰島素抵抗，反而誘導了 #肝臟中的纖維化基因和發炎反應。

總之，肥胖和非酒精性脂肪肝（NAFLD ）的人若長期暴露於高脂肪生酮環境，有可能加重肝臟的粒線體功能障礙。

由上述近兩年研究可知，過去的生酮研究像瞎子摸象一樣，摸到某個面向（減重、血糖變低）就誤以為它是好的飲食，殊不知後面越來越多研究一一把問題點出後，才發現這並不是個適合長久執行，甚至會造成長久身體損害的飲食。

最近大家都說伊森們戰力很強搬板凳拿雞排，我覺得實證拿出來說話其實真的沒啥好戰，而文章也應該是建設性的希望改善他人健康，例如，去戰喝水不能提升代謝就真的很無聊，請問民眾聽你的話不喝水後就會比較健康嗎？多喝水的好處根本不能以代謝兩字蔽之。

會一直反對生酮，就是因為想要多救助幾個只看到瞎子摸象的結果，而覺得自己正在為健康努力但方向錯誤的人，雖然你的身體與我無關，雖然我的立場一直很鮮明的會得罪很多支持生酮的專家，破壞很多長久建立的利益體系，但是會對身體有害的飲食就是有害，我無法再看到這些研究結果之後保持沈默。

也希望認為高脂肪飲食還是有好處（不要跟我說低碳，低碳也可以低脂說好幾次了）的人，麻煩理性論述留言給我看研究，我們好好討論研究的設計方式跟結果解讀，找出一個讓人放心的結論，不需要秀自己的肌肉或恥笑別人的身材，或說自己生酮很健康之類連專家等級都稱不上的東西來佔版面，謝謝大家🙏

#肉不是不能吃而是要少於植物性食材
#高飽和脂肪的壞處是跟反式脂肪不相上下的
#低脂飲食可以扭轉所有高脂肪帶來的傷害
#要產生酮體低脂肪也可以

A Good Thing At the Wrong Time?

“He who blesses his neighbor with a loud voice early in the morning, it will be taken as a curse by him.” (Proverbs‬ ‭27:14‬ ‭WEB‬‬)

A good and true thing said and done at the wrong time in the wrong way also turns out to have a bad outcome.

We can see this in the life of Joseph. At the age of seventeen, Joseph received prophetic dreams from God about his brothers and parents bowing to him. In his excitement, he told his father and brothers about it, causing his brothers to become more angry and jealous.

They were already feeling that way because Jacob practiced favoritism towards Joseph, and the dreams just made it worse. It had pushed them over the edge, to even plot murder against Jospeh.

Were the prophetic dreams evil? No of course not. They were holy and good from God. The problem was that the way and timing Joseph communicated his dreams resulted in an evil outcome, as good as a curse.

Some good ideas are before their time right now. They have not caught on in a big way yet. However, when the right time comes, they can become the next big thing in the world.

Timing is so important. When we do the right thing at the right time, we will have blessed results.

On the other hand, if we act hastily before it is the right time, we may get disappointed and even hurt by the backlash that happens. Grace for a matter is not yet available before its appointed time.

Learn how to flow with God’s Appointed Time and enjoy fruitfulness in every season of life. Instead of praying for water to appear in the wilderness, position yourself to stand under God’s waterfall of grace that is already present: https://bit.ly/god-appointed-time

#Repost @jo.frenken
・・・
Jury report

As last year’s fourth Magical Riso Biennale was unable to proceed live, this book is in fact a product of the coronavirus measures. Indisputably one of the few positive aspects of the pandemic. All aspects of the book’s production have been tackled with great professionalism. Instead of actually meeting, the best Risograph printers in the world were invited to collaborate on a joint publication.

The jury was unanimous in the view that this publication is more than merely an overview of what the cream of the current Riso community have to offer. The clear editorial decision alone to give each participant source material by artist Miek Zwamborn to work with, has resulted in an extremely interesting book. No mean feat purely in terms of organisation: just try assembling all this material, supplied from all over, in such a sound way. In addition, the book has a very attractive paper cover, which pulls all of the various paper types together. A multi-vocal sampler of endless possibilities, united in a single voice.

Thank you @the.best.dutch.book.designs

@jo.frenken @mzwamborn @bananafishbooks @calipsopress @corners.kr @endlesseditions @gatonegroediciones @handsawpress @hatopress @issuepress @kabinet.studio @knustpress @quintal_atelier @raum_press @risolve @sigridcalon @wobbyclub @janvaneyckacademie @aliceschiavonedraws @margriet.thissen @knockvologan.studies @magicaloctopus @risobenelux @risokagaku #magicalriso #risograph

Cup noodle-like Okonomiyaki Set by Nisshin Flour Milling Inc. It says you don't need many cooking utensils but actually you need a lot of ingredients to get 😅 At least it contains mayo and sauce in addition to the dry ingredients. Anyway, the direction was interesting. Using 14cm (5.5inch) frying pan, no pressing with spatula, resulted satisfying fluffy soufflé texture! I would vote for this trick 👍

Nisshin Okonomiyaki Cup Set
https://amzn.to/3sQ3TdG

---------------------------------
Okonomiyaki Cup Set (Fluffy Savory Japanese Pancake Recipe)

Difficulty: Easy
Time: 20min
Number of servings: 2 (14cm/5.5inch) pancakes

Ingredients:
1 Nisshin Okonomiyaki Cup Set https://amzn.to/3sQ3TdG
120ml water
220g finely chopped cabbage
100g (3.5oz.) thinly sliced pork rib
1 egg
cooking oil
Okonomiyaki sauce　https://amzn.to/3ohfhfa
mayonnaise　https://amzn.to/2KLG3P2

Directions:
1. Make Batter: In the cup, put Okonomiyaki flour and water. Mix with a spoon, a bit crumbled is okay, do not overmix.
2. Mix: Add chopped cabbage, Agedama (crunchy bits of deep fried flour-batter) and egg, then mix well. *Thinly sliced cabbage is not easy to mix with a spoon, so this is why chopped cabbage is recommended.
3. Cook: In a 14cm/5.5inch frying pan, heat cooking oil, put half of the batter, and place pork slices. Uncover and cook on medium for 4 minutes. Flip it over, COVER, and cook on medium for 5 minutes. Again, flip it over, uncover, and cook on low for 5 minutes.
4. Finish: Put Okonomiyaki sauce, mayonnaise (if you like), Katsuobushi (bonito flakes) and Aonori (green laver) to finish.

レシピ（日本語）
https://cooklabo.blogspot.com/2021/01/Okonomiyaki-Cup.html
---------------------------------

Music by
YouTube Audio Library
Lonesome Avenue

Follow me on social media. If you have recreated any of my food, you can share some pictures #ochikeron. I am always happy to see them.

♥FOLLOW ME HERE♥
http://instagram.com/ochikeron/
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http://twitter.com/ochikeron

♥My COOKBOOK available on Amazon Kindle♥
http://amzn.to/2EwR3ah
NO MORE hard copies... those who got one are lucky!

♥More Written Recipes are on my BLOG♥
http://createeathappy.blogspot.com/

♥My Recipe Posts in Japanese♥
http://cooklabo.blogspot.jp/
http://cookpad.com/ami
http://twitter.com/alohaforever

♥and of course PLEASE SUBSCRIBE♥
http://www.youtube.com/user/ochikeron?sub_confirmation=1

Mega Ampharos has made its way into Pokemon GO for the very first time. We decided to try our luck to duo this brand new Mega Pokemon which resulted in the most epic raid we’ve done.

Join me as I travel, eat and play Pokémon GO the way a local trainer would in their own country and city. Visiting one country and one city at at time through Pokémon GO.

Subscribe if you would like to watch my Pokémon GO travel adventure as I visit different countries, cities and communities, https://tinyurl.com/y65jruw2

Social:
Instagram: https://www.instagram.com/brandontan91/
TWITTER: https://twitter.com/brandontan91

Vlogging Set-Up:
Camera - Sony RX 100 Mark 7
Mic - Rode VideoMicro
Screen Recorder - iPad Mini 5

Pokémon is Copyright Gamefreak, Nintendo and The Pokémon Company 2001-2016

All images and names owned and trademarked by Nintendo, Niantic, The Pokémon Company, and Gamefreak are property of their respective owners.

▲影片於 8:31 後正式播放▲
#臺美產業布局 #深化臺美夥伴關係 #全球供應鏈重組新商機
【臺美防疫x新經濟數位論壇】Part2
◆嘉賓引言 / 酈英傑 美國在台協會處長
◆臺美夥伴關係及供應鏈重組
1.楊志清/經濟部工業局副局長
2.邵藹帝/美國在台協會經濟組副組長
3.仝漢霖博士/3M台灣董事總經理
4.蘇孟宗/工研院產業科技國際策略發展所所長

【U.S.-Taiwan Forum on Pandemic Prevention and Supply Chain Restructuring - Part2】
◆Opening remarks for panel discussion:
William Brent Christensen, Director, American Institute in Taiwan
◆Panel discussion:
Together we succeed: US-Taiwan partnership and the restructuring of global supply chains
Panelists:
1. Chih-Ching Yang, Deputy Director General, Industrial Development Bureau, MOEA
2. Arati Shroff, Deputy Chief, Economic Section, American Institute in Taiwan
3. Dr. Jeffrey Tung, Managing Director, 3M Taiwan
4. Stephen Su, Vice President and General Director, Industry, Science and Technology International Strategy Center, ITRI

The economic impact brought by the US-China trade war and the pandemic that followed has resulted in the industrial restructure and cross-disciplinary integration. This sparks more cross-disciplinary cooperation and more business opportunities.

【Part 1】從臺灣防疫成功到全球產業關鍵地位 / 王美花 經濟部部長
線上觀看 : https://youtu.be/phvbwgr1IA8?t=572

【Part 3】◆核酸分子檢測系統–快篩技術 / 林啟萬博士 工研院生醫與醫材研究所所長
◆Personal Protective Equipment(PPE)在地化與全球策略佈局 / 古思明博士 敏成股份有限公司董事長
線上觀看 : https://youtu.be/IFsg774_snY