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Disclaimer of a free spirit writer . . . and I tweet too sometimes @dentistLareman.


Passionate about health:

Multi-factorial cause of disease is not so complex . . .

The insulin effect : pharmaceutical insulin, glucose, fructose, industrial corn syrup, starch carbohydrate and added glutamate
: it used to be only honey and in-season fruit

The processed plant oil effect : mono crop cottonseed, sunflower, genetically modified canola and other plant oils
: it used to be Biblical olive oil and animal fat

The essential vitamin effect : Vitamin D sunshine hormone, K1 and K2, and other vitamins
indoor work, evening sport and no play, poor soil and nutrition of plant and animal

The essential trace mineral effect : Na, Mg, K and other mineral salts
poor water quality, mono-crop soil erosion and nutrition

The biome effect : the importance of looking after the gut bacteria
foreign food and drink, antibiotics and other pharmaceuticals


Timeline of events in my own journey since 2004 (age 45) and still working on it >>>
: thank you for the internet world library of knowledge (and not the new growing misinformation drive on social media and by mediocre journalism)


"Being acutely sensitive to free added glutamate I am passionate towards informing others about this health hazard in our food."  Dr Ronald Lareman

Anecdote (noun) definition: a short or interesting story about a real incident or person, also seen as unreliable and minor (and unscientific with n=1).

     Mono Sodium Glutamate salt, a so called 'Natural' Flavour Enhancer added as a free glutamate amino acid sodium salt to most processed food is a health hazard. A neuro-stimulant that has a direct effect on the glucose regulating system of the body with cascading consequence. Still not recognised by the food industry and the medical professionals as the cause for a high incidence of illness and disease. Read more here about a conversation in Natural Medicine.

Free added glutamate salt has been around since 1910 (Japan), but found its way to the USA, the processed food industry of the world, in 1945 and been manufactured there since 1956. Fifteen years later as dietary guidelines changed salt, flavour (-enhancers) and sugar substituted fat in processed food . There is still a lot of controversy about its effect.  Read more here about the historical timeline of free glutamate use.

Here is a link to the comprehensive thesis (300+ pages) written by Sarah E Tracey in 2016 about Monosodium Glutamate.

The Twitter hashtag #621 is not suitable (reference to pornographic cartoon animal animation) and I recommend #Efsa261 as this is the number allocated by the European Food Safety Authority to this food additive ; the hashtag #msg is the acronym for message and I recommend #FDA_MSG or #glutamatesalt as this food additive is approved by the United States Food and Drug Administration. The EFSA Penal on Additives and Nutrient Sources Added to Food (ANS) undertook to re-evaluate their e-numbers by the year 2020.

I (and this is my personal take on this since 2004) index reactions into four categories according to the severity of effect it has on the person [patient]. The effect is also progressive over time as one roll over from the one to the other. The intolerance or sensitivity is probably irreversible.

1.  Unnoticeable to slight : An uneasy feeling one can live with and becoming a part of life. No effect on the quality of life (it seems).

2.  Hypochondriac: Something is not right, an uneasy feeling sometimes difficult to explain, but no doctor can find anything wrong. Minor headaches, mood swings, difficult children, elevated metabolic markers, heart palpitations and panic attacks, etcetera (a long list). The diagnosis of stress is the solution to the problem.

3.  Diagnostic: Measurable disease of wide ranging symptoms. Anything from metabolic syndrome (high blood pressure / diabetes / cholesterol) to heart arrhythmia, depression and other diseases of the mind. ADD/ADHD and variants in children. Treatable with a pharmaceutical substance to ease the symptoms, but not cure the disease.

4.  Debilitating to terminal: The insulin dependant diabetics, severe hypertension, severe arrhythmic, depressed and bipolar, Alzheimer's and other brain degenerating diseased, Cancer patients whose quality of life is under threat. Genetics is the easy explanation for this group of sufferers.

Being a healthy 188cm/76kg all my life and of reasonable fitness the biggest dietary change I had to make was to eliminate free added glutamate salt. Read more about my experience (anecdotal me could be you too).

Awareness is bringing about change and food ingredients are no more hidden, labelled and are changing, but not always for the better. Nevertheless the change will be subtle not to alarm and cause a class action against the food industry. The FDA only act on acute reactions and not the (difficult to prove) chronic.  Read more here of the evidence.

My Dutch father grew up on lard and was his survival drink during WWII. He's always been healthy, seldom ill, not on medication, drank litres of milk and had a good posture and walk (despite a work related knee injury replacement) until his death at the age of 78 from a heart attack (during an episode of flu). Was the lard and milk the cause of coronary death? No, I doubt that, as he had a late life addiction to sugar in the form of Coca Cola, ice cream and sweet chocolate. He survived the initial attack (for 5 days), but if it wasn't for the onset of Alzheimer's (already Reisberg scale 5), by some seen as DM type 3, an older age (after some surgery) could have been a possibility!  . . . And we all have to die eventually. Don't we?

In 2004 I embraced the art of taijiquan and my teacher and today best friend Robert introduced me to Dr Jan Kwaśniewski's teachings of the HFLC lifestyle. Sceptical at first it took me a few years to acknowledge the rich information in his book Optimal Nutrition ISBN 83-87534-13-7 first published in 1970 in Polish.

So in conjunction with these ideas, I started to embrace change.   Read more about a lifestyle of ideas.

The 2013 talk of the time, the High Fat Low Carbohydrate (Atkins, Paleo, Banting) life style is touching on the health benefit of not messing with the sugar~glucose (insulin hormone) regulating system of the body. Although not new (that is how man used to eat long before the historic 1970 dietary shift lead by Ancel Keys's observational study), this is an interesting act to follow in the years to come. I read The Real Meal Revolution  ISBN 978-0-9922062-7-7 by Tim Noakes and an eye opener everyone should read is The Big Fat Surprise by Nina Teicholz  ISBN 978-1-9222477-7-3 .  In this book Nina highlights the fact that scientific reporting is not what it seems. Prof. Tim Noakes also points out that many of the recent studies and references do not adhere remotely to the Bradford Hill criteria. So many conclusions (as fact) heralded are made with association studies which does not proof causation. I also found that many scientist, science writer and reporter use the words "may" and "seem" in their papers and articles as if to not link themselves fully to the outcome and conclusion.

In February 2015 I had the opportunity to attend the Old Mutual (High Fat Low Carbohydrate) Health Convention organised by Karen Thomson (writer of Sugar Free  ISBN 978-1-920289-82-9 ) at the CTICC in collaboration with Prof Tim Noakes. There are more in the planning for other countries in the years to come.

Consensus between all the speakers was their believe in the effect of the hormone insulin responsible for disease when the things go wrong with homeostasis. Although two reasons for insulin resistance (IR) was postulated, the MSG effect ties into it and completes the puzzle (third reason) in my opinion.

Going Low Carb High Fat is a unnerving experience for most (who still believe and cling to the old dogmas) as total Cholesterol does increase to higher values. The important points to take note of are:

System of measurement         Height  unit     Weight  unit     

Body Mass Index (BMI)       Normal BMI range   based on WHO recommendations.


Statistics about my health marker values (2015)

L/W: 188/75 BMI: 21.8 C: 6.9 mmol/l HDL: 2.0 mmol/l LDL: 4.6 mmol/l Trig: 0.69 mmol/l HbA1c: 6.0 mmol/l (!) Ins: 3.3 µIU / 0.6 nmol/l G(f): 5.7 mmol/l

Paleo, Atkins, Banting, LCHF lifestyle does not go without a stern warning. No sugar. No MSG. No Aspartame. My question to anybody who either does not loose weight, or reach ideal metabolic values would be:   "How much free added glutamate did you (unknowingly at the time) consume before and since going HFLC and probably the cause of your T2DM (if not yet below 6.0 without taking any natural or pharmaceutical substance)?"  READ HERE WHY I ASK THIS QUESTION and must serve as a warning!

The statin controversy is another health topic that is in the news. The importance in the prevention of heart disease is totally overrated and the science behind it without substance, but the pharmaceutical profits lucrative.
On the other hand, as IR is still not seen as the cause of modern disease, the HbA1c (glycated haemoglobin) test (cost in the region of R200 at PathCare in 2016) is not considered important enough, as the preferred  treatment to get the value below 6 is diet related, this uncomfortable fact is of little value to the pharmaceutical industry.

My latest 2016 total C: is 8.4 mmol/l and now (according to the ridiculous Framington score card and without taking individual markers into account) Professional Providence Society (PPS), still following main stream industry subscribed beliefs, is loading my (not the existing pre-2016, but luckily only the new added contracted) monthly premiums! 
That's the downside of going LCHF.  Read more here.

Most Pubmed publications focus on a single symptom of MSG (be it asthma, headache) and disprove the effect (biased? industry influenced?), but a 10/2016 tweet made me aware of this Pubmed link of a publication dated 2000 and abstract explaining the action of MSG (E621); MSG cause a high insulin secretion (and take note very much in absence of a higher blood glucose) after 15 minutes of ingestion:

 Glutamate ingestion, the plasma and muscle free amino acid pools of resting humans.  Graham TE, Sqro V, Friars D, Gibala MJ,  2000 Jan;278(1):E83-9.

Monosodium glutamate (MSG) ingestion is known to increase plasma glutamate concentration, and MSG infusion stimulates insulin secretion. We investigated the impact of MSG ingestion on both the plasma and intramuscular amino acid pools. Nine postprandial adults ingested MSG (150 mg/kg) and rested for 105 min. Venous blood was sampled pre-ingestion and then every 15 min; vastus lateralis muscle biopsies were taken pre-ingestion and at 45, 75, and 105 min post-ingestion. Venous plasma glutamate and aspartate concentrations increased (P </= 0.05) approximately 700-800 and 300-400%, respectively, after 30-45 min. Although several other plasma amino acids increased modestly, the rise in glutamate accounted for approximately 80% of the increase in total plasma amino acids. In addition, plasma insulin increased threefold after 15 min; this occurred before a significant increase in plasma glutamate, indicating a feed-forward stimulation from the gastrointestinal tract. The intramuscular amino acid pool was remarkably constant, with only glutamate increasing (P </= 0.05) by 3.56 mmol/kg dry wt. By 105 min, the plasma and muscle amino acids had returned to resting concentrations. This increase in muscle glutamate concentration could account for approximately 40% of the MSG ingested; we propose that resting skeletal muscle is a major sink for the glutamate and metabolises it to aspartate.

The point I want to highlight with this experimental result in mind is: ingesting MSG salt (once), added to certain food, will probably cause an initial (acute) hypoglycemia, more so in absence of ingesting sugar at the same time, with a cascading range of (to the individual) effect. If the body does not have the ability to rectify this hypoglycemia quickly enough, then for some, this effect, with wide ranging symptoms, could be debilitating. This could be the reason why taking glucose in whatever form (and an aspirin some claim) does seem to help some (for everyone?). The insulin level however stays high for about two hours, so there is also a more ‘chronic’ effect with more (it seems to some individuals) lasting consequence and symptoms.

After listening to the RSG program Wie is Ek with Louis and Lise 23/09/2016 Potgooi [Podcast] about panic attacks I felt compelled to address a letter to them to make them understand that Panic Attacks are more than just a psychological occurrence. (Lees hier)

Is it possible to get a panic attack without MSG and what would the explanation be? I personally have experienced once, that on fasting (not breaking my fasting early morning, with a hearty breakfast, as I am used to, an (IR?) individual might be very sensitive to a slight hypoglycemia (not keto- fat adapted enough?) and experience symptoms. Did I come in contact with MSG within a 24 hours period, or are others factors at play? I do not know. I have a dried date fruit at hand for such an 'emergency'.

The older one gets a new experience cross your path.

The latest update on my own health is a diagnosis of Vitamin D deficiency (09/2016 19.1 ng/ml) [¹]. Quite shocking to come to the realisation that being indoor (honest hard work) for most of the day can cause this condition [reason 1]. I am post 50 years of age [reason 2],  also taking into account not eating vitamin and mineral fortified foods (grains e.g. bread) anymore [reason 3]  or maybe it is the coffee  (1-2 strong brewed large cups a day for me) as one study suggests [reason 4]. Then again not so rare as an estimated one billion (1:8) or in some countries 75% of the population has some sort of a deficiency of this 'sunshine hormone'.  Read The Dental Diet written by Dr Steven Lin ISBN 978-1978616691. A slowly progressive situation that can have very dire consequences taking in consideration that the importance of vitamin D is quite a hot topic again today when discussing heart health.  It was muscle ache, more specific periosteum bone pain in the arms and loss of physical strength that made me aware of a problem. I took the decision to take a supplement. Initially 1000 IU at least a day had a immediate effect on my headaches and sleep pattern. After 3 weeks I decided to go for a single dose of 50 000 IU a week for 6 weeks and at least 30 minutes a day of sun on weekends.  I shall then do a blood test again to see if settled at an minimum 30 ng/ml .  Thereafter 1000 IU daily for the rest of my life it seems . . . if not more in the sun.  [more about VitD soon]

Here is a link to a You Tube talk from Ivor Cummings on the Vitamin D debacle

25/01/2017 My vitamin D blood test result: 45,2 ng/ml. A good recommended (30 -  40) upper level, although new ideas set the upper level as high as 70.
Here another link to a talk with Ivor Cummings

 and how important is fat soluble vitamin K at higher vitamin D blood concentration levels

Statistics about my health marker values (2017)

L/W: 188/75  BMI: 21 C: 8.4 mmol/l  HDL: 2.4 mmol/l (very good)  LDL: 5.1 mmol/l Trig: 0.8 mmol/l  HbA1c: 5.7 mmol/l (better!)  Ins: 3.4 µIU / 0.6 nmol/l

So experiencing some post-winter aches and pains and because I did not do as I was supposed to do and by not taking a vitamin D 1000 IU every day (I do not like the notion of taking a daily tablet, but I did many days); my level in October was . . . 28 [²] . It does show again how easy it is to become sub-level. Quite painful on the (wrist) joints too. So again being below the recommendation of 30 (diagnosis of mild deficiency) and well below the optimum of 40 ng/ml, it is back to the weekly bombs of 50 000 IU for the next 4 weeks! There after my pharmacist recommend one bomb a month . . . or 1000 IU a day . . . or investing in more sun time (again) . . . and Banting more diet D (sardines consumed not in the house, but outside, as the smell of pan heated fish oil is not favoured by the other occupants).

January had me reading the new book is out from Tim Noakes and Marika Sboros named The Lore of Nutrition ISBN 978-1-7760926-1-1. Here is an opinion on the book by Cardiologist AF Sigurdsson MD

Nutrition Network attendance in February 2018 of the Noakes Foundation first 2-day CPD accredited seminar for healthcare professionals and auxiliaries. Also available as a online course , but no cpd accreditation yet (June 2018)  The seminar main focus was presenting the latest evidence-based research, as well as training on implementing LCHF (including ketogenic) nutrition into clinical practice.

Not getting into the vitamin D regime (again) and my May 2018 blood test comes up with a result of . . . 19 [³].  WTF.
I am just spending to much time indoors and working myself to bad health. I am starting to understand how easy it is for so many people to become deficient.  There is a lot of information on the internet on how to not become deficient by having more sun exposure and to add it to the diet and more important supplement after the age of 50.  My question is what are the factors deciding the reserve potential of every individual and what are the factors causing the depletion of the this fat soluble vitamin hormone. I have a private garden at work, I am my own business boss and I have changed my appointment book to allow for it (on my spouses orders) . . . from now on a minimum of 15 minutes midday sun at least every second day !

I also find that many of my patients (and their doctors treating them) are totally ignorant about the fact that their diagnosis of some sort of (inflammatory) muscle disorders, neuromuscular disease could be associated with a vitamin D deficiency  even before treating them with all sorts of pharmaceutical regimen ranging from anti-inflammatory painkillers, amitriptylene (tricyclic antidepressant used for pain), DMARD's (Disease-Modifying Antirheumatic Drugs)  and corticosteroids. All it takes is just a blood-serum vitamin D test.

08 June 2018. The long awaited overdue announcement has been made. After four years, thousands of hours of work, millions of (HPCSA) Rand the verdict of the HPCSA  (appealing their own Committee verdict of declaring Prof Tim Noakes innocent on the charges brought about by @ADSA_RD and the @HPCSA_ Appeal Committee is that the verdict on all three accounts is still :'not guilty".  Read more about these proceedings as reported by Marika Sboros @MarikaSboros at

More and more doctors and other healthcare workers are realizing that the Tim Noakes message is true, more so among patients (n=1), but the drive to preserve the original message of fat shaming and the drive for a vegan / vegetable and fruit future for more than 7 billion people on earth is fierce.

Farming animals equitable and ethical for a billion is easy, but for an increasing population over and above 7 billion is a challenge.




A community of high profile LCHF speakers and more than just anecdotal proof is emerging.

"The plural of anecdote . . . is data."  George Stigler (circa 1960?) / Raymond Wolfinger (circa 1969) [Nelson Polsby PS, Vol.17, No.4. (Autumn, 1984), pp.778-781. Pg.779]

Following the food industry funded government guidelines on nutrition may get both patient and the doctor into 'trouble'.
Not following these guidelines will get the doctor into trouble, but could be the best thing for the patient, and even society as a whole . . .


 Popular phrases and sayings:


There are many out there advocating LCHF in South Africa. Some to recommend to get a good picture (even better than I can paint) about this subject:


International writers (blogs, articles, books) and speakers (You Tube):

Online speciality clinics:

Mentionable sites and links:



"Any treatment tried out specific for an individual is n=1. When followed by a crossover treatment of removing the therapy and than re-introducing it, is already an experiment on itself"  is not a quote, is a crude experiment, but read more at

Anecdote (noun) definition: a short or interesting story about a real incident or person, also seen as unreliable and minor (and unscientific with n=1).



Most of the 'read more' links are to my pages: explanatory, personal and solutions to live symptom free.
Other text links are to outside pages (and could change to non-existent without notice and beyond my control). It is for that reason that I download certain pages, in many cases without permission, but not omitting to mention the source.

. . . and all the included relevant links on my pages will hopefully give you a clear picture of what it is all about. . .



A family of potential killers.



Questions without answers. 

What happened to this study result of



Favourite 2: blogging about, asking questions, being inquisitive and having an opinion, politics,
and do not forget the conspiracy theories.