1. Eating Ourselves To Death Reducing health care costs and improving care Joel Fuhrman, MD Copyright © Joel Fuhrman, M.D., 2010

2. Health care spending (more medical care) does not improve healthy life expectancy. 22 industrialized countries spend less than half of U.S. per person medical expenses and have a significantly better healthy life expectancy. Healthy Life Expectancy Copyright © Joel Fuhrman, M.D., 2010

3. Health Life Expectancy and Per Person Medical Expenses in 22 Countries Copyright © Joel Fuhrman, M.D., 2010 World Health Organization Healthy Life Expectancy Estimates http://www.who.int/whr/2001/en/annex4_en.pdf http://www.who.int/whr/2001/en/annex4_en.pdf

4. For a person with 3 risk characteristics High Cholesterol Overweight High Blood Pressure Health care costs is more than three times higher than average costs per person Health Care Costs Copyright © Joel Fuhrman, M.D., 2010 Scholze J, et al. Epidemiological and economic burden of metabolic syndrome and its consequences in patients with hypertension in Germany, Spain and Italy; a prevalence-based model. BMC Public Health. 2010 Sep 2;10:529.

5. Expenditures on prescription drugs grew 40% from 2005 to 2010 due to the combined affect of more people suffering from diabetes, and the use of more expensive treatments. 10% of the population with chronic diseases utilize 90% of health care spending Approximately 50% of the British population are overweight Health Care Costs Increasing among the overweight and diabetic Copyright © Joel Fuhrman, M.D., 2010 www.diabetes.co.uk/nhs/

6. Compelling data from nutritional studies, population surveys, and interventional studies supports the effectiveness of a healthy, plant-based diet to lower cholesterol, lower blood pressure, arrest, prevent, and reverse heart disease. Physicians practicing Lifestyle Medicine focusing on educating and motivating individuals to make substantial changes in their diet-style to achieve the best outcomes at the lowest costs. Heart disease, Hypertension and Diabetes is preventable and reversible Copyright © Joel Fuhrman, M.D., 2010 Breslow JL. Cardiovascular disease myths and facts. Cleve Clin J Med 1998;65(6):286-287. Ornish D, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA 1998;280:2001-2007.

7. Dr. Fuhrmans Nutritarian Food Pyramid Copyright © Joel Fuhrman, M.D., 2010

8. Copyright 2010 Joel Fuhrman, M.D. All Rights Reserved Fill Up on Nutrient Rich Food

9. Losing weight permanently without yo-yo dieting Sarter B, Campbell TC, Fuhrman J, Effect of a high nutrient density diet on long-term weight loss: a retrospective chart review. Altern Ther Health Med, 2008. 14(3): p. 48-53. Average weight loss over 2-years 53 pounds. Nobody who adopted the program put weight back on once it was lost.

10. Diabetes Research Study Results 1.All patients off diabetic meds 2.Average HbA1C in normal range (7.7 5.7) 3.All patients with high triglyceride normalized 4.Average systolic blood pressure 145 118. Dunaief D, et al. Glycemic and cardiovascular parameters improved in type 2 diabetes with the high nutrient density diet. Journal of Nutrition, Health and Aging 2010;14(6):500. Results presented at the International Academy on Nutrition and Aging (IANA) Conference on Monday, July 26, 2010

11. Adrienne 123 lbs in 1 year! May 11, 2009 319 lbs May 13, 2010 196 lbs

12. Tony His diabetes is gone and his weight is stable!

13. Before I had to keep eating just to feel okay. Dr. Fuhrman set me free. Its like being let out of prison. Rebecca Has Lost 330 lbs

14. Julia Lost 105 lbs and went from a "cardiac cripple" to a healthy, happy human being

15. Scott Before 501 lbs After 182 lbs Eat For Health is not a diet and its not about a goal weight. Im just doing whats healthy for my body, and the results follow.

16. Charlotte Lost 130 lbs and no longer suffers with chronic disease

17. Case study # 5 Emily, lost 100 pounds in one year, no longer depressed and sick

18. Jodi Suffering from psoriatic arthritis most of her life, finally resolved her health conditions, lost weight, and is off medication.

19. Plant-based diet containing high micro nutrient containing foods - vegetables and beans, mushrooms, onions, seeds, nuts, fruit Limit (or eliminate) unhealthy foods– including processed foods and animal products Modern nutritional science provides substantial evidence that food choice is the major determinant of health and health care costs. The Fountain of Youth Copyright © Joel Fuhrman, M.D., 2010

20. WORLD HEALTH ORGANIZATION http://www.fao.org/docrep/004/Y2809E/y2809e08.htm#bm08 http://www.fao.org/docrep/004/Y2809E/y2809e08.htm#bm08 "Households should select predominantly plant-based diets rich in a variety of vegetables and fruits, pulses or legumes, and minimally processed starchy staple foods."