Thomas L. Cleave
Encyclopedia
Thomas Latimer Cleave (1906-1983) was a surgeon captain who researched the negative health effect
Health effect
Health effects are changes in health resulting from exposure to a source. Health effects are an important consideration in many areas, such as hygiene, pollution studies, workplace safety, nutrition and health sciences in general...

s of consuming refined carbohydrate (notably sugar
Sugar
Sugar is a class of edible crystalline carbohydrates, mainly sucrose, lactose, and fructose, characterized by a sweet flavor.Sucrose in its refined form primarily comes from sugar cane and sugar beet...

 and white flour) which would not have been available during early human evolution
Human evolution
Human evolution refers to the evolutionary history of the genus Homo, including the emergence of Homo sapiens as a distinct species and as a unique category of hominids and mammals...

. Known as `Peter' to his friends and colleagues, Cleave was born in Exeter in 1906, and educated at Clifton College
Clifton College
Clifton College is a co-educational independent school in Clifton, Bristol, England, founded in 1862. In its early years it was notable for emphasising science in the curriculum, and for being less concerned with social elitism, e.g. by admitting day-boys on equal terms and providing a dedicated...

. Between 1922-27, he attended medical schools at the Bristol Royal Infirmary
Bristol Royal Infirmary
The Bristol Royal Infirmary, also known as the BRI, is a large teaching hospital situated in the centre of Bristol, England. It has links with the medical faculty of the nearby University of Bristol, and the Faculty of Health and Social Care at the University of the West of England, also in...

, and St Mary's Hospital, London, London, achieving MRCS and LRCP.

Military career

At Bristol, one of his teachers was Rendle Short, who had proposed that appendicitis is caused by a lack of cellulose in the diet (it is worth noting, perhaps, from a biographical perspective, that Cleave's sister had died at the age of eight years from a perforated appendicitis). Charles Darwin's writings provided the intellectual framework to Cleave's life-long engagement with the relationship between diet and health, built upon the premise that the human body is ill-adapted to the diet of modern (western) man.

In this context, he considered refined carbohydrates (white flour and sugar) to be the most transformed food, and therefore the most dangerous. After completing his medical training, Cleave entered the Royal Navy in 1927 as Surgeon Lieutenant.

Between 1938-1940, he served as Medical Specialist at RN Hospital, Hong Kong. It was during his war service, in 1941, whilst on the battleship King George V, that he acquired his naval nickname `the bran man' when he had sacks of bran brought on board to combat the common occurrence of constipation amongst sailors.

Following war service, he worked at Royal Naval Hospitals in Chatham (1945-1948), Malta (1949-1951) and Plymouth (1952-1953). He retired from the Royal Navy in 1962 as Surgeon Captain, having finished his naval career as Director of Medical Research at the RN Medical School

Post-military career

In 1969 Dr. Cleave brought public attention to the low amount of dietary fiber in modern diets that had become rich in processed ingredients. His work was bolstered by the supporting work of Dr. Denis Burkitt
Denis Parsons Burkitt
Denis Parsons Burkitt , surgeon, was born in Enniskillen, County Fermanagh, Ireland. He was the son of James Parsons Burkitt. Aged eleven he lost his right eye in an accident. He attended Portora Royal School in Enniskillen and Dean Close School, England...

.

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