Lose 20 Pounds on a Keto Diet – But You’re Probably Not Going to Like This Post – Part 2

aaaaaaaaaa

Note: for those of you that didn’t read part 1, read part 1 – ‘k?

Sorry for the cliffhanger. I’m nearing 10 weeks in ketosis and have written 84 pages journaling my experience. Dumping that on you would be a bit much – but trying to summarize has been a bear. This is my second shot at it.

I’ve been doing (at least trying) to do a low carb / keto diet since 2003. In this go-round I have done a number of things radically different than in the past.

I made health – not weight loss – my goal. I have spent 15 years reading and researching this diet. I truly believe it to be the best diet for me. As I am focused on the health aspects, the moving of the scale is a nice perk – not the main goal. If the scale doesn’t move it might frustrate me – but it is not a failure. Eating off-plan is the failure.

I immersed myself in everything I could about the ketogenic diet. There are way more books, audiobooks, and podcasts with new information. Keto has become a ‘craze’ again and there’s a lot of new and interesting information and many people in Facebook groups discussing it. I personally don’t completely agree with *any* of the approaches I have seen, but have borrowed things from many of the approaches to forge my own version. I did a lot of experimenting and learning – and while I have been in ketosis for nearly 10 weeks now, how I stayed there has radically changed from the way I did it in 2003 – and the way I did it in April 2018.

I have started taking supplements again. When I looked I back to 2003 and asked myself what was different from when I first lost 80 pounds and now,  one big difference was I didn’t take supplements anymore. Back in the day I had taken a plastic film canister’s worth each day. I became disillusioned with vitamins (read ‘Do You Believe in Magic?‘ like I did to understand why) and had cut back to just a multivitamin – and only a few days a week. I began taking it every day and began to try to figure out what other supplements might improve health and am building up a ‘stack’ of supplements to see what impact it might have. I’m still experimenting here but will discuss this further below.

I fast 16 hours per day. I do what’s called a 16:8 intermittent fast daily. I skip breakfast – only having black coffee. This used to bother my stomach but I’ve apparently healed whatever the reason was for that and now it’s not a problem. I then have my lunch around 1pm and my dinner between 8-9pm. I don’t have hunger issues nor do I have food fantasies. Being in ketosis this long simply removes constant hunger from the equation.

I don’t snack. Here’s a really interesting notion I am experimenting with. While removing carbs reduces blood glucose, it’s not really blood glucose that is at the heart of the problem – it’s insulin resistance. Insulin is an energy storage hormone. When you eat carbs, your pancreas squirts out insulin to get the excess glucose out of your system, driving it into your fat stores mostly. After decades of abusing this system, your cells no longer respond to insulin and your pancreas has to squirt out more and more to get the same effect. So you can check your blood glucose levels and everything looks fine – but your insulin is through the roof.

So you give up carbs and your blood glucose goes down. That’s great, but you still have this insulin floating around. Know why? Because protein also stimulates an insulin response, you are STILL promoting insulin resistance.

So here’s an idea that seems to make sense: what if you were able to give your body an ‘insulin holiday’ – would being able to allow your body to not have insulin constantly in your bloodstream give your cells a rest and allow them to increase their insulin sensitivity?

Some people think it does, so I’ve decided to experiment with this. I’ve read that an insulin response can last up to 8 hours after a meal. This would mean that doing a 16 hour fast – with no calories coming in – gives me at least 8 hours per day where there is no insulin in my system.

The notion of snacking means you NEVER stop producing insulin. So the notion of a ‘snack’ is not part of my life.

There’s a second part to this which I will go into next.

I make sure my meals contain enough protein. What I read was that a particular amino acid – leucene – in adequate amounts – produces ‘Muscle Protein Synthesis’ or MPS. From what I read you need at least 3 grams of leucene in a meal to produce this effect – and leucene is approximately 10% of the amino acids in a piece of meat. From what I’ve read this will prevent muscle loss during weight loss even is you sit on your ass. A 16:8 fasting schedule provides me with 2 doses of this effect per day and maximizes the efficiency of the protein I take in per day. Remember that a properly formulated ketogenic diet is supposed to be an ‘adequate protein’ diet. If I have between 40-50 grams per meal I am well within the ‘adequate range’ but making every ounce of protein count.

I don’t add fat to my food. What kind of screwed up keto diet is it where you don’t add fat? Here the idea is that if you want your body to burn fat, you want it to burn your CURRENT BODY FAT – not the fat you ingest. I calculated my macros (carbs, protein, and fat using one of the many ‘keto calculators’ out there. This one at https://www.ruled.me/keto-calculator is adequate – and instead of aiming for an exact target I came up with my own ranges – these are mine:

Calories:     1200 – 1892
Carbs:        20
Protein:    94-124 (104 is ideal)
Fat:        77-155

This give me a wide latitude to play in and not have to worry about being so damned exact about things. I typically meet my minimums at lunch and have a larger meal in the evening. I tend to be at the low-end on fat – which comes from the meat. I very rarely add fats to my cooking – maybe olive oil to a salad though I don’t eat salad as often as maybe I should. And this leads to another interconnected point.

I have a very limited and simple diet. OK – this is where you stop reading. I get it. But if you are interested in how my relationship to food has changed, keep reading.

If you join the keto groups on Facebook, you will frequently be exposed to keto food porn on some of them. The inventiveness in these groups is boundless and you can find bread recipes, pizza, ‘fat bombs’, all sorts of snacks, and could happily avoid most carbs and still have your favorite indulgent foods. The problem is two-fold for me: these recipes take a lot of time to prep, and sometimes the calories are through the roof.

I don’t do this. I’ve stopped frequenting these groups that post the food porn. Instead, I’ve chosen to follow a very simple diet dominated by the following foods:

  • Chicken thighs
  • Chicken breasts
  • Grass-fed beef
  • Hot Italian sausages
  • Grass-fed, nitrate-free hot dogs
  • Nitrate-free bacon
  • Broccoli
  • Lettuce
  • Kimchi (Korean fermented cabbage)
  • Avocados
  • Arugula
  • Olive oil
  • Ghee (also called ‘clarified butter’)
  • Less than 4 oz. of cheese per day.
  • Salt
  • Trader Joe’s 21 Seasoning Salute

I’ve certainly had other keto-friendly foods (pickles, tomatoes, eggs, cauliflower, a little pasta sauce, salsa, among others), but the above list predominates.

You might be thinking: what a restrictive diet!

that is exactly what I thought as well – until I tried it.

I find it LIBERATING.

Nearly everything I cook is baked. I cook enough meat and veggies for 2-3 days. I measure out my portions into sandwich bags on a scale for lunch, then weigh out my dinner. Since I don’t snack, I have what I would call a natural and normal hunger response when I do eat – and I enjoy my food. I even find my portions to be almost too large at times – though my total calories for the day can sometimes be as low as 1200 calories. While you might think this is a rather bland set of flavors, my response to flavor has changed since I removed what I some call ‘hedonic’ foods with complex layering of flavors. I thought I never could wean myself off of my Orange-Tangerine artificial sweetener, but after a few miserable days, I didn’t miss it anymore. My palate has adjusted, I love my meals, shopping is a breeze, cooking is a breeze, lunch is a breeze – and now I know what it feels like to ‘eat to live’ rather than ‘live to eat’.

“I don’t eat that.” I’ve given up a lot of things – all grains, nuts (portion control problem), sweeteners, a lot of dairy (portion control problem), and so many other things I can’t count. I don’t have willpower nor do I believe in willpower as something that can be sustained over a lifetime against something as primal as hunger – and there is a bit of a mind trick I use to deal with this.

I have a lot of respect for ethical Vegans. They have made a decision that eating animal products is wrong and they do not eat them. They simply say: “I don’t eat that.”

there’s no negotiation here. Ethical Vegans don’t have a ‘cheat day’. It is black and white for them. I’ve decided to do this on my diet. I have foods I eat – and a very long list of foods I don’t. If offered, I say: “I don’t eat that for health reasons – and I can’t even have a taste.” If a further explanation is needed, I am eating this way to avoid getting full-blown diabetes and the best way for me to do that is not having the smallest cheat. As soon as you open the door to a small cheat, a larger one can easily creep in, and BAM! There goes all your hard work. This has happened to me too many times to count.

Like Vegans, people will think you’re odd – even odder than Vegans because their way of eating is better known. My diet is for health reasons first. I have my reasons for eating this particular way that most people won’t care about – and I won’t bore them.

I can easily sit and watch people eat all this stuff in front of me and I don’t care. My older daughter tried tempting me with bread at the steakhouse but my reaction to the bread was like a rabbit reacting to a slab of beef: utter indifference – because I don’t eat that. If I allowed cheats I would exhaust myself with the ‘how much can I have’? then having even a little taste will turn on cravings in the brain I don’t have anymore for 72 hours after the cheat, according to one doctor. So even one bite will at least make me miserable for 3 days – and at the worst, completely derail 10 weeks of hard work.

If I eat the way I do now, I don’t have diabetes. If I eat like a normie – I do.

I watch my salt, magnesium, and potassium. When you start a low carb / keto diet you lose a lot of water weight quickly as the carbs in your system bind to water molecules. No carbs and you lose that extra water – good – but as you lose the extra water you begin to mess with electrical pathways in your body and have the potential for problems if you don’t watch your electrolytes. This is how you get the ‘Atkins Flu’ as it was called years ago, or the ‘keto flu’. You get a headache, you get shaky, you get a head rush. This is your body’s electrolytes going screwy.

With salt, I make sure to salt all my food. Then I will have a glass of salted water if I feel weird – or just because I haven’t eaten in a while. I also take a magnesium supplement daily.

From what I’ve read, I am leery of taking potassium supplements. People on these keto Facebook groups usually use a product called ‘No-Salt’ – a salt substitute, but what these online groups don’t tell you is that some people – like me – are on ‘potassium – sparing’ blood pressure medications where is says on the damn label not to use this stuff. So I don’t. Potassium also seems to be the one that can also fuck you up the most – causing your heart to beat wrong. That’s something that can kill you and I am not going through all this trouble to die! I usually get my potassium through foods – an avocado is a great source.

Being this deep in ketosis also means heavy exercise or being out in high heat can mess you up way faster than normies walking around with excess water weight and electrolytes. I’ve heard people say they steal salt packets from restaurants and make sure they have a couple on hand – and some water – in case they feel weird during activities like these. This electrolyte issue also calls into question the bogus medical advice of drinking 8 glasses of water a day. For regular folk – so what – it gives them something to do other than eat, makes them feel full, and makes them feel good about themselves. Folk in heavy keto lose extra electrolytes like this. I will frequently drink a liter of seltzer on ice in the evening, or water during the day – but I really don’t count and do it because I’m thirsty.

I take ‘weight loss’ naps. Sleep is real important. I know a lot of people struggle with sleep – I don’t usually have a problem. One less thing for me to worry about as poor sleep can prevent weight loss – and is certainly not good for your health.

But here’s something I noticed in me by accident. Occasionally, on a weekend, I find the opportunity to take a nap. Lazy shit that I am – I take it. What I have found more often than not is if I weigh myself after the nap, I’ve lost a pound or two. It’s the damnedest thing. I’ve seen no one else mention this, but it does happen to me.

I measure my meals using Cronometer. None of the diet tracking apps are just right. Some can’t count net carbs. Some have nutrient values that are not based in reality. Some are just not designed very well. I’ve recently started using Cronometer and while the free version has annoying advertisements that can make you wait a few seconds before entering your values on certain screens, it is my current fave. I particularly like how you can set your own macros, clearly show net carbs, and view your micronutrient counts. There’s some things I don’t like – and some things that don’t work as expected, but here’s the thing: because I eat pretty simple, it’s pretty simple to enter my macros in a minute or two. Another app called Carb Manager is also good – I just prefer Cronometer.

I mess up at pretty much all of the above. Think of all of the above as the bullseye on a target for me. I aim for that center. Sometimes I don’t hit it – but that’s what I keep aiming for. Example: after a very good meal where I had two martinis (which I should not have had!), when putting away the food I ended up having some of my kid’s leftover mashed potatoes. While this didn’t cause me to go out of ketosis, it *did* cause my blood glucose to spike – my morning fasted glucose the next morning was 138. the day after it was 40 points lower.

Lesson learned: The way I eat determines if I am a diabetic. This one cheat helps reinforce the reason I have a ‘no cheat’ rule. I still drink from time to time. Usually red wine. It does not knock me out of ketosis and doesn’t raise my blood glucose – but it does increase insulin resistance and does slow weight loss – and does make me feel crappier the next day. I’m still working to minimize, if not eliminate this.

I feel better, but think I could feel better still. I still have a lot to learn not only about a long-term ketogenic diet as so much new research and thinking has been done in the past few years, but I have to learn about Me – my personal physical and emotional makeup at the present time in the context of a ketogenic diet.

Let’s face it: I’m 55. I’m probably late to the game of optimizing health – and there is certainly no shortage of people who want to tell me the right way to do this. Dr. Jason Fung, in the book ‘The Obesity Code‘ wants me to go on extended fasts lasting days.

I don’t know about that. I’ve read that there can be positive benefits – autophagy is one example – which is a recycling and cleaning of your body’s cells when you fast. (Here’s a link to some online doc I just found that discusses why it’s good for you.) Sounds good, but I’m not sure that I can’t get some of that same benefit with my 16 hour fasts – or occasionally eating once a day (which I can pull off with little effort). Or Dr. William Davis’ book and website ‘Undoctored‘ where he suggests you add raw potato as a prebiotic to a smoothie. Not too sure about *that* one, Doc – though I *did* take his advice to NEVER take calcium supplements with vitamin D because adding calcium to the diet has never been shown to help reduce bone loss – but there’s some evidence that this calcium ends up on you artery walls. I’ve got more to learn here, though to fully understand what he is saying.

I recommend both books. Dr. Fung’s makes a strong case that the focus on health for most of us fat folk leads to minimizing insulin resistance. Dr. Davis has a grander goal and proposes an entirely new medical model where patients educate themselves to treat the underlying causes of disease, be smart enough to know when to involve a doctor, and to establish a doctor-patient relationship where they are partners in decisions because the patient might just know more about their disease state – and physicians stop acting like they know it all when the hours they work and the volume of information makes that impossible.

Right now my goal is to have my next blood work 6 months (October, 2018) from the start of my diet. It can take that long for numbers that can go out-of-whack as you begin the diet to normalize. During that time I will hopefully be able to lose more weight – which should help those numbers. I’d like to further explore supplements. Some I’m taking now I could not give you a clear explanation as to why I am taking them. For example: I’m taking 6000IU of vitamin D3 per day. Why? Because my Retinologist – a ketogenic nutrition nerd like myself except way smarter – told me that’s what he takes since he read the book ‘The Vitamin D Solution‘. I have the book, but haven’t read it yet. I am going to supplement with a small amount of iodine – 300mcg – because from what I’ve been reading from multiple sources, I have some symptoms of a sluggish thyroid – and most clinicians do not run the proper tests to determine this – and even the test they do run they misinterpret. But too much can also be bad and actually *cause* hypothyroidism. I have a lot of researching to do here. I want to study this area more closely and understand why I need a TSH test, a Free T3 test, a Free T4 test, a Reverse T3 test, a TPO antibodies test, and a TgAb test. *I* also need to understand the current thinking on how to interpret the results because docs won’t order test they can’t interpret.

I also need to understand a great deal more about why a standard lipid panel is not adequate for someone living a keto lifestyle. I know the short answer: the LDL-C. The ‘C’ in the name means ‘calculated’. It’s not an actual count but a calculation that isn’t particularly accurate for people on a keto diet. The NMR test actually counts the different LDL subfractions and provides a lot more precision as there are only a few of the LDL subfrations that are dangerous. I have to be able to convince my doctor so when *he* gets second-guessed by the health plan as to why he is ordering a more expensive test, he doesn’t have to hear them bitch about it.  Or I have to convince him to write me a prescription for it and then pay for it out-of-pocket – and it doesn’t even appear that I am legally allowed to order my own blood test in New Jersey – I’ll have to drive to PA to be allowed to get a blood work I will pay for myself as New Jersey thinks it is too dangerous to allow me to make these decisions for myself?

There’s also potential dangers to the diet – depending on who you listen to. Of course, a normal diet will most assuredly give me a case of Diabetes with complications of kidney disease, blindness, dementia, and amputations being some of the wonderful complications I can expect from that. But still – if not done right – keto can potentially cause pancreatitis, gallstones, kidney stones, and dangerous heart rhythms. All this leads to the my last point.

Don’t follow me – I’m lost. Ever see the bumper sticker that says that? It’s probably the best advice – the wisest advice I can give you. Don’t go on a ketogenic diet. Don’t do this. Don’t try this at home. Most people just want to be told what to do – they don’t want to do all this ‘thinking’. Ketogenic diets are poorly understood – or even considered dangerous (often for the wrong reasons) by most doctors.

There are people who learned about the keto diet 2 years ago, lost weight, set themselves up as an expert, and run blogs and Facebook groups signing people up for expensive courses on how to lose weight. They sure *act* like they got it all figured out…but I’m not sure.

I see one group contradict another. how do you calculate your protein intake? One group says calculate it using your current body weight – the other say by your *ideal* body weight. Some say saturated fat is great – others say it’s OK, but any added oil should be monounsaturated olive oil. Some think seed oils like corn oil and soybean oil are OK – I avoid them like the plague. I don’t see much discussion about the Omega-6 to Omega-3 ratio. This is important. I see some people recommend taking a ton of fish oil – but don’t mention that it is a natural blood thinner and could be dangerous to people already on blood thinners.

I could go on…is your head spinning yet? My wife just asked me “What do you do all the time on the computer?” I explain that I spend most of my waking hours reading and researching nutrition and ketogenic diets. I don’t think she believes me – or if she does she thinks I am crazy.

I spend all this time – it’s my hobby/obsession – but the more I learn the more I know I don’t know squat. That is why a long time ago I got out of the advice business. Please read my disclaimer if you even remotely even consider applying anything here to your own life.

I could go on but I’m sure you’ve had enough.

 

Advertisements

Lose 20 Pounds on a Keto Diet – But You’re Probably Not Going to Like This Post

On April 2, 2018, I was 269.8 and my blood glucose, which had more or less behaved by staying in the 120s, had begin rising into the 140s in the morning and staying there all day.

Not good.

My cocky, thin doc, who I am sure thought me just another fat slob, had told me years ago that, considering my family history, there was no way I *wasn’t* getting diabetes. “It’s going to happen sooner or later.” He said, seeming to enjoy saying it.

I swore I would bury this doctor at that moment.

Since I’ve been more or less on a low carb diet since the Atkins Craze of 2003, and although during this time there were long stretches where I didn’t follow the diet at all, overall, the past 15 years I have probably kept my carbs lower than the average person. Nearly Every. Single. Day. of these past 15 years has seen me in front of my computer, typing out the goals for my fresh start at my diet. I’d have good streaks – and bad streaks. Sometimes I didn’t get through lunch.

I’ve had this blog for a loooong time. But writing about failing all the time was getting kinda old. So I more or less stopped and wrote only when I thought I had something interesting to say or to report.

I’d been losing and gaining back the same 10 pounds for years – how dull is that? I decided that, unless I could lose 20 lbs., it was not worth my time nor your to blog about weight loss.

So today I can report that I just weighed myself and I was 248.6 lbs. Over 20 pounds lost from the start.

My blood glucose levels have also fallen by 40 points.

You’re probably not going to like how I did it – but stick with me here: there’s something weird and different this time than every other time. I am going to try and explain it the best I can, but first let me explain a little bit more about why I got to the point where I decided I needed to make a change.

So I’ve told this story before and I won’t go into detail, but I was 207 lbs. and actively following a low carb diet when I got appendicitis and had my appendix removed. Within 9 months of that surgery my weight ballooned to 287 for reasons no one can explain, then came down a bit and settled in the 260-270 range.

I had kept off maybe 50-60 lbs. of an initial weight loss of 80 lbs. When I went on Atkins in 2003 for most of a decade at that point – which is statistically impossible. The disheartening truth is – even for the folks who lose weight – most gain it all back in 5 years.

At least that *was* the thinking. Things might be changing. I certainly did.

Gaining all that weight after surgery was a real bummer. Much of that time I was doing low carb and it just didn’t seem to work. It probably has something to do with the appendix removal – but we really don’t understand the appendix that well yet, so any statement would be conjecture – we just don’t know.

My asshole doctor said: “It’s because of lack of exercise after surgery.” Idiot – I didn’t exercise BEFORE surgery!

There’s an old joke: why do people say ‘I found my wallet in the last place I looked!’? Who keeps looking for their wallet after they found it?

My 80-lb. loss on Atkins convinced me there was no other way than a low carb diet for me – but it didn’t seem to work anymore – and I had read and learned too much to just move on to some other diet.

So for a while, I gave up.

I also changed my route to work. Instead of highways with grassy edges, I took a slower but shorter route along what used to be a country road that is now dotted with at least 20 fast food places along my route.

My commute is long and my family doesn’t have regular evening meals for the most part – everyone seems to be somewhere else than the dinner table at the proper time – sadly, this is more normal than it should be these days.

So pizza might be lunch for me, and McDonald’s, usually, would be dinner if I didn’t go home and cook or eat leftovers. I also had a brief but intense love affair with bologna on Kaiser rolls as a breakfast for a while. This was pure comfort food as a kid, conjuring up my Mom and Dad and our breakfast together on Sundays after church. (OK – we didn’t have bologna sandwiches – we had eggs and bacon with the rolls  – but the Kaiser Rolls would bring me back to that table in the 1970s.)

And I didn’t think about it too much because my weight hovered in that 10-lb. range and another attempt at low carb or keto would bring me back to the low end of 260.

Then I’d fuck things up, eat more crap, and go to the top of the range again. Wash. Rinse. Repeat.

But this time it was the blood glucose that made me take action. I’m not a hypochondriac – imagining diseases – but I am a bit obsessive on tracking stuff – and the words of that doctor whose funeral I plan to attend still burned hot in my memory. This 20-point rise was fast – I was eating the same crap but now my pancreas apparently said: “Fuck this!” and decided to give up.

I know a lot of the science behind this – I was becoming increasingly insulin resistant to the point where my pancreas simply couldn’t keep up.

The poor thing needed a rest. So on April 2, I decided to start my diet again – but I needed to do something different – the old script wasn’t working. I was also older and what worked for me 15 years ago might not work now.

I had no doubt that a low carb / keto approach was the only way – but within those labels are a world full of different ways to approach this way of eating.

I’ve written way too much already so I’ll continue what I did differently in a part 2 of this post.

Update: here’s part 2 for those of you who care.

Day 40 on my new approach to a keto diet

There is no one ‘keto diet’. It has many variants that appear more or less the same to the outsider but are very different to someone deep in the thick of it – like Protestantism.

And like Protestantism, each of these variants interpret the same documents that underlie the practice, apply them differently, then follow, or try to follow a certain high-level dogma that results.

Like any set of competing belief systems, there is a necessary infighting between the variants about details. Just one of the many differences is the use of ‘exogenous ketones’. This is a product that most often contains beta-hydroxybutyric acid, which is the ketone fuel your body creates and runs on when on a keto diet. Some people have put this into a supplement and sell it.

Some variants of the keto diet think this is fine. Others will remove your post from their Facebook group if you even mention them.

Another controversy is: how much protein? Some groups recommend a lot less than others – and both scoff at the other’s interpretations of the documents that support their position.

The same goes for fat. All the groups want you to moderate it, but some make this central to their belief system – others seem to pay lip-service.

Lastly (though by no means the last), there is what I would call the position on what I would call ‘Keto food porn’. To me, this is the intricate and tortured attempt to create keto meals that resemble their high-carb inspiration, or inventions like a bacon-weave taco shell, or a round meatloaf with cheese in the center, wrapped in bacon.

Keto is very trendy right now (which will probably pass as it did before) and people are bringing enormous creativity to foods and recipes.

Some people love this. Some people think this encourages consuming extra calories, and the first group replies: who cares about calories? Just eat to satiety.

On this 2018 version of a keto diet, as usual, I came up with my own road to follow. While this time I have immersed myself in the most current thinking, joining over a half-dozen Facebook groups and listening to at least 50 hours of keto podcasts to learn what the current state of keto is.

One thing it does NOT seem to be is ‘Atkins’. While I believe that none of these people would be talking about keto if it wasn’t for Dr. Robert Atkins, who died in 2003, few people discuss him, and the current products the company he started are not held in high regard.

While you might be forgiven for using these products, you would not be applauded.

Another worrisome thing is just how dangerous this diet can be if you do it wrong – and most of these people climbing aboard the keto bandwagon do not understand the seriousness involved in altering your body fuel source and the serious medical problems it can cause. I will leave the authoritative research to others – and to you to dig up – again, I have nothing to sell and nothing to convince you to believe. These are the things I’m concerned might happen to people who achieve nutritional ketosis but are ill-informed about the pact with the devil you sign:

  1. Alcohol. If you are deep in ketosis, too much alcohol can lower that threshold for alcohol poisoning. Having a ready supply of carbs in your body can help mitigate a bout of binge drinking that ketones cannot, apparently.
  2. Pancreatitis. If you are unknowingly predisposed to this, a massive cheat can push you into this condition
  3. Gallstones. I had read that fat is necessary for the prevention of gallstones. Fat-phobic people predisposed to gallstones who try a high protein and lower fat version of keto might set themselves up for this. There could be other reasons as well.
  4. You can get dehydrated easily and your relationship to water needs to be watched. Too little OR too much can be bad
  5. Electrolytes. One thing normies eating a standard diet don’t tend to worry about is their electrolytes. People doing a keto diet do need to be careful about this because your need for sodium, magnesium, and potassium change. This can screw up the electrical system in your body – and you know what your electrical system does? It controls the beating of your heart! OK they say, I’ll just take supplements. Not so fast. TOO MUCH can be as bad as TOO LITTLE. People are messing with system not only they don’t understand, but that their doctors don’t understand.

It is for these reasons I DO NOT RECOMMEND A KETO DIET! The science surrounding this diet has been my primary hobby for more than a dozen years. To the regular person who comes along with no interest in learning the intricate details, I would not recommend this to them unless they had medical supervision by a doctor who knew the ins and outs of a ketogenic diet – and good luck finding one!

Stop reading yet? No? Ok – the rest of you left, let’s continue.

So what am I doing differently this time?

The first thing is that I have simplified my diet considerably. I have given up almost all artificial sweeteners (except sugar-free ketchup – not ready yet), dairy, nuts, cheese – and of course all grains and carby foods like potatoes. I now drink black coffee and plain water.

A partial list of what I’ve been eating for the most part?

  • Ground beef (moving toward New Zealand raised grass-fed beef)
  • Chicken thighs (moving toward organic – and I’d love to find pastured but haven’t yet)
  • Steak
  • Pork belly
  • Fire-roasted tomatoes and green chilies (for my chili)
  • Red and green bell peppers
  • Organic chicken broth
  • Lettuce (iceberg for now until people stop getting sick off of romaine which is a ‘thing’ as I write this)
  • Beefsteak tomatoes
  • Acocados
  • Asparagus
  • Organic celery
  • Eggs (organic and pasture-raised when possible)
  • Bacon
  • Olive oil
  • Coconut Oil
  • Coconut milk
  • Coconut flour
  • Mushrooms
  • Pickles
  • Kimchi
  • Organic hot dogs from grass-fed cows
  • Sauerkraut
  • Psyllium husks

And I am planning to try experimenting with adding:

  • Ghee (aka clarified butter – considered OK in a dairy-free diet by people not eliminating dairy for religious or ethical reasons)
  • Broccoli florets
  • Nutritional yeast (a powder that sorta kinda of tastes cheesy, is full of nutrients, and might be good sprinkled on my broccoli)
  • Cabbage

I did not start here 40 day ago. It took a while to convert from my diet prior to April 2 where my primary food group was McDonald’s. What prompted the change was a sudden, worrisome trend in my blood glucose. I was seeing numbers up to 140 in the AM and they would stay elevated – even with taking metformin.

In less than 2 weeks I was able to get that number down by 20-40 points. In the mid afternoons I can see numbers in the low 80s – and this is with my stopping the metformin over 2 weeks ago.

Carb withdrawal at first was miserable. I comforted myself with an abundance of American cheese – God, I love the stuff! I also guzzled down seltzer loaded with Orange-Tangerine artificial sweetener in the evenings.

I also had Greek yogurt in work and Kerry Gold butter in my coffee. That was after the coffee and heavy cream I had in my coffee at home. I usually didn’t eat solid foods, though I would grab an Atkins shake and have some chicken broth with extra salt at lunchtime. This seemed to help with the mild headachy feeling I would get – but otherwise I felt good. Here and there was 2 squares of dark chocolate.

I gave up on the Greek yogurt because it seemed to trigger hunger during the first week.

There were some trashy, though low carb choices, along the way. Oscar Mayer bologna as well as bologna’s more refined cousin, Mortadella. Kielbasa. Pork rinds. These didn’t impact my blood ketones, which I measured obsessively. I got as high as 3.5.

I stopped negotiating with myself in the second week. I no longer thought about ordering McDonald’s and not eating the bun. I could watch people in work and at home gobble up carbs – even pizza – and it not bother me. It wasn’t willpower – it was that I had detoxed myself from carby foods and no longer had an interest. While I would not say even now that I don’t miss pizza, I don’t have this terrible craving for it, either.

Besides – I had substituted a bunch of junky keto-friendly foods to take the place of the high-carb junky foods.

To be clear: I started this particular go at the diet primarily for my health. And that worked: I lowered my blood glucose and stopped taking metformin. I also pulled off 10-12 pounds in 2 weeks. That was nice – but not the primary goal.

After the first 2 weeks the scale did not really budge, however, and while I was still committed to the diet for health reasons, I did want the weight loss to be part of it.

Finally, on day 34 I decided I might be strong enough to pull off eliminating all dairy and artificial sweeteners.

Boy oh boy, did this suck!

The cheese got replaced with more calories from meat and tomato slices with my burgers. While I still continue to use sugar-free ketchup, the amount of artificial sweetener is trivial compared with how much of the orange-tangerine stuff I would blast into glass after glass of seltzer on ice.

I started eating avocados more regularly. They can be tricky as they go bad so quickly but I’ve been able to manage. Once almost ripe, they keep in the fridge for a few days. When you take one out, eat it that day. Mostly works well.

I don’t drink the Atkins shakes. I’m drinking my morning coffee with coconut milk – and recently nothing. I no longer put butter in my coffee at work – and find that a little coffee goes way farther than it used to. I sometimes find myself not drinking any coffee at work – and when I do, it’s black. I don’t really drink fats anymore.

While not every day, on some days I find myself only eating one large meal a day. This happened quite by accident, but then I found out it was a ‘thing’ – OMAD (One Meal A DAY) or 23/1 Fasting. It seems there’s this notion called an ‘insulin holiday’. Here’s how I understand it. It is not only sugars that trigger insulin: proteins trigger them almost as well. So while your blood glucose might be low, your insulin might still be high – and as you have insulin resistance if you’re like me, eating nothing for a while gives the body a chance to not have to produce insulin as if you were snacking all day – and this might lessen insulin resistance over the long-term – at least that’s how the thinking goes.

There is a trick to this, however: eat too little and you put your body into ‘Starvation Mode’. Do this and your body can do all sorts of things – like make your hair fall out while holding on to every last calorie like a miser – and make you feel quite crappy – and there are voices on the Internet that don’t think this can be done without putting you into starvation mode.

So what I am doing is counting my macros more closely. I used a calculator I found here, and it gave me these ranges:

Calories:     1200 – 1892

Carbs:        20

Protein:    94-124 (104 is ideal)

Fat:        77-155

So the lower end is my target – and that ends up being one very satisfying meal per day. I don’t do this on all days – sometimes I have an avocado at work, and/or chicken broth. Sometimes I just have salt in water – depends on how I feel.

But you know the weirdest part of this: my narrowed food choices are liberating!

My diet seems easier. I’m not futzing around with food or thinking about food all the time. Diets can make you obsess about food more than not being on a diet. The simplicity makes things easier to track – and I hate tracking. The overhead of the diet is a lot less. I have more time for other thoughts than what I am going to eat – and amazingly enough – I don’t feel deprived.

That was the last thing I ever expected to say.

I could go on – like about what supplements I am taking – but I’ll stop here for now.

 

 

 

‘The Magic Pill’ – A Documentary

 

On April 2, 2018 I started a very strict ketogenic diet. The main reason was not to lose weight.

It was to prevent what seemed to be the onset of diabetes.

Mom, Dad, Sis, and Bro all got it – my siblings got in their 40s. I didn’t, maybe because I’ve been trying at least to maintain a low carb diet since the early 2000s, but at the beginning of my 50s that number began to climb toward a fasting number of 125 – the definition of diabetes. I began taking metformin and got the number to go down.

That was a few years ago.

Fast-forward to 2018.

While never having diabetes, I spent my own money monitoring it. I began finding that fasting number beginning to come close to 125 – and sometimes leaping into the 140s. i would measure throughout the day and many times it remained elevated.

Because of my family history this set off alarm bells.

On April 2 I began a strict keto diet and have maintained it since. I’m down about 13 pounds, which is a nice side effect, but it wasn’t the focus this time.

Within 2 weeks my blood glucose went down between 20 and 40 points. At certain parts of the day it even goes into the low 80s.

I stopped the metformin about a week ago – and my blood glucose is fine – still touching the 80s during the day.

I eat mainly pastured butter and fatty meat, and zero carbs except for green leafy vegetables and stuff like asparagus, pickles, kimchee, sauerkraut, celery, cabbage – the very low carb veggies.

What has exasperated me in some of the chatter in Vegan circles is an absolutism in their chosen path – like there’s no other way to good health. Being a Vegan is *a* path – and a path with heart – but it’s not the only path. I am not here to say ‘I’m right and they’re wrong’ – I don’t see this as a zero-sum game. And you might notice so far my trademarked snark absent. I do that as sport, though sometime people do get hurt – which is never my intention. I’m being serious here.

What I have envied in the Vegan approach is a spiritual aspect – keto / Atkins – whatever you call it – has always been a Yin without the Yang to me. I’ve buried my nose in the science and found it plausible enough – and my personal experience corroborating it – that I have a scientific belief – but I found it spiritually empty and so my journey to become a ‘Cranky Buddha’ did not fit with my diet.

Now I feel I’ve found the Yang in ‘The Magic Pill’. The documentary shows people experimenting with a keto diet of whole foods and eliminating insulin to treat their Diabetes, eliminating chronic asthma, lessening the symptoms of Autism in 2 children, dramatically reducing epileptic seizures in one child, and appearing to lessen symptoms of early dementia in one woman.

But that’s not the point. I knew these were outcomes reported on a ketogenic diet that are being investigated.

Where I found my Yang was in the last half-hour. In there it shows how we have perverted our natures and ourselves through agriculture – and it does so elegantly.

We have paid the price in chronic health conditions almost unseen before the 20th Century because we have worked against the natural order of nature.

I’m not quite there yet myself, but I believe I an heading in the right direction – and this documentary lights the way in that it frames the keto experience as a natural expression of our humanness. The science behind Keto is attempting to catch up with what Humankind has known for tens of thousands of generations – except for the most recent where we have lost our way.

If you’re a Vegan, I still encourage you to watch. Maybe afterward you can check out the Facebook group ‘Vegan Keto Made Simple’. You won’t find a nicer group of folks on Facebook – I guarantee you.

For you folks either on a low carb / keto diet or doing your research, you shouldn’t miss it either.

Fat, Dumb, & Happy Day 10 – Carb Ennui

March 19, 2014 – 221.2

Down 2 pounds. Still in ketosis. Drank wine and ate chocolate – but no peppers and tomatoes. Maybe it’s a fair trade.

Another interesting tidbit: my blood glucose went from 132 to 95 without meds (I keep forgetting to take them).

Let’s think about this one for a second.  I’ve been in ketosis every day since day 2. That means the total amount of carbs is so low that my body must convert fat into ketones as fuel. Despite this pretty low level of carbs, my blood glucose spiked to 132. It usually stays in the 110s, so 132 is high. This was not only after my nightshade soup, but also after a day where I had ketchup, mustard, raw milk cheese, and Lindt dark chocolate.

Then yesterday I have only roast beef, cheese, cream, Lindt dark chocolate – and wine.

And the number – without medication – plunges nearly 30 points to high-normal – what I was a decade ago.

A quick search on the Internet came up with this headline:  “Compounds found in chocolate, red wine may lower Type 2 diabetes risk”.

(http://www.cbsnews.com/news/compounds-found-in-chocolate-red-wine-may-lower-type-2-diabetes-risk/)

OK – I’m still suspicious of nutrition studies – especially ones from a major news outlet, condensed and twisted to get more pageviews. But what if instead of using this sort of thing to make decisions on what to do, you notice an effect from your own experimentation and find information that seems to explain the phenomenon?

Does a glass of red wine and 4 squares of Lindt dark chocolate before bed control my glucose levels? Or was this a fluke of some sort?

This sounds like a fun experiment, doesn’t it?

It would look something like this: continue to eat ketogenic low carb as I am, avoiding the nightshade family of vegetables, then in the evening have 1 or 2 glasses of wine and the dark chocolate. Track fasting blood glucose and see what happens.

I am not going to try to back this up with research to solidify my position or try to ‘prove’ anything from the current body of science. Instead, I’m going to try to prove it on my own body.

4pm

Stuck in meetings, I didn’t get a chance to eat until a short while ago, so I’ve been fasting since having some cream around 5am. When I went to the kitchen at work there were leftover sandwiches from some guests who came in and had a working lunch. I had a roast beef and cheese sandwich and a ham and cheese sandwich – throwing away the bread and tomato and hoping no one would come in and see me. I also had the tuna salad off another half sandwich as well as a dozen black olives.

7:30pm

I’m really tired, but I’m going to chalk this one up to work-stress. A lot of brainwork and a major launch next week where I’m a big part of the success or failure could mean I might be ‘free to pursue new opportunities’ Really Soon.

OK – maybe hyperbole. But it is a project that could get people fired if things go very wrong. I am lucky to have worked with a bunch of very smart and very hard-working, decent folks and we’ve tried to think of every little detail, but right now I keep running through all the details trying to uncover just one more thing to check, one more thing to test. It’s like a program running constantly in the background. Whether I am consciously thinking about it or not – I’m thinking about it. Brushing my teeth, I come up with things to add to my checklist. While driving I tell Siri – the somewhat intelligent voice-controlled feature on my iPhone – to remind me to check X and double-check Y.

I’m – ahem – *experimenting* with the wine and chocolate to control blood glucose – but ran out of the damn test strips! No fear – I can still perform the wine & chocolate part until I get more strips – science marches on.

As to ketosis, it’s beginning to feel as boring as being a weatherman in Arizona. Today, dry and sunny. tomorrow, dry and sunny. Morning – in ketosis. This evening – in ketosis. Yesterday – ketosis. The day before: ketosis.

How about from this point on I just report if I’m NOT in ketosis.

As mentioned, non-events are hard to notice because they don’t exist. Non-events, however, can be just as important as events.

The sun did not blow up today – that’s pretty important – I have that project to launch.

The non-event was at my late lunch with the sandwiches. I only noticed it hours later: as I stripped each sandwich of it’s bread and threw it in the trash, I didn’t care. I didn’t even see the bread as food – it was merely a container that held the meat and cheese I wanted. The thought of eating it was as foreign to me at the time as considering eating the sandwich bag a sandwich came in.

I’m beginning to notice the same with the goodies around the house. The apple pie doesn’t call to me, nor all the other various and sundry items in the house. Aside from the suspected solanine-induced grazing the other day, I’m just not pining for carbs in general and my favorite carbs – bread – in specific.

Even writing this caused me to fantasize about a fresh, hot baguette – but the fantasy wasn’t all that compelling. It might be described as ‘carb ennui’.

I hold no illusions that this will continue forever, but I’ll take what I can get in the moment.

Evening eats were the last of the Kerry Gold Irish swiss cheese wrapped in a few small grass-fed burgers and a few eggs and cheese.

Both I had with ketchup.

Remember that the ‘toxin is in the dose’? I’m hoping my suspected sensitivity to nightshades was because I simply ate too much of the stuff and a small amount of ketchup – a few tablespoons – might not cause the same effect.

It didn’t. Again, this is all speculative at this point, but the ketchup didn’t start the same cascade of hunger like I had the sunday night and Monday afternoon after having the soup.

Nor did the wine and chocolate.

Before bed I had a big glass of almond milk and then slept fine.

The Lonesome Bread Roll – Atkins Induction – Day 7

THE LONESOME BREADROLLIt is usually the ‘kiss of death’ for my diet to mention these things, but the above picture is from my lunch at Legal Seafood, which is one hell of a seafood restaurant and should be visited if you ever get the chance – there’s not a lot of them around.

This was the roll for me. The three others were being consumed by my wife and kids while this one sat forlorn.

If I had any interest in appearing to have willpower and projecting upon myself some nobility of character I would tell a story of how my steely will and the dedication to my diet and my goal allowed me to refrain from this fresh roll hot out of the oven sitting in front of me.

That wasn’t the case, however. My character nor willpower played no part in it. There was no heroic struggle involved. It didn’t even appear on my radar. No neural circuits fired with conflicting eat/don’t eat messages.

As mentioned before, it is easy to miss non-events and I was completely oblivious to this thing until my younger daughter asked me to butter her roll for her. Only then did I dimly realize that: “Hey – why aren’t I drooling over this thing sitting in front of me?”

I think it was the ketones. Continue reading “The Lonesome Bread Roll – Atkins Induction – Day 7”

Atkins Induction Day 3 – I Don’t Exercise – Or Do I?

On Wednesday I received my weekly email report from my Fitbit – a little device about the size of a clothes pin that tracks exercise by monitoring your steps, the flights of stairs that you climb, and general overall motion to try to put a number to your daily activity. Then, when in close proximity to its base station, it phones home with the latest numbers and tallies the day’s totals. It also syncs with my calorie-tracking app to gauge this against the number of calories eaten.

But I don’t ‘exercise’. I don’t power walk, swim, bike, snorkel, bungee-jump, spin, jog, Jazzercize or limbo – or any other activity that might even resemble an act that requires gym equipment, sweat pants, or sneakers strategically chosen for the precise exercise activity they are designed for.

My motto is: whenever I get the urge to exercise I lie down until the feeling passes. Usually with a good book.

This usually gets a laugh, followed by a head shake. But it’s also the fact, Jack: I do not have any form of activity that would require me to visit a sporting goods store or a gym.

This is supposed to be a no-no on a diet. You can’t lose weight without exercise…can you?

I have. I can. I will this time as well.

I’ve proven over and over that exercise isn’t necessary for weight loss. I will not say that this is optimally healthy, but I do seem to hear from my exercising friends about their ‘sports injury’, months of physical therapy, and as I age, the hip and knee replacements.

So exercise isn’t entirely healthy itself.

Now, when I start my diet the thought of exercise never occurs to me – I focus on the food intake and perhaps a bunch of other things, but not exercise. This isn’t a recommendation – heck – I don’t even recommend anyone read this blog. I’ve done little to promote it, write haphazardly, and frequently document my dieting facepalms interspersed with poorly researched nutritional navel-gazing spiced with banal comments about my day.

But you are here reading this and I’m here writing, so I’ll continue with my point.

That Fitbit gizmo sends me a week’s worth of tracking in an email – which is about my only interaction with the device other than throwing it in my pocket every day. Take a look:

lcc exercise

This is only a part of what it tracks. It has the ability to track the soundness of your sleep – but I sleep like a baby – so I don’t bother with that.

What it DOES tell me is interesting, though: despite my dedicated avoidance of formal exercise of any sort, I apparently walk over 20 miles per week, climb over 50 flights of stairs and roughly burn 2,600 calories a day while avoiding it.

All that little stuff that I do while avoiding exercising – doing dishes, putting out the trash, running up and down the stairs in the morning before leaving because I invariably forget something, walking in to work and fetching coffee at irregular intervals from the coffee maker – adds up.

So perhaps ‘exercise’ as some formal ritual that gets performed each day using specially designed equipment, clothing, and perhaps a gym membership isn’t necessary to get exercise. Perhaps you are already exercising and don’t know it.

Maybe you, too, can just get by with the exercise that occurs as you live your life while you focus on your diet.

That’s why I use my Fitbit – to remind me of this.

Speaking of diet, after destroying my ketosis with carbs the other day, I once again attempted to follow the straight and narrow. The day at work was somewhat quieter than the previous one, but I was still busy from a little after 8am to 6pm. I brought in hot dogs from the BBQ over the weekend and had 3 of then, naked, all by themselves, throughout the day along with a yogurt. I also had cream in my coffee.

In the evening at home I threw some chicken thighs on the grill along with my last pork burger and ate maybe 4 ounces of the thighs with tablespoons of sour cream and the pork burger with a slice of low carb bread and some low carb ketchup.

I also had maybe 3 ounces of hard dried sausage smuggled back from the Caribbean  We bought it on vacation from a friendly gentleman in a Panama hat from Provence who flew to the store there to hawk his farm’s sausage and enjoy the weather, no doubt. Delicious stuff. My wife came back late and had some of the chicken thigh along with other eats and I sat with her and talked. I did avoid mindless eating at this point except for a few green olives and a few pieces of pickled garlic which I hesitated on because I might reek of garlic today. Oh, well. It supposedly keeps vampires away – maybe it is effective on coworkers as well.

There were some of Brad’s Vegan Kale Chips as well. We have plenty. There was a sale of this ridiculously expensive stuff – 1/2 off – and my wife bought a case – saving another 10%. I like it, though it is a bit high in carbs.

While we talked I lovingly fondled an apple she had bought but avoided eating it – too healthy perhaps. If it was a sack of cookies, however, I might have been a goner.

I ended the day with a chocolate-covered marshmallow – my only ‘giving in’ and hit the sack not particularly hungry.

My tallies for the day were:

  • Calories: 1,532 – a little low for me, but certainly not in some zone of starvation.
  • Fat: 109 (65%) – Too low for me. More fat!
  • Net Carbs: 25g  – Not bad compared to yesterday. I didn’t bother to count the chocolate marshmallow because I’m lazy, but a quick check right now tells me it was about 7 grams of carbs and 40 calories – I’ll live.
  • Protein: 99g – Right about where I want to be.

My weight this morning inched down to 209.6 and the blood glucose is 117, even with the metformin last night I took with my vitamin. It’s not a terrible number but not a great one either – but I can live with it.