Atkins Induction Day 2: ‘Shut Your Piehole – with McDonalds’

Another doozy of a day in work. And about midday and I had that feeling come over me I know so well. It’s a physical wall of sorts – I do not notice any mental fatigue at all, just a slight physical fatigue. I’ve come to recognize this as my body changing over to ketosis. I’ve done this hundreds of times and wonder what THAT does to a body. It’s a rare specimen that goes into true ketogenic production and even rarer (I think) to find someone who does it with so much frequency.

I had to rush out early and forgot my yogurt so I only had 2 ounces of roast beef with 4 tablespoons of butter the whole day.

The ketosis didn’t help during my late afternoon ‘surprise’ meeting where I suddenly knew what I was doing for the next week or so. All the other people in the meeting kept looking at me because they knew I was the only one there who would actually be filling the requests. My mind was clear – but I was physically fatigued.

Tuesdays I usually get the kids McDonald’s. Once I got out of work I picked it up and spent the remainder of my ride home with the bags as my traveling companions. They were quiet companions – I don’t recall them mentioning that I might want to steal a fry – or two – as they usually do.

At home I tested to be sure – and yep – in ketosis.  I weighed myself: 207.8.

It was 7:15pm. I had left the house 6:45am. Now it was time to do dishes. Doing dishes in my house has always been a responsibility that the rest of my family has been able to successfully elude. I finally decided that *I’ll* do them. I approach it as a meditation of sorts – a little ritual OCD. I don’t particularly mind – but I was tired and shaky and a wee bit cranky from the bomb dropped on me right before I left work.

And the kids were whining. “Shut your piehole – with McDonald’s!” I told them, thinking that it would make a great advertising slogan. Dad’s usually pretty mellow, but I think they saw Dad was in no mood this evening and throttled it back.

I went back to my ‘dish meditation’ and finished some time after 8.

It was time for dinner. We still had leftover BBQ so I had two burgers on low carb bread, then a slice of low carb bread with olive oil, oregano, and salt – known as ‘Greek toast’ and wonderful with a high-grade olive oil that leaves a tickle at the back of your throat that makes you want to cough.

I did keep eating – perhaps more than I should have – with some aged cold cuts on another slice of LC bread. Not perfect, but acceptable.

The problem began when sitting and idly chatting with my wife in the kitchen after the kids had gone to bed. The McDonald’s leftovers were on the counter in front of me and I mindlessly scooped up some fries and the last bite of my older daughter’s Premium-Crispy-Chicken-Club sandwich.

Oops – didn’t mean to do that…but since I’d already fucked up, I figured: what the Hell – have some bananas. So I did – one and a half. And some fruit leathers. Not too much, though. And I did have a Greek yogurt with a few drops of EZ-Sweetz, the zero-calorie Splenda product.

So *that* was a short ketosis! The test strips this morning proved the obvious and the scale recorded 210.0 – I went down a wee-bit, though my fasting blood glucose went up to 125 – about the highest of my high range. I didn’t take my metformin in the evening, nor my fish oil, nor my vitamin. My totals were:

Calories: 2,889 – a little high, but I’m OK with it
Fat: 201 (63%) – I watched the percentage more than the grams. The percentage is too low.
Net Carbs: 130g  – way too high for me, though under 150 grams is considered ‘low carb’ by my doc.
Protein: 140g – in the high-end of my target range

So Let’s see how quickly I can get back into ketosis again.






Atkins Induction – Notes on Day 1

I am thinking that if this amuses me, I might try to do a quick daily  – or maybe sorta daily – chronicle of starting my low carb diet up again. We’ll see how this goes. When I begin a low carb diet I take a very personal and somewhat strange approach – but I’m almost too close to it to notice. I’m going to try to tease these tidbits out, though I give you no assurances that what I do is safe – or sane. It’s not advice – just reporting. Make of it what you will – I don’t mind.

If I do this, I will have to hit the ‘publish’ button without too much rereading, so if these appear rambling or redundant it might be because they are stream-of-consciousness. My apologies beforehand – there are many things I don’t publish because I over think them.

So anyway…

In work I stuck to roast beef and butter, then a plain greek yogurt. Dinner was 2 pork burgers (ground pork cooked like hamburger), 1 hamburger wrapped with swiss cheese, some low carb ketchup, and a slice of low carb bread, toasted, with olive oil, oregano, and salt.

You’ll notice that except for a slice of low carb bread and the ketchup, which made up maybe 5% of my total calories, all of my foods are pretty perishable. I think eating food that rots easily is an important part of eating healthy.

You’ll also notice there’s not a lot of ingredients. The total number of ingredients in my entire day’s food would be less than on a typical microwave dinner. There’s also cultured foods – both the cheese and yogurt are cultured – or given the change to be eaten by microorganisms before I eat it. Very little of my total ingredients were put into chemical drums and shipped from a chemical factory. The bread and ketchup certainly contain these items, but again, they were only 5% of my calories.

There was also nary a vegetable in sight. I like vegetables – some of my best friends are vegetables – but I personally don’t feel the need to have them every day, all the time.

I also had 2 teaspoons of Carlson’s Cod Liver Oil. This is an experiment on my part. I bought it on a whim and it is too soon to not if I think this stuff is good or if it isn’t, but I will tell you – a little research shows this stuff is, like most things in nutrition, somewhat controversial – but that’s for another post.

I (somehow) maneuvered myself around the paella, the rice, the Chex Mix (‘Mmmmmm – Chex Mix’ Says my inner Homer Simpson.’) The temptations were there, but I managed to avoid them.

As to how I felt, my energy flagged toward the end of the day. Understandable as I worked from 8am to 6pm straight – mostly complicated brainwork. While I had coffee in the AM, I am drinking much less than I used to. I once could go through 3 pots a day – now I am down to perhaps half that. Still a lot – but not for me until recently.

Before bed I took a metformin and an adult multivitamin. I do not have diabetes but I have a strong tendency in my family for it and would like to forestall its onset as long as possible. The ADA (American Diabetes Association) says it’s OK to give ‘pre-diabetics’ metformin for this purpose, and I got my doc to agree.

The adult multivitamin I take because it doesn’t have iron in it. With the meat I eat, I don’t need more iron. I am suspect of ALL supplements – for a number of reasons – and even take this one wondering if it helps or harms. I take it because I most certainly am not a slave to the notion of a ‘balanced’ diet and think that there are probable some micronutrients that I am deficient in – it might help.

I am also sucking on nicotine lozenges. Having used them to quit my brief and intense relationship with cigarettes a few weeks ago, I am now addicted to them. They do not help with weight loss – I have proven that to myself. Apparently many people do believe this as I get many hits to my failed experiments on this. I read on some weightlifter blog that I was ‘clueless and doing it wrong.’

Sounds like me.

My daily totals for Monday were as follows:

Calories: 2,602 – a little high, but I’m OK with it
Fat: 201g (71%) – about the range I shoot for
Net Carbs: 17g  – fine with it
Protein: 169g – a little high

Not a bad first day, and while I don’t obsess about the number on the scale, getting all bent out of shape when it doesn’t go in the direction I like, it did go down to 210.6, which is a 3 pound loss. I’ll take it.

Metformin and Appetite

This is a very long story that at the moment I will keep very short.

At my annual physical 4 days ago I asked for a prescription of metformin – a diabetic drug. This is a treatment that the American Diabetic Association believes to be reasonable in the treatment of prediabetes to slow the onset of the actual disease.

Clinical trials have shown that people at high risk for developing diabetes can be given treatments that delay or prevent onset of diabetes. The first therapy should always be an intensive lifestyle modification program because weight loss and physical activity are much more effective than any medication at reducing diabetes risk.

Several drugs have been shown to reduce diabetes risk to varying degrees. No drug is approved by the U.S. Food and Drug Administration to treat insulin resistance or prediabetes or to prevent type 2 diabetes. The American Diabetes Association recommends that metformin is the only drug that should be considered for use in diabetes prevention. Other drugs that have delayed diabetes have side effects or haven’t shown long-lasting benefit. Metformin use was recommended only for very high-risk individuals who have both forms of prediabetes (IGT and IFG), have a BMI of at least 35, and are younger than age 60. In the DPP, metformin was shown to be most effective in younger, heavier patients.

I don’t think my doctor would have given it to me otherwise, but because I referenced the ADA’s view on it, he agreed, though maybe, just maybe, with a little annoyance. Note that my BMI is lower so I don’t exactly fit the profile.

My blood sugar, which hung out in the prediabetic range of 100 to 125 most of the time now resides mostly in the 80s.

Instantly, my appetite has changed. I feel like how I imagine ‘normal’ people feel when they eat. I eat, I am full, and I don’t think about food after. It is very, very early in all this, and I am not exactly thrilled to be on another medication, but what once seemed hard – avoiding the goodies – that pizza that calls my name from the kitchen at night – seems to have been quieted.

Continue reading “Metformin and Appetite”