Showing posts with label Nutrition. Show all posts
Showing posts with label Nutrition. Show all posts

Sunday, September 23, 2007

Ex-Kimkins or New to Low Carb?

For those that are switching from a very low calorie diet (or looking into low carb plans for the first time) you'll want to plan to get the most of your diet. Don't just start out cutting carbs and adding fat. You'll want to find a plan and follow it, at least until you know how your body is reacting. If you have been following a very low calorie diet, your body will likely initially react by holding onto fat and water. While this can be distressing, try to ignore it and realize it's temporary!! Take this adjustment time to plan and learn about your diet choice.

Now, I would like to post my own recommendations for anyone coming off Kimkins or just looking into a low carb plan.

1. For the next month or so don't count calories, and don't worry about weight gain or loss. You weight may fluctuate wildly for a while and you need to be prepared so you won't get discouraged. Don't count calories as they will likely regulate themselves and can always be cut back later if necessary. During this time start researching and reading about the different plans.

2. First, cut out all "whites". White flour, rice, sugar, potatoes, etc and all items made with them. So, no white breads, rolls, etc. No potatoes of any kind....and that includes baked as well as fried. No sugar. If you must have sweet, find an acceptable artificial sweetener (AS) and make/buy drinks that contain it. Observe your reactions to the foods you eat, noting especially how soon after eating you get hungry.

3. Start eating 3 regular meals a day with small high protein low carb snacks if needed. Cheese is a great choice for snacks, but many say eating it can lead to a stall. At this point, don’t worry so much about counting things, just eat natural unprocessed foods. If you do used processed foods, choose the one with the best ingredients. You should be eating enough at each meal so you are satisfied, but not overly full. The amount you eat should last until the next meal, although initially you may need snacks to hold you over. If you're used to very low calorie or tight portion control be open to having more than one serving of your protein/fat source. You should never leave the table hungry!

4. Start reading labels. You’ll want to start reading labels on any processed foods you buy or consider buying. Look for the least processed and best ingredients. For example, if you need salsa check out the carb counts and the ingredients. Buy the one that is lower carb especially if it's more natural. Dairy is also a good example. Fat free American cheese contains no fat, but 4 grams carbohydrate per ounce, while full fat cheese contains only 2 grams. Sour cream too....fat free, no fat, but 40 grams of carb per cup while full fat contains only 10 grams per cup. Watch ingredients too. If something says it has no trans-fat, or "0% trans-fat", check the label. Look for “hydrogenated” in the ingredients listing. If that word is there, it's very likely that the food contains at least some trans-fat, but by law can be listed as 0 if it's less than 0.5 grams.

5. Start reading up on low carb plans. There is a ton of information on the web and there are many plans to choose from. Go to your local library or bookstore and read a bit of the plans and see which one you can live with. If, for example, you like to have convenience foods, including frozen meals on hand for quick and easy meals, South Beach might be a better choice than Atkins or Protein Power. Each plan has it's specifics about how much fat, protein, and carb you should eat as well as what kind of foods they come from.

6. Once you decide on a plan, read the book. Front to back, at least once. Take notes or highlight text if you can. But really read the book. Pay attention to the science behind each of the author's points. Does what the author say make sense? Check the claims by searching online and verify facts when you can.

7. When you start on your plan you should follow it as closely as you can. For the first 2 weeks, minimum, do what the plan tells you. If it says to have as much green veggies as you want, then have it. If it tells you to limit something or increase something, then do it. Give yourself a month to decide if this is the right plan for you. Be sure to include exercise in your plan. Resistance training is felt to be more beneficial than cardio by many, but anything that you enjoy is fine.

8. Prepare to record everything you eat as accurately as possible. FitDay.com is an excellent product and is available online for free. If you really want to be accurate, measure and weigh everything you eat or drink. Record any exercise too. Check your weight and measurements and decide on a goal. Write this all down, or record in an online product. (SparkPeople.com is also an excellent free site that has a place to record food, exercise, goals, etc and also features support forums and teams as well as recipes and articles.)


9. Set a start date and de-carb your house. Remove as many of the "unacceptable" foods as you are able to. If you have family that you live with, be sure to get their buy in and agreements to work with you and your plan. At this time, if you haven't already, it would also be a good idea to talk to your doctor and get some baseline blood work done. If you are on any medications you may need your doc's assistance in changing dose as you loose weight. Getting baseline blood work is great to compare to additional work done later.

10. When following your plan, continue to learn more about diet and nutrition. Follow the research, but question anything in the mainstream media. Check out my links to blogs and web sites if you need a place to start!

11. Tweak your plan, after at least 2 weeks of following your plan exactly. If you don't like a certain aspect of your diet then change it. If you prefer meat over veggies it's not likely to cause you problems as long as the meat you eat is unprocessed and the veggies are good quality and as natural as possible. If you're not loosing enough and feel your carb intake is a bit too high, then lower it a bit. And if there is a food that you really miss see if there is any way to incorporate it or a substitute once in a while.



Following low carb may not be for everyone, but for the majority of us it is beneficial and results in lower blood sugar and insulin levels, lower blood pressure and usually significant weight loss. If you feel you are not loosing fast enough, cut back on carbs, and also rethink your expectations. Rapid weight loss is often not sustained over the long term and can cause several physical reactions.

If you properly follow a low carb plan you must make it a life plan. Sure you can follow the plan until you loose the weight you want to loose then go back to "normal" eating....but if you do you will regain the weight you lost, no question. And, if you are going to make this a life plan, you must find one that works for you!

A friend of mine recently asked me to find a list of foods that she cannot eat. Well, unfortunately it's not that easy!! Some people can eat fruit without a problem, but I'll be plagued by cravings if I am not really careful and have adequate fat and protein along with it. On the other hand, most people experience stalls from eating foods containing sugar alcohols (SA), but they don't seem to influence my weight at all. The foods that you "can't" eat are the foods that induce cravings and early hunger.

Limits should be placed on the total number of carbs per meal and not the food. If you are allowed 15 grams per meal and you want a veggie, you have a lot of choices:
Asparagus, cooked = 2 cups
Broccoli, cooked = 1.6 cups
Cucumber = 5 cups
Romaine Lettuce = 11 cups
Corn = 1/3 cup
Brown rice = 1/2 cup (1/3 cup of white rice)
White potato = 1/2 cup
So...you have a lovely piece of roasted chicken (eat the skin!) and along with it you can have a nice salad of lettuce (2 cups), tomato (1/4 cup), cucumber (1/4 cup), and mushroom (1/4 cup), along with an ounce of shredded cheese and 2 tablespoons of full fat creamy dressing, and some broccoli on the side, all for less than 15 grams of carb...or you can have 1/2 cup of potato. If you don't like salad or you're craving potatoes, maybe eating the 1/2 cup serving will be enough. The other thing to consider, and this is highly individualised, but it's likely that the starch in the potato is going to be rapidly metabolized and you will start to feel hungry sooner than you would if you had the salad. But, it's still your choice!! That's what makes any diet doable!


Here are some of the plans I'm somewhat familiar with:
Dr Atkins New Diet Revolution. Probably the best known and most misunderstood of all the plans. You start out with very low carb, no more than 20 grams per day, then increase them after the first 2 weeks. The increase in carbs is to allow people to figure out what their "critical carb level" (CCL) is. Your CCL is the level at which you no longer loose. Drop your carbs back a bit and you should loose steadily. As you get closer to your goal you increase carbs a bit more to slow your loss and gradually transition into maintenance. With this plan the emphasis is having a high intake of fat and a low intake of carbs. You are encouraged to eat veggies and some fruit. Exercise is a part of the plan, no exceptions.
Protein Power Lifeplan. My personal favorite, although what I do now isn't exactly by the book. For Protein Power plans the emphasis is on getting a minimum of a certain level of protein and keeping carbs below a certain level (30 grams/day to start). The original plan was a bit lower in carbs than the later one, but still the emphasis is on the protein (hence the name! LOL). In the first book there was a formula to figure out your minimum protein intake, but in the later book there's a chart for you to look it up. Fat isn't really addressed except to caution to use natural fresh fats over commercial ones.

And some that I'm less familiar with:
South Beach. Basic low carb for the first 2 weeks, then fairly generous for ongoing weight loss. Emphasis is to NOT remain on the initial phase for longer than 2 weeks. (Dr A and PP plans both "allow" you to stay on the initial level longer) This plan is considered low fat to many low carbers, especially those on Atkins. The emphasis isn't so much on quantity of fat as quality. It cautions against trans-fats (just like the Dr A and PP plans), but also cautions against saturated fat. Dr Agatston is/was a cardiologist, so it makes sense that he would fear saturated fats.

Dr Bernstein's books. I've read one and was impressed, but was already doing well with PP so I've never tried any of his plans. Dr Bernstein is a diabetic, a Type 1, who basically experimented on himself, then went to medical school so he would have more credibility. Unfortunately the general media tends to ignore him. He has a lot of good things to say, and promotes a low carb diet for all diabetics.

Other books about low carb, controlled car, low sugar plans:
Paleo Diet. Basically you eat what was available to our ancestors. So meats and any fruits and veggies that can be eaten as is. No processed foods. Meat, fish, gathered or foraged fruits, leaves, and roots of plants, mushrooms, nuts, eggs, and honey...that's pretty much it.

Sugar Shock. Connie Bennett figured out she was having a reaction to eating sugar and started investigating why. Her book gives and excellent explanation of sugar addiction and reactions in the body. She also has some excellent suggestions for those just looking to kick their sugar addiction.

The Zone diet. This one is about balance. The plan is to keep your carbohydrates, protein and fat in a certain ratio: 40/30/30 to be exact. I've heard that the diet can be confusing....and also that it's fantastic.

Sugar Busters. Basically with Sugar Busters you avoid all processed carbs and carbs that are high GI (Glycemic Index), like potatoes and corn.


Check out MY LINKS to low carb sites, books, and information....and have fun!!

Tonight's Dinner:

Brussels Sprouts with butter
cucumber with Caesar dressing
homemade chunky applesauce
herb rubbed roasted pork loin.

Sunday, June 24, 2007

Weigh In week 16



Whoo Hoo!!! Down 2 more pounds!!!

I've changed my ticker to reflect my total loss and goal.

I've drastically increased my fat and protein and dropped my carbs over the past few weeks and have found my weight going down again!!

I've been recording in Fitday and taking all my supplements. I've been concentrating on getting the protein up and the carbs down.
As you can see, my protein and fat intake is high. Much higher than the "experts" recommend, and that's just fine with me. I've been going for 95g protein daily and got at least that except for yesterday (Saturday). I've not been looking for added fat, but have been adding cream to any shakes I have and I've not been avoiding it!!





And, as you can also see, I've been meeting and exceeding the recommended levels of vitamins and nutrients. In fact, the only thing I'm "deficient" in is carbs and fiber! And sodium, which is getting to be almost as "bad" as saturated fat. I don't add salt to many foods, but this isn't because I think it's bad for me, but because I often forget to!


I've been trying to get moving more, but I'm still not being too consistent with exercise. I've now bought a Tai Chi DVD and am going to try it for a while. It's for people with arthritis and stiff joints, so I figure it can't hurt!

I've also been doing some weights, but until I get my bench out of my son's room and into a more accessible area, this will be spotty.

Thursday, February 08, 2007

Women and the AHA

Women and heart disease.

I decided to evaluate the AHA's recommendations for the prevention and treatment of heart disease in women.

The AHA, in my opinion, is pretty much a joke. The continuously ignore good scientific findings and allow drug and device companies to steer the way to setting treatment standards.

The AHA recommends exercise. Of course they do, no one will argue that exercise isn't good for you!
"No time to exercise? That's OK. Don’t think exercise — think action. Standing is better than sitting; walking is better than standing. Increase your physical activity to at least 30 minutes a day on most days of the week, even if you do it 10 minutes at a time."

Great to start, but most would argue that at least 30 min a day of some kind of physical movement would be the absolute least amount of exercise required.

And of course the AHA recommends not smoking. Everyone does. There is NO upside to smoking!

How To Love Your Heart

Only you can love your heart. There are some risk factors for heart disease you can control:

  • High blood pressure. This condition can increase your risk of heart attack and stroke.
  • Smoking. If you smoke, your risk of developing coronary heart disease is two to four times that of nonsmokers. Smoking is also a major preventable cause of stroke.
  • High cholesterol. The higher your total blood cholesterol, the greater your risk of coronary heart disease and stroke..
  • Physical inactivity. Lack of physical activity increases your risk of coronary heart disease and stroke..
  • Obesity or overweight. If you have excess body fat — especially at the waist — you’re more likely to develop heart disease or have a stroke.
  • Diabetes. Having diabetes increases your risk of heart disease and stroke, especially if your blood sugar is not controlled.

There are other risk factors to be aware of — talk to your doctor about how your age, race and heredity may affect your risk for heart disease.

Now, just what is a "healthy diet" according to the AHA? Well, check out their No Fad Diet. After drilling down a bit, I was able to find the guidelines:
  • Whole grains and legumes: 6 servings.
  • Vegetables and Fruits: 5 servings.
  • Fat free or low fat dairy: 3 servings.
  • Lean meat fish poultry and vegetarian protein: 2 servings.
What is 1 serving?
  • Whole grains and legumes: 1 servings is generally 1 ounce. A cup of cereal, a slice of bread, 1/2c hot cereal, 1/2c whole grain pasta, 1/2c cookedstarchy vegetable (this surprised me!).
  • Vegetables and Fruits: 1 serving is generally 1 medium piece of fruits, 1 cup raw and 1/2c cooked veggies or 3/4c fruit or vegetable juice.
  • Fat free or low fat dairy: 1 serving is 1 cup milk, 1/2c cottage cheese (fat free or low fat only for milk & cheese) or 1 ounce hard cheese.
  • Lean meat fish poultry and vegetarian protein 3 ounces lean meat, fish, poultry or 1/2c cooked beans or lentils.
OK....so let's try a menu:
Breakfast:
1 6oz container fat free, sugar free yogurt
1 cup sliced strawberries with 1 tsp sugar.

2 slice whole wheat bread with 2 tsp "light tub margarine"

Mid-morning snack:
4 reduced fat or light vanilla wafer-type cookies
10 grapes


Lunch:
Cheese toast made with 1 oz shredded cheddar cheese and 1 whole wheat English muffin.
1/2cup baby carrots

1/2cup fat free or light ice cream

Afternoon snack:
1/2 medium banana


Dinner:
1 serving pork tenderloin with cranberry salsa (recipe included)
1 baked sweet potato with
2 tsp "light tub margarine"
1/2cup green beans cooked in 1 tsp olive or canola oil.

As you probably already guessed, this isn't my choice of a diet, but the AHA's choice. This is the sample recipe they give for a 1200 cal/day diet.

My totals, when I entered everything in Fitday, come out a little higher.










Here are the totals:









Not too bad,
Fat: 42g (27%) with 12g saturated, 10g poly and 15g mono.
Carbohydrates: 202g (55%) with 24g fiber
Protein: 64g (18%)

Well within their guidelines for fat and carbohydrate, under 30% for fat and 45-60% carbs. I'm not sure of the protein level, but it seems low to me.

OK....so we know we're within the guidelines for fat/protein/carb intake....how about the guidelines for grains, fruits and vegetables, dairy and protein?

Let's see:
Grains: 2 slices whole wheat bread, whole English muffin (we'll count as 2) and 1 serving sweet potato that's 5 servings. (6 is the recommended amount)
Fruits and vegetables: strawberries, banana, green beans, grapes and carrots = 5 servings (5 is the recommended amount)
Dairy 3 servings: yogurt, cheese and ice cream. 3 servings (3 is the recommended amount)
Lean meat/fish/poultry: 2 3oz servings. hmmm...3 oz pork is one serving. Yogurt and cheese both contain protein, so maybe that counts for the other serving? (2 is the recommended amount)

OK....below their recommendations on grains, but others are OK.

Now, I must go off on another track at this time. Trans fats. There is absolutely no excuse (in my opinion) for anyone, let alone the AHA, to recommend any food that may contain trans-fats without a warning or notation or something!

Most commercial breads contain at least trace amounts of trans-fats. Cookies, commercial ice cream and tub margarine often contain trans-fats! But not one word about checking labels.

OK....back to the sample menu.

How about RDA, How does it add up?






Shocking, isn't it? RDA is met or exceeded, for only Carbs, fiber, protein, Vitamins A & C, and Manganese. Phosphorus and riboflavin are close with 97 & 99% RDA, so I'll give them those two also. But, it is deficient in every other parameter! Look at Vitamin D! Zinc! B12!

OK....so the RDA is based on more than 1200 calories, which I agree are too low for the average woman.

Let's take a look at their recommendation for a 2000 calorie diet:
Breakfast:
1 omelet made with egg substitute, mushrooms, spinach and milk and canola or olive oil cooked in 2 tsp "light tub margarine".
1/2 whole wheat English muffin with 1
tsp "light tub margarine" and 1 tablespoon light sugar preserves.
6 oz low sodium tomato or fruit juice.


Mid-morning snack:
1 6oz container fat free, sugar free yogurt
1/2cup raspberries

Lunch:
Sandwich with 2 slices whole wheat bread, 3 oz fat free, reduced sodium deli roast beef, lettuce, tomato and mustard
1oz baked potato chips
1/2cup blueberries with 1 tsp sugar
8oz fat free milk

Afternoon snack:
1 medium banana

Dinner:

1 serving bistro chicken with asparagus (recipe included)
1 cup cooked summer squash with
2 tsp "light tub margarine"
1/2 cup couscous (98% fat free, reduced sodium)
1 whole wheat dinner roll with 1 tsp "light tub margarine"
1/2 c fat free or light ice cream with 1/2 cup sliced peaches and 1/4 cup sliced almonds.















Sounds like a pretty reasonable menu. Again with the tub margarine and packaged foods, and I don't get adding sugar to berries! They're sweet enough!

OK so here are the numbers:










Again, my numbers are a tad higher, but again, the guidelines for fat, protein and carb is pretty much on track. Carbs are actually a little low (based on 45-60% of calories from carbs).

Here's the nutrition stats:








And the %RDA:






And, once again, we see some serious deficiencies, especially in Vitamin D, Vitamin A and Folate!! Better than the 1200 calorie example, but still deficient in important nutrients.

So. This is the AHA's idea of a healthy diet?

Even though Folate is very important for women, and Vitamin D is now being implicated in several diseases and disorders (including cancers and heart disease), this diet is below the RDA. And look atcalcium! We hear how important calcium is, but this diet is barely adequate.

So. You follow this "No-Fad Diet" and what happens? Because your carb intake is high, you'll likely have high triglycerides and small denseLDL. Your HDL will likely be low due to the artificial foods and lack of saturated fats. Because you're eating processed foods that likely contain at least HFCS or trans-fats, (not to mention a slew of other chemicals!) you'll have higher levels of inflammation. And because you're deficient in some key vitamins and minerals, you'll have less protection against not only heart disease, but also cancers anddegenerative diseases!!! You're also probably well on your way to developing insulin resistance and possibly even diabetes. If you're already diabetic, you're probably finding it hard to keep your sugars in good control.

And then what?

For the high cholesterol readings, especially the low HDL, they'll tell you to cut saturated fats even more, watch cholesterol intake, and maybe even be given drugs to lower your cholesterol. Drugs, I might add, that show NO benefit to women.

For the inflammation, you'll also be given anti-inflammatories and possibly be pushed into taking statins as they have a strong anti-inflammatory effect.

And for the diabetes and insulin resistance, you'll be given prescriptions and told to eat less and exercise more.

What about taking vitamins? minerals? anti-oxidants?
"The American Heart Association doesn't recommend using antioxidant vitamin supplements until more complete data are available. "
“Our study does not suggest that taking folic acid, B6 or B12 primarily to prevent cardiovascular disease (CVD) would be worthwhile. Women who are taking them solely for that purpose may want to discontinue,”
"
The possibility that magnesium deficiency has a role in the development of coronary heart disease is only an interesting and provocative hypothesis."

In summary,
The American Heart Association, which is "a national voluntary health agency whose mission is to reduce disability and death from cardiovascular diseases and stroke". is recommending the intake of a diet that is deficient in several key nutrients.

Statins. Even though there is NO evidence that statins do anything for women, or even that lowering cholesterol naturally benefits women, the AHA continues to recommend statins for women. There are articles on the AHA website that extol the virtues of statins:
Statin drugs lower heart disease risk in postmenopausal women
"Treatment with a cholesterol-lowering statin can significantly reduce the risk of heart disease and possibly death in postmenopausal women taking hormone replacement therapy (HRT), investigators report in the rapid access issue of Circulation: Journal of the American Heart Association."

American Heart Association's Guidelines At-A-Glance for Preventing Heart Disease and Stroke in Women
  • ACE inhibitors and beta-blockers are recommended for all high-risk women.
  • High-risk women should be prescribed statin therapy even if their LDL cholesterol levels are below 100 mg/dL.
  • Niacin and fibrate therapies are given a strong recommendation for high-risk women with specific cholesterol abnormalities.
In the 12 guidelines, 6 of them, fully half, recommend some kind of medication. Only two are diet related, and says "In addition to a heart-healthy diet, supplementation with omega-3 fatty acids and folic acid may be considered in some high-risk women." and "Smoking cessation, regular physical activity, a heart-healthy diet and weight maintenance are given a strong priority in all women." It specifically excludes the use of antioxidants too! "Hormone therapy and antioxidant vitamin supplements are not recommended for CVD prevention for women at any level of risk." Now I can see the HRT, but antioxidants!?!?

Nothing about limiting processed foods. Nothing about avoiding HFCS (high fructose corn syrup) and trans-fats that are present in many processed foods.

For more information about statins and their effects, I strongly recommend Dr Graveline's website.
For information about lowering blood sugar levels, I would check out Dr Mary Vernon, Dr Michael Eades and Dr Mary Dan Eades. Also nutritionists Jonny Bowden.
For information on the truth about dietary and blood cholesterol, and the "risk" of heart or other diseases, see Dr Michael Eades, Joseph Mercola and
Uffe Ravnskov.
The Weston A Price Foundation is a great source of information on the benefits of natural foods vs the dangers of industrial foods.