My Ketogenic Mediterranean Diet: Day 23

CB104470Weight: 161 lb

Transgressions: none

Exercise: 60 minutes shovelling horse poo and picking up rocks from a new corral

Comments

I followed Dr. Atkins New Diet Revolution for 10 weeks in 2003.  When my daughter was 3-years-old, I realized that my exercise habit—six hours a week either at a gym or running—had been interfering with my family time and helping out around the house.  So I quit exercising for 3–4 years and, therefore, gained some weight.  In 2003, my Atkins starting weight was 178 lb, waist 37 inches.  Goal weight was 162-165.  I lost 11 pounds on Atkins.  Towards the end I was bored and increasingly noncompliant.  Here are my 2003 verbatim notes summarizing my experience with Atkins:

Lost 10 lbs [4.55 kg] over first 5 weeks, ½ of that in the first 2 weeks.  I have not exercised nearly as much as he recommended.  Have not suffered much hunger or sense of deprivation.  No wt change in last 6 weeks, coinciding with poor exercise compliance (may or may not be related).  Note that I really don’t have much wt to lose at this point, just a cosmetic amount.  At some point, even if fully compliant with Atkins, wouldn’t wt loss stop in everyone?  I have no idea how may calories I am eating now.  With wt stable, will assume it is around 2000-2400 cal/day.  Ten years ago when I was exercising religiously, my wt-maintaining intake was 2400 cal.  Probably closer to 2000 now in view of aging and sedentariness.  Over the last 6 weeks of stable wt, however, I was mostly compliant with his induction-phase food prescription.  To lose wt now I probably need to exercise more and count actual calories.  Even took his recommended Essential Oils supplement (2/day) and Basic 3 vitamin supplement (2 instead of 3/day).  He has convinced me I am a carbaholic.  Sugars and refined carbs are empty calories that don’t provide much except energy, which in excessive amounts is stored as fat.  But I cannot yet abandon the dogma that saturated fats (e.g., red meat) can be harmful to circulation over the long run.  And his carb restriction would keep me from eating adequate beneficial vegetables.  If I want to eat sweets and refined carbs, I will have to exercise more and/or give up fats, vegetables, or proteins.  Atkins makes a lot of sense for obese people who love carbs and overeat them.  I also like the rapid results of induction phase.  I admire the simplicity of the induction phase.  Thereafter, the “Ongoing Weight Loss” and “Lifetime Maintenance” phases do require counting carbs.  The latter phase, for me, would allow 40-60 gm/day, unless I were a vigorous exerciser (then 90+ gm).  A serving of apple pie has 58 gm.

Now it’s six years later and I’m much more willing to reconsider that dogma that saturated fats cause impaired circulation (atherosclerosis).  But I still think that fruits, vegetables, whole grains, and legumes are healthy for many people.

-Steve

3 Comments

Filed under My KMD Experience

What’s the Best Diet to Prevent Osteoporosis?

MedicalHappy Healthy Long Life, a blog by an anonymous “medical librarian,” has a thought-provoking article on the best diet to prevent osteoporosis: high in fruits and vegetables, low in animal proteins.

Osteoporosis is a common disease of the elderly, affecting women much more than men.  It causes thin, brittle bones that break easily.  You know all those little old ladies with broken hips?  Nearly all have osteoporosis. 

The standard prescription for prevention is weight-bearing exercise on a regular basis, and adequate intake of calcium and vitamin D.  The aforementioned blog post rejects the calcium recommendation, at least.

I haven’t reviewed this issue for many years and I just discovered Happy Healthy Long Life, so I have no opinion on validity of the post.

Steve Parker, M.D.

Comments Off on What’s the Best Diet to Prevent Osteoporosis?

Filed under Protein

My Ketogenic Mediterranean Diet: Day 22 and Week 3 Recap

Similar to the cover of Gary Taubes' book, "Good Calories, Bad Calories"

Similar to the cover of Gary Taubes' book, "Good Calories, Bad Calories"

Weight: 162 lb

Waist circumference: 35 inches

Transgressions: none

Exercise: 60 minute brisk walk

Comments

So, no weight or waist change during third week.  Not sure why.  Too many uncharted carbs or calories on my three-day trip out-of-town?  When you think about it, any diet that offers “unlimited” beef, chicken, eggs, and fish is unlikely to lead to uninterrupted weight loss until death. 

In Good Calories, Bad Calories, Gary Taubes writes about Vilhjalmur Stefansson and Karsten Anderson, who in 1928 began a year-long experiment in which they ate almost nothing except meat (many types).  It was not a weight-loss diet; it was to test whether it was a dangerous diet.  They lost six and three pounds, respectively, over the year and seemed perfectly healthy.  No mineral or vitamin deficiencies were detected. 

Over this next week, I’ll be tracking my caloric intake.  If I need 2,400 cals/day to live, but I’m eating less, I should lose some weight.  Unless my metabolic rate is slowing or I’m less active. 

I’m happy to report that I’m not craving carbohydrates.  At this point I could still walk past a Cinnabon store in the mall without difficulty.  I could sit and watch someone else eat one.  Overall, I think less about food than I normally would.  I don’t feel hungry very often.  It’s comforting to know that if I get hungry, I can eat something, if only a can of tuna or a couple hard-boiled eggs.  Fairly often I’ll just eat two meals a day, plus a snack.  And I’ve never been one to skip meals. 

I can’t say that this or that physical condition is miraculously improved or cured.  I just feel like my usual self.  Energy level is fine.  No more dizziness or aching as in the first week. 

-Steve

2 Comments

Filed under My KMD Experience

My Ketogenic Mediterranean Diet: Day 21

Add grilled chicken

Add grilled chicken

Weight: 163.5 lb (up a few over last few days)

Transgressions: none

Exercise: washed a horse and mucked stalls

Comments

I was out-of-town for the last three days.  Thought I did pretty well with the diet, although it was harder.  Biggest temptation was going into Baskin-Robbins to buy ice cream for my daughter.  I salivated when I entered and smelled the store.  Didn’t cheat, however.  Nor did I when we ate at a Mexican restaurant and they brought corn chips and bean dip to the table.  Had a fajita salad there and told them to hold the huge taco shell it’s served in. 

Without my computer, I didn’t track my intake as thoroughly as usual. 

The hotel offered a continental breakfast: two juices, bread, bagels, 4 cereals, milk, muffins, 3 fresh fruits.  All loaded with carbs!  My choices were butter, imitation butter, Philadelphia Cream Cheese spread, and coffee.  I had coffee, later supplemented with nuts, canned tuna, and string cheese I had brought.

I discovered that Wendy’s (fast food restaurant) has a Grilled Chicken Ceasar Salad that fits in to a very low-carb diet, including the high-fat salad dressing.  Don’t eat the croutons!  Good stuff.  Other fast food restaurants offer similar items.  Check nutrient analysis at the company website. 

Weight is up.  I was at 5000 ft above sea level whereas I usually live at 2000 ft.  May have had some fluid (and salt) retention causing weight gain.  I’ve not seen the fluid retention—in my hands—under 7000 ft in the past.

-Steve

Comments Off on My Ketogenic Mediterranean Diet: Day 21

Filed under My KMD Experience

My Ketogenic Mediterranean Diet: Day 17

Put down the bun and no one will get hurt!

Put down the bun and no one will get hurt!

Weight: 161 lb

Transgressions: didn’t eat any fish or nuts

Exercise: 45 minute brisk walk

Comments

I overate hamburger patties (12 oz) and just couldn’t stomach any additional food, including my fish and nuts.

I’m taking a break from blogging for a few days and will return September 21, Lord willing.

-Steve

Comments Off on My Ketogenic Mediterranean Diet: Day 17

Filed under My KMD Experience

Low-Carb Diet Lowers Glucose Levels More Than Standard-Carb Diet

Stephan Guyenet, Ph.D., (neurobiology) posted a graph at his blog (Whole Health Source) showing dramatically better glucose levels in people with diabetes eating a low-carb diet (20% of energy from carbs) compared to those on a 55% carb diet. 

No great surprise, but it has more impact when you see it graphed out.

Steve Parker, M.D.

Comments Off on Low-Carb Diet Lowers Glucose Levels More Than Standard-Carb Diet

Filed under Carbohydrate

My Ketogenic Mediterranean Diet: Day 16

A treat, yes, but not a Metamucil fiber wafer

A treat, yes, but not a Metamucil fiber wafer

Weight: forgot to weigh

Transgressions: one Metamucil fiber wafer (see Comments)

Exercise: 30 minute brisk walk

Comments

A housemate also on a very low-carb diet craved something sweet and crunchy to go with coffee.  We tried the Metamucil wafer (5.5 g digestible carbohydrate).  I like it!  Maybe a little too sweet, but then my taste buds may be overly sensitive since I haven’t had anything sweet for 15 days straight.  Too many carbs to allow more than one or two wafers a week, at this point.  But a nice treat.

-Steve

Comments Off on My Ketogenic Mediterranean Diet: Day 16

Filed under My KMD Experience

My Ketogenic Mediterranean Diet: Day 15 and Week 2 Recap

Just a few supplements

Just a few supplements

Weight: 162 lb (73.6 kg)

Waist circumference: 35 inches (89 cm)

Transgressions: none

Exercise: none

Comments

Down 3 lb (1.36 kg) for the second week of the diet, for a total of 8 (3.64 kg) since the start two weeks ago.  Waist size down 1.5 inches in two weeks.  I still doubt the majority of  that loss weight is fat.  More likely to be water, glycogen, and intestinal contents.  But some of it’s fat.  Rate of weight loss likely to slow soon, which is fine with me.

My daily caloric intake for the last week has averaged 1,850 calories.  Total daily digestible carbohydrate is about 25 g.

Nutrient analysis at NutritionData suggests that my food consumption is deficient in vitamins D, E, thiamine, B6, folate, pantothenic acid.  Less commonly are suggested deficiencies in vitamins A, C, K, niacin, and B12.  It also suggests inadequate intake of minerals: calcium, iron, magnesium, potassium, sodium (!), copper, manganese, and occasionally zinc.

In any case, I’ve been taking a Centrum multivitamin and multimineral supplement and extra vitamin D (400 IU) daily.  A single  Centrum tablet has the following “percent daily values” for vitamins and minerals: 100% for C, D, E, thiamine,B6, folate, niacin, pantothenic acid, B12, and iron.  It also has the following percent daily values: vitamin A 70%, vitamin K 31%, calcium 20%, magnesium 13%, potassium 2%, copper 25%, zinc 73%, and manganese 115%.  [Note that the manufacturer could change the composition at any time.]

Summary of Vitamin and Mineral Content

This very low-carbohydrate ketogenic diet may be deficient in multiple vitamins and minerals, unless supplemented.  A single Centrum ensures good levels, for most adults, except for possibly calcium, magnesium, potassium, sodium, copper, zinc, and vitamin K. 

Supplementing with elemental calcium (e.g., calcium carbonate) 500-1,000 mg daily might be a good idea.  Magnesium and potassium supplements might be a good idea.  Adding some salt (NaCl) to food should supply enough sodium.  [The standard American diet has far more salt than necessary.]     

 I’m just not convinced yet that this diet could actually be deficient in potassium.

Clinically significant deficiencies of copper and magnesium based on diet are probably rare.  I’ll have to do more research.  Nearly all the low blood levels of magnesium I see are in heavy alcohol drinkers or people using diuretics.

If you try a very low-carb ketogenic diet, you might ask your physician to draw blood levels of magesium and potassium two weeks after you start.

After two weeks on the Ketogenic Mediterranean Diet I feel as fine as usual.  I don’t see or feel any signs of vitamin or mineral deficiency.  But an experiment of one isn’t worth much.

Easy bruising is a relatively common occurrence in people on very low-carb ketogenic diets.  I wonder if it’s related to vitamin K deficiency.  Such bruising is seen also in children on the seizure-control ketogenic diet (not for weight loss); the diet seems to unmask a preexisting genetic predisposition to bleeding.

Vitamin K intake is a serious concern for people taking certain blood thinners (anticoagulants): coumadin, warfarin, coumarin.  Too much vitamin K counteracts the blood thinner; too little enhances the blood thinning.  Both situations are dangerous.  [I’m not talking about aspirin and Plavix.]  

I’m doing my nutritional analysis at NutritionData.  You can analyze your own diet via My Tracking.  They have a footnote accompanying the nutrient analysis for all of my vitamins and minerals: “missing or incomplete value.”  I assume that means the reported micronutrient amounts could be higher than reported. 

Potential Supplement Recommendation for the Ketogenic Mediterranean Diet

[This is a work in progress.  Stay tuned.]

Taking two Centrums daily could neatly solve the potential deficits of vitamins A and K, and minerals magnesium, copper, and zinc.  On the other hand, it could be overkill.  Add calcium as above, and maybe extra vitamin D 400 IU.  [There’s good evidence that the current U.S. Daily Value for vitamin D is too low.]  To summarize this daily supplementation regimen:

  • Two Centrums 
  • Additional calcium (elemental) 500-1,000 mg
  • Additional vitamin D 400 IU   

-Steve

Disclaimer:  Information herein is meant to complement, not replace, any advice or information from your personal health professional.  All matters regarding your health require supervision by a personal physician or other appropriate health professional familiar with your current health status.  Always consult your personal physician before making any dietary changes, such as vitamin and mineral supplementation.

2 Comments

Filed under My KMD Experience

My Ketogenic Mediterranean Diet: Day 14

"Who can read those tiny numbers?!"

"Who can read those tiny numbers?!"

Weight: 162 lb

Transgressions: none

Exercise: none

Comments

It’s easy for body weight to vary throughout the day by as much as 3–4 pounds (1.4–1.8 kg), depending on state of hydration, meals, and volume status of the urinary bladder and intestines.  The most reliable time to weigh is first thing after getting up from hours of sleep, after emptying your bladder, wearing your usual sleeping clothes or none at all.

Feeling good.  No dizziness or muscle aches.

-Steve

Comments Off on My Ketogenic Mediterranean Diet: Day 14

Filed under Uncategorized

My Ketogenic Mediterranean Diet: Day 13

MPj04327450000[1]Weight: 162.5

Transgressions: Ate a fancy salad my wife made me while I was asleep, with glazed walnuts, 1/4 apple, 6 grapes, lettuce, etc.  More carbs than usual, but not by much.  How could I turn her down?

Exercise: 30 minute brisk walk

Comments

If I don’t get my required 2-3 tbsp of daily olive oil in salad or cooking, I just drink it straight.

I just realized I’ve been putting 1% milk in my coffee, 2 cups a day.  Measured a milk serving as 1.5 fl oz per cup, totalling 6 g of digestible carbohydrate daily that I had been overlooking before.  Will start drinking coffee black and revise my Week 1 Recap carb total.

-Steve

Comments Off on My Ketogenic Mediterranean Diet: Day 13

Filed under My KMD Experience