Tag Archives: muscle cramps

My Ketogenic Mediterranean Diet: Day 56 + Hidden Carbohydrates + Oysters

MPPH02842J0000[1]Weight: 155 lb

Transgressions: Ate oysters instead of fish, and 22 oz salad greens instead of maximum 14 oz

Exercise: Four hours of barnyard chores: clearing brush, moving rocks, adjusting fences.

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My recent cheat day didn’t seem to set me back, other than increasing temporarily my desire for more carbs.

I tried the Morton Salt Substitute on my eggs this morning.  Tastes fine.  Even drank 8 fl oz of water containing one quarter teaspoon (1.2 g) of this potassium chloride product.  That’s 610 mg potassium in one fell swoop.  Regulators in the U.S. limit potassium in over-the-counter supplements to 99 mg.  But remember the potential health benefits of high potassium diets are tied to fruit and vegetable consumption—markers of potassium intake—rather than potassium supplements. 

My leg cramps could be related to deficiency of magnesium, calcium, or potassium.  This is probably an issue with most very low-carb ketogenic diets.  Easy enough to supplement, especially if you know that salt substitutes contain much more potassium than bottled potassium supplements.

I found an example of carbs sneaking into food you might not suspect: ham.  I bought some “fully cooked cubed ham, water added, ground and formed.”  A two-ounce (56 g) serving has 3 g of carbohydrate: dextrose and modified food starch.  Like many processed meats, it also contained sodium nitrite, which might be good to avoid.  Some studies link nitrites—a preservative added to processed meats—to cancer.  Others do not

Tracking nutrients in processed foods like this ham is also a little problematic.  The food database at NutritionData has about 60 entries for ham.  The closest product I found was “pork, cured, ham and water product, slice, boneless, separable lean and fat, heated, roasted.”  Close enough.

Smoked oysters were right next to the canned tuna on my last shopping trip, so I grabbed a couple cans.  Turns out they are relatively high in carbohydrates—6 g per 2 ounce serving.  Also found out they are an excellent source of protein, B12, zinc, copper, and iron.  This is an example of why food variety is important.  The other foods I’ve been eating tend leave me lacking iron, copper, and zinc. 

Again, I lost track of my veggie intake and exceeded the max.

Steve

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My Ketogenic Mediterranean Diet: Day 47

MPj03139040000[1]Weight: 155 lb

Transgressions: none

 Exercise: none

Comments

No leg cramps for last two nights, after starting a magnesium supplement.  Could just be a coincidence—time will tell. 

At the start of this series, I characterized myself as moderately active.  Turns out I’ve been sedentary for last two months.  Working too much.  Mountain bike has a flat tire.  I’ve got a new rigorous hiking trail picked out, and it’s finally cool enough I don’t have to worry much about rattlesnakes and heat stroke.  Just need time to hike it now. 

Steve

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My Ketogenic Mediterranean Diet: Day 46 + Magnesium for Muscle Cramps

MPj04383710000[1]Weight: 156 lb

Transgressions: none

Exercise: none

Comments

I started an over-the-counter magnesium supplement—250 mg magnesium oxide—by Nature Made to see if it will suppress my nocturnal leg cramps.  Will try it for 4–5 days.  The recommended Daily Value for a 2000-calorie diet is about 200 mg.  If that fails, I’ll try potassium and calcium supplements sequentially.  I don’t want to “shotgun it” by taking all three simultaneously; I wouldn’t know which one was working.  Why take a supplement if it’s not needed?   

I suppose I could have blood drawn and analyzed for those minerals.  But a blood level doesn’t tell the whole story.  For instance, nearly all of our body’s potassium is inside our cells.  A blood test measures only potassium in the serum or plasma, outside the cells.  Blood level could be normal while the interior of cells is deficient, causing problems.  Also, getting blood drawn is a hassle.

Steve

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My Ketogenic Mediterranean Diet: Day 39 + Potassium Review

Nuts are a rich source of potassium

Nuts are a rich source of potassium

Weight: 157 lb

Transgressions: extra 0.5 oz sunflower seeds (above the 1 oz nut allowance)

Exercise: none

Comments

My nutrient analysis at NutritionData suggests that the un-supplemented Ketogenic Mediterranean Diet may be deficient in potassium.  Here’s a summary of potassium physiology from UpToDate:

Potassium’s Role

Fluid and blood mineral balance.  Cell integrity.  Muscle contraction.  Nerve transmission.

Dietary Sources

Very high in molasses, seaweed, dried figs.  Nuts, dried fruits, avocado, wheat germ, spinach, bran cereals, tomatoes, potatoes, broccoli, cauliflower, beets, winter squash, oranges, bananas, kiwis, cantaloupe, and meats (ground beef, steak, pork, veal, lamb).  Also salt substitutes (potassium chloride). 

Centrum multivitamin/multimineral supplement has very little potassium.

Signs of Deficiency

Weakness, easy fatigue, paralysis, belly distension, loss of appetite, nausea, vomiting, muscle cramps, numbness or tingling, sore muscles, heart rhythm disturbances.

Implications

You have a several options if you have minor signs or symptoms suggesting potassium deficiency: 1) consult your physician for an accurate diagnosis, 2) have your physician draw a blood level of potassium , 3) increase your intake of potassium-rich foods (e.g., meats, avocados, spinach, cauliflower, broccoli) for a few days and note your response, 4) try a salt substitute (potentially dangerous if you have kidney disease or your blood potassium is already high and you don’t know it).

If you have physcal signs or symptoms to a moderate or severe degree, consult your personal physician.

Steve

Disclaimer:  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 or exercise changes.

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