saturated fat

Go get a Coronary Calcium Scan #CAC

Last month, my wife and I went to KetoFest in Connecticut. On Saturday, we watched “The Widowmaker” – it’s a documentary about the Coronary Artery Calcium Scan and its effectiveness at directly predicting the likelihood of coronary heart disease because it’s measuring the actual disease as it’s happening – direct observation. If you happen to have a Netflix subscription, you can watch the full documentary here. On the way out of the theater, I was walking behind Ivor Cummins – who helped with the movie and has been helping David Bobbett (the guy who paid for it to be made). Ivor and a bunch of other big names in the keto world proceeded to have a rousing discussion that really should have been recorded for posterity. One big discussion point was that the movie leaves out the “extraordinary” measures taken by David – he went on a ketogenic diet. Apparently, the film makers decided to leave that part out =).

There is some criticism of the movie – how things were presented and the need for clearly defined “good” and “bad” guys. The movie makes two important points: coronary stents don’t prevent heart attacks and coronary scans can identify advanced coronary artery disease before heart attacks happen. Regardless of the presentation, and how the film makers decided to edit things (like leaving out Keto!), finding out your calcium score is important.

Anyhow, I determined to get a CAC – and so I did. Turns out you can get them where I live for around $70. Unless you live in Texas, insurance won’t pay for it to be done – which is odd since it’s required for all astronauts and US Presidents – I suppose they’d rather pay thousands for heart surgery instead of less than $100. Anyway, out-of-pocket was simple and easy. Took longer to fill out the papers than getting the actual scan. Now I have the results of my blood tests AND I have a Coronary Artery Calcium Scan as well. Turns out that living mostly on fat (and mostly SATURATED fat, specifically), I’m doing just dandy – thanks for asking =)

The patient has a total Calcium Score of 0.

This places the patient into the 0th percentile in comparison to a group of patients asymptomatic for coronary artery disease with the same age and gender. This means that 0% of males aged 40-44 have calcium scores lower than the patient.

Coronary artery calcification is a specific marker for coronary atherosclerosis. The amount of calcification correlates with the severity of coronary atherosclerosis. A score of 0 implies a low likelihood of coronary obstruction, but cannot totally exclude the presence of atherosclerosis. A high score indicates a significant plaque burden and relative risk for future cardiovascular events. It should be understood that calcification is not site specific for stenosis but rather indicates the extent of atherosclerosis in the coronary arteries overall.

There was no identifiable plaque detected. Patient is advised to adhere to general guidelines on diet and exercise.

I’ll ignore the “general guidelines on diet” part, thank you very much =) If you’re curious and would like to see the full content of my CAC report, you can check that out here.

By |2017-08-09T07:46:08-06:00August 9th, 2017|Categories: Ketogenic Diet|Tags: , , , , |4 Comments

Fun Videos – Coconut Oil will (not) kill you & Low Fat food will make you fat

First we have JP telling us how the American Heart Association has to be right about Coconut Oil killing you

And then we have Adam ruining low fat food

Weird thing is: Adam uses a lot of references from Taubes and Teicholz about sugar being bad but fails to follow through on what you should eat. If you watch the entire episode the clip above comes from the nutrition advice they do give is more of the same “eat less, move more” – guess they decided telling people fat is good was a bit too much.

By |2017-07-28T09:34:09-06:00July 28th, 2017|Categories: Weight Loss, Ketogenic Diet|Tags: , , , , , , |0 Comments

Excellent, short, BBC documentary on low carb diets

This entry is part 65 of 131 in the series Ketogenic Diet

Over the weekend, a link to an excellent documentary showed up on /r/keto. It’s really a good overview of a high fat, low carb diet with a decent amount of time spent showing how to do it effectively. They do an excellent job exploring the controversies too. I would absolutely recommend it for anyone wanting to know some of the quick details of keto (and it’ll be a good intro to the junk you’re going to hear from doctors and family when you start!). For those in the US: a “stone” is 14 lbs; for those elsewhere, it’s 6.35kg – they really like their archaic weight measurements!

https://www.youtube.com/watch?v=9F8qXxjdh-4

I read through some of the comments, one thing that jumped out was his GP (primary care physician) told him she can’t say how this affected his liver and kidneys. Yeah, they have blood tests for that. I’ve gotten them. She’s hard to take serious saying things like that. She also recommended he do it for only 3 weeks. Today is my 3rd Halloween where I will not be eating any candy since I started keto 3 years ago just before Halloween. Doing it indefinitely is awesome!

Others noted that it’s ironic that all of the doctors they interviewed who advocate the government dietary guidelines are overweight and some are obese. Especially the guy in charge of the obesity clinic, if he can’t lose weight on the accepted low fat diet, how can they expect people to take their stance seriously?

I also loved this comment:

“What we are concerned about is the lack of substantial long-term evidence for it’s ease of use…”

The “ease of use” argument always gets me. The only reason you could consider a LCHF diet harder to follow is because of how everyone else eats. If we never had to go to work events, family events, or parties where there’s nothing but carbs and everyone questions our diet, it wouldn’t be hard at all! But some of these doctors/dietitians in here are saying that’s a reason to question the inherent effectiveness of the diet. Makes no sense.

If the youtube link stops working, you can also get it from here.

By |2016-10-31T11:25:36-06:00October 31st, 2016|Categories: Weight Loss, Ketogenic Diet|Tags: , , , , , |0 Comments

NMR Cholesterol Blood Test Results: I’m still alive (what a relief!)

This entry is part 59 of 131 in the series Ketogenic Diet

Several months ago I got a letter from my health insurance company telling me that they thought I should start taking statins.

Number A) That’s crazy!

Number B) No freaking way am I taking statins, given what I know about their side effects.

Number C) Are we looking at the same results? Because the ones I’m looking at are awesome.

It was time for me to go to my doctor and I had decided it was time to get either a VAP or an NMR Lipid Profile done. Why? LipoProtein particle count is important. Far more important than the density of the lipids within the protein so far as being an indicator of likely cardiovascular disease (CVD).

So I went to my doctor a few weeks ago, told him about the letter and told him I wanted to do an NMR or VAP. His initial response was “how on earth do you know what those are?” Next he pulled up my previous results and was rather confused since according to him my numbers were fine “are you sure they got the right person?” Anyway, he asked which one I wanted (NMR or VAP) – I wasn’t picky so I just said “Whichever one is more expensive.” I figure if they’re saying crazy stuff about me taking statins, they need to pay for it. So I got an NMR, the results took about 2 weeks to come back. Turns out that 2 years of a ketogenic diet is treating me just fine. So, let’s compare my “regular” lipid panel numbers!

March 2014 was 3 months after I started People Chow (high carb). January 2015 I was 3 months into keto. May 2015 I was 7 months into keto. September 2016 and I’m very close to 2 years of keto. I’m at less than half my previous triglyceride number, HDL continues to climb. Total Cholesterol and LDL are up as well but that’s why I wanted the NMR.

3/20/2014 1/6/2015 5/4/2015 9/8/2016 target
Cholesterol 142 135 161 174 0-200 mg/dL
Triglycerides 160 96 75 70 0-200 mg/dL
HDL Cholesterol 43 45 49 53 40-60 mg/dL
LDL (calculated) 67 71 97 107 0-160 mg/dL

lipid_graph

OK, now for the NMR numbers:

Test value target
LDL Particle Number by NMR 943 <1000
LDL Cholesterol 107 < 100
HDL Cholesterol 53 >39
HDL Particle Number 32.3 >=30.5
Small LDL Particle Number 212 <=527
LDL Particle Size 20.7 >20.5
Large VLDL Particle Number 1 <=2.7
Small LDL (Particle Number) 212 <=527
Large HDL Particle Number 3.3 >=4.8
VLDL Size 43.1 <=46.6
LDL Size 20.7 >=20.8
HDL Size 8.6 >=9.2
LP Insulin Resistance Score 46 <=45

Conclusion from my doctor? “Great on LDL number. Size is good. HDL is good, particle number is a little low but not alarming alone. Overall, I would NOT take a statin at this time. Insulin resistance is slightly elevated.” He’s talking about that last number. It’s a score LabCorp assigns based on a couple factors as explained in their test detail document:

Metabolic Syndrome Markers. Three parameters (average LDL size and pattern, large HDL particle number, and large VLDL particle number ) are reported that are closely associated with insulin resistance and increased risk of developing type 2 diabetes mellitus.

Well yeah, Back 2 years ago I decidedly had metabolic syndrome and was well along the path of developing “type 2 diabetes mellitus” as they say. Not any more =)

On a final note, I used the numbers I got from this test to complete a “Healthy Living Assesment” for my health insurance (hey, $70 is $70!) the computer recommends I eat less fat to be more healthy. –SIGH–

By |2017-01-10T09:20:29-07:00September 21st, 2016|Categories: Ketogenic Diet|Tags: , , , , , , , |0 Comments

“We’re All Guinea Pigs in a Failed Decades-Long Diet Experiment”

This entry is part 100 of 131 in the series Ketogenic Diet

So what occasioned this rant? A new article published over on Vice.com: “We’re All Guinea Pigs in a Failed Decades-Long Diet Experiment“. The thought of a class action lawsuit against some company is tantalizing but are we also going to posthumously sue “Doctor”Ansel Keys and Senator George McGovern for their roles in all this? I’m going to move on and help as many people as I can. That’s why I make Keto Chow.

As a kid, one of the things I loved to eat more than anything was a bowl of melted cheese. Cut off a slab, microwave it and eat it with a fork. I didn’t do it very often.

Part of that was cheese was (and still is) rather expensive. The main reason was that I knew that it was full of fat and fat is bad for you. I would even microwave it a bit longer and drain off the oil that over-cooking the cheese would render out. Why did I know that fat was bad for you? The 1980 US Dietary Guidelines said so, my parents, my teachers, EVERYBODY said that it was bad. So it was. End of discussion, or so we though.

For almost 2 years now I have been living with new knowledge: that refined carbohydrates are the true cause of the obesity I’ve battled almost all of my life. Some people seem to handle sugar OK; I don’t. For these past two years, I’ve lived with a High Fat, Moderate Protein, Low Carbohydrate lifestyle. I’ve only “cheated” twice (January 2015 when I ate carbs before a weight loss competition, and I ate some breaded fish at a party in September 2015 and immediately regretted it). Knowing what I know about diet and nutrition now, and looking back at my life; I sometimes get angry. It passes when I think that at least my kids won’t have to deal with what I did, but I still get upset.

Along with the aforementioned cheese I also really, REALLY like bacon and sausage. Emphasis on the sausage. Before October 2014, eating sausage was an extremely guilty pleasure. Like when I hear Backstreet Boys and it reminds me of living in Chile back in 1997. When I cook sausage now it’s typically because we’re camping and I cook 2 pounds of it, plus another 3lbs or so of bacon and a couple dozen eggs. Granted: there are 8 of us, but the kids usually don’t have to ask “how many pieces can I have?” – they just get what they want. I didn’t put butter on anything before November 2014 because it was “bad”. When I think about sausage, sour cream, cream cheese, butter, guacamole and the other downright awesome fatty foods I didn’t use to eat: I get angry too.

When I think about Type 2 diabetes, which I thankfully did not develop before I started Keto, I’m filled with grief and a bit of rage.

I suspect everyone has someone they know, love, or respect DIE because of the effects of refined carbohydrates ravaging their bodies. Some people I’ve successfully helped transition to getting rid of sugar, flour, rice and other carbs and turning their lives around. Other people, I’ve tried to help but they didn’t want to make the change. They like bread too much, or candy, or pasta, or potatoes. I’ve never had bread that’s worth dying for (which is saying a lot, we grew up on homemade sourdough bread). Again, while I acknowledge that there are some people who can healthily have some refined carbohydrates, the level of sugar consumption we have attained in our diet is astounding. If Peter Attia can develop T2 diabetes doing Iron Man races, then do the rest of us have any hope?

Probably not unless we ignore the official dietary recommendations and do something else.

When I get an hour block I’m going to watch “Fixing Dad” about two UK film-makers who intervened in their father’s life when he was facing likely amputations due to his diabetes. There seems to be an over-emphasis on extreme exercise but the message about changing his diet looks promising.

By |2016-10-14T07:17:51-06:00September 16th, 2016|Categories: Weight Loss, Ketogenic Diet|Tags: , , , , |0 Comments

Sous Vide Update: Yeah, it is yummy.

Completely unrelated to Keto Chow but still quite relevant to ketogenic diets. The chuck roasts I had cooking for 44 hours with my Sous Video “Precision Cooker” finished cooking (like yesterday but whatever, I was going for awesome overkill). Turned out awesome. (more…)

By |2021-09-20T13:24:04-06:00May 19th, 2016|Categories: Ketogenic Diet, Keto foods|Tags: , , , |0 Comments

New US Dietary Guidelines out; not much changed, I’m apparently still dying

The methodology used to develop and update this Pattern continues to be grounded in that of the food guides USDA has developed for the last 30 years.

“we didn’t cause the deaths of millions of Americans by telling them to eat more carbs, so we’re going to continue the same way. But you should limit added sugar. Saturated fat and salt are still going to kill you”. In Appendix 7 they list out the new nutritional goals. Let’s see, for me they’re recommending:

  • 2200 calories
  • only 56g of protein
  • 130g of carbohydrates
  • 48 to 85g of total fat with less than 24g of saturated fat despite the evidence that saturated fat has nothing to do with heart disease
  • There’s no recommendation anymore on cholesterol but they want to you know they still think it’s bad (even though the previous link says it’s not)
  • I should keep my sugar below 55g a day
  • RDI of 2300mg of sodium

So… apparently I’m dead or dying because the only one I adhere to is <55g of sugar a day. Goodbye cruel world or something.

By |2021-09-20T09:52:38-06:00January 7th, 2016|Categories: Ketogenic Diet, About keto|Tags: , , , |0 Comments

The Effects of a Year in Ketosis (video)

Jim McCarter gave an interesting presentation at the Quantified Self Conference this year. You can check out the video at https://vimeo.com/147795263