science

Recommended reading for those starting Keto; Keto Chow at the construction site

This entry is part 73 of 131 in the series Ketogenic Diet

To start off, I was listening to Episode 49 of the “2 Keto Dudes” podcast and they shared the content of a really good post on their Ketogenic Forums: “It’s Easy… Until It’s Not… And then it’s Easy Again.” If you’re starting out with Keto and the initial drive is flagging a bit, there’s some really good advice in there:

Going Keto, particularly if you’re not coming from a similar discipline like low-carb, or paleo, can have its challenges.

Those of us who’ve been doing it for a while can be pretty enthusiastic in our promotion of keto, which may at times make it seem easier than it really is.

Here’s the thing. Keto is easy, until it isn’t, and then it is again.

What do I mean by that?

Any time we start something new, particularly something that we perceive to be good for us, we’ve got a deeper reserve of willpower and enthusiasm that will carry us through the first phase of trying to build that habit. And, as it happens, keto has some seriously yummy and satisfying foods to sample, so between those two things, the first week or so of keto can feel like a breeze. Most people drop several pounds almost immediately as they burn off glycogen (and dump water), so there’s a short-term “win” feeling, too.

Then, things can get hard. Many people hit the dreaded “keto flu” when their bodies aren’t yet fully-adapted to making and burning ketones instead of glucose, yet they’ve drastically cut back their supply of glucose. This can include tiredness, dizziness, and generally feeling crappy. Most of these symptoms can be eased with some bone broth, or supplementing salt (salt water), etc., but it still stinks.

On top of that, if you don’t have a ready store of keto-friendly recipes, the meal plan can get a little boring. While it sounds wonderful to have bacon and eggs every morning, most of us enjoy some variety, too.

And at the same time that the keto flu hits, for many folks the weight loss stops, or slows significantly.

This is the point where many people get frustrated, and some quit, thinking that Keto doesn’t work.

DON’T DO THIS!!!

Once you get past this point, things start to get easier. When you have become fat-adapted, you will have more energy, and feel better, and probably far better than you did eating carbs.

And when you have been eating keto long enough for it to become a habit, something that is simply how you live, you won’t struggle with cravings (not as much, anyway), and you will be healing your body.

As has been observed in many threads already, each of us is slightly different. Younger folks, in general, will probably find it easier to lose weight more quickly on keto, while those of us who are a little more…seasoned…sometimes need to throw in intermittent fasting, or extended fasting, to get the fat mobilized.

At the end of the day…if you’re just getting started, be prepared for there to be challenges along the way. You may have some slip-ups where you indulge in carbs and end up regretting it. Or you may just be wishing that you didn’t have to eat defensively at restaurants, or read the labels on everything carefully to avoid hidden sugars. That stuff is a pain. But it’s worth it. Keep Calm, and Keto On, and you will be building a habit that promises good health, and a hopefully longer, healthier life.

It’s worth it.

He has some additional followup comments there in the post too. And if you’re getting started with Keto, I recommend listening to Episode 48 of the podcast “Starting Keto” – it’s good enough I have it linked in the “tips” section of the Keto Chow preparation Instructions.


My friend Steve has been doing Keto on and off, mostly to be supportive of his wife (he needs to lose weight like I need a hole in my leg – that was at his house BTW) but I think it’s also helping with his Gout. Gout is funny on Keto, it seems to either make it WAY worse (Steve’s initial experience) or it helps to alleviate the problem A LOT. Anyhow, he works construction and sent me a couple photos of Keto Chow on the construction job site

Today I learned: A bunch of FDA labeling requirements stuff

Well, that was a fun rabbit hole! I have been working on the labeling for the individual meal (aka “Sample”) packages of Keto Chow and also started making up the label for the larger week packages. As part of that, I needed to come up with a nutrition information panel for both. I figure if I’m going to make packaging, I might as well make it the right way according to FDA guidelines from the outset. So I started kicking around the FDA site and discovered there’s a revision of the labeling rolling out. Technically, Keto Chow wouldn’t need to use the new standard until July 2018 but there’s no problem being early.

Anyhow, I got to learn about the values to use for calculating DRV and RDI, panel display and size requirements, and more! I also learned that the vitamin and mineral recommendations have changed as well, most are minor changes. Fortunately for me: when I spec’d my vitamin/mineral pre-mix, I was using data even more current that the FDA requirements (optimal values vs. minimum) and Keto Chow 2.0 is getting over 100% on all of them according to the new standard… except Potassium. The Recommended intake used to be 3500mg/day and now it’s 4700. It easily met the old requirement but not the new one. So I’m looking into adding some additional Potassium. I don’t want the change to affect the taste at all so I’m going to test out a couple different sources. The easiest is Potassium Chloride (“Low sodium salt”) or just more Potassium Citrate, I’m also going to give Potassium Gluconate a try. Looks like my earlier assertion was a bit pre-mature =)

By |2016-11-02T10:43:29-06:00November 2nd, 2016|Categories: Keto Chow|Tags: , , , |1 Comment

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

The Biggest Loser Diet – Explained!

This week results of a study were posted showing that contestants from “The Biggest Loser” from several years ago had mostly regained all their lost weight. (more…)

Interesting NPR article about Keto and cancer

This entry is part 49 of 131 in the series Ketogenic Diet

There’s an interesting reddit thread over on /r/keto about a NPR article that talks about the potential of keto for cancer treatment. The basic premise is: cancer cells aren’t doing what they are supposed to do, particularly metabolically. If you deprive them of readily available glucose they don’t grow/shrink. More research is needed but it’s not the type that’s likely to get funded since drug companies can’t make money off a diet, especially one like keto. In the Reddit thread there are some good anecdotes about effects seen first-hand on cancer with keto.

Now, the cool thing about all this is: “hedging your bets” is easy: dealing with cancer? there’s nothing stopping you from doing the traditional treatments but also consuming a ketogenic diet. In fact the only drawback I can see in this approach would be that since you are introducing simultaneous variables it will be difficult to determine which is helping more. I’d say that is a good problem to have. I highly doubt an oncologist would balk at eliminating sugar and refined carbohydrates from your diet =)

“The drugs we have now are so toxic and there’s no reason people should have to be poisoned to be healthy. There are a number of studies, including those we’ve published, showing a direct relationship between the ketogenic diet and slowed tumor growth,” says Seyfried, also citing the work of Dr. Valter Longo, of the University of Southern California’s Davis School of Gerontology. That work shows that low-calorie diets are linked with slowed tumor growth and improved response to chemotherapy. “Why spend all this money going after all these different pathways involved in cancer when you can simply go after the key fuels?” Seyfried asks.

Even Seyfried acknowledges, despite his zeal for treating cancer by tinkering with calories, that in all likelihood diet and nutrient-based cancer treatments will serve as adjuncts to existing therapies. But what would be wrong with that? “We’re slowing the tumor down and making it extremely vulnerable to lower, less-toxic doses of available drugs,” he says, “When people are locked into an ideology created by a dogma they tend not to focus on rational alternatives.”

By |2016-10-14T07:17:54-06:00March 6th, 2016|Categories: Ketogenic Diet|Tags: , |0 Comments

Day 061 – 100 days of Keto (Chow)

This entry is part 50 of 82 in the series 100 days of keto
  • Weight: 204.6
  • Blood ketones: 0.4 mmol/L

Again with the running! I went to my dentist yesterday to see if the pain in my jaw was tooth related, got a panoramic x-ray and everything looks good. (more…)

Science: Metabolic Effects of the Very-Low-Carbohydrate Diets: Misunderstood “Villains” of Human Metabolism

This entry is part 48 of 131 in the series Ketogenic Diet

In a recent thread on reddit I was directed over to an excellent journal article from 2004 “Metabolic Effects of the Very-Low-Carbohydrate Diets: Misunderstood ‘Villains’ of Human Metabolism” – it does a really great job explaining some of the actual science behind a ketogenic diet and debunks several myths including “you need 100g of carbohydrates a day to survive”. I would recommend checking it out if you ever have a doctor question you about ketogenic diets (or just want to learn new stuff!)

Abstract

During very low carbohydrate intake, the regulated and controlled production of ketone bodies causes a harmless physiological state known as dietary ketosis. Ketone bodies flow from the liver to extra-hepatic tissues (e.g., brain) for use as a fuel; this spares glucose metabolism via a mechanism similar to the sparing of glucose by oxidation of fatty acids as an alternative fuel. In comparison with glucose, the ketone bodies are actually a very good respiratory fuel. Indeed, there is no clear requirement for dietary carbohydrates for human adults. Interestingly, the effects of ketone body metabolism suggest that mild ketosis may offer therapeutic potential in a variety of different common and rare disease states. Also, the recent landmark study showed that a very-low-carbohydrate diet resulted in a significant reduction in fat mass and a concomitant increase in lean body mass in normal-weight men. Contrary to popular belief, insulin is not needed for glucose uptake and utilization in man. Finally, both muscle fat and carbohydrate burn in an amino acid flame.

By |2016-10-14T07:17:54-06:00February 22nd, 2016|Categories: Uncategorized, Ketogenic Diet|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