Ignorance Hurts! Weight Loss & New Ideas

One of the most painful stereotypes regarding the obese is that they are gluttons, followed hard by the second most painful stereotype: they are lazy.  Neither statement is true in most cases.  Most people who go on diets adhere closely to the program; they eat their diet food, measure their portions, say no to the cheats and treats.  They lose some weight, maybe even hit their goal, but then we all know what happens next: rebound weight gain!  They feel like failures and society for the most part believes they must have screwed up somewhere or just gone off their diet.

The truth is that, like most people, I tried very hard to lose weight.  I played sports; I tried to eat the healthy food.  My mom was always pushing one diet or another at me, and most of them were pretty awful and I never lost much weight.  Some of her plans included a fast-metabolism program, where I eliminate certain foods from my diet, drink smoothies according to the book’s recipe list, and then the following week, I make more changes to my diet to include/ eliminate more foods, and then make even more changes the next week!  This was guaranteed to jump-start my metabolism so I would burn off weight in no time at all!  Another one of her guaranteed fixes included drinking a smoothie made with an expensive powder (like $30 a pound!) and this powder would ‘bind’ to the sugar/ carbs/ whatever to keep it from being absorbed, so I would lose a lot of weight fast!  One of these diets included the questionably ‘healthy’ meal of buttered egg noodles on a regular basis.  Even as a teenager, I really didn’t think buttered noodles counted as ‘diet food’ and it didn’t take long before I stopped listening to my mom’s fad diet schemes.

However weird and wacky some of these diet plans might have been, my mom had the right idea: we need to keep learning and stay open to new ideas.  What we all thought was the ‘right answer’ when I was growing up (low fat-high carb and eat less-move more) is more than likely NOT the right answer!  We know that carbs turn into glucose in the body and that chronically high glucose leads to insulin resistance which keeps the body from metabolizing stored body fat.  Essentially, the more carbs you eat and the more often you eat them, the less body fat you burn off.  All that advice we were given about eating every two-three hours isn’t ‘jump-starting’ our metabolism but it is keeping us overweight.  The carb roller coaster is why we feel tired two hours after lunch and why that afternoon granola bar makes us feel energized.

When you open yourself up to new ideas, there’s always the danger of getting taken for a ride.  This is why if you are going to keep learning new things, you need to do your homework! I confess I am one of those who poo-poo’d the Paleo diet as one more weird freaky fad diet to be avoided, and I did it without learning anything about it.  I simply lumped into another one of those ‘flash in the pan & sell as many books as possible’ marketing schemes.  Bad, bad, bad! I should know better and I’m going to blame a cynical outlook on weight loss for my poor judgment! Before I made a snap judgment, I should have taken a look at what the Paleo/ Caveman Diet proponents were actually saying.

I’m not going to tell you that Paleo is 100% effective for everyone, because I honestly have no idea if it is.  I can tell you that after years of reading about other weird fad diets and trying a few of them that this one made the most sense to me.  The number one reason for me is that it’s a pretty basic plan: eat real whole food.  I don’t have to go looking for some expensive powder or a long list of strange smoothie ingredients, and I don’t have to drink all my food for weeks at time while doing XYZ exercises.  I simply avoid the processed foods.  Essentially, if it comes packaged in a box or a bag and has chemical gobbledygook ingredients, I should probably leave it on the shelf.

Proponents of Paleo have suggested that one of the reasons it took a long time for this way of eating (most don’t like the word ‘diet’) is that other than cookbooks and how-to books, there’s not a lot of marketing to go along with Paleo.  This is one of the failings of the Weight Loss Industry– because it is an industry!  People make money selling others like me the Hope of Losing Weight, usually in some package or some program that we have to pay for.  There are whole aisles at the grocery store full of packaged diet food, mostly full of chemicals, preservatives and other things that may not be good for us. We can lose weight eating those processed foods, usually only until we stop eating them.  This was my major question when I was losing weight on Nutrisystem: what happens when I stop eating their boxed food?  Easy! I gain weight again, because the focus is mainly on eating their food, not how I should be eating (supposedly that comes later, but I never got to that part!)

This is why Paleo works for me: it’s real whole simple food and I don’t have to buy the “Paleo” brand of food, although now there are brands like Primal Kitchen that fit the criteria, but it’s up to you if you want to buy them- you don’t need them to eat Paleo. If I want to buy some simple salad dressing instead of making it myself, I can buy it and not have to worry about it being full of canola oil, but if I want to make a simple vinaigrette, I can still do it.  The bottom line for Paleo is to keep your food as real, whole and unprocessed as possible.  Like I said, simple!

The point I’m trying to make is that if one thing doesn’t work for you, keep an open mind and keep learning about other methods that might work.  You need to give it an honest attempt (one week probably isn’t long enough) but if it’s not sustainable, you should probably cross it off your list.  A temporary fix is always and only temporary, just like all fad diets- once you stop eating their food or following their program, you’ll gain the weight back.  Paleo is no different in this way: if I were to go back to eating the processed foods I ate growing up, I would gain back the weight. What makes it work for me is that I’m still eating real food and it’s real food I like eating, like salad and spare ribs.  I feel better when I eat it instead of feeling hungry and tired after eating the fettucine alfredo.  I like what I eat, I don’t have to buy weird expensive ingredients or take handfuls of pills.  If I had done my homework about Paleo when I first heard about it, I’d probably have lost weight years before I did and no doubt saved myself some grief.  By choosing to stay ignorant and cynical, I only hurt myself.  Shame on me for being narrow-minded!

[Since learning about it, I’ve read some other great books that follow the same kind of idea: Primal Blueprint by Mark Sisson; The Paleo Solution and Wired to Eat by Robb Wolf; Always Hungry? by David Ludwig, and Melissa Hartwig of Whole 30 has just come out with two new books.  All of these advocate eating unprocessed nutrient dense foods and keeping the processed ingredients to a minimum.  However you choose to eat, choose nutrition over convenience when possible and always go for unprocessed.]

Science Experiments in the Kitchen: Better Living with Chemicals?

I’m usually in two minds about cooking.  I did most of the cooking when I was growing up.  My parents divorced when I was about 8 and once I was tall enough to reach the stove-top, cooking was my job!  I didn’t exactly hate it, mainly because I didn’t know anything else, but once I was an adult and living on my own, I cooked as little as possible! (I stopped dating one guy because he made it clear he expected me to be the ‘traditional housewife’- been there-DONE with that!)

The whole Not-Cooking mindset meant I ate mostly fast food and prepared/ processed foods, and in those days, there were not a lot of healthy options.  Fast food was burgers, fries, burritos, tacos, etc. and prepared processed foods meant a lot of quick carbs, and whenever possible, I ate as much bread as I could get down my throat.  ‘Eating healthy’ usually meant eating something low fat and low sodium with as many of those ‘healthy whole grains’ as I could get.  In short, it was a recipe for disaster.

Going back to cooking was probably one of the hardest things for me.  To be honest, I still don’t like it much and I really don’t have the patience for measuring out this and mixing up that and then letting it simmer for however many minutes. Sometimes when I happen to watch a cooking show, and they have something that needs to be heated or marinated or brined for hours, that is far too many steps for me. The same goes for something with a long list of ingredients: too much freaking trouble!

For me, food is simple.  I like something exotic or complex as much as the next person; I just don’t like it enough to make it myself! One of the podcasts I listen to is 2 Keto Dudes, and both hosts are true keto gourmands. Their recipes are pretty complex, but what I find more than a little off-putting for me is that they sometimes use ingredients that sound like part of a science experiment to me.  I really don’t want to add sodium citrate to my grated cheese so I can make a ‘melty creamy cheese sauce’ for a Philly type cheesesteak sandwich on some ‘keto friendly’ bread made with something else that sounds like it belongs in a lab.  While I do try keeping my carbs low (about 50 g daily), my goal isn’t to be keto or ‘zero carb.’  My goal is to eat healthy real food.  Recently, I heard an interview with Mark Sisson on the Primal Potential podcast, and I think he hit the nail on the head when he said (paraphrasing here) “most Americans want to eat as much as they can for the fewest calories they can.”  Basically, the attitude is ‘how much can I eat without gaining weight?’

I think this is what’s happened with a lot of the ‘keto craze’: how can I give the food I used to eat a keto makeover so I can still have donuts, waffles and bread? When you listen to the hosts of 2 Keto Dudes, their attitude toward bread, donuts, waffles, etc is that they are horrible foods that can make you sick if you eat them every day.  Whether that’s true or not isn’t the point here.  Their attitude towards the keto version of these foods is that they’re wonderful and not ‘carbage’ (their word) and they taste delicious.  Again, the truth of this statement isn’t the point, especially since I’ve never tasted them so I can’t voice an opinion.  The point I am trying to make is that much of our current health problems with processed foods came from scientists and food manufacturers trying to find ways of making food taste better, be ready faster, and more convenient and presentable to the public.  Reading the reviews for several Paleo friendly versions of foods, I find there are a lot of complaints about ‘texture’ and a ‘strange after taste’ and other ‘aesthetics.’  The Paleo cookie doesn’t taste like a ‘real’ cookie so “save your money!” This is why we have frozen pizza with ‘rising crust’ and deep dish in ‘its own pan’ and it ‘tastes as good as delivery!’  We keep trying to find cheaper, easier shortcuts to get fast flavorful food that tastes as good as the ‘old fashioned’ foods we want.  Why spend most of the day making lasagna at home when we can buy it in a box and have it done in an hour?  So what if it’s full of chemicals and preservatives? It tastes home-made!

For a lot of Paleo, keto and other ‘specialty diet’ followers, including vegetarians and vegans (not all but a lot), their attitude is simply ‘processed food is killing us’ and for the most part, I agree.  One of the reasons I chose Paleo is because it’s real food and it’s real simple.  That is pretty much my criteria when it comes to food and most things I use: the fewer chemicals in it, the better.  This is why I think it’s strange that some keto eaters, Paleo people, vegans and vegetarians will opt for some kind of chemical additive to make non-meat look or taste like meat, make non-wheat/ grain bread look or taste like ‘normal’ bread or make their cheese sauce creamy without adding flour as a binder.  They would rather add something like sodium citrate, guar gum or xanthan gum to make a cheese sauce that tastes like a ‘normal’ cheese sauce.  Reminder here: that cheese sauce wasn’t good for you to start with, so why do you want to eat something like it? These are usually the same people who will tell you that fake sugar sweeteners are as bad for you or worse than plain old sugar and honey, but they don’t see the difference when it comes to switching out flour for ground psyllium husks in bread or tortillas or other low carb swaps to make their favorite non-keto/ Paleo foods.

For me, a big part of eating healthier is eating real food with as few chemicals as possible.  I’m all for a swap when it doesn’t stretch my boundaries too far, so like all things, it’s about limits.  Breading chicken with crushed pork rinds instead of crackers is okay and I’ll even go as far as having a Paleo cookie made with almond flour.  In fact, I recently bought some ‘Paleo cookies’ and the deciding factor wasn’t the reviews about texture but rather the ingredient list: Almond Flour, Raw Unfiltered Honey, Maple Syrup, Pecans, Coconut Oil, Sea Salt, Cinnamon, Vanilla Extract. For me, the flour started as whole almonds that I can toss in a mixer and grind myself.  The same with the pork rind crumbs: I can throw them in a baggie and mash them up myself.  But xanthan gum? Psyllium husks? That’s up there with some of the long unpronounceable additives I find on the Doritos bag and those are big red stop signs to me.  If I have to start shopping in the science department for my dinner, I think I’ll go without.

 

 

 

 

 

 

NO WHINING!! (And No Excuses, Either!)

One of my favorite professors in graduate school was Dr. Doug Taylor.  He was a poetry scholar, both American and British, specializing in John Milton and Walt Whitman.  I took both classes from him and loved every minute of them.  In fact, after his sudden death in my last year of university, our annual graduate journal that year was dedicated to him: the epigraph included the last lines of the last stanza of Whitman’s Song of Myself.  It was my suggestion, as I can still vividly recall him reading those lines to our class.

If you had met him on campus, you would have thought he was a football coach or maybe something like an engineer.  He looked like a real hands-on kind of guy and in fact, he played football at Rutgers.  He definitely didn’t look like the stereotypical poetry professor (that guy taught Chaucer, which I also took… unfortunately.)  Dr. Taylor was perennially popular, mainly for his no nonsense approach.  Anyone who has been in college knows that as the end of the semester approaches and major assignments start coming due faster and faster, everyone- including the professors- start feeling the pressure.  One of ‘signs of semester end’ for those of us in the English department was Dr. Taylor’s “NO WHINING!” sign on his office door.  As each semester drew to a close, the professors would be closeted in their offices reading and grading and reading and grading and they hated to be interrupted, hence Doug Taylor’s sign.  If you showed up at his office door with an excuse about why your term paper wasn’t done or why you tanked the final or missed so many classes, he wasn’t buying it.  You had all semester to get things done and if you waited to the last week and “something happened,” you could take the class over again, take the D or F or apply for an Incomplete.  See that sign? No Whining! It wasn’t a big sign either, less than a quarter sheet of paper, a few inches really, but it got the job done.  He said it; he meant it!

I think about that sign and Dr. Taylor whenever I start making excuses for why I’m not eating the way I should be or why I can’t make my workout or why I need a pass on whatever it is I’m trying to weasel out of.  See that sign? No Whining!  Am I really too tired/ sick/ sore to make it to my workout? If I had to work late and just plain didn’t make it to the gym until the class was over, then yeah, that’s a legitimate reason.  I was doing my job, but because I’m just not ‘feeling like it’? NO WHINING! The same goes for eating junk food: running around town, doing all kinds of errands and now “it’s late and I don’t want to cook so why not stop and get a burger or fried chicken?” Remember Dr. Taylor’s sign? Yeah, so stop whining! You’ve got a bag of salad and roasted chicken at home so put the salad on a plate and stick the chicken in the microwave.  Getting junk food would actually take LONGER!  Even if I didn’t have those things at home, which has happened recently, it takes no longer to get them at a grocery store than it does to go through a drive-thru. Run in, grab them, run out- healthier dinner in the bag!

I can give you the whole “discipline is important” lecture that lots of guidance counselors, study skills teachers and parents like to give, but I found more students responded better to the “habit explanation.”  Most of us live according to our habits, i.e. ‘Auto Pilot.’  We follow the same patterns every day with the necessary detours and when we ‘suddenly discover’ that we are way overweight, we’re genuinely confused. It doesn’t ‘feel’ like we’re eating badly, but when we shut off the Auto Pilot and take stock of what we are eating and what we are doing during a normal week, it can be surprising.  I know that 90% of what I do every day and every week is because I’m on Auto Pilot, and while changing courses on a real airplane’s Auto Pilot is just punching in a few numbers into the computer, changing a human being’s Auto Pilot is a whole lot harder: we have to reprogram our brains by building new habits.

There’s a boatload of books, podcasts, websites and other programs out there to help you build or change your habits.  I heard one the other day discussing our “lower brain” v our “upper brain.” It was full of a lot of technical hoopla but I don’t think he was wrong (It was On Air with Ella episode 139 with Jim Fortin if you want to hear it for yourself.)  For myself, I know it’s hard to learn/ change my habits because they are so firmly ingrained.  The more we do them, the more firmly they are ingrained, so the key is to stop doing them and do something else, and again, the more we do the ‘new habit,’ the more firmly that one becomes ingrained. This is how I can argue with myself during my two hour commute about how ‘my shoulder hurts,’ ‘I’ve got too much to do,’ etc so I should bail on my workout and then find myself turning into my gym’s parking lot even though I have already ‘decided’ not to go. The habit has been entrenched in the ‘Auto Pilot settings’ in my brain, so no matter what my ‘upper brain’ decided, the Auto Pilot ‘lower brain’ did what it wanted to do anyway.

The hard part is getting the new healthier habit entrenched, which means doing it on a regular basis.  This is what makes me think of Dr. Taylor’s NO WHINING! sign. That interval between changing a habit or building a new one is the dangerous ground.  For me, this is where I can actually talk myself out of going to my workout and finding myself pulling into my driveway instead of the gym. So when I start the whining and fumbling around with flimsy excuses, an image of Dr. Taylor’s sign will pop in my head.  Because really, I AM whining.  Eating healthier isn’t a burden or any more work than eating badly, and eating badly has the added baggage of making me feel crappy emotionally and physically, whereas eating healthier is going to make me feel a whole lot better.  The same goes for working out: am I going to feel better after spending an hour working out, or am I going to feel better after spending an hour scrolling through my social media or watching tv? Which of these actions are actual burdens and drains on my time and energy?  So why am I whining? Because it’s the change that’s hard, not the actual new habits! It’s tough reminding yourself: tomorrow is Wednesday, which is a workout day, so make sure you have the gym bag packed and you take it with you and then you have to remember to drive to the gym instead of going home. It’s the same with my cardio class at another place where I need change for the parking meter, so not only do I have to remember all of the above, but I also have to remind myself to get change before I get there! It means we consciously have to pay attention to what we are doing, which actually requires energy.  It’s why some mindset coaches will tell you to stop arguing with yourself or debating your actions, because it wears out your brain and saps your energy.  Those of you who have kids know this: monitoring them is real work! And so is monitoring ourselves! This is what makes building and changing our habits difficult: we have to be watching our thoughts and actions so we don’t slip into Auto Pilot.  Whining about why we can’t build the new habit is more work than actually doing the new habit.

The recent On Air with Ella podcast with Jim Fortin didn’t really tell me anything about changing habits that I didn’t already know, since I’ve spent the last two-plus years building and changing my habits. His advice is to ‘dismiss the urge’ and change your focus to something else.  What works best for me is telling myself simply NO (in the same tone I use for my pets) and moving forward with the new habit.  When I feel the urge to start making excuses or whining, yep! NO WHINING! Getting whatever it is done is a whole lot easier than trying to get out of it, and a whole lot more rewarding.  Just doing the healthier new habit literally is its own reward because we feel better emotionally and physically and we’ve moved one step closer to programming the new setting into our Auto Pilot.

It can be a real hassle to make a new habit, which is why there is an entire cottage built around it, and honestly, I wish I were better at some of my other bad habits… like leaving the dishes in the sink until they smell funny.  (For some reason, Dr Taylor’s sign doesn’t work so good on that one!) We are all Works in Progress, no matter how old we are.  We all have something we wish we did better or didn’t do at all. Maybe putting a sign up over my sink is an idea: NO WHINING!! And No Excuses Either!!

Getting Started: Where Do I Begin?

A friend of mine recently decided to lose weight and eat healthier, and like most of us, she’s a little lost.  She knows what her goal is: being a healthier weight and healthier in general, but as to how to get there? It’s all a little vague. Most of us begin in the same situation.  The goal is usually pretty clear, but the path to take is like finding our way through a maze. Which route do we take and how do we know if we are making progress?

I think she has made a good start: she knows where she wants to go and she has an idea of how she wants to get there.  Although she wants to lose weight, her goal is to be healthier overall, so she began by making some realistic changes.  Instead of changing several habits all at once, she began by trying to eat more fruits and vegetables.  She said growing up, her family didn’t eat a lot of those, so she is making an effort to eat more of them.  She also joined My Fitness Pal and is logging her meals and exercise.  Although she’s just started changing her eating habits, she’s been exercising regularly for about a year now (I met her at the gym) so that habit is already firmly established!

As far as “choosing a diet plan,” she hasn’t really opted for a ‘packaged plan,’ which I think is a good thing.  Too often, I hear people trying to fit their lives and eating habits around the Rules for a diet. This is how people end up malnourished or becoming ill after following Rules carved in stone by someone they’ve never met.  (My all-time favorite is the college student who ‘went vegan’ and ended up almost dying in the emergency room because of B12 deficiency.) I don’t have anything against vegans (my cardio trainers are both vegan) but when we opt for following a way of eating, we need to make sure that it fits our nutritional needs and our own preferences.  I really love grapefruit and cabbage, but I’m sure not opting for the Grapefruit Diet or the Cabbage Soup Diet!

When people ask me if I have a diet, I usually tell them that I do a ‘version of Paleo/ Primal,’ because my ‘rules’ are going to be different from anyone else who also does Paleo/ Primal.  There are even disagreements over how to define Paleo and Primal, so following the rules is a little bit like choosing a religion!  This is why I’ve opted to make my own rules and follow my own version.  What I do may not work for my friend or for anyone else, so while it’s great to ask for advice, if it doesn’t work for you, then what’s the point?

As I mentioned above, my cardio trainers are both vegan and they are big fans of promoting veganism.  It really works for them: they are both healthy and fit 70 year olds (not a typo- they’re both in their 70s!)  Personally, I like eating animal products and I know I wouldn’t be very happy ‘eating vegan’ or even vegetarian!  At the same time, there are a few of my fitness and gym friends who eat keto, which is usually heavy on fat, mainly from animal products.  As much as I love things like butter, bacon, meat and dairy, the few times I’ve tried eating keto, it has not been very satisfying, even discounting carb withdrawal.  I hear repeatedly how healthy vegan/ vegetariansim/ keto are and I don’t doubt they work for a lot of people.  My sister was a happy vegetarian for several years before she opted to change her eating habit again.  None of those really made me feel good, so they’re off my list of eating plans!

My own version of Paleo means mainly whole natural foods as unprocessed as possible.  It also includes dairy (most hardcare Paleo followers insist that Paleo + dairy = Primal). It does not include starchy vegetables, grains/ grain products, cane sugar and some legumes.  Essentially, I started with a basic Paleo framework and adapted it to suit my metabolism and preferences. In fact, when I started, my diet did not include dairy for many months.  Eventually, I opted to include it again although I do think I need to limit it more than I do now.  The point is that the way I eat now makes me feel my best and I am getting the results that I want.

That is how we find the answers to those earlier questions: which route do we take to our goal and how do we know if we are making progress?  If you are feeling your best with your current eating plan and you are getting the results that you want, then that is the route to YOUR goal.  Most of us go into dieting with the general goal of ‘losing weight.’  Weight loss isn’t always healthy!  In fact, when I started losing weight, because I was so extremely obese, I lost a lot of weight in a short amount of time.  When I saw my doctor, her first reaction wasn’t “finally!”; it was “are you feeling alright? are you having health problems?” Rapid weight loss is an indicator of cancer, hormonal imbalance and intestinal/ digestive problems.  It also leads to malnutrition, i.e. the vegan college student with B12 deficiency.  What most of us really want is ‘fat loss,’ not just ‘weight loss,’ and while the distinction is lost on most people, it is an important distinction.  Losing weight can mean losing water weight (and becoming dehydrated) or it can mean losing lean body mass, i.e. losing muscle, among other things.  When the number goes down on the scale, most of us are really happy about it and keep doing what we are doing to keep the number going down.  But if we are doing something unhealthy, then we are only becoming thinner instead of healthier.  My friend made the observation that while most of her family was obese, all the people she knew who were diabetic were thin.  Just as being clinically obese doesn’t equal ‘unhealthy,’ being thin does not equal being ‘healthy.’

Getting the results you want, whether losing fat, building muscle or being fitter, is one way of knowing you are on the right path, but we must also not discount the ‘how am feeling’ part of the answer.  If you are getting the results that you want, like fat loss, but you hate the way you are feeling or eating, then that is NOT the right path for you!  If you hate the way you feel or you hate the way that you are eating, you are not going to sustain it for long. I tried both vegetarianism and keto a few times, and frankly, I hated both ways of eating.  I felt horrible, had terrible cravings and did not enjoy what I was eating. Although I’ve since learned that the cravings and the ‘keto flu will go away, I didn’t like what I was eating and overall, I didn’t like the way that felt. There are days when I eat more to a keto or veggie plan than other days, but those are the exception rather than the rule.  When I opted to include dairy again in my diet, one of the things I watched for was simply “how does it make me feel?”  If it made me feel awful or kept me from making my goals, then I would have kicked it back out again, but the truth is I like cream, butter and cheese and it doesn’t keep me from my goals.

We’ve all done diets where we strictly limit our foods, either the types or the amounts and yes, most of us have lost weight on those diets, but once we stop the limiting, we gain back fat and usually a bit more.  This is why it’s so important that we must enjoy the way that we are eating in order to be successful, otherwise any fat loss is going to be temporary!  Also, what is the point of looking great if we feel miserable?  Remember the last time you lost weight and showed up at a function like a holiday party where everyone commented on how great you look? That felt awesome…. until we reached the buffet table! There was all that food that either wasn’t on our diet or was simply too much! Instead of thinking, yum! what looks good to eat?, we were crying inside because it was all foods we were denying ourselves! I know from experience that situation is no fun at all! I know I don’t want to spend the rest of my life ‘looking great and feeling miserable!’  Even though there are a lot of foods that aren’t on my list, there are a lot of foods that are, and the last time I was at a buffet, there were still a lot of yummy foods that I could and did eat!  It was easy to choose those foods over the foods not on my list because I knew I felt better eating them and I knew I was going to keep making progress!

My friend is still in the early stages of her getting-healthier journey, but as I said, I think she is off to a great start. She is building good habits on a reasonable time line and she is asking herself the right questions. She mentioned it to me because even though she was enjoying her lunchtime salad with leafy greens and chicken, she was still getting hungry before dinner, so she was asking me about options for fixing that.  We discussed adding in some healthy fats (avocado, olives or more cheese) or more fibrous veggies (broccoli, cabbage or kale).  Obviously, what works for me won’t always work for her, but the important points are that you have to eat what you like eating and still get the results you want, because unless you do both, it doesn’t matter what you eat or how much weight you lose.

Flavor Boosters Boost Your Waistline, Not Your Health!

One of the things I’ve been noticing a lot is people complaining about eating healthy because “the food doesn’t taste that good!”  If it’s someone I can respond to, I usually let them know there’s a reason whole foods taste different: it’s because processed foods have been processed full of ‘flavor enhancers,’ among other things.  This is when they ‘boost’ the flavor by filling it full of chemicals, designed to overpower your taste buds and make you want more of it.  This is the manufacturer making sure you crave their product and want to eat/ buy as much of it as possible!

A lot of these ‘flavor boosters’ show up on the ingredients as ‘natural flavors.’  That does not mean that these ‘flavors’ come from food: it just means they are not ‘man-made’ and come from “Nature” whether that can mean it’s something derived from wood by-products, coal tar manufacturing by-products or something else.  It does NOT mean it comes from FOOD!  Seriously, the artificial sweetener saccharin was originally a by-product of coal-tar manufacturing.  Incidentally, that is NOT the reason it’s banned in Canada: the Sugar Industry lobbied long and hard to ban saccharin because of the competition in both the US and Canada.  In the US, they managed to get it labeled as a carcinogen after feeding it to lab rats at mega-high dosages (like it’s all they fed the rats for weeks on end and wow! some of them developed cancer!) If humans ate that much saccharin, they would probably throw up long before they got cancer, the same way we would throw up after eating the same amounts of sugar, if we didn’t fall into a diabetic coma first!

In all honesty, the food manufacturers have a vested interest in keeping you buying their products, so they make the products as enjoyable and addictive as possible.  The more you buy them, the more you want them and the more money in their pockets.  By contrast, the more unhealthy you get!  Processed foods like chips, snack cakes, fast foods and other things that come with an ingredient list, have been tested to determine what flavors light up our brains’ pleasure centers the most.  Taste testers rate the different combinations and additives according to how much they want to keep eating it, the mouth feel, the smell, and everything else that makes food taste “so delicious!”

By comparison, whole unprocessed foods are going to taste different, because they don’t have all the chemicals processed into them.  They haven’t been processed (I think of it as ‘pre-digested’ personally!) so they are going to have a different mouth-feel.  This is the term food manufacturers use to describe literally the way food feels when you put it in your mouth, as in chips should be crunchy but not too crunchy; mashed potatoes should be soft but still have some texture; burgers should be a little chewy; hot dogs should have a little snap to them, etc.  Products are actually tested to see what ‘mouth-feel’ rates highest.  Most of us do this on our own when we make foods from scratch: I like my ground beef to have a little spring in it and not be completely charred; when I used to make mashed potatoes from scratch, I left a few lumps in them because I like to taste and feel the actual potato!  We know how we like our foods to feel as we chew on them!

Whole foods, by comparison, don’t have the chemical additives to boost the flavor and keep us eating more.  So when you’re eating the ground beef burger you made from grass fed beef (hopefully), it only has the flavors and spices you put on it, such as salt, pepper and maybe some onion or garlic powder.  The same goes for the broccoli you steamed yourself, the spinach you sauteed yourself or whatever else you’ve made from whole foods.  It’s not going to have the ‘natural flavors’ or the MSG (monosodium glutamate) unless you put it on the food.  If you’ve been eating mainly processed foods most of your life, like most of us have, whole foods will taste a little bland at first, but our taste buds change depending on what we eat. When we stop eating processed foods in favor of the whole natural foods, we get used to the way they taste, especially once we learn how to prepare them in a way we really enjoy (for me, this includes not walking away from the stove and turning the beef into a charcoal briquet as I usually do!) I like my stronger tasting meats like beef and lamb with a curry powder I mix myself, but milder meats like chicken I usually just roast.  I’ve learned to prepare my vegetables with olive oil dressings or just a little salt and ghee.  It might sound kind of boring compared to garlic mashed potatoes or Kansas City spare ribs from the freezer section or a restaurant, but I know what’s in the food I’m eating, and it’s not ‘flavor boosters’ and chemicals, and that is important to me!

Another way that processed foods boost your waistline is that the chemical ingredients can really mess with your intestinal bacteria (your microbiome).  We in the Western industrialized world eat mainly processed foods.  No surprise there!  But there is a direct correlation between the rise in consumption of processed foods and the rise in metabolic disorders such as obesity, diabetes, heart disease, neurological disorders such as Parkinson’s, Alzheimers, depression, and autoimmune diseases such as multiple sclerosis and arthritis.  There are people who say it’s because we’re living longer and we’re exposed to chemicals in our environment.  Both of those are true, but what is also true is that we are exposed to chemicals in our food, and these are chemical compounds that we as a species have never eaten before and were probably not meant to eat (such as a coal-tar by product like saccharin!)  These additives and preservatives are designed to boost taste and mouth feel, not our health.  They keep us fat and unhealthy rather than promoting good nutrition and healthy bodies.  When did the whole point of eating become satisfying our taste buds rather than fueling our bodies?

These chemicals were never part of the human diet before industrialization, the same way polyunsaturated fatty acids (PUFAs), what Dr. David Perlmutter calls “factory fats,” were never part of the human diet.  Because they are ‘derived’ from a plant product or ‘Nature’ they are allowed to be called ‘natural,’ but they are not naturally occurring in nature the way an olive, an egg, a fish or a cow are naturally occurring.  These are foods humans and other animals have eaten for millenia and are pretty much recognized in all societies as something to eat. Monosodium glutamate, cottonseed oil and disodium phosphate, not so much! (Incidentally, cottonseed oil has to be processed to make it edible.  That’s really something I don’t want to eat!)  Most of these PUFAs are also high in omega-6 fatty acids which are pro-inflammatory and unstable.  They are not fully metabolized by the body either and those unstable fats become a part of every cell in our bodies!

Besides the fact that most processed foods are full of pro-inflammatory “factory fats” that really mess with our absorption of healthy omega-3 fatty acids, they are also full of highly processed carbohydrates that spike our blood sugar.  This is why I usually refer to processed foods as ‘pre-digested.’  The foods have been broken down into the simplest compounds possible for fast easy digestion in our system, so the corn chips we ate 20 minutes ago are already metabolized while the cabbage we ate an hour ago is just getting there. Processed foods have almost no fiber, fewer vitamins (unless it’s been fortified and had them added back in) but are full of quick carbs, artificial flavors, preservatives and unstable factory fats.  When these products hit our microbiome in our small intestine, the beneficial bacteria that break down our food so we can absorb it usually take a hit in that the fiber that some of them eat isn’t there, while some of the chemical ingredients are toxic to them. Remember the last time you tried a new food and it sent you running to bathroom and/ or kept you there for the next couple of days?  That’s your microbiome telling you that food didn’t agree with them! More and more health professionals are realizing that an unhealthy microbiome leads to more than just digestion problems: they are making stronger connections to a lot of the diseases mentioned above like Alzheimers, ADHD, MS, arthritis, diabetes and others.  Many of what we used to think of as ‘brain-only hormones’ like serotonin, dopamine and tryptophan are linked to our microbiome: the same microbiome we are attacking daily with processed foods full of chemical flavor boosters!

Realistically, no one is going to eat something that tastes bad, but we forget that our tastes change over time. As a child, most of us made a face the first time we tasted beer or coffee or blue cheese, but as adults, we’ve learned to like those things.  We refer to them as ‘acquired tastes.’  Maybe it’s time we ditch the kiddie junk food in favor of a healthier subtle but sophisticated palate of whole foods?

Try It! You’ll Like It!

In my last post (“Getting Out of Our Own Way”), I made the comment that we will never succeed at anything if we don’t try.  Most of you who read my blog know that I am a hard-core TLC addict, mainly My 600 lb Life.  A lot of my family and friends don’t understand my addiction to the show and I usually quip that it’s my version of a 12 step meeting.  They think I’m joking but I’m not.  I came way too close for qualifying as a patient on that show, but more importantly, I keep learning things from it and it reinforces the positive changes that I’ve made in my life.

Sometimes, though, the patients are as irritating as all hell and one of the things that irritates me the most is when they whine and cry about how they “can’t,” as in they can’t walk, they can’t stand up, they can’t exercise, they can’t ‘insert basic human function here.’ (Yes. They cry.) They can manage to get to the kitchen for the ice cream, even though they are too big to fit in the front seat of an SUV.  They can’t eat healthy but they can sit on the sofa and make the meatloaf and mashed potatoes for someone else to finish on the stove.  They can’t bathe themselves but they can have someone set up the deep-fryer next to their bed so they can fry up some crab cakes for their po’boy.  I think it’s a matter of motivation and determination: if you want it bad enough, you will put in the effort! As Dr. Nowzaradan says in the intro to the show: “if you were serious, you’d make changes.”

There will always be a reason not to try something: fear of failure; fear of looking stupid; fear of not doing it right.  I mentioned some of these in my most recent post.  They are all legitimate fears.  As my mom rightly pointed out, no one likes to be laughed at or made fun of.  (I personally subscribe to the Dr. Seuss philosophy: “be who you are and say what you feel because those who mind don’t matter and those who matter won’t mind.” Not everyone is as thick-skinned and b*tchy as I am, however!) At the same time, if you let your fear dictate your boundaries in life, what are you left with?  Usually, not a lot!

For a long time after I started losing weight, I didn’t want to exercise.  I was afraid it would hurt; I was afraid I wouldn’t be able to do it; I was afraid I would injure myself.  Eventually, I realized that I didn’t know if any of those were true because I didn’t try.  So I went down to the gym and used the treadmill, which did hurt my knees (thank you, arthritis!), and my doctor told me to use a pool instead.  So I switched gyms, and one day when I went to the pool, I discovered there was a water aerobics class going on and the instructor invited me to join in! And it didn’t hurt and it was fun and I’ve been going twice a week since.  In fact, taking the water aerobics class gave me the confidence to try a regular aerobics class.  (Building confidence is another benefit of trying new things.) I signed up for an aerobics class at the local junior college. FYI: both instructors are in their early 70’s, so no excuses about being old!

This class is little more challenging than the water aerobics and there are some days I come home from the class sore and exhausted.  There are a lot of exercises that I’m not good at and are frankly just too hard for me.  Correction: they are too hard for me right now, but I keep trying.  I keep showing up and I keep working at it and I am getting better. There are exercises that I couldn’t do when I started the class that are easy now by comparison, and at the last class, I did something I haven’t been able to do since I started the class nearly a year ago: I could balance on one leg.  That may not sound like much, until you try and fail. I try every time and until last night, I was never able to do it. Frankly, it is a little scary thinking you might fall and hurt yourself.  That’s how I shattered my wrist fifteen years ago (I had to get hardware installed- ugh!) There are some students in the class who move off the wrestling mats to balance, but I stay on the mats because if I should fall, I’d like some padding! The instructors are really good about telling us not do something if it causes pain and if we need to take a break or modify the exercise to do so; do what we can to the best of our abilities, and I think they are right to do so, but I also think they are right in encouraging us to keep trying.  I could have told myself that I can’t balance on one leg and I shouldn’t try because what if I fall and break another bone? I could have just said: can’t do it-don’t try! But I keep trying it every class.

I’m not trying to pat myself on the back and say: “whoo hoo! look at me!” Because really, balancing on one leg is something most three year olds can do, and pretty much anyone else who’s not as out of shape as I am.  We do push-ups every class and I’ll probably never manage those on my toes- or my knees for that matter, but that doesn’t mean I won’t keep trying.  Who knows? Maybe one day I’ll surprise myself and manage to do those too!

The point is that so many of Dr. Now’s patients keep claiming they “can’t!” It hurts to walk; it hurts to stand up; it hurts to exercise- blah blah blah! Stop complaining about what you can’t do and do what you can! (Oops!… did I really just type that??) There are a lot of people who just learn to live with limitations because they have actual incurable physical handicaps, such as spinal cord injuries, MS or other conditions that limit what they can do.  When I listen to patients on the show talk about being ‘trapped in a bed or a room’ because of their weight, I get impatient with them. When they show up at Dr. Nowzaradan’s office, he usually asks them “what is your highest weight?” and they usually say “this is my highest weight.” It took me a while to figure out why he asks that question: he wants to know what improvements they have tried, and a lot of them haven’t tried anything.  It’s not that I am unsympathetic, but no one forces you to eat 10,000 calories a day.  To gain weight at 500 lbs, you have to eat about that much.  In actual food, that’s three sourdough jack burgers, three large fries, six regular Jack in the Box tacos, three McDonald’s hot cakes and sausage breakfasts, and three servings of Olive Garden lasagna.  Every day.  That’s approximately 10,065 calories, and if you weigh about 500 lbs, eating anything less than that means you lose weight. I also understand that for many people, the biological urge to eat is usually triggered by a psychological stressor.  I know that one all too well! Eating is a comforting distraction and the more stress you feel, the more you want to eat, and there is also the physical addiction to the fast starchy carbs aka bread and sugar.  I have struggled with all of those!

I also know if you don’t try, you won’t make progress! Weight loss is like any other new skill: it takes time and practice to learn it and get better at it.  That means you have to keep trying even when you screw it up. There aren’t “Calorie Gremlins” that appear while you’re sleeping and stuff cookies, burgers and milkshakes down your throat.  They don’t tie you to the bed or the chair and force you to stay immobile. The pain that comes with being super morbidly obese is mental, physical and spiritual, but even though this is where you are, the only thing keeping you there is you. I’m not accusing people of quitting or being lazy or even being afraid of failure. I’ve done all those things and I’ve been the one saying “it’s too hard” or “it hurts too much.” Those were the choices I made and I had to live with the consequences for most of my life.

I remember how much it hurt to walk when I weighed 438 lbs.  It hurt to walk, it hurt to stand, it hurt to sit for long periods. Laying flat on my back was a little scary: am I going to stop breathing if I fall asleep? I remember how embarrassing it was buying clothes and being afraid of ripping out the seams in the clothes I still had.  I hated how the hems of blouses and t-shirts would roll up my hips and butt because they didn’t stretch that far. I listen to these patients and I know their pain and embarrassment. I’ve also been the subject of snickers and rude comments from strangers and co-workers.

Changing is really really hard, even after you’ve had some practice at it.  It gets so frustrating, you want to give up and cry. But if you give up, if you don’t even try, you’ll never know what success you can achieve.  As sad as it is to fail, it’s sadder still to never try.

Getting Out of Our Own Way: Imperfection Does Not Equal Failure

We’ve all heard that we are our own worst enemies, and we also believe we are pretty good at sabotaging ourselves when it comes to our goals.  We usually acknowledge when these things happen: the cookies are too tempting; the cheesecake looks amazing; we’re tired and Taco Bell is right there.  Most of us will acknowledge we gave in, even if we do try to shift the blame to someone or something else.

The real problems come when we are sabotaging ourselves and don’t know we are doing it.  I know there are fitness coaches who don’t like the word ‘sabotage.’  The internet defines it as “deliberately destroy, damage, or obstruct (something), especially for political or military advantage.  Synonyms: vandalize, wreck, damage, destroy, cripple, impair, incapacitate.”  I think that pretty much covers it!

Some of these coaches say that sabotage is the wrong word because we really want our goals and we aren’t trying to destroy, damage or obstruct ourselves, nor are we trying to impair, cripple or incapacitate ourselves.  I think that’s a gross generalization.  I believe while on one level we really think we want our goals, on a deeper level, we may not.

I don’t mean to say that we have some kind of split personality or that we really hate ourselves and want to be fat or unhealthy, but there’s often a sense of safety in the devil you know.  You can’t fail if you don’t try, and when you leave the safety of what you know, who knows what’s out there? Many of us are familiar with the Tolkien quote: “it’s a dangerous business, Frodo, going out your front door.” While most of us don’t live in Middle Earth and have to worry about trolls and orcs, we do tend to worry about eating the wrong things or even too much of the right things.  We worry about making mistakes or failure, and we put tremendous pressure on ourselves to be perfect, because for most of us, imperfection equals failure.

I’m reminded of a scene from The Simpsons, where Homer is giving Bart some ‘fatherly advice’ about trying and not succeeding.  When he’s done, Bart quips: “Can’t win- don’t try! Got it!” This is what a lot of us have internalized, whether we’re aware of it or not.  I know I did: “I’d have to lose about 300 lbs to get anywhere near a normal weight! There’s no way I can do that!” Can’t win- don’t try! Don’t try- can’t fail! It’s the same philosophy: “I’m not a failure because you have to attempt it in order to fail. I’m staying in my safe fat comfort zone.  I know what it’s like being fat and if I’m not happy with it, at least it’s the devil I know. Losing weight is too much hard work and I know I’ll never be perfect at it.”

But perfection is not required for health, fitness or weight loss: improvement is all that is needed.  When we hold ourselves to impossible standards, even though we may think we are working towards our goals, we are actually getting in our own way and essentially sabotaging ourselves.  We plan out a ‘perfect week’: this is what I’m eating, these are the workouts I’m doing, I’m going to drink this much water and get this much sleep,’ and so on and so on.  We have all our little ducks nose to tail when we go to bed Sunday night! But on Monday morning, Real Life happens and somewhere along the line, our little ducks start wandering everywhere they are not supposed to be.  Our beautiful plan goes out the window and we begin beating ourselves up because “we failed!”

Seriously, though, we haven’t failed.  A few weeks ago, I did a post about community and how we are all connected to everyone else in our lives.  We have a similar connection with everything else that goes on in our lives because we don’t live in a vacuum.  We can make all the plans we want, but unless they account for everything that can possibly happen (work meetings, school functions, family celebrations, etc), there are going to be adjustments to those wonderful Sunday night plans.  This is why improvement is all that’s required and not perfection! We can plan to make dinner and even have all the groceries ready at home, but then there’s an emergency at work and by the time we get home, our choices are making the dinner we planned and eating at 10:00 p.m. or we can get something already made and eat earlier.  This is where we make an improvement (getting rotisserie chicken and a bag of salad) or we give up (get fast food).  The chicken and salad might not be the wonderfully healthy dinner you had planned, but is it still an improvement over what you used to eat? Even if the answer is no, it’s still an improvement over the fast food. You make the better choice and you still win!

This is why so many of us don’t want to try.  We want to be healthy, but we don’t know what’s out there and because our perfect plans can never be executed without adjustments, we tacitly accept ‘not trying’ or giving up repeatedly.  We think we don’t know how to do it, and rather than admit we don’t know what we’re doing or even that we’re just plain scared of failing/ screwing up, we accept the status quo, no matter how unhappy and unhealthy we are.  Change is scary.  Trying something new is scary too: what happens if I don’t like it or I’m not good at it?  What if I’m doing it wrong?  The last one is one that comes up a lot. So many of us are afraid of ‘not doing it right,’ whatever ‘it‘ is.  The truth is that there are no hard and fast rules for how to be healthier or fit or to lose weight. All we can do is the best we can, every day with every choice.  That’s as close as it comes to having a rule set in stone.  That’s as perfect as we can be, and as long as we keep trying every day, we’re succeeding.  I know it sounds like a cop-out answer, but what works for me may not work for you and what works for me now may not work two years from now.  You don’t know until you try if you will like it, be good at it or succeed.  However, I can guarantee you this: you will never succeed if you never try. 

 

 

 

 

 

 

 

Wait a Minute! This is Hard Work!

One of the most ridiculous statements I’ve ever heard about losing weight came from a patient on My 600 lb Life: after gastric bypass surgery, she was recovering in the hospital and the orderly brought in her lunch.  It was the 1200 calorie bariatric diet, which she was not pleased to see: “No one told me I would have to lose weight after I got here!” Okay, so that magic surgery you had is going to melt off all that fat from your body while you continue to eat whatever you want as much as you want?? Dang! Sign me up for that procedure! What an idiot I’ve been doing this the hard way- being more active, eating more healthy nutrient dense foods and less of the processed sugary carbs! Wow! If I knew I could eat all the bagels, bread, cookies and ice cream I wanted and still lose weight, I’d’ve done it years ago!

So would everyone else who’s overweight! But the reason there isn’t a waiting line going around the block for gastric bypass is because it’s not a ‘magic surgery.’  Procedures like gastric bypass, gastric sleeve and the lap band only limit how much you can eat at one time; if you want to eat constantly all day, you can still do it, and the surgery has no effect at all on what you choose to eat. Sorry! Not magic!

Since there isn’t a magic pill (or surgery), that pretty much leaves the hard way: eating healthier foods, being more active and not eating the junk that we’ve learned to love! It’s definitely work and it certainly is hard getting started.  But here’s the trick that usually gets overlooked: the longer you do this, the easier it gets!  It’s like learning anything new- it’s tough at first, but the more practice we have, the easier it gets.  I was thinking about Shakespeare recently (the cost of being an English major!) and about the graduate course I took about his plays.  The professor began with Titus Andronicus, a lesser known, seldom performed play of The Bard’s. Odds are unless you are another English and/ or drama major, you’ve not heard of it.  Why? Because it stinks! In fact our class referred to this play as “Texas Chainsaw Shakespeare” because it was the equivalent of an Elizabethan slasher film, full of rape, murder and mutilation! The professor wanted us to realize that everything Shakespeare wrote wasn’t golden and like everyone else, he began at the bottom.

When we start weight loss or fitness or even just making healthier changes, it’s hard at first because we are also starting at the bottom.  We can really screw up at times and it’s not because we’re failures- it’s because we’re beginners! Yes, learning new things is hard and it takes time and it takes practice, but the more we work at it, the easier it gets and the better we get at it.  I’m sure Shakespeare wrote a lot of crappy plays that no one ever remembers and were probably burned, but the fact is he’s still popular four hundred years later (as evidenced by TNT’s Will) because he didn’t give up.

The particular patient referenced above lost a grand total of about 30 lbs after her bypass; her weight was about 490-500 lbs at the end of her second year.  She was still confined to a wheelchair.  The same night I watched her episode, I watched another: this patient was a man about 10 years younger but weighing 200+ lbs more (777 lbs).  At the end of his second year, he weighed about 350 lbs.  They had the same bypass; they had the same opportunities for physical therapy and nutrition changes.  In fact, the same nutritionist visited both of them.  The difference was attitude.  Both of them were frankly stymied when it came to making changes to their eating habits, and the nutritionist gave them the same information, but their attitude made all the difference.  When we are learning something new, most of us go into with an open mind and an optimistic attitude: we want to learn how to do something, so we are open to learning.  The woman (Penny) did not want to learn how to make changes and most importantly, she did not want to change, so she didn’t make the changes and in fact told her husband the nutritionist was full of BS.

The man (Joe) listened to the nutritionist, and after meeting with her, he went to the grocery store to buy foods that she had recommended.  He made the changes and lost the weight.  While Penny complained that she had not gotten the ‘appropriate tools’ or a ‘specific diet’ and continued eating whatever she wanted and not losing weight, Joe didn’t complain and did the hard work.  Yes, he acknowledged it was hard and he even had doubts that he could make it, but instead of making excuses, even when he failed the first time, he modified his approach, listened to the nutritionist and was successful.

The point is that we can look at weight loss and fitness/ improving our health as hard work, with a lot to learn and a lot of new (and probably difficult) changes we need to make.  We need to rearrange a whole bunch of things in our lives and if we have a family to care for, there’s probably also going to be a lot of strife. We can complain that “no one told us this was going to be so hard,” or “no one said we had to make XYZ changes,” and we can complain 24/7 if we want, but all of that complaining and all those excuses aren’t going to help you lose weight.  You can look at this as a problem, or you can look at it as an opportunity. Every time we try something new, it’s going to be hard and there is a learning curve involved.  We can look at it as something insurmountable, or we can look at it as a challenge. It’s okay to admit that it’s hard: that is a fact of life, but your attitude affects how you approach it and ultimately, how successful you are.  When you make the most of your opportunities, you grow as individual but when you complain that life is unfair, you get to stay in the same place you don’t want to be.  Be open and be willing to learn or what’s the point in trying?  You make all the difference here.

My Body- My Way! Even If It’s Not Working?

For most of our lives, we were taught to listen to the doctor or the health professional because he/ she knew a whole lot more than we did.  This practice got a lot of us in all kinds of health trouble.  We took medications that made us feel weird or caused more problems because “the doctor said so.”  So the new trend became “listen to your body” and we started taking our cues from ourselves, and while I think that’s a step in the right direction, listening to our bodies can sometimes get in our way.  Ideally, the better way is somewhere in between.

I am very lucky in that I have a doctor I can trust and who listens to me.  That last part is very important.  While most of us trust our doctors (at least until they give us a reason not to trust them), if your doctor isn’t listening to your feedback, I really think you need to find a new doctor.  It really is a back and forth situation: you tell the doctor what your symptoms are, and she makes a diagnosis and prescribes a treatment.  If the treatment isn’t working or causes additional problems, you need to let her know that.  Sometimes the response might be “give it a little time” and sometimes the response is to try another treatment.  I’ve had a variety of  these responses from my doctor.  She prescribed a medication and the side effects are bothersome but not terrible: “give it some time.”  It’s still bothersome: “let’s try something else.”  Recently, I stopped taking my blood pressure medication because I was getting light-headed when I stood up.  My doctor had told me that because of my weight loss, my blood pressure was dropping closer to normal and I might not need it much longer. I was a little skeptical since hypertension runs in my family (along with myopia and astigmatism), but sure enough, once I stopped taking the medication, the light-headedness went away.  I emailed her and when I went in recently for my regular check up, my BP was normal after being off the drug for about a month.  “Don’t take it anymore.”

This is an good example of me listening to my body and my doctor listening to me. It means we all have to communicate and listen, and sometimes it’s hard to do and sometimes it’s a pain in the butt.  It means I have to pay attention to what’s going on with me.  Sometimes it’s something easy like standing up after adjusting the strap on my sandals and the room starts spinning- “okay, that’s not normal!”  Other times, it’s less obvious, like feeling bloated after drinking coffee.  Because there’s usually some time between drinking the coffee and the after-effect of feeling bloated, we might not make the connection.  This is where it can be a pain in the butt: when we notice we’re repeatedly not feeling right but the cause isn’t immediately identifiable, we have to do a little investigating. This is where a food journal comes in handy. I don’t use it for counting calories, but I do keep track of what I eat, when I eat and how I feel throughout the day.  That way if I’m always starving or always feeling full or just feeling ugh, I can look at what I’ve eaten and see if there’s a correlation.  I know I can eat a handful of nuts and still be hungry an hour later while eating an avocado is more satisfying.

The other half of this equation is to talking to the doctor.  Emailing her and letting her know that I’ve been light-headed and stopped the medication is also important.  If I hadn’t listened to my body and kept taking the pill, low BP is just as bad as high BP.  Aside from passing out and possibly injuring myself, it causes damage to the organs and brain (blood and oxygen are kind of important!) If I hadn’t told her I was feeling light-headed, she might not know I have a problem and tell me to stop the medication until I showed up in her office and she took my pressure.  Even then, it might not have been immediately apparent.  Doctors are people and sometimes things get missed even by the best.  This is where you need to ask questions and be your own advocate.  Not too long ago, there used to Public Service Announcements (PSAs) showing people asking a jillion questions about the special at the restaurant, the mileage on a new car, the minutes on a phone plan and then showing up at their doctor: “any questions?” “Nope!” The point was we interrogate people about everything except what’s really important.  One of my friends lost someone really close to her because her family member would not ask the doctor questions regarding her diagnosis or treatment.  Even though her condition continued to deteriorate and her family pushed for answers, she never questioned the doctor or the treatment, until it was too late.  By the time she started demanding answers, the cancer was too advanced.

I actually lean the other way: I can be a real pain in the butt to the doctor, asking about diagnosis, medications and treatment options.  When I broke my arm and leg several years ago, I was sitting in the ER listening to the doctor explain everything to my mother the former nurse in medical jargon (I was 30-something at the time!) and I interrupted him with an emphatic “NO.”  He looked at me like I had two heads and despite my mom’s trying to shoo him out the door, since I was the patient, he had to listen to ME. All I wanted was for him to explain the procedure to me since I was the one who was going to have surgery! Once he did, I had no problems with his treatment, but too many people sit there and let things be done to them that they don’t understand.  I think that PSA makes a good point: we need to be savvy health consumers too and if your doctor isn’t listening to you, find one who will!

Aside from not asking health care professionals enough questions, we also have a problem with not listening to our bodies.  Sometimes this is because we aren’t paying attention and sometimes it’s because our body is giving us an answer we don’t want to hear, as in fitness and weight loss.  We plug our numbers into an online calorie calculator and we get a number, which may be too high or too low for us.  Usually the problem with being too low is that we have to limit ourselves to 1500 or 1200 calories a day when we’ve been eating around 2500 or so.  Sometimes the number is too high because we’ve overestimated our physical activity.  Incidentally, just because XYZ is a ‘great exercise,’ it may not work for you. Everyone says walking is a great simple exercise that ‘really works!’  Maybe it is, but walking on a treadmill is agony for my knees after about 20 minutes! This was obviously not the answer I wanted and when our body fails to give us the answer we want (usually losing weight), we usually choose the answer we want instead.  When we feel hungry and low energy with a low calorie limit, we think it’s because the number is too low, so we move it up to a number we like better, even if it’s too high for us to lose weight.  (You don’t need to starve but you do need a calorie deficit.) Sometimes if we’ve been told to avoid certain foods rather than pay so much attention to calories, we do the same thing: I feel so hungry/ low energy and these foods make me feel better! I remember hearing one of the patients on My 600 lb Life actually say: “I can’t function without won tons!” Like so many of us, she had fooled herself into believing that she knew better because ‘I know my body!’ (Incidentally, she only lost approximately 30 lbs, leaving her weight about 500 lbs the last time I saw her.) While I don’t doubt that most of us know our bodies better than most doctors when it comes to some things, there are times to defer to the doctor! The broken arm and leg incident is a good example: the hospital staff kept trying to stuff pain medication down me, but my pain was manageable.  I could do without the meds as long as no one was touching my wrist.  Once they started to set it, they strongly advised to me to allow the medication, and I deferred to them.  I may know my own body, but as for setting a shattered wrist? I don’t think so!  When you try something your way and you keep not getting the answer you want, it’s time to listen to the doctor. For years I followed the FDA’s guidelines and made sure I stayed low fat and high carb, which kept me fat no matter how little or how much I ate of them.  So even though I felt fine in that I wasn’t ‘starving or low energy,’ the rest of my body was dying under my weight! But doing the same thing over and over and expecting a different result each time is the definition of insanity!  Time to listen to a doctor! I chose to listen to Dr. Nowzaradan, who puts his patients on a low carb high protein diet.  After a few weeks of that, I was losing more weight faster than ever before, I wasn’t hungry all the time and the rest of my body was beginning to recover. I have never met the man, but his specialty is bariatrics and it was clear my way wasn’t working! It may be ‘my body,’ but ‘my way’ wasn’t getting me anywhere! Sometimes we need to listen to our bodies, even if we don’t like what they are saying.

 

 

 

 

 

 

 

Watch Where You’re Going! Looking Up From Our Devices

This one probably sounds like it’s got nothing to do with weight loss, but our devices are insidious little creatures that really eat at different aspects of our lives.  Our health is just one of those things that slowly gets ground up by them.

Recently, I’ve been seeing a lot of commercials that involve the family piled in the car and everyone is wearing headphones staring at their devices.  I heard a recent podcast where the two hosts were sharing an Uber with another woman who was too busy swiping on her dating app to look up at the two eligible young men in the car with her.  Myself, I’ve seen scores of men and women walking along the street, in the gym or in the stores, headphones attached, eyes glued on their devices. I really don’t need to tell you this is unhealthy behavior.

For starters, it’s just not safe to be walking through traffic and not paying attention.  That falls under the “Duhhh!” category.  You don’t even have to be plugged into your phone to do that: I was recently driving up the side street to our parking lot when a gardener with his blower on and his earplugs in stepped backwards WITHOUT LOOKING into the street! He nearly hit ME because he was not paying attention! I’ve seen so many pedestrians crossing streets without looking, run into people and things on the sidewalk because their eyes were glued to their phones. I can’t begin to count the ways you can be hurt doing that!

The one that really makes me laugh is when they are doing it in the gym.  Where’s the logic in that?: Hmm, let’s go work out and spend an hour sitting in the lounge not working out because I’m glued to my phone! Granted, I see lots of people busy on the machines, weights and treadmills with their headphones attached as they are working out, and I think that’s great! If you’re taking your phone to the gym, that’s how it should be used, but sitting around in the locker room, the lounge or out front doing nothing but texting or swiping over and over again is a waste of your gym time.  Unless you’re trying to find out where your gym buddy is (and how long does that take?), you’ll have spent an hour in the gym sitting around doing nothing! A good healthy use of your time? Not hardly!

The one that really bugs me is when the families are in the car and everyone is doing something on their devices: “let’s get together and ignore each other as a family!” Really, people? I remember when car makers began putting DVD players in the cars so the kids/ people in the back could watch a movie on the way.  I remember thinking then that was not a good idea.  Parents love it for one simple reason: “are we there yet??” Yes, it puts an end to whining and complaining, but it also kills any family interaction. When we used to take car trips (way back in the Olden Days), we used to listen to the radio and sing along badly; we’d play games like License Plate Alphabet or Landmarks.  Maybe it wasn’t as exciting as watching the latest Fast & Furious or playing Candy Crush or whatever on your device, but at least my family spent some time talking to each other.

This might seem like it doesn’t have a lot to do with weight loss, but it’s part of our overall health.  Sitting around at home, in the gym or wherever, while you’re glued to your device isn’t healthy because #1) you are sitting!  Even if you are walking in traffic, you might be walking, but you aren’t looking where you are going!  #2) That bent over posture isn’t healthy: your neck and shoulders are rounded and it limits your ability to move (don’t believe me? Read Kelly Starrett’s Deskbound: Standing Up to a Sitting World!) Our devices are destroying our mobility.  #3) The artificial blue light emitted by those devices are playing havoc with our circadian rhythms.  We are up all night scrolling through Instagram instead of sleeping and when we try to sleep, we are lying there awake because we’ve wired up our brains. Our body is interpreting the blue light as daylight, so it’s time to be awake, even if it’s 3:30 a.m.  Our brains think it’s daytime when humans should be awake.  #4) We are sacrificing our human interactions and relationships.  When is it better to meet people via an app instead of interacting with real live people? Again, there are the half-funny commercials where family members are texting each other across the breakfast table. They are only half funny because people really do it: let me send you a text instead of actually talking to you, even if you are in the same room with me!

The cumulative effect of too much device-focused living is becoming more and more apparent.  The obesity and lack of mobility is what most people think of: we are out of shape, unable to do simple physical activity and the physical stress of sitting with rounded shoulders and repetitive stress injury on our hands and wrists is showing up in younger and younger patients.  Not to mention the PSA (public service announcements) directed both at drivers and pedestrians about watching out for the phone-focused person on the street and in the car! Again: “Duhhh!” category!  We are chronically sleep deprived because we are too busy binge-watching, streaming something, Facebooking/ Instagramming or playing games instead of sleeping.  The lack of sleep takes a toll on the brain and the body: we have chronic brain fog, inability to focus and fall asleep at our desks because we were too busy watching silly cat videos on YouTube.  (I love a cat video as much as the next person, but at 1:00 a.m.???) Human interaction seems like the least important aspect: “But I am making contact with other people through my phone!”  I’m sorry but that is not actual interaction- you are interacting with a device! We are becoming increasingly isolated and humans have developed as social creatures.  Biologists have noted that animals that are social creatures, such as birds, primates and canines, feel stressed when they are isolated.  They will bond with other creatures in order to secure that feeling of being part of a group. (Check out all of those funny animal friends videos- that’s why they’re together!) As a college student, we watched the video of the baby chimp in the enclosure with two fake mothers: one was a wire framework with a bottle of milk attached and the other was a wire framework covered in fur.  The baby chimp spent all its time clinging to the fur covered mother and only went to the milk-mother when it was hungry.  Honestly, it broke my heart seeing that poor baby missing its mother.  We are not so different: being alone stresses us as social creatures.  We need actual interaction that involves hearing, seeing and touching!  (Robb Wolf brings this up in Wired to Eat.)  I admit that I am also not good at this: I am well aware that relationships are a major stressor for most people, including me!  I substitute a lot of my human interaction with my pets (natural stress relievers).  Although I do make a point of spending time with the people who are important to me (and NOT via the phone/ device), I also spend a lot of one on one time with my pets. In fact, my pets are pretty good at shoving the device out of my face so I can pay attention to them! When they do, I put the device away.  After all, they did ask me nicely!

I know this seems like a bit of a rant, but when we are stressed, not sleeping and certainly not being active, do you think we are losing weight and eating healthy? Nope! Do you think we are making good food choices when we are exhausted, stressed and feeling cruddy? Also, nope!Our body interprets the stress and the lack of sleep as an emergency situation and we are not burning fat, but storing it instead! It’s a simple fix: put the device away at certain times of the day, like being in the gym or before you go to bed or frankly, just turn it off at dinner and leave it off so you can spend time with the family, wind down and get some sleep! You can binge Breaking Bad together another time! Instead, spend some time with the real people in your life!