Monday, March 31, 2008
Body Composition
The most dangerous fat is visceral fat, or the "beer belly". Fortunately, it's also the most responsive to lifestyle changes.
The strategies I recommend all have one thing in common: they work to restore insulin sensitivity. This will not only improve body composition, it will normalize your metabolism on a fundamental level, reducing the risk of all the common chronic diseases. I may cover these topics again in more detail at another time.
1. Carbohydrate restriction. This is by far the most effective way to improve body composition. It will even benefit people who are already profoundly insulin resistant. Eliminating grains, legumes, potatoes and sugar is the simplest and best way to do this. That includes wheat, corn, rice, beans, oats, honorary grains like buckwheat and quinoa, and especially their derivatives. Carbohydrate is not the devil, but restricting intake to moderate amounts from vegetables and fruit is ideal for someone trying to lose weight. I think starchy root vegetables, soaked or sprouted legumes and soaked, sprouted or fermented non-gluten grains are OK for people who already have a healthy body composition.
2. Exercise. Our hunter-gatherer ancestors had a word for exercise: "life". Exercise helps improve insulin sensitivity by increasing the muscles' demand for fuel. It also builds muscle mass. Any exercise is great, but the best kind is brief and intense (anaerobic). This includes sprinting and brisk weight training. It's more effective than jogging at improving muscle mass, decreasing fat mass, decreasing insulin and improving other markers of metabolic health. Chris at Conditioning Research covers this topic regularly. Traditional sports like soccer and basketball are effective because they have anaerobic and aerobic components. Even walking up stairs or down the street have measurable health benefits, however.
3. Intermittent fasting. This is very effective at improving insulin sensitivity and body composition. IF isn't starvation; it simply postpones calorie intake. Nor is it unhealthy. In fact, it's probably closely in line with the variable energy intake to which we are fundamentally adapted. My method is one 24-hour, water-only fast per week. No juice; that defeats the purpose. If you have elevated insulin like most people, it's best to get into IF gradually. Try skipping breakfast first. If you can skip breakfast and lunch, you've completed a 23-hour fast.
4. Lose the soda! Soda and other sweet foods are the enemy of body composition and general health. Fructose, found abundantly in high-fructose corn syrup, table sugar and agave nectar, seems to have a particular talent for causing insulin resistance. It's rapidly converted to fat in the liver, which is partially stored on the spot, and partially exported into the bloodstream as triglycerides. Diet soda isn't much better. It's been associated with weight gain in humans, and actually causes weight gain in rats. Normalizing insulin through carbohydrate restriction and fasting reduces cravings for sweet foods. A moderate amount of fruit is probably fine.
Bring on the Cookie Monster!
Walking the Weight Off
She's written a book about her experience; Commit To Get Fit: The Secret to True and Everlasting Weight Loss
Sunday, March 30, 2008
At sabotage point
Weight 16 stone 2 pounds and holding...
The time has come, and I am now sabotaging my weightloss. I am doing it consciously.
I get to this point on whatever diet I am 'doing' where I decide I just cant take it any more.
Admittedly, there are quite a few things going on right now that could also be making me revert to type, but I also feel that this particular weight is a point I don't believe deep down that I will ever break through.
I spent ALL of today in bed. ALL DAY! At 2pm I had a glass of squash and 2 weetabix. I then went back to sleep. I got up at 6pm and drank the cold coffee that was at my bedside which had obviously brought in by DH earlier to tempt me to get up.
Then I made dinner for DS and also for myself. I made some spinach and ricotta tortellini and topped it with some puttanesca sauce that I had frozen from a couple of weeks ago. I managed to eat half of the plate.
Then I later had another glass of squash.
Good day so far... then I started looking at the web at pictures of Stoma's and illiostomy bags and all kinds of stuff about colorectal cancer and other peoples stories.
FUCKING MISTAKE
I grabbed a box (!) of toffifee that Carina's Mum had sent to us in a big parcel full of goodies in a 'Thank You for having my daughter and looking after her' gesture.
Each toffifee is 45 calories. I ate 13. do the maths.
I then went back to the cupboard about half an hour later and grabbed bag of Lindt Nougat eggs that also came in the package. I had 4 of them, as DH swiped one. I also had half a bottle of red wine - in total and lucid knowledge that I am going to SERIOUSLY regret it tomorrow.
So today my intake of calories was 1913 and I am feeling like a sad sack of shit.
My calorie intake is calculated by the daily plate to not exceed 1650 cals per day so that I can lose 2 pounds a week. I have never exceeded that amount.
I feel totally sick and ashamed of myself, but at the same time kind of pleased too.
Boy am I glad I have a fill coming up on Saturday. I knew it was a good idea to book that bastard. I have been the same weight for the last 3 weeks. I cant help but think that the daily plate is in fact wrong because I have not gone above 1500 cals during that whole time, and mostly less than 1000; According to them I should have lost 2 pounds a week. Just shows not everyone is a statistic that fits an equation huh.
I can feel the pressure of being in the 15 stone somethings and there is something in me that does NOT want me to get there. I am hoping that when I push through that barrier I wont have any more head-fucks like this, but I am guessing the barrier between 14 and 15 will be the same.
So I might not weigh for a couple of weeks (did I just say that?) and see if not knowing takes the pressure off or drives me out of my mind and straight into the nut house.
Saturday, March 29, 2008
I need these boosts occasionally. I have been really really bad the last week or so. I haven't eaten over 1500 cals on any day, but its all been crap. I have tried to include my veggies and stuff, but my Dad's operation and situation is really taking its toll on my eating. I don't even bother to try and stop myself. I look at chocolate and just eat it. Its like I am resigned to it.
Yea Gods.
Thursday: In hospital in High Dependency Unit. Blood pressure raised and very bloated from surgery. In obvious pain and wincing at ever couple of words he said.
We have come home now and hopefully she can then have some peace and quiet and space to get her head around everything. Although she obviously loves having us there... 3 extra bodies makes 3 lots of extra mess and bother and DS is boisterous and jumping up and down. Its not conductive to thinking straight!! If she needs me, I will be there in a blink. I think that the thing she needs most now is to just be thinking about herself and Dad for a bit and being able to do what she wants rather than what everyone else wants for a change. Everyone worries about the person in the hospital bed, but no one really gives much support to the one trying to keep everything together and cheer everyone up and keep everyone's spirits up.
Friday, March 28, 2008
Coddler Fever & Fun Friday
Act As If You Are already Slim
The law of attraction states that you get more of what you put your attention on. When you are overweight your attention is focused on fat, food, diets, calories, etc. You are negatively focused. You are focused on the problem. The key to using the law of attraction for weight loss is to stay focused on the solution.
One of the most powerful ways of doing this is to act as if. Act as if you have already manifested and created the body and weight loss you want! Act like the thin person you want be!
Acting “as if” creates a powerful energy shift. Your actions will begin to align with your new intentions because it creates a positive expectation of success.
See more weight loss secrets and good advice at Secrets of a Weight Loss Master.
Thursday, March 27, 2008
Visceral Fat and Dementia
They used a measure of visceral fat called the "sagittal abdominal diameter", basically the distance from the back to the belly button. In other words, the beer belly.
What we're looking at is another facet of the pervasive "disease of civilization" that rolls into town on the same truck as sugar and white flour. Weston Price described it in 14 different cultures throughout the world in Nutrition and Physical Degeneration. Diabetes, cardiovascular disease, obesity, cancer and dementia all seem to come hand-in-hand. It's hard to say exactly what the root cause is, but the chain of causality seems to pass through visceral fat and insulin signaling in many people.
Wednesday, March 26, 2008
Visceral Fat
The first article I came across showed that surgical removal of the visceral fat deposit of rats increased their lifespan. Visceral fat (VF) is the "beer belly", and consists of the perinephratic fat around the kidneys and the omental fat in front of the intestines. It doesn't include subcutaneous fat, the fat layer under the skin.
VF is tightly associated with the metabolic syndrome, the quintessential "disease of civilization" that affects 24% of Americans (NHANES III). It's defined by three or more of the following criteria: high blood pressure, large waist circumference, low HDL cholesterol, high triglycerides, and high fasting glucose. The metabolic syndrome is associated with a 3-4-fold increase in the risk of death from cardiovascular disease, and a 6-fold increase in the risk of developing type II diabetes. From a review on the metabolic syndrome (parentheses mine):
The most common alteration related to the impaired glucose metabolism with aging is the progressively increased fasting and postprandial [post-meal] plasma insulin levels, suggesting an insulin-resistant state.
This is all well and good, but who cares? What's to say VF plays any role other than as a simple marker for overweight?
The longevity paper led me to Dr. Barzilai's previous papers, which answered this question rather thoroughly. Rats raised on standard rat chow, which is a sad little compressed pellet made of grains and added nutrients, develop elevated insulin and insulin resistance with age, just like humans. Unless they don't have VF. Rats that had their VF surgically removed did not develop insulin resistance or elevated insulin with age, despite rebounding to their original total fat mass rather quickly (VF accounts for ~18% of total fat in these rats). These parameters are unaffected by removing an equal amount of subcutaneous fat, which has been shown in human liposuction patients as well.
Removing VF also improved diabetes-prone Zucker rats, which are profoundly insulin-resistant (leptin receptor loss-of-function). It kept wild-type rats just as insulin-sensitive as calorically restricted controls, which had a small amount of VF. This shows that VF isn't just a passive player; it's essential for the development of insulin resistance. It also shows, along with human studies, that insulin resistance is not an inevitable consequence of aging.
Adipose (fat) tissue is being increasingly recognized as an important endocrine (hormone-secreting) organ. It produces many different hormones that affect insulin sensitivity and appetite regulation, among other things. These hormones are collectively known as fat-derived peptides (FDPs). At least one of these FDPs, TNF-alpha, promotes insulin resistance.
Dr. Barzilai's group went on to explore the mechanism of VF contributing to insulin resistance. They increased the rate of glucose flux into the fat tissue of rats by infusing either glucose or insulin into the bloodstream. These treatments both cause increased glucose uptake by fat cells. What they saw when they dissected the rats was striking. The VF had ramped up its production of FDPs from 2- to 15-fold, while the subcutaneous fat had barely changed. Incidentally, insulin increased glucose uptake by VF twice as much as subcutaneous fat.
I'll say this again, because it's important. They forced glucose into VF cells, and those cells dramatically upregulated FDP production. And again, no visceral fat, no FDPs.
In earlier papers, he also showed that the removal of VF dramatically reduces the expression of TNF-alpha and leptin (two FDPs) in subcutaneous fat on a longer timescale, showing that VF and subcutaneous fat communicate to alter the metabolism. Again, TNF-alpha promotes insulin resistance, making it a possible link between the fat tissue and peripheral effects. VF removal had no effect on triglycerides, suggesting that they're only a marker of insulin dysfunction rather than a cause.
Now to take this research to its logical conclusion. Here's a plausible sequence of events leading up to the metabolic syndrome:
- A meal high in quickly digested carbohydrate elevates blood glucose. OR, excessive fructose causes insulin resistance in the liver which leads to high fasting glucose.
- Visceral fat responds by increasing production of FDPs.
- FDPs, directly and/or indirectly, cause insulin resistance in the liver, muscle and other tissue. Liver insulin resistance causes alterations in lipoprotein ("cholesterol") profile (more on this in another post). Fat tissue remains insulin-sensitive.
- Fat tissue (including VF) grows in size, because due to its insulin sensitivity it's taking up more than its share of glucose.
- The vicious cycle continues, with increased visceral fat size and glucose uptake increasing FDP production, which makes the liver more insulin resistant, which increases glucose production by the liver, etc.
- In the absence of lifestyle changes, the cycle only stops when the fat tissue becomes insulin-resistant, at which point you lose control over blood sugar and become diabetic.
Monday, March 24, 2008
Okinawa and Lard
The thing that often gets swept under the rug is that they eat lard. Traditionally, it was their primary cooking fat, and they use it liberally. Of course, they also eat the pork the lard came from.
I'm not saying lard will make you live to 100, but it certainly won't stop you...
Health Benefits of Vegetarianism
See an interesting article about the health benefits of vegetarianism. They say people who cut meat from their diet have about half the cancer risk and are 50 percent less likely to develop heart disease. Vegetarians are less likely to be obese. They have lower cholesterol, blood pressure, rates of hypertension, type 2 diabetes and prostate and colon cancer.
Sunday, March 23, 2008
Real Food IV: Lard
The best place to buy lard is at a local farmer's market. Look for pigs that have been "field-raised" or "pasture-raised", and are preferably organic. This ensures that they receive sunlight and have been treated humanely. The "organic" label by itself simply means they have been fed organic feed; the pigs will often not have had access to the outdoors. I recommend avoiding conventional (non-organic) pork at all costs, because it's profoundly inhumane and highly polluting. This is where I buy my lard.
If you don't have access to good quality local lard, there are a couple of sources on the Local Harvest website. Look for "leaf lard", which is the fat surrounding the kidneys. It's lowest in polyunsaturated oil and thus has the highest smoke point and the lowest omega-6 content. It's also practically pure fat. You will recover 90% of the pre-rendering volume from leaf lard. On to the recipe.
Ingredients and Equipment:
- Lard
- Cheesecloth
- Baking dish
- Jars
2. Cut off any pieces of meat clinging to the fat.
3. Cut fat into small (~1-inch) cubes.
4. Place them into a non-reactive baking dish and then into the oven.
5. Over the next 2-3 hours, periodically mash the fat with a potato ricer or the back of a large spoon. The fat will gradually separate from the residual protein as a clear liquid.
6. When you are satisfied that you've separated out most of the fat, remove the baking dish from the oven and allow it to stand until it's cool enough to be safe, but warm enough to be liquid.
7. Pour through a cheesecloth into jars. Save the "cracklins", these can be eaten.
8. If you plan on using the lard for crusts, cool it as quickly as possible by placing the jars in cold water. If the lard solidifies slowly, it will have a slightly grainy texture that works less well for crusts, but is irrelevant for other purposes.
Finished lard has a long shelf life but I like to keep it in the fridge or freezer to extend it even further.
"I'm... Dreaming... of a white... Easter...!"
kids + snow = lie in for Mum and Dad
*Insert blank, furious face, of a mother who works fingers to the bone for
said child to have nice clothes*
Saturday, March 22, 2008
The L-word
The fatty acid profile of lard might give us a clue. A major portion of lard is monounsaturated, 40% by weight. This is the same type of fat that predominates in olive oil (73%), and which is widely recommended by mainstream nutrition experts. Another prevalent class of fat in lard is saturated, at 48%. More than one third of this saturated fat is stearic acid, which even the most hardened lipophobe will agree has a "favorable" effect on blood lipids. Then there's the 8% polyunsaturated fat, which has been the darling of mainstream heart disease research for decades due to its ability to lower blood cholesterol (for the record, I believe the polyunsaturate content is lard's least healthy feature). The omega-3:6 ratio depends on how the pig was raised, but is typically skewed more toward omega-6.
So what does that leave us with? 66% fats that we're told are heart-healthy, and 30% non-stearic saturated fats that are supposed to be unhealthy. But if you still believe saturated fats cause heart disease, check out this post, this one and this one.
Lard also contains a small amount of vitamin D. The sun is the best source of vitamin D, since your skin synthesizes it when it's exposed to UVB. But due to the low angle of the sun in winter, and the fact that many people don't spend enough time outdoors even in the summer, extra vitamin D in the diet is helpful.
I think you can see that lard's bad reputation is undeserved. It may be a legacy of the time when hydrogenated vegetable oils were competing with animal fats for the food market.
There is such a thing as unhealthy lard, however. It's the stuff you might find at the grocery store. Store-bought lard is often hydrogenated to make it more shelf-stable. It also comes from confinement-raised pork operations, which aside from being profoundly inhumane, do not allow access to the outdoors. Thus, the fat won't contain vitamin D.
In the next post, I'll talk about how to buy pasture-raised lard and render it yourself.
YES - LOWEST WEIGHT EVER!
Ya ya ya ya ya ya ya!
Today I weighed (many times just incase)
16 stone and 2 pounds
AWESOME
The lowest I have ever been with my band is 16 stone 3 pounds. That was on 16th May Last year. Wow, this makes me feel completely awesome.
Its absolutely GREAT to be in Uncharted Waters again. There is something awful about trudging the same couple of stone up and down and up and down over a few years. It makes you feel really useless.
There is no doubt now people, MY BAND IS WORKING!
LONG LIVE THE BAND
Ok, the last couple of days...
Went to Mum and Dads yesterday. Had a really cool time and a good laugh. I ate the following:
Banana
Nutrigrain bar
small pot of mini eggs
few more of DS's mini eggs
half a chocolate egg
packet of hula hoops
chicken curry and rice
Not good, but the calories were actually reasonably low at 1200.
I know that its calories that count at the end of the day, but it still makes me feel like a greedy pig when I eat chocolate. I didn't exactly have anything else! However, I don't want to be someone who subsists on a mars bar and a coffee for lunch. What with Dad having Bowel cancer I think it brings home that I don't want to eat junk any more. I really felt grim yesterday evening and drank several glasses of water throughout the night. I am just not used to that much crap any more I guess.
Anyway, today has not been any better to be honest. Its been a bit of a rubbish day and we have been rushed off our feet. Shopping, hair dying, and again because it was DREADFUL, etc etc.
I didn't have breakfast as I wasn't hungry at all. We had lunch at KFC. I ate 4/5ths of a twister and gave up after that. I kept it all down which I am glad about, as I ate really really carefully. I was still eating when everyone was finished and DS was eating his ice cream! A normal KFC meal for me would be 2 twisters, large fries and a large drink and an ice cream. That's what the band does folks! WICKED HUH!!!!!
Then there was the hair disaster. I have obviously been black haired for a while. I get bored easily, so I decided to go back to blonde, or brown or something... anything! I put a whole heap of bleach on my mop and left it there. When it had cooked for about 40 minutes and I had washed it out, I revealed a delicate shade of violent orange.
Seriously you could NOT get this style in a hairdressers. I had a black fringe with white (YES WHITE) roots, orange back of the head with scarlet streaks and a mixture of orange and flame coloured patches interspersed with black highlights. My whole head had about 0.5 cm of WHITE roots. Its was AWFUL. It also felt like a birds nest!!
So I died it another colour... I realised that it had an ash hint in it too late, but actually its not so bad. Its kind of a pinky brown... Hmmm But at least its not on fire any more.
I still have black highlights which actually look really radical... Might have those again!
Right, see yaz folks
Thursday, March 20, 2008
Small result...
I have now lost 24 pounds - 16 stone 4lbs this morning
1 elusive pound away from my all time low of 16 stone 3 ... cool.
At least now I don't need to worry that I have put anything on or anything like that.
Today's food:
banana
mars bar shared with DS
mussels in tomato and pineapple sauce. Mmmmm
5 chips
half an avocado
I love mussels. You can just put ANYTHING with them and they are fabulous. These were lush wild Cornish ones. To die for. They are my all time favorite food now.
I will get some more on Tuesday next week - can't wait
Oh and I forgot, I also had a slice of DS's sponge cake that he made. Bad news I'm afraid. I puked most of it back up. Its just too dry, and I cant do dry.
Other than that, no PB's
Determined to Lose the Flab
By his birthday on May 12, he wants:
1) More muscle tone and continued cardio
2) Continued weight loss (lose the rest of the tummy so you can see those killer abs hiding beneath the cottage cheese)
3) Healthier and more frequent eating, but not at night.
4) Reduced caffeine
It's easy to forget why you started something, so here's my reminder to myself. I wanna feel really healthy and secure hanging out by the pool this spring/summer!
Wednesday, March 19, 2008
Thoughts on Obesity, Part II
Insulin is the master hormone that orchestrates the metabolic changes that cause fat accumulation. It instructs the body to transport glucose and fat from the blood into the cells. It tells the liver to synthesize fat from sugar. It inhibits the release of fat from fat cells. There are no other hormones that have a similar range of effects.
Insulin is the "storage hormone". Don't believe me? Ask a type I diabetic. Type I diabetes happens when the pancreas no longer secretes insulin. These people are rail-thin until they are given insulin injections, at which point they often gain excess weight. Many deliberately skip injections to lose weight. Unfortunately, this has serious consequences as it allows their blood glucose to rise to dangerous levels unchecked.
If insulin is kept low, fat synthesis and storage are inhibited, and fat release from fat cells is increased. Carbohydrate is particularly effective at elevating insulin, acutely and chronically. As carbohydrate digests, it's broken down into glucose, which enters the bloodstream. The pancreas releases insulin in an attempt to keep blood glucose within a healthy range, and the storage begins. Refined carbohydrate is the worst offender, because it causes a large and rapid rise in blood glucose.
Regular overconsumption of carbohydrate causes insulin to be chronically elevated in many people [update- I no longer believe this is true. I now believe that only certain types of carbohydrate- namely wheat and sugar- cause a pathological increase in fasting insulin over time]. This comes along with "insulin resistance", whereby most or all tissues become desensitized to insulin. This is the tissues' way of saying "Stop! My energy stores are already full! I can't handle any more glucose or fat!".
Some people are able to maintain normal insulin levels (and sensitivity) in the face of a high-carbohydrate diet. This is probably partly genetic and partly environmental. Certain people, for whatever reason, have fat tissue that is prone to fat accumulation. It could be because they oversecrete insulin, or because their fat tissue is sensitive to the action of insulin, but probably both. It likely has to do with a combination of insulin resistance in non-fat tissue, and insulin sensitivity in fat tissue. Inactivity and fructose consumption (from corn syrup or sucrose) are also high on the list of suspects.
Fat tissue is typically the last to become insulin resistant because it acts as a valuable buffer to remove excess (and potentially toxic) glucose from the bloodstream. Unfortunately, simply being thin is not a reliable indicator that your body tolerates carbohydrate well. It can indicate either that all tissues are insulin-sensitive and insulin levels are low, or all tissues (including fat) are insulin resistant and insulin levels are high. The latter scenario leads to type II diabetes, pronto.
Since fat accumulation revolves around carbohydrate intake and insulin production, it makes sense that reducing carbohydrate causes weight loss. No more carbohydrate = a lot less glucose, and a lot less insulin to deal with it. This completely sidesteps the problem of insulin resistance, although that seems to respond favorably to carbohydrate restriction as well. Every time true low-carbohydrate diets are matched head-to-head with reduced-calorie, carbohydrate-rich diets, subjects lose more weight and have fewer problems with hunger on the low-carbohydrate diet. I discussed a recent study here.
The idea that you can achieve and maintain a healthy weight without cutting calories sounds too good to be true. In fact, all it represents is a return to our natural pattern of eating as human beings. It may involve breaking an addiction to carbohydrate. True hunter-gatherers eat between 0 and 35% of their calories as carbohydrate, and no refined carbohydrate [correction: a number of hunter-gatherer groups ate more than 35% carbohydrate, typically from starchy tubers]. In industrial nations, we eat approximately 50% of our calories as carbohydrate. Hunter-gatherers also exercise regularly, and don't eat Frosted Sugar Bombs for breakfast. This helps maintain good insulin sensitivity. Since we are genetically very similar to our hunter-gatherer ancestors, we would be wise to learn from their example.
Thoughts on Obesity, Part I
Since the mid-seventies, the prevalence of overweight and obesity has increased sharply for both adults and children. Data from two NHANES surveys show that among adults aged 20–74 years the prevalence of obesity increased from 15.0% (in the 1976–1980 survey) to 32.9% (in the 2003–2004 survey).In hunter-gatherer and some semi-agricultural societies, obesity is rare. In most, it's nonexistent. Wild animals typically do not accumulate enough fat to interfere with vigorous exercise, and when they do, it's because they're about to hibernate or migrate. Wild animals also tend to have similar amounts of body fat between individuals (at a given age and sex), unlike industrialized humans. This makes me think that obesity is an unnatural effect of our current lifestyle. Whatever the cause, it's getting progressively more common.
According to self-righteous nutrition experts, we know exactly what causes overweight. It's a character flaw known as overeating. Calories in, calories out. And the cure is to eat less. The problem is, this is not supported by the evidence. First of all, overweight people often eat no more than the thin. Second, weight gain is a highly individual process. Overfeeding under controlled conditions can produce more than 3-fold differences in weight gain between individuals fed the same number of calories.
Restricting calories is also fraught with problems. Each person's metabolism has a preference for a specific body composition within the context of a particular lifestyle. If total calories are restricted without changing diet composition, the body reacts vigorously to maintain homeostasis. Energy expenditure is reduced; muscle and organ mass diminish. The psychological effects are particularly bad, as anyone can tell you who has been on a low-calorie diet. In 1944, Ancel Keys undertook a calorie restriction trial in conscientious objector "volunteers" in Minnesota. They remained on a 1,570-calorie diet that was low in fat and protein and high in carbohydrate, for 24 weeks. Hardly a draconian calorie count. Here's a quote from the study:
As starvation progressed, fewer and fewer things could stimulate the men to overt action. They described their increasing weakness, loss of ambition, narrowing of interests, depression, irritability, and loss of libido as a pattern characteristic of "growing old".Some of the men ended up suffering from neurosis and borderline psychosis before the end of the study, one culminating in self-mutilation. This is what we're being prescribed for weight loss?
There are some diet trends that have associated with rising obesity in the US. Per capita calorie consumption has increased. This increase is due to a higher consumption of carbohydrate. Total protein and fat consumption have been almost identical for the past 30 years. This period also saw increases in the consumption of unsaturated vegetable oils, hydrogenated vegetable oils and high-fructose corn syrup. It's hard to say from this association which of these factors (if any) has caused us to gain weight in the last 30 years, but it certainly isn't total fat or protein. Fortunately, we have other clues.
Cry me a river...
My Dad is going to have surgery on Wednesday. 1 week today and it will be all over thank goodness. Apparently the cancer is localised, hasn't spread, and is totally sortable.
One mill stones less.
I cant describe how I felt or how I feel now, but I wish that I could have the operation for him. I know what surgery is like and I know I can handle it... Dad's never been in hospital. Its so strange the way things change and you want to protect your parents rather than how it used to be. I would totally do it for him. In a blink.
So foodwise...
Today has been good. Banana for breakfast, Home made ratatouille on toast for lunch, then more ratatouille on pasta in the evening. 2 yogurts in the evening.
I am going to weigh in soon. I have been putting it off, I have to admit. What with having the curse and then having a couple of pig out days until I pulled myself together, I know that I need to see something nice. If I get on those scales and it hasn't moved in the right direction I will be devastated. So I am giving myself a little time to make absolutely sure that what I want to see WILL be there.
I will see how I feel tomorrow. I always take a drink to bed with me, and if I cant face weighing in, I always drink when I wake up. I never weigh after food or drink, so it tops the wondering instantly.
I also have not done any regular exercise since being banded. I am very active as you know, but I haven't joined a gym, or started a morning walk or any kind of routine. I am now glad that I haven't done this. If my weight starts to plateau out it will mean that at least I will have one more type of ammunition in my arsenal.
I so want to get the next half stone off. I cant wait.
Ripped Fuel Pills
Well guess what it is not that straightforward and I am sure you know that more that I do. It is important that one uses a proper weight loss program while trying out any supplement.
There are many weight loss pills available out there. A few which come to mid our there are: zantrex pills, zantrex 3 pills, xenadrine, alli, stacker 2, stacker, trimpsa, . Most of these products are either fda approved or not but one thing id for sure that they all are targeted for people like you both men and women who are looking to lose a few pounds…
Other pills like green tea fat burning pills, green tea pills have also become apparent now. Everybody has tried all sorts of thing… some have tried caffeine pills while others have used energy pills, ephedra and ephedrine pills. You can even get fat burning tablets, and fat burning vitamin from over the counter.
Whether you are a bodybuilder or a regular person you must dream of getting the “ripped” look. Even if you are healthy you want to try out the ripped fuel pills… you think this will give you a miraculous transforming your body.
I started this blog to give you a comparison on diff weight loss products and supplements in the market today. I would like for you to be able to compare these and then possible try something safely which is at the best an FDA approved diet pill or if not then has a sufficient safety profile that it does not cause you harm more than good. A diet pill is good if it is a safe otherwise it is just another toxic compound being injested by you.
Tuesday, March 18, 2008
Losing the Last 10 Pounds
She recently joined 24-Hour Fitness and has been amazed to lose six pounds in the first two weeks already! 24 Hour Fitness has about 400 clubs across the US. See her quest to lose the 10 pounds.
Monday, March 17, 2008
Say Hello to the Kuna
For those of you who haven't been reading the comments, we've been having a spirited discussion about the diet and health of hunter-gatherers here. I brought up the Kuna indians in Panama, who are immune to hypertension, live a good long time, do not gain excess weight, and seem to have less cardiovascular disease and cancer than their city-dwelling cousins.
I was hungry for more information about the Kuna lifestyle, so over the last few days, I've dug up every paper I could find on them. The first paper describing their lack of hypertension was published in 1944 and I don't have access to the full text. In 1997, a series of studies began, headed by Dr. Norman Hollenberg at Harvard. He confirmed the blood pressure findings, and collected data on their diet, lifestyle and kidney function. Here's a summary:
The Kuna are half hunter-gatherers, half agricultural. They cultivate plantains, corn, cocoa, yucca, kidney beans, and several types of fruit. They trade for sugar, salt, some processed cocoa and miscellaneous other foods. They drink 40+ oz of hot cacao/cocoa per day, some locally produced and some imported. A little-known secret: the Kuna eat an average of 3 oz of donut a week. They also fish and hunt regularly.
In the first recent study, published in 1997, the Kuna diet is described as 29% lower in fat than the average US diet (56 g/day), 23% lower in protein (12.2 g), 60% higher in cholesterol, and higher in sodium and fiber. The study doesn't specifically mention this, but the reader is left to infer that 65% of their calories come from carbohydrate. This would be from plantains, corn, yucca, sugar and beans. The fat in their diet comes almost exclusively from coconut, cocoa and fish: mostly saturated and omega-3 fats.
In the next study, the picture is beginning to change. Their staple stew, tule masi, is described as being 38% fat by calories (from coconut and fish), exceeding the American average. In the final study in 2006, Hollenberg's group used a more precise method of accounting for diet composition than was used in previous attempts. The paper doesn't report macronutrients as a percentage of calories, and I suspect the reason is that they aren't consistent with the previous papers. They have retreated from their previous position that the Kuna diet is low-fat and describe it instead as "low in animal fat", leaving plenty of room for saturated fats from coconut and cacao.
I was able to find some clues about their diet composition, however. First of all, they report the meat consumption of the Kuna at approximately 60 oz per week, mostly from fish. That's 8.6 oz per day, identical to the American average. They also reported the fat content of the cacao the Kuna produce locally and brew into their favorite 40-oz-a-day drink. It's 44.2% fat by weight. The low-fat cocoa drinks they used to calculate macronutrient totals are made from imported cocoa (cocoa is defatted cacao powder), ignoring the locally produced, full-fat cacao. If we assume half the chocolate they drank was locally produced, that's about 30 additional grams of fat a day, bringing their total fat intake to 8g above the average American. I suspect the authors chose to ignore the locally-produced cacao to lower the apparent fat intake of the Kuna, even though the paper states they drank both regularly.
By putting together the pieces from the later studies, a new picture emerges: a diet high in fish and moderate in protein, high in unprocessed fat (especially saturated and omega-3), and moderate in mostly unprocessed carbohydrate.
Here's my biased interpretation. The Kuna are healthier than their city-dwelling cousins for a number of reasons. They have a very favorable omega3:6 ratio due to seafood, wild game and relatively saturated vegetable fats. Their carbohydrate foods are mostly unprocessed and mostly from non-grain sources. They also live an outdoor life full of sunshine (vitamin D) and exercise. The chocolate may also contribute to their health, but I doubt it's a major effect. They're healthier than industrialized people because they live more naturally.
Another lesson to be learned from the Kuna and other exceptionally healthy indigenous peoples is that the human body can tolerate a fair amount of carbohydrate under the right conditions. Peter discusses another example of this, the Kitavans, on his blog. 50% carbohydrate while sitting in front of a desk all day, eating corn oil and getting no exercise = bad. 45% carbohydrate while hunting, relaxing and preparing whole, natural food in the sun all day = good.
An Aboriginal Diet for Weight Loss
His route to success? He went on an aboriginal diet. He could eat "all the fat he wanted, and all the seafood and meat and starch-free vegetables. Dairy fats like cream and cheese were fine, but not milk. Everything else with carbs -- bread, pasta, chips -- were off-limits. No ancestor of Wadhams' ever feasted on pasta and rice. Or ice cream bars."
With the urging of the local doctor (in the photo above), many people in his small village also went on a similar diet and experienced success.
It sounds like the Atkins diet, but it is a traditional aboriginal diet.
See the interesting story at The Town that Lost 1,200 Pounds.
Sunday, March 16, 2008
Real Food III: Yogurt
Most if not all dairy-eating cultures ferment their milk. Why is this? There are three main reasons. First of all, unpasteurized milk spontaneously ferments at room temperature, usually becoming delicious "clabbered milk"- whereas pasteurized milk becomes putrid under the same conditions. So fermented milk is difficult to avoid. The second, related reason, is that fermentation prolongs the life of milk in the absence of refrigeration. Fully fermented milk is stable for weeks at room temperature.
The third reason is that these cultures know cultured milk is delicious and nutritious. Fermentation with specially selected cultures of lactic acid-producing bacteria and sometimes yeast work to break milk down into a form that is more easily assimilated. They partly (or fully) digest the lactose, which can be a problem for some people, turning it into tangy lactic acid. They also partially digest casein, a protein in milk that is difficult for some to digest. And finally, the lower pH of fermented milk makes its minerals more bioavailable.
Traditionally, milk was fermented in its unpasteurized state, but raw milk is hard to find in many industrialized countries. Raw milk has its complement of enzymes intact, such as lactase and lipase, which aid in its digestion. It also contains lactose-digesting bacteria that make milk easier for some to digest, and contribute to intestinal health. These are all eliminated by pasteurization. Fortunately, fermentation restores some of the benefits of raw milk. It reintroduces lactic-acid bacteria, along with their digestive enzymes. With that in mind, here's a simple yogurt recipe:
Ingredients/equipment:
1/2 gallon whole, raw or pasteurized, cow or goat milk (add extra cream if you wish)
Starter culture (commercial starter or 2 tbsp of your favorite live-culture yogurt)
Thermometer
Glass jars with lids
Cooler or yogurt maker
Recipe:
1. Heat the milk to 110-115 F (43 C). If the temperature exceeds 115 F, let it cool.
2. Add the starter culture. If the starter is yogurt, whisk it into the milk.
3. Pour the milk into glass jars and keep it at about 110 F for 4-10 hours. 4 hours will yield a mild yogurt, 10 will be tangy. If you don't have a yogurt maker, this is the tricky part. You can use a cooler filled with 100 F water to maintain the temperature and spike it with hot water after a few hours, or you can ferment it in your oven with the pilot light on if the temperature is in the right range.
If you want a thicker yogurt, bring the milk to 180 F (82 C) and let it cool to 110 F before adding the starter. Add fruit, honey or other flavors before fermenting. Enjoy!
As a final note, I'll mention that milk simply does not agree with some people. If you've tried raw milk and homemade yogurt, and they cause intestinal discomfort or allergies, let them go.
1 bowl of mini shredded wheat pillows with pomegranate (apparently) in them. Bit strange, but filled a hole. In fact i didn't even have lunch as I was still full.
15 black olives
1/2 apple
This evening I made risotto -
Rice, onion, garlic, lemon zest, rosemary, lemon juice, white wine and peas. Had it with a nice salad. YUM.
I worked out all the calories for the whole meal by making it 'a meal' on my daily plate. The whole thing when you add all the ingredients together was 2200 cals. It divided unusually into a good 7 portions, so that's a pretty good value dinner for me at only 315 cals. Bargain.
Me, DS, Xandra and Maria all had 1 portion and a salad each, and when DH got home from badminton he had 2 portions and no salad. I have just put the last portion into a tub in the freezer for another day.
I like this new me. I like the girl who makes too much food and freezes it for another day. Its well good having a lasagne in the freezer that's home made, or a chilli, or some home made chicken soup all portioned out.
Right now in my freezer I am very proud of the fact that I have:
4 fish pies that I made all in individual used yoghurt pots.
1 beef chilli to serve 5
4 portions of lasagne individually wrapped
1 pot of risotto
7 bags of chicken casserole
...and all the other shop bought stuff.
Also I have fallen in love with a food. Mussels. I have been yearning to go back to our chateaux just so that I can have them! So I was looking on the net to see if I could buy them fresh and live... and you can! £3.50 a kg. I have ordered some and they will be delivered on Thursday. I have my wonderful 'moule' cooking pot ready to go, so yay I am gonna eat some serious mussels! They are a GREAT bandit food. They taste FABULOUS, they are FULL of protein and they are only 1 calorie a gram! WOW. So 100g mussels, all beautiful and tasty are only 100 cals. 100g mussels will totally fill me up ready to go! And the best thing about them is that they are as easy to cook as a lettuce.
Can't wait.
Saturday, March 15, 2008
Improving Fuel Economy
1- Drive deliberately; accelerate gradually. A car uses a lot of fuel when it's accelerating rapidly.
2- Drive 55 mph on the highway. This makes a huge difference. It maximizes fuel efficiency by reducing wind resistance, which exponentially increases with speed. This reduces gas consumption by more than 20% relative to a speed of 75 mph. 60 mph is almost as good, if 55 is to slow.
3- Draft a truck. Large trucks with flat, square backs leave a massive low-pressure zone behind them, which you can exploit to save gas. At 20 feet behind a standard 18-wheeler, you will use about 27% less fuel. If that's too close, you still save 20% at 50 feet, and 11% at 100 feet. Be careful because trucks have a blind spot behind them, and some truckers do not appreciate drafting.
4- Keep your car well-maintained. Clogged filters, faulty oxygen sensors and flat tires all hurt fuel efficiency.
5- Lose the cargo. The more weight you have in your car, the more fuel is required to get it up a hill or accelerate it.
6- Turn off accessories. AC is the biggest power drain, but the fan used to circulate air also draws power.
Food for thoughts
Breakfast: Banana
Lunch: a yogurt
Dinner: Chicken Caesar Salad with HOME MADE dressing, lashings of red of wine and 4 packets of sesame snaps. Yes, Packets.
The dressing is made thus:
1 cup very finely grated strong cheddar (didn't have Parmesan)
2 tablespoons mayonnaise
1 tablespoon of lemon juice
2 tablespoons of olive oil
crushed pepper
1 clove crushed garlic
mix mix mix and it becomes a thin dressing... weirdly... that is AWESOME over chicken salad.
If you like garlic and tang, you GOT to try it. It has got to be an award winner.
Obviously I didn't have much of it, as I feel the need to keep stressing are like a 5 year old's.
I think I consider people who read this blog who don't know about the surgery to think that I am eating the same amount as I used to. In fact I think that's what I think of myself. Because it is so TOTALLY different from what I used to eat, I think I have to explain myself because I don't want people the think I am still eating loads... which evidently I am not.
I have decided too that I am NEVER going to buy a bottle of wine again. 1 glass is fine. More than that means a SERIOUS head thumping headache in the morning. What would be the point in buying a bottle? If I go out, I will have a glass or something, but I am not buying it for the house. I enjoy wine too darn much to throw half a bottle down the sink. Waking up with the mother of all headaches this morning has totally convinced me that I just cant take the alcohol any more.
Its so cool! I mean, its not cool because I really love wine, but I HATE headaches worse. So my diet is obviously seriously affecting my body and this is the good news that is cool! I don't have food in my belly to soak up the booze any more. That equally means I don't have the food in my belly to make me a porker any more.
I really do have trouble expressing what I feel about this band on here... Its like I want to write a whole thesaurus of words to describe the bliss that is having a band (that works!)
So another kind of blow out day for me... I really don't like eating crud any more. I have been really enjoying making meals and stuff for the whole family and enjoying my small portion of it. I am always last to finish so I feel like I have still eaten loads!
One day I might make myself a dinner like I used to eat and see what it looks like. I haven't been out to dinner at a restaurant since having my last fill, so I think possibly the plate size and portion size will shock me. What a shame that I can only eat at those swanky posh places that serve you up 1 pea, a lettuce leaf and some sauce!! HA HA
Friday, March 14, 2008
Horrible
What is it with that word? Cancer... it's HORRIBLE
Alien
Today my food started good... and ended bad. Surprised? I'm not.
Breakfast: banana
Lunch: bit of pasta
Dinner: Chilli con Carne and rice (Home made)
Evening snack: 200g bar of Dairy Milk Whole Nut and 3 glasses of red wine.
Cals: 2100 - the highest since my 2nd surgery I think!
Food is evil. Its like a drug for me. I abuse food.
I am glad I have my band because otherwise my food intake today would have made a heinous bulk up of my body mass index.
Thursday, March 13, 2008
Convenience Store Survival Training
I actually did find two things that were palatable and not too unhealthy: canned sardines and toasted cashews. The total was $2.50, affordable even for a grad student.
The sardines were canned in "tomato sauce", which I realized later contained soybean oil. Oops. Well I suppose when you get your food at a convenience store, you have to expect such things.
The main thing that bothered me was the trash. I posted a mugshot (above) of the can, fork and plastic bag that I either trashed or recycled as a result of the meal. The total volume of trash was probably almost as much as the total volume of food.
I think if you stick to nuts, canned fish and fresh fruit, it's possible to survive a convenience store stop. And Baby Ruths. Those are healthy, right?
Two Tons of Steel
While I was waiting for the bus one morning, I decided I'd count cars to see how many were single-occupancy vs. two or more. I came up with a ratio of roughly 20 single-occupancy vehicles for every multiple-occupancy vehicle. The multiple-occupancy vehicles were most often work trucks, containing plumbers or construction workers going to a job.
People have to get to work. Maybe they don't have public transit where they are, or maybe they just don't feel like sitting next to smelly commuters, but for whatever reason, here in the U.S. they drive their cars.
The average American weighs about 180 lbs. Due to our love affair with SUVs, the average American car weighs over 2 tons and climbing. That means every time a person drives a single-occupancy vehicle to work, they aren't just expending the energy it takes to move 180 lbs 15 miles. They're also lugging around a hulking two-ton chunk of steel and plastic. The passenger of the average single-occupancy vehicle is only about 1/24 (4%) of the mass that's being moved to and from work. That's ridiculous!
Of course, we make up for the big weight of our cars with big engines so they can go vroom. That adds up to a lot of gasoline burned, for no clear benefit. In other words, most of us could easily be driving vehicles that perform the exact same function but burn 1/3 the gasoline. I'm not talking about space-age technology here; these vehicles are already on the market.
Why do we commute so inefficiently when better options surround us? I think there are several reasons. First of all, gasoline is dirt cheap. We have no incentive to be efficient beyond our own consciences. Even with the recent price jumps, gasoline doesn't cost much more than it ever has, if you adjust for inflation. In Europe, where high taxes mean gasoline can cost four times as much as in the US, vehicles are lighter and more efficient.
Secondly, we've always been a very car-centric society. Cars appeal to our desire for independence, power and control. A large, powerful car is a status symbol in the US. We've inherited these attitudes from previous generations and we're just beginning to question them. Are there healthier and less wasteful ways of getting to work?
There are, and many of them are very simple. The first and simplest is a carpool. If we put two average Americans in our two-ton car, all of a sudden the people are 1/12 the weight of the vehicle. With four people, the number jumps to 1/6. We've just made our vehicle almost four times as fuel efficient, per passenger! 1,000 lbs per person is still a lot of weight to be lugging around though, so let's look at some other options.
If you are on the market for a new car, fuel-efficient models abound. The new hybrid cars by Toyota and Honda are twice as efficient as their non-hybrid brethren, and not much more expensive. Some people truly need SUVs for their business, but I have good news for them too: there are now hybrid SUVs as well. That's right ladies and gentlemen, they're the most efficient gas guzzlers on the market.
Public transportation is another great option where it's available. Buses are big and heavy but they can accommodate many people.
Now let's get into the really efficient vehicles. Motorcycles and scooters weigh from 250-500 pounds, meaning that a passenger would be from 1/2 to 1/4 the total weight of the vehicle. Now we're beginning to make some sense. Certain scooters can go over 100 miles per gallon of gasoline.
An even better option is to use vehicles that don't burn gasoline at all. A bicycle weighs about 20-30 pounds, making the passenger about 9/10 of the total vehicle weight. That weight ratio might change as the average American loses some weight however. Even if you factor in the extra food you eat when you cycle regularly, it's still terribly efficient. Best of all, bikes allow us to get exercise and feel the sun for a while.
The title for the most fuel-efficient and low-tech vehicle around goes to feet. When using a pair of these, the passenger is 100% of the weight of the vehicle. You can walk until you wear them out and you still won't have burned a single molecule of gasoline. Now that's efficient.
Thanks to lairdscott for the CC photo.Thudsay whinge
Anyway, the curse has staved off all thoughts of jumping on the scales thank goodness. There is no way I would do it now as I know I always retain water with it. My guts feel like a water bed.
So today...
Breakfast was essentially tablets, because I felt so horrible this morning. I got up and had a coffee and then went back to bed until 2:30pm. Unlike me these days, but I felt so weak and tired.
When I got up I was hypoglycemic. My hands were shaking and I couldn't walk straight, so I immediately ate some chocolate spread in a slice of bread. Little tiny nibbles washed down with orange juice. Seemed to stop the shaking, but was still feeling decidedly odd. I had another slice of bread and some maple syrup in it and washed that down with orange juice too and by 20 minutes later I was feeling fine.
I always crave sugary food around my period... so maybe its not a case of just wanting, but needing! Anyway, later on I went to work and had a banana about 4pm. When I got home I made dinner and we all had quiche, baked beans and potato croquettes. I managed 2 croquettes and a 1/4 quiche, but it took a while.
I am still really pleased with my portions.
My body still wants to snack though! Especially at this time of the month. Towards the end of the evening I grabbed a couple of yoghurts and a nutrigrain bar - what a naughty girl I was. I cant believe that this amounts to a pig out day for me now!! HA HA its amazing!
Wednesday, March 12, 2008
Desperate to jump on the scales...
'So jump on!', I hear you scream.
And here's what was left when I had finished. took me the best part of 40 minutes to eat.
This was such a lovely dinner too...
Sweet potato, Onion, Carrot, lentils, Potato chicken breast cubes and stock.
Y U M
So that's me done for the day. I don't know how many calories the casserole has, but it didn't have any extra fat or anything... just veg and water. The rest of my food for today adds up to about 300 calories, so I guess I am under 500 today.
So even though I keep worrying that I am going to start putting on weight, or that my portion sizes are getting bigger, or any other paranoid thoughts, everything seems to be going swimmingly.
I wish SO much that my band never went wrong. Its really stressing me out. I am so close to being 16 stone 3, where I was end of last May... I know its dumb as anything, but I cant help but feel like its going to go wrong, or its going to just stop working, or something.
I never realised how much this is still affecting me really. I think once I am past that 16 stone 3 mark, I will start to relax and really settle my heart on the prospect of actually achieving my goal weight...
I can't wait until the next 3 pounds are over with.
That's another reason why I am so eager to get on those scales.
Natalie Cassidy Loses Weight
Monday, March 10, 2008
The French Paradox
According to the World Health Organization, 82 out of every 100,000 French men between ages 35 and 74 died as a result of cardiovascular disease (CVD) in the year 2000. In that same year, 216 out of 100,000 men between the same ages in the U.S. succumbed to the same disease.
According to the Food and Agriculture Organization of the UN, during roughly the same time period, the average French person ate slightly more total fat and almost three times more animal fat than the average American. Animal fats came from dairy, lard, red meats, fish and poultry, and contributed to a much higher overall saturated fat intake in the French. This has been called the "French paradox", the paradox being that saturated fat is supposed to cause CVD.
Researchers have been scrambling to identify the factor that is protecting French hearts from the toxic onslaught of saturated fat. What could possibly be preventing the buttery sludge coursing through their arteries from killing them on the spot? One hypothesis is that wine is protective. Although the modern French don't actually drink much more alcohol than Americans on average, wine contains a number of molecules that are potentially protective.
One of these that has gotten a lot of attention is resveratrol, an activator of SIRT1, a deacetylase enzyme that is involved in stress resistance and lifespan regulation. But lo and behold, it turns out that there isn't enough of it in wine to be helpful. Now researchers are turning their attention to a class of molecules called procyanidins, but I suspect that this will turn up negative as well. The protective molecule is probably ethanol, but no one wants to hear that because it doesn't resolve the paradox.
As a person with a French background who has spent quite a bit of time in France, the notion of a French paradox is insulting. It implies that the French are eating an unhealthy diet, but are somehow miraculously protected by a compound they're ingesting by accident. Any French person will tell you there is no paradox. When you make a commitment to seek out the freshest, most delicious ingredients available and cook them yourself, your diet will be healthier than if you count the grams of this and that on your TV dinner.
There's more. Americans consume almost twice the amount of sugar as the average French person. I find this surprising, given the large amount of sugar I've seen on French tables, but I think it speaks to the huge amount of sugar we consume in the US. Much of it probably comes from the high-fructose corn syrup in soda. I'll save my rant about that for another time.
Another thing that stands out about French food habits is the absence of snacking. Mealtimes in France tend to be well-defined, and grazing is looked down upon. I think this is probably essential for maintaining adequate insulin sensitivity in the face of (delicious) refined carbohydrates like baguette.
And finally, the French enjoy their food more than the average nation. I wouldn't underestimate the value of this for health and overall well-being.
So what was the paradox again? I can't remember. Maybe a more parsimonious explanation of the data is that saturated fat isn't so bad after all, and enjoying wholesome food and limiting sugar is the true prescription for health.
Thanks to Gaetan Lee for the creative commons photo.