Sunday, December 12, 2010

Saturday's weighin and a fear of stairs

Saturday, December 10, 2010 Weigh-in:  177.8

Loss for the week:  -0.8

Total loss since 2/9/2008:  -61.4

I'm not very happy with myself about such a minor loss, but at least it's a loss. I'm still on track for my goal of losing an average of 1.5 pounds per week. I lost 2.2 pounds the previous week, and with this .8 that's three pounds in two weeks. Not the numbers I want, but the numbers I earned (through lack of discipline).

Even though I vowed to stop eating what Helen refers to "Franken Food" (love that phrase), I somehow managed to eat an entire package of Skinny Cows at FOUR Points each. In one day! That was just one incident that led to such a small weight loss. I had a few others.

It's a new day, a new week, new plan. This week will be better. I promise!

The Big Climb
I'm starting to realize what I got myself into by agreeing to do the Big Climb, 69 flights of stairs at the Columbia Center in Seattle on March 20, 2011. I watched some videos on YouTube about it and frankly my dear, I'm a little bit scared of what I've committed to. It appears to be a young, very physically fit person's sport.

I looked at the race results for last year and the oldest person was an eighty year old woman. She completed the race in 35 minutes. My 50-year old coworker completed it in 15 minutes last year.

Of course I'm not going into this as a race, but I want decent results. As the team captain for our work group I want to do a good job. So far I have 30 people that have agreed to do this with me as part of our corporate team, and I only announced it last Tuesday. At the encouragement of my coworker I signed our team up as a timed team, meaning we'll have the little chip in our shoes for the timing.

I've found all kinds of articles online about stair climbing as a sport. Tips on stair climbing techniques, workouts, and what you should wear (gloves with rubber pads on the fingers, running shoes not cross trainers). The workouts I've seen are tough, focusing not just on the quads and the glutes, but the arms and shoulders (you use the railings to pull yourself up), and the core (apparently a strong core is crucial).

In other words, I have a lot of work to do. No more non-structured workouts where I do what I want. I have to add in some exercises that will strengthen the areas I've been ignoring, like my core and abs. As I've mentioned many times, I hate lower body workouts, like squats and lunges. I do them, but half-hearted. Sometimes on lower body workout days (three a week), I decide I'm not in the mood and double up on my cardio. Since these are areas I need to really focus on, I have to really get serious about my workouts.

The other thing I need to get serious about is losing my 20 pounds. This is really critical. There's no way I can climb 69 flights at my current weight of 177.8 pounds. That's too heavy. I have to get under 160. The closer I can get to 155 the better. I have exactly fourteen weeks from today. If I can continue the 1.5 pounds lost per week, I could lose the 20 pounds. I really need to stay focused. I don't want March 20 to come and I feel scared and defeated before I even start the climb. I have a lot of work ahead of me.

By the way, if anyone wants to donate to the Big Climb click here. Even a $5 gift would be appreciated. All proceeds benefit The Leukemia & Lymphoma Society. Your tax deductible donation helps in the fight against blood cancers.

Saturday, December 11, 2010

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Dr. Mellanby's Tooth Decay Reversal Diet

I have a lot of admiration for Drs. Edward and May Mellanby. A husband-and-wife team, they discovered vitamin D, and determined that rickets is caused by poor calcium (or phosphorus) status, typically due to vitamin D deficiency. They believed that an ideal diet is omnivorous, based on whole foods, and offers an adequate supply of fat-soluble vitamins and easily absorbed minerals. They also felt that grain intake should be modest, as their research showed that unsoaked whole grains antagonize the effect of vitamins D and A.

Not only did the Mellanbys discover vitamin D and end the rickets epidemic that was devastating Western cities at the time, they also discovered a cure for early-stage tooth decay that has been gathering dust in medical libraries throughout the world since 1924.

It was in that year that Dr. May Mellanby published a summary of the results of the Mellanby tooth decay reversal studies in the British Medical Journal, titled "Remarks on the Influence of a Cereal-free Diet Rich in Vitamin D and Calcium on Dental Caries in Children". Last year, I had to specially request this article from the basement of the University of Washington medical library (1). Thanks to the magic of the internet, the full version of the paper is now freely available online (2).

You don't need my help to read the study, but in this post I offer a little background, a summary and my interpretation.

In previous studies, the Mellanbys used dogs to define the dietary factors that influence tooth development and repair. They identified three, which together made the difference between excellent and poor dental health (from Nutrition and Disease):
  1. The diet's mineral content, particularly calcium and phosphorus
  2. The diet's fat-soluble vitamin content, chiefly vitamin D
  3. The diet's content of inhibitors of mineral absorption, primarily phytic acid
Once they had defined these factors, they set about testing their hypotheses in humans. They performed eight trials, each one in children in an institutionalized setting where diet could be completely controlled. The number of cavities in each child's mouth was noted at the beginning and end of the period. I'll only discuss the three most informative, and only the most successful in detail. First, the results:

I'll start with diet 1. Children on this diet ate the typical fare, plus extra oatmeal. Oatmeal is typically eaten as an unsoaked whole grain (and soaking it isn't very effective in any case), and so it is high in phytic acid, which effectively inhibits the absorption of a number of minerals including calcium. These children formed 5.8 cavities each and healed virtually none-- not good!

Diet number 2 was similar to diet 1, except there was no extra oatmeal and the children received a large supplemental dose of vitamin D. Over 28 weeks, only 1 cavity per child developed or worsened, while 3.9 healed. Thus, simply adding vitamin D to a reasonable diet allowed most of their cavities to heal.

Diet number 3 was the most effective. This was a grain-free diet plus supplemental vitamin D. Over 26 weeks, children in this group saw an average of only 0.4 cavities form or worsen, while 4.7 healed. The Mellanbys considered that they had essentially found a cure for this disorder in its early stages.

What exactly was this diet? Here's how it was described in the paper (note: cereals = grains):
...instead of cereals- for example, bread, oatmeal, rice, and tapioca- an increased allowance of potatoes and other vegetables, milk, fat, meat, and eggs was given. The total sugar, jam, and syrup intake was the same as before. Vitamin D was present in abundance in either cod-liver oil or irradiated ergosterol, and in egg yolk, butter, milk, etc. The diet of these children was thus rich in those factors, especially vitamin D and calcium, which experimental evidence has shown to assist calcification, and was devoid of those factors- namely, cereals- which interfere with the process.
Carbohydrate intake was reduced by almost half. Bread and oatmeal were replaced by potatoes, milk, meat, fish, eggs, butter and vegetables. The diet is reminiscent of what Dr. Weston Price used to reverse tooth decay in his dental clinic in Cleveland, although Price's diet did include rolls made from freshly ground whole wheat. Price also identified the fat-soluble vitamin K2 MK-4 as another important factor in tooth decay reversal, which would have been abundant in Mellanby's studies due to the dairy. The Mellanbys and Price were contemporaries and had parallel and complementary findings. The Mellanbys did not understand the role of vitamin K2 in mineral metabolism, and Price did not seem to appreciate the role of phytic acid from unsoaked whole grains in preventing mineral absorption.

Here are two sample meals provided in Dr. Mellanby's paper. I believe the word "dinner" refers to the noon meal, and "supper" refers to the evening meal:
Breakfast- Omelette, cocoa, with milk.
Lunch- Milk.
Dinner- Potatoes, steamed minced meat, carrots, stewed fruit, milk.
Tea- Fresh fruit salad, cocoa made with milk.
Supper- Fish and potatoes fried in dripping, milk.

Breakfast- Scrambled egg, milk, fresh salad.
Dinner- Irish stew, potatoes, cabbage, stewed fruit, milk.
Tea- Minced meat warmed with bovril, green salad, milk.
Supper- Thick potato soup made with milk.
In addition, children received vitamin D daily. Here's Dr. Mellanby's summary of their findings:
The tests do not indicate that in order to prevent dental caries children must live on a cereal-free diet, but in association with the results of the other investigations on animals and children they do indicate that the amount of cereal eaten should be reduced, particularly during infancy and in the earlier years of life, and should be replaced by an increased consumption of milk, eggs, butter, potatoes, and other vegetables. They also indicate that a sufficiency of vitamin D and calcium should be given from birth, and before birth, by supplying a suitable diet to the pregnant mother. The teeth of the children would be well formed and more resistant to dental caries instead of being hypoplastic and badly calcified, as were those in this investigation.
If I could add something to this program, I would recommend daily tooth brushing and flossing, avoiding sugar, and rinsing the mouth with water after each meal.

This diet is capable of reversing early stage tooth decay. It will not reverse advanced decay, which requires professional dental treatment as soon as possible. It is not a substitute for dental care in general, and if you try using diet to reverse your own tooth decay, please do it under the supervision of a dentist. And while you're there, tell her about Edward and May Mellanby!

Preventing Tooth Decay
Reversing Tooth Decay
Images of Tooth Decay Healing due to an Improved Diet
Dental Anecdotes

The Best of The Bunch

If you rarely reach for cauliflower, you’re missing out on one of the most nutritious, delicious produce picks. “This cruciferous veggie (in purple, green, or white) is packed with folate, fiber, vitamins C and K, and cancer-fighting isothiocyanates,” says Keru Gans, R.D., a New York City dietitian. While the raw and steamed versions can be a snooze, the florets are standouts when roasted. For an easy side dish, toss them with olive oil, nutmeg, salt, and pepper and bake at 400 F for 25 minutes.








Eat to beat that cough

Before you stock up on throat lozenges, try filling your plate with fish or eggs. Both of these foods are high in vitamin B12—and a new study from Italy’s University of Turin shows that nearly half of people with an unexplained chronic cough are deficient in the nutrient. “Nerves need vitamin B12 to function,” says lead researcher Caterina Bucca, M.D. “So not getting enough can lead to inflammation, which can irritate airways.” In fact, she found that participants who took one B12 supplement a week coughed less and breathed more easily after two months.

     If you’ve been hacking for more than four weeks, make an appointment with a physician, who can test your B12 levels and screen for other culprits, such as a respiratory infection. In the meantime, cover your bases by getting at least 2.4 micrograms (mcg) of the vitamin daily from foods like trout (5.4 mcg for 3 ounces), eggs (0.6 mcg each), and lowfat yogurt (1.5 mcg per cup).


The healthy way to snack

You probably don’t think of your afternoon bag of popcorn as a superfood, but you should. A recent study from the University of Scranton found that the snack contains up to six times the amount of antioxidants called polyphenols as fruits and vegetables. (In the cereal category, raisin bran scored highest.) “We used to believe fiber was the reason whole grains protect against heart disease and cancer,” says lead researcher Joe Vinson, Ph.D., a professor of chemistry at the university. “But our research suggests their polyphenol content may be more important.” Refined grains make up a whopping 85 percent of carbs consumed daily, so in addition to swapping pretzels for light microwave or air-popped popcorn, trade saltines for whole-grain crackers and cornflakes for whole-wheat flakes.


Try this! Pop a stick of gum. Research shows that people eat 67 fewer calories at lunch when they chew for an hour in the morning. Experts say the act of chomping boosts satiety and curbs hunger.


Coconut

Some experts claim this tropical treat can strengthen the immune system and even protect against heart disease. “But there’s not enough research to back up these claims,” says Kerry Neville, R.D., a dietitian in Kirkland, Washington. Regardless of potential benefits, the bottom line is that coconut can do dietary damage if you aren’t careful: One tablespoon of the sweetened, flaked version packs 97 calories 553. Opt for unsweetened coconut and light milk instead.

Will lost

Ahhh guys, I really am struggling.

I was this morning 119kg, so no losses, and a bit of a gain since I bothered last time, but I am my own worst enemy.

I spend each day pretty much thus:

wake,
drink jasmine tea or black tea or black coffee

Possibly have lunch - maybe mashed potato with cheese, maybe a sandwich (prawn cocktail extra sauce on the side to help it down) maybe chicken noodle doodle packet soup. Usually nothing.

Mon/Tues/Wed
go to work, come home around 10pm order takeaway (current favorite, korma sauce for starter, followed by chicken madras and mushroom rice) or have a jacket potato with cheese and coleslaw + wine.

thursday/friday/sat/sunday
no work, so usually something I have made, but I rarely eat with the family. I like to wait, relax, take my time and eat at my pace on the sofa watching telly. I get myself a nice big pot of jasmine tea, my dinner, my favorite show that has been recorded on the sky+ and watch it.

Some meals I have made recently:
curry
spanakopita (spinach and cheese pie - greek dish, filo pastry etc)
waffles, beans, eggs & gammon
sausage & mash
jacket spuds
chicken salads

oh god its so depressing.

I don't know why I am even bothering to write this shit down.

I am in a rut, know I have to change but just simply can't be bothered. Yesterday for instance I had 3 cadburys crunchie bars, 1 bowl of chickpea curry (homemade), 2 fishcakes, and a bag of prawns in cocktail sauce and half a bottle of red wine.

Why did I pick those things? I dunno. They didn't make me feel any better, I wasn't eating them because I felt bad/emotional/happy/sad I just ate them as that was what was around.

I got fish and chips for my son and his mate who was sleeping over, DH got his own thing when he went out in the evening to a show, Charlotte had dinner at her mates house, and I made the curry with rice for Al. I had a bowl of that whilst he was eating his cos it was tasty but that was it.

I later made myself the prawn thing and sat down and watched Dirty dancing: Havana nights (sweet film).

I am not feeling particularly hungry, but if I try hard enough - and you girls know what i mean i am sure - I can get a large meal down me.

I have never got this restriction word. Like actually understood it. Is restriction when you eat it stops in your throat, or a full feeling? I mean it's 9:20am. I have had nothing to drink and am straight out of bed so if i got a slice of toast/mouthful of porridge/rusk/cornflakes or even yogurt it would go GLUNK and sit there for ages. Is that restriction??

If I have a jasmine tea or 2 and then a mouthful of toast/porridge/rusk/cornflakes or yogurt it will go down. I will feel it - like "is it, isn't it hmmm" kind of feel it and then I will be able to have another bite 2 minutes later etc.... Is that what I should do?

Cos you know, I can never be arsed. Cos its such a fucking palaver, I just don't bother. I am not hungry, so why eat? Is this the mistake??

I get peckish around about 11am and normally will get something - a biscuit, or soup or something safe. Maybe I just know this band too well and know its weaknesses and its loop holes.

I am still heavier than I was at my operation date which is nearly 4 years ago now. It will be 4 years in February.

Oh man that just makes me wanna cry. I am still paying off the loan that I took out to have this surgery. I only have another year of that and then it's gone. It just feels like money for nothing.

I dunno if it's me, whether I am just not cut out for the band and I should have had the bypass, or what. I know we had a chat with the surgeon and he asked me all the questions to see which would suit me and there were several in our 'production line' Belgian weightloss surgery package club who were advised to have RNY. But not me. He said it would be fine.

I think I am just born to be a a fat bastard, but I worry about so much stuff right now that this is one thing I don't think I can look at. I have ruined hair, clothes that don't fit me filling my draws and a 2 week holiday looming down on me which is all inclusive and I have nothing to wear on and no money to change  the situation with.

I am getting to the point where I really really do think that this isn't going to work for me now. I had hoped after unfilling my band for those 4 months would re-open the window of opportunity but it's not doing it the same as before. I just don't know what to do. Should I have another fill so that I am tighter than a ducks arse and only able to 'eat' fluids?? 

Should I be following some kind of diet?

Everyone higher up (fill nurse, doctors and even Dr. Dillemans) says that you just eat normally. I don't know what normal is. I don't seem to be able to control myself to eat the right things.

Maybe if I had a RNY I would get my act together because of the horrible side effects if I didn't. But maybe I would just find the loop holes again.

I really don't know which way is up. I don't really want placitudes, or hope, or help, I just needed to tell you all that this is the situation right now.

If I had £6k I would be on the way to Belgium I think. The only thing is, I am really scared of RNY surgery because my dad had bowel cancer and the stitches came undone inside him when they put his bowel back together and he nearly died by shitting inside his body cavity (see older posts). Apparently this is common.

Now I know RNY is not the bowel as such, but they do chop a bit and stitch it somewhere else right? What if it came undone?????????? this is what I am worried about. I would also want Dr. Dillemans to do the surgery in Belgium as I think its so much cleaner etc, but it's Belgium and if I had a problem what would happen???

I might go and visit my doctor and ask her. I mean people emigrate all the time so they cant like refuse to treat you right?

Or am I just chasing a dream that is unrealistic. Does it really matter? I have a son and husband who love and adore me and although my legs are starting to mottle with broken starburst veins from my lupus.... I am not going to die too young am I?

From Lupus information sheet: 
Heart disease is more common than expected in patients with lupus and affects up to 10% of patients. Overall it is a factor in 30% of deaths in patients with lupus. Studies suggest that women aged 35-44 years with SLE are 50 times more likely to have a myocardial infarction (heart attack) than healthy women of the same age. Risk factors should be addressed eg stopping smoking, losing weight. High blood pressure should be lowered and any other contributory factors (such as the anti-phospholipid antibodies which cause 'sticky blood') treated.

I have systemic lupus and also anti-phospholipid syndrome. I am also 34 years old.

The outlook is pretty fucking bleak.

Ok, I am gunna stop now. I don't seem to be able to keep my will strong and pro the cause long enough to make a difference and I don't know how I can change my inner drive so that it will stay the course.

Mind transplant?

Friday, December 10, 2010

How Does Weight Loss Work?

Dr. Catherine Itsiopoulos, from the Dietitians Association of Australia, explains: “Weight loss works by burning up more energy (with increase in exercise) and taking in less energy (with improving food quality and reducing quantity). To lose weight and keep it off you need to make long-term lifestyle changes that are realistic and achievable and can be maintained in the long-term.”

THE RULES

  1. Eat before you get too hungry, as not doing so can lead to overeating.


  2. Eat slowly, chew food well and stop eating when you are comfortably full.


  3. Eat a diet containing lots of vegetables, salads and fresh fruit.


  4. Choose wholegrain breads and cereals, which are more filling and nutritious.


  5. Choose low-fat dairy foods. Try yogurt for a nutritious calcium-rich snack, or a glass of milk in the evenings to satisfy a sweet tooth when you’re craving dessert.


  6. Eat small portions of lean red meat, or a serving of skinless chicken, and have fish a couple of times a week: Try tinned salmon on a wholegrain roll with plenty of salad for lunch.


  7. Drink plenty of water to stay well hydrated, and avoid sugary drinks.


Thursday, December 9, 2010

Persimmon Snack

During this time of year, my grandfather has a tree FULL of persimmons.  We use some for Thanksgiving when my mom makes her famous Persimmon Chocolate Chip Cookies--everyone looks forward to them. But after the big meal, we have a lot of fruit left to get creative with.

The downside of the Hachiya Persimmons is that they are astringent until they are fully ripe.  If you wait for them to ripen on the tree, you have oodles of persimmons ready to eat NOW and it's impossible to keep up with them since they are fragile when ripe. So you have to pick them when they are still hard and wait for them to ripen. And wait, and wait, and wait...

You might wonder what astringent tastes like? Imagine sucking on your toner saturated cotton ball after washing your face. *Pucker up* Hachiya's are very deceptive too.  On the outside, they look yummy and ready to eat. But they are very astringent until they are squishy with ripeness.

The following were picked two weeks ago and are still hard as rocks.  Aren't they pretty? One little lick and you'd be gagging.

One thing you can do instead of waiting for these babies to ripen is to dehydrate them. For some reason, even though they are hard and bitter, after they are dehydrated, the astringency is gone and a sweet, nutritious, dried treat remains.

astringent-inedible-nasty
sweet-chewy-satisfying
**Not to be confused with the Fuyu Persimmon. (Below) They are sweet when they are hard. Notice how they have flat, pointless bottoms unlike the Hachiya above.  They're ready to eat as soon as they turn orange.  I tend to get impatient so I have to admit, I like the Fuyu better.  I think we might have to plant a tree too. (I've gobbled a couple of these already today.)

Check out this great Wiki article about persimmons.