Tag: keto

A Keto Failure

  • If you’ve been following along at home, several weeks ago I began the great reset. Calorie control, daily workouts, and going back to keto. So far it’s been going great. Down about seven pounds and solidly back in ketosis. And then I ran into a brick wall. Otherwise known as “regular life”. A few days ago we went out to dinner with some friends to a Puerto Rican restaurant. Great food. I did fine with calorie restriction… but a few deep fried plantains and some other taro root appetizer thingy snuck in, knocking me out of ketosis by the next morning. I did ok the next few days diet-wise and then we went to a hockey game last night. (the other day I went to a boxing match and a hockey game broke out. Bada boom. I’ll be here all night) I was smart with calories – I made and ate a huge pot of steamed broccoli before we went so I wouldn’t be tempted with food (you have no idea how much willpower it took to not dive into the pizza and wings). But everyone was having drinks (I haven’t had one for several weeks) and I caved. I had a vodka since it’s keto. And then I couldn’t resist having a beer. How do you not have a beer while watching hockey? Which brings me to my point. It’s so tough to “diet” and/or maintain keto and have a regular life. It’s so hard when everyone is ordering food and enjoying a few drinks and you’re that guy… not eating and drinking iced tea. Sigh. I desperately wish I could find the right balance that allows me to actually eat and maintain a healthy weight. Maybe I’ll just go crazy with the workouts. If I burn a 1,000 calories a day I can still eat nachos, right?

  • The events of Kenosha and the Rittenhouse shooting, and so many other events the last year, are a direct result of elected officials abdicating their responsibility. If you fail to enforce the law or offer basic policing services to your citizens, the outcome will be predictable. Like it or not, a much larger percentage of the population than you’d think are generally not good people – for a whole host of reasons. Given the opportunity they will lie, cheat, steal, and use violence and force to prey upon the weak. Those folks have always been a part of the human condition and always will. If you don’t keep them in check, they will take advantage in a heartbeat. America historically has, for the most part, managed the balance between police authoritarian/overreach and anarchy pretty well. Until now. The woke, progressive, lawyers, and cancel culture have cowed elected officials into being afraid to do their jobs. The end result is predictable. And the longer it goes on the harder it will be to wrest control back from the mob. I fear it may already be too late.

  • Directly related to the last point, I highly encourage you to read this post. I’m not going to try and restate it because I’m not articulate enough. I’m 75-80% 90% in agreement with it. The part I’m curious about… is there some George Soros type person or big tech cabal orchestrating this, or is it an organic thing fueled by people like AOC and Ilhan Omar who in pushing their day to day issues are inadvertently driving us closer to the outcomes stated in the post? Regardless, history reminds us that chaos will create a power vacuum. You may not like who steps in to captain the ship.

  • Speaking of chaos, I’m most of the way through a great book on the history of Frederick Douglass and Abraham Lincoln. I hadn’t read much about the civil war, so there’s lots of details that I never knew. It’s hard to imagine what Lincoln faced as he took office. The south almost immediately seceded directly in response to his being elected. A number of the battles in that war had casualties of 20,000 – in a single day. That’s unfathomable. We just recently had 13 servicemembers killed in the bungled Afghanistan withdraw and we went apoplectic. Can you imagine thousands in a single day? The pressures Lincoln faced were truly remarkable. It’s a good to be reminded of how close this country came to not surviving.

  • We’ve had a bear circling our neighborhood for several years now. During the summer you’d have the occasional sighting, and then more frequently as we get closer to winter. The last month or so he’s been a pretty frequent visitor. We caught him on the security camera the other night going after our garbage can. He flipped it over a few times, pressed down on the side, and pop… it opened up like a ripe banana. So much for the “bearproof can”. The can is now in the garage. I’ve seen him on the camera several more times looking for it in the middle of the night. I’m worried for him. He’s clearly become accustomed to foraging for garbage in neighborhoods. Bears like that tend not to have a good outcome. Relocating them doesn’t tend to work. Time to hibernate Mr bear, before Fish and Game come looking for you!

  • We’re about to join the hordes of people off traveling to grandma’s house for Thanksgiving. Please give a quick prayer for my waistline. And folks, as Sergeant Phil Esterhaus in Hill Street Blues said at the end of every roll call… “Let’s be careful out there“. Whew, that’s dating myself.

Song of the day: The Ting Tings – Shut Up and Let Me Go

Bro, Do You Even Keto?

Crisis, noun

a stage in a sequence of events at which the trend of all future events, especially for better or for worse, is determined; turning point.

As I’ve mentioned before, my health has been in a downward spiral for a while now. I can’t point to any particular reason, other than general sloth. In September of ’20 I hit my goal weight and climbed Mount Whitney. I felt fantastic. All health markers were exceptional. I decided to take a “timeout” from the strict diet for a short period. Fast forward 14 months and I put all that weight back on, plus a few. While I’m generally physically active, as the weight increases my frequency and intensity of activity drops. Basically, I feel like crap. Tired all the time. Sore after every attempt at working out. Depressed because I can barely run a mile, when a little more than a year ago I was comfortably doing 8-10 mile trail runs at 7,000 feet. It’s truly frightening how fast you go backwards.

Some weeks prior I started trying to turn this ship around. Increased workouts, trying to run a bit again, and half-assed paying attention to my calories. And then a number of days ago the ship ran aground. I wasn’t making much progress. And then an event happened that hit me hard. In a nutshell, vanity and embarrassment at how I look prevented me from doing something fun. That was the proverbial straw that broke the camels back. I finally had the courage to step on the scale again and measure BP, HR, and blood sugar. [cue blaring klaxons and flashing red lights]

I don’t remember the exact statistic, but over a three year period, something like 95% of all diets fail. That’s why the experts generally don’t want you to “diet”, but rather make small, incremental healthy choices that are sustainable over the long term. Unfortunately, in crisis management you don’t have the luxury of long term planning. You need to make choices to solve the immediate, critical issues in front of you. When the crisis is over you can revisit plans and recalibrate your long term path forward. That’s where we’re at today… crisis management.

So, say hello to my old friend the ketogenic diet. I really didn’t want to go back to keto. I was on it for almost two years. I found it very restrictive and do have some concerns about long term heart health. Back in my peak health I was just about to do some advanced calcium tests to get the true picture of my heart, and then the pandemic hit and everything was shut down. So I really don’t know what the full impact of almost two years of keto was.

But, for me keto worked. I don’t think it has anything to do with ketogenesis – there are too many studies showing equal weight loss and health results with other diets. I don’t believe insulin/sugar/carbs/inflammation, etc… are the great drivers of fat loss/gain (note – when I started keto I went hard down that rabbit hole and was a rabid convert. Like the old joke, how do you know if someone is vegan/keto/paleo/Crossfit? Don’t worry, they’ll tell you.) Don’t misunderstand – I think controlling blood sugar is massively important. But you can achieve the same blood sugar control with exercise and being lean in most cases. Keto is not a magic bullet for this… but it can jump start the process.

Keto worked (in my opinion) because it forces you to pay attention to macros which lends itself to being aware of calories. High protein and fat is much more satiating, which helps curb cravings. And when you really can’t eat/drink carbs, those in-between meal snacks tend go away. Keto, for those of you who haven’t gone down that road, has another benefit. When you first enter ketosis, for a while you tend to dump a ton of water weight. The result is seeing the number on the scale plummet rapidly. You see progress and that’s self-reinforcing to keep going with the diet/exercise. Positive feedback loops are a good thing.

So here we are. Crisis management. Keto. Officially day 4. Peeing like a racehorse. In ketosis (via blood test). Down 3.6 pounds (mostly water weight). As an interesting anecdote, I am a believer in teaching your body to be fat-adapted. We evolved cycling between high protein/fat and then long periods of plant based carbs and intermittent fasting. Our ancestors had to go long fasting periods, running down antelopes, fueled only by stored fats. When I first attempted keto it took several weeks to just edge into ketosis and several more weeks of dropping in and out before I was solidly in ketosis. Throughout the next year and a half I took three or four calculated one week breaks from keto (but maintained the same caloric intake). Each time I restarted, it took shorter and shorter amounts of time to get back into ketosis. Even after a 14 month break, I was (barely) back into ketosis after only a day and a half. No fasting, just high fat/protein. Your body remembers what to do. I find that fascinating.

  • Side note for those who don’t know. Generally “in ketosis” means blood ketone levels greater than 0.5 mmol/L. After a few days I’m hovering around 0.8. At my peak 14 months ago I was generally between 1.5 and 2.3 mmol/L daily.

I’m not sure what the long term eating plan is. I originally quit because of how strict keto is. Eventually, I want to be able to have a beer now and then. My favorite food is Mexican. I freaking love potatoes. Nachos are my kryptonite. None of those are compatible with keto or my current weight. When things are back in control, I’ll need to figure out a lifestyle plan that works. The weight cycles are so incredibly unhealthy, I can’t keep doing it. I’d love to hear what you diet experts feel is a sustainable eating plan?

Besides, when the supply chain / economic collapse / zombie apocalypse finally hits, anyone not fat adapted is going to struggle. As the movie Zombieland stated, there are 53 rules for surviving. Number one is cardio. And you can’t run from zombies if you’re feeling woozy from lack of carbs. But that’s a post for another day.

I Need Me Some Ketones

  • Breaking a cycle of behavior is hard. Probably one of the hardest things we face as humans. It doesn’t matter if it’s diet, an abusive relationship, gambling, or wearing jorts with crocs. Making a personal behavior change sucks. Very few of us are actually successful at it. The diet relapse rate after three years is 95%, regardless of diet type. Think about that. It doesn’t matter what type of weight loss plan you choose, only 5% of folks will maintain that weight loss after three years. That’s a pitiful success rate. There’s a reason the diet and fitness business is a gazillion dollar industry. Count me in that statistic. I have been successful multiple times getting down to close to high school weight and being reasonably fit. And then I relapse and things go south in a hurry. I think the key is that as humans, we want instant gratification. I’ll do whatever it takes to see progress now. Seeing any progress fuels a positive reinforcement cycle and you are motivated to continue. Insane workouts, starving yourself, crazy cabbage soup diets, anything to keep seeing some progress. The problem is that most of what we’re doing isn’t sustainable in the long term. Who wants to accept that they’ll never be able to eat a French fry again in their life? Which brings me to ketones. I’m going to do what I just rallied against. A ketogenic diet is what has helped me lose weight in the past. At the moment, I can’t stand myself so I’m going back to what I know. There’s nothing magical about keto. Keto in itself will not make you lose weight any faster than any other diet. For me, I find it so restrictive that it’s hard to exceed a daily calorie budget and therefore I end up losing weight fairly rapidly. I happen to believe that there are a number of other benefits to becoming fat adapted, but most of them are also achievable by simply losing weight – regardless of the diet choice. So for me it’s really about finding something that keeps me on my calorie target. I don’t care what crap you read, weight loss can only occur in the presence of a caloric deficit. Period. So, I started a few days ago and officially entered ketosis (just barely, at 0.9 mmol/L per blood ketone test). I feel good about that and am motivated to keep it going. Knowing me (and most people) if I can sustain this for a couple weeks I’ll be golden. It becomes a routine and I’ll be happily zooming down the weight loss road. Here’s the problem. That last time I went keto it lasted for a little over a year, with no cheating. And then I hit a wall. My craving for bread, pasta, potatoes, and beer went into overdrive. I told myself I’d do a short cycle off of keto, but maintain calorie counts and then go back on keto. A year or so later and I’m eating everything in sight and put all the weight back on. So I’ll have to find something that’s sustainable long term. I don’t know what that is yet, but I can’t let these cycles continue. I’m at an age where it’s just not healthy or achievable. I honestly wish I didn’t like food. I’d like to think I could just pop a few pills (or the tasty wheat scene from the Matrix) and be done. Sigh. Oh, but nachos. Nachos… I’d be very sad if I thought that I’d never have nachos again.
  • Interesting side note for folks interested in keto and becoming fat adapted. I do think your body remembers. The first time I went keto it took weeks to get into ketosis. The next time was quicker. This time, after more than a year off it took only about two days. And this was after a major carb blow out the night before I started. There’s a ton of hype around keto that seems to be highly blown out of proportion. But I do think that a fat adapted eating cycle was what our ancestors were forced into and that somewhere deep down in our DNA, we remember.
  • So nutjob representative Maxine Waters decided to fly to Minneapolis and try to incite violence. Not her first go-round with this tactic. She made several statements… she demanded a guilty verdict for the former officer “or else.” She called for people to “stay in the streets” during the unrest. She on protesters to “get more confrontational” if former cop Derek Chauvin is acquitted of murder charges in George Floyd’s death. At least she’s not inciting an insurrection on the capitol. This will be ignored by most of the press and she’ll happily keep her congressional seat. Anyway, that’s not the story. The best part of this latest stunt? She called for a police escort in and out of the city. It’s hard to fathom the hypocrisy of some of these people.
  • Speaking of hypocrisy, Michigan Gov. Whitmer appears to have travelled to Florida after blaming travelers for a spike in Covid cases in her state. Why is it that elites and the holier than thou folks issuing edicts never seem to follow their own rules? Clearly rules are for the little people.
  • My state has experienced an incredibly windy March and April. I hate the wind. Everyone is talking about it. Even the weather folks are joking to not blame them each day for the continued wind forecasts. I started questioning myself if we’re really getting more wind than usual or is it just a false impression. Yesterday I had a patient’s family member confirm the wind for me. The family member said they work with farmers and are getting many reports that farmers are unable to spray their fields (pesticides, fertilizers, etc…) due to the wind. They’re predicting a disaster growing season. So, not my imagination. Dear <deity of your choice>, please make the wind stop.
  • Twitter can be an incredibly nasty place that will kill any positive energy and make you want to give up on society as a whole. Therefore it’s imperative that you follow an equal number of happy accounts. Please follow Buitengebieden. You won’t be disappointed.

Song of the day: What day is it? Sublime Smoke Two Joints Music Video

Notions Of Cool V.012

  • A note for my two readers… Notions will be sparse to non-existent for a week. I’ll be on an island drinking tropical drinks with tiny umbrellas and fighting a heroic battle to remain in ketosis. Not.
  • The US government hit its borrowing limit yesterday. The estimate is that they run out of money by September if we don’t raise the debt ceiling (again). Our total debt is $22 trillion. But whoo hoo, a green new deal!
  • I love this quote from @garyvee “Technology has not changed us, technology has exposed us”.
  • There are some thoughts that the universe is expanding faster than previously thought. I love that stuff. I’m also not smart enough to understand what the hell I’m reading. As Forrest Gump says, “I’m not a smart man”.
  • Speaking of reading, I struggled to find a few books to read on vacation. I don’t know why but lately finding books that keep my interest is like searching through Netflix for a movie. I settled on these three. Don’t judge.
  • I’ve been doing an experiment-ish on the Twitter. Created a new account. I have exactly 1 follower. Been slowly adding a few tweets, some hashtags, following people, etc… I’m curious what will be the spark that actually gets followers?
  • Still no Instagram story. Maybe this week.
  • Dropped the hound off at the pet sitter yesterday. Surprising how quiet the house is without that knucklehead. See you in a week!

Song of the day: Buju Banton “Love Dem Bad”

Notions Of Cool V.007

A random list of things and shower thoughts that an old guy (who still thinks he’s 20) finds cool or worth pondering.

  • Continuing… The earth has warmed – this is not debatable. The warming has been roughly eight tenths of a degree Celsius. And shockingly, this is more or less what greenhouse gases demonstrate in laboratory conditions. What has not happened is the model predictions of runaway exponential temperature increase. So, change my mind – where is the crisis?
  • The new skis are the bomb. Very happy with my choice. Volkl M5 Mantras. Of course, calf deep powder didn’t hurt. The ski is a touch beyond my skill level, which is a good thing.
  • To the best that I can tell I have been in ketosis. Yesterday’s test was after two fried eggs with cream cheese and avocado, followed by four hours of hard skiing. Ketones were 1.5 mmol/l. (suggested range is 0.5 to 3)
  • As an RN, time management is everything. I’m not good at it and it drives me nuts. I’m going to make a full press effort to tame this beast. The conventional wisdom says to implement hourly rounding. The theory is that if you’ve addressed pain and toileting, you’re less likely to be interrupted by call lights. Hmmm. We’ll see.
  • I can’t find anything I agree with AOC on, but she gets social media. Politicians on both sides need to figure this shit out or she’s going to clean their clocks.
  • For the tech dorks, a great blog on security. In my mind I’m still a tech guy, but most teenagers have surpassed me at this point.
  • It’s shocking to me how primitive vehicles are in terms of software, connectivity and interacting with mobile devices.
  • Hard not to laugh at this meme of Senator Klobuchar emerging from a team meeting.

Song of the day: Rebelution “Inhale Exhale”

Notions Of Cool V.004

A random list of things and shower thoughts that an old guy (who still thinks he’s 20) finds cool or worth pondering.

  • My new favorite way of thinking critically about things is a statement from Scott Adams. When you read or hear something that doesn’t jibe with your point of view, ask yourself – what would it take to change my mind?
  • Sympathy level for Hoda Muthana… zero.
  • Something Tim Ferris said got me doubting I was in ketosis. Per my new monitor I’m at 1.3 mmol/l this morning. Not definitive and needs more data, but I feel better that I’m on the right track. Next up, blood lipids.
  • A patient had an odd skin blemish on the forehead that turned into a melanoma that metastasized in the brain. I will be making an appointment with a dermatologist today.
  • Yo, politicians and journalists who were early to jump on the Smollett issue – if you aren’t publicly apologizing or admitting you were wrong, you’re an intellectual fraud and a blindly biased hack.
  • My new skis are ready today. I’m giddy like a little schoolgirl.
  • A week until I hit Hawaii where it’s currently 72, which is not the same as the current 14. Damn global warming.

Song of the day: Dirty Heads “Swim Team”

Notions Of Cool V.003

A random list of things and shower thoughts that an old guy (who still thinks he’s 20) finds cool or worth pondering.

  • Socialism and open borders vs build the wall. It’s going to be an interesting 2020. Who can scare their base enough to turn out?
  • I fucking hate drama. Don’t have time for that. I deal with real drama every day at work – new paraplegics, brain tumors, spinal surgeries, etc… if you don’t fall into one of those type of categories, then your drama is bullshit. Life shouldn’t be that complicated. Pet your dog, work hard, go for a run, eat more salads, try to be a good person. If someone or something is causing things to be difficult – cut it out of your life.
  • I’ve been wanting to post to Instagram stories for several weeks now, but have been too chicken. As the saying goes, I have a face for radio. Tomorrow. Definitely going to do it tomorrow.
  • I love watching the media flail around and eat their own. It’s still shocking to me that so many of them can’t see the bias. Every day you need to be exposing yourself to different opinions or you’ll be stuck in an echo chamber.
  • I ordered a ketone monitor today. Need to decide if I should be worried about my blood lipids.
  • If you haven’t seen it, watch Idiocracy. We’re moving closer and closer to it every day.

Song of the day: Alice Merton, Funny Business