Tag: Weightloss

Daily Life, Health

Go Big Or Go Home

Today was a glorious day. It was the first night it didn’t freeze overnight. Sun. Clear blue sky. No wind. Snow has melted off all the roads. Birds are chirping and the chipmunks are going crazy trying to find their fall stashes. It’s hard not to be in a good mood with a spring day like this. So I decided to go for a run. Not a fast walk. I decided I would suck it up and actually run. It was the first time in two years.

It went about as well as expected. I felt like a gazelle for about two minutes. Then I realized my heart rate was maxed out, so I slowed down. I looked back and could still see the house. Well, that’s discouraging. I continued to plod along and ignored everything that hurt. I ran a route that I used to run way back when I thought of myself as a runner. All I remembered was that it was my “quick” route in town when the trails were too muddy. I managed to jog most of the way, but definitely had to walk from time to time. It took me a lot longer than I remembered.

By the time I got back to the house I was pretty tired. Once my heart rate slowed down, I checked the mileage. 4.6 miles. Hmm. That was probably a bit much for first time out of the gate. I guess my memory of mileage was a bit off. I’m going to pay for that tomorrow for sure.

Besides the beautiful spring day, why did I suddenly decide to go for a run? We have a new friend who’s in his early sixties. As we’re getting to know him, I just found out he’s a competitive bodybuilder. He frequently competes with guys twenty-plus years younger than him… and wins. We had a fascinating discussion about diet and workouts. He’s just about to go to a competition, so he’s just started his weight cut. It was hard to hear how easy it was for him to cut down to 8% body fat. He said, yeah I’m a little hungry but I have a formula that just works.

I found our talk really inspirational. If someone his age can do that, I have zero excuse. If he can have the rigor to work his job, workout at night, and dial in his bodyfat exactly where he wants it, I should be able to drop a few pounds and get my ass to the gym.

I found our talk super energizing. I counted calories all day yesterday and today. I went for a morning hike with the dog and then the run. We’re going to keep this momentum. If he can do it, I can do it.

After today’s bit of overdoing it with the run, getting out of bed tomorrow is going to hurt. Going to the gym is going to take some motivational self-talk. But we’re going to get it done. Go big or go home, right?

Diet, Health

Keto Fixes Everything

A quick update on going back to keto. Ten days ago I wrote about being forced to return to the diet I have a love/hate relationship with. Because I have a medical reason to stay motivated, the transition has been relatively easy. It took two days to get back into ketosis (the body does remember, even after several years). I’ve been maintaining 1.2-1.4 mmol/L every day, with spikes to 1.9 mmol/L following exercise. I’ve dropped 11 pounds. All-in-all, a good start.

So that’s it, keto fixes everything right?

Ah… no. The stomach issues I’m dealing with are slightly better, but certainly not gone. I probably feel better because I’m not binge-eating chips, cheese, bread, and I’ve lost some weight. I’m not convinced food has been the source of my woes.

But, but, you lost weight with keto. Isn’t that reason enough to stay on it? Sorry, but keto didn’t cause my weight loss. You dump a bunch of water weight initially when you first get into ketosis. And… the magic of a caloric deficit. We went out to eat with friends and I had a burger, no bun, a small salad instead of fries, and iced tea instead of a beer. I’ve been eating breakfast and then skiing all day (every day) and not eating again until dinner. I’ve had a huge calorie deficit combined with daily high intensity exercise. It’s not rocket science.

So why bother? Just go back to eating carbs.

A few reasons. I made a commitment to stick with this for a month so I can legitimately tell my doctor if foods are contributing to my symptoms. Second, keto makes maintaining a calorie deficit easy. Independent of my gut issue, I need to drop another 20 pounds. At this point I’ll do what it takes to achieve that. If keto keeps me on track, so be it. The other big reason is that when in ketosis, I don’t have the major hunger pangs if I don’t eat. I can ski all day and not get that bonk feeling I would on a heavy carb-based diet.

But it’s hard, I admit. I turned down going to pizza with friends last night. I honestly didn’t think I’d have the willpower to sit in front of a steaming hot pizza and not indulge. I feel bad because friends and family are offering to change the food they serve to something I can eat. I appreciate it, but I don’t want others to have to change their eating habits for me.

I wish I knew why food discipline is so hard. We have an unopened bag of chips in the pantry, along with pretzels, and popcorn. I probably walked into that pantry ten times last night and stared at those forbidden items. Fortunately, I held out and opted for drinking a crapload of water. If I wasn’t worried about dropping out of ketosis… I guarantee I would have splurged.

So, keto it is. At least for a month. I have no idea what happens after that.

Motivation, Health

It Just Hurts

When I first started out as an RN, I’ll admit I got a bit judgmental sometimes towards certain patients. It was the folks who were fairly obese, in their late 60’s or early 70’s, and lacked the strength to get off the toilet or out of a chair. As two and sometimes three of us struggled to get them standing so they could shuffle back to bed, I’d say to myself “how could anyone let themselves get to that point?” They’d reject the physical therapists who came to work with them, saying they were too tired or hurt too much to do anything today. I’d do my best to encourage them, often admonishing them that if they didn’t start moving things were only going to get worse.

I just couldn’t fathom wanting to spend your remaining years in that condition. Why didn’t they take better care of themselves? One of the more common problems we’d see with this patient population was toenails. Nasty curled and twisted daggers that hadn’t been cut in god knows how long. Often they couldn’t wear socks anymore because you couldn’t pull them on without snagging on the nails. They’d just resort to wearing sandals or slippers all the time. Why? Because they’d become so deconditioned, they couldn’t bend over enough to clip their own toenails. It just seemed so crazy to me. And when they wouldn’t work with therapy and rejected most advice to do something, anything, to help themselves… I’ll admit I developed a certain lack of sympathy.

Fast forward to today. I hurt. Everywhere. I can barely lift my arms over my head. I look like an 80-year-old walking down the stairs. The moaning and groaning when I attempt to get down on the ground is ridiculous. Why am I in this state? Well… my back injury scared me enough that I’m going full speed, hard core, with my workouts. Every day has been at least an hour in the gym. Stretching, mobility work, kettle bells, club bells, lunges, squats, medicine balls… every exercise I can find on YouTube. Plus another hour and a half of hiking hills with the dog.

The end result is that I’m sore. Everywhere. There isn’t a body part that doesn’t hurt right now. Yes, I realize that I’m probably overtraining a bit. But I’m scared. The back strain was a brief window into a potential future if I don’t fix things. And I don’t like the future I saw.

Reality, as they say, came up and bitch slapped me in the face. I was forced to admit to myself the true, current state of all things physical. I’ve never been very physically strong, so I tended to avoid gym work. I was pretty good with endurance stuff, so that’s what I did. I mountain biked, skied, and ran. And I told myself I was in decent shape. Yes, cardiovascular-wise I was. But year after year my muscles were atrophying. Now, years of ignoring strength conditioning have caught up to me. I strained my back badly while sweeping leaves. Yes, really.

Muscle atrophy and weight gain are insidious creatures. They sneak up on you. Every year a little weaker, a little heavier. As it creeps up on you, your motivation to do something about it gets less and less. Sure, you try here and there to diet or start working out again, but it’s hard. The weight doesn’t come off and you end up hungry and frustrated. Your attempts to work out leave you sore and unable to walk. It’s really hard to keep getting after it when you feel like that. Pretty quickly you abandon the diet and give up the workouts. And the atrophy keeps setting in.

And that’s where I had a very real insight into how those patients let themselves go. And I feel bad for not having more empathy for them all those years ago. It would be so easy to do. I hurt, I’m sore, I’m tired. At my age, do I really need to be trying to lift weights? Let’s just stop. A heating pad and some pain pills will make me comfortable. Blink my eyes and I’ll be that old guy struggling to get off the toilet.

No. I’m not going to do that. I refuse to give up. I know that if I just keep pushing, eventually the soreness goes away. Muscles and tendons will become more supple. The aches and pains get better. Mobility and balance improve. I will not let atrophy win.

I’ll just have to wear hats for a while… my arms hurt too much to brush my hair.

Cool, Government, Health

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

Cool, Lists, Motivation

The Perfect Weight Loss Hack

Cool things, shower thoughts, advice, and independent thinking from someone who’s been around the sun a few times.

  • Clickbait titles amuse me and I couldn’t resist. Anyway, I’ll reveal the hack over the next few posts. Here’s the first part. Go find a BMR calculator that includes activity level. This one seems to work well. Enter in the data and see what your number is. Now here’s the crazy part – go eat less than that number. I guarantee you’ll loose weight. Boom! Mind blown. More to come.
  • I was fascinated by this article. I had no idea that there was such a thing as the Open Skies Treaty and we actually let other countries conduct surveillance flights over our military installations. I can’t decide if it’s no big deal, or our openness will come back to bite us some day.
  • I haven’t been very good lately at keeping up with friendships. The older you get the harder it is. It’s certainly a perishable skill that I need to work on. Been thinking about it, so I contacted a couple of buddies I hadn’t seen in a while and made arrangements to meet for lunch and a couple of beers. It felt good. Go do the same.
  • Watched “The Dawn Wall” last night. Well worth a watch but not as well done as “Free Solo”. The “rules” for big wall free climbing are unclear and the movie never explains it, so there are parts that may leave you wondering why they’re doing some of the things they do. At any rate, I may have to go dig out the climbing shoes. What could go wrong?
  • I’ve never been a huge fan of Lindsey Vonn. Her persona always seemed very cold. I was more of a Julia Mancuso fan. Lindsey recently launched a YouTube channel. She’s much warmer than I thought and has a dry sense of humor you don’t normally see.
  • I made a huge step in my street photographs. I actually went up to someone as asked if I could take their picture. If you’re not an extrovert this is a very weird and intimidating thing to do with a stranger. Wasn’t a great picture, but I crossed that hurdle.
  • Data tampering? But, they’re scientists how could this be? In related news, U.S. Oct-March temps were the third coldest recorded. But whatever.
  • Both political parties are full campaign mode trying to inflame their bases. Independent of the realties of each sides message, the left has gone full negative by devoting all its time to attacking the president. Traditionally people want to vote for something, not against something. It will be interesting to see what happens this go-round.
  • The Insta360 looks extremely cool. Inspiring enough I may have to dig out the GoPro and film something.

Song of the day: Florence + The Machine “Kiss with a fist”

Cool, Daily Life, Lists, Motivation

Notions Of Cool V.018

A random list of things and shower thoughts that an old Gen X dude finds cool or worth pondering.

  • This is a perfect example of what’s wrong with news today. I like to think I’m reasonably plugged in… and I had absolutely no idea this happened last week. 1000+ people dead and 1.5 million at risk of water-borne disease or starvation. Meanwhile, Bob in Ohio was outraged at something someone said. We have a fantastic panel to discuss…
  • A neat video about cycling. I couldn’t do it, but a great reminder that we’re only here once. If you get hit by a bus tomorrow, are you happy with what you’ve seen and done?
  • Speaking of bikes, my town is installing this in one of the downtown parking garages. Yay for bicycle friendly!
  • Jim Acosta is the very definition of douchebag. I get it, he generates equal love and hate traffic. And yes, there are Acostas on all sides of the political spectrum. Sad that this has become the new norm for “news”.
  • I did not hit my weight target this week. It’s mostly meaningless… just a goal. Next week for sure.
  • Bullet Journal update: it went strong for a month, then faded. I still like the idea. I resolve to resurrect the habit.
  • A patient was unhappy with his diabetic menu choices, so his wife brought him Burger King and a supersize chocolate shake. When his blood sugar was 320 he was shocked. He was actually angry and accused us of giving him some “pill” that was making his blood sugar go up. It was a battle to convince him I had to give him insulin.
  • “This will be your favorite patient. Super nice and rarely calls for anything”. Sadly as a nurse, I hear that in report maybe once every three or four weeks. The vast majority of the hospital population are grumpy, sour, demanding people. They’re also in the worst possible health – much of which is due to lifestyle choices. I see a clear correlation between your upbringing, mental attitude, emotional stability, and overall health outcomes. It’s not rocket science, but it’s striking when you see it in front of you every day.
  • My internet went down for approximately 7 minutes today. It was a terrifying vision of the pending zombie apocalypse.

Song of the day: Charlie Feathers, “That certain female”

Daily Life, Motivation

Which Path Is Right?

I’ve been on a bit of a health transformation. I finally hit a point where I said to myself, enough is enough. So I’ve been focused, made some good changes, and feel better. It started by following some inspiring people. I had literally spent a week of watching motivational videos (while eating chips) and I thought, stop being such a poser and get your ass up and start doing something.

There are a number of influencers that got me going, but the two main ones are Jocko Willink and David Goggins. Jocko is famous for “Discipline equals freedom”. He gets up at 0430 every day and works out, posting it on Instagram. The more discipline you have in getting all the everyday mundane things done, the more freedom you’ll earn in the rest of your day and life.

David Goggins is a great story. Unmotivated. 300 lbs. Decided he wanted to be a navy seal, lost 100 lbs. in 3 months. Went on to have a great career and do some ridiculously challenging stuff. He’s got lots of good pep talks around things like staring at his shoes for 30 minutes trying to get motivated enough to go for a run. I can relate. Anything is achievable if you want it bad enough.

I love that stuff. Lately I’ve been up at 0400 most mornings getting my workout in. Posting it on the IG for accountability. Strict with my diet. Feeling like life is too short to waste it sleeping in and not getting shit done.

And then I saw a quote the other day that stopped me in my tracks. Paraphrasing – “None of us are getting out of here alive… eat the delicious food, walk in the sunshine, jump in the ocean… there’s no time for anything else”.

It’s true. All this may end tomorrow. Laying on my deathbed what will I relish more – that I was disciplined and got my tired ass up at 0400 every day, or that I enjoyed good food, a cigar, and a some adult beverages? I know it’s silly but that simple quote made me wonder what, at my age, am I doing skipping meals, eating strictly, and being so sore from workouts I can barely walk? Will I really be happier five years from now?

Which path is the right path?

Like anything, balance is probably the right choice. I recognize that if I swing too far to the indulgent side it carries consequences. I won’t be able to enjoy the outdoor activities I like. I’ll probably throw a clot and become a vegetable, cutting years off my life. On the other hand, I don’t want to miss out on nachos. If I get hit by a bus tomorrow am I really going to care that I was ten or twenty pounds too heavy?

I don’t know the answer. At the moment, I have a goal and I’m going to work my ass off to get there. Once there… I think I’ll make a point of ensuring I indulge from time to time. Because it’s true – none of us are getting out of here alive.

Motivation

Rock Bottom

I am not a mental health professional, nor do I play one on TV. But I am a reasonable observer of human behavior. Since my work days are spent at a hospital I get to see a wide spectrum of the human condition. And in watching both my own behavior and the rest of the zoo around us, I’ve come to a conclusion. To make a change you have to hit rock bottom.

This applies to weight loss, exercise, alcohol and drug use, any sort of destructive behavior. To make a real change you first have to hit whatever your rock bottom is.

For some people rock bottom is finding out their favorite jeans are a little too tight. Others, it’s hitting 400 pounds and being unable to participate in life. One guy may make a drunken fool of himself at a party and decide that’s it. For another it may take being in the hospital detoxing and full blown DT’s.

The unfortunate truth about this is that the lower and further down rock bottom is… the harder it is to climb out. It can be done but the success rate gets exponentially smaller.

So what can you do about it? I’m certainly no expert, but I think that constant self-inventory is vital. Be brutal. Look at yourself naked in the mirror. Get on the scale daily. Can you do a single pushup? How many bottles of alcohol are you going through in a week? Don’t hide from it. Hopefully at some point you’ll decide that today is the day to make a change.

I’m sure plenty of real experts can offer better approaches. All I know is what I’ve seen and experienced myself. Until you hit bottom… and then go a little bit further down, you’re not going to make a change. Forcing a constant inventory may not be the best approach, but it can’t hurt. Easier said than done, I know.

The sooner you come to grips with your reality, the better your chance of success. Go watch some motivational weight loss stories on YouTube. Watch a video of someone going through DT’s. Right now, can you run up and down a flight of stairs without gasping for air? Are you truly happy with your current state?

Maybe today will be your rock bottom.

Motivation

Paying the Man

This is my new favorite saying. I blatantly stole it from Josh Bridges. Go look him up – he’s an impressive dude. The saying is a perfect encapsulation of how the world works. Nothing is free. If you want something, be prepared to work for it.

In Josh’s world it’s physical performance, but it applies to everything. Want to lose weight? You’re going to have to pay the man. Restrict calories, follow an appropriate diet, and work out. Don’t want to do that? So sorry, isn’t going to happen. Want to excel at work? Pay the man. Long hours, bust your butt, outwork your coworkers. Want to be a successful entrepreneur, artist, student? Pay the man.

I’ve started saying it to myself when I think about doing something. How bad do I want it? Am I willing to pay the man? Sometimes the answer is no, and that’s ok. I find it helpful to clarify in my head what I really want vs. what might be nice. I’d like to learn Spanish, be a better cook, and be better at my job… but right now I’m not willing to pay the man and I’m good with that.

It doesn’t mean you don’t do those things. It just means I’m satisfied with the current state. Being a better cook would be nice, but it’s not important enough to me right now to invest in reading, watching videos, buying supplies, and practicing.

It’s a simple phrase. Start applying it everyday and you’ll find it clarifies your thoughts and actions. Focus your energies on only those things you’re willing to pay the man for and you’ll be happier and more focused.