Busting Through My Stall

One of my new year's resolutions was to do a 30-day, very clean Paleo experiment. I chose a hybrid of the Perfect Health Diet and Chris Kresser's Personal Paleo Code reset diet. So for the past 30 days, I gave up dairy, artificial sweeteners, dark chocolate, most packaged and processed foods, and all forms of sweeteners, artificial or not (e.g., no more maple or rice syrup). I avoided eating out as much as possible and concentrated on eating real, whole foods that I cooked myself. I made sure to eat safe starches each and every day, in the form of sweet potatoes, potatoes, or rice. I do not drink alcohol, coffee, and caffeinated teas, so they were not a problem for me. And I paid attention to calories, as they matter. Today is day 30 of this experiment.

What Happened 
So what happened? Several things, all of them good.

First, I busted through my stall. For about six months, I had stalled in the 242-245 pound range, though in recent weeks I had gotten up to has high as 249. That was a good 25-30 pounds above my ideal weight (I am tall). On January 1, 2012, I weighed 249.8 pounds and this morning, January 30, 2012, I weighed 233.8 pounds, for a total loss of 16 pounds.

Second, my blood glucose levels were excellent. They fell, and rapidly. In particular, my fasting blood glucose levels were a bit high (the "dawn phenomenon"), but they fell to below 100 most mornings. One-hour readings were almost always below 120 and two-hour readings were close to 100.

Third, I broke an addiction to artificial sweeteners. I haven't had anything with an artificial sweetener for 30 days now and have drunk nothing but water and herbal tea. Something caused me to have big headaches the first week, as I was weaning myself from non-natural foods. It was like the caffeine withdrawal I had when I finally gave up diet colas three years ago (I am not a coffee or caffeinated tea drinker). I don't know what caused the headaches, but I am wondering if it wasn't all the artificial sweeteners I had been consuming.

Why I Believe it Worked
So why was I able to drop 16 pounds in 30 days, when I was stalled for six months? Because I was consuming fewer calories, bottom line. When you cut out dairy, sweeteners (artificial and real), chocolate, and other processed foods, you simply eat less. I noticed that immediately, when I realized the range of foods available for me to eat was quite limited. I also stopped snacking. Plus the foods I actually ate were whole and real. I only ate out when I absolutely could not help it.

After going gangbusters on a low carb diet, I got sloppy and started eating things that were probably not good for me. Dark chocolate tops that list. I pretty much ate some chocolate almost every day and for me, chocolate is a trigger food. Also, I bought into all the "high fat low carb" fairy tale hype I had seen on the Internet. So I was making an effort to add fat to everything. What I didn't really realize was that a low carb or Paleo diet is already high fat; you don't have to add fat to make it high fat. When you cut back on carbs, fat fills the void. Naturally.

I also ate a lot of energy dense foods as snacks, such as cheeses, almonds, almond flour, other nuts, and ice cream. You simply cannot eat all you want of these types of food and lose weight; calories count. This is a message that needs repeating on the Internet.

Challenges I Faced
It wasn't easy to do. I got withdrawal headaches from something that were very unpleasant for the first week. Then my father passed away and I spent 10 days on the road, eating what I could, when I could. On only one occasion during the funeral trip was I forced to make a compromise. I hadn't eaten much and, because of traveling, had to eat on the road. I probably consumed fewer than 1,000 calories that day, but I did buy a stick of beef jerky and some smokehouse almonds from a convenience store to get through that particular situation. I also had a really bad cold two weeks into the process and took some cold medication (but not a lot) . I had wanted to have a chemical free experience, but life happened.

Lessons Learned
Here are some lessons I learned:

• Calories count. 
• Whole foods are best. 
• I was addicted to chocolate, which means I will probably have to avoid it in the future. 
• I can survive without diet soda. 
• I miss cheese, but will not go overboard with it when it is reintroduced. 
• Coconut oil is my friend. 
• I got sloppy and careless on the low carb diet, and consumed too many calories each day, which is why I stalled.
• Paleo is a much better eating philosophy than low carb.
• The low carb conventional wisdom found on the web (e.g., "Add fat!") is wrong.
• However, as a road warrior, low carb is easier to live with than clean Paleo, if one is forced to eat out a lot.

Moving Forward
I will be gradually reintroducing some of the foods I have not eaten for a while, but continue to pay attention to calories. I am getting near my goal of 215-220 pounds and I want to reach that, as I want to go paragliding in Switzerland this summer. I am still taking refuge in the Carbsane Asylum and not blindly accepting what I read on the web anymore. There are many wise voices on the web, but also lots of fairy tales.

Safe Starch Debate: A Diabetic's Perspective

There is a debate raging in the low carb blogosphere about the concept of "safe starches." Here is the start of the debate; here is Paul Jaminet's initial response, and here is the latest installment, featuring Dr. Ron Rosedale, with an response coming on Tuesday from Paul Jaminet.

One thing all sides have said: We do not necessarily recommend "safe starches" for diabetics. Well, I am a type II diabetic and a Perfect Health Diet follower, so I want to chime in with my experience.

First off, I have lost about 62 pounds, but 55 of that came following the diet described in the back of Gary Taubes' book, Why We Get Fat, which I later learned was the Atkins Induction phase. This helped to stabilize my blood glucose levels in about three weeks time, as well as returning my blood pressure to a normal range. But then I stalled and started reading more broadly about low carb diets. I discovered Gary Taubes didn't have all the answers, and I switched from the Atkins Induction diet to the Perfect Health Diet. I have been eating rice, potatoes, bananas, and other safe starches ever since, as well as fermented dairy products, such as plain, whole milk yogurt. I have also slowly lost another seven pounds. I enthusiastically recommend the book, Perfect Health Diet by Paul and Shou-Ching Jaminet.

Today, my fasting blood glucose reading was 105. Note that since following the Perfect Health Diet, my fasting blood glucose reading has gone down. Previously, I was suffering from the "dawn phenomenon." My blood glucose levels overall were well below 140 one hour after a meal and 120 two hours after a meal. Only my fasting BG reading was out of whack, usually between 120 and 130, first thing in the morning.

For dinner tonight, I had a fatty pork rib, green beans, and a small baked potato with butter and sour cream. For dessert, I had a half cup of vanilla ice cream. One hour after eating, my blood glucose level was 128 and two hours after, it was 112.

So not only am I losing weight on the Perfect Health Diet, my blood glucose levels have actually improved, thanks to the increased carbs counteracting the dawn phenomenon, just as Dr. Kurt Harris (another proponent of safe starches) said it would.

So for me, as a type II diabetic, this "safe starches" exclusion is pointless. I realize that I have greatly helped my diabetes situation by losing a lot of weight prior to switching to the Perfect Health Diet.  And I am taking Metformin Extended Release pills every day. Nevertheless, despite the type II diabetes, I am doing just fine on the Perfect Health Diet, thank you. I reject the diabetic exclusion of safe starches.

Back from Europe

I am back from Europe, where I have been for the past six weeks, with a study abroad group. I had an interesting experience with the Perfect Health Diet while in Europe. First off, it appears I lost 3-4 pounds while I was gone, which is amazing, considering that we ate out almost every day for the past three weeks, often three times per day when we were in deep travel mode.

But following the PHD principles led me to making good choices. Among the items I consumed while abroad: a good deal of cheese made with raw milk; deviled lamb kidneys; pate de foie gras, pheasant pate, goose liver, pastured eggs, grass fed beef (especially in Scotland and Ireland), many truly fresh vegetables, a bit of chicken, fish, shrimp, etc. It was especially easy to eat in France, Belgium, and Luxembourg, as the local culture practically demands quality cuisine. It was more difficult in Switzerland, Germany, England, and Northern Ireland; somewhat less difficult in Wales, Scotland, and Ireland. I spent the most time in Belgium, with a fresh market every weekend and whenever possible, we purchased fresh food and ate in. But when we ate out in Belgium, we ran in to some excellent restaurants, such as Comme Soupe and t'Injaske. Everything is made fresh and the quality is just superb. My wife even bought a Belgian soup cookbook, so we can eat tasty, fresh, and hearty soups in the states.

The hardest part came when traveling in countries not known for their cuisine (e.g., England, Germany, Switzerland), but my strategy there was to hit the supermarket and buy whatever I could to eat. That usually meant cheeses, chicken, soup, vegetables, and yogurt.

So I am living proof that one can travel, a lot, and eat out, a lot, yet still lose weight when making wise choices. I am especially grateful to the Perfect Health Diet for convincing me to add back foods like rice, potatoes, bananas, and yogurt, which made the task all that much easier. Without spiking my blood sugars, but that is a post for another day (I am a type II diabetic). This "safe starch" concept has really helped make the low carb lifestyle sustainable and healthy.

Rice Syrup and Blood Glucose Response

I have been pondering lately on what constitutes a "low carb" diet and have just finished reading Perfect Health Diet by Paul and Shou-Ching Jaminet (here is an overview of the diet). They suggest a low carb diet of 50 to 150 grams of carbs per day, with a bias towards more rather than fewer carbs (or, as they say in the book, 200 to 600 calories from carbohydrates). They recommend getting carb calories from safe starches, such as rice, taro, yams, and tapioca. This is substantially higher than most other low carb experts, but their book was compelling (I will review it at another time).

In the book, they say eating natural sweeteners are okay, especially if they come from the "safe starches" mentioned above. Specifically, they talk about rice syrup. So I bought some certified organic brown rice syrup from Now Healthy Foods. On the label, we read:

Unlike simple sugars, such as monosaccharides and disaccharides, Brown Rice Syrup is a polysaccharide, or a complex sugar. The unique structure of complex sugars allows them to be absorbed and broken down more slowly than simple sugars, avoiding rapid spikes in blood glucose. Slower absorption also allows the body to utilize complex sugars for energy instead of having to store them as fat for later use.

Based on this label and the Jaminets' claim that it is okay to use, since it is from a safe starch, I decided to do an N=1 test and see how my blood sugars reacted to it. I made some ice cream (one cup of cream, one cup of half and half, six egg yolks, one tablespoon of pure vanilla extract, and 1/4 cup of rice syrup). A serving size is one half cup and has about 220 calories and 11 grams of carbs, mostly from the brown rice syrup (it was delicious, by the way). To make this an even stronger test, I ate 3/4 cup of the ice cream, for 330 calories and 17 grams of carbs (my total carb count for the day is about 50, including the ice cream).

I ate the ice cream about two hours after dinner, and my blood sugar was 106 just before I ate the ice cream. Full disclosure: I am a type II diabetic and take Metformin. This probably had an impact on the test. Nevertheless, my results were very interesting. I ate the ice cream then tested my blood sugar at 15-minute intervals to see the blood glucose response. Here are the raw data:

8:20 p.m.          106

8:35 p.m.          109

8:50 p.m.          125

9:05 p.m.          137

9:20 p.m.          142

9:35 p.m.          130

9:50 p.m.          133

10:05 p.m.        116

10:20 p.m.        108

And here is a graph:

The blood glucose response was actually very normal for me. One hour after eating, the reading was 142 and two hours after eating, it was back down to 108. According to Jenny Ruhl, one hour after eating it should optimally be 140 or below and two hours after eating it should be 120 or below. But she also says the critical threshold to avoid organ damage is to have the reading be at least 140 or below two hours after eating. When I eat low carb (50 to 75 grams of carbs per day), my blood sugar is almost always 140 or below after one hour and 120 or below after two hours.

So for me, this is convincing evidence that, indeed, brown rice syrup is a safe sweetener. Not to be used in excess, but not problematic, either. I may have to strongly consider following this Perfect Health Diet .

Doubling My Carbs

In the past six months, I guess it would be fair to say I have become a bit "carbophobic." In fact, I have been following a "very low carb" way of eating. Why? I can't really say for sure.  I have type II diabetes and this low carb lifestyle has effectively put my type II diabetes into remission. It makes sense: carbs drive blood sugar responses, so cut back on the carbs. That is also the key to weight loss.

But why very low carb? I honestly don't know. I came to the realization that I was carbophobic a while back and decided it wasn't rational. I had been consuming, on average, 20-25 grams of carbs per day, mostly in the form of green, leafy vegetables and the small number of carbs found naturally in eggs. The theory is, to stay in ketosis, you need to consume 50 or fewer grams of carbs per day. That helps the most with weight loss. So if that is true, why was I trying to stay below 25? Why not simply stay below 50?

So in recent weeks, I have roughly doubled my carb count. I am still below 50 net carbs (after subtracting out grams of fiber), but it has made a huge difference in the types of foods I can eat. For example, the other night, I made ice cream from the recipe in Sally Fallon's book, Nourishing Traditions. In half a cup, there were about 300 calories and 16 grams of carbs. I keep my calorie total below the threshold needed to lose weight for a person my size and height, and my total carbs for the day were under 50. I also monitored my blood glucose levels and there was no blood sugar effect to doubling my carbs at all. And the homemade ice cream sure did taste good and add enjoyment to the meal. I am also hopeful that doubling my carbs will help shake things up and get me through this current stall (I will know on Monday when I weigh myself).

This is all part of my new approach to the low carb way of eating. I am challenging many of the assumptions I have made about losing weight by low carbing, as many of the posts in this blog detail. Next up: exercise. Gary Taubes tells us it doesn't help with weight loss. Is that true? Or just another Internet myth...