30 Days to healthy living: Day 22

Blogging is not for the faint of heart. Or the undisciplined. So many things get in the way. Same with taking charge of your health, right? There are so many other demands on us that we push the things we don’t consider to be overly important to the side and let the busy seep in or even wash over us. So it stands to ask: how important are these things really? Are you committed? If not, why are you bothering to try? Maybe we need to Marie Kondo our to-do lists….

Well, good news is that I think blogging IS important and I like to disseminate what I learn about healthy living so YOU are in luck! I may be slow to post but I’m not going anywhere 😁

So let’s talk SUGAR! Where do we leave off? I think I said sugar is bad, we should avoid it but it’s in everything. Did you do your homework? What surprised you? Did you know sugar is in mayonnaise? Worcestershire sauce? Tomato soup? And every other thing? Did you find anything that didn’t have sugar in it? Reading labels is the only way you will find out. Even items that say they are sugar free or have no added sugar may, in fact, contain sugar. Which leads me to this: do you know what I mean when I say “sugar?”

I had to do a little review myself so don’t feel bad if you’re not sure what’s good and what’s not. I’m going to give a brief lesson.

Sugar=FRUCTOSE.

Your body needs GLUCOSE to function. Most of us equate glucose with sugar but we were deceived. Sugar contains fructose. That sparkly white stuff on your table? 50% fructose. High fructose corn syrup? 50% fructose. So technically it’s not metabolized differently than table sugar but neither is good for you. Agave is healthy, right? Nope. Agave is 90% fructose! Honey? Fructose. Maple syrup? Delicious. But fructose. Corn syrup? Fructose.

Fructose is super sweet and super cheap. Your body doesn’t register it when you consume it so you are still hungry after you eat or drink it. It’s metabolized incompletely by your liver which in turn stores it as terrible byproducts and causes fatty liver. It also creates the bad type of cholesterol that clogs your arteries (it looks like cheesecake in your artery. I saw it firsthand during my surgical rotation in nursing school 🤢) . It is the perfect thing to put in your food products if you are a manufacturer because it makes people eat MORE! I’m not a conspiracy theorist but this is the science. This is researched. Fructose is killing us.

Now, I am not a complete kill joy. Your liver can handle tiny amounts of this stuff on occasion (say once a month) but not on a daily basis. Watch THIS video for all the details. Dr Richard Lustig is much more interesting to listen to than if I were to try explaining the metabolism of fructose vs glucose vs ethanol. Seriously,  Dr Lustig does a great job at making it interesting! Pinkie swear!

So what about fruit? Fruit is good. How? Fruit is a whole food and it contains fiber which mitigates the effect of fructose and also slows its absorption. It has fructose but it contains fructose the way God intended for us to be able to eat it. Fruit makes an excellent dessert.

Ok, back to what your body needs which is glucose. This is what fuels your muscle and brain. Glucose = dextrose. So if a food contains dextrose, its ok as far as the sugar issue is concerned. Ironically, thus far, the only food I’ve been able to find that contains dextrose and not sugar is salami. Ugh. Don’t get me wrong, I love salami, but its not health food. I do, however, have some in my fridge now… 😉

Keep checking your labels. Consider how many foods you eat everyday that contains some form of added sugar. What can you live without? What can you find a substitute for? Although Eve Schaub* was able to go for a whole year without sugar*, I am aiming for a lifetime of avoidance. Not zero but very little. to be honest, I think chocolate is going to be the hardest to find a substitute for. Lily’s stevia sweetened chocolate looks like a viable contender although it contains stevia and erythritol. I will keep my eyes peeled for evidence that we shouldn’t consume these either. Lily’s chocolate chips have been adorning my paleo waffles. No syrup needed!

As you shop, let me know what you find. I am starting a list of good for you and good tasting foods that are truly free of added sugars. Help me create the list!!

Next up? Ways to measure fitness and how to set goals.

Until then, here’s to your health!

Liz

 

*links with an asterix are affiliate links. these are no cost to you but if you make a purchase I may make a few cents. I only link to things that I use myself or books I have read and love. Always check the library for books first or buy the used version if available to save $$!

links without an asterix are non-affiliate links. They do not cost you anything either.

30 days of healthy living: Day 20

Phew! 3+ days of a migraine and I still have the remnants of it. UGH! My sincerest apologies for not getting back here sooner 🙁

Tonight I want to discuss ketosis. Most of you have probably heard of someone doing a “keto” diet. Maybe you looked into it and thought no way or maybe you didn’t and just rolled your eyes over the latest fad. I’m here to say there is some validity to this way of eating but I think that people often have some misconceptions about the difference between the process of ketosis and the “keto” diet. I’d like to try to clear up the confusion.

First. KETOSIS is the process by which your body breaks down fat for fuel. Your body can use carbohydrates, fat or protein for fuel and there is a hierarchy for this process. Carbohydrates are the preferred fuel source. Your body is designed to use carbs for energy and the design is efficient. It is much easier for your body to use carbs for fuel and generally there is plenty to go around in the Standard American Diet (SAD-the abbreviation is kind of perfect…). If there are no carbohydrates to use, the next best and easiest to use fuel is fat. If you restrict calories or carbohydrates enough you will use fat as fuel. This can also occur after exercising for an extensive period of time (sorry but a 45 minute aerobics class isn’t likely enough. 60 minutes minimum is needed and maybe longer depending on intensity). Using fat as fuel produces a metabolic product called ketones. Getting into the state of ketosis these, burns fat, helps you lose weight, increases energy and helps maintain muscle mass.

However. There is always a however. Once you reach a state of ketosis, as soon as you consume carbohydrates the process will come to a halt and your body will default to bring carbs again. This is where the “keto” diets come in. By restricting the amount of carbohydrates consumed daily to 50 grams or less, you can maintain ketosis for an extended period of time. It generally takes 3-4 days on a 50gram of carbs or less diet to produce sustained ketosis. During this time many people experience what is called a “keto flu” which includes headache symptoms, fatigue, aches, etc, kind of like “flu” symptoms (without the pneumonia, fever and death parts). Headaches and fatigue are the most common as you body adjusts it’s fuel source.

Where does protein fit in here? You don’t want to burn protein for fuel. This is very bad. You can also kick yourself out of ketosis by eating too much protein so most keto diets consist of 70-75% fat, 20% protein and 5-10% carbs. Total grams of carbs should be less than 50. A healthy body should be able to handle the amount of ketones generated with this diet and you can help your body by drinking LOTS of fluids to flush everything out. Your kidneys will excrete the extra ketones for you as long as you do. In fact, there are test strips you can use to test ketones in your urine although it is not a direct correlation between your urine ketones and your serum (blood) ketones.

Diabetics beware! Diabetics are at risk of ketosis due to lack of insulin which prevents your body from using carbohydrates as fuel. For diabetics this is bad and can lead to ketoacidosis which is a build up of ketones in the blood. Ketoacidosis can cause coma and death. If you are diabetic, please use extreme caution and work with your medical provider to lose weight and change your diet safely!

So, yo put it in a nutshell: The keto diet is an eating pattern which is low in carbohydrates, high is fat and moderate in protein that helps put you into and keep you in a state of ketosis or fat burning. Ketosis can also be achieved by fasting, calorie restriction, intense or extended exercise or, in diabetics, a lack of insulin (this last one is VERY VERY BAD). Eating carbohydrates stops the process of ketosis. In general this process is helpful for weight loss and remaining in ketosis for extended periods will likely result in faster weight loss, more energy and preserved muscle mass while losing weight. A transition period is usually 3-4 days if adherent and most commonly causes a mild headache for a few days. People with diabetes need to use caution because ketosis can lead to ketoacidosis, or an extreme build up of ketones, and cause coma or death. Diabetics should not attempt extreme diet changes unless monitored closely.

My take on this is that anyone on a true keto diet should be monitored by their medical provider. That is true for anyone who needs to lose an extensive amount of weight. Nutritional deficiencies are common on restricted diets and typically require blood work to monitor. Taking crazy amounts of supplements can cause overdosing of vitamins and minerals and there isn’t much evidence to suggest that taking multivitamins is helpful. There are potential side effects of extreme diet changes and the safety of hit pattern of eating for the long term is unknown. I think it is a good short term weight loss strategy for otherwise healthy people who are diligent about eating healthy foods in general. I think its a not great idea for anyone who thinks it gives them a license to live on bacon and cheese and expect to be healthy in the long term.

We will continue to discuss insulin resistance, metabolic syndrome and diet in the next couple of posts.

you can read about the keto diet here and here, here and here.

Until then,

Have a happy healthy week!

Liz

30 Days to healthy living: Day 17

Let’s talk meal replacements !

I am a BIG fan of meal replacement shakes and have personally used them for years. With my latest effort to lose weight and get in shape I have been diligent about daily shakes and have seen great success. I have several thoughts on why you should consider using them too.

1. Convenience. They are EASY. Fill water to line of shaker cup, add 2 scoops protein powder, shake. Done! Nothing is easier than that! You can get fancy and add cinnamon, peanut powder, fiber powder, greens powder, cocoa powder or any other powder or spice you want. I always add cinnamon, fiber and sometimes peanut powder (really good with chocolate protein powder). I also usually add a probiotic/prebiotic/digestive enzyme supplement powder. Get super fancy by using a high power blender and adding whole fruit or greens. I am typically too lazy for that and just have a green apple on the side 😉 🍏

2. Portion control. If keeping your portions controlled is a challenge and you don’t want to think about it, a measured protein powder meal replacement is the way to go. 2 scoops, done. It leaves little room for misjudging portion sizes and inadvertently consuming twice as many calories as you thought.

3. Adding protein will help keep you feeling full longer and helps keep blood sugar stable longer too. Many of us don’t get enough protein. It also helps with building muscle. Your body needs good bricks to build a strong body!

4. A true meal replacement shake contains vitamins and minerals you may not be getting otherwise. The shake I use eliminates the need for taking a multivitamin. Adding in a little fat and some greens or fruit makes it even better. (I add canned pumpkin!)

5. Travels well. Ever get so hungry on the road you settle for whatever? I sure have. Protein powders are super portable and you can even get them in individual packets for even more convenience. I take small containers of measured out portions of my shake ingredients along with a shaker (duh) and water. If you travel with a cooler you could pack some almond or cashew milk and add that instead of water. Never again will you need to worry about getting stuck on the road with no healthy options and you won’t have to stress about a trip detailing your health goals. This is extra important for me because if I eat the wrong thing I could spend the rest of my trip sick and that is seriously not fun ☹️.

What is your favorite addition to protein or meal replacement shakes? Have a yummy recipe? Post it below!

Here’s to our health! 🥂🍏🥬

30 Days to healthy living: Day 16

Lets talk NSVs.

What are NSVs or Non-Scale Victories? These are the changes that you often see that may or may not be accompanied by movement on the scale when you change your diet and lifestyle.

Many people jump into a lifestyle change expecting immediate results. We want instant gratification. It’s rampant in everything else in our lives, so why not expect the same when you change your lifestyle? Hey, I ate healthy for 24 hours and parked farther away at Walmart so why haven’t I lost 10 pounds??? Yeeeaaaah…. It doesn’t work like that.

When I started changing my lifestyle this summer and went from being basically a slug to working out and eating well, it took a while for the scale to budge and for anyone else to notice. It was NSVs that kept me going and in the end I lost the weight I wanted to.

Non scale victories to look for :

(hint-these are good to journal every day to keep you motivated)

  1. Less bloat-when you eat the right foods and keep yourself hydrated, your digestive process runs smoother and your belly usually deflates.
  2. You can lift heavier things-muscle is hard to see when it’s still covered in extra fluff but you can certainly feel it when you can lift heavier objects than usual.
  3. Your sleep improves. A funny thing that happens for a lot of people is that they start to sleep better, usually as a result of moving their body during the day. (This one is harder if you have little kids. They don’t care if you are getting healthy. They want a glass of water. )
  4. Your clothes hang better and you might even go down a size even without a loss of weight. Muscle weighs more than fat of the same volume. In other words, a pound of muscle takes up less space than a pound of fat. A pound is a pound but muscle is more compact. This happens best when you are exercising some and have adequate protein in your diet.
  5. Less brain fog. Following a healthy lifestyle tends to give you a little clarity due to less overall inflammation.
  6. More energy. Likely related to improved nutrition, better sleep and less inflammation. You actually WANT to get up off the couch. A body in motion stays in motion. This is physics.
  7. Improved confidence. When you do hard things and stick to it, you gain confidence to do more hard things. The more confidence you gain, the easier it is to try even harder things and things you never thought you could do.
  8. Greater self control. The longer you follow a healthy pattern of eating, the easier it gets to resist junk food and seconds. This is especially true for me.
  9. No more cravings. When you fuel your body with adequate nutrition, exercise and sleep, you may find that your cravings for certain unhealthy foods go away. I certainly find that the thought of how I know I will feel if I eat junk, even gluten free junk, kills any cravings I may have. At this point the only thing I ever get a craving for is dark chocolate and one small square satisfies that. Bonus that dark chocolate is a healthy snack choice for a treat!

 

So, when you feel like you are literally working your butt off exercising and changing your eating patterns but the scale isn’t budging, look for the NSVs and journal them. They are there, I promise!

What NSVs are YOU seeing?

Here’s you our health!

Liz

 

 

30 Days to healthy living: Day 15

Todays topic: What I read

I love books. I mean, I LOVE books. I love to read. I love to learn. The library is my happy place. Book stores rock too but libraries? Its all FREE knowledge and knowledge is POWER!

My typical haul from the library is at least an arms length. Thankfully they have online renewals because I don’t have a lot of time to read and I usually have to renew once or twice before I can get through them. My 2 favorite topics to read about is healthy (duh) and food. I also enjoy reading about philosophy, especially stoicism and the warrior mind and I am not above enjoying the Outlander series although my default is nonfiction. So I thought I would gather a list of books that I have read about diet and health that I think are worth recommending to other people to read.

I do not necessarily subscribe to everything in the following recommendations but I have found the information helpful and reliable. Some of these I have read cover to cover, some I have skimmed. If your library is like mine, you can look them up and reserve them online. I have linked them to Amazon if you want a copy in your hands to read that you can also take notes in and highlight. I do buy books I find worth referencing regularly. The Amazon links are affiliate links. So if you purchase through the link I might finally make a dime or two off of this blog but it won’t cost you a penny. I always recommend checking the library first though. Consider it my Christmas gift to you 😉

10 Good references on healthy eating:

  1. The Obesity Code by Dr. Jason Fung. Ok, I haven’t read this one. It was recommended by a friend and I am waiting on it from interlibrary loan. He also wrote The Diabetes Code and The complete guide to intermittent fasting. He is a physician and all 2 discuss the benefits of intermittent fasting. Really looking forward to reading these.
  2. The End of Dieting by Dr Joel Furman. Dr Furman believes in a “nutritarian” diet which focuses on eating foods that are mostly plant based for good health and weight loss and avoiding the dieting yo-yo. I am currently reading this one. Nothing weird here. Plant foods are good for you. Eat more of them!
  3. The gluten free Mediterranean diet cookbook. This is a short read with, you guessed it, gluten free mediterranean recipes in it as well as a brief overview of how to eat this way. I am a big fan of a Mediterranean diet and this one I own.
  4. The Blood Sugar Solution by Dr Mark Hyman. He has many related books as well. Mainly its about eating whole foods but this one is good for those prone to diabetes. If there is one disease that scares the crap out of me it’s diabetes. Your blood sugar messes with EVERYTHING else in your body. Get it under control!
  5. Good Calories, Bad Calories by Gary Taubes. Love this book. It is seriously cerebral though. If you want to easier to read version, try reading his book Why we get fat and what to do about it instead. Basically, what we were told about carbohydrates and fat were false and low fat diets make us fat.
  6. The Gut Balance Revolution. Information about your microbiome and probiotics. All the gut health info right here.
  7. 100 Days of Real Food: On a Budget  Good all around healthy diet for families and those looking to eat well on a budget. Nothing fancy. Most of us can eat healthy no matter our income.
  8. Nourishing Traditions This one is different. It talks about the research of Weston Price who was actually a dentist. He found that people around the world who eat traditional foods, especially soaked grains and fermented foods had better teeth and bone structure. Interesting. I don’t have time for soaked grains. I will happily eat fermented foods. I love fat. But no way am I eating fermented cod liver oil and you shouldn’t either. ew.
  9. Trim Healthy Mama Plan by Pearl Barrett and Serene Allison. I own this one plus the cookbook that accompanies it. Love the recipes and most of them are gluten free. Separating out carbs and fats is hard and I tend to prefer their “S” recipes. Read it to find out what that means. I use this frequently and they have a great recipe to make tomato soup without sugar.
  10. Anything by MFK Fisher. She wrote about food in such an elegant and intriguing way. While there are some recipes she did not generally write cookbooks. Her style of writing is my favorite although I can’t name it. Read MFK to fall in love with good food cooked well and enjoy! I own at least 10 titles she had written. LOVE her.

I have several actual cookbooks I reference all the time but it is time for bed. So Bonne Nuit and I will see see you tomorrow!

Liz

30 Days to healthy living: Day 8

Water water everywhere and not a drop to drink.
Today’s topic is hydration and I will keep it short and sweet!
Do you drink plain water? From the tap? Or bottled? Or flavored?
The typical recommendation is 64 oz of water per day, more if you are exercising heavily. Plain old tap water for most people is the healthiest and cheapest option. Bottled water is no better than tap water and is not regulated. Don’t waste your money. Get a reusable water bottle to carry away from home if you will be out all day. I use one that is 32 oz so I only need to refill it once to get my daily amount of water.
If you don’t like the taste of plain water because you are used to soda or sweetened drinks you will have to train your taste buds. You can use lemon or flavor drops and slowly decrease the amount you use every day or every week until you adjust to plain water to get your hydration the cheapest way possible. Being that it is cyber Monday, I bet you can get a great deal on a fancy insulated water bottle if you like. It will still be cheaper than buying bottled water and better for the environment too.
Do other drinks count? Good question and the answer is maybe. If you are in weight loss mode I suggest that you get 64oz per day of plain water IN ADDITION TO anything else you might drink like coffee or tea. Sparkling unsweetened water counts toward your 64 oz. You need the extra fluids to flush everything out. Once you are on maintenance you can probably count any liquids toward your total for the day but if you workout you will need to get more than that. On days that I exercise I drink at least 96oz.
Most of us walk around dehydrated and this can cause us to feel tired or even hungry. The next time you get that afternoon slump, trying drinking a glass of water. Trying to lose weight? Drink a full glass before each meal and then sip water throughout.
Since we are fasting all night and not drinking anything, I also highly recommend drinking a full glass of water when you wake up and one glass before bed. This is especially important if you take medication. Always drink a full glass of water with medications unless specifically instructed not to (I don’t know of any off the top of my head though).
One thing to note: there are some medical conditions which require fluid restriction. If you have been told by your medical provider to limit your fluid intake, it is with good reason. Follow their directions!! Not following an ordered fluid restriction can have significant consequences including death!
So barring a medical order not to, drink 64 oz of water per day or more. Plain water is best. Sparkling water is ok too. Add a little flavor if you need to but try to wean yourself off of flavor eventually and just drink it plain.
That’s it for today. See? Short and sweet. Stay hydrated and I’ll see you tomorrow!
Cheers!
Liz

30 Days to healthy living: Day 6

It’s heart health day! The number one cause of premature death in the US is cardiovascular disease. It also contributes significantly to chronic illness. High blood pressure, atherosclerosis, congestive heart failure and heart attacks and their aftermath result in people taking multiple medications which can be expensive and cause side effects. Heart disease also limits life expectancy and causes disability.
Prevention is always the best medicine and a general healthy lifestyle that includes daily exercise, lots of fresh fruits and vegetables, healthy fats and fiber as well as stress reduction, adequate sleep and staying at a BMI of less than 25 goes a long way in preventing disease. Significant weight loss and diet change can also reverse some of the damage.
Recently I have been doing continuing medical education on nutrition and preventive medicine. I came across a webex on foods that prevent cardiovascular disease and took lots of notes so I am going to list out what this particular cardiologist who works at Johns Hopkins recommends and my take on them. I already try to include many many of these into my diet every day but some of this was new information for me.
A heart healthy diet should include:
1. Omega-3 fatty acids-fish oil, fatty fish (the BEST is sardines, salmon is second best)
2. Omega-9 fatty acids or oleic acid (ALA)- found in vegetable oils such as high oleic
sunflower oil, olive oil, avocado oil, canola oil, nut oils.
3. Coconut oil-contains some unique qualities and high amounts of lauric and caproic acid that are bebeficial.  As will all oils, use in moderation. MCT oil, which has been made popular by “bulletproof” coffee, is made from coconut oil. If you don’t like the smell or taste of coconut, buy it refined.
4. PURPLE grape juice and RED wine-contains resveratrol but that’s not the whole reason it is good for you. Resveratrol supplements do not have the same benefit. Red grape products have a high ORAC value, which means it is high in antioxidants. 4oz of wine or 8 oz of grape juice. I dont’ drink juice but I do buy it for my kids. If I can’t find a red wine that doesn’t give me migraines I may consider having a glass of purple grape juice now and then…
5. Raisins! They are high in potassium and Americans generally do not get enough. We should get more potassium than sodium in our diets but it’s the opposite. We get a TON of sodium. The DASH diet has been proven to lower blood pressure but that is likely more due to the fact that it is heavy on fruits and vegetables and hence high in potassium which has blood pressure lowering effects. Only 5% of the population is sensitive to sodium so we don’t all need to be on a super low sodium diet but we definitely need more potassium. Word of caution here: too much potassium is also bad and can build up if you take a supplement. Much better to eat foods high in potassium instead unless it is prescribed to you. Then make sure you go for your blood work to monitor it!
6. Garlic-must be CRUSHED! This is the way it releases allicin which is the active heart healthy compound that magically appears when you bash a clove of garlic on it’s head. This could double as stress relief, lol.  It lowers cholesterol and blood pressure. 1-3 cloves per day. If you take a supplement and it doesn’t smell, it is worthless. Vampires beware.
7. Chocolate. DARK chocolate. In fact straight up cocoa powder that is not process with alkalai is best. I add a tablespoon or two to my protein shakes and I use cacao powder. Because I am fancy. Any brand is fine though as long as it is not processed with alkalai. It will say so on the label. 2 tbsp is best. Contains flavenols and lowers systolic blood pressure (the top number) and improves blood flow.
8. Stanols. What? It’s from plants and has been shown to lower LDL (the “bad” one) 14%. It’s only found in Benechol though and Promise Take Control. When I heard this I marched out to find some. I found Benechol at Wegmans. They have light and regular versions and as a staunch lover of butter, I really like the taste of this. 1 tbsp per day is sufficient. They use this is Europe a lot more than we do. It apparently didn’t take off here and some products were discontinued in the US due to poor sales.
9. Nuts. All nuts. Daily intake of nuts (and yogurt) is associated with long term weight loss. The fat in nuts is good for satiation which is the sensation of being satisfied. A good snack is 10-15 almonds. Whatever nuts you like, keep it to 1 ounce since they are high in calories too.
10. Soluble fiber-psyllium which is what is in metamucil. Soluble fiber is also found in fruits/vegetables and oat BRAN. Helps lower cholesterol. I buy plain psyllium powder and add it to my shakes. You have to drink it quickly though or it thickens up and you will be chewing your shake instead of sipping it!! Drink extra water too to help it work and not back up your system. Taking fiber and not drinking enough fluids can cause constipation. . Follow the dosage directions on the package but 1 tsp should equal about 5 grams. When I prescribe it I give it twice a day if someone is adamant about not wanting to take a statin.
11. Soy. This one can be controversial depending on who you listen to. It does lower cholesterol. I recommend organic soy in the form of edamame. Even my kids will eat these. You can get them frozen shelled and just heat them up. If you like lima beans, you will like these, maybe even better. Yes, I have liked lima beans since I was a kid. I’m probably the only one. Give soybeans a chance!
There you go. 11 things you can include in your diet to improve your cardiovascular health. I can’t reiterate enough that we need to get more VEGETABLES AND FRUIT in our diets! Vegetables really give you the most bang for your buck, especially leafy greens. Meat should be more of a condiment than the main event at each meal. Healthy fats should be consumed with your greens to improve vitamin absorption (some vitamins are better absorbed when you eat fat) so use your high oleic acids on your greens! And use whole grains and oat bran to improve fiber intake as well.
A study at the University of Toronto showed a significant reduction of cholesterol similar to a statin using what has been called a “portfolio diet.” It contains several of the foods I listed above and includes the intake of 45grams of nuts (about a handful), 50grams of plant protein, 20 grams soluble fiber (oat bran, psyllium, apples), and 2 grams plant sterols (Benechol margarine).  Read about it here and see the infographic here.  See! Plant foods are sooooo good for us!!
Here’s a tip when shopping: shop the perimeter. The perimeter of the store contains the best foods like produce, lean proteins at the meat and seafood counters, low fat dairy and frozen vegetables. Plot out your list and your path by what you want to be eating BEFORE you get to the store. If you wander up and down the aisles you are more likely to pick up something that looks interesting (the power of marketing!!) but isn’t really food or healthy for you. the longer you stay, the more you spend too (more marketing research!) so save your waist line, your heart and your wallet and shop the perimeter!!
There you have it. I hope you learned something interesting and useful. Tomorrow, I will discuss rest and stress. Until then, here’s to our hearts!
Liz

30 days to healthy living: Day 4

“Healthy holiday eating” 
Is this really a thing? I know that anyone who has been working hard at changing their diet and losing weight will likely be looking for healthier versions of the dishes they love and that is a good thing. Pinterest is filled with healthy swaps for your favorite dishes. There are also plenty of recipes that adjust for food allergies and lifestyle preferences such as vegetarian as well. However, I am here to say that celebrating a holiday by participating in the feast is actually OK! Does grandma make the best lemon meringue pie ever and it wouldn’t be Thanksgiving with out it? Then go right ahead and eat it (barring actual food allergies or celiac of course…). Whatever you do, don’t offend grandma! (I personally think there is a special place in hell for people who aren’t kind to grandmas but that’s a post for somewhere else…)
The thing is that we have to live with our lifestyle choice to be healthy all year long and part of a healthy lifestyle should be enjoying food, friends and family. Getting stressed out over a meal isn’t healthy. Guilt over food isn’t healthy. Offending the cook because they didn’t use organic grassfed unicorn tears to make the casserole isn’t healthy!
So take the day to be grateful for the feast, have a glass of wine (preferably dark dry red, up to 8 oz) and enjoy the day! Tomorrow we can pick up where we left off.
In the meantime though, one tip: If you have been following a healthy diet and do what I say above, you may experience a bit of upset stomach or bloating because your body isn’t used to eating that stuff anymore. 2 words: HOT TEA. Hot ginger tea is even better but warm beverages like tea can help with digestion and move things along to make you feel better. Also, pace yourself. You don’t have to eat everything at once. Try to make it last. Savor your food and your time at the table. Aim to take 20 minutes to eat your meal or longer (this is actually good advice for every day) and wait at least an hour to have dessert, 2 hours is probably better. Drink lots of fluids to flush out the extra sodium you are likely eating otherwise you may look like a balloon tomorrow!! And whatever you do, don’t get on a scale tomorrow!! Weighing yourself can wait until next week!
Happy Thanksgiving y’all!! 
Liz

30 days to healthy living: Day 3

What to eat when. That’s the topic for today and what a loaded topic this is!!
Quiz time: What do YOU think is the best way to fuel your body through out the day?
a. one meal per day
b. 2 meals per day
c. 3 meals per day
d. snacks
e. no snacks
f. limit the number of hours you can eat during
g. no eating after 7 pm
h. something else
Well, if you look on the internet you will find someone telling you any and all of the above is the “right” way to eat. (And I’m going to kind of do that too…) So what’s the evidence? Short answer: it’s conflicting.
The governments My Plate recommendation is vague. It gives total recommendations for the day and approximate amounts you should put on your plate via an infographic. You can find calculators on the website that will help you determine your caloric needs for weight loss and maintenance based on your activity but I feel like the numbers were on the high side. Basically it looks like 75% vegetables/fruits/carbs and 25% protein with a little dish of dairy on the side. No fat recommendation on the infographic itself and I did a lot of clicking but didn’t find much that was more specific than that. At the bottom of the infographic it tells you what a serving of each food group is and how many per day you should eat based on your calories for the day. So some good, very basic information but I think it leaves too much room for error. If you are ambitious, you can read the entire 2015-2020 dietary guidelines for Americans here. Good luck!
Paleo: meh. I think we need some good whole grains in our lives. I don’t live in a cave and don’t forage for my food. I do find a lot of good recipes here when I need a gluten free version of something. Just don’t be afraid to add a little brown rice or other whole grain. It will stretch your recipe, give you more fiber and sustain you a bit better.
Keto: So a true “keto” diet should only be undertaken under medical supervision, especially if it is for something like controlling epilepsy. There is research supporting it’s use but again, with supervision. Your blood is supposed to be a fairly neutral/slightly alkaline pH. Mess with that and you are courting a coma. In fact, that’s what happens to diabetics when their diabetes is not well controlled. I like fat and I think we should include healthy fats in our diets everyday but 70-80% fat? I am not a huge fan. Plus, if your blood is acidic it will pull calcium from your bones in order to balance it. This in turn will cause osteoporosis over time.
Alkaline: As I just noted above, your body needs just a slightly alkaline blood pH of 7.4 . Acidosis is defined as a pH of 7.35 or lower and alkalosis as 7.45 or higher. Not a lot of wiggle room there. Getting your blood MORE basic isn’t any better for you than getting it slightly acidic and it may actually be worse. Thankfully your body has natural mechanisms during digestion and absorption to balance your blood pH all on its own. When your blood pH is out of whack, you are in trouble. Blood pH isn’t something to try to change on your own. And so I will go on the record and say that although I am an Arbonne Independent Consultant and use their products for weight loss and maintenance including their healthy living materials and 30 day program, I do not support attempts at “alkalizing” your blood. Its why I also don’t agree with having to avoid coffee and vinegar. There are a lot of health benefits to be had from a couple cups of coffee per day and when you consume vinegar, which is an acid, your body turns it into an alkaline substance. Its the same with lemons. There IS an article from the Journal of Environmental and Public health discussing the alkaline diet and it”s potential benefits but mainly that’s because it is mostly plant based and eliminates processed foods. Bottom line, you can’t and shouldn’t significantly change your blood pH. You SHOULD include more vegetables and fruits and less processed foods and meat in your diet.
Detox: Do you have a liver and kidneys that work? Then you have all the “detox” you need. So while I actually love Arbonne’s Detox Tea, I really dislike the name. There are so many “detox” plans out there and really nothing can clean your blood for you any better than your liver and kidneys can (well dialysis can but we are trying to avoid that with a healthy diet, ok?). Want to “detox” for real? Drink lots of water and eat fiber. “Detox” seems to be a euphemism for pooping. Yep I said it. Pooping. You should do this at least once a day. In fact, probably after every meal since it should ideally take 24 hours for your meal to pass then entire length of your gut end to end. Our guts are generally messed up though and medications interfere with our gut function. So water + fiber= poop= “detox”  ps: the funny thing about the Detox tea? It doesn’t make you, uh, “go” but it does have some great herbs in it that support the liver’s function. So maybe the name isn’t as bad as it sounds…
Intermittant fasting (Time Restricted Feeding): Ok, if anything is going to get a gold star it’s going to be this. There is actual research showing promising results in mice(and other animals) that limiting the number of hours you consume food during the day is helpful in preventing weight gain, stabilizing blood sugar, preventing fatty liver disease, extends lifespan and supports weight loss. This is purely anecdotal but I have a friend who has been using intermittant fasting and has lost weight and has been able to get off of her diabetes medication with her medical provider’s blessing and support. (As with anything else, do not stop any medications without involving your provider!) I read the mice study this summer. Basically the best results were seen in mice who followed schedule of eating during an 8-10 hour time frame and ate a healthy diet although there was benefit even when eating a higher fat diet. Cool stuff and more research is needed.
Last, I’d be remiss if I didn’t mention the Blue Zones diet. This is a common denominator diet found to be followed generally by the “blue zones” or places where there is the highest concentration of people living to 100 and beyond. It’s mostly plant based, 90-95%. Yes, there will always be that George Burns type who seems to live forever on cigars and whiskey but the vast majority of those who live to be centenarians follow a much healthier lifestyle. This style of eating certainly can’t hurt!
There are other diets out there as well but these are the most popular right now that I am aware of.  I personally have to follow a gluten free diet no matter what other eating pattern I choose to follow because of celiac disease. I recently read an article about the potential benefit of a low gluten diet helping with GI symptoms but it seemed to be related more to an increase in amount and type of fiber for those who had GI symptoms but not celiac disease. If you don’t have celiac, maybe try more fiber first. Gluten free dieting without medical need is not recommended.
My recommendation:
1. eliminate processed foods, soda, sweeteners and temporarily starchy vegetables like potatoes and corn as well as alcohol.
2. Make sure you are truly fasting overnight. This means at least 12 hours. Set a cut off time if you need to. I generally have black coffee until about 10 am then a protein shake to break my fast.
3. Eat 2 “lean and green” meals per day. This is 3-5 oz lean protein, 3 cups leafy greens or 1.5 cups other vegetables along with a small serving of whole grain such as 1/4-1/2 cup brown rice, 1-2tsp healthy fat such as olive oil, herbs to season and some vinegar if you are making a salad.
4. Space your meals about 4-5 hours apart if you aren’t using a really short (8 hours) time restricted eating pattern. I try to keep all eating within a 10 hour window.
5. Have a snack only if you are truly hungry and limit it to 100-150 calories. I love having a green apple and a tbsp of almond butter. 15 almonds also works. Hot tea, especially green tea, can help with cravings and is an excellent accompaniment to snacks.
6. Calculate your basic caloric needs and subtract 500 calories. This is your maximum for the day.
7. Try meal replacements. I use Arbonne protein shakes and add almond milk, fiber and sometimes peanut powder or cacao powder and a banana. There are loads of recipes on Pinterest for Shakes using Arbonne protein powder! I have one for breakfast every day and I have 2 a day when I am trying to lose weight.
8. write down what you eat. That journal you started on day 1 is for recording your daily intake. Use it! And write EVERYTHING down. what you ate, where you ate it, how you felt before and after and what was going on that day. This is helpful for identifying eating patterns and any potential food intolerances.
9. Drink 64 oz water daily at minimum. Hydration hydration hydration. Tired? drink water. Hungry? drink water. Bored? drink water. We are all walking around like shrinky dinks because we don’t drink enough. Hint: your urine should be CLEAR!
10. Be cautious with alcohol. Alcohol lowers your inhibition and this includes your ability to follow your diet. Drink too much and next thing you know you’ve eaten 2 dozen hot wings and half a pizza. When losing weight its best to avoid altogether or save it for a special occasion or the weekends and then only have 1 serving per day for women and up to 2 per day for men. (Not fair I know. Blame biology)
That’s it in a nutshell. Or a really long wandering article depending on how you look at it 😉
Questions? Leave them in the comments and I’ll be happy to help!
Happy day 3!!
Liz
PS: I am here as your coach. I am not acting as your medical provider. I cannot give you medical advice. What I am suggesting is what has worked for me and is largely based on programs I have used than I know get good results. I also check for evidence based dietary recommendations and read actual medical research studies on diet. Before you change your diet or start to exercise, discuss it with your medical provider. If you are on medications changes in your diet can affect how your medication works. Weight loss can affect birth control methods. Leafy greens can interfere with “blood thinners.” Your provider is also a good person to help you set goals. Don’t put your health in jeopardy trying to get healthy (ironic I know)  talk to your medical provider first!!

30 days to healthy living: Day 2

So how did you do with Day ? Were you surprised by some of your numbers? :O Did you come up with some goals? A hint with goals is to break them up into short term (1-12 months) and long term (2 years).  Then break down the big goals into baby steps.  Also look at your list and realist them in priority order. Start with what is most important to you or you are more likely to fizzle out.
Ok, so today I want to talk about FOOD. I mean, doesn’t our whole life kind of revolve around it? And isn’t a big part of our health problems and weight issues? It seems like we have gotten this eating thing all wrong and it is so darn hard to get it right. Something is good for you one week and causes cancer the next Uuuugh!!! So where to start???
Here’s my plan/suggestion:
For the next month try a modified elimination diet to get your eating habits under control and if you suspect you have a food intolerance this is a great way to test it. This is what I did when I first suspected I had celiac disease. Thankfully I figured out within a week that I had an issue with gluten. But I recently did a 30 day run of this and got back on track with my eating and weight. I lost 9 pounds and am now within 3 pounds of the weight I’d like to hit and then maintain. It may not sound like a lot to someone who wants/needs to lose 100 pounds but my back and hips feel every extra pound of weight I put on. On that note, every pound of extra weight you carry is equivalent to and extra FOUR pounds of weight pressing on your hips and knees. People who carry around extra weight are more likely to develop osteoarthritis and need joint replacement surgery and ironically they often have to lose weight before the surgeon will do it because the replacements won’t hold if you weigh too much! So best do it now and avoid wearing out your joints!!
I digress…
So this plan is a combination of different but similar things you may have seen or heard about or even tried but this is not something you are going to fo forever and it won’t work for everyone. We will talk about modifying it or going a slower gentler route tomorrow as well as some other ideas for adjusting your eating but some basic principles will be consistent throughout. But if you are like me, you need to just put up a giant stop sign to force you to get away from the junk and eat food that will fuel my body. confession: I was drinking about 2 glasses of wine per day and eating candy on a daily basis. I would often go all day without eating and then eat without ceasing in the evening (and MORE than make up for not eating all day! I was HANGRY!!). Because I am a celiac I have gotten away from eating any kind of bread because gluten free bread? Not so great. I ate my fair share of loaded nachos and pizza though. And the thing is, if I went from eating loaded corn chip nachos to a healthy alternative I might think that the healthier version wasn’t as satisfying and not try it again. BUT if I haven’t eaten any nachos in a month and then because my eating is under control and my taste buds have adjusted, those healthy nachos taste great and now, because I don’t feel ill after eating them, I crave those instead of the old version. I promise-hold fast and your taste buds will adjust! Pinkie swear.
Here’s the basic plan:
“Yes” foods (forever)
All vegetables (except potatoes and corn)
Leafy greens (Romaine-when there isn’t ANOTHER recall on it. Spinach. Arugula. Dandelion greens. Chard, etc.)
Green apples
Berries
Lean protein-salmon, sardines, boneless/skinless chicken breast, pork tenderloin, lamb, rabbit, goat, freshwater fish, shrimp, clams, oysters, grass fed beef, etc. ALL prepared broiled, baked, poached, grillled but not fried!
Brown rice
Quinoa (if you like it. I find it annoying because it gets all over my kitchen every.single.time. )
Riced cauliflower
Squash
Nuts
Beans (legumes) especially lentils, black eyed peas and chick peas.
Edamame (soybeans)
Tofu
Sweet potatoes
Beets
Healthy fats: nut oils, olive oil, avocado, grapeseed, high oleic sunflower oil and coconut oil.
Water, water water-64oz per day minimum
Green tea
Black coffee
Herbal tea
Almond milk, cashew milk, coconut milk, rice milk
Nonfat Greek yogurt
Kimchee
Sparkling or mineral water (Wegmans has great flavored sparking waters that are calorie and sweetener free)
Limes and lemons
Eggs
TEMPORARY No’s:
alcohol, especially beer (yes, I did it, you can too!!)
Dairy milk, creamer, half and half
Wheat/barley/rye (if you are testing a sensitivity or want to try a low gluten diet)
Fruit other than mentioned above
Peanuts/peanut butter
Juice
Things you should avoid FOREVER:
Artificial sweeteners except Stevia, monkfruit or erythritol
Soda
Processed foods such as TV dinners, boxed cereals
MSG
Sugar (the white kind)
Basically any food that comes in a box or a bag is a food “product” and not actually food and highly unlikely to be healthy for you.
I’ll give some rationale along the way but that’s the basic list. If you have a question about any of them, please let me know!
Tip:
My very superty-dooper strong suggestion is to giveaway or throw away all the junk in your house. Out of sight, out of the way of your mouth. You might think about it so I can’t say out of mind but if it isn’t there to easily grab in a moment of weakness, you can’t eat it! This works really well for me.
So this is basically your shopping list but before you go shopping there is something else important to do-plan what you are going to eat and when. Tomorrow we will talk about how to go about eating this stuff and when to eat it as well as modifications as I mentioned above.
In th meantime work on the tip and start purging your pantry of junk. Get it out of the way so you can make a clean start!
PS: I am here as your coach. I am not acting as your medical provider. I cannot give you medical advice. What I am suggesting is what has worked for me and is largely based on programs I have used than I know get good results. I also check for evidence based dietary recommendations and read actual medical research studies on diet. Before you change your diet or start to exercise, discuss it with your medical provider. If you are on medications changes in your diet can affect how your medication works. Weight loss can affect birth control methods. Leafy greens can interfere with “blood thinners.” Your provider is also a good person to help you set goals. Don’t put your health in jeopardy trying to get healthy (ironic I know)  talk to your medical provider first!!
Here’s to our health!
Liz