Some Thoughts

imageI’ve been watching this show recently (don’t judge me!) and find it to be fascinating on many levels.

First, this is true-life human drama. Will the “star” of this episode make it? Will they find support or sabotage from their loved ones? Will they suffer dire consequences following surgery?  I find myself having several emotions during a 60-minute episode ranging from compassion, unbelief, anger, hope, annoyance, etc., and that makes for good television I reckon.

Second, from the perspective of a healthcare provider this interests me because it’s not Gray’s Anatomy or any other of those medical-type shows that make it seem that love and sexual encounters inside the hospital are more common than bladder scans or blood draws. Rather the real raw deal is shown including post-op pain and nausea, continued food cravings, relationship difficulties, and people with deep emotional scars that have contributed to their self-comforting with food.

Third, as a formerly obese person myself (although I never approached the weights of the men and women on this show) I find myself cycling between compassion for them versus annoyance, especially when they refuse to get up and walk following surgery or sometimes lie to the surgeon at follow-up appointments when asked about their habits at home or adamantly state that they will do things their own way because they know better than the surgeon, they are being pushed too hard, etc. I don’t know him, but it seems Dr. Nowzaradan is doing all he can to help patients who are hanging onto life by very thin threads. I do smile every time he tells them they need to eat more protein and “no carbs.”

I can’t help but wonder about the men and women who go to Houston to be seen for initial consultation and are given an eating plan and told to come back in one month to see of they’ve made progress and can be scheduled for weightloss surgery…and don’t ever come back. Of course those don’t make it to my television, but I am concerned about them nonetheless.

 

 

 

Low carb during Nativity Fast

This won’t interest everyone, but the recipe should so stay with me here!

As an Orthodox Christian, I try to follow the fasting schedule of the Church. This was much easier way back in the day before I cut the carbs, and even prior to going gluten-free. Back then even Fig Newtons were acceptable as fasting fare, not to mention all the lovely breads and crackers and rice…you get the idea. 

But these days I am (feebly) attempting to follow the fasts. What does that mean? Orthodox Christians fast from meat and dairy products (vegan style) every Wednesday & Friday all year long, and then there are longer fasts for Lent which leads up to Pascha or Easter, as well as Advent or pre-Nativity which leads up to Christmas. It makes perfect sense if you think about it…how can one fully appreciate a great feast if there has been no fast before it?

Which brings me to cereal. I have adapted a recipe from my beloved All Day I Dream About Food that fits into the fast and is superbly scrumptious with almond milk. Loaded with fiber, protein, healthy fats, and flavor – and pretty easy to put together.  I can carry it to work for lunch or enjoy it in the evening…reminds me of the days I had a serious love affair going on with Frosted Mini-Wheats.

Oven on 300.  In a big bowl mix (with spoon or spatula) 1 1/2 cups almond flour, 1 cup hemp seeds, 1 cup unsweetened flake coconut, 1 cup nuts (I used walnuts, pecans, and almonds for this batch), 1/3 cup sweetener, 1/4 tsp salt. Mix all that together well, then add to that bowl 3 T melted coconut oil, 2 tsp vanilla, 1 flax egg (Google it!) and keep mixing it all until it starts to clump together.

Dump it all onto a jelly roll pan lined with parchment paper, press down a bit with the back of a spoon, and put it in the oven for 25 mins. Sometimes if it’s not toasty brown at the end, I’ll turn the oven off and just leave it in there for a few more minutes.  Cool and put it in an airtight container in the fridge. 

Today I had one cup of this + one cup of almond milk and my premeal blood sugar was 90 and 1-hr postmeal blood sugar was 89.  

Also…delicious topping for Greek yogurt when/if eating dairy.

 

12-year Atkins-versary

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It’s been a very, very long time since I’ve posted anything, but today is my Atkins-versary and it seems fitting to check in and review a bit how things have gone over the years. The pic is me today – in the bathroom which is where all obnoxious selfies are created.

Why has it been so long since I posted? There are several reasons, not the least of which is I have spent time, effort, energy in getting back to practicing my Orthodox Christian faith, which means working out the details of what ‘fasting’ looks like for a low-carber.  It’s been an interesting year or so and I won’t claim that I have this all figured out and am doing it well, but I continue to struggle. (Which is a good thing, if you’re Orthodox!)

Twelve years ago I tried this low carb thing out of desperation – a Hail Mary, so to say. I was about 240 lbs (my highest known weight, not that I spent much time stepping on the scale at that point) and sick. See the ‘about’ section if you’re interested in my LC beginnings. My goal was 150, and I got there in about a year and a half.

Recent labs showed my HDL at 92, Triglycerides at 52.  Blood pressure has been steady for years in the 90s/50s range.  My weight has varied a bit over the years with the highest probably 158 and lowest (this a.m.) at 144.

Maintenance of weight loss requires daily vigilance. Those times when I’ve lost my focus have been those times when the number on the scale creeps up and I need to pull the “fat pants” off the closet shelf.  How to keep the focus? My work an a nurse practitioner helps.  Also I try to keep up with what’s going on in the LC community, via social media and the recent LC San Diego conference, for instance.

So here’s to my Atkins-versary! Here’s to being 50 with better health (and my husband would say better appearance) than at 38. And here’s to the next 12 years!

Chicken Nuggets…and they’re fried!

Chicken Nuggets!

Okay, I am not a food blogger and I am definitely NOT a photographer.

But every now and then I throw something together that is just too good to keep to myself. So today I share with you Chicken Nuggets. You are welcome!

Easy to make, cooks in less than 15 minutes, golden-brown delicious, and made without fakeness. I made one generously-sized boneless, skinless chicken breast and it was so filling I couldn’t finish it, so saved some for tomorrow.

  1. Cut a chicken breast into nugget-sized bits
  2. Crack a whole egg into a bowl, fork it up, set it aside
  3. Put some pork rinds into a quart-size zipper bag and then smash them into crumbs. You want roughly 1/2 cup of crumbs
  4. Into the pork rinds bag add: 1/2 cup almond flour, generous shake of good salt, several shakes of black pepper, a couple shakes of paprika and shake it all up together (see the pic…you want plenty of black pepper and paprika)
  5. Heat the skillet to medium and melt 1-2 T coconut oil in the pan. Coconut oil is great to fry in since it can take the heat for longer time without oxidizing, turning black, and generally making your house a smoking mess.
  6. Dump the nuggets into the bowl with beaten egg, smoosh them around to coat
  7. Using a slotted spoon (or your fingers) grab a few nuggets out of the egg (let some drain off) and then plop them into the zipper bag with the breading. Shake, shake, shake!
  8. Carefully place the coated nuggets into the coconut oil.  Repeat until all your chicks are frying.
  9. I cooked mine 10-12 mins, but your timing may vary depending on the size of your nuggets. Let them brown nicely before you go moving them/flipping them so the coating stays in place nicely.

Obviously this would work for chicken tenders. I think I’ll try it next with fish but will omit the paprika and use a little Old Bay instead.

***Almost forgot to mention…blood sugar prior to eating was 80. I ate about 2/3 of the recipe (some of the breading was leftover and went to the trash) + a lot of Heinz low-sugar ketchup and my blood sugar one hour later was 93. Not too shabby!

How much longer will you live if you take a statin?

Dr. Malcolm Kendrick

How much longer will you live if you take a statin?

About a year ago I submitted a paper to the BMJ entitled ‘Statins in secondary prevention, lives saved or lives extended.’ To be more accurate, I was the lead author of the paper. So I should say ‘we’ submitted a paper. I have to report that the paper was rejected, re-written and rejected again. In the end I couldn’t get it published.

The main aim of the paper was to point out that the most important reason why someone would take a ‘preventative medicine’ of any sort, was to increase their life expectancy. The question ‘how much longer will I live if I take this tablet for, say, five years?’ Seems a reasonable question to ask and, in turn, have answered. Interestingly no patient has ever asked me this question, so I have never…

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NO LOW-CARB FOR YOU!

Shaking my head…
I’ve been discouraged lately at work and this about sums it up.

Eathropology

I am emerging (briefly) from grad school hibernation–my husband jokes that I’m taking all my classes “pass/flail”–for a special cause that hits close to home, even though Jennifer Elliott, a dietitian who has been going the rounds with her various professional organizations and institutions, lives in Australia.

She apparently had the gall to suggest to a patient with type 2 diabetes that a low-carbohydrate diet might be beneficial.  Heavens.  What is the world coming to?  Next thing you know, people will start telling us that if we are allergic to poison ivy and it makes us itch all over, we might not want to roll in it.

If you haven’t had a good eyeball roll or facepalm for the day, you should check out her blog, where she recounts one episode after another of Orwellian-level doublespeak with the Dietitian Association of Australia.  It’s a situation I’m quite familiar with, albeit on…

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A Swiss Investment Bank gets it completely one hundred per cent right

Time for facts

Dr. Malcolm Kendrick

[Yes, that’s right, a Swiss Investment Bank!]

A kind reader of my blog pointed me at a report by Credit Suisse entitled ‘Fat, the New Health Paradigm.’ I suppose I half expected the usual. Saturated fat causes heart disease, cholesterol causes heart disease. ‘We are a respected bank, what the hell did you expect – that we would rock the boat in some way. Don’t be daft.

What seems to have happened is that they actually looked at the evidence in this area and came to the conclusion that the current dietary advice is utter bollocks and is not based on anything at all. I shall start with a few key points from the Introduction:

‘Saturated fat has not been a driver of obesity: fat does not make you fat. At current levels of consumption the most likely culprit behind growing obesity level of the world population is…

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