We need to grow a pair!

Hi Everyone!

Yes. I'm walking the line of crudeness because I'm fed up!  Honestly, if I hear one more client say that it's okay that they're having the bag of chips because they are made with whole grains, I'm going to lose it! Honestly, how do you expect to achieve your goals if you're not willing to take out the garbage?

I'm not even sure who to be mad at any more!  I think we all have some culpability in this mess. Let's take a look at how each group plays a role in the obesity epidemic (both creating it and not helping to solve it).

Consumers/Clients

I think that the current food system is the way it is, because we (the consumers/clients) are a bunch of pushovers (not my first choice of words) who are so terrified to give up our vices like junky foods that we know are killing us that we choose to believe the BS claims that are made by food companies about said food items. For instance, these chips are okay because they are made from whole grains, or these cookies are organic.  I mean, PLEASE!

Message: We vote with our dollars, so don't buy processed food anymore & eventually there will be no market for it and similarly, the cost of good quality, real foods will decrease.

Government

The governments who supposedly police the food industry are absolutely culpable & they are made of educated people, so they are not stupid, therefore, I can only conclude that they are driven by money and secondary gain.  There is no other logical reason why in the face of clear evidence that TRANS fats kill humans by well known cardiovascular mechanisms, that they would impose a law to require that the amount of trans fats within a food product be shown on the label rather than make it illegal for the food company to use that item in the foods they make!  WHAT THE HECK!?  Think about it, governments make money on allowing poor quality foods into the market place & people get sick & then there's money to be made on the treatment of those illnesses (preventable ones).  So tell me then, where is the motivation to stop the cycle.  Nowhere for the governments regulators.

Message: Nobody has your back, other than you.  You need to take responsibility for your own lifestyle choices.  Don't you put your health, life & vitality in the hands of people with more to gain if you are sick than if you are healthy.

Nutrition Professionals

Practioners

The nutrition profession including Dietitians, Nutritionists (practitioners), Researchers & Professors.  All of which work very hard (I know I am one) to tow the company line (i.e. the food groups or pyramids or whatever), and most of them (this is where I consider myself different) do NOT question those concepts, they just keep teaching them.  This is where things become ugly for me.  I have a real Masters degree (thesis-based) & am pursuing a PhD all in Human Nutrition, so I believe I can read, interpret & critically appraise the research.  Unfortunately, many of the practitioners in the profession can not, do not or are not willing to do this.  This has lead to the promotion of the low fat diet for instance for the last fifty years or so.  You can see my post on some of my issues with the low fat diet and why that's a huge problem.  And the thing is, the evidence is out there to lead practitioners away from this but most are either too busy or just don't bother to review it.

Researchers

This brings us to researchers and professors. Researchers & Professors are, for the most part positions that are research driven and depend upon production & publications for their institution.  Unfortunately, Western medical research practices are based on supposed gold standards (i.e. randomized clinical trials) that really only work for pharmaceutical drugs, no coincidence that the majority of medical research is funded by these companies and that most medical decision trees produced for physicians and psychiatrists either end at or have as a major part of their treatment a pharmaceutical drug (that's for another rant, though).  I have many research colleagues and friends who consider the current state of nutrition research a joke.  I unfortunately have to agree with them.  They are mostly in the physical sciences like chemistry and physics, both of which I have minors in.  The major difference in my opinion is that those physical sciences have a unifying theory, which guides all research in that discipline to be in line with those principles.  In medical & health research it's more of a crap shoot of random trials & outcome measures.  Many will argue that there is no medical unifying theory, but that is crap!  The unified theory of biology should be and is EVOLUTION!  I talk about that unifying theory in a prior post here.  If nutrition researchers would simply ask does this study/finding/research question that I am proposing make sense in light of evolutionary biology, then this would prevent millions of dollars from being wasted on stupid projects that provide zero insights into human health & disease.  And by the way, food companies are also spending billions of dollars to fund research projects.


Professors

Professorships are research-dependent and therefore all of the research criticisms discussed above apply.  Additionally, however, most of the time there is a regulating body (i.e. college or other guiding body) that dictates the competencies and content that are required to become a certified health professional.  Unfortunately, these practice recommendations are based on the assumption that the last fifty plus years of lifestyle based research has been sound and that the principles of many of the early low fat proponents was correct (which is now known to be false).  Yet, each new generation of nutrition, health and medical practitioner are taught the same strategies to prevent and manage/treat cardiovascular disease, diabetes, kidney disease, etc... without any regard to human evolutionary biology.  This is absolutely a critical mistake and the most frustrating part of all is that this is a relatively easy one to fix.

Message: You can't always put your faith in credentials.  Just because someone has a certification or degree, doesn't mean they're good at what they do or even know about or truly understand the current research, it just means they were able to complete coursework & do well on a test. I am a certified health professional, I have many colleagues and only some of them truly understand the current research. Be sure to do your own research and then discuss it with your certified health professional.  If they are completely closed, fire them & find another who is more open and versed on the research.

So. What the heck can we do about it?

It's an easy fix, but not a quick one.  I learned everything I could (and still am by the way) about evolutionary biology and then use these principles to filter all of the latest research findings through and see which ones still make sense or try to figure how they might fit.  Also, I use these evolutionary principles to adjust my prevention and treatment protocols so that they are more in line with evolutionary biology.  There are many non-certified Western and Alternative medical practitioners that have been doing this for some time, I applaud the honest ones for doing this.  I think it's time that we in certified Western medicine caught up!

Message: It's through this practice of selecting professionals that are more open-minded & versed on the literature, that health professionals will ultimately expand their knowledge and be accountable to you, the client.  Also, we have to stop always citing old studies as the basis for our current treatment practice, research question or curriculum and seriously attempt to integrate the evolutionary biology approach.


Thanks for reading my rant!  I hope you found it useful as well as entertaining!  Honestly, I feel better for having wrote this, so thanks for giving me an audience.

Have a great week!

Take care,

Dan T

REDEFINING WHY PART 2

Back in part 1 of my 2 part series on REDEFINING WHY, I attempted to define how I was able to be lean & athletic and remain that way through incredible stresses up to about 10 years ago and more importantly why this seems more difficult currently (at 41 years).  In part 2, I’m hoping to take you through the process of establishing my new WHYs and creating my specific goals for the next few months. This might take this post & one more.

Out of Date WHYs:

A) Be the leanest & fittest man I can be in order to attract the woman of my dreams.

B) Be as healthy & strong as I can be in case MS strikes me down, I will be in better position to maintain strength & function, etc…

C) Be Warrior Fit.

——————————————————————————

Why these WHYs are obsolete to me now:

A) I’ve met & married the woman of my dreams.

B) My mother passed away of complications relating to her (30 year bout with) MS 2 years ago & my priorities have shifted from avoiding disease, to earning a living & caring for my family.

C) I have not consistently practiced martial arts for the last decade and a half & I’m no longer as focused on preparation for spontaneous kumites.  

—————————————————————————————

Tony Robbins discusses 6 Master Steps to Change in a Powertalk session. I’ve adapted those here to walk you through how I developed my WHYs & how I intend to change my behaviors and start heading towards the attainment of my goals.  

6 Steps to Change:

1) Decide what DO you want & what might prevent you from getting it.

2) Create leverage (on yourself) to make the change a must.

3) Interrupt the current pattern.

A) Visualization

B) Experience

4) Implement the change using a positive behavior in place of the negative one (if applicable).

5) Condition the new behavior pattern, so it remains consistent.

A) Visualization

B) Role-Playing

6) Test the new behavior (pattern).

A) Visualization

B) Experience

Newer, more relevant WHYs:

A) Be the best living example of healthy, lean and strong man who is living the Paleo/Primal lifestyle for my family, friends, clients & the world.

B) Be a living example of what kind of change is possible through a well planned Paleo/Primal lifestyle for my family, friends, clients & the world.

C) Be the best example of health, fitness & longevity that I can be for my kids so they will be proud & strive to emulate my lifestyle.

D) Become as Warrior Fit as I can because I want to be able to defend my family at any moment, whatever comes.

These are WHYs that touch me more viscerally currently, so I know they’ll be more effective.

Now, if only this lifestyle could morph my face into Jason Statham's (at right) then my acting career would really take off!!

My Leverage:

For making the changes - I must achieve these changes because I have always been a man of my word. I am a healthy, lean & fit man who is a living example for those around him of what a healthy lifestyle can do. I now understand the importance of living a Paleo/Primal lifestyle & need to now implement these principles fully into my lifestyle in order be the living model of health, fitness & longevity! I need to become a living example of health, fitness & longevity & the power of the Paleo/Primal lifestyle in order to effect change at the policy level & to lead the charge amongst my fellow RDs.

I need to be a living example for my family and especially my kids in order for them to strive to emulate my lifestyle!  

Against not making the changes - If I don’t achieve my goals and successfully implement these lifestyle strategies then I will lose the respect of my friends & family and most importantly myself. My business & services will not thrive if I can’t be a living example of my lifestyle strategies. I will not be able to successfully effect changes at the policy level & amongst fellow RDs unless I am a living example of health, fitness & longevity!

My specific goals: Over the next 4 months, I will:

1) lose 4 inches off my waist (aiming for 1/2 inch every 2 weeks).

2) go to at least 2 CrossFit classes per week & will add in physical play activity (increasing weekly as weather here in Canada improves - horrible winter here this year.

3) consume a Paleo/Primal diet daily with on non-Gluten containing one cheat meal per week.

4) consume 100 g of carbohydrates or less daily.

These goals are mostly behavioral, meaning that I’m able to track my progress daily by seeing if I’m on track or not using a behavioral checklist. I discussed this in a previous post.

Although, this doesn’t guarantee success, since it can't remove the daily stressors of a newborn + a 2 year old, working full time, pursuing a PhD (due end of 2015), blogging & running my business; these goals should increase my odds for success because of the 6 keys to psychological success as reported in Prev Medicine in 2004 which were:

A) Using Proven Strategy - Paleo/Primal has worked for thousands, why NOT me!

B) Using all available resources - Quality food obtained & source identified, Kitchen & Pantry cleaned out, Cooking tools ready to rock.

C) Integrated Social Support Structure for behavior change - My wife is doing this with me + accountability to my readers = ultimate support system.

D) Self-Efficacy - my goals are broken down into smaller chunks to gain momentum & confidence.

E) Greater Outcome Expectations - 4 inches is significant.

F) Adequate time to form habit - I’m giving myself 4 months to fully embrace the lifestyle, but know that actual permanent change can take 1-2 years to become ingrained.

Well, I'm off & running (pun intended).

If you would like to do this also, feel free to share your step by step goals in the comments section!

Let’s rock this!

Take care,

Dan T

REDEFINING WHY!

Hi Everyone,

Bear with me on this one. This is my over-tired (due to new baby care) attempt at soul searching & sincere self-examination. There is a lot more to the story, but I’m trying to stay on point with main things that have either directly or indirectly affected my body composition over the years.

I was always a lean & athletic guy. Growing up in a farming area, we ate pretty well (farm fresh side of beef, pig & chickens in the deep freeze, free range chicken eggs, fresh dairy, etc...) and throughout high school I did competitive Rowing, Karate, Kick boxing, Volleyball and of course all the pick up games of roller hockey, ice hockey, street hockey, football and soccer that my cousin & I could arrange! I pretty much trained all year long for rowing (dryland training) including tons of running, ergometers & weights (light circuits & heavy weights also). Therefore, I was doing a huge volume of work at this point in my life. I was 145 lbs until my senior year in high school and when I left for University I was 155 lbs.

This trend continued to University where I found competitive coed cheerleading (awesome sport for those of you who don’t know about it) & I practiced Japanese Jiu Jitsu & Capoeira. Of course, I learned some weight training from more senior guys on the Cheerleading team & started banging on those. Hitting the heavier weights, I bulked up to 175 lbs and remained here for the next decade and a half.

By the time I went to Montreal for my professional degree, I was still around 170 lbs and with some dietary manipulation & body weight training courtesy of Matt Furey (combat conditioning), I leaned down to 8% body fat. Then I started hitting the weights again, and seeing as how I was studying Human Nutrition & Dietetics I started experimenting with different strategies to add mass, as I had always been a “hard gainer”. Unfortunately, the techniques mostly involved eating higher carbohydrate, lower fat diet as a backbone, and using protein & mass gain shakes and things after my heavy weight workouts, so all of that combined with being over 30 years old at that time all lead me to increase my weight up to about 185 lbs and of course my body fat went up as well (to around 17%).

When I got into my Masters degree in Montreal, I was able to workout with and join the Cheerleading squad there, however, the team was mostly women & there were only 2 of us dudes (actually as I write that I realize, it wasn’t all that bad ;-) . It was great fun & actually with my heavier frame (190 lbs at this point) I was able to do some more advanced stunting that had escaped me at 175 lbs. My tumbling suffered a lot though. At one point at 175 lbs, I was able to do a roundoff, back handspring, back tuck fairly routinely and the same sequence with a back layout in place of the tuck with a bit more effort. However, at 190 lbs, this was much more difficult to do. I essentially, had to relearn the moves at my new heavier weight. In the end, I was able to do standing back handspring, back tucks routinely, but it did take a fair amount of effort and I’m sure my technique was sucking quite profoundly.

Next, my funding ran out for my Masters and I returned home to find work as a Registered Dietitian. I was able to find a one year mat leave for the first year, and of course had to live at home. During this time, I was able to get down to 180 lbs by participating in the Body for life challenge. I also started working in Hamilton at an Obesity clinic one day per week.

At the conclusion of that one year contract, I obtained a permanent position as a Registered Dietitian in Hamilton at a Mental Health Facility, and am still there now. In addition to completing my Masters, I was able to propose and initiate a PhD through my same University supervisor located at this hospital, but unfortunately, due to changes in drug purchasing contracts (move to generics) the funding was pulled by the drug company that had originally committed, and so I am pursuing my PhD in a topic similar but more complex & advanced of my Masters.

I should mention that during all of the above times my free time got less and less as my responsibilities increased. Additionally, I realize now in retrospect that my WHY for pretty much the bulk of my physical activity/working out thing was actually extrinsic, all about the ladies (attracting my dream girl), so to speak. I was a young guy & I loved women & wanted to meet as many as possible so I could finally meet the one.

When I started my permanent position as an RD in Hamilton, I met my (to be) wife at my orientation. We connected at a deep level immediately & she was the sexiest, most intelligent, kindest women I had ever met in my life (still is actually)! I proposed a little over 1 year after we met & we were married one year later. Interestingly, we found our dream home in a beautiful location, the unfortunate part was that it was a 1 hour drive from work. I commuted 2 hours/ day x 5 days / week for 5 years and during this time my weight skyrocketed to 225 lbs with obviously a huge shift in my body comp to fat mass (around 25%) with a waist circumference of 39.5” :-(. We were blessed as well with our first daughter during this time, and since, we’ve been blessed again. The massive increase in my body weight (& fatness) was obviously due to my decreased physical activity. Interestingly, I was actually working out pretty hard regularly for 2.5 years of our 5 with the 1 hour commute including rediscovering Japanese Jiu Jitsu (until our first daughter was born, then sleep went bye bye) but my weight still remained at best around 210 lbs. Honestly, I knew that my commute was killing me. Thankfully, my health was fine, no issues of note, but I knew that I was on the roadway to Diaobesity! My wife and I decided to move closer to work (decreased commute=more family time) & her family (greater support for our kids & connectedness with their cousins). We were expecting our second child while we listed our home (with countless open houses) & while we were searching for our new home. It was challenging & time consuming since we lived about an hour from where we were searching & we were both working full time. Additionally, I had to prepare for my PhD oral comprehensive exam right after we were slated to move into our new home. Additionally, we planned for a significant renovation on our new home once we moved in & had to start purchasing items & reviewing options after work in the months leading up to the move. Bottom line, we were living fast & hard, with very little time to dedicate to exercise/fitness. The only saving grace was that we walked daily together each evening as a family. Of course, this became harder as the Canadian Winter set in. 

Now, all things considered, my experiences started to make me question all the strategies I had learned & had been taught in school. I started to hit the research & I mean individual blogs, books, etc… Then I verified what I was seeing by perusing various scientific studies using similar principles. Shockingly, at least to me, I started to discover that most of the info that I was finding on “unreliable” (at least we’d been told in school) sites were actually validated by clinical research, and that we had never been taught any of these principles. This was my discovery of the Paleo/Primal/low carb lifestyle. This fascinated me, and it definitely made logical sense. Unlike, fad diets though that can often make some logical sense on the surface, this seemed to have no downside. It baffled me why we never learned anything about this during my clinical nutrition classes & also why not one of my colleagues seemed to even know what I was talking about when I mentioned it to them. Anyway, I plowed through all the podcasts (Robb Wolf first, then Jimmy Moore, Abel James, Mark Sisson etc…) & blogs (Mark Sisson, Robb Wolf, etc…) & then books including but not limited to The Paleo Solution, The Primal Blueprint, The Paleo Diet, The Paleo Answer, and The New Evolution Diet. Not to mention countless Paleo/Primal guides. 

Anyway, we are now living closer to work (20 min drive each way), the initial renovations are done, we had our second daughter & she is now about 6 weeks old and I have about 4 more months off from my PhD (paternity leave). This year, I even started attending 2 cross fit classes per week at a local box, but that was put on hold when our second daughter was born (less sleep & more to do around our new home). At this point, my wife & daughters’ happiness are far more important to me than my body composition. And then, suddenly, all at once, I realize why I’m not chomping at the bit to get back into the gym/workout/exercise whatever you want to call it. This had always been my way throughout my graduate degree, what the heck gives? 

All of this is basically a cliff/coles notes (depending on where you are from) version of my weight & body comp history as it pertains to significant life events. Interestingly, there’s a critical message hidden throughout the story. Did you figure it out? It’s painfully obvious, once you see it.

At every point in my life when I was working out super hard & absolutely committed I had a compelling WHY, to attract the woman of my dreams! So once I found her, married her & we started having children, that WHY was achieved and no longer drove me. I became more focused on surviving our new hectic schedule including a then 2 hour commute, helping care for my wife & our child, as well as maintaining my job, business, studies & our home. Now that the commute has been reduced, that’s one less thing, but with a newborn in the house & a 2 year old, my WHY shifts to include helping with the care of the entire expanded family & maintaining and doing some smaller renovations to our new home. I think about working out, my wife and I discuss how to fit everything in, and at long last my wife’s agreed to come aboard the S.S. Paleo/Primal and eventually we will convert our 2 year old as well. Our hope is that once we introduce solids to our second daughter she won’t even know what a grain product is. So, in that way I was able to integrate my primary WHY for caring for my family to include a healthy diet that will help me lean out. However, the exercise thing bothers me, because I know I’m not a lazy person. So why am I not leaping back to the gym to whip myself back in shape? The short answer is that in my current life with the new set of circumstances (married to the woman of my dreams, 2 beautiful children, working full time, pursuing PhD, Blogging & starting online business), I have not taken the time to update/re-define my WHY.

I mean, think about it. At this point, I haven’t returned to working out yet, because in my mind right now, I want to spend my time with my wife & daughters, building my online business & of course (feel I have to) work since we’re currently limited to only my income. So what I need to do is layout my new WHY given my new set of life circumstances. I think it’s key to remember that a WHY that drove us phenomenally for decades might be completely powerless once circumstances change (i.e. Pursuing the woman of my dreams & then me finding her & marrying her). But as Tony Robbins says in his audio programs, I have been caught up living day to day and forgot to design my life (I’m paraphrasing, but you get the gist).

Anyway, the take away message is that for any change, lifestyle or otherwise, we need to have a clearly defined WHY, or we are doomed to not achieve our goal!

I will redefine my WHY related to exercise in my life & post it next week to show the process that I used, in case anyone wants to do it also. If you are in a similar boat, I suggest you do this too!

Together, as a community, there’s nothing that we can’t overcome!

Have a great weekend!

Dan T

Metabolism and Mental Health

Hi everyone!

I'm back from some time away and am thrilled to announce the birth of our second daughter Kathryn!  Kudos to my beautiful wife who delivered her naturally and has been an amazing trooper plowing through breast feeding challenges! Let's just say, there's not a lot of sleep to go around in our home right now!

On to today's topic: Metabolism and Mental Health

I'm constantly disgusted by the preachings & teachings of many of my peers who blindly tow the economically motivated company line!  I'm speaking from both the head and the heart here!

Maybe it's not news to any of you reading this that there is something wrong with the current model of "healthy lifestyles" being touted by North American health care professionals, and I might add is still being taught as the gold standard by many of the educational institutions creating the next generation of said health care professionals!  The sad part of all this is that it's all based on poor research and worse yet, the last 2 decades of evidence has clearly shown that the food pyramids & groupings that are are NOT the answer they are touted to be and could actually be responsible for the obesity epidemic we are now facing.  Denise Minger has done an awesome job illustrating the facts as to why the USDA pyramids since the 1970's are a bad idea in her book Death by Food Pyramid.

In fact, the evidence absolutely opposes regular consumption of a high carb, low fat diet for any prolonged period of time, suggesting that the increased prevalence of mental health conditions over the last 50 years is due to the shifting of public consumption to a low fat, high carbohydrate diet vs. the more traditional, low carb, high fat one (Riby LM and Riby DM, 2013)!

I work at a mental health hospital and I see significant overlap between the mental health conditions that lead to hospitalization (i.e. Anxiety, Depression, Bipolar Disorder, Schizophrenia, Schizoaffective Disorder, Bipolar Affective Disorder, etc...) and the metabolic syndrome that has also become increasingly prevalent in our modern society.  FYI, Metabolic syndrome is defined by having 3 or more of the following conditions (as defined on the Diabetes Canada website):

• High fasting blood glucose levels (5.6 mmol/L or higher)
• High blood pressure (130/85 mm Hg or higher)
• High level of triglycerides, a type of fat in your blood (1.7 mmol/L or higher)
• Low levels of HDL, the “good” blood cholesterol (lower than 1.0 mmol/L in men or 1.3 mmol/L in women)
• Abdominal obesity or too much fat around your waist [a waist circumference of greater than 102 cm (40 inches) in men and greater than 88 cm (35 inches) in women]

The more of these conditions you have, the higher your risks of developing type 2 diabetes and heart disease.  I can tell you from my experience, that at least 1-3 of these criteria are met by almost all the clients I come across in mental health.  It's far to common to be mere chance!  In fact, there is research outlining how these metabolic disturbances are linked with mental illness  (Carria G et al. 2014).  I think the best objective review of the evidence linking lifestyle habits with subsequent mental health issues and specifically cognitive decline is in Dr. David Perlmutter's book Grain Brain.

Furthermore, metabolic syndrome has been shown to be associated with poor memory and executive functioning in the elderly (Rouch I et al, 2014). I think we can safely assume that they are at the very least related & that nutrition and our consistent lifestyle habits are intimately involved in the pathophysiologies of these conditions.

One theory as to how this link occurs is through epigenetics or the altering of gene expression within individuals through methylation and other processes that turn on and off of various genes in the body.  Mark Sisson in his book The Primal Blueprint describes becoming a fat burning machine through altering our gene expression to do this.  Evidence is definitely starting to show that consistent lifestyle activities including diet, resistance and aerobic exercise and more do exactly this, alter gene expression of certain genes that favor fat burning and turn off others that would favor fat storage.  Epigenetic changes have been shown to occur in populations with Diabetes as well.  Interestingly, these gene expressions can be either health marker related (which can be tracked) or appetite-generating or suppressing to name a few, which can help explain how processed foods can stimulate people to over-consume them so frequently.  This phenomenon has been demonstrated clinically in a study that examined midlife diet and future phenotype expressions of Healthy Aging.



Regardless of mechanisms, there is definitely evidence that suggests we shouldn't be relying, let alone recommending high grain & refined carbohydrate intake (including grains) and that we shouldn't be restricting fat as much as we are now!

Specifically, there are a number of studies linking grain consumption to mental health issues including schizophrenia, depression and bipolar disorder.

 
I will leave you with one closing thought.  Most people know that the body is made of mostly water and if we don't get enough water daily, then we're on the road to problems; so once you understand that the brain is made of mostly fat, it shouldn't surprise you that if we don't consume adequate fat from our diet we are heading down the road to troubles with our brain!  Obviously, the types of fat matter, but this is another post in and of itself!



Anyway, I believe the time is coming for change & I am striving to advocate for it!  It will likely be many years until Government agencies climb aboard, so in the meantime, take control of your and your family's health!

Also, to any and all clinicians reading this, you should try the changes I'm talking about and advocate for change too!  To blindly move forward is irresponsible!


Till next time.  Have a great weekend & Take care!

Dan T

It has to be a lifestyle change!

Hi everyone!

The end of January is upon us & hopefully you're all well into adopting your new lifestyle goals as I am!  Progress report to follow later with pics & metrics.

Anybody who has been playing this lifestyle change game for any length of time knows as well as I do that the odds of making a successful change seem stacked against anyone.

I think it comes down to the framing of the persons' beliefs about what they are attempting to do.  Over the decades that I've been helping people make changes to their lifestyles (the last 10 of which as an RD) I can tell you that one common theme has emerged to those who were successful vs. those who were not.  This belief was that those who were successful were able to mentally wrap their heads around & commit to the fact that they were making a lifestyle change and not just forgoing some things they like for a bit.  Furthermore, these individuals were also able to replace the intent of the original behavior and avoid the usual roadblocks & pitfalls that more often than not occur with lifestyle changes.  As anecdotal as that is, it's based on 10 + years of experience and real results.  Let's call it results based practice.

Let's break down how these people succeeded.

1) They truly understood and committed to a holistic lifestyle change - therefore, they adopted new daily habits in the realm of activity, eating & sleeping. This means that essentially they redesigned their life with their ultimate outcomes in mind.  This requires time & effort & commitment.  Tim Ferris explains the concept of redesigning ones' life extremely thoroughly in his 4 hour book series.  However, you can do it simply by considering what your goals are & then planning out daily behaviors each week that will move you towards your lifestyle goals (i.e. consuming half my plate in low carb vegetables at every meal, etc...).  The other important concept here is that these people embrace a HOLISTIC change and therefore were exercising more and consuming better quality food at the same time.  Each behavior can feed forward on the other.  For example, if you start your day, as I did this morning, with a 6 am CrossFit class, I am much less likely to each a load of crappy food later in the day, because I believe that would undo most of my hard work & don't want to risk that!



2) They also implemented new thinking strategies and beliefs to help them become the best they could be. This keeps their focus on the goal and not the challenges.  This is critical because of our reticular activating system (RAS) that controls our focus (among other things).  This is the system responsible for you noticing the same model of car that you are thinking about buying or same breed of dog that you just got.  Dennis Waitley explained it best when he said it is like the guidance system in a torpedo/missle.  Without it, we just fly around aimlessly.  Unfortunately, the RAS only knows IMPORTANT, not whether it's good or bad (i.e. move towards or away from) and therefore if we focus on the things we are NOT wanting to achieve (i.e. don't eat the cake), our RAS kicks in understanding only that we value CAKE & then we see every crumb of cake from here to Tim Horton's.  The successful people are able to control their mental focus only on the goal or replacement behaviors, which means they did the work to plan out replacement behaviors, etc...

3) One final important distinction is that these successful people reduced their exposure to or eliminated completely processed foods.  This is extremely important because of the fact that processed foods are engineered chemically (that's correct) to stimulate us to over consume them.  It should be illegal, but it's not.  The bottom line is that if you want to maximize your odds for success remove processed foods from your diet while you are trying to burn fat otherwise you will be regularly undoing the progress you have made!

When I say processed foods I am referring to any food that is changed significantly from it's original form before eating. We're talking well beyond junk foods here (those are so obvious I won't mention them here). Examples of processed foods include but are not limited to:

- Sugar - this is a no brainer.  Sugar is refined & this makes it highly processed & therefore highly available carb source to the body, which in fat burning land is NOT A GOOD THING.

- Grain products - think about it, we don't eat any grains right from the ground or off the plant, 95% are ground or milled before preparation for consumption.  This makes them all highly processed.

 - Legume products (lesser extent) - as soon as these become powders & added to other items or pressed into shapes they are essentially as processed as Grain products, but even when consuming them whole they must be cooked for significant lengths of time before consumption, which makes them moderately processed.  A quick caveat is that some people do fine with these included in their diet due to the "safe starches".  However, for fat burning I would include them as a carb and not a protein.

- Dairy (lesser extent) - this is not really true when dairy is RAW from cow, but unless you are getting it directly from your back yard Heffer or a local farmer, it is often illegal (whether just or not) and the market therefore can get sketchy.  If you look at pasteurized milk, what is it, it is de-fatted sugar with some proteins present.  That's it.  Yes, there are some vitamins & minerals present, but they are actually quite unavailable & there's nothing that can't be obtained from other good quality food sources.  I personally have nothing against well raised high fat cheese, grass fed butter or fermented dairy like good quality raw full fat yogurt or Kefir.

Anyway, the bottom line is once you've shifted your thinking/beliefs to make a holistic lifestyle change and then start implementing those daily behaviors, you are making solid progress!  However, limiting your exposure to those processed foods will insure that you are not driven by chemistry to fall back into your old habits/lifestyle.

I hope this info helps you achieve your goal.

Be sure to check out my new website Dietitian Dan T where you can access this blog as well as my new YouTube channel (subscribe today)!  I'm working hard to bring you my view on the latest nutrition research, as well as practical tips to help you achieve your goals & motivation to help kick start your success!

We're expecting our second child in the next week or so, but I will do my best to continue posting blogs & videos as I am able to.  I will probably look a lot more sleep deprived in the next 6 months worth of videos!

Take care & have a great week!

Dan

What is the Real Deal behind Preventing Cardiac Risk?

It's been quite a while since my last post.  I am neck deep in preparing for my PhD Comprehensive exam (early Dec 2013), working full time & caring for my almost 2 year old daughter as my wife and I have another child on the way (due Feb 2014).

I have to tell you honestly, that I am constantly disappointed by the current medical profession specifically when it comes to dealing with chronic diseases! As a registered dietitian I see it as my duty to constantly review the literature to see what new innovations might show promise. It's my responsibility to understand these novel studies so that when clients inevitably ask about them, I will be able to give them legit advice & not just tow some antiquated party line!

Okay, enough venting!  Let's dive into some of the newer evidence on Heart Disease Risk!


The Popular Dogma is Not Supported by Current Evidence

1)      Saturated Fat

a.       The current dogma is that eating too many saturated fats increases blood cholesterol, which in turn increases risk for heart disease.

b.      A few studies have shown that there increased levels of LDL increase risk for CHD.

c.       But, recent research concluded that there was in fact no association between dietary cholesterol and CHD.

d.      As of 1977 AMA/CMA recommended lowering fat intake to 30% or less in diet – result=significant change in diet composition - ­ Carb/­ PUFA (specifically vegetable oils – all ­ omega 6).

e.      If we oversimplify and just ask two basic questions, we start to see the challenges that have arisen: i) What about evolution? Did we evolve eating more carbs and seeds & nuts or animal & coconut fats? ii) What about inflammation? Which is more inflammatory in nature: SFA or omega 6 + refined carbs?

2)      Apo lipoprotein Changes

a.       This change in diet comp – resulted in changes to our circulating lipoproteins that actually increase our risk for CHD (specifically - ­ Triglycerides/ ¯ HDL particles).

b.      New technology explains why LDL amount is not as telling as once believed.  Particle size of   Think of cholesterol as the passengers in a car and the particle number is the number of cars on the road.  If there are more particles around then they are more likely to crash into the arterial linings and become trapped (atherosclerosis).  If LDL particles are smaller, there will be more of them present, when they are fluffy and big, and then there will be less of them.  Theoretically, the amount of LDL could be the same in both scenarios, but it’s the small, dense LDL particles (that are more abundant) that increase the risk for CHD.
LDL particle size is far more predictive of atherogenic risk.

3)      The Role of Carbohydrates in CHD

a.       Carbohydrates were pre-farming available in unrefined forms (vegetables & fruits) and only in the late summer and fall.  Today, we have year round access to the most highly refined carbohydrate sources we’ve ever seen.

b.      High carbohydrate intake shuts down fat burning & promotes fat storage.  This increased fat storage leads to an increased production of triglycerides.

c.       Hypertriglyceridemia is accentuated in people with abdominal obesity/insulin resistance.

d.      This insulin resistance occurs in the face of high carbohydrate diets & is now considered a protective measure by the liver to prevent substrate overload.

4)      The Role of Inflammation

a.       Athersclerosis does not occur in a vacuum (so to speak).  Inflammation and oxidation are required to promote infiltration of lipids within the arterial walls and the binding of minerals to them (plaque formation).

b.      High carbohydrate diets & especially refined carbohydrates are highly pro-inflammatory.

c.       Omega 6 fats are essential (small amounts) but in excess are highly pro-inflammatory.  They are highly available in Western diets (corn, soy & wheat oils) as well as most nuts & seeds.

d.      Recent studies have shown that low carbohydrate diets are effective at reducing cardiovascular risk factors.

Citations:

http://www.stlawrencedentistry.com/wp-content/uploads/2013/07/heart-disease.jpg

Djousse, L and Gaziano, JM, 2009.

German, JB and Dillard, CJ, 2004.

http://www.mayoclinic.org/news2011-mchi/6264.html

http://chriskresser.com/the-diet-heart-myth-why-everyone-should-know-their-ldl-particle-number

http://www.longevitytesting.com/pub/images/PARTICLES_web.jpg

http://img.springerimages.com/Images/ImagesMD/AHD/10/10/WATER_AHD1004-10-032.jpg

Agius, L, 2013.

http://www.realw8site.com/images/brochureillustration_clr.jpg