Tag Archives: Obesity

Drop the Wheat, Drop the Weight

It’s a new year and with it comes renewed motivation for change and resolutions.  One of the most prevalent goals for the new 365 day cycle is to shed those pounds that may have been accumulating for sometime now.

With all of the quick fixes and abundance of conflicting information out there, it can be difficult to know which way to go.  Well, a simple, free way to get the ball rolling is by eliminating all wheat from your diet.  Now this may sound way too simple, but there is a physiologic explanation for this and here it is:

The first concept that needs to be understood is that for the most part it is not dietary fat, but rather the carbohydrate that is mostly responsible for increased deposition of body fat.  This includes everything from bread, sugar, pasta, and even too much fruit.

This is due to the fact that these foods break down to glucose in the body, which then prompts the release of insulin.  Insulin delivers what glucose is needed to fill stores in tissue like the liver and muscles, with the rest being stored as fat.

You see this mechanism came in handy for our Paleolithic hunter and gatherer ancestors who encountered real periods of feast and famine due to the unavailability of food supply.  It was at these times that the fat stores would be utilized to survive.  For the most part this is not the case today as we live in an age of availability and relative abundance.

The issue arises when, due to high carb meals, insulin is constantly triggered by elevated blood glucose levels.  When no more is needed for fuel, the storage of fat begins.  The difference being, most people do not fast or skip meals at this point, but rather eat another carb heavy meal when hungry or even out of habit.  The fat storage continues, the pounds pile on and the waist circumference balloons.

The higher the carb content of the meal, the higher the blood sugar rises, the more drastic spike in insulin, and the more fat being deposited; mainly around the waist and abdominal region.

This creates a vicious cycle as a high carb meal will lead to a high insulin response from the pancreas.  This aggressive clearing of glucose from the blood can then leave you tired and hungry for another ride on the blood sugar roller coaster.

This is also the mechanism behind type II diabetes, as repeated spikes of blood sugar from high carb meals and subsequent surges in insulin in response to the blood sugar spikes leads your tissues to become insulin resistant, not wanting to accept any more glucose. At this point the only place for your body to dump the glucose load is around your waist as body fat.

So why is wheat public enemy #1 if you are diabetic, trying to lose weight or simply interested in overall health?  Well if we comprehend the physiologic process laid out above, we understand that the higher the carb load, the more insulin is secreted and the more fat is stored for a rainy day; or better yet a beach day when it’s really appreciated.

Wheat is special due to the fact that it breaks down into a complex carbohydrate (a string of glucose molecules) in the body called amylopectin A.  This particular carb has the distinguished honor of spiking the blood sugar more than actual table sugar.

If you are familiar with the glycemic index, you know it is basically a scale or measurement showing how readily absorbed a food is and the effects it will have on the blood sugar levels.  Wheat ranks higher on the glycemic index than actual table sugar.

If we combine that knowledge with the knowledge of the carbohydrate digestive process that leads to fat deposition and the road to diabetes that we described above, we know that this is a big, bad deal.  It also is essential, empowering knowledge of you are looking to drop the weight.

In addition to leading to weight gain and the metabolic dysfunction described above, wheat packs one more diabolical punch in that it is actually chemically addictive.  You may hear people joke about their addiction to bread, but chemically it breaks down and serves as an exorphin to your brain that stimulates the same pleasure generating opioid receptors as heroin or morphine.  There is a reason for the overeating of this mind altering, comfort food, and now you hopefully have another reason to kick it to the curb.

Two points in closing:

Many people resist the notion that wheat, or any food they were raised on can have such a negative impact. What needs to be fully understood is that the food, and wheat in particular, of today is not the food of the past.  Cross breeding, hybridization and genetic modification has created a new product not in line with our genome, of which the long term effects are not known.

What is known is the basic human physiology and systemic impacts of elevated blood sugar (which wheat is king at causing), as far as weight gain and the path to diabetes.  The fact that a diet consisting of heart healthy grains is still suggested to anyone, but especially those with the aforementioned two conditions is outright shameful.

The second point is that while kicking wheat (and all wheat, not just the obvious bread; read your labels) can have a strong impact on weight and blood sugar control, it needs to be accompanied with an intelligent diet.  It seems obvious, but if you avoid wheat, but continue to drink soda, eat a high sugar diet (excess fruit included), and high carb/sugar gluten free alternatives, results will in all likelihood be hindered or outright negated.

However, beginning to phase the wheat and gluten out of your regular regimen can have benefits well beyond those covered in this brief post, but is essential if you are looking to drop some weight or regain control of your blood sugar.

If you have questions, need help getting started, figuring it out or devising an implementable and practical plan, please do not hesitate to contact us. (321-848-0987)

Make a move.

Lab Tests: What Constitutes “Normal?”

Are you one of the many Americans feeling “off,” yet the blood work ordered by your doctor reflects “normal” ranges?  This can be a maddening predicament fueling a seemingly endless journey down the rabbit hole.

An explanation for this all too common phenomenon can be found by probing where exactly “normal” comes from.  The “normal” as well as the pathological ranges for your blood work and other labs are based upon the averages attained by all the people tested at that lab over the past year.

This means your numbers are being measured up against a segment of the population who we can assume were having health issues that led them to the lab in the first place.  It means you are being compared to a portion of the population which accepts things like fatigue, aches and pains, digestive issues, insomnia, hot flashes, etc. as a “normal” part of life.  They have to because they were told by their healthcare provider that their numbers were within “normal” ranges.  Ranges that were determined by people just like them, similar ailments and all.

While these ranges can be useful in labeling a definitive presence of a particular pathology, they do little for the assertive, concerned patient who knows something is wrong, but has not met the quantitative criteria for disease and traditional allopathic assistance.  Which in some cases isn’t necessarily a bad thing.

Many times answers and thus long awaited relief can be found by looking at labs through the eyes of functional medicine.  This consists of narrower ranges of “normalcy” based upon levels that constitute energy, alertness, happiness; overall health, rather than stacked up against all the sick people in your region.

Uncovering and addressing an issue using functional parameters, before it reaches the outlying pathological ranges leaves the door open to engage the issue intelligently, naturally, and thoroughly, rather than with a knee jerk reaction filled with a lifetime laundry list of pharmaceutical dependency and donations.

Same Procedure, New Perspective.

Investigatory lab work is done to analyze various aspects of our complex matrix.  This provides us with tangible markers and their levels.  We can test pre, during and post treatment to measure one aspect of progress.  The difference is we are looking for favorable or better yet optimal levels, rather than “normal.”

I ask again, in a society where pain, obesity, diabetes and a fully stocked medicine cabinet is considered the norm; who the hell wants to be “normal?”

If you’ve been frustrated by “normal” labs while mysterious symptoms remain or if the afore described approach of functional medicine appeals to you, feel free to give us a call (321-848-0987).  As always, we are here to help.

The Sour Side of Sugar’s Sweet Seduction

In the ever evolving world of nutrition a clear villain has emerged. It is a villain cloaked in mouth-watering and opioid receptor stimulating deliciousness. It is a villain that can be somewhat of a chameleon, hiding in large volumes in seemingly “healthy” foods. I am of course speaking of your favorite and mine: sugar.

(Unfortunately this sugar classification also includes high carb foods like grains. Translation: all that bread will eventually be broken down into the simple sugar: glucose.)

Mounting research implicates sugar (namely high fructose corn syrup and other processed/refined varieties) as a major culprit behind a plethora of diseases well beyond the obvious, but never understated obesity and diabetes. As a realist I realize that complete elimination of sugar is not much of a practical or desirable option, however a reduction in consumption would serve us all well, especially if you are having other seemingly unrelated health issues.

So other than coming to terms with the fact that you may be consuming way too much sugar, how do you know if you possibly are having issues with the way your body handles sugar? And why is this an issue anyway? Well, sit back, relax (dump your soda down the drain) and I’ll try to give it to you in a raw, unsalted nutshell.

We’ve heard the terms hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar), but we will mainly be referring to dysglycemia and reactive hypoglycemia. These are conditions in which your blood sugar levels are not being handled properly and can be anywhere along the chain of dysfunction. Therefore addressing and correcting becomes imperative for health.

If you are someone who is consuming too many carbohydrates or sugar on a regular basis it is likely that your pancreas will become overactive in its secretion of insulin. This will lead to blood sugar levels rapidly swinging from high to low after a meal.

A clinical picture of this is marked by a drop in energy levels, mood swings, and overall cognition. This can be seen as spacing out easily, poor short term memory, becoming agitated if going too long without eating, and being prone to crashing in the later part of the afternoon. This is what’s known as reactive hypoglycemia, a form of insulin resistance which goes hand in hand with diabetes.

This person typically misses meals, eats foods high in sugar, craves sugar and salts throughout the day, depends on caffeine to function, and has a hard time waking up in the morning or sleeping through the night. Fatigue, brain fog, and headaches are also amongst the effects of this condition.

This could also lead to or be a contributing factor behind becoming hypoglycemic. This condition is marked by fatigue, mental confusion, lethargy and headaches and can also be caused by adrenal fatigue, poor diet, hypothyroidism or drug side effects.

A clinical picture of this would be someone who craves sweets throughout the day, is irritable if they miss a meal, eating can relieve fatigue, feeling shaky, jittery or having tremors, depending on coffee to get started or keep going, feeling lightheaded if meals are missed, getting agitated, easily upset or nervous or being forgetful.

Another possibility is to escalate from the reactive hypoglycemia to insulin resistance. The chronic release of insulin due to high carb/sugar loads eventually fatigues the cells to the point where they no longer want to accept the insulin or the glucose it is trying to deliver.

Clinically this entails feeling like you need a nap after every meal, craving sugar after every meal, being constantly hungry even after big meals, increased belly fat, insomnia, and facial hair or thinning hair in women (due to the fact insulin resistance promotes testosterone production in women), or breast and hip growth in men. It can also include frequent urination, migrating aches and pains, and overall difficulty losing weight.

Insulin resistance has also been linked to other coveted conditions like diabetes, cardiovascular disease, sleep apnea, obesity, hormone metabolism disorders and certain types of cancer.

A key factor to be aware of is that if you are dysglycemic in any way, your adrenal glands will also be activated in the body’s attempt to stabilize your blood sugar. The same holds true in reverse, as when your adrenal glands (stress glands) are on overdrive and they severely alter your body’s ability to effectively handle blood sugar.

Dysfunction on both fronts can be at the root or a main contributor to hypothyroidism, a weakened and inflamed digestive tract, a weakened immune barrier of the gut, lungs and brain, hormonal imbalances, clogging of the body’s attempts at detox and impairment of fatty acid metabolism.

So what to do? If any of these pictures we painted sounds like you it would be wise to investigate further and take action prior to escalation and emergency reactions. Rather than addressing each one of these symptoms separately with a potential side effect causing pill, imagine if you could clear up many issues simply be addressing your diet.

As we’ve said in the past, the phrase “garbage in, garbage out” holds true in a variety of venues, but never more so than with the diet. Outside of the obvious weight gain, the systemic effects can be devastating.

If you are ready to get serious and commit to investigating and potentially remedying your issues, please give us a call (321-848-0987) as it would be our pleasure to collaborate with you on your liberating journey towards optimal, all natural health.

It’s what we do.

Come join us.

Fruit and Fructose

No matter what point you’re at on the journey towards health through optimizing your nutrition, more information is always a plus.  The transition away from mostly boxed, processed foods to fresh produce consisting of colorful fruits and vegetables is always a big step.  Looking at the quality of the produce and opting to pay a little extra now for certified organic (instead for piles of meds later) is another major step in the nutrition evolution.

One thing to keep in mind at the grocery store and again in the kitchen is the fact that fruits and vegetables contain sugar.  Granted, when consuming sugar these are bar none your best source, the fact remains that each packs a delicious dose of fructose.  There is a reason that fruits in particular are so delicious and considered nature’s dessert.

“Oh great; now he’s saying fruits are bad and we shouldn’t eat them either.” That’s not what we’re saying at all.  Fruit is great, and along with the fructose can deliver ample beneficial antioxidants, vitamins, minerals, etc.  However, too much fruit can actually be a bad thing due to the high fructose content, especially if you are watching your weight or struggling with diabetes, high blood pressure, or high cholesterol.  (Once again my mother’s suggestion of moderation comes to mind.)

Another interesting fact is that sugar actually inhibits the release of human growth hormone (HGH) which is one of the main factors behind building muscle.  Something to think about if you are still opting for a high sugar, fruit smoothie after that workout.

The following is an excerpt from a recent article on Mercola.com pertaining to this topic.  After that, there are links to charts illustrating the approximate fructose content in various fruits and vegetables, if you wish to keep a closer eye on your levels, or are just curious.

“Most overweight Americans have some degree of insulin and leptin resistance. This also includes people with diabetes, and many individuals with high blood pressure or high cholesterol.

If you fall into this category, it would be prudent for you to restrict your fructose consumption to about 15 to 25 grams of fructose per day from all sources.

Those who are normal weight and relatively healthy may also benefit from reducing their intake of fructose, particularly from foods containing high fructose corn syrup or sugar, as the effects of high sugar and HFCS intake may have effects that build up over time.

Naturally, fruits also have fructose but contain many beneficial nutrients and antioxidants. For someone who is obese, one has to be careful with eating fruits that have substantial fructose content. Some fruits, such as lemons and limes, have minimal fructose content and are safe.

Other fruits, such as grapefruit, kiwi, and berries, also have relatively low fructose content and high levels of nutrients. However, fruit juices, dried fruits, and some fruits that are rich in fructose (such as pears, red apples, and plums) should be eaten relatively sparingly.

There was just a paper published in the British Medical Journal, which looked at individual fruits as a risk factor for obesity and diabetes,” Dr. Johnson says. “Certain fruits, which we know have relatively low-sugar content and very high vitamin and antioxidant contents, are actually quite healthy. Berries, in particular blueberries, are very, very healthy.

But juices, where you put all the fruit together and you get a lot of sugar in one glass, it’s just too much. When you drink that, you can flood your liver with fructose, and then that will overwhelm the benefits of all the antioxidants. You’ll still get an increased risk for fatty liver, obesity, and diabetes from fruit juice.”

If you are concerned about any of this and interested in tracking your intake, the following chart can be used as a reference guide to help you get and stay on track:

http://www.organicbuenosaires.com/2012/07/25/fructose-chart-how-much-sugar-is-in-fruit/           

For the most part vegetables are relatively extremely low in fructose and should be consumed without concern.  However, if you are someone who struggles with weight and or cravings and would like the follow the 15-25g of fructose/day stringently, the link below is a quick reference of fructose content in various veggies:

http://www.weightchart.com/nutrition/food-nutrient-highest-lowest.aspx?nn=212&h=True&ct=Vegetables%20and%20Vegetable%20Products

 

REFERENCES

http://articles.mercola.com/sites/articles/archive/2014/01/05/dr-johnson-leptin-resistance.aspx?e_cid=20140105Z1_SNL_Art_1&utm_source=snl&utm_medium=email&utm_content=art1&utm_campaign=20140105Z1&et_cid=DM38424&et_rid=389480005

 

Don’t Just Sit There (Part 1)

The phrase move it or lose it has been around for years and for good for reason.  The concept is contingent upon the process of adaptability or plasticity.  Without moving or utilizing certain processes within our bodies, over time we lose it.  On the flip side, when we utilize certain muscles or nervous system connections known as pathways, we have the ability to strengthen them.

This concept can be simply understood by looking at what happens when you work out or don’t work out a muscle.  If you are constantly doing curls, naturally your bicep will grow as it is your body’s way of adapting to the increased demand.  However, if you don’t use your bicep, another muscle, or various pathways in your brain, the muscle or process will become weakened or atrophied and could quite possibly go away completely.  This is your body’s clever way of adapting.  In our miraculous design, the body is designed to be as efficient as possible. Lack of an activity provides feedback that we don’t need to devote any energy or memory to this process; thus not moving it or using it, leads to losing it.

While the topic of utilizing different, diverse neurological pathways leading to plasticity is a main concept behind Functional Neurology and adjunct therapies like Lumosity, what we are talking about today is literally making sure you move as much as possible.  In particular, we are speaking of trying to avoid long periods of uninterrupted sitting as much as possible.

Mounting research has implicated extended periods of uninterrupted sitting as a major determent to your health.  We are not just talking about a culprit behind back pain, neck pain and headache.  We are not just referring to it being a contributing factor to various diseases or conditions like osteoarthritis, diabetes, and obesity.  The eye opener here should be the fact that research has shown that regardless of your fitness level, individuals who spend their days logging long hours of uninterrupted sitting actually have SHORTER LIFE SPANS.

I don’t know about you but that’s all I need to hear to perk up and pay attention.  Being someone who has always been active and involved in some level of daily fitness or sport activity, it is quite alarming (yet logical) to hear that even if you do get a good workout in multiple times per week, if you’re logging long hours at a desk without moving, you may just meet your maker sooner than expected.

I say logical because when you think about it, it does make sense that what we do the majority of our day (sitting) would have more of an impact that what we do a fraction of the day (a workout).  Studies out of NASA on the determents of microgravity situations that the astronauts find themselves in when they travel to space found the most comparable Earth situation to be sitting.

From a biomechanical perspective, there are a variety of reasons this position is bad news.  Your anterior muscles become shorted.  There are muscles in your lower half that connect to your spine and anchor to your pelvis or hip.  From prolonged, uninterrupted sitting these muscles eventually begin to shorten due to the flexed forward position.  Now when you stand up these muscles can pull down on your lumbar spine, creating the sensation of back pain and the misconception that standing up is the problem.  While standing up does actually cause the individual discomfort, it is actually due to the prolonged sitting and subsequent shortened muscles that the dysfunction and manifestation of pain as a symptom occurs.  This is a prime example of what we talked about in the previous post of going beyond addressing the pain or symptom and fixing the breakdown that led to this symptom in the first place.

If we move up the spine and throw in the fact that prolonged sitting is usually taking place at a desk or car, we begin to flex forward in the upper portion of your body as well.  This shortens the muscles of your anterior shoulder and chest and gives you that hunched forward, kyphotic thoracic spine, and anterior head carriage.  The muscles on the posterior side now become over worked as they must fight even harder to hold you upright.  This leads to that mysterious shoulder and neck pain that you experience after a long day at work.

Lengthening, overworking and weakening the posterior side muscles from uninterrupted sitting and poor posture leads to the breakdown in function that we touched on in last week’s post that so often leads to back pain and other dysfunction.  It is these posterior chain muscles (think low back muscles, glutes, hamstrings, calves, etc.) that are designed to keep us upright and moving smoothly, efficiently and pain free through space.  When the front side muscles become shortened and the back side muscles become lengthened and weakened we begin to not only assume poor posture but a faulty movement pattern that predisposes us to other injuries at proximal and distal locations throughout the body.

Actual sitting is also the worst position for your lower back.  This makes sense too if you think about it.  When we stand, our body weight is distributed through our spine and pelvis to the lower extremity where we have numerous muscles designed to assist in this matter.  When we sit we have removed everything from the upper portion of the pelvis down as far as support goes.   Now our low backs must support the entire weight of the upper half of our body.  This load is heavily placed upon the discs in between the individual vertebrae of our spine leaving them dehydrated and compressed. It is a major reason behind the widespread and seemingly “normal” degenerative disc disease and osteoarthritis seen in our heavily seated culture, but not in others.

Another pitfall of the effects of prolonged sitting is that due to the flexed forward, anterior posture assumed, you actually close down the space available for your organs to function correctly.   Full chest expansion (and thus filling capacity of the lungs) is impeded and you are no longer able to take in as much oxygen.  This leads to widespread systemic consequence because as we know, virtually all function within the body requires oxygen.  Organs within the abdomen can become compressed and deprived of optimal blood flow leading to dysfunction within the liver, digestive tract, reproductive organs, etc.

Hopefully all of these reasons are enough to spark some interest in learning what you can proactively do to make sure you are not included in the “normal” range of society.  It is currently estimated that some 80% of the population will, at some time or another, suffer chronic low back pain.  This widespread prevalence does not exist in other countries that are not sitting all day, every day.  This should tell us something.   I don’t know about you, but if “normal” is having an 80% chance of low back pain, I want no part of it.  I also don’t want any part of the other issues sited in the previous paragraphs.

Stay tuned for our next post which will illuminate some simple steps you can begin to implement as far as breaking up the sitting and doing what you can to avoid these seemingly “normal” issues.

Have a great weekend.