How often should you jump on the scale?
For many years, I never recommended to patients to weigh themselves daily (first thing in the morning). The prevailing medical opinion was that weighing oneself triggered anxieties that might end in eating disorders like anorexia and bulimia.
Contrary to what I said to my patients, however, I have weighed myself my whole life (nearly) every morning – and have kept the same weight since age twelve. Except for pregnancies, gaining twenty pounds with my daughter, forty with my son. The difference? In both cases, relentless morning sickness. With my daughter, eating or even thinking of food made me throw up; with my son, eating calmed the sickness. During pregnancy, I did not care what I weighed and how I looked; all I cared was the baby I was expecting. So I followed my body’s whims and cravings. Including the incredible craving for a lobster at a very inconvenient time…
My body feels well only within a very tight margin: Two pounds less, and faintness grips me. Two pounds more, and stuffiness prevents me bending forward.
My personal weight story made me absolutely unacceptable for several overweight patients who stated that I had never been in their shoes and could therefore not advise them. I respect that view. But it would also mean that one can’t be a good doctor for a cancer patient if one didn’t have experience with the dreaded disease. Or could couldn’t treat a heart attack because … you are getting the idea. (On the other hand, the notion that better doctors come from personal experience with serious illness, is worth spinning out. The A+ nerds who populate our medical schools – half of them should be replaced with compassionate, common-sensical young men and women).
A study showed that people who weigh themselves more often also lost more weight. That takes this discussion beyond my personal story – and here it becomes interesting.
French women supposedly don't gain weight as they age. Which means if the scale tells them they have gained a pound or two, they take action. And responsibility. That might be part of the French Paradox - that the French live longer but eat more fat. Might be they eat fat - and then put in a salad day.
A scale is a reality check. If you want to avoid looking the facts in the face – your decision. I like to confront bad situations – weight gain, disease, divorce, death (why do nearly all adverse events start with a "d"?). That led me one time to lie down in a casket and pull the lid shut, just to see how it was. It was surprisingly peaceful. What I found out in the coffin: It was nothing to fear. Read More
Blog: On Health. On Writing. On Life. On Everything.
Nuts and Seeds 1
June 14, 2010
Nuts would be the ideal food if it were not for their fats and calories.
True?
The problem with nuts and seeds is not their fat contents; it is that we don't regard them as food; we eat them as snacks. Which is to say, we eat already too much at lunch and dinner, and in between we delight in the taste of nuts.
Uh-oh. Thus their calories will end up on our hips.
But if your lunch would be a handful of almonds and a fresh fruit, you would get your all your nutrition requirements in an ideal vehicle:
• Nuts don't need refrigeration (at least not in the short run) or re-warming
• Nuts contain all three major building blocks - proteins, carbohydrates and fats - mostly 'good' fats
• Nuts are full of minerals and vitamins
• Nuts are full of enzymes - and enzyme inhibitors.
They contain natural and essential phyto-nutrients, and we are just beginning to understand their importance for health.
How do the enzymes work in the nut? Nuts and seeds are carrying within them the ability with sprouting new life - all what they need is water. For creating new life, hundreds of actions to build future plant tissue are required. And for those actions to happen, the seed is packed with enzymes. But the actions should not happen prematurely, while the conditions are not right yet. To hinder too early action, nuts and seeds contain enzyme inhibitors.
The moment one adds water, one destroy the enzyme inhibitors - basically, the germinating starts. Soaking nuts and seeds in water over night also makes nuts more easily digestible.
Nuts might help weight loss.
Weight loss on nuts? Am I nuts?
Indeed, nuts and seeds can help lose weight - despite their infamous fats.
• Nuts need thorough chewing. And one reason of binge eating is that a gallon of ice cream, soda pops and donuts do not satisfy your jaws' desire to chew. There's nothing more satisfying than crunching your way through a handful of nuts.
• The high fat content of nuts and their enzyme inhibitors delay stomach emptying, making nuts last longer. In comparison, sugar and starches (which are nothing more than one sugar molecule after the other in a long chain) will be digested in seconds - and will you make crave more soon.
• Nuts quench cravings by offering many nutrients.
Quench cravings? How does it work?
If one eats a doughnut, one basically eats a ball of starch and sugar, baked in bad fats, coated and sprinkled with sugar. Its white flour is devoid of any of the bran, good oils, minerals and vitamins the wheat grain originally possessed - everything has been milled out. After one doughnut, your brain feels a wonderful rush of incoming brain fuel - sugar - and wants more of the same. So you eat another one. Your brain feels high, but your body screams for the rest of the stuff that used to come with sugar and fat: the minerals, the vitamins, the enzymes. Not knowing better what your body really wants, you grab a third doughnut. Read More
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Diabetes - The Voracious Disease
May 8, 2010
Diabetes is the disease that makes you eat and eat and eat.
Before, I termed diabetes the “low-energy disease” because it saps you of all strength (see my article on Roanne Weisman’s health blog). Today let's talk about diabetes’ voracious aspect.
With diabetes (or pre-diabetes) you are hungry all the time. Food is on your mind constantly. Why is that so? Several reasons, two which I find most compelling in understanding the disease diabetes:
The more you eat, the fatter you are – the more famished you feel. In olden times, when food was scarce, this was a survival trait: If, by chance, suddenly a whole mammoth had to be devoured, people had to fress beyond feeling full so that the bounty would not spoil and they put on fat for leaner times. Those leaner times always came. The problem, of course, is that nowadays they never come.
A second mechanism by which overeating occurs is that, on one level, it is really not you who is craving food – the bacteria in your gut are. And they signal “hunger!” to your brain – liken it to a computer virus. Studies found that overweight people have different bacteria in their guts than lean people. So, if you are eating the wrong foods – and too much of them – you are feeding the bad bacteria, and they get more greedy. If you would change to a healthier diet, better bacteria would grow, and you would be less hungry.
Most over-eaters eventually develop diabetes type II. Which, for me, is one of the worst diseases because it is absolutely, totally avoidable (ahem … at least in ninety percent). Diabetes leads to blindness, kidney failure, impotence, amputations – not to mention that it is linked to heart disease, stroke, arthritis, cancer, dementia and depression.
There's no magic bullet to cure our cravings besides being aware of it, avoiding the foods that foster cravings (sugar - alcohol is a sugar, too! -, sugar substitutes, bad fats, white starches), and loading up on vegetables – the bitterer, the better. The more, the better. The greener, the better. Moving around more certainly helps. Personally, in the clutches of one of those hunger pangs, I convince myself that I am not falling down dead from starvation if I now don’t grab anything edible right now.
P.S. Those unfortunate ten percent of people who get diabetes and are not overweight, often have gluten intolerance or similar metabolic problems - they can be helped, too! Read More