Don’t Eat More of Anything (Until You Decide What to Eat Less Of) — A Country Doctor Writes

A year ago this week, I made a stir with my post about five common weight loss myths. Today I had a patient conversation I have had so many times before: Someone was trying to eat healthier and lose weight at the same time. They are not necessarily the same thing.

Don’t Eat More of Anything (Until You Decide What to Eat Less Of) — A Country Doctor Writes:

Saturday morning. Coffee, clean the shower, catch up on news. Later I’ll work for a few hours on my Future Best Seller rewriting and editing my essay on changing habits, food choices and emphasizing what you don’t eat is just as important as what you do eat. Well, The Country Doctor wrote a nice post on this topic.

Thanks Doc.

Trouble in Paradise – 2022 Final Thoughts

Once again here’s the chart attributed to the New England Journal of Medicine from my first Holiday post Trouble in Paradise (it’s Weight Gain Season).

Personally I had the best Traditional Weight Gain Season ever. I didn’t gain any weight.

I just hope this isn’t sarcopenia.

Good hydration linked to healthy aging — Health Secrets of a SuperAger

Adults who stay well-hydrated appear to be healthier, develop fewer chronic conditions, such as heart and lung disease, and live longer than those who may not get sufficient fluids, according to a National Institutes of Health study published in eBioMedicine.     Using health data gathered from 11,255 adults over a 30-year period, researchers analyzed links between […]

Good hydration linked to healthy aging — Health Secrets of a SuperAger

Thanks Tony.

More Trouble in Paradise – 12.22.22

Life puts hurdles in front of you: ice cream, home baked cookies, gift packages of divine seasonal sugary treats from well-meaning friends. Even if you work from home the seasonal threats are abundant.

Remember this chart attributed to the New England Journal of Medicine from my first Holiday post Trouble in Paradise (it’s Weight Gain Season)?

Today I introduce you to another Seasonal Threat for weight gain.

Stay the Course

Being housebound is no reason to eat all of the ice cream and home baked cookies in the house.

The fancy gourmet pecans though are OK because they are nuts.

It’s a good thing there’s no beer in the house.

Pizza and other food delivery services will tempt you. Stay strong.

PS. The estimated wind chill is minus 20 degrees F.

Foods With Low Nutritional Quality

A study now shows that many of the meat substitutes sold in Sweden claim a high content of iron — but in a form that cannot be absorbed by the body.

Chalmers University of Technology. “Low nutritional quality in many vegetarian meat substitutes.” ScienceDaily. http://www.sciencedaily.com/releases/2022/12/221208085718.htm (accessed December 10, 2022).

From the study conclusions:

The results in this study highlight the nutritional limitations in terms of iron and zinc bioavailability of shifting from a diet containing animal protein from meat to a diet based on meat substitutes. This study shows difficulties obtaining essential minerals from a diet in which meat has been replaced with products based on legume or cereal proteins, which might lead to an increase in iron deficiency, especially among vulnerable groups. Our results call for a sharpening on the interpretation of nutrition claims, especially for iron, which would create incentive for producers to improve their products with regard to iron bioavailability.

Nutritional Composition and Estimated Iron and Zinc Bioavailability of Meat Substitutes Available on the Swedish Market – https://www.mdpi.com/2072-6643/14/19/3903

If your diet is plant based stick with the plants, not the highly processed stuff.

Or Make Homemade Veggie Burgers.

Got Peripheral Neuropathy? Check Your B6 Intake

Vitamin B6 (pyridoxine) is in lots of multivitamin and mineral supplements that can be bought in supermarkets, health food shops and pharmacies without a prescription. Many people are not aware that vitamin B6 can cause peripheral neuropathy, which results in tingling, burning or numbness usually in the hands and feet. Taking vitamin B6 even at low doses can cause peripheral neuropathy but people are more likely to get it if they are taking more than one supplement.

  • Peripheral neuropathy can occur at doses of vitamin B6 less than 50 mg and when people are taking multiple products containing vitamin B6. The risk appears to vary between people – no minimum dose, length of use or underlying risk factors were identified.
Health supplements containing vitamin B6 can cause peripheral neuropathy – https://www.tga.gov.au/news/safety-alerts/health-supplements-containing-vitamin-b6-can-cause-peripheral-neuropathy#topofpage

Always understand too little AND too much of anything can be bad.

I did a tiny bit of research on this topic after a doctor’s comment on Med Twitter.

Interesting.

Trouble in Paradise – Update and Threat Assessment 12.08.22

 This past Holiday season was the roughest in recent memory. I ate everything in sight. I binged on bagels every day for nearly a week. The cookies, cakes, and pies found their way into my mouth. The sheer quantity of food was my downfall. I put on the pounds and topped the scale at 202 pounds. Time to get back to my normal routine. I’m getting back to my usual habit of eating only when hungry. Avoid sweets. Shrink portions.

Journal entry 10 Years Ago

I was searching my journal on a different topic and found something I wrote 10 years ago. Back then despite eating healthy foods I continued to struggle with my weight. It was the Holiday season. I binged. Then I binged some more. Thankfully I’ve learned a lot since then like how diets really work. Source: Dr. Anthony Pearson.

In my last post Trouble in Paradise (it’s Weight Gain Season) I posted this picture of our dessert board on Turkey Day. It’s how I gained three pounds in three days. The cheese and crackers didn’t help. Nor did #10 twice.

Update and Threat Assessment

  • The three pounds gained were lost but it took two weeks.
  • I removed the beer from the house which was purchased for entertaining company.
  • Yes, I drank the beer.
  • M&M’s spelled correctly is TROUBLE.
  • Two pieces of pumpkin pie are in the freezer. This is OK because pumpkin is a vegetable (botanically a fruit so still OK).
  • Ice cream, normally not in the house but it is and calls my name every night.
  • COOKIES.

The Boss came back from a cookie exchange with the neighbors with several dozen dangerous tiny bites.

Threat Level 4 Red.

Trouble in Paradise (it’s Weight Gain Season)

“Competition puts hurdles in front of you that you have to clear.” 

OKC Thunder coach Mark Daigneault

Life puts hurdles in front of you that you have to clear. Like Thanksgiving. TGTIO (Thank God Thanksgiving is Over). We were out of town for only three days. I gained three pounds. I’m not good at math but I think this equates to one pound per day. YIKES. There’s 35 days until the first day of the New Year. At this pace I’ll weigh 208 pounds…

But I am not alone. This chart is attributed to the New England Journal of Medicine but I could never find the original source article.

As the years pass I get better at understanding why I put the pounds on. This was our dessert board on Turkey Day.

I can’t get Tex-Mex in Oklahoma. So when in Texas I need Tex-Mex. At one of my favorite Tex-Mex stops I discovered a new favorite, the #10.

The numbers above are calories, fat calories, and fat in grams. 2950 mg of sodium too (the original chart has more nutrition information).

We ate Tex-Mex Wednesday and Friday, the perfect bookends to Thanksgiving.

I had #10 twice.

Take Home Lesson

Salt, sugar, fat and excess calories. Taking and/or keeping the weight off is simple when you reduce intake of these four items.

Restaurant meals will kill you. Literally.

There is absolutely nothing wrong with every now and then so long as it’s every now and then.

My skinny jeans fit fine. I’ll get back to my usual routine and diet and the three pounds should come off and I’m good until the next hurdle. Until then I’ll wear my black t-shirts because dark colors make you look thinner.

Eat More Protein at Breakfast

A year-long study of the dietary habits of 9,341 Australians has backed growing evidence that highly processed and refined foods are the leading contributor of rising obesity rates in the Western world.

The new study, in the latest issue of the journal Obesity conducted by the University of Sydney’s Charles Perkins Centre (CPC), was based on a national nutrition and physical activity survey undertaken by the Australian Bureau of Statistics (ABS), and further backs the ‘Protein Leverage Hypothesis’. 

Participants with a lower proportion of protein than recommended at the first meal consumed more discretionary foods – energy-dense foods high in saturated fats, sugars, salt, or alcohol – throughout the day, and less of the recommended five food groups (grains; vegetables/legumes; fruit; dairy and meats). Consequently, they had an overall poorer diet at each mealtime, with their percentage of protein energy decreasing even as their discretionary food intake rose – an effect the scientists call ‘protein dilution’. 

“The results support an integrated ecological and mechanistic explanation for obesity, in which low-protein, highly processed foods lead to higher energy intake in response to a nutrient imbalance driven by a dominant appetite for protein,” said Professor Raubenheimer. “It supports a central role for protein in the obesity epidemic, with significant implications for global health.”

Study confirms that processed foods key to rising obesity — https://www.sydney.edu.au/news-opinion/news/2022/11/08/processed-foods-key-to-rising-obesity-study-finds-.html

Beans for breakfast anyone? Eggs?

Link to the original study Macronutrient (im)balance drives energy intake in an obesogenic food environment: An ecological analysis – https://onlinelibrary.wiley.com/doi/10.1002/oby.23578

Earlier posts on the obesogenic food environment:

More on the Obesogenic Environment

Obesogenic food environment