My Latest Numbers

This is a really short post, but I feel it is quite important. Today, I went to see my doctor. I knew he was going to comment on my Cholesterol, so I was ready. The conversation was actually almost funny.

He pulled out my lab work and said: Hmmm, your cholesterol is pretty high.
Me: What is my vLDL number?
Him: 18
Me: So I’m good then, since it’s less then 20.
Him: Yes, that’s a good number. But your LDL is really high and is right at the edge of being dangerous.
Me: well, actually, new studies are showing that it’s ok to have higher LDL.
Him: Oh?
Me: (reached down to grab the envelope I brought in) Here are 4 medical articles that talk about it.
Him: (Looks at it for a bit) I’ll have to read these, I don’t want to tell my patients wrong information.

The articles

You may be asking what the articles were. These are the ones I gave him:

LDL-C does not cause cardiovascular disease: a comprehensive review of the current literature
https://www.tandfonline.com/doi/full/10.1080/17512433.2018.1519391?scroll=top&needAccess=true

Lack of an association or an inverse association between low-density-lipoprotein cholesterol and mortality in the elderly: a systematic review
https://bmjopen.bmj.com/content/6/6/e010401

Managing dyslipidaemia for the primary prevention of cardiovascular disease
https://www.bmj.com/content/360/bmj.k946/rr-5
Total cholesterol and all-cause mortality by sex and age: a prospective cohort study among 12.8 million adults
https://www.nature.com/articles/s41598-018-38461-y

You can get a general idea of what they are talking about from their titles, so I won’t go into great detail. The basic concept is that research is saying that you cholesterol level does not reflect cause for cardiovascular disease which:

are based on misleading statistics, exclusion of unsuccessful trials and by ignoring numerous contradictory observations.

https://www.tandfonline.com/doi/full/10.1080/17512433.2018.1519391?scroll=top&needAccess=true

Another website that is not medical, but they are doing a lot of research, is https://cholesterolcode.com/a-simple-guide-to-cholesterol-on-low-carb/

Dave Feldman has spent years working with doctors and scientist to discover what cholesterol is all about and it’s importance. He created the site cholesterolcode to log his findings and educate others. He breaks it all down quite nicely.

Science is always changing, which is why it is important to question it, read up on it, review it.

I’ll be working on more fallacies to debunked in the coming weeks.

Latest from the American Heart Association

It’s been a few weeks since I last blogged, so my apologies for that. I am hoping to fix that now that my schedule is starting to even out. I did want to make sure that I posted about this, however, as it is BIG NEWS. I first heard about it from Dr. Ken Berry and his YouTube channel. If you would like to see his video on it, you can click here. So, let’s start on going through the gist of this 38 page paper, shall we?

First, you can find the PDF article here: https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001040

Abstract of article

Starting with the abstract:

ABSTRACT: Cardiovascular disease remains the leading cause of death in patients with diabetes. Cardiovascular disease in diabetes is multifactorial, and control of the cardiovascular risk factors leads to substantial reductions in cardiovascular events. The 2015 American Heart Association and American Diabetes Association scientific statement, “Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes Mellitus in Light of Recent Evidence,” highlighted the importance of modifying various risk factors responsible for cardiovascular disease in diabetes. At the time, there was limited evidence to suggest that glucose-lowering medications reduce the risk of cardiovascular events. At present, several large randomized controlled trials with newer antihyperglycemic agents have been completed, demonstrating cardiovascular safety and reduction in cardiovascular outcomes, including cardiovascular death, myocardial infarction, stroke, and heart failure. This AHA scientific statement update focuses on (1) the evidence and clinical utility of newer antihyperglycemic agents in improving glycemic control and reducing cardiovascular events in diabetes; (2) the impact of blood pressure control on cardiovascular events in diabetes; and (3) the role of newer lipid-lowering therapies in comprehensive cardiovascular risk management in adults with diabetes. This scientific statement addresses the continued importance of lifestyle interventions, pharmacological therapy, and surgical interventions to curb the epidemic of obesity and metabolic syndrome, important precursors of prediabetes, diabetes, and comorbid cardiovascular disease. Last, this scientific statement explores the critical importance of the social determinants of health and health equity in the continuum of care in diabetes and cardiovascular disease.

https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001040

Ok, that’s a lot, so let me break it down for you. Obviously, there is a concern regarding the link between Type 2 Diabetes and Cardiovascular disease. The study looked at 3 things: the use of antihyperglycemic agents (aka prescriptions drugs for diabetes), Impact of blood pressure control on cardiovascular events, and the role of new lipid-lowering therapies. So the next question is, what were the findings?

T2D indicators

First, let’s go over some indicators. We know that T2Ds have a higher blood sugar level, but what causes that? Surprise: it’s not just eating too much sugar. According to the article:

progression to T2D includes metabolic syndrome and prediabetes with glucose dysregulation attributable to liver, skeletal muscle, and adipocyte insulin resistance, along with proinflammatory cytokines

This means that to get to T2D, you suffer from metabolic syndrome, inability to manage glucose (aka sugar), which can be attributed to liver, skeletal muscle, and adipocyte (cells that store fat) insulin resistance, and proinflammatory cytokines, aka small proteins that are crucial in controlling the growth and activity of other immune system cells and blood cells.

According to the International Diabetes Federation, metabolic syndrome is defined as having 3 or more of the following:

  • a waist circumference ≥35 inches for women or 40 inches for men
  • elevated triglycerides (≥150 mg/dL)
  • a high-density lipoprotein cholesterol (HDL-C) <40 mg/dL in men or <50 mg/dL in women
  • hypertension (≥130/85 mm Hg)
  • elevated fasting plasma glucose (FPG; ≥100 mg/dL)

At one point in time, I suffered 4 of these 5.

The article then moves in to Lifestyle Management.

LIfe Management

In adults with T2D, greater adherence to an overall healthy lifestyle is associated with a substantially lower risk of incident CVD and CVD mortality (Table 1). The table is on page 4 of the study posted above. But what does that mean? In a nutshell, it advises that an overall healthy lifestyle will likely put you at a lower risk of CVD and CVD mortality.

What the study showed is through an intensive life management change (calorie goal of 1200 to 1800 kcal per day (with <30% from fat and >15% from protein)), the patients lost more weight then just calorie deficit and lowered their A1C faster. In addition,

intensive lifestyle intervention yielded improvements in other cardiovascular risk factors, sleep apnea, fitness, renal disease, peripheral neuropathy, and depressive symptoms.

https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001040

There was not enough research on this study to confirm that it definitively will remove cardiovascular disease, but it is definitely in the right direction.

You know that I am a proponent of movement. This study found that

Physical activity

Increased physical activity and exercise have been shown to improve glycemic control, lipids, BP, insulin sensitivity, and inflammatory biomarkers in T2D

https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001040

This indicates that physical exercise (minimum of 3 times a week) also helps to lessen cardiovascular disease.

Nutrition

Here is where it starts to get interesting. To quote the article (again):

The Mediterranean, Paleolithic, low-carbohydrate, high-protein, vegetarian, and nut-enriched diets have demonstrated benefits on glycemic control and weight loss in T2D, with the Mediterranean diet producing the greatest improvements in glycemic control and a 29% CVD reduction over 4.8 years.

https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001040

Keto is low-carbohydrate, high-protein. Obviously, this statement does not limit to only Keto, but this is the first study from AHA that includes Keto, so that is quite exciting.

Very low–carbohydrate versus moderate carbohydrate diets yield a greater decrease in A1c, more weight loss and use of fewer diabetes medications in individuals with diabetes. For those who are unable to adhere to a calorie-restricted diet, a low-carbohydrate diet reduces A1c and triglycerides. Very low-carbohydrate diets were effective in reducing A1c over shorter time periods (<6 months) with less differences in interventions ≥12 months

https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001040

The study showed that very low-carb decreases A1C more than a moderate carbohydrate, as well as more weight loss and less medications. It also showed to reduce triglycerides (which are well known for being higher on a diet of pasta and rice). Note that the very low-carb diet was more effective in reducing A1C over a shorter amount of time. THIS is very exciting.

Summary

So, this is the first study that the AHA has published where they are acknowledging the benefits of a Ketogenic way of life. Eating ‘Keto’ will reduce your A1C faster then the previous recommended diets and will improve overall health. So, let’s get started on your road to health with a Ketogenic, keto-vore, or carnivore way of life.

Happy New Year

happy birthday to you wall decor
Photo by Anna Tarazevich on Pexels.com

Are you ready for a change? I can help you with that.

I watch several YouTube channels, and one of them, 2KrazyKetos, released their January challenge today and Rachel was rather adamant that it is not New Year, New You, but New Year, New Do. I understand her thoughts on this. So, I am going to go with it.

the challenge

Now, before I go further, my husband had decided to participate in the BBBE (Beef, Butter, Bacon, Eggs) challenge, a challenge put out there by Dr. Ken Berry, before we knew that the 2KrazyKetos were going to do this challenge again. They did the challenge for 46 days this past fall. So, two days ago, we went and had our labs done, and a DEXA scan. We will have the same done after 3 months of just eating BBBE. This is not a requirement for anyone and I would never tell you that you have to do this, so please don’t think that I am. This is strictly for my husband and I to see what happens. He will go back to Keto and I to Ketovore at the end of the 3 months.

motivational simple inscription against doubts
Photo by Olya Kobruseva on Pexels.com

Why are we doing this?

We are doing this as a reset, to retrain our thinking on food. Beef and butter happen to be excellent ways to heal your body, so why not give it a try. Dr. Berry promises that our body fat will not go up and our blood work should improve. Please note that I didn’t say our overall cholesterol will go down. For some, it will. I do not expect that for us, as for most, it will go up. I will do a blog about why that does not bother me, in the near future. We are hoping that this will remove some of the inflammation that has built up in my body by unknowingly eating soy. As I type this, my arthritis in my fingers is truly flaring, and we believe it to be the pork and chicken I’ve been eating. Hence, the challenge.

What is BBBE?

Dr. Berry and the 2KrazyKetos go over this, so I’ll make it brief.

  • Beef – Any beef or ruminant animal. This includes Bison, Elk, Sheep, etc. If you can incorporate liver and heart in some way, even better, as they have a ton of nutrients
  • Butter – Butter, or Ghee. The 2KrazyKetos are incorporating tallow, which I would classify under Beef.
  • Bacon – Bacon, or pork belly. There is debate over whether Dr. Berry means all pork or just bacon or pork belly. We are looking at it as, what is the fat content and is it high enough.
  • Eggs – Eggs are one of the more perfect foods. 1-to-1 ratio of protein to fat. This part is actually going to be a challenge for me, as I do not like eggs. So, my egg intake will be lower than most during this time.

New ‘Do’

Therefore, taking the phrase from Rachel at 2KrazyKetos, a new ‘Do’ is in order. Are you ready to start a new ‘Do’ for your life? Let me help you with that. As a certified Keto and Carnivore Health Coach, I can and will help you with that. Coach Bronson (affiliate link) would say: Get after it. 2022, here we come. We can do this, together.

Closing out 2021: Focus on Health in 2022

My apologies that it has been must longer since my last post then I intended. December has been quite a busy month for me. That being said, let’s talk about the future.

Just the other day, I received my official certification badges as a Keto and Carnivore coach. I intend, once I save some money, to take the supplement course and receive my certification in supplements as well. With the official certification, I will now be working on coaching people officially. The new year is perfect for that, yes?

Help me, help you

So, with that, what do you want to see in a Health Coach? I intend to customize my program as much as possible to meet the individuals needs. Why am I doing that? It’s actually rather simple. I have weird allergies (some not so weird) and quirks. For example, I’m allergic to soy and all soy derivatives, allergic to tomatoes, intolerant to gluten, and I cannot handle shakes/meal replacements. So, my weight-loss is extremely slow, while by body heals, first. And that is my goal as a coach, is to help you heal first. The weight-loss is a nice side benefit.

How this all started for me

In case you haven’t read my about me, let me talk about why I need to heal. It’s hard to pinpoint exactly when things started going downhill for me, but I’ll start when I was a Senior in High School. Suddenly, my chest and lungs hurt a lot and I was coughing a lot. My mom took me to the doctor and he said that it was just my chest muscles from having to carry such a heavy backpack. We tried to explain to him that I didn’t carry a backpack, but he didn’t understand that.

Asthma

Fast forward 10 years and the pain in my chest was really bad. I went to the doctor and his back up (my doctor was on vacation) ordered x-rays. I received a call that I had Pleurisy. So, I went back into the doctor’s office and as he opened the door to my exam room, I coughed. He asked me “How long have you had Asthma?” I told him I didn’t. He told me I did, as that cough was a classic asthma honk. Hmmm, this was new.

Soy

Fast forward another 15 or so years, I was having a hard time eating. I was feeling sick every time I ate. It got to a point that I couldn’t eat, as I started vomiting up blood. They started taking tons of tests, everything came out negative. The final test was swallowing a small camera to follow my digestive track. Results? Everything was working fine. Because of this, the doctor suggested I try an elimination diet. First three days, I could only have 6 saltine crackers a day. She advised us to look at all the ingredients and note when I reacted. My husband realized quickly that everything had soy in it. We confirmed my sensitivity to soy when I had my first cracker. It had soy flour, and I reacted. I immediately started making all my own food. Baking my own bread, making my own peanut butter, and my own chocolate even.

Why I went Keto

Fast forward to the last 4 years. My joints and whole body have just been getting worse and worse and more and more pained. Still struggled with eat, psoriasis and eczema were getting worse. I was at a loss on what to do. Then, Dec. 24, 2019, I woke up and could not move my legs. I was able to finally get them moved enough to get up and to the restroom. I had heard about Keto from a friend and had been looking into it for months. That morning, that was it, I made the decision to give it a try. Initially, I was only going to do Keto for 6 months, until I healed my body. I quickly realized that I have a long way to go to heal my body. I’m still healing. I can feel the inflammation, though it is not as bad as it was, and my stomach will tell me when the animal that I’m eating has been fed soy. So, I have to be extremely careful.

That brings us to today. After seeing the improvement that Keto and Ketovore has provided me, I want to be able to help others achieve that goal. I want to help you heal.

So, how can I coach you?

Food tracking

There are many different apps that can be used to track food. The most popular ones that are used in the Keto community are Cronometer, My Fitness Pal, Net Diary, Noom, and Carb Manager. There are others as well, but these are the 5 that I have used. But which one is best? That will depend on you and what you want to accomplish.

The two most popular in the keto community are Cronometer and Carb Manager. Both have a free and pay version. The biggest difference I’ve found, and the reason I prefer Cronometer over Carb Manager, is that the nutrition values for Cronometer are more accurate. Allow me to explain. You enter the food that you are eating into the app, and it brings up the calorie count, carb count, protein and fat count, and so on. It pulls from a common database that all users have access to (unless you add your own recipe). Here is where the two apps differ. If the item is not in the database, the users are able to add it. With Carb Manager, you add the information and then save it and everyone has access to it. With Cronometer, the information is submitted, and they have a team that reviews the information for accuracy. Once it is verified, then it is added to the database. So, I found many of the entries in Carb Manager did not have the accurate nutrition listed. So, if you use Carb Manager, be aware, and use at your own risk.

So, how do you use Chronometer? It’s easier then most think. The following directions are for if you are using a desktop computer. Once I set it up via a regular computer, I installed the app on my phone and opened it there, all set up.

First, go to http://www.cronometer.com and create an account. When you go to create an account. It will ask you some basic information:

Fill out your email, password, and your current body type information. Agree to the Terms of Service and then click Create Account.

It will let you know that you need to confirm your email:

Click the Validate button:

Once validated, click Continue:

This will take you to the basic diary dashboard. This is where you will add your food each time you eat, or each day.

To finish setting this up, you’ll want to go to Settings first. You’ll want to go to Profile + Targets:

The top part will be the information you entered when you activated your account. You can make adjustments to those numbers now if you like. Scroll down and you’ll see the calorie count that they recommend to maintain your weight:

You can adjust your Activity level on the right. Then scroll down further and add your goal weight.

Scroll further to set your macros.

They do have a Keto Calculator, that you can use. It will then ask the following:

Rigorous will put your daily carbs at 20g and your proteing at 1.0:

Scroll down and it will let you choose to track net carbs or total carbs. It is highly recommended to track total carbs. More on that in a separate post.

Scroll down and you can choose which nutrients are visible when you tracking your food. You can view the categories of General, Vitamins, Minerals, Carbohydrates, Lipids, and Protein. Choose which ones you feel will be most beneficial. Or during one of our meetings, we can discuss.

That is the basic to set it up. Real quick, I’ll show you how to enter food. Let me add what I had for lunch today, 2 burger patties, with some mayonnaise, and mustard. From the diary screen, click “Add Food”:

You’ll see options. If you have common foods that you use, they will show up in Favorites. Since this is a new account, I will just start typing in the search field at the top:

You can see when I select the brand name and item, the macros for that food populates at the bottom:

You can note the number of servings as well. Since I had 2, I’ll up the servings to 2. If you like, you can add time of day:

It will then take you back to your diary dashboard, which will show everything you have done for that day:

and that is it. It will track and will let you see your progress as you add you food. You can also add you Exercise that you participate in every day, which will adjust your calories allotted. However. if you don’t use those extra calories that are offered when you exercise, you may lose weight faster, if that is your goal.

I will also do a blog on customizing your targets, instead of choosing the basic Keto one, as I typically use my own macros. Stay tuned for that one.

Is Keto dangerous?

So, what is Keto? The short and most direct answer is that Keto is being in a state of ketosis. The Keto way of eating gets you into ketosis and keeps you there. This is very different then being in ketoacidosis. Let’s address what ketoacidosis is first.

From Dietdoctor.com:

Ketoacidosis occurs mostly in people with type 1 diabetes and results from a severe deficiency of insulin. In this setting, blood glucose is typically quite high, while ketone levels rise above 7 mmol/L (and usually above 10), causing the blood to become more acidic and placing the individual at tremendous risk.2

https://www.dietdoctor.com/low-carb/skeptical-doctors and
American Family Physician 2013: Diabetic ketoacidosis: Evaluation and treatment

To look at this from a normal person’s perspective, most cases of ketoacidosis occur in Type 1 Diabetics. What it means is that their ketone levels rise above 7mmol/L (if you are using a Ketone meter, like Keto Mojo, that would be 7.0 or higher. It could happen to anyone, whether you are on a Keto way of eating or not. I was talking to a former nurse one day, and she was driving herself to the hospital because she wasn’t feeling well, and they found her passed out in the hospital parking lot. They ran tests and she was in ketoacidosis. She is not a Type 1 Diabetic and she was not eating Keto. So, it could happen to anyone, at any time. But rest assured, it is rare.

Having addressed ketoacidosis, let’s talk about Keto and being in nutritional ketosis. To be in ketosis, your ketone level should be 0.5mmol/L or above, preferably lower than 5mmol/L. If you are at 0.5mmol/L or higher for a day, you are in ketosis. If you are at that level for more than a day, you are technically in nutritional ketosis. This is where it is important to be aware of your macros and what you intend to do with this way of eating.

A couple of things to be aware of specifically. Just because your ketone number is higher, does not mean that you will lose weight faster. It just means that your ketones are higher. Each persons body handles this differently, but generally speaking, between 0.5 and 1 are perfectly fine. Secondly, you do not have to check your ketones all the time, or even at all. If you wish, there are several ways you can check:

  • Urine strips – This is the least expensive way to test. The urine strips check for acetoacetate which is removed from the body through your urine. The strips can be good for the first few weeks of eating Keto, but after that, they are not as much help.
  • Breath meters – This is the next least expensive way to test. The breath meters check for acetone in your breath. They can be unreliable. Diet Doctor tested multiple breath meters, and this particular statement stood out to me:
    “LEVL cautions against testing within 60 minutes of the following: Alcohol, breath mints, chewing gum, cough drops, throat lozenges, tobacco and e-cigarettes, lip balm, smoking, mint or green tea, mouthwash, non-sugar sweeteners (e.g., Sorbitol), toothpaste, water enhancers.” (https://www.dietdoctor.com/low-carb/keto/ketone-testing-three-ways)
  • Blood tests – This is the most expensive way to test, but likely the most accurate. Probably one of the most popular testers is Keto Mojo. You test your ketones as you would test your blood sugar level. You prick your finger, and measure a drop of blood on a strip. It’s pretty simple, but more expensive. The nice thing about Keto Mojo is that it also has the ability to test your blood sugar, so if you are a diabetic, you can use the one machine, however you will have to test twice as it does not combine the information in 1 test.

But remember, you do not have to test for ketosis. Simply put, if you keep your carbohydrates to 20g or less per day, you will be in ketosis. That’s it, and you will start to feel the difference pretty quickly.

But what about high fat? You don’t necessarily have to be high fat to be Keto. Maria and Craig Emmerich from Keto-adapted.com and Mariamindbody advise to focus on getting your macros correct, keep your carbs at less than 20g, and make sure to get your proper amount of protein. Depending on if you want to lose weight, maintain your weight, or gain weight, will determine how much fat you eat with your meal. They have a great calculator on their website, for free, to help you determine what those numbers are.

Next blog, I’ll talk about how to track your macros, more specifically, how to track your eating to see where your macros are.