Current Diet

Right now I'm eating “lacto-paleo”, that is paleo, except with added dairy. I've noticed that I tend to have a little more mucus production (I've got to blow my nose once a day) than before, but I'm willing to deal with it in order to eat dairy. I've been trying to keep myself in keto since the beginning of may or so, so I've been taking in 50g or lower of carbs a day. I got turned onto some dangers of keto by one of my friends who knew someone who follows the Perfect Health Diet, and I decided to include a small sweet potato post workout now. I then happened upon keto myths over at ketotic.org, showing that I really don't have to worry, although I'm still keeping that post workout sweet potato.

I'm toying with the idea of bringing myself out of ketosis for a day or so over a weekend, just to break up my keto period, although with my occasional drinking of cider and such, I probably don't have to worry about my keto period being long and unbroken. The 'bringing myself out of keto' might resemble the Anabolic diet from Stronglifts, where I eat fat/protein during the week (keto), and eat carbs/fat on the weekends, while limiting my protein (not keto). Having 'fat days', where all I eat are fats, sounded appealing to me, and I'm thinking about trying that. The only thing I'm wary about is restricting my protein, and having it affect my recovery time from lifting. I'll have to get around to reading more about leangains and such, although I'm thinking about implementing a two-meal-a-day plan, where I have a breakfast and a dinner that makes up all my food. I've also been having days where I just don't feel like eating, so I might just do some fasting instead. We'll see.

Anyway, for some samples of what I've been eating:

One Day - a typical work day:

• Breakfast - 3/4 of lean conventional meat, 6oz of grass-fed cheese, 2 TBS pastured butter on brussel sprouts
• ~100g protein, ~84g fat
• Lunch - 1 cup shredded, dried unsweetened coconut, 6 TBS organic heavy whipping cream
• ~20g protein, ~76g fat, 12g carbs (from coconut)
• Dinner - 3/4 of lean conventional meat, 6 oz grass-fed cheese, 2TBS pastured butter on brussel sprouts
• ~100g protein, 84g fat
• Totals - 220g protein, 244g fat, 12g carbs, roughly 3100 cals

Today - kind of went heavy on the cheese:

• PWO (10:00am) - protein shake with half&half (rather tasty), one sweet potato, 2 TBS pastured butter, 5oz conventional cheese, frenched green beans and conventional catfish
• ~120g protein, ~90g fat, ~60g carbs
• Meal 2 (4:30pm) - 4oz conventional Brie with brussel sprouts, 6oz grass-fed cheese
• ~60g protein, 100g fat
• Meal 3 (8:45pm) - 2 TBS pastured butter and brussel sprouts, 4 oz grass-fed cheese
• ~24g protein, ~64g fat
• Totals - ~204g protein, ~254g fat, ~60g carbs, ~3350 cals

Turns out I've got a thing for melted cheese. Today I cubed up the cheese and heated in the microwave, pretty good stuff. I've also melted cheese on pork rinds before, which turned out to be a really great idea, but I really plow through those, so I don't keep pork rinds stocked at my place anymore.

I'm thinking about going back to a more meat and butter/coconut oil based keto, and go away from the dairy, since I'm pretty much using cheese at a main fat source. I tend to think that I feel more 'clean' on just meat, butter, and coconut oil (and also some veg).

Did you have a good Midsummer?

My friends and I celebrated Midsummer last night, complete with a roasted pig shoulder and horns of mead raised to the Gods. Most of the people that came really weren't too keen on celebrating Midsummer exactly, but were there to celebrate the Summer Solstice, which I guess is a pretty good compromise. I'm primarily satisfied with starting to celebrate holidays with pagan origin, or restoring the pagan roots to appropriated holidays (Jul, Eostre).


Anyway, one of my friends was actually fairly important in getting me to start hosting my own celebrations or feasts, instead of looking for ones to join. We were/are interested in some sort of a cultural recreation, something of having a tradition that ties into our (Scandinavian) roots. I was always hesitant to do anything, since I was afraid of doing it 'wrong', not practicing the right tradition or something. I guess the best way to start a tradition, is to just start doing it, and so far I guess it's working well for us. It also gives us structured time and a reason to get together and feast.


Another thing that comes to mind with celebrating solstices in general, is that I think that it would give the celebrators a better feel of the seasons. A better connectedness to nature, so to say.

The take home message being: Go out and celebrate a solstice the next time around.

Also, enjoy some Unleashed:

Paleo and Me

Essentially the setup for paleo and me goes back to when I was in high school, when I was 16. Back then I was carrying around a good bit of fat, and around then I started making modifications to my diet in order to try to lose some of it. I also started lifting, but back then I didn't know that much about lifting, let alone lifting to lose fat. Off to college, and I was still trying to lose the fat, I was still lifting, but I also happened to enjoy the drinking scene there, and it turns out beer isn't a good weight loss aid when coupled with a cafeteria-style food supply, and I subsequently gained some more weight. All this while I was using the “calories in – calories out” theory to try to lose weight, and often times my meals would be rather carbohydrate heavy, the thought being that I could more carbohydrates, than I could of fat, and therefore feel fuller.

Anyway, sophomore year of college I kind of got serious about losing fat, and stumbled across Tim Ferris' “Slow Carb” diet, and did that for pretty much a year. I got smaller, although I'm pretty sure that was mostly muscle mass. Come junior year I joined up with a friend getting ready for a body-building competition, and changed my diet to a heavily controlled structured eating plan. In order to get ready for the “cutting” phase, I went into a “bulking” phase, and gained 20 or so pounds. At the end of the spring semester, I managed to lose around 27 pounds, so I managed a net loss of fat, and I also looked a little more muscular, which wasn't a bad thing.

That fall (the fall of 2009), I went off to Germany for a year of study abroad, and I was pretty much on my own for training and nutrition wise. I still was weighing out my food, but I was controlling how much carbs I ate, which were kept around 150, although it was primarily from dairy, with some post-work grains thrown in for good measure. Sometime during the winter of '09/'10 I noticed that when I would eat my grain serving, I would feel uncomfortably full, and I decided to cut out grains from my diet. Probably a month or so later I came across Mark's Daily Apple when I was reading StrongLifts, and started reading his blog. I was rather surprised about how everything was fitting in, it all made sense, and that I was almost eating paleo already. When I came back to the US in August of 2010, I went full paleo, since I could source grass-fed meat, and I have been eating paleo since.

I still drink beer with friends, although I keep it to one or two a night, any more and I have some digestive issues the next morning. As of now, I consider myself lacto-paleo, since I've added kefir, cheese, and heavy cream back into my diet. I've notice a little more of a mucous problem in my nose, but it's not that bad, and I've decided I can live with it. I also really like eating steak with cheese on it, and I also found grass-fed cheese recently, so I'm excited.

My diet changed over these years, but primarily my philosophy on food and mainstream culture changed too. I'll blog on this later.

Dr. Cordain's rebuttal to the "Best" Diets

This rebuttal to a listing of "best" diets done by US News (scroll down to 20 to find paleo) written by Dr. Cordain has been circulating around, with the first place I saw it being Robb Wolf's site. Anyway, this should be circulated around so that "the word get's out," and there might be a little less misinformation out there.

Here it is:

Hi Doc,

I’m not sure if you’ve seen this or not, but US News ranked Paleo last of 20 diets claiming a lack of scientific evidence and no-long term weight maintenance guidelines. I’m not sure if you’d be interested in defending it or not, but if you’d be willing to provide specific refutations of their claims, I’d like to write a response piece for the Colorado State University Collegian to run next Wednesday, my deadline is Saturday.

Thanks.

http://health.usnews.com/best-diet/paleo-diet

http://health.usnews.com/best-diet/best-overall-diets

Seth

June 8, 2011

Hi Seth,

Good to hear from you and many thanks for your continued support of the Paleo Diet.  I hadn’t seen this piece, but I appreciate that you have brought it to my attention.  It is obvious that whoever wrote this piece did not do their homework and has not read the peer review scientific papers which have examined contemporary diets based upon the Paleolithic food groups which shaped the genomes of our ancestors.  Accordingly the writer’s conclusions are erroneous and misleading.  I feel strongly that it is necessary to point out these errors and make this information known to a much wider audience than those reached by the readers of the U.S. News and World Report.  You have my permission to syndicate my response and or your write up for the CSU Collegian to any of the major news services including AP and UPI.  Additionally, I will copy a number of colleagues and scientists worldwide with this message to ensure that it will be widely circulated on the web, blogs and chat groups.

The writer of this article suggests that the Paleo Diet has only been scientifically tested in “one tiny study”.  This quote is incorrect as five studies (1-7); four since 2007, have experimentally tested contemporary versions of ancestral human diets and have found them to be superior to Mediterranean diets, diabetic diets and typical western diets in regards to weight loss, cardiovascular disease risk factors and risk factors for type 2 diabetes.

The first study to experimentally test diets devoid of grains, dairy and processed foods was performed by Dr. Kerin O’Dea at the University of Melbourne and published in the Journal, Diabetes in 1984 (6).  In this study Dr. O’Dea gathered together 10 middle aged Australian Aborigines who had been born in the “Outback”.  They had lived their early days primarily as hunter gatherers until they had no choice but to finally settle into a rural community with access to western goods.  Predictably, all ten subjects eventually became overweight and developed type 2 diabetes as they adopted western sedentary lifestyles in the community of Mowwanjum in the northern Kimberley region of Western Australia.  However, inherent in their upbringing was the knowledge to live and survive in this seemingly desolate land without any of the trappings of the modern world.

Dr. O’Dea requested these 10 middle aged subjects to revert to their former lives as hunter gatherers for a seven week period.  All agreed and traveled back into the isolated land from which they originated.  Their daily sustenance came only from native foods that could be foraged, hunted or gathered.  Instead of white bread, corn, sugar, powdered milk and canned foods, they began to eat the traditional fresh foods of their ancestral past: kangaroos, birds, crocodiles, turtles, shellfish, yams, figs, yabbies (freshwater crayfish), freshwater bream and bush honey.   At the experiment’s conclusion, the results were spectacular, but not altogether unexpected given what known about Paleo diets, even then.  The average weight loss in the group was 16.5 lbs; blood cholesterol dropped by 12 % and triglycerides were reduced by a whopping 72 %.  Insulin and glucose metabolism became normal, and their diabetes effectively disappeared.

The first recent study to experimentally test contemporary Paleo diets was published in 2007 (5). Dr. Lindeberg and associates placed 29 patients with type 2 diabetes and heart disease on either a Paleo diet or a Mediterranean diet based upon whole grains, low-fat dairy products, vegetables, fruits, fish, oils, and margarines.  Note that the Paleo diet excludes grains, dairy products and margarines while encouraging greater consumption of meat and fish.  After 12 weeks on either diet blood glucose tolerance (a risk factor for heart disease) improved in both groups, but was better in the Paleo dieters.  In a  2010 follow-up publication, of this same experiment the Paleo diet was shown to be more satiating on a calorie by calorie basis than the Mediterranean diet because it caused greater changes in leptin, a hormone which regulates appetite and body weight.

In the second modern study (2008) of Paleo Diets, Dr. Osterdahl and co-workers (7) put 14 healthy subjects on a Paleo diet.  After only three weeks the subjects lost weight, reduced their waist size and experienced significant reductions in blood pressure, and plasminogen activator inhibitor (a substance in blood which promotes clotting and accelerates artery clogging).  Because no control group was employed in this study, some scientists would argue that the beneficial changes might not necessarily be due to the Paleo diet.  However, a better controlled more recent experiments showed similar results.

In 2009, Dr. Frasetto and co-workers (1) put nine inactive subjects on a Paleo diet for just 10 days.  In this experiment, the Paleo diet was exactly matched in calories with the subjects’ usual diet.  Anytime people eat diets that are calorically reduced, no matter what foods are involved, they exhibit beneficial health effects.  So the beauty of this experiment was that any therapeutic changes in the subjects’ health could not be credited to reductions in calories, but rather to changes in the types of food eaten.  While on the Paleo diet either eight or all nine participants  experienced improvements in blood pressure, arterial function, insulin, total cholesterol, LDL cholesterol and triglycerides.  What is striking about this experiment is how rapidly so many markers of health improved, and that they occurred in every single patient.

In an even more convincing recent (2009) experiment, Dr. Lindeberg and colleagues (2) compared the effects of a Paleo diet to a diabetes diet generally recommended for patients with type 2 diabetes.  The diabetes diet was intended to reduce total fat by increasing whole grain bread and cereals, low fat dairy products, fruits and vegetables while restricting animal foods.   In contrast, the Paleo diet was lower in cereals, dairy products, potatoes, beans, and bakery foods but higher in fruits, vegetables, meat, and eggs compared to the diabetes diet.  The strength of this experiment was its cross over design in which all 13 diabetes patients first ate one diet for three months and then crossed over and ate the other diet for three months.  Compared to the diabetes diet, the Paleo diet resulted in improved weight loss, waist size, blood pressure, HDL cholesterol, triglycerides, blood glucose and hemoglobin A1c (a marker for long term blood glucose control).    This experiment represents the most powerful example to date of the Paleo diet’s effectiveness in treating people with serious health problems.

So, now that I have summarized the experimental evidence supporting the health and weight loss benefits of Paleo Diets, I would like to directly respond to the errors in the U.S. News and World Report article.

1.            “Will you lose weight? No way to tell.”

Obviously, the author of this article did not read either the study by O’Dea (6) or the more powerful three month crossover experiment by Jonsson and colleagues (9) which demonstrated the superior weight loss potential of high protein, low glycemic load Paleo diets.  Similar results of high protein, low glycemic load diets have recently been reported in the largest randomized controlled trials ever undertaken in both adults and children.

A 2010 randomized trial involving 773 subjects and published in the New England Journal of Medicine (8) confirmed that high protein, low glycemic index diets were the most effective strategy to keep weight off.   The same beneficial effects of high protein, low glycemic index diets were dramatically demonstrated in largest nutritional trial, The DiOGenes Study (9), ever conducted in a sample of 827 children. Children assigned to low protein, high glycemic diets became significantly fatter over the 6 month experiment, whereas those overweight and obese children assigned to the high protein, low glycemic nutritional plan lost significant weight.

2.            “Does it have cardiovascular benefits? Unknown.”

This comment shows just how uninformed this writer really is.  Clearly, this person hasn’t read the following papers (1 – 6) which unequivocally show the therapeutic effects of Paleo Diets upon cardiovascular risk factors.

“And all that fat would worry most experts.”

This statement represents a “scare tactic” unsubstantiated by the data.  As I, and almost the entire nutritional community,  have previously pointed out, it is not the quantity of fat which increases the risk for cardiovascular disease or cancer, or any other health problem, but rather the quality.  Contemporary Paleo Diets contain high concentrations of healthful omega 3 fatty acids, monounsaturated fatty acids and long chain polyunsaturated fatty acids that actually reduce the risk for chronic disease (10-18).

3.            “Can it prevent or control diabetes? Unknown.”

Here is another example of irresponsible and biased journalism which doesn’t let the facts speak for themselves.  Obviously, the author did not read the study by O’dea (6) or Jonsson et al. (2) which showed dramatic improvements in type 2 diabetics consuming Paleo diets. 

“but most diabetes experts recommend a diet that includes whole grains and dairy products.”

If the truth be known, in a randomized controlled trial, 24 8-y-old boys were asked to take 53 g of protein as milk or meat daily (19).  After only 7 days on the high milk diet, the boys became insulin resistant.  This is a condition that precedes the development of type 2 diabetes.  In contrast, In the meat-group, there was no increase in insulin and insulin resistance.  Further, in the Jonsson et al. study (2) milk and grain free diets were shown to have superior results in improving disease symptoms in type 2 diabetics.

4.            “Are there health risks? Possibly. By shunning dairy and grains, you’re at risk of missing out on a lot of nutrients.”

Once again, this statement shows the writer’s ignorance and blatant disregard for the facts.  Because contemporary ancestral diets exclude processed foods, dairy and grains, they are actually more nutrient (vitamins, minerals and phytochemicals) dense than government recommended diets such as the food pyramid.    I have pointed out these facts in a paper I published in the American Journal of Nutrition in 2005 (13) along with another paper in which I analyzed the nutrient content of modern day Paleo diets (12 ).  Most nutritionists are aware that processed foods made with refined grains, sugars and vegetable oils have low concentrations of vitamins and minerals, but few realized that dairy products and whole grains contain significantly lower concentrations of the 13 vitamins and minerals most lacking in the U.S. diet compared to lean meats, fish and fresh fruit and vegetables (12, 13).

“Also, if you’re not careful about making lean meat choices, you’ll quickly ratchet up your risk for heart problems” .

          Actually, the most recent comprehensive meta analyses do not show fresh meat consumption whether fat or lean to be a significant risk factor for cardiovascular disease (20-25), only processed meats such as salami, bologna, bacon and sausages (20).

References

 1. Frassetto LA, Schloetter M, Mietus-Synder M, Morris RC, Jr., Sebastian A: Metabolic and physiologic improvements from consuming a paleolithic, hunter-gatherer type diet. Eur J Clin Nutr 2009.

2. Jönsson T, Granfeldt Y, Ahrén B, Branell UC, Pålsson G, Hansson A, Söderström M, Lindeberg S. Beneficial effects of a Paleolithic diet on cardiovascular risk factors in type 2 diabetes: a randomized cross-over pilot study. Cardiovasc Diabetol. 2009;8:35

3. Jonsson T, Granfeldt Y, Erlanson-Albertsson C, Ahren B, Lindeberg S. A Paleolithic diet is more satiating per calorie than a Mediterranean-like diet in individuals with ischemic heart disease. Nutr Metab (Lond). 2010 Nov 30;7(1):85

4. Jonsson T, Ahren B, Pacini G, Sundler F, Wierup N, Steen S, Sjoberg T, Ugander M, Frostegard J, Goransson Lindeberg S: A Paleolithic diet confers higher insulin sensitivity, lower C-reactive protein and lower blood pressure than a cereal-based diet in domestic pigs. Nutr Metab (Lond) 2006, 3:39.

5. Lindeberg S, Jonsson T, Granfeldt Y, Borgstrand E, Soffman J, Sjostrom K, Ahren B: A Palaeolithic diet improves glucose tolerance more than a Mediterranean-like diet in individuals with ischaemic heart disease. Diabetologia 2007, 50(9):1795-1807.

6. O’Dea K: Marked improvement in carbohydrate and lipid metabolism in diabetic Australian aborigines after temporary reversion to traditional lifestyle. Diabetes 1984, 33(6):596-603.

7. Osterdahl M, Kocturk T, Koochek A, Wandell PE: Effects of a short-term intervention with a paleolithic diet in healthy volunteers. Eur J Clin Nutr 2008, 62(5):682-685.

8. Larsen TM, Dalskov SM, van Baak M, Jebb SA, Papadaki A, Pfeiffer AF, Martinez JA, Handjieva-Darlenska T, Kunešová M, Pihlsgård M, Stender S, Holst C, Saris WH, Astrup A; Diet, Obesity, and Genes (Diogenes) Project. Diets with high or low protein content and glycemic index for weight-loss maintenance. N Engl J Med. 2010 Nov 25;363(22):2102-13

9. Papadaki A, Linardakis M, Larsen TM, van Baak MA, Lindroos AK, Pfeiffer AF, Martinez JA, Handjieva-Darlenska T, Kunesová M, Holst C, Astrup A, Saris WH, Kafatos A; DiOGenes Study Group. The effect of protein and glycemic index on children’s body composition: the DiOGenes randomized study. Pediatrics. 2010 Nov;126(5):e1143-52

10. Cordain L. Saturated fat consumption in ancestral human diets: implications for contemporary intakes. In: Phytochemicals, Nutrient-Gene Interactions, Meskin MS, Bidlack WR, Randolph RK (Eds.), CRC Press (Taylor & Francis Group), 2006, pp. 115-126.

11. Cordain L, Miller JB, Eaton SB, Mann N, Holt SH, Speth JD. Plant-animal subsistence ratios and macronutrient energy estimations in worldwide hunter-gatherer diets.Am J Clin Nutr. 2000 Mar;71(3):682-92.

12. Cordain L. The nutritional characteristics of a contemporary diet based upon Paleolithic food groups. J Am Nutraceut Assoc 2002; 5:15-24.

13. Cordain L, Eaton SB, Sebastian A, Mann N, Lindeberg S, Watkins BA, O’Keefe JH, Brand-Miller J. Origins and evolution of the Western diet: health implications for the 21st century. Am J Clin Nutr. 2005 Feb;81(2):341-54.

14. Kuipers RS, Luxwolda MF, Dijck-Brouwer DA, Eaton SB, Crawford MA, Cordain L, Muskiet FA. Estimated macronutrient and fatty acid intakes from an East African Paleolithic diet. Br J Nutr. 2010 Dec;104(11):1666-87.

15. Ramsden CE, Faurot KR, Carrera-Bastos P, Cordain L, De Lorgeril M, Sperling LS.Dietary fat quality and coronary heart disease prevention: a unified theory based on evolutionary, historical, global, and modern perspectives. Curr Treat Options Cardiovasc Med. 2009 Aug;11(4):289-301.

16. Cordain L, Eaton SB, Miller JB, Mann N, Hill K. The paradoxical nature of hunter-gatherer diets: meat-based, yet non-atherogenic. Eur J Clin Nutr. 2002 Mar;56 Suppl 1:S42-52

17. Cordain L, Watkins BA, Florant GL, Kelher M, Rogers L, Li Y. Fatty acid analysis of wild ruminant tissues: evolutionary implications for reducing diet-related chronic disease. Eur J Clin Nutr. 2002 Mar;56(3):181-91

18. Carrera-Bastos P, Fontes Villalba M, O’Keefe JH, Lindeberg S, Cordain L. The western diet and lifestyle and diseases of civilization. Res Rep Clin Cardiol 2011; 2: 215-235.

19. Hoppe C, Mølgaard C, Vaag A, Barkholt V, Michaelsen KF. High intakes of milk, but not meat, increase s-insulin and insulin resistance in 8-year-old boys. Eur J Clin Nutr. 2005 Mar;59(3):393-8.

20. Micha R, Wallace SK, Mozaffarian D. Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus: a systematic review and meta-analysis. Circulation. 2010 Jun 1;121(21):2271-83

21. Micha R, Mozaffarian D. Saturated fat and cardiometabolic risk factors, coronary heart disease, stroke, and diabetes: a fresh look at the evidence. Lipids. 2010 Oct;45(10):893-905. Epub 2010 Mar 31.

22. Mozaffarian D, Micha R, Wallace S. Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS Med. 2010 Mar 23;7(3):e1000252.

23. Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Saturated fatty acids and risk of coronary heart disease: modulation by replacement nutrients. Curr Atheroscler Rep. 2010 Nov;12(6):384-90.

24. Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Saturated fat, carbohydrate, and cardiovascular disease. Am J Clin Nutr. 2010 Mar;91(3):502-9

25. Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr. 2010 Mar;91(3):535-46