Whole Whatevey: Why My Whole30 Coffee Is Not Black

“Drinking your coffee black. Is. Not. Hard. You’ve done harder things than this, and you have no excuse not to complete the program as written.”

It’s right there, spelled out in inky black and staunch white.

Doing an officially-labeled Whole30 does not include the use of heavy cream, even grass-fed and organic and fueled by hippie love, in one’s coffee. Period. One’s Whole30 cuppa must look like a dark pool of char.

On the left, official Whole30 coffee. On the right, my typical coffee:

That’s okay with me, and it’s also okay with the Whole30 powers that be, as long as I don’t call what I am doing a real Whole30. To call what you’re doing a real-deal Whole30 you must follow their rules and that is completely fine by me. I could come up with a new name, like . . .

WholeUltra.

WholeRunner.

WholeTenacity.

WholeDirty.

WholeHurty.

WholeSporty.

WholeRunny. Ok, I’ll stop now.

My WholeWhatevey and its practices will not be not sanctioned for one or two other reasons relating to endurance running, regardless. I will, for example, consume energy gels on VERY long training runs because they are useful and convenient tools that serve a purpose during the run itself (and then I will take care to not go all snacking crazy as I am wont to do). I will not follow up a long run with a recovery shake or other processed foods. Only during the super-crazy long runs (by that I mean more than 4-5 hours) will I consume off-plan calories such as gels and all of those will have minimal ingredients and (it should go without saying, but still) no grains or gluten.

But here’s what I discovered about coffee. I’m not going to stop it entirely, though I could be convinced to do that in the future. No, what I realized about coffee and my own success on the Whole30 is that I really really enjoy the goddam cup with grassfed cream in it. But when I drink it black, it just doesn’t work. Now, that means I can buck up and either give it up or drink it black and “suffer”. However, if that is about the only thing standing between me and doing a pretty legit clean and healthy 30 days, I am going to have the freakin’ heavy cream. ONLY grass-fed, because nothing else tastes good. That would be Organic Valley, yo.

organic-valley-heavycream

Ok, let’s do this. WholeWhatevey begins.

 

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Tuesday Tribute: Adele Hite, nutrition guru and badass

Today, the slow, deliberate hand clap goes to a woman who is fighting the good fight against dumb (or just ill-informed) nutrition advice.

Tuesday Tribute: ADELE HITE

Adele Hite looking sassy.

Adele Hite looking sassy.

Adele’s a Registered Dietician with a Masters in Public Health, and general all-around badass in the battle against healthy eating misinformation. She runs the website called Eathropology and has done some solid work on combating the USDA’s food pyramid (scheme).

I met Adele just before the Ancestral Health Symposium in 2012. I was looking for a shared hotel room and she was willing and able to lend some mattress room to me. During that long weekend, she and I and her good friend Anna Kelles gossiped, plotted, and learned from each other. They were already in the public health world and I was outside, looking in, dipping my toe into the idea that something (or a lot of things) we are currently doing with regard to food and activity and thinking are just kind of, well, not good. And, more importantly, how can I help?

Adele helped to ignite my ancestral health research and fueled some new ideas in this little thinking cap of a skull. A book about women’s health! A book for US! A podcast! Another conference! Articles and speeches and poster presentations, oh my!

While it is not Adele’s responsibility to make sure that I actually DO follow through on those ideas, she deserves a lot of credit for getting me thinking. And yes, the podcast is still something I think would be amazing. Is podcasting “over”? I surely hope not. At least I can tell myself that if you are GOOD, your talents are never really “over”. And that is why women like Adele are out there, doing what they do, really WELL, and having an effect in the world.

I hope I see her again soon, but even if not, her work lives on, every day.

Pernicious (or persnickety?) Anemia: Round One

I’ve felt fat and slow for a long time now.

Years. Part of that is not that I’m fat, but that I do actually weigh more than I did 4 or 5 years ago. What happens when I run is just physics: it feels different to hit the ground at 2.5x your body weight with an extra 12 pounds. Strength and experience can get through a lot of that. Good weight training, endurance work, neuromuscular development – all of these contribute to performance even when not at the featherweight category.

And yet. Feeling like you’ve strapped on a soggy wetsuit when going out for a run or trying to bound up a hill and gasping like two decades just jumped on your back ain’t fun.

So I turn to my red fluid of life: blood. Specifically, the known condition deep in my tissues that has lie in wait for years without too much bother: anemia. Uh-Knee-Me-Uh. Sexy, huh?

What is anemia?

Anemia (or anaemia for the fancy) means a lot of things, just like being overly warm can mean a lot of things. You might have a parka on. Or it might be 100 degrees out. Or you might be feverish. Or you might have just eaten Thanksgiving dinner.

With anemia, generally there’s something going on with the available red blood cells and/or their ability to give you oxygen when you request it, either by bounding up a hill or by getting out of bed.

I’ve learned craptons by reading the overview on the Merck site, which delineates different kinds of anemia and how one might get them. Anemias that I am extremely unlikely to have: excessive bleeding, sickle cell disorder, certain other genetic diseases.

Candidates for my own anemia, from lifestyle and bloodwork:

  • footstrike hemolysis (basically when my feet hit the ground the red blood cells get smooshed and die)
  • B12 deficiency (mine is low-ish but not that low, also I get numb fingers sometimes like Reynaud’s)
  • “simple” iron deficiency (caused by malabsorption – gut issues)
  • G6PD deficiency (genetic mutation, can be triggered by infection or fava beans. Yes, fava beans.)

So…. there are a lot of moving parts. But one thing I can start with is to try to increase nutrient absorption. I eat in a manner that does not explain my low nutrient levels – seriously I should be super high in damn near everything, and I’m not.

First experiment: HCl

From scdlifestyle.com – an awesome HCl resource!

Poor absorption of nutrients can be simply because there ain’t enough acid in one’s stomach. Supplementing with Betaine HCl will increase stomach acid and lead to better breakdown of food. It’s not crazy. (In fact, LOW stomach acid, not high, is the most common factor in heartburn and GERD. Weird, huh?)

I’m excited to try this, even though I’ve known for years about HCl. No time like the present, I suppose. I’ll follow some good guidelines about how to do it right, and let’s see how it goes.

Please Gawk And Stare at North Korea

As a modern internet-addicted lazy person, I pondered two wormholes of internet interest recently. They made me think about celebrity culture and our human desire to LOOK. The first was new to me – a family that has spent the last 5+ years documenting every single day of their lives. They seem very nice, and normal. I have no problem with what they do or how they broadcast it. Neither does their 2 million subscribers.

As humans and social creatures, we are all compelled to LOOK.

If you visit countries that have different social and cultural expectations, such as China, you’ll find something stands out – people STARE. If something is interesting, they’ll form a crowd and just look. Americans seem to constantly be fighting with themselves over whether to look at something interesting or do the “polite” thing and walk on by. The idea of “rubber-necking” is frowned upon as something crass and unseemly – wholly apart from any actual risks from the act of looking itself (such as causing another car accident while you drive by staring at one already happened, et cetera).

From Chinese News Daily

From Chinese News Daily

In China, if you see something, you look. Because, why not? Interesting things are fun to look at, so what is wrong with looking? That seems to be their attitude.

Source: Off Exploring's blog

Source: Off Exploring’s blog

Here in the States we reserve much of our staring and looking for the safety of the internet and tabloids. We don’t want the objects of the staring to experience it firsthand, so we do it by proxy. This includes using paparazzi to get our celebrity cellulite photos for us, and YouTube to chronicle an entire family’s life, day by day. We feel strange or awkward if we were to see one of those interesting people on the street and were caught just looking at them for no good reason.

Where is all of this leading and how can it possibly involve North Korea? It is because in the case of North Korea, we cannot look directly. And yet we must, by any means available.

Rather than spend another minute on the Shaytards, I went back to the haunting photos of North Korea of the daily lives of their people. More and more I searched for photos and articles on what’s happening because it is so . . . interesting.

Source: The Guardian UK. North Korean workers at the Chinese border

Here’s one description of what eating looks like for citizens there: “Food shopping is equally problematic. Staples such as soy sauce, soybean paste, salt and oil, as well as toothpaste, soap, underwear and shoes, sell out fast. The range of food items available is highly restricted. White cabbage, cucumber and tomato are the most common; meat is rare, and eggs increasingly so. Fruit is largely confined to apples and pears. The main staple of the North Korean diet is rice, though bread is sometimes available, accompanied by a form of butter that is often rancid. Corn, maize and mushrooms also appear sometimes.”

Women in North Korea have recently started wearing some amounts of makeup, and it is noted that the reasoning is partially to hide blotchy and unhealthy skin – one side effect of underlying malnutrition. So a country where some people have enough spending money to buy cosmetics in order to cover up the health effects of not being able to purchase real food – that is North Korea.

Source: Guardian UK. Public transit in Pyongyang.

In the last few years, things appear to be getting way worse for an average person. For instance, this spring, outside of the capital city of Pyongyang, food is basically becoming a luxury. Food is actually starting to disappear as a thing you can “get”. Read that again, from a local, “In January, housewives were given two kilos of mixed rice and corn and households received 10 days of rations on top of that. But there has been nothing since then . . .”

There might be little as a single person I can do about the conditions in that country, but perhaps much we can do as knowledgeable humans, collectively. But to be blunt, just start with gawking and sharing what you see with friends and family. Spread the images and the situation far and wide.

Rubber-neck all you want. And then consider what you might be able to do, as wished for by North Korean people.

 

$12K For 25 Stitches: American Healthcare is Broken (Part 1)

Part One of several posts about how health care can be a heck of a lot better in this country.

It’s about the least surprising thing to say when talking about health and medicine in the western world: it’s totally fucked up. The system doesn’t serve people in the best way for their health, opting instead in many cases for pure survival. And that’s just the actual medical establishment, the place folks end up when something is going really wrong, whether it’s emergency trauma or the culmination of a chronic illness.

The pieces of health are not just what it takes to not “spend your last 10 years in a diaper and a wheelchair” (a genius post by Chris Kresser, who lured me into a lot of this research about 5 years ago by those very words). No, the pieces of health are far larger than just showing up at the doc’s office or the hospital when things are really wrong (or even just somewhat painful).

Emergency medicine in our society is extremely effective (and expensive), so if you are in a car crash, even if you don’t have money, you can and will get “fixed”. That means you’ll have bones pinned together, skin sewn up, fluids replaced, and (hopefully) infections prevented or addressed.

Original source: Broken Heart Source Image

Original source: Broken Heart Source Image

But even if you are faced with a relative trauma, the current state of the system can take down to slivers the savings of most average adults. Take, for example, something that happened just a few days ago at a massive health conference in Austin, TX called Paleo f(x). Darryl Edwards, one of the activity gurus, ended up with a mis-timed head butt and split open his eyelid. He didn’t think it would need intervention at first, but then he was convinced it wasn’t just a scratch by folks who kept noticing the bleeding gash.

Once he finally figured out that he really did need stitches, someone wanted him to get an ambulance. BUT. Because Darryl is from the UK, an ambulance would be about $4K right out of his pocket. Ok, so he should find someone to drive him to the ER. BUT. Emergency rooms have pretty long wait times. It was suggested, “go to urgent care”. Finally, word got around to the wife of a local dermatologist. He was taken right to their office and was taken care of, sewn right up to the tune of 25 stitches as a favor to a fellow health guru for no charge. The dermatologist told him that it would normally cost about $12K. TWELVE THOUSAND DOLLARS.

Even before the ambulance when it was looking like $4K out of his pocket, Darryl considered getting on a first class plane back to UK so that he could walk into a local doc and get things taken care of for free. The fact that someone without insurance considers a transatlantic flight in order to NOT spend about $16K on stitches is, a little, crazy.

In the next few blog posts I’ll go from panic-inducing examples like this to somewhat of a means to a solution. It involves the word OWNERSHIP. And we’ll get there.

Three Reasons to Ditch the “Five Ingredients or Less” Rule

fast food milkshake

A Fast Food Shake, with far more than 4 ingredients. Photo Credit: yosoynuts

There are a lot of recommendations out there for what kinds of foods are good to purchase, or at least which kinds of foods are those that should be avoided, based on the ingredients list. **see NOTE at bottom before hand-wringing.

You’ll find admonishments to avoid:

Unfortunately, these rules run into some problems. Here are 3 reasons the “five ingredient” rule can be sending you down the wrong path to health.

1) Natural Flavor

You could eat a lot of questionable additives if following the “x” number of ingredients rule, even if it’s only five. One of the biggest culprits in this realm is “natural flavor” as an actual ingredient listed. Really? What, legally, can be in something called “natural flavor”? This is from the FDA’s website and is current as of 2013:

The term natural flavor or natural flavoring means the essential oil, oleoresin, essence or extractive, protein hydrolysate, distillate, or any product of roasting, heating or enzymolysis, which contains the flavoring constituents derived from a spice, fruit or fruit juice, vegetable or vegetable juice, edible yeast, herb, bark, bud, root, leaf or similar plant material, meat, seafood, poultry, eggs, dairy products, or fermentation products thereof, whose significant function in food is flavoring rather than nutritional.

So that means if you start with a “constituent” of a plant and then use enzymes OR heat OR roasting OR distillation OR extraction OR fermentation on it to produce something that will flavor a food, it’s “natural”. Yep. This is a massive industry, featured once in a while on investigative/hyped TV programs.

2) Food now ≠ food 50 years ago

If you follow the grandmother rule, you might eat food that LOOKS like real food but isn’t anything like it was 50 or 80 years ago. Wheat’s protein structure has changed quite a bit over the last 40 years (and that’s one of the theories about why wheat sensitivity is much higher now than ever before). Many factory farmed crops are genetically modified to grow in concert with amazingly complex biological killers (a.k.a. pesticides). And even simple ingredients, like “salt”, have been refined, processed, remolded, and stripped of their original minerals and physical form.

3) Ingredients with ingredients

In other words, five ingredients might not be five ingredients. There was a (rather reactionary oh-my-gawd-the-sky-is-falling) article several years back about the 59 ingredients in a McDonald’s strawberry milkshake that went moderately viral. The article delved into the 59 chemicals used to comprise the “strawberry flavor” part of the strawberry syrup. Each ‘ingredient’ was listed as the specific chemical compound name which, to many folks, sounds SCARY. Chemicals are not inherently scary. Everything is chemicals. If you listed all of the molecules in a banana by their chemical name you’d be freaked out. One of the chemicals that gives a banana its aroma is Amyl Acetate. If you take that chemical all by itself, it is a fruity-smelling solvent akin to nail polish remover. Eeeek! But it is in a banana, naturally. That’s why over-hyped articles like the “59 ingredients” one can be unhelpful. (**again, see NOTE at the bottom)

However, the non-molecular chemical ingredients are just as dubious. Note that when you initially see the list of ingredients for that milkshake, it is FOUR. That would be allowed under the “5 or less” rule, so what went wrong??? Here are the ingredients:

VANILLA REDUCED FAT ICE CREAM, STRAWBERRY SHAKE SYRUP, WHIPPED CREAM, MARASCHINO CHERRY

Hey, that’s not so bad . . . right? However, when you take each of those four ingredients and expand it – from the very same McDonald’s official pdf file – you end up with this:

VANILLA REDUCED FAT ICE CREAM (Milk, Sugar, Cream, Nonfat Milk Solids, Corn Syrup Solids, Mono- and Diglycerides, Guar Gum, Dextrose, Sodium Citrate, Artificial Vanilla Flavor, Sodium Phosphate, Carrageenan, Disodium Phosphate, Cellulose Gum, Vitamin A Palmitate.), STRAWBERRY SHAKE SYRUP (Sugar, Water, Corn Syrup, Strawberries, High Fructose Corn Syrup, Natural (Botanical Source) and Artificial Flavor, Pectin, Citric Acid, Potassium Sorbate (Preservative), Caramel Color, Calcium Chloride, Red 40), WHIPPED CREAM (Cream, Nonfat Milk, Corn Syrup, Sugar, High Fructose Corn Syrup, Contains Less Than 1%: Mono-And Diglycerides, Carrageenan, Polysorbate 80, Beta Carotene (Color), Natural (Dairy and Plant Sources) and Artificial Flavor, Mixed Tocopherols (Vitamin E) to Protect Flavor, and Whipping Propellant (Nitrous Oxide)), MARASCHINO CHERRY (Cherries, Water, Corn Syrup, High Fructose Corn Syrup, Sugar, Malic Acid, Citric Acid, Natural (Plant Source) and Artificial Flavors, Sodium Benzoate and Potassium Sorbate (Preservatives), Red 40, Sulfur Dioxide as Preservative (Contains Sulfites))

**POSTSCRIPT/NOTE

Homemade strawberry milkshake

Now that’s a strawberry MILK shake! Photo Credit: A30_Tsitika

Here’s the flip side of this. Many of the “scary” sounding ingredients are simply the chemical names for compounds that could be individually present in real foods. In this case, they are also used in the artificial flavoring. Each of those chemicals is, by itself, neither good nor evil, and many of them are present in REAL fruit. HOWEVER. It does not change the fact that those ingredients were deliberately combined to make artificial flavor, as opposed to a strawberry growing on a plant and then being blended into the shake.

Stressing out about every thing you put in your mouth is also counterproductive to your health. What is important is having knowledge about real foods, and making choices in your life that are better than before, little by little. Moving from hot dogs to processed reformed deli meat to roasted sliced packaged meat to real/whole animals to organic animals to YOUR OWN animals is a process that has benefits at every step of the way, and you should feel good about each step, not just when you reach the end.

Armi Legge writes very well about this topic, especially his post called “The Myth of Clean Eating“. He straddles a nice divide between using real ingredients and not freaking out too much about straying off the path. Good job, dude!

Eating Disorders Can Kill Your Body OR Spirit

Pop quiz: which clinical mental disorder has the highest mortality rate? It’s not bipolar disorder. It’s not schizophrenia. Rather, it’s that heady place where out-of-whack brain chemicals meets up with out-of-whack societal beauty standards and renders a person incapable of eating enough to maintain their physical existence: anorexia nervosa.

Everyone knows that anorexia is horrible-tragic-shocking, but one thing it does have going for it – it is VERY visible.

Do you have any doubt that this person (who is in their 20s, by the way) has a problem?

Ilsa Paulson

That’s Ilsa Paulson, who looked pretty normal in high school, only to turn pro after college and got lean. Really, really lean.

On the other hand, how about this person?

Hollie Avil

Yep. That’s Hollie Avil, who retired from triathlon at age 23 because of trauma from eating disorders, depression, and general breakdown.

That’s the rub – in a strange and bizarre way, anorexia is easier to spot and therefore intervene. I’m not saying that such interventions are successful – there’s a good reason why those mortality rates are NOT falling – but for some sufferers who have hope of recovery, it can make a critical difference to hear someone say, “I really care about you and I think you might be harming yourself. Please know that I love you and want you to not die.”

But for every obvious case, there are likely hundreds who suffer almost in silence. Ironically, they can suffer more because if they don’t look the part of the eating disorder patient it can be internalized as a failure – a failure to successfully execute this disease that they identify with control and perfection.

That’s the gist of this post, during National Eating Disorders Awareness Week, to get you to contemplate people in your life who might be on that edge. Those who could be slipping into habits that lead to a real problem, or those that simply spend years and years and years just under the threshold of a real diagnosis. They can eat just a tiny bit less than they really need (instead of eating a LOT less than they need), while bones are weakening, muscles are atrophying, organs are shrinking (!!!), metabolism is shutting down, the brain itself is undergoing structural changes under one’s skull.

This is not as ludicrous as it sounds – I have weighed 25 pounds less than I do now, and honestly you could look at me and be like, “Ok, yeah, she’s a little smaller, but 25 pounds smaller? She’s not scrawny, like real eating disorder scrawny!” Those pounds came from skin and fat and muscles, yes, but they also came from my organs, and my bones, and my glycogen stores.

Here’s the thing: you can’t help if they are not ready. But I do believe, strongly, that if you care about someone and you tell them you care enough about them to want them to stay in your life, at absolute worst, it CANNOT HURT. Awareness of self is one of the first steps if recovery will happen.

I lost someone recently who “successfully” managed their level of disorder for more than 20 years. It’s true that you can ‘get away with’ a great deal of abusing your body with lack of food – we are remarkably resilient creatures. But not forever. She was a talented runner and no doubt helped by a very low weight (a subject for another post), but in the end her systems were too beat down, taxed, and on the edge to make it through acute dehydration due to the flu. It’s a fucking shitty way to die. My friend loved helping other runners achieve their goals and loved helping kids get excited about running. If a car came barreling down on them while on a run, I have no doubt she would have gladly shoved them aside to take the impact herself. That would have been an O.K. way to go, especially at 46 years old. How she did die should not have happened. But. It. Did.

Finally, she was not just some anonymous friend that I need to hide. She was Susan “Sus” Brozik.

Find your little-bit-skinny, little-bit-obsessive, little-bit-food-paranoid friends and tell them you appreciate every part of the good things they do. If you think it’s not too much, also tell them that their healthy body is the thing that lets them do those awesome things, and you’d love it if they kept their body around for a long time.