Category Archives: weight loss

Blood Pressure – is there a drug free way to manage?

 Dr. Tinetti and her team have been looking into whether anti-hypertensive drugs might be causing problems. They followed 5,000 older people (average age: 80) with hypertension for up to three years, and the results of their study are disturbing: The risk of serious fall injuries — fractured bones, brain injuries or dislocated joints — was significantly higher among those who took anti-hypertensives than among those who didn’t.

Over the three-year follow-up, 9 percent of the subjects were badly hurt by falls, which can have a devastating effect. “The outcomes are just as serious as the strokes and heart attacks for which we give these medications,” Dr. Tinetti said in an interview. “Serious fall injuries are as likely to lead to death or lasting functional disability.”

Does it make sense to look at natural alternatives to control hypertension? Well, obviously that is so.

What are some of the steps we can take?

1. Lose that excess weight

2. Exercise – even little bits will help

3. Food – Adopt the DASH diet – dietary approach to stop hypertension.

Explained in detail in the post “What should I eat”?

4. Spices such as cinnamon and cardamom. Garlic. Potassium rich foods such as sweet potatoes, tomatoes, orange juice, potatoes, bananas, kidney beans, peas, cantaloupe, honeydew melon. Dark chocolate 15g/day.

5. Avoid tobacco

6. Reduce stress – Meditation, Ta’i Chi, etc

7. Supplements – CoEnzyme Q10, Omega 3, Hawthorn.

Simple, natural alternatives are available. Most are free of cost. And free of side effects, too!

Images courtesy Google

Coconut flour

Coconut flour is unlike any other consisting of 14% coconut oil and 58% dietary fiber. The remaining 28% consists of water, protein, and carbohydrate. If you haven’t tried coconut flour yet, here are some more excellent reasons to start:

  • Coconut Flour is ideal for baking. It has fewer digestible (net) carbs than other flours, and it even has fewer digestible carbs than some vegetables!
  • Coconut Flour is gluten-free and hypoallergenic. With as much protein as wheat flour, coconut flour has none of the specific protein in wheat called “gluten.” This is an advantage for a growing percentage of the population who have allergies to gluten or a wheat sensitivity.
  • Coconut Flour consists of the highest percentage of dietary fiber (58%) found in any flour. Wheat bran has only 27% fiber.
  • Coconut Flour can help us reach a healthy weight. Ideal for those who follow a low-carb eating plan, coconut flour works well as part of a weight loss program because it has high fiber, and foods with high fiber can help promote a feeling of fullness.

(Disclaimer: The above is just an illustration, not an endorsement!)

Whoever said “you can’t have your cake and eat it too” was definitely in the dark about the benefits of coconut flour!

What should I eat?

There’s so many opinions out there!

Eat protein.

Eat low carbs.

Eat no carbs.

This diet. That diet.

What can I do?? What should I eat? And what should I avoid?

A good diet should provide plenty of choices, relatively few restrictions, and no long grocery lists of (sometimes expensive) special foods. It should be as good for your heart, bones, brain, and colon as it is for your waistline. And it should be something you can sustain for years. It should be easy to prepare, include flavorful food choices and should be acceptable to and useful for the whole family. Such a diet won’t give you a quick fix. But it can offer you something better — a lifetime of savory, healthy choices that will be good for all of you, not just parts of you.

Here’s one such. Let me give you a few simple principles for eating a healthy, balanced diet, incorporating best practices from DASH, Mediterranean diet and hormone balancing diets.

1. AVOID ADDED CARBOHYDRATES

Especially refined and processed carbs. This means – no wheat, rice, potatoes, certainly no packaged or bakery goods. Most certainly no sugar, no sugar equivalents, no sugar substitutes. Remember, sugar is POISON. Eat the occasional piece of fruit for your sweet craving.

2. Eat 9 to 13 servings of vegetables and fruit daily. This will give plenty of carbs for efficient metabolism. Aim for a ‘rainbow’ of 7 colors in food daily.

What is one serving? One cup uncooked, half cup cooked fruit or veg, quarter cup dried. One cup is the size of a closed fist.

Do not juice your fruit and veggies. The fiber, and the fullness it provides, is invaluable. Fruit juice is a source of concentrated calories and causes a sugar spike. Fiber, in addition to contributing to fullness, helps control diabetes, high cholesterol, maintains bowel health, helps maintain healthy weight and eliminate toxins. Recommended intake is:

Age 50 or younger Age 51 or older
Men 38 grams 30 grams
Women 25 grams 21 grams

Institute of Medicine, 2012.

So make smoothies instead. That is, blend a combination of green leafy vegetables and veg you like, such as cucumber, tomatoes, capsicum, beans, with no sugar added. It is good if you add a tablespoon of coconut oil to this. It will be creamy and filling, and the medium chain triglycerides in the coconut oil are great for your brain and your hormones. vegetarians can add a scoop of good quality protein powder to boost their protein intake.

3. Protein with every meal.

Here I am writing as an almost-vegetarian Indian. Our breakfast, especially, is usually upma, poha, paratha – all carbs! There’s no protein there!

It’s important to get protein with every meal. Protein is more satisfying than carbohydrates or fats, and thus may be the new secret weapon in weight control. Getting enough protein helps preserve muscle mass and encourages fat burning while keeping you feeling full. Eating carbs makes you hungry soon after a meal. Eating protein keeps you feeling full. So be sure to include healthy protein sources, like yogurt, cheese, nuts, or beans, at meals and snacks.

How much protein? About 1g/kg body weight for an adult, more, around 1.5g/kg for the pregnant or lactating ladies, growing children and those exercising vigorously. How do we know how much we’re getting? Measure! Maintain a food diary. This will give total calories consumed, plus breakdown of major food groups, ie, carbs, protein and fats.

Avoid chargrilled meat as we have seen in a previous post.

Good quality protein – avoid processed, canned, deep fried stuff full of antibiotics and pesticides. Obviously. So no cold cuts. Grass fed, organically raised animals and poultry. If you can, organ meats are good.

4.  Avoid snacks between meals. This helps balance hormones and increase insulin sensitivity. If really required, opt for a small serving of seeds and nuts. They contain healthy fats. And protein.

Sunflower seeds are good. Since they have to be cracked open, it takes time, so portion control is easier. In general, portion size is 1 oz, the amount inside a closed fist. Seeds such as sesame can be sprinkled on salads.

So a good way to incorporate all the above, is a large salad, with some fish, chicken, cheese or beans for protein, and some seeds for good fats.

5. Eat your last meal at least 2 hours before you go to bed. So that your body can concentrate on building and repair like it is meant to, not on digestion.

Home cooked meals prepared with fresh ingredients, avoiding convenience foods, no need to keep track of portion size – that’s it! What could be simpler!!!!

And don’t forget the exercise!

These diet principles, if followed with discipline, will help us live longer, healthier, free of disease and maintain healthy body weight. The principles work well if

  • we are healthy, trying to remain healthy.
  • we want to lose weight in a safe, healthy manner.
  • we are diabetic. Just limit fruit servings to the occasional piece and avoid high glycemic fruits.
  • those who have high blood pressure. Limiting salt intake is not necessary.
  • most other health conditions.

As well as lose the football belly!

So a sample menu for the day would be:

Breakfast: Eggs cooked with plenty of butter / ghee/ coconut oil, with a side of spinach / Mushroom omelet.

For the vegetarians among us : sprouts. Dosa or idli made wholly with dal, no rice, and served with sambar and coconut chutney.

Lunch: Grilled meat or paneer with large salad as described above.  Dal and sabzi for the vegetarians.

Dinner : Soup with plenty of veg, such as minestrone, and added beans or meat. / Thai curry with coconut.

Vegetarians: Paneer, tofu, lentils, dairy, nuts, for the protein. It is difficult to get protein in the proportions required on a strict vegetarian diet, and supplementation is recommended.

For mid- meal snacks when required, choose options like hummus with vegetable sticks, nuts and seeds,  etc. Eating just twice a day allows the body to recover from the glucose overload, and so decreases insulin resistance and also increases growth hormone. Which are all good.

Notice that I have not included quantities. Its not crucial, because the fiber will keep you satiated.

This diet will keep you full, and will keep you healthy. Best, your waist size will drop! I lost 3 kg in 2 weeks on this diet. And I didn’t feel deprived ever!

Simple changes, with great results!

Losing weight

blog

 

Does it often seem like this? I do feel this way sometimes :)

Seriously, though, losing just 5% body weight can lead to very significant health improvement. It definitely does not require us to go in for a variety of fad diets, which end up leaving us unhealthy, depressed and frustrated.

A simple principle, if followed, will serve us well : Any food we eat should pay for itself in nutrients. Meaning, if we avoid eating empty calories, we’ll be fine.

What gets measured, improves

Easy way to get results with your weight goals? Measure! Smartphones are almost ubiquitous now, its so easy to keep track of our weight loss / maintenance goals, and to get back on track in case of straying. Happens often with me :)

1. Download a Pedometer app. It measures the number of steps you take every day. You don’t need to switch it on or anything, just carry your phone with you, and it will go about its job of recording the number of steps you take. Aim for 10,000 per day. But its great even if you hit 5000. That would be approximately 3 km for an averagely tall person. The recommendation is 150 min of exercise per week, recently upped to 250 min for Asian men. This can be recorded too.

2. Maintain a Food diary. eg SuperTracker, MyFitnessPal, WebMD, etc. Be diligent and consistent with recording every single bit of food that enters your mouth. These apps will give you the total calories consumed, along with breakup of major food components, ie proteins / fats / carbs / sodium consumed. It also gives you your BMR, the number of calories you need for just normal body function. And when you enter your exercise, it calculates calories burnt. Aim for 500 calories per day LESS than your requirement, if you aim to lose weight in a gradual, healthy way. Just the act of maintaining the diary creates a consciousness and automatically, you start to make healthy choices and begin to see results. Try it, it really works. Its easy, and free!

3. BMI calculator. BMI is the ratio of height to weight. Definitely aim for a level below 25, and ideally for Asians, below 22. This app also gives you another important value, the body fat percentage. Aim for 25 – 30% if you are a

woman, and 18 – 24% for men.

When you aim for weight loss, it is very important to look for fat loss rather just weight loss, which could be muscle loss and that’s not healthy. So when you go to a ‘Slimming Clinic’ and triumphantly lose weight, check. Is it fat, or muscle you’ve lost. Talk to the staff before starting a program, and make sure you’re going in the right direction. How you lose fat will depend on your individual exercise program and your diet but essentially its important to reduce your carbohydrate intake and maintain adequate protein intake.   Measure also the ratio of waist circumference to hip circumference, this tells you about your ‘visceral’ fat – the fat around your organs. Higher visceral fat is more dangerous for the heart than, say , fat on the arms or thighs. This ratio should be no more than 0.7 for women and 0.8 for men. In absolute numbers, women should aim for a waist circumference of 80 cm ( 31 inches) and men, 90cm, 35 inches. Above this, your health is at risk.

Waist to Hip Ratio Men Women
Ideal 0.8 0.7
Low Risk <0.95 <0.8
Moderate Risk 0.96-0.99 0.81 – 0.84
High Risk >1.0 >0.85

4. You can share your goals and progress with friends you can invite on the same apps. This makes you accountable and makes it easier to achieve your goals. And provides support if you happen to slip ( it will happen, don’t beat yourself up over it.)

So StayHealthy!