September 30, 2012

Nutritional Biochemistry

What I actually eat, part II – “IFIK” (circa Q3 2012)

Read Time 8 minutes

Note to readers: This post was written in September of 2012.  PLEASE do not ask me why I eat ‘this’ or why I don’t eat ‘that’ — as what is shown here does not necessarily reflect what or how I eat today (or more importantly, how you should eat).  My diet evolves constantly, due to my constant tweaking and self-experimentation. Over time, I’ll share it here and there, but what I eat is not at all the focus of this blog.  I ask that you refrains for asking questions about what I eat your comments.

 

For reasons I don’t fully understand the most read post on this blog is one I wrote very quickly and with very little thought.  I wrote it in response to a question I’m asked all the time, “What do you actually eat?”  The post, aptly titled, What I actually eat, has more than twice the traffic of the next three most read posts combined. Go figure.

After a full year in “strict” (i.e., no “cheat” days) nutritional ketosis I wanted to experiment with other eating patterns.  I had been reading about intermittent fasting (IF), and had a few discussions and exchanges with Mark Sisson and Robb Wolf about it.  Though I don’t know Brad Pilon or Martin Berkhan personally, I’d also read a few interesting things they had written.

Why the change?

My curiosity was sufficiently piqued to break a golden rule – if it ain’t broke, don’t fix it.

I was very happy after a year of nutritional ketosis, but I did wonder if I could improve on a few things.  For starters, as my cycling season was about to ramp up, I wondered what it would be like to weigh 75 kg (165 pounds) instead of my steady-state weight of about 78 kg (172 pounds).  I know 3 kg does not sound like a lot, but it can make a huge difference when riding up Mount Palomar, assuming one can preserve power output. I also liked the idea of not spending so much time eating.  As you probably know, I’m pretty obsessive about how I utilize the 168 hours in each week and resent anything that takes me away from my family, my work, and my training.  (This includes sleep, which I wish I could figure out a way to thrive without.)

In the end, I think Mark Sisson finally just egged me on enough to agree to at least give it try – even just one day per week.  And with that, I embarked on the next phase of my nutritional odyssey.

I decided, in early May, to start with the following protocol: one meal per 24 hours, twice a week.  On the other 5 days I consumed my usual keto-diet.  On the two IF days I would just eat one meal at around dinner time.  I still consumed normal amounts of liquids (water, coffee, tea) and supplements (see list below), with one exception – on fasting days I doubled the amount of sodium I supplemented via bouillon from 2 gm per day to 4 gm per day.

Like all nutritional changes, this one took some getting used to.  Because I exercise in the mornings, on fasting days I would get pretty hungry by about 10 or 11 am.  Interestingly, though, by about 2 pm, as my blood glucose levels would be between 60 and 70 mg/dL, I would start to feel completely fine.  In fact, by about 5 or 6 pm, just before eating my meal, I found I wasn’t really hungry.  This may have been due to the fact that my B-OHB levels were usually above 3 mM by this time of day.

Why do I call it “IFIK?”

Not surprisingly, after eating 100 gm of protein and 40 gm of carbohydrates in one sitting, my B-OHB levels would fall, often below 0.5 mM, the practical threshold of nutritional ketosis.  Usually within 24 hours I’d be back to my normal levels, generally between about 1 and 2 mM. But, the cycling in and out of ketosis was new to me, hence the phrase “intermittent fasting, intermittent ketosis,” or “IFIK.”  I guess you can see why I didn’t end up in marketing – “if-ik” doesn’t really have a nice ring to it.

The purpose of this post is not to provide a detailed overview of IF or ketosis, but rather to address the following common questions I often get asked in response to the original post on what I ate:

  1. Question: Peter, why do you eat so much dairy?  Answer: I don’t.  That was a year ago.  I did eat a lot of dairy, and seemed to tolerate it quite well. I realize that’s not true for everyone. Regardless, I seem to eat much less today.
  2. Question: Peter, is ketosis for everyone? Answer: Of course not.  Besides oxygen and water, few things are.
  3. Question: Peter, why do you eat so much meat? Answer: I don’t.  In fact, some days I don’t eat any.  Other days I do. I obviously don’t think there is anything harmful with eating meat (read this post for a refresher), but I’m quite happy eating lots of non-meat items, too.
  4. Question: Peter, how can anyone possibly do anything athletic without carb loading? Answer: It’s easy.  Anyone can do it, if they are just patient and let their body adapt.
  5. Question: Peter, you eat like a freak (ok, not really a question!) Response: And your point is?

What happened after several months of IFIK?

Interestingly, I did lose weight.  After briefly hitting 163 to 164 pounds, I settled out at where I am right now, about 165 to 166 pounds, right at my 75 kg target.  I have not yet repeated a DEXA scan to confirm, but I suspect I lost a bit of muscle, along with more fat, probably at about a 1:2 ratio.  My last DEXA measured a body fat of about 9%, and I suspect I’m about the same, though my waist is half an inch smaller than when I started, so I may be closer to 8%.

Why do I think this happened?

In the IF community there are really two (maybe more) theories on why I lost weight.  I won’t describe them here in any detail, but will do so in subsequent posts.  One hypothesis is that I’m simply consuming fewer of the same high quality calories than I did before.  The other hypothesis is that the physiologic response to IF (rather than the response to prolonged fasting) is to increase my REE during the period of IF, possibly through the up- and or down-regulation of various hormones.  Of course, it could be a combination of these, or something entirely different, too.

Drumroll….

Before getting to the part that folks who are still reading probably care about, let me point out a few differences between what I eat today and what I ate a year ago.

  1. I consume, on average, fewer calories per day.  I am also lighter, and we know TEE varies with body mass, so it’s not surprising that most days I am not eating over 4,000 kcal, as I used to. Of course, one might argue my body has become more metabolically efficient at utilizing substrate, and so my REE is lower than it was a year ago.  Finally, I do exercise less than last year.  Hence, there are many explanations for this difference.
  2. I consume less dairy. Don’t read too much into this.  There is nothing deliberate about it, just an observation of my behavior.
  3. I consume less meat of all varieties.  Again, don’t read too much into this.  I have no explanation except that I seem to crave it in lower amounts and less frequently.
  4. I consume more overall carbohydrates, though still virtually zero sugar or refined carbohydrates. Most of this additional carbohydrate is in the form of nuts and SuperStarch.
  5. I consume virtually zero sugar substitutes, except for the little bit in my SuperStarch and protein powder (sucralose).  I also drink, at most, about one diet soda per month.
  6. I spend less money on food.
  7. I spend less time eating.
  8. Currently I only eat three meals per day about once a week. I eat two meals per day probably 4 times per week, and one meal per day twice per week.

To calculate the nutritional content of my intake I use a piece of software called Nutritionist Pro, which is not for the faint of heart. It’s one step removed from a DOS prompt. In addition to costing about $600 a year, it’s not exactly user-friendly.  I’d probably describe it as “user-hostile,” actually.  But, it’s really accurate and has a database that is unrivaled.  The reports, once you learn how to generate them, are very good, also.

Three consecutive days of representative eating

Keep in mind, I don’t count my calories or weigh my food normally.  I do it periodically, such as at this time, when I’m curious as to what I’m actually eating.  I believe I’m able to do so without eliciting the Hawthorne Effect, but obviously one can never be positive.

Tuesday

  • 7 am — morning workout – flat intervals on bike (75 minutes).
  • 1 pm – Nicoise salad:2 cup butterhead lettuce, 1 tomato, 10 black olives, 8 oz tuna steak, 1 hard boiled egg, 0.5 cup red onion, 2 oz lemon juice, 4 tbsp olive oil, 1 tbsp mustard.
  • 7 pm – Chicken salad with nuts:2 cup romaine lettuce, 1 tomato, 0.5 cup cucumber, 2 oz cashews, 2 oz walnuts, 8 oz chicken breast, 6 tbsp olive oil, 2 tbsp balsamic vinegar.

Daily totals:

Carbohydrate – 89 gm

Protein – 131 gm

Fat – 218 gm (about 15% SFA, 70% MUFA, 15% PUFA)

Calories – 2,900

Wednesday

  • 6 am — morning workout – high intensity dry land (90 minutes).
  • 3 pm – The “Peter Kaufman shake” (named after my good friend, Peter Kaufman at Generation UCAN, who hooked me up with the recipe):
    4 oz heavy cream, 8 oz zero-sugar almond milk, 1 pack chocolate protein SuperStarch, 2 tablespoons almond butter, 8 gm additional glutamine, 1 tray of ice cubes (blended to smoothie consistency).
  • 7 pm – Chicken-nut omelet:
    4 eggs, 0.5 avocado, 3.5 oz cheddar, 3 oz red onion, 2 oz walnuts, 2 oz cashews, 4.5 oz chicken thigh, 2 tbsp butter

Daily totals:

Carbohydrate – 60 gm (30 gm of which is SuperStarch)

Protein – 151 gm

Fat – 226 gm (about 40% SFA, 35% MUFA, 25% PUFA)

Calories – 2,800

Thursday

  • 7 am — morning workout – hill intervals on bike (75 minutes).
  • 5 pm – Attia super salad:
    1.5 cup romaine lettuce, 0.5 cup cucumber, 0.25 cup mushroom, 1 tomato, 3 oz sliced T-bone steak, 2 oz cashews, 2 oz peanuts, 2 oz macadamia nuts, 8 tbsp olive oil, 2 tbsp balsamic vinegar.
  • Between 6 and 8 pm – after-dinner snack consisting of:
    3 oz cashews, 1 oz almonds, 2 oz peanuts, 1 oz macadamia nuts, 2 cups of coffee with a total of 6 tbsp heavy cream.

Daily totals:

Carbohydrate – 94 gm

Protein – 93 gm

Fat – 369 gm (about 20% SFA, 65% MUFA, 15% PUFA)

Calories – 3,800

My daily supplements

Note: I am only listing the products I use, and not trying to convince you that my brand of vitamin D is superior to another.  If I feel strongly about a product, I note it. But this is not a product pitch. I don’t make one penny off you buying any of these products.

Fish oil

1 tablespoon of Carlson’s Very Finest Fish Oil, providing 2,400 mg EPA and 1,500 mg DHA.  I do feel this is a superior product and I’ve had detailed toxicology analytics conducted on the product to confirm the absence of lead, arsenic, mercury, and other toxins.

Vitamin D

5,000 IU D3 in gel capsule, by NOW.

Magnesium

400 mg magnesium oxide by Nature Made.

Sodium

2,000 mg in the form of bouillon, typically by Knorr.

MCT oil

Either 2 or 3 tablespoons, depending on activity level, by NOW.

Probiotic

2 capsules of Mark Sisson’s Primal Flora, providing 60 billion CFU.  The reason I use Mark’s product is because I know and trust him, and I know how much homework he did in formulating this product.

One of the topics I’m currently getting steeped in is gut biota, and I’m hanging out a lot with a San Diego expert on the topic, UCSD Professor Larry Smarr, who has repeatedly sequenced his entire gut biome, with the help of Craig Venter at Synthetic Genomics and others at MIT.  As Larry points out, the challenge of “moving the needle” with probiotics is that they only provide the aerobic bacteria while, of course, most of our gut biome is anaerobic.  Stay tuned for much more on this topic.

Closing thoughts

  1. My performance, especially in light of my reduced training volume (or maybe because of it!) has not deteriorated.  In fact, this week I had 3 best times in 3 of the activities I do weekly (tire flipping/sledge hammer/plyometic routine (1:04); short sprint up 15-18% grade (0:39), and long sprint up 8% grade (3:29)).  It’s possible the added carbohydrate, relative to my constantly ketotic state, has facilitated this, despite consuming about 15% of the carbohydrate I used to consume on my “standard American diet” circa 2008.
  2. I will discuss the impact on my biomarkers in a separate post.
  3. The only drawback I’ve noticed of IFIK so far is that I’ve inadvertently turned my daughter off nuts.  About 4 months ago, after having three consecutive identical dinners (chicken-nut-salad), she called my wife into her room as she woke up and said, “Mommy…we need to talk.  We need to have something different for dinner tonight.  We can have steak…we can have sausage…we can even have regular salad without nuts…but I can’t have nuts in my salad anymore!”  Poor girl… So now I have to make my salads separately.

 

Photo by Dan Gold on Unsplash

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569 Comments

  1. Hi Peter,

    As far as gut flora and probiotics is concerned, have you considered fermented dairy and vegetables as a source?

  2. Hi Peter, thanks heaps for sharing. Your blogs are helping me alot.

    Just a quick couple of questions.

    I notice you regularly workout in the mornings but may not eat for 4-5hours after. Do you have your supplements after?

    Also what are your thoughts on young drinking coconuts? Are they high in carbs? Can they replenish glycogen? Can they keep you out of ketosis?

    And one more thing, I have changed my diet over the last 2-3 weeks to try and achieve ketosis, but I am getting quite constipated. In the past I took a product called Motion Potion to help with this, but stoped while trying to achieve ketosis because it contains wheat & barley grass. Can you recommend taking anything else that will not affect ketosis too much? Like maybe just plain pysillium husk and maybe some slippery elm powder etc?

    Thanks,
    Dan

    • The only workout I like to supplement right after is HIIT, where I always try to get 6 to 8 gm BCAA during the workout and about the same amount of glutamine post. MCT, magnesium, and bouillon seem to cure most bouts of irregularity.

    • Thanks for the reply Peter, but do you also know much about young coconuts? As in do they contain too much carbs etc for ketosis? Having 2 per day was really helping with regularity, but I think it was keeping me out of ketosis.
      They are one of my favourite foods though and seem to be good for exercise etc.

      Regards,
      Dan

  3. Really interesting to see you (kind of) adopt a couple of IF days in your week. IF works wonders for my (type1) diabetes. Really looking forward to your post on type 1 diabetes and ketosis! I hope that your frequency of posts means you’re getting to spend more time with family. Can’t wait for the next update!

  4. Peter,

    Your story (in general) is similar to mine in most respects. Low carb for 22 mth nows, with a similar diet, with my favorite new addition post workout the fat shake (4 oz of heavy cream, 8 oz of unsweetened almond milk, scoop of chocolate whey protein)….and enjoyingly gulp it down with my supplements – as i hear fish oil and vit D, since fat soluable, should be taken with a fatty meal.

    My driver to the LC lifestyle was the avoidance of perscribed statin – not weight loss, as i only gained like 5-7 post in the 25 years post college.

    Lipid panel pre-LC was 262 total, 168 ldl, and 40 hdl, trig at 96
    After low carb, went to 282 total, 189 ldl and 75 hdl, trig at 95

    Very happy i reduced ratio of total/hdl from 5.1 to 3.9 and my trig/hdl ratio is quite favorable.
    I do want to get an NMR lipid test as well to calm my wife’s fears about my LDL

    i will toss in what i eat.

    Breakfast: post workout (20 min cardio, 25 min of intense weights – one body part a day)
    – fat shake (as i noted above), non-workout days (weekends) big omelet (4 eggs, bacon, cheese, cooked in bacon grease – so good!)
    Snack: 3 hardboiled eggs, or pork rinds, or almonds, plus 2 brazil nuts a day for selenium
    Lunch
    – chicken or steak ceaser salad, or just steak and broccoli, or check salad, or similar
    Dinner
    – hamburger patties, or steak, or tuna salad, or chicken salad (no bread of course in anything), broccoli, perhaps side salad, a block of whatever cheese is in the house, or an omelete (4 eggs min plus cheese and bacon)
    Snack
    – tablespoon of organic butter, or nuts or perhaps 85% dark chocolate (not too much), or rolled deli meat, or a few eggs

    Food cooked in butter, bacon grease (have 2 jars in fridge from when wife baked 3 lbs of nitrate free bacon, or coconut oil (this is a fantastic foo, which trader joe’s now carries at a great price!)

    Note: one thing i miss is crunchy food. Found microwaveable pork pellets (raw rinds), and fantastic replacement for chips in nacho supreme, or great to replace the bagel in a bagel and lox meal!!! Just $10 delivered for a 1 lb bags and just 2 min in the microwave makes them better than the store bought (who knows what oil) fried type – called Carolina Gold Nuggets Pork Rinds. sometimes i just load these chips with home made guacomole

    i have used the Fat Secret App on my smartphone to track everything i put in my mouth over a 2 week period (do this every now and them to measure or check carbs). Nice parts, it does running totals thru the day on total carbs, or even net carbs (of fiber), can track protein so i stay at less than 1 grm per lean body mass, and what i found out i have approx 72% of my calories from fat, 23% from protein, and 5%, or so, from carbs. PDF print out daily summary you can generate are cool _ and the app is free. Another great feature is you can just scan the barcode with your smartphone and it populate the food into your data, so cool.

    Like you i dont count calories, but just eat, but my intake seems to hover around 2500 a day. I don’t work out as much as you (- but i have trained for over 20 years and am in pretty decent shape – and if is a good feeling knowing i am more fit than the much younger guys at work! My past diet, for 20+ when i trained was low fat and all my friends are amazed by my 180 deg change on habits.

    As for results, i dropped perhaps 5 pounds, i never crave food, feel like i put on a few good pounds of lean mass. Had to redo my wardrobe as my waist dropped 2 inches, body fat prob down from 12% to 10% – feel great!!! Wife still nervous i am slowly killing myself – but she is accepting it – slowly.

    On a lighter side, what i have learned is to not go into this lifestyle (i don’t call it a diet) when out to dinner with others, or new friends – all it leads to is me ranting on our how saturated fat has never been linked to CHD, how for example eskimos never has incidence of diabetes or cancer, etc until they went from 70% fat diet to a western diet etc……..EVERYONE (99%) thinks i am a NUT, but i got about 6 people to attempt the life style change, of which 2 are on it for over 18 mths – and think i am a genius (thanks to you and Taubes, and all the other nice guys i read regularly online). Funny note: a common comment from others is “moderation is the key”. I bite my tongue every time and have learned to just nod my head yes.

    Anyway, enough ranting, now on to my question:

    Question: Why magnesium oxide? From what I read this is by far the least absorbed type. Better no to get a chelated form, ending in ‘ite’ or ‘ate’ like magnesium citrate? or magnesium aspertate? I take two types, GNC super magnesium (mag lactate, mag citrate, apertate) and a magnesium/potassium aspertate combo.

    Thanks for your time and letting me share your story.
    Your site is great and I am looking very forward to the things NUSI can do.

    Keep up the GREAT work,

    Evan

    • I had a bit of a chuckle with this one, a lot of overlap with my past 12 months.

      RE Mg, Morley Robbins has some interesting stuff to say on this topic:

      https://magnesiumman.com/

      He has also been interview by Jimmy Moore, Dr O (not Dr Oz!) and Sean Croxton

      Chris

    • Just a thought on moderation: I know someone who was strictly paleo for several months – never cheated. At a New Year’s Eve party she was completely undone by a tray of cookies. She fell completely off the paleo bandwagon and was back to eating SAD for two years before I encouraged her to go back to paleo. In her case, I really think a little cheating would have gone a long way to keeping her on the right track in the long run.

      That’s great that you can avoid all the SAD stuff completely (I envy you, I really do) but I honestly don’t think that’s realistic for everyone.

  5. awesome post! thanks for putting it out there. I’m still experimenting with nutritional ketosis on myself – can’t believe I lived my whole life thinking chronic fatigue was normal, feel like I’ve been freed from a cage. I expected the extra energy to dial down after a few weeks but nutritional ketosis (or at least low carb – I only have ketostix so I’m not really sure if I’m in nutritional ketosis) has allowed me seemingly boundless energy even after 5 weeks! I eat up all new information you post and I’m doing my part by putting my experience out there. I think it’s important.

    ps. I’m jealous of your nut consumption – I’m crazy allergic, but man, even the smell of a jar of mixed nuts makes me drool.

    • Hi Crista!
      Could you post what you tend to eat over the course of a couple of days? I am trying to do it too with just ketostix (can’t afford the fancy stuff) and would love to feel more energy…have felt fatigued all my life, too. Thanks!

  6. Peter: Excellent information. One question regarding the addition of SuperStarch to your shake; have you measured your 1-hour postprandial glucose level after drinking the shake, and, if so, what type of readings did you experience? I am somewhat skeptical of so called safe starches but am open minded to learning more about them. Thank you.

    • I have not done so in a controlled manner. Any postprandial measurements I do are confounded by other factors (e.g., exercise, other food intake). In a subsequent post, I’ll review the internal and external literature on this topic and others pertaining to SS.

  7. Thank you for the new post! Regarding the traffic, can you tell if someone is reading the actual post versus coming back to catch up on recent comments?

  8. Thank you for this post and for your very informative site. Do you still use heavy cream in your coffee even on IF days? Also, it seems many people are questioning the possible differences in men and women regarding IF as well as carbohydrate restriction. As a female I am wondering about the effects of IF and if long term carbohydrate restriction is somehow detrimental (thyroid problems?). I know you are tremendously busy, but if these topics ever interest you in terms of research, I would love to know your take. Thank you again for this very helpful site.

    • Are you still planning on writing that post? I don’t think I’ve seen this article, and I see it’s still on your “Coming Soon” page. I know you’re incredibly busy, but I’d be extremely interested to read your thoughts on PUFAs, Omega 6 and Omega 3…even if it’s just a quick “High levels of omega 6 [are/are not] ok to eat because they [do/do not] stimulate inflammation in a really [bad/groovy] way.”

  9. Hello, Peter. It’s been about a year since I’ve found your site and I am all the more healthier because of it. I am happy and excited that you have finally launched NuSi and that your vision and passion are alive and well! I see your eating plan has changed somewhat–well, quite a bit! When I discovered this site a year ago, I’d also discovered The Bulletproof Executive (https://www.bulletproofexec.com/) and have been incorporating both your science and ideals in with the ideals of Dave Asprey–particularly IF. I totally attribute the two “lifestyles” I’ve adapted to the fact that I have lost 15lbs and no longer require blood pressure medication! I’d asked you then if you were aware of Dave’s “teachings” and you said, then, that you were not familiar with the site at all. So I’m curious, again, as to whether you’ve come across the site/Dave Asprey and your thoughts, if any? Especially the Bulletproof coffee– :). Again, kudos, and here’s to living, healthily, until we’re 125 years old!

  10. Peter,
    I’m curious about the KNORR bullion. It’s got sugar and MSG in it. As do 98% of the bullion you find in supermarkets. Does the sugar and MSG worry you?

    • Yes, it does, but in very small amounts, especially given how I consume no sugar beyond it. I’m also note sure MSG is as “bad” as folks think. It’s quite likely a confounder may be present in those observations. Either way, my doses are pretty trivial. There are some great organic bouillons out there with no sugar or MSG, which I consume when I can find them.

    • Whole Foods carries ‘Rapunzel’, Vegan, Organic Vegetable Bouillon, with Sea Salt and Herbs. Been using it for 3+ mos.; its nice, Swiss product, a little pricey, $3.19 for 8 cubes/16 Servings. My 2C.

      Thanks for all the hard work Dr. Attia.

      Quick question:

      In your teachings you have mentioned discordant & concordant LDL-C/LDL-P. Is there such a thing as totally random LDL-C/LDL-P relationship(or no relationship)?

      Many thanks in advance!

      Indy M.
      Sunnyvale, CA

  11. Hi Peter!

    Great post. I am so interested in all of this, especially since my Doc has suggested a probiotic and deglycerized licorice for what may be some acid reflux. I find this interesting as I have been eating in this manner for over 3 years with what seemed like no digestive problems whatsoever. As of late a bit of sleeping problems and have awakened with some indegestion. I will definately look into Primal Flora. Thanks for all the info.

  12. Peter,
    this was very interesting. Thanks for sharing what you do. I think people enjoy these particular posts because ultimately they want to know, regularly, that you practice what you preach, because so many others don’t. 😉
    I had bloodwork done for the first time after 7 months of low-carb (50-100grams/day) and Insulin was at 2.2, C-reactive protein at 0.9
    H A1c was elevated at 5.9 but doctor is testing hemoglobin to make sure it was normal before. I had never been diagnosed as pre-diabetic but as a previous sugar addict I’m wondering.
    The surprise was that my previous sky-high TSH (anywhere between 8 and 14) was closer to normal at 6.45 so I’m curious if you know whether a low-carb diet can positively affect thyroid function (non-Hashimoto’s, normal T4 and T3). I did not change any supplements.
    Also my doctor did an InBody 230 scan, supposedly close in accuracy to DEXA (I hope) and body fat had dropped from about 29% to23.6% with weight loss of only 10 lbs in the same time. I’m hoping I can get it down quite a bit more by adding an upper body strength training routine (which I now have the energy to do. 🙂 )
    Thanks for all the great work you do.
    I hope at some point to read a post about superstarch and why you find it is better than natural food starches like potatoes or root veggies.

    • I will definitely write at length about what makes SuperStarch so unique. There is no food on earth like it, actually. The thyroid topic is also worthy of an entire post, but it will need to wait a while.

    • I too have a fairly hight A1c at 5.9. My iron count is on the low end of normal so my doctor put me on an iron suppliment to cancel the so called false high of my A1c.

  13. Interesting stuff! I too am a bit of a nerd when it comes to gut biota. Its kind of amusing to hear you mention it, because extremely low carb diets tend to starve the gut flora. Have you looked into FIAF (fasting induced adipose factor) at all? I’d be interested to hear your thoughts on ways to manipulate gut flora to our advantage.

  14. Peter, interesting post, and thanks for the update. Now this might become your 1st or 2nd most-read post!
    Really, it’s not surprising; it can be difficult to determine what to eat for optimal health. I appreciate you taking the time to put your information here.
    Regarding your magnesium supplement: I took MagOx on the advice of my cardiologist, after he ruled out any pathology, for irregular rapid heart rate (during mild exercise, my HR would suddenly go up to around 200 bpm and then become irregular). The MagOx didn’t do anything for me. However, later on the advice of a chiropractor, I switched to magnesium citrate, and it absolutely cured the problem.
    I now take chelated magnesium glycinate (so that I can take more w/o the ill effects of mag citrate), as well as I use a little magnesium oil. I wanted to relate this because it was the chiro’s opinion that MagOx is not readily bio-available, and this seemed to be true in my experience. I think it was Dr. Eades where I first read about magnesium glycinate.

    • I’ve been following this discussion, and to date I haven’t convinced myself that one formulation is better than another, though it sounds like there are exceptions, as you’ve experience.

    • Dr. A,
      Regarding magnesium, if one formulation is not better than another, then why not take one that may be better absorbed?
      I am going by my experience, as well as what I read from Mark Sisson (“The chelated magnesiums . . . tend to be the best absorbed. You can also apply magnesium oil topically for transdermal absorption.”) and other sources.

      • Could be true, but not sure how I’d validate it, as serum magnesium levels have little relation to total body levels (that which we care about). I take Mg to spare potassium. Since I never cramp, and my serum K levels are normal, I suspect whatever I’m doing is good enough, even if there are other/better options.

  15. Hi Peter, are you aware of Arthur De Vany’s Evolutionary Fitness methodology? If yes, will you please comment on his nutrition and exercise approach. Thanks, Joel

  16. Hey Peter–as usual, great post. I always appreciate your candor and thoroughness. Like you, I have a fondness for nuts. Do you shell your own? I don’t, typically I buy raw cashews and such from the whole foods bulk bin. After reading about the dangers of mold in all types shelled nuts I’ve been reconsidering my consumption of them. You are probably aware of this…any thoughts? Thanks as always!!! Julia

    • Some yes, but mostly no. I’ve been dodging bullets so far, I guess, if mold is that much of a problem. I don’t know how much of a problem this is.

  17. What are your thoughts on the use of a fermented sauerkraut to help provide some probiotics (anaerobic ones, I believe)?

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