For the sake of convenience: Commercial sources of prebiotic fibers

Our efforts to obtain prebiotic fibers/resistant starches, as discussed in the Cureality Digestive Health Track, to cultivate healthy bowel flora means recreating the eating behavior of primitive humans who dug in the dirt with sticks and bone fragments for underground roots and tubers, behaviors you can still observe in extant hunter-gatherer groups, such as the Hadza and Yanomamo. But, because this practice is inconvenient for us modern folk accustomed to sleek grocery stores, because many of us live in climates where the ground is frozen much of the year, and because we lack the wisdom passed from generation to generation that helps identify which roots and tubers are safe to eat and which are not, we rely on modern equivalents of primitive sources. Thus, green, unripe bananas, raw potatoes and other such fiber sources in the Cureality lifestyle.

There is therefore no need to purchase prebiotic fibers outside of your daily effort at including an unripe green banana, say, or inulin and fructooligosaccharides (FOS), or small servings of legumes as a means of cultivating healthy bowel flora. These are powerful strategies that change the number and species of bowel flora over time, thereby leading to beneficial health effects that include reduced blood sugar and blood pressure, reduction in triglycerides, reduced anxiety and improved sleep, and reduced colon cancer risk.

HOWEVER, convenience can be a struggle. Traveling by plane, for example, makes lugging around green bananas or raw potatoes inconvenient. Inulin and FOS already come as powders or capsules and they are among the options for a convenient, portable prebiotic fiber strategy. But there are others that can be purchased. This is a more costly way to get your prebiotic fibers and you do not need to purchase these products in order to succeed in your bowel flora management program. These products are therefore listed strictly as a strategy for convenience.

Most perspectives on the quality of human bowel flora composition suggest that diversity is an important feature, i.e., the greater the number of species, the better the health of the host. There may therefore be advantage in varying your prebiotic routine, e.g., green banana on Monday, inulin on Tuesday, PGX (below) on Wednesday, etc. Beyond providing convenience, these products may introduce an added level of diversity, as well.

Among the preparations available to us that can be used as prebiotic fibers:

PGX

While it is billed as a weight management and blood sugar-reducing product, the naturally occurring fiber--α-D-glucurono-α-D-manno-β-D-manno- β-D-gluco, α-L-gulurono-β-D mannurono, β-D-gluco-β- D-mannan--in PGX also exerts prebiotic effects (evidenced by increased fecal butyrate, the beneficial end-product of bacterial metabolism). PGX is available as capsules or granules. It also seems to exert prebiotic effects at lower doses than other prebiotic fibers. While I usually advise reaching 20 grams per day of fiber, PGX appears to exert substantial effects at a daily dose of half that quantity. As with all prebiotic fibers, it is best to build up slowly over weeks, e.g., start at 1.5 grams twice per day. It is also best taken in two or three divided doses. (Avoid the PGX bars, as they are too carb-rich for those of us trying to achieve ideal metaobolic health.)

Prebiotin

A combination of inulin and FOS available as powders and in portable Stick Pacs (2 gram and 4 gram packs). This preparation is quite costly, however, given the generally low cost of purchasing chicory inulin and FOS separately.

Acacia

Acacia fiber is another form of prebiotic fiber.  RenewLife and NOW are two reputable brands.

Isomalto-oligosaccharides

This fiber is used in Quest bars and in Paleo Protein Bars. With Quest bars, choose the flavors without sucralose, since it has been associated with undesirable changes in bowel flora.

There you go. It means that there are fewer and fewer reasons to not purposefully cultivate healthy bowel flora and obtain all the wonderful health benefits of doing so, from reduced blood pressure, to reduced triglycerides, to deeper sleep.

Disclaimer: I am not compensated in any way by discussing these products.

How Not To Have An Autoimmune Condition


Autoimmune conditions are becoming increasingly common. Estimates vary, but it appears that at least 8-9% of the population in North America and Western Europe have one of these conditions, with The American Autoimmune Related Diseases Association estimating that it’s even higher at 14% of the population.

The 200 or so autoimmune diseases that afflict modern people are conditions that involve an abnormal immune response directed against one or more organs of the body. If the misguided attack is against the thyroid gland, it can result in Hashimoto’s thyroiditis. If it is directed against pancreatic beta cells that produce insulin, it can result in type 1 diabetes or latent autoimmune diabetes of adults (LADA). If it involves tissue encasing joints (synovium) like the fingers or wrists, it can result in rheumatoid arthritis. It if involves the liver, it can result in autoimmune hepatitis, and so on. Nearly every organ of the body can be the target of such a misguided immune response.

While it requires a genetic predisposition towards autoimmunity that we have no control over (e.g., the HLA-B27 gene for ankylosing spondylitis), there are numerous environmental triggers of these diseases that we can do something about. Identifying and correcting these factors stacks the odds in your favor of reducing autoimmune inflammation, swelling, pain, organ dysfunction, and can even reverse an autoimmune condition altogether.

Among the most important factors to correct in order to minimize or reverse autoimmunity are:


Wheat and grain elimination

If you are reading this, you likely already know that the gliadin protein of wheat and related proteins in other grains (especially the secalin of rye, the hordein of barley, zein of corn, perhaps the avenin of oats) initiate the intestinal “leakiness” that begins the autoimmune process, an effect that occurs in over 90% of people who consume wheat and grains. The flood of foreign peptides/proteins, bacterial lipopolysaccharide, and grain proteins themselves cause immune responses to be launched against these foreign factors. If, for instance, an autoimmune response is triggered against wheat gliadin, the same antibodies can be aimed at the synapsin protein of the central nervous system/brain, resulting in dementia or cerebellar ataxia (destruction of the cerebellum resulting in incoordination and loss of bladder and bowel control). Wheat and grain elimination is by far the most important item on this list to reverse autoimmunity.

Correct vitamin D deficiency

It is clear that, across a spectrum of autoimmune diseases, vitamin D deficiency serves a permissive, not necessarily causative, role in allowing an autoimmune process to proceed. It is clear, for instance, that autoimmune conditions such as type 1 diabetes in children, rheumatoid arthritis, and Hashimoto’s thyroiditis are more common in those with low vitamin D status, much less common in those with higher vitamin D levels. For this and other reasons, I aim to achieve a blood level of 25-hydroxy vitamin D level of 60-70 ng/ml, a level that usually requires around 4000-8000 units per day of D3 (cholecalciferol) in gelcap or liquid form (never tablet due to poor or erratic absorption). In view of the serious nature of autoimmune diseases, it is well worth tracking occasional blood levels.

Supplement omega-3 fatty acids

While omega-3 fatty acids, EPA and DHA, from fish oil have proven only modestly helpful by themselves, when cast onto the background of wheat/grain elimination and vitamin D, omega-3 fatty acids compound anti-inflammatory benefits, such as those exerted via cyclooxygenase-2. This requires a daily EPA + DHA dose of around 3600 mg per day, divided in two. Don’t confuse EPA and DHA omega-3s with linolenic acid, another form of omega-3 obtained from meats, flaxseed, chia, and walnuts that does not not yield the same benefits. Nor can you use krill oil with its relatively trivial content of omega-3s.

Eliminate dairy

This is true in North America and most of Western Europe, less true in New Zealand and Australia. Autoimmunity can be triggered by the casein beta A1 form of casein widely expressed in dairy products, but not by casein beta A2 and other forms. Because it is so prevalent in North America and Western Europe, the most confident way to avoid this immunogenic form of casein is to avoid dairy altogether. You might be able to consume cheese, given the fermentation process that alters proteins and sugar, but that has not been fully explored.

Cultivate healthy bowel flora

People with autoimmune conditions have massively screwed up bowel flora with reduced species diversity and dominance of unhealthy species. We restore a healthier anti-inflammatory panel of bacterial species by “seeding” the colon with high-potency probiotics, then nourishing them with prebiotic fibers/resistant starches, a collection of strategies summarized in the Cureality Digestive Health discussions. People sometimes view bowel flora management as optional, just “fluff”–it is anything but. Properly managing bowel flora can be a make-it-or-break-it advantage; don’t neglect it.

There you go: a basic list to get started on if your interest is to begin a process of unraveling the processes of autoimmunity. In some conditions, such as rheumatoid arthritis and polymyalgia rheumatica, full recovery is possible. In other conditions, such as Hashimoto’s thyroiditis and the pancreatic beta cell destruction leading to type 1 diabetes, reversing the autoimmune inflammation does not restore organ function: hypothyroidism results after thyroiditis quiets down and type 1 diabetes and need for insulin persists after pancreatic beta cell damage. But note that the most powerful risk factor for an autoimmune disease is another autoimmune disease–this is why so many people have more than one autoimmune condition. People with Hashimoto’s, for instance, can develop rheumatoid arthritis or psoriasis. So the above menu is still worth following even if you cannot hope for full organ recovery

Five Powerful Ways to Reduce Blood Sugar

Left to conventional advice on diet and you will, more than likely, succumb to type 2 diabetes sooner or later. Follow your doctor’s advice to cut fat and eat more “healthy whole grains” and oral diabetes medication and insulin are almost certainly in your future. Despite this, had this scenario played out, you would be accused of laziness and gluttony, a weak specimen of human being who just gave into excess.

If you turn elsewhere for advice, however, and ignore the awful advice from “official” sources with cozy relationships with Big Pharma, you can reduce blood sugars sufficient to never become diabetic or to reverse an established diagnosis, and you can create a powerful collection of strategies that handily trump the worthless advice being passed off by the USDA, American Diabetes Association, the American Heart Association, or the Academy of Nutrition and Dietetics.

Among the most powerful and effective strategies to reduce blood sugar:

1) Eat no wheat nor grains

Recall that amylopectin A, the complex carbohydrate of grains, is highly digestible, unlike most of the other components of the seeds of grasses AKA “grains,” subject to digestion by the enzyme, amylase, in saliva and stomach. This explains why, ounce for ounce, grains raise blood sugar higher than table sugar. Eat no grains = remove the exceptional glycemic potential of amylopectin A.

2) Add no sugars, avoid high-fructose corn syrup

This should be pretty obvious, but note that the majority of processed foods contain sweeteners such as sucrose or high-fructose corn syrup, tailored to please the increased desire for sweetness among grain-consuming people. While fructose does not raise blood sugar acutely, it does so in delayed fashion, along with triggering other metabolic distortions such as increased triglycerides and fatty liver.

3) Vitamin D

Because vitamin D restores the body’s normal responsiveness to insulin, getting vitamin D right helps reduce blood sugar naturally while providing a range of other health benefits.

4) Restore bowel flora

As cultivation of several Lactobacillus and Bifidobacteria species in bowel flora yields fatty acids that restore insulin responsiveness, this leads to reductions in blood sugar over time. Minus the bowel flora-disrupting effects of grains and sugars, a purposeful program of bowel flora restoration is required (discussed at length in the Cureality Digestive Health section.)

5) Exercise

Blood sugar is reduced during and immediately following exercise, with the effect continuing for many hours afterwards, even into the next day.

Note that, aside from exercise, none of these powerful strategies are advocated by the American Diabetes Association or any other “official” agency purporting to provide dietary advice. As is happening more and more often as the tide of health information rises and is accessible to all, the best advice on health does not come from such agencies nor from your doctor but from your efforts to better understand the truths in health. This is our core mission in Cureality. A nice side benefit: information from Cureality is not accompanied by advertisements from Merck, Pfizer, Kelloggs, Kraft, or Cadbury Schweppes.

Cureality App Review: Breathe Sync



Biofeedback is a wonderful, natural way to gain control over multiple physiological phenomena, a means of tapping into your body’s internal resources. You can, for instance, use biofeedback to reduce anxiety, heart rate, and blood pressure, and achieve a sense of well-being that does not involve drugs, side-effects, or even much cost.

Biofeedback simply means that you are tracking some observable physiologic phenomenon—heart rate, skin temperature, blood pressure—and trying to consciously access control over it. One very successful method is that of bringing the beat-to-beat variation in heart rate into synchrony with the respiratory cycle. In day-to-day life, the heart beat is usually completely out of sync with respiration. Bring it into synchrony and interesting things happen: you experience a feeling of peace and calm, while many healthy phenomena develop.

A company called HeartMath has applied this principle through their personal computer-driven device that plugs into the USB port of your computer and monitors your heart rate with a device clipped on your earlobe. You then regulate breathing and follow the instructions provided and feedback is obtained on whether you are achieving synchrony, or what they call “coherence.” As the user becomes more effective in achieving coherence over time, positive physiological and emotional effects develop. HeartMath has been shown, for instance, to reduce systolic and diastolic blood pressure, morning cortisol levels (a stress hormone), and helps people deal with chronic pain. Downside of the HeartMath process: a $249 price tag for the earlobe-USB device.

But this is the age of emerging smartphone apps, including those applied to health. Smartphone apps are perfect for health monitoring. They are especially changing how we engage in biofeedback. An app called Breathe Sync is available that tracks heart rate using the camera’s flash on the phone. By tracking heart rate and providing visual instruction on breathing pattern, the program generates a Wellness Quotient, WQ, similar to HeartMath’s coherence scoring system. Difference: Breathe Sync is portable and a heck of a lot less costly. I paid $9.99, more than I’ve paid for any other mainstream smartphone application, but a bargain compared to the HeartMath device cost.

One glitch is that you need to not be running any other programs in the background, such as your GPS, else you will have pauses in the Breathe Sync program, negating the value of your WQ. Beyond this, the app functions reliably and can help you achieve the health goals of biofeedback with so much less hassle and greater effectiveness than the older methods.

If you are looking for a biofeedback system that provides advantage in gaining control over metabolic health, while also providing a wonderful method of relaxation, Breathe Sync, I believe, is the go-to app right now.

Amber’s Top 35 Health and Fitness Tips

This year I joined the 35 club!  And in honor of being fabulous and 35, I want to share 35 health and fitness tips with you! 

1.  Foam rolling is for everyone and should be done daily. 
2.  Cold showers are the best way to wake up and burn more body fat. 
3.  Stop locking your knees.  This will lead to lower back pain. 
4.  Avoid eating gluten at all costs. 
5.  Breath deep so that you can feel the sides or your lower back expand. 
6.  Swing a kettlebell for a stronger and great looking backside. 
7.  Fat is where it’s at!  Enjoy butter, ghee, coconut oil, palm oil, duck fat and many other fabulous saturated fats. 
8.  Don’t let your grip strength fade with age.  Farmer carries, kettlebells and hanging from a bar will help with that. 
9.  Runners, keep your long runs slow and easy and keep your interval runs hard.  Don’t fall in the chronic cardio range. 
10.  Drink high quality spring or reverse osmosis water. 
11.  Use high quality sea salt season food and as a mineral supplement. 
12.  Work your squat so that your butt can get down to the ground.  Can you sit in this position? How long?
13.  Lift heavy weights!  We were made for manual work,.   Simulate heavy labor in the weight room. 
14.  Meditate daily.  If you don’t go within, you will go with out.  We need quiet restorative time to balance the stress in our life. 
15.  Stand up and move for 10 minutes for every hour your sit at your computer. 
16. Eat a variety of whole, real foods. 
17.  Sleep 7 to 9 hours every night. 
18.  Pull ups are my favorite exercise.  Get a home pull up bar to practice. 
19.  Get out and spend a few minutes in nature.  Appreciate the world around you while taking in fresh air and natural beauty. 
20.  We all need to pull more in our workouts.  Add more pulling movements horizontally and vertically. 
21. Surround yourself with health minded people. 
22. Keep your room dark for deep sound sleep.  A sleep mask is great for that! 
23. Use chemical free cosmetics.  Your skin is the largest organ of your body and all chemicals will absorb into your blood stream. 
24. Unilateral movements will help improve symmetrical strength. 
25. Become more playful.  We take life too seriously, becoming stress and overwhelmed.  How can you play, smile and laugh more often?
26.  Choose foods that have one ingredient.  Keep your diet simple and clean. 
27.  Keep your joints mobile as you age.  Do exercises that take joints through a full range of motion. 
28. Go to sleep no later than 10:30pm.  This allows your body and brain to repair through the night. 
29. Take care of your health and needs before others.  This allows you to be the best spouse, parent, coworker, and person on the planet. 
30.  Always start your daily with a high fat, high protein meal.  This will encourage less sugar cravings later in the day. 
31. Approach the day with positive thinking!  Stinkin’ thinkin’ only leads to more stress and frustration. 
32. You are never “too old” to do something.  Stay young at heart and keep fitness a priority as the years go by. 
33. Dream big and go for it. 
34.  Lift weights 2 to 4 times every week.  Strong is the new sexy. 
35.  Love.  Love yourself unconditionally.  Love your life and live it to the fullest.  Love others compassionately. 

Amber B.
Cureality Exercise and Fitness Coach

To Change, You Need to Get Uncomfortable

Sitting on the couch is comfortable.  Going through the drive thru to pick up dinner is comfortable.  But when you notice that you’re out-of-shape, tired, sick and your clothes no longer fit, you realize that what makes you comfortable is not in align with what would make you happy.   

You want to see something different when you look in the mirror.  You want to fit into a certain size of jeans or just experience your day with more energy and excitement.  The current condition of your life causes you pain, be it physical, mental or emotional.  To escape the pain you are feeling, you know that you need to make changes to your habits that keep you stuck in your current state.  But why is it so hard to make the changes you know that will help you achieve what you want?  

I want to lose weight but….

I want a six pack but…

I want more energy but….

The statement that follows the “but” is often a situation or habit you are comfortable with.  You want to lose weight but don’t have time to cook healthy meals.  So it’s much more comfortable to go through the drive thru instead of trying some new recipes.   New habits often require a learning curve and a bit of extra time in the beginning.  It also takes courage and energy to establish new routines or seek out help.  

Setting out to achieve your goals requires change.  Making changes to establish new habits that support your goals and dreams can be uncomfortable.  Life, as you know it, will be different.  Knowing that fact can be scary, but so can staying in your current condition.  So I’m asking you to take a risk and get uncomfortable so that you can achieve your goals.  

Realize that it takes 21 days to develop a new habit.  I believe it takes triple that amount of time to really make a new habit stick for the long haul.  So for 21 days, you’ll experience some discomfort while you make changes to your old routine and habits.  Depending on what you are changing, discomfort could mean feeling tired, moody, or even withdrawal symptoms.  However, the longer you stick to your new habits the less uncomfortable you start to feel.  The first week is always the worst, but then it gets easier.

Making it through the uncomfortable times requires staying focused on your goals and not caving to your immediate feelings or desires.  I encourage clients to focus on why their goals important to them.  This reason or burning desire to change will help when old habits, cravings, or situations call you back to your old ways.
Use a tracking and a reward system to stay on track.  Grab a calendar, journal or index card to check off or note your daily successes.  Shoot for consistency and not perfection when trying to make changes.  I encourage my clients to use the 90/10 principle of change and apply that to their goal tracking system.  New clothes, a massage, or a day me-retreat are just a few examples of rewards you can use to sticking to your tracking system.  Pick something that really gets you excited.  

Getting support system in place can help you feel more comfortable with being uncomfortable.  Hiring a coach, joining an online support group, or recruiting family and friends can be very helpful when making big changes.  With a support system in place you are not alone in your discomfort.  You’re network is there for you to reach out for help, knowledge, accountability or camaraderie when you feel frustrated and isolated.  

I’ve helped hundreds of people change their bodies, health and lives of the eleven years I’ve worked as a trainer and coach.  I know it’s hard, but I also know that if they can do it, so can you.  You just need to step outside of your comfort zone and take a risk. Don’t let fear create uncomfortable feelings that keep you stuck in your old ways.  Take that first step and enjoy the journey of reaching your goals and dreams.  

Amber Budahn, B.S., CSCS, ACE PT, USATF 1, CHEK HLC 1, REIKI 1
Cureality Exercise Specialist

The 3 Best Grain Free Food Swaps to Boost Fat Burning

You can join others enjoying substantial improvements in their health, energy and pant size by making a few key, delicious substitutions to your eating habits.  This is possible with the Cureality nutrition approach, which rejects the idea that grains should form the cornerstone of the human diet.  

Grain products, which are seeds of grasses, are incompatible with human digestion.  Contrary to what we have been told for years, eating healthy whole grain is not the answer to whittle away our waists.  Consumption of all grain-based carbohydrates results in increased production of the fat storage hormone insulin.  Increased insulin levels create the perfect recipe for weight gain. By swapping out high carbohydrate grain foods that cause spikes in insulin with much lower carbohydrate foods, insulin release is subdued and allows the body to release fat.

1. Swap wheat-based flour with almond flour/meal

  • One of the most dubious grain offenders is modern wheat. Replace wheat flour with naturally wheat-free, lower carbohydrate almond flour.  
  • Almond flour contains a mere 12 net carbs per cup (carbohydrate minus the fiber) with 50% more filling protein than all-purpose flour.
  • Almond flour and almond meal also offer vitamin E, an important antioxidant to support immune function.

2. Swap potatoes and rice for cauliflower

  • Replace high carb potatoes and pasta with vitamin C packed cauliflower, which has an inconsequential 3 carbs per cup.  
  • Try this food swap: blend raw cauliflower in food processor to make “rice”. (A hand held grater can also be used).  Sautee the “riced” cauliflower in olive or coconut oil for 5 minutes with seasoning to taste.
  • Another food swap: enjoy mashed cauliflower in place of potatoes.  Cook cauliflower. Place in food processor with ½ a stick organic, grass-fed butter, ½ a package full-fat cream cheese and blend until smooth. Add optional minced garlic, chives or other herbs such as rosemary.
3. Swap pasta for shirataki noodles and zucchini

  • Swap out carb-rich white pasta containing 43 carbs per cup with Shirataki noodles that contain a few carbs per package. Shirataki noodles are made from konjac or yam root and are found in refrigerated section of supermarkets.
  • Another swap: zucchini contains about 4 carbs per cup. Make your own grain free, low-carb noodles from zucchini using a julienne peeler, mandolin or one of the various noodle tools on the market.  

Lisa Grudzielanek, MS,RDN,CD,CDE
Cureality Nutrition Specialist

Not so fast. Don’t make this mistake when going gluten free!

Beginning last month, the Food and Drug Administration began implementing its definition of “gluten-free” on packaged food labels.  The FDA determined that packaged food labeled gluten free (or similar claims such as "free of gluten") cannot contain more than 20 parts per million of gluten.

It has been years in the making for the FDA to define what “gluten free” means and hold food manufactures accountable, with respect to food labeling.  However, the story does not end there.

Yes, finding gluten-free food, that is now properly labeled, has become easier. So much so the market for gluten-free foods tops $6 billion last year.   However, finding truly healthy, commercially prepared, grain-free foods is still challenging.

A very common mistake made when jumping into the gluten-free lifestyle is piling everything labeled gluten-free in the shopping cart.  We don’t want to replace a problem: wheat, with another problem: gluten free products.

Typically gluten free products are made with rice flour (and brown rice flour), tapioca starch, cornstarch, and potato flour.  Of the few foods that raise blood sugar higher than wheat, these dried, powdered starches top the list.

 They provide a large surface area for digestion, thereby leading to sky-high blood sugar and all the consequences such as diabetes, hypertension, cataracts, arthritis, and heart disease. These products should be consumed very rarely consumed, if at all.  As Dr. Davis has stated, “100% gluten-free usually means 100% awful!”

There is an ugly side to the gluten-free boom taking place.  The Cureality approach to wellness recommends selecting gluten-free products wisely.  Do not making this misguided mistake and instead aim for elimination of ALL grains, as all seeds of grasses are related to wheat and therefore overlap in many effects.

Lisa Grudzielanek MS, RDN, CD, CDE
Cureality Health & Nutrition Coach

3 Foods to Add to Your Next Grocery List

Looking for some new foods to add to your diet? Look no further. Reach for these three mealtime superstars to encourage a leaner, healthier body.

Microgreens

Microgreens are simply the shoots of salad greens and herbs that are harvested just after the first leaves have developed, or in about 2 weeks.  Microgreen are not sprouts. Sprouts are germinated, in other words, sprouted seeds produced entirely in water. Microgreens are grown in soil, thereby absorbing the nutrients from the soil.

The nutritional profile of each microgreen depends greatly on the type of microgreen you are eating. Researchers found red cabbage microgreens had 40 times more vitamin E and six times more vitamin C than mature red cabbage. Cilantro microgreens had three times more beta-carotene than mature cilantro.

A few popular varieties of microgreens are arugula, kale, radish, pea, and watercress. Flavor can vary from mild to a more intense or spicy mix depending on the microgreens.  They can be added to salads, soup, omelets, stir fry and in place of lettuce.  

Cacao Powder

Cocoa and cacao are close enough in flavor not to make any difference. However, raw cacao powder has 3.6 times the antioxidant activity of roasted cocoa powder.  In short, raw cacao powder is definitely the healthiest, most beneficial of the powders, followed by 100% unsweetened cocoa.

Cacao has more antioxidant flavonoids than blueberries, red wine and black and green teas.  Cacao is one of the highest sources of magnesium, a great source of iron and vitamin C, as well as a good source of fiber for healthy bowel function.
Add cacao powder to milk for chocolate milk or real hot chocolate.  Consider adding to coffee for a little mocha magic or sprinkle on berries and yogurt.




Shallots


Shallots have a better nutrition profile than onions. On a weight per weight basis, they have more anti-oxidants, minerals, and vitamins than onions. Shallots have a milder, less pungent taste than onions, so people who do not care for onions may enjoy shallots.

Like onions, sulfur compounds in shallot are necessary for liver detoxification pathways.  The sulfur compound, allicin has been shown to be beneficial in reducing cholesterol.  Allicin is also noted to have anti-bacterial, anti-viral, and anti-fungal activities.

Diced then up and add to salads, on top of a bun less hamburger, soups, stews, or sauces.  Toss in an omelet or sauté to enhance a piece of chicken or steak, really the possibilities are endless.  

Lisa Grudzielanek,MS,RDN,CD,CDE
Cureality Nutrition & Health Coach

3 Band Exercises for Great Glutes

Bands and buns are a great combination.  (When I talk about glutes or a butt, I use the word buns)  When it comes to sculpting better buns, grab a band.   Bands are great for home workouts, at gym or when you travel.  Check out these 3 amazing exercises that will have your buns burning. 

Band Step Out

Grab a band and place it under the arch of each foot.  Then cross the band and rest your hands in your hip sockets.  The exercise starts with your feet hip width apart and weight in the heels.  Slightly bend the knees and step your right foot out to the side.  Step back in so that your foot is back in the starting position.  With each step, make sure your toes point straight ahead.  The tighter you pull the band, the more resistance you will have.    You will feel this exercise on the outside of your hips. 

Start with one set of 15 repetitions with each foot.  Work on increasing to 25 repetitions on each side and doing two to three sets.



Band Kick Back

This exercise is performed in the quadruped position with your knees under hips and hands under your shoulders.    Take the loop end of the band and put it around your right foot and place the two handles or ends of the band under your hands.  Without moving your body, kick your right leg straight back.  Return to the starting quadruped position.  Adjust the tension of the band to increase or decrease the difficulty of this exercise. 

Start with one set of 10 repetitions with each foot.  Work on increasing to 20 repetitions on each side and doing two to three sets. 



Band Resisted Hip Bridge

Start lying on your back with feet hip distance apart and knees bent at about a 45-degree angle.  Adjust your hips to a neutral position to alleviate any arching in your lower back.  Place the band across your hipbones.  Hold the band down with hands along the sides of your body.  Contract your abs and squeeze your glutes to lift your hips up off the ground.  Stop when your thighs, hips and stomach are in a straight line.  Lower you hips back down to the ground. 

Start with one set of 15 repetitions.  Work on increasing to 25 repetitions and doing two to three.  Another variation of this exercise is to hold the hip bridge position.  Start with a 30 second hold and work up to holding for 60 seconds.

What is this wacky thing called "weight loss"?

What is this wacky thing called "weight loss"?

I've discussed this before, but it has proven such an (encouragingly!) frequent issue that I thought it was worth discussing once again.

What happens when you lose weight?

The process of weight loss is characterized by multiple shifts in metabolic patterns that can be confusing. To the uninitiated eye, weight loss can look like a disastrous distortion in metabolism. The naive doctor on seeing your lab values, for instance, might insist you take a statin drug, a fibrate like Tricor (to reduce triglycerides or increase HDL), or simply berate you for your bad health habits--when it's actually a good thing you've accomplished.

So when you lose weight, say, 30 pounds in 3 months, what have you accomplished?

Energy stored as fat, especially from visceral fat stores, is mobilized into the bloodstream. It floods the bloodstream as fatty acids and triglycerides. These fatty acids and triglycerides don't occur in isolation, but interact with other particles and metabolic patterns. The resulting blood patterns include:

--Increased triglycerides--An increase in triglycerides, for instance, from 90 mg/dl to 200 mg/dl in the midst of weight loss is common.

--Reduced HDL--The flood of triglycerides leads to increased degradation of HDL, thus a drop. A drop in HDL from, say, 40 mg/dl to 27 mg/dl--very frightening to people--is exceptionally common.

--Increased blood sugar--The flood of fatty acids and triglycerides results in insulin resistance, leading to higher blood sugars. It is not uncommon for someone with pre-diabetes to develop diabetic-range blood sugars, or a non-diabetic to show pre-diabetic blood sugars.

--Increased small LDL particles--Though small LDL is highly variable during weight loss. When it does happen, it's probably from the interaction of VLDL (triglycerides) with LDL particles and the reaction that overloads LDL particles with triglycerides and conversion to small LDL particles.

So why don't doctors often recognize these patterns when a patient loses weight? Because they rarely see it. Most of my colleagues are accustomed to having patients come back with weight gain, getting heavier and heavier each time. Lose weight? Impossible! So they just don't recognize weight loss effects when they see it. As followers of The Heart Scan Blog know, a frequent conversation around here is "Am I too skinny?" or "How do I stop losing weight?"

The solution: Be patient. Be patient and wait about two months after a weight plateau has been achieved. That's when the numbers "settle down" and you see marked drops in triglycerides, increases in HDL, drops in blood sugar, reductions in small LDL.

As with many things, it's all about timing.

Comments (41) -

  • chuck

    9/20/2011 2:02:02 AM |

    Isn't the form of storage fat saturated fat?  maybe this is how they came up with the theory saturated fat is bad for you.  look at all those symptoms when all that sat fat is released into the blood ;)

  • Dee Miles

    9/20/2011 3:18:39 AM |

    Wow!  I'm so glad you explained this very topic because that's exactly what happened to me recently.  For the past 8 weeks I've not had any grains or sugars and I've kept my carb level about 20g per day. I've lost 15 lbs so far.  I visited my Dr. in May (prior to any weight loss, and maybe during some gain), and the lipid panel was like this: LDL 84, HDL 76, Trig 40.  When I had another blood test in early Sept, I was shocked to see the markers worse!  LDL 122, HDL 48, Trig 88.  Boy was I disappointed in those latest numbers.  Thank you for explaining how this works while losing weight.  At one point recently I was really discouraged but now I'm really glad about the timing of the tests and your post.  My next blood draw is scheduled for 3 months out from last week, at the request of my Dr.  Maybe then the numbers will have shown some improvement.
    Also, glad to hear the you will be on the low carb cruise in May.  My hubby and I are looking forward to hearing you speak and hopefully meeting you then.

  • Donald Kjellberg

    9/20/2011 5:18:03 AM |

    I experienced this very thing. After losing serious weight from the eliminating wheat, processed, and sugary foods (1 year in total) I lost 130 pounds (this is an update from a previous post per your request Dr. Williams). When I was nearly finished I went to see my doctor. He wanted to put me on statins. I explained to him how the data does not support application to me (no evidence of heart disease) and I got the mantra about standards of practice, etc, etc. I held my ground and decided I am much happier eating dairy, eggs, grass fed beef, wild caught fish, and as much raw foods (nuts, veggies, fruits) as my body desires to treat my health parameters.

    Maintaining weight, it is easy. My BMI (23 down from 40) has remained constant for a few month now. You are right, metabolic processes definitely change. I no longer have sensations of glucose fluctuations or an uncontrolled appetite. I can only imagine the improved hormone regulation and metabolic communication going on inside my body. The symptoms from obesity, all gone. Goodbye sleep apnea, hypertension, hemorrhoids, arrhythmias, gastroinestinal disruptions, smelly body, chaffing thighs, and others not mentioned.

    The positive effects are just as dramatic, but I don't want to ramble on.

    Weight loss? What is it?
    Getting your life back!

  • Dr. William Davis

    9/20/2011 12:30:01 PM |

    Excellent, excellent, excellent, Donald!

    I'm glad you got your life back and deprived Big Food and Big Pharma of revenues.

  • Dr. William Davis

    9/20/2011 12:31:07 PM |

    Yup, happens time and again. And your doctor will have no idea what this pink elephant is.

    Yes, see you on the cruise!

  • Buckaroo Banzai

    9/20/2011 1:45:43 PM |

    Would the same lipid response happen if one were replacing body fat with muscle and remain at roughly the same weight?

  • kathyj333

    9/20/2011 1:51:53 PM |

    When I lost a large amount of weight, I had a gallbladder attack. I had my cholesterol levels done during this time, and, yes, the LDL was high. Thanks for this post.

  • Jack Kronk

    9/20/2011 2:16:45 PM |

    Dr Davis,

    I began VLC back in Aug 2010 and transitioned until December. During that time, I went from a slightly pudgy and undefined 163 to a slim and muscular 148 (meaning that I likely lost more than 15 pounds of fat since I was gaining muscle at the same time.)

    My weight has remained stable but very graudally increased since December 2010 because I do heavy resistance weight training consistently and take a whey protein powder supplement. Currently I weigh in at about 155 and I have very little flab, if any.

    With respect to my lipid numbers, is my body still in some kind of transition phase?
    http://paleohacks.com/questions/64890/hack-jack-kronks-latest-lab-results-sept-2011

    Thanks,
    JK

  • Haggus

    9/20/2011 7:23:52 PM |

    I went through this back some 3 years ago and was put on a statin as a result.  While it seems out of fashion now with Dr. Davis, at least with those with blood sugar issues, I used oat bran to drive my LDL to 38 from 193mg/dl, thereby bettering Dr. Davis's 60/60/60 guidelines.

    Other effects: My trigs actually went down from 55 to 15mg/dl, my a1c increased from 4.8 to 4.9% and finally, I became anemic.

    Would I do it again if need be?  Yes, for me, life without the use of a statin trumps most everything else.  Thankfully, these days I still have better 60/60/60 numbers without the heavy use of oat bran which keeps my doctor and the blood bank happy.

  • Linda

    9/20/2011 9:20:57 PM |

    Dr. Davis................
    Another question regarding D3................
    Is there any benefit derived from taking D3 and glaucoma? Does it help relieve eye pressure in any way?

    [I am facing laser surgery, so I am really wondering if the D3 will help.]

  • Joe

    9/20/2011 9:31:43 PM |

    I don't think there's anything in the literature about D3 helping prevent glaucoma. There is some correlation between D3 and prevention of macular degeneration, but the jury is still out on it.

  • Dr. William Davis

    9/20/2011 11:05:11 PM |

    Sorry, Linda: Way out of my area of expertise.

    However, vitamin D is beneficial across so many aspects of health that it's worth doing regardless.

  • Dr. William Davis

    9/20/2011 11:25:13 PM |

    Hi, Jack--

    If your VAP doesn't reflect recent weight loss, consider:

    1) On the surface, your pattern looks like excessive carbohydrate intake for your genetic susceptibility (small LDL, low HDL, high triglycerides).
    2) Apo E2
    3) Another condition has entered the picture, such as kidney disease. Unlikely, thank goodness, but worth thinking about.

    Let me know what comes of this.

  • Dr. William Davis

    9/20/2011 11:25:38 PM |

    Yes, Buck, since the fat still needs to be mobilized into the bloodstream.

  • Ellen

    9/21/2011 2:47:16 AM |

    THANK YOU, Dr. Davis for posting this!   I've been trying to find supporting information on what happens during weight loss, because I get questions about changes in blood work from the readers of my websites.   It made sense to me that trigs would increase because of stored fat mobilization, but I searched all over pubmed and could not find a single paper to support that hypothesis.   Thanks again for confirming this!

  • Bob

    9/21/2011 3:37:37 AM |

    Dr. Davis, I posted last week about high numbers after being on a no carb, no sugar, no wheat diet for a year. You posted back that it could be weight loss and not to worry. I just heard back from two different doctors who looked at my last two VAP tests and they both suggested that I start statins as soon as possible. They are both doctors who specialize in lipids and also believe in not eating carbs sugar etc. They both want me to take a NMR test which would give them a clearer picture of what is going on. I have lost 25 lbs. over the last year. Do you think that after a year of losing weight it would still have an effect on my numbers? They are worried about apo B which I guess is why they want to see NMR. I don't mind taking the statin if I really need it but I am worried that if my apoB is high because of weight loss I am making a big mistake because once I start there will be reason to be taken off of them. I am also worried that if I don't take the statin now, if I wait another 6 months for another test, I am risking my health. I am 59 with two young children.
    Thanks

  • Jack Kronk

    9/21/2011 2:55:39 PM |

    ApoE2? I thought I was more in the running for ApoE4. Isn't 4 the one where it gets a bit dicey with dietary fats?

    Also, kidney disease? what makes you say that. I have had 7 kidney stones (all calcium oxalate. all "pre paleo").  I have several hypotheses about why I don't get them anymore, but my best guess is due to the increase in VitK2, since K2 sort of 'directs' where calcium goes. So I figured my kidneys were much happier with my new diet than with my SAD.

    As for excessive carbohydrate intake, yah that may be true, but I think you make an important reference about genetic susceptibility, as many people can do just fine with my carb intake as it does not produce these numbers for them.

    We have some interesting things brewing over there on PaleoHacks about what might be affecting my lipids. Travis Culp is kind of leading the charge right now and Dr K is in the mix as well.

    http://paleohacks.com/questions/66154/medium-chain-fatty-acids-appear-to-raise-vldl-triglycerides

    Thanks for your thoughts Doc.

    -JK

  • Dr. William Davis

    9/21/2011 9:36:04 PM |

    Hi, Jack--

    If the 150 grams carbohydrates mentioned in the blog post was referring to your intake, then that is definitely at least part, if not all. of the underlying cause.

    Apo E2 would serve to exaggerate this effect, mostly by way of delayed clearance of postprandial lipoproteins. This could be apo E4 but it would be a very atypical pattern, since there are low HDL/high triglycerides.

    Kidney stones in and of themselves would be insufficient; it would have to involve overt kidney dysfunction.

    Anyway, please let me know what comes of this.

  • Dr. William Davis

    9/21/2011 9:40:23 PM |

    Hi, Bob--

    It's not so much the period of time required to lose the weight, but whether the blood was drawn too soon (less than 2 months) after weight plateaued. If drawn too soon, it will yield confusing or alarming numbers to the weight loss-uninitiated.

    Getting an NMR is always a good idea, since it yields the most confident value, LDL particle number.

    Have you gotten a heart scan? Remember, it's more about coronary plaque than about calculated LDL or apo B.

  • Dr. William Davis

    9/21/2011 9:42:40 PM |

    Hi, Ellen--

    Surprising, isn't it? Perhaps it's something we should do!

    Anyway, it is critical to recognize this, else people get mad and throw things and think that the diet is destructive when, in reality, it works like crazy--if you know when to draw the blood sample.

  • Bob

    9/21/2011 10:28:03 PM |

    Dr. Davis,
    I had a heart scan thanks to your blog about 4 years ago with a score of zero. At the time I was on Lipitor following low carb diet but with little sat. fat. I was mostly eating skinless chicken, salmon with mayo. Now I am on high sat. fat diet. Beef and more beef. My weight is still dropping. I started at 186 and now I am 159. I have no idea when my weight will plateau. I feel I am in a bad position as two lipid doctors feel I should be on statins now yet I believe the numbers are not accurate because of the weight loss. If I wait for weight loss to stop I may be putting myself at risk but I don't want to go on statins if not necessary.
    Tomorrow I am planning on the NMR test.
    Thanks

  • Gene K

    9/22/2011 2:25:42 AM |

    Since I consistently get a server error trying to post this comment to the small LDL post, I am posting it here.

    Dr Davis,

    Do you think at some point you will drop the TYP target for LDL to be 700 or less in favour of a target amount or percentage of small LDL?

    Thank you.

  • Kat

    9/22/2011 8:38:16 PM |

    I've got to show this article to my mom. My mom has struggled with her weight for a long time. Her doctor told her she would give her 6 months to try and improve her numbers through diet and exercise. If they didn't go down she would have to start taking statins which my mom did not want to do. My mom did manage to lose a considerable amount of weight (about 50 pounds) in that 6 months period. She went to see her doctor, had a lipid panel done and the doc said her lipid panel numbers were worst than before. The doctor blamed her for not eating the right stuff  and said she needed to start statins now or die. It really scared my mom and she got frustrated. She ended up taking the statins because she didn't feel she had a choice and reverted back to her old lifestyle. Maybe if she knew this information she wouldn't have been so discouraged.

  • Dr. William Davis

    9/23/2011 12:35:53 AM |

    Oh, boy, Kat. It sounds like this is precisely what happened.

    I truly find it incredible that weight loss for my colleagues is such an uncommon thing that they don't even recognize it.

  • Dr. William Davis

    9/23/2011 12:37:46 AM |

    Hi, Gene--

    Yes, I am trending in that direction. However, it remains unclear what the safe threshold is for LDL particle number or apo B when small LDL is minimized or eliminated. BIG question with no current answer.

  • Dr. William Davis

    9/23/2011 12:47:36 AM |

    Hi, Bob--

    Be careful: Even the NMR is subject to the confusing and transient changes that occur during weight loss. In fact, you can observe these effects in ALL lipoprotein testing techniques.

    I know of no way to subtract the effect of weight loss except to be patient and wait for weight to plateau.

  • Dr. William Davis

    9/23/2011 12:49:06 AM |

    Donald--

    I loved your comment so much I'd like to make it the focus of a blog post!

  • Tom

    9/24/2011 3:17:32 PM |

    I' ve cut out wheat from my diet and my wheat belly has disappeared. Unfortunately there is still fat around the hips/thighs. Still, I'm very pleased. Thanks!

  • Dr. William Davis

    9/25/2011 12:08:12 AM |

    Great, Tom!

    Just be patient. It tends to come with time.

  • Suze

    10/2/2011 1:31:41 PM |

    This post brought tears to my eyes. Thank you SO VERY MUCH for posting this. I have been going crazy trying to figure out what the heck is going on.
    I went to see my doc in mid-June, who put me on lovastatin (added to blood pressure meds, Ambien, and Prilosec). He had done labs and was unhappy with my cholesterol.
    I went on low carb in early June, about a week before the doc visit. I have done low carb before and knew it would drop my cholesterol, but went along for now. For 6 weeks all was fine and I lost nearly 20 pounds. Started feeling better - was able to get off Ambien and sleep better. Was able to stop the Prilosec also (my GERD disappeared). Because I was trying to get into ketosis to burn fat, I was monitoring my blood sugar. At about 6 weeks into it, I hit a stall and have had to fight like heck to keep losing any weight. But the worst part (for me) was my glucose level. Inexplicably, my fasting glucose crept up just over 100 and stayed there most days. I was horrified - I was not eating any excess sugars, in fact, trying to stay under 20-30 carbs a day. I am a nurse and I know what a fasting glucose over 100 will get me diagnosed with - diabetes. My goal is to get OFF all meds, not get labeled with diabetes and put on more of them. To top it off, my doc wanted new labs after 6 weeks on lovastatin, and I refuse to go until I figured out what the heck was going on with my glucose and fixed the problem. My doc is nice, but I highly doubt he is evolved enough to listen to this argument. He still subscribes to the high cholesterol theory of heart disease, after all.
    I Googled my head off and tried to figure it out. Lots of theories out there. I tried all kinds of supplements supposed to regulate your glucose, and experimented with timing of food and activity. Even stranger, my glucose would RISE after exercise in the morning (still fasting!), but lower if done in the afternoon. I thought maybe I wasn't eating enough carbs and my liver was kicking out glycogen during the night. The day I came home from work after a just-over-100 fasting that morning and checked my glucose and it was 90 (!) 4 hours after lunch, I wanted to go get the damn labs done, but they were closed.
    I knew blood pressure, cholesterol levels and glucose are all tied together, but it had not occurred to me that losing weight mobilized fats into the bloodstream and may be behind my glucose being a pain. Makes me wonder what the lovastatin did for the 60 days I was on it, lol. But my dilemma is that to find out, if I go with an elevated glucose, I will be hosed. :-( So I guess I'll go find a home cholesterol kit and see, and be patient on the glucose issue.
    I also found some interesting info on low stomach acid - I had been on Tums, Zantac and then Prilosec for some time, and I found my glucose issues started around the time I *stopped* taking that stuff... More food for thought.
    Anyway, thank you so much for posting this - at least I am not in a panic at the moment. I am not done yet, though - I still have about 45-50 pounds to go. I am not sure I can hold off the labs that long. I plan to keep an eye on my fasting (97 this morning) and when it's well under 100 will try to get the damn labs done.

  • Dr. William Davis

    10/2/2011 2:32:28 PM |

    That's great, Suze!

    Yes, we have to be properly armed against our doctors!

  • Kelly

    10/9/2011 1:09:15 PM |

    What defines a weight plateau? I was diagnosed with gestational diabetes while pregnant. I left the hospital 20 pounds lighter than I was pre-pregnancy thanks to a lower-carb diet. Over the next 6 months, I lost an additional 25-30 pounds. I'm not losing weight drastically any longer -- I'm now well within the "normal" range for my BMI. However I am still dropping a pound or two every month or so (still breastfeeding). When I tested my blood sugar about 4 months ago, my fasting number was 104. I'm now 11 months postpartum, so its been about 5 months of very gradual weight loss. Would this still change my numbers because I'm technically still losing weight?

  • Dr. William Davis

    10/9/2011 10:59:32 PM |

    Probably not, Kelly.

    I don't know why, but weight loss that has "decelerated" to this degree seems to not be associated with distortion of metabolic markers. It doesn't mean that continued weight loss won't yield further improvement, but that the current numbers are indeed true.

  • DanD

    10/12/2011 4:48:46 PM |

    Donald, congratulations on these tremendous improvements.  Your experience makes me think that I can do the same if I keep at it.

  • Wanda E

    10/18/2011 1:59:06 PM |

    Dr. Davis, I really appreciate all the work you put into the Wheat Belly book.  It is an eye opener.  I have a question.  My husband is diabetic (2 shots per day) also he has Mysenthia Gravis.  Do you have any information regarding Mysenthia Gravis.  Will  eliminating wheat help get rid of or lessen the effects of this disease.  My husband and I are deleting the wheat and i already feel better.  Thank you.

  • Dr. William Davis

    10/19/2011 1:28:44 AM |

    Thanks. Wanda.

    There are, unfortunately, no formal clinical observations that combine wheat/gluten elimination with markers for myasthenia gravis.

    On the most anecdotal level, I have one patient with myasthenia gravis who tells me that her symptoms are substantially improved, though not entirely relieved, with wheat elimination. This seems to be true of nearly all neurologic phenomena that do not have wheat as their original cause: at least partial improvement.

    It is certainly worth trying for this as well as a host of other reasons.

  • Jo

    10/22/2011 2:25:09 AM |

    Thank you for posting this. I think I'm going through this right now. I've lost 63 lbs since being diagnosed with DM last Nov and my A1C is down to 5.5 from over 13.3.  My weight loss has slowed to about 5 lbs per month now and I have low thyroid symptoms but all my doctor cares about is putting me on statins. I'm seeing a new doc next month to try to get more than a TSH test but I know he's going to be concerned about my lipid profile, too. I'm going to ask for either a VAP or NMR test. I don't know how bad these numbers really are but they made the last doctor flip out. I keep under 30 carbs per day, am off all wheat now, and walk at least a mile a day. Here are the most recent numbers and the change from 8 months ago:
    Total: 338 (+58)
    Trigs: 138 (-39)
    HDL: 50 (+10)
    VLDL: 35 (+4)
    LDL: 253 (+44)
    %HDL: 15 (+1)
    Chol:HDL Ratio: 7 (no change)

    I'm not sure what to do in the meantime while I wait for the next appointment, other than be patient, but I'm going to print this post out, anyway.

  • Dr. William Davis

    10/22/2011 12:42:39 PM |

    Very nice result on your weight and diabetes, Jo!

    It looks like you have a genetically-determined pattern, either familial heterozygous hypercholesterolemia and/or apo E4. Sadly, in this situation, diet efforts cannot fully disable the impaired handling of fats that arises from these genetic variants. Statins in this case may not be a bad idea. You may be the occasional exception. Statins are overused and abused, but your situation is one in which they may be appropriate.

  • Suze

    10/23/2011 3:34:55 PM |

    Well, I finally went to get the labs done, and it's a mixed result. After 4 months on low carb and nearly wheat-free:
    cholesterol - 368 to 282 (-86)
    HDL - 40 to 61 (+21 :-D)
    LDL - 287 to 185 (-102)
    ratio - 9.2 to 4.6 (cut in half!)
    VLDL - 41 to 36 (-5)
    triglycerides - 207 to 179 (-28)
    Pretty good improvement in 4 months, I think. The first two months I was on lovastatin, and the last two months, all diet/exercise. I really do not want to go back on statins.
    However, my fasting glucose was 104, despite my efforts to get it lower before getting labs. Now I will have to argue with my doc, I am sure. I got an A1c and it was 5.2, which is totally normal, so at least I am armed with something!!!
    Suze

  • Suze

    10/23/2011 4:04:17 PM |

    P.S. - I have also lost almost 30 pounds!
    And - I just ordered Wheat Belly to read on my Nook. I can't wait! I think you are SO right about all of this!

  • Dr. William Davis

    10/23/2011 11:46:11 PM |

    Wow, Suze!

    Stupendous progress! Keep going.

Loading