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How to Stay Motivated on Carbohydrate Restriction

This evening on PeriScope, we talked about the 10 things you can do to stay motivated on your low-carb lifestyle.  A number of great questions were asked including:

  • How much carbohydrate should be restricted?
  • What labs should you be monitoring regularly?
  • What’s a normal blood sugar?
  • Why is Dr. Nally freezing in Denver?
  • Is fermented food good for you?
  • Why should you eat pickles and kimchi even when you’re not pregnant?

And, much much more . . . It’s like a college ketogenic course on overdrive . . . for FREE!!!

You can see the PeriScope with the comments rolling in real-time here: katch.me/docmuscles

Or, you can watch the video stream below:

See you next time.

Phone Server Crashed this Morning

We had a phone server crash this morning (the wonders of an electronic world we live in!!).  If you have been trying to get a hold of the office, we anticipate it to be back up around 11:30 am Arizona Time.  I am sorry for any inconvenience this may have caused.  Please call back around 11:30 am if you had trouble getting through the phone system.

 

In Memory . . .

Memorial Day Horse

To the many friends, family and patients who served, spilled their blood and lost their lives in defense of this great nation. In all humility, I thank you!

It is not foolish and wrong to mourn the men and women who have died, but it is so much more important that we thank God that such men and women have lived.

 May your day be full of happiness and joy because of the great sacrifice that so many willingly offered.

Have a safe, happy and peaceful Memorial Day!!

Sour Truth about Sweeteners

old-man-sour-faceI am frequently asked about the sweeteners that can be used with a low carbohydrate diet.  There are a number of sweeteners available that are used in “LowCarb” pre-processed foods like shakes or bars, or in cooking as alternatives to sugar; however, many of them are not appropriate for use with a true low-carbohydrate/ketogenic diet.  You can see and print an article I published about these sweeteners here:

The Skinny On Sweeteners

Low-Carb Protein Shake

A number of my patients have asked what I use personally as a protein supplement and whether I use protein shakes.  I’ve struggled to find a great tasting protein shake that does not contain any artificial sweeteners (see my article The Skinny On Sweeteners) that raise the insulin levels.  Most of the pre-prepared shakes (including the Adkins, EAS, Muscle Milk, and many others) will significantly slow weight loss and knock you out of ketosis due to an insulin response stimulated by drinking them.

My sweet wife just perfected our family’s favorite high fat, low carbohydrate protein shake.  Oh, it’s good and  it’s filling.  You’ll love it and you won’t be hungry for at least 3-4 hours after savoring this sweet taste-bud sensation.

This is a great shake for a mid-meal snack or a quick meal on the go.

Dr. Nally’s Low Carb High Fat Protein Shake:

[One serving (~ 2 cups) is 4.5 grams of carbohydrate]

Blend to preferred texture. . . (may add more heavy whipping cream if it is still too thick).
Enjoy!!

The Self-Discipline Muscle

Many patients come to my office desiring to loose weight, but complain of no self-control.  They feel they cannot loose weight because they don’t have the willpower.  Willpower, or self-control, is an elusive and mysterious thing. “If only I had more self-control,” I hear people say, “I could . . . ” exercise regularly, eat right, avoid drugs and alcohol, save for retirement, stop procrastinating, achieve a noble goal, or loose weight.  A 2011 American Psychological Association study reveals that almost 30% of those interviewed felt that lack of willpower was the greatest barrier to making a change in any of these areas.

So what is “willpower” or “self-control?” It is the ability to resist short-term temptations in order to fulfill a long-term goal. Image

I meet and work with people every day who feel they have no willpower.  In actuality, will power and self-control are learned behaviors that develop over time.  Anyone can have willpower, you just have to understand how willpower in certain areas can be strengthened and what makes it weak.  In fact, a 2005 study showed that self-discipline or willpower was more important than IQ in academic successes.  This study also found that increased self-discipline lead to less binge eating, higher self-esteem, higher grade point averages, better relationship skills and less alcoholism. Fascinating isn’t it!?

The answer can be found in a quote from Henry P Liddon, “What we do upon some great occasion will probably depend on what we already are; and what we are will be the result of previous years of self-discipline.”  This means that willpower or self-control can be learned or improved.  How, you ask?

First, you must establish and write down a reason or motivation for change.  In addition, that change must fulfill a clear goal. Just wanting to loose weight isn’t good enough.  You have to be motivated because of a consequence that arises from the obesity or overweight.  And, you “loosing weight” isn’t a clear goal.  You must set a weight reduction goal. It has to be clearly written down with your motivational reason.  Willpower or self-control cannot begin to form until these two steps occur.

Second, you must begin to monitor your behavior toward that goal.  When it comes to weight loss, I ask every one of my patient’s to keep a diet journal.  In this journal they are asked to write down every thing they eat and drink.  The night before, they are to write down their plan for tomorrow’s meals, then the next evening, they account for their success or failure by journaling on that same page what they actually ate and drank, then after comparing what they did, they plan for tomorrow and journal why they were successful or why they weren’t.  It’s the last part that is so powerful, a short 3-5 minutes of self-introspection. Self-introspection is the key to behavioral change.  It is the key that allows a person to see their habits and then make very small changes that break bad habits, solidify good habits and strengthens willpower.

Third, willpower is developed over time.  It is developed by being accountable to ones-self on very little things every single day.  But it MUST be written down. If I planned to eat bacon and eggs for breakfast and I didn’t, why?  When I look at my day, I may realize that I went to bed too late to get up early and cook bacon and eggs. So, instead, I ate a yogurt that was in the fridge. I am accountable to myself.  If I plan to eat bacon and eggs tomorrow, I must either go to bed earlier, prepare them the night before, or throw out the yogurt . . . so not to be a temptation again.  This is written down and I make a very small change tomorrow.

kid-musclesOver time, this self-introspection becomes easier and easier, to the point that you do it sub-consciously.  It is this sub-conscious self-introspection and change will be seen by others as self-control or willpower.  Just like a working or strengthening a muscle, recording short goals and and accounting for them makes your self-discipline stronger.  The self-discipline muscle becomes more powerful. In time, a split second decision not to binge on that piece of cake will be seen as strong willpower by those around you. You’ll recognize that it’s just flexing your self-discipline muscle.

So, my next question to you is . . . where’s your diet journal?

Interview with Howard Harkness of "N=1 Health"

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Howard Harkness interview with Dr. Nally

While on the 2014 Low-Carb Cruise a few weeks ago, I had the wonderful pleasure of being interviewed by “N=1 Health‘s” Howard Harkness.  We had very nice conversation and discussed a number of topics relating to obesity medicine, weight loss, carbohydrate restriction and some of the history of medicine.  Take a look at the interview here on N=1 Health.

Thanks, Howard!

Fat Thoughts . . .

As a bariatrician, I think about fat all the time.  I guess you could say I have a lot of “fat thoughts.”

I frequently hear patient’s tell me, “Dr. Nally, I’m eating RIGHT, but I’m just NOT losing weight!”

If you’re not losing weight, your not eating correctly. 99% of your weight loss success is related to your diet. We have been poorly misinformed over last 40 years as to what a “correct” diet contains. We’ve been told to follow a low fat diet for the last 40-50 years.  However, it is very apparent as patient’s follow a low fat diet that only a small percentage of them have success in weight loss, and the majority actually gains more weight and remains significantly hungry.  When you look at the body’s physiology, fat restriction only stimulates increased hunger.  The intake of any form of carbohydrate, whether that be simple or complex, stimulates an insulin response.  Based on our genetics, that insulin response can be variable. some of us respond normally and others respond with between 2-10 times the normal insulin surge.  Insulin is actually the hormone that drives weight loss or weight gain.
You and I will not be able to effectively lose weight until we control the response of insulin, and this can only be done through carbohydrate restriction.