Runnin'

Runnin'

Thursday, April 17, 2014

Diggity Diet - The Epic Post

About 4-5 workouts since my last post:

1st set (very slow, intense movements)
Push-up to failure
Wide arm pull-up to failure
Squat (two 35 lb weights) to failure

2nd set
Military push-up to failure
Reverse grip narrow-grip pull-up to failure
Squat (two 35 lb weights) to failure

3rd set
Wide arm push-up
Overhang narrow-grip pull-up to failure
Squat (two 35 lb weight) to failure




Breakfast this morningat 5:00 am: 
                                   Two pasture raised eggs seasoned with kelp granules and homemade siracha
                                   A piece of smoked salmon
                                   1 organic apple
                                   sauteed spinach in a small bit of coconut oil
                                   Coffee


I'd like to start off by first apologizing for not having written a post in about a month and a half.  I'd had a lot of activity in my life over the last few weeks.  Despite all the activity, however, I have kept up with the workout routine.  I'm still on about an every 5-7 day schedule at the moment.  I feel like I'm continuing to progress with my legs and core getting much stronger than they ever have been before.  So I got that going for me...which is nice.  What I'm hoping to accomplish with these strength training exercises is a stronger suspension and base for athletic activity (i.e. running).  What usually fails me when I've done long runs in the past hasn't been my cardiovascular ability.  It has always been my legs, my core, and my joints.  I slouch forward, drag my feet and flail my hands in a desperate plea to make it all stop. 

What I wanted to talk about today is diet.  As a healthcare professional, I fully support the old adage attributed to Hippocrates, the father of modern medicine: "Let food be thy medicine and medicine be thy food."  ALL of good health revolves around a good diet and good nutrition.  Exercise is important of course but not from a losing weight perspective.  Let me repeat that: diet is key, exercise is a distant, but still extremely important second.  The reason is simple:  if you want to lose 10 lbs, go out and run 13 marathons back to back.  I'll wait.  That's the amount of energy stored in 10 lbs of fat.  Your brain burns more energy sleeping that you could possible burn during a 30 minute stint on an elliptical.  In fact, if you ran on a treadmill for an hour and burned 300 calories, about 100 of those calories are what you would have burned if you had decided to take a nap instead.  See the problem?

All of what I'm trying to accomplish with my weight training and running requires optimal nutrition.  I want to preface the rest of this post and all my future posts by saying that I take no multivitamins, supplements, steroids, prohormones, performance enhancing drugs (except caffeine...God bless coffee), or herbs.  The ONLY supplement I take right now is cod liver oil.  What's great about that particular supplement, especially the manufacturer we use,  is that it's not really a supplement.  It's more an unprocessed food packaged in a capsule.  A lot of the time supplement manufacturers, assuming they are even legitimate, process the vitamins prior to packaging them into supplements and that act of processing the vitamins can damage them.  Also, what we can get into a tablet might not be all that useful.  For example, vitamin A usually comes in the form of beta-carotene.  Beta-carotene is a plant derived vitamin A analogue that our body can utilize in very limited quantities and only after it has converted a little bit of it into usable vitamin A.  If you want the real stuff, eat some wild caught fish.  

The key concept behind good nutrition, I think , is very simple: we have a very limited understanding of the extremely complex roles of each of the essential vitamins and minerals.  That we lack an understanding means our man made nutrients and vitamins are inadequate.  We must consume a well balanced, nutritious diet.  An easy rule of thumb to determine what is nutritious: the closer to how it occurs naturally, the more nutritious it is.  For instance, grass fed cows are much more nutritious than grain fed feed lot cows.  Organic tomatoes are far more nutrient dense than conventional tomatoes.  Wild caught fish is farm more nutritious than farm raised fish.  Argue you all you want about whether there truly is a difference but the truth is there is a HUGE difference.

  We do know that nature seems to package vitamins and minerals that complement one another.  For example, eggs contain small amounts of iodine.  However, without selenium (also high in eggs), the iodine it contains is nearly inaccessible.  Fish contains very large amounts of vitamin D and vitamin A along with a host of other vitamins and minerals that all work in conjunction with one another for good health.  While science has elucidated some basic mineral and vitamin deficiencies (and what happens when you're deficienct, i.e. scurvy), science is only as good as our ability to detect and understand the relationship between the mineral or vitamin and disease.  For example, it's quite obvious when people are iodine deficient as they end up developing goiter.  That has been established medical fact.  Natural sources of iodine historically have included things like natural sea salt, fish, sea vegetables and vegetables grown in iodine rich soil.  It turns out that as the US population, especially in the midwest and mountain areas, shifted away from these natural sources of iodine, they developed goiters (the goiter belt).  The staples of the American diet (wheat, corn, and soy) have no iodine and in fact have to be enriched with vitamins like riboflavin (wheat) because as a food, they are very nutrient poor.  To combat this problem, the US government created iodized salt and recommended that people take in no less then 150 mcg of iodine daily.  They found that this bare minimum amount prevented goiter.  Later, manufacturers of breads used iodinated flour because flour needs to be oxidized.  Traditionally, bakers would leave flour out exposed to air over weeks to oxidize in order form the complex bridges between gluten molecules that are required for bread making.  Iodination does this much faster.  Inadvertently, iodinating flour allowed people to get enough iodine in their diet until American manufacturers replaced it with the patented potassium bromate.  Potassium bromate, a substance banned in Europe, Canada, and CHINA because of its ability to cause cancer in rats and mice is still legal in the United States.  In fact, the Chinese recently quarantined a batch of imported snack chips they believe contained potassium bromate.  The country of origin: the United States.


Note how this well known brand of flour specifically says it's not bromated as a "selling point."  Most likely if you buy All-Purpose Unbleached flour like above in the store and make your own no-knead bread than you're okay.  But, if you think your local Subway or Dunkin' Donuts goes with the bromate free stuff, you may want to ask them to see a label the next time you're there.



It's hard to see what flour this comes from but potassium bromate, again a banned substance, is in it.  It's out there.  If the Chinese have banned it, maybe we should too.  Just saying.

The problem with potassium bromate is that not only is it carcinogenic, but it actually interferes with iodine uptake and utilization by the thyroid.  It is thought that since bromine, chlorine, and fluorine are all halides like iodine, they can potentially interfere with iodine biochemistry.  Iodine is critical for thyroid hormone production but it also found to be utilized by every tissue in the body.   By introducing bromate into the food supply, we went from treating people with iodine to giving them a carcinogenic toxin that interferes with thyroid function.  How much iodine is needed?  No one truly knows.  However, Americans consume very little iodine (about 150-200 mcg/day) whereas the Japanese consume upwards of 10,000 to 50,000 mcg per day because of their sea vegetable and fish rich diet.  That a carcinogen like bromate can concentrate in the thyroid and, in addition it's well established that rates of thyroid cancer are rising rapidly, is quite interesting.  Dr. Mercola, for example, thinks that because the Japanese consume large amount of iodine from sea vegetables that that may be the reason they have the lowest rates of cancer in the world (among industrialized nations).  Iodine (as iodide) is a free radical scavenger in sea vegetables that protects the plant from DNA damaging oxidation.  It's reasonable to think that iodine could act the same way in humans.

Some people may take this to mean since we must be iodine deficient, we should find medical sources of iodine (i.e. Lugol's solution), take a dropperful every day to correct iodine deficiency and call the doctor in the morning.  My whole point, however, is that that is not required.  Choosing more low mercury fish, eating sushi (has nori paper, a sea vegetable), consuming organic vegetables , eating pastured eggs, and avoiding bromated foods (because apparently in America, we have this problem) may be all that is required to correct iodine deficiency.  Again, there is iodized salt of course.  But iodized salt is a processed, stripped down version of salt with added silica and missing minerals.  

Another interesting story involves the fluoridation of drinking water.  In America during the early 20th century, there was a crisis of epic proportions.  The government identified  this problem that they labeled one of the most gravest threats to American national security: tooth decay.  American were suffering from rampant tooth decay and gum disease.  It was interesting that this was a new problem (not tooth decay per se, but the fact that so many people were affected suddenly).  Dr. Weston Price, a world traveling dentist, is famous for studying and photographing Austrailian Aboriginal tribes in the early 1930's.  He noted that, amazingly, despite NEVER having had any dental care, the Aborigines had perfect dental health with properly grown wisdom teeth.  He noted this fact in tribesman after tribesman who had never left their original hunter-gatherer way of living.  He could not find one case of tooth decay, cavities or gum disease among any of them.  So astounded, he spent the rest of his life trying to figure out what was going on.  



This is a page from Dr. Price's book.  These images can be found all over the internet.  On the left you have Aborigines who've never been exposed to the westernized diet that was common among the white Austrailians.  On the right (except for the top right) however, these Aborigines were placed in reservations and ate westernized food.  

In America in the early 20th century, tooth decay as pictured on the right hand side was rampant.  To combat this, scientists realized that fluoride in water seemed slow this process down.  America fluorinated it's public water in a mass government experiment and teeth brushing became popular.  The great dental decay crisis of the 20th century was over.  

Except no one except a few people like Weston Price actually asked the right question: Why the HELL did our teeth suddenly start rotting out of heads on such a mass scale?  What changed?  Dr. Price saw in the Aborigines a clue to the problem in so far as there was something the healthy Aborigines did/did not or ate/did not eat that was different from the unhealthy Aborigines.  We do know that around the early 20th century, because of industrialization, sugar became more prominent in our food supply.  Up until 1850, sugar was so rare and so valuable because sugar cane was very difficult to process.  It used to travel the countryside in small locked boxes under armed guard.  With adequate technology and climate, however, the southern US became quite adept at growing and processing sugar on a mass scale.  More Americans than ever before could have candy, sweet treats, and this new fizzy drink called soda-pop on the cheap.  America became hooked on sugar and highly processed carbohydrates.  Today, although the sugar industry still contributes heavily to one of our major exports, the corn industry has taken over a bit.  They figured out in the 1970's that exposing glucose isolated from corn to an enzyme called glucose isomerase would create a pool of about 55% fructose to glucose (after some mixing and diluting).  Since sugar is 50% glucose, 50% fructose, they had a cheap way to manufacture essentially sugar without having to rely on sugar cane.  Sugar cane can only grow in certain parts of the country or world and must still be cut by hand making it expensive and subject to price fluctuations on commodities markets.  Nixon wanted a bowl of sweet stuff in every home!  Corn can be grown on a massive scale with minimal labor.  High fructose corn syrup was born and has since stabilized the industry of sweetness.  Unfortunately, because HFCS has made adding sugar to food so incredibly cheap, there was an explosion of sugar containing foods. 

Common household staples that contain artificially ADDED HCFS/sugar  

All processed breads/hot dog buns/hamburger buns
Soda
Fruit juice (not just the natural fructose fruit contains, but they add more)
Low fat yogurt
Cereal
Pretty much every single snack you can think of (like potato chips).
ANY processed food
etc etc etc.

In fact, of the 600,000 items in a grocery store, 80% of them contain sugar.  If it doesn't look like it did when it was in the ground or from the animal it came from, and if I was a betting man, I'd bet my life savings every time that it contained some added sugar. 

Why add sugar?  Because, sugar is amazing.  In fact, of the three major tastes that gives food it's fun (sweet, salt, fat), sugar (sweet) is the only ingredient that activates in humans the same dopamine reward pathways that sex, drugs and rock n' roll do.  PET scans of people's brains after taking in a little bit of sugar show their reward pathways lighting up like a Christmas tree.  We're addicted to it.  And, like addicts, we are very tolerant to it too.  In fact, foreigners cannot eat our manufactured breads because they are far too sweet. For a foreigner whose food supply isn't inundated with sugar, they have not built up the same tolerance we have.

In any case, we used fluoride to combat the side effects of a sugar addiction.  The question that should have been asked was: what about our food was causing tooth decay?  More than likely, it was industrial processing, the stripping of minerals and nutrients and the complete and sudden availability of sugar in our diet that sent a simmering problem into overdrive.  Instead of backtracking and doing a proper root-cause analysis, we as a society wanted poor diet and our sugar.  The miracle of food industrialization is that for the first time in history, extreme hunger is no longer a real danger.  A lot of people profit off of the industrialization of food (sugar manufactures) and so society jumped onto the first thing they could find that seemed to help our tooth decay and let us have our sugar: fluoride.

The side effects of fluoride?  No one knows.  But, it's not very prevalent in the environment and we drink it constantly because our government says it'll help keep our teeth strong.  In fact, most of the fluoride that is put in our drinking water is a by-product of industrial waste.  I'm all for recycling but I don't think this is what they meant.  Also, you won't have to worry too much about tooth decay.  So we also have that going for us...which is nice as well.  However, after the discussion about bromine and it's ability to interfere with iodine function in the body, it's reasonable to entertain the idea that fluorine might do the same thing.  Granted there is little data to support a direct relationship between fluoride at the concentrations we drink it and disease or disability.  Whatever might be going on, we do know one of the most common afflictions that affects adults in the United States is hypothyroidism and the rates of this disease have been on the rise.  Many of the cases are auto-immune (Hashimoto's) and supposedly have nothing to do with iodine, fluorine, or bromine.  However, our understanding of the pathology and origination of this disease I find to be pretty lacking.  No one knows why our immune systems start attacking our thyroids.  We do know, however, that there is something making it worse.

As an interesting side note, public water companies put not only fluoride in water but also chlorine.  Chlorine, another oxidizing halide, in the form of chloramine is supposed to purify our water and free it from bacterial contaminants.  Having clean and disease free drinking water is one of the great advances of modern civilization but only when looked at from the perspective that dirty, disease containing water tends to occur in poor, overcrowded nations.  Humans have experimented with running water before in history.  Ancient Rome had a complex network of a aqueducts that carried clean water from the outlying mountains into the cities. Everyone drank this public water.  It was a miracle to say the least.  Unfortunately, it's theorized that the water was contaminated with lead. Although Ancient Romans were well aware of lead poisoning (they preferred clay pipes to lead pipes), their understanding was still basic. There is considerable debate about whether the decline of Roman Empire was due to lead toxicity.  While it's credible that people consumed a good deal of lead, the another potential cause could have been that they simply didn't want to have children.  After Emperor Augustus passed laws to try to force the aristocracy to have children, he remarked:  "And yet, marriages and the rearing of children did not become more frequent, so powerful were the attractions of a childless state" (Tacitus, Annals, III.25). 

Sounds a little familiar (cue the ageing United States of America).

Anyway, look up the horror show that is lead toxicity.  I'll wait.  What is interesting about lead is that its toxicity isn't acute death per se (except maybe in really high doses).  Per Wikipedia (always a source of trusted information), "Early symptoms of lead poisoning in adults are commonly nonspecific and include depression, loss of appetite, intermittent abdominal pain, nausea, diarrhea, constipation, and muscle pain."  Not that I'm saying we're all being lead poisoned.  However, lead pipes were commonly used for home construction in America and are still in homes and buildings.  Chloramine, the compound put into water to purify it, can react with lead in pipes freeing it from the pipe into the water.  It's interesting, however, that despite all of our science and knowledge, we commit the same grave errors earlier civilizations did.  In other words, purify your water.

I used the case of iodine to illustrate the important idea that yes, this mineral is critical to good health but it cannot be artificially obtained.  It should be obtained only in well chosen fish, sea salt, sea vegetables, pastured eggs and organic produce in regular quantities.  It is a mineral that should be consumed in natural ways with foods that contain other adequate and complementary nutrients.  We simply lack a full understanding of how these nutrients act together.  The RDA recommendations are  only a base amount needed to prevent noticeable disease.  It turns out if you eat nutritious food, no multivitamin is required.

Fluoride, however, is a case of science acting on a grand scale on what I view to be a faulty understanding of the truth.  Why, after millions of years of being on this planet, did humans suddenly have rotting teeth?  In retrospect it seems pretty clear: increased sugar consumption coupled with a lack of adequate nutrition (after all, flour has to be artificially fortified with B vitamins).  Despite our advances in knowledge, we still routinely fluorinate water, consume a lot of sugar and brush our teeth.

Dr. Price knew people such as the Aborigines had something to teach humans like us that have lost our connection with the environment.  I suspect, however, that even if we learned their lessons, there just isn't that much money in it...








Sunday, March 2, 2014

No Sugar Tonight in My Coffee

Workout #3 and #4: 2/16/14 and 2/26/2014

1st set (very slow, intense movements)
Push-up to failure
Wide arm pull-up to failure
Squat (two 35 lb weights) to failure

2nd set
Military push-up to failure
Reverse grip narrow-grip pull-up to failure
Squat (two 35 lb weights) to failure

3rd set
Wide arm push-up
Overhang narrow-grip pull-up to failure
Squat (two 35 lb weight) to failure


I haven't had much of a chance to write over the last two weeks.  However, I have continued my training and it has definitely been progressing surprisingly quickly considering I'm only working out once a week.  The best part of it all is that I have had no muscle cramping or muscle pulls despite the intensity of the workouts.  

I want to talk about nutrition.  Lately, I've been reading about all things having to do with sugar.  It started with a New York Times article about Dr. Robert Lustig, a neuroendocrinologist out of UCSF.  He gave a lecture about 6 years ago that became a YouTube sensation.  It was a lecture titled "Sugar: The Bitter Truth."  In it, he made the argument that sugar, that is sucrose, is metabolized differently from starch or glucose.  In fact, it's metabolism, and the problems associated with too much of it in the diet, is akin to alcohol.  I've watched the lecture and his follow-up lecture.  In addition, I've read a number of review papers by Dr. Lustig.  His lectures and papers are heavy on the biochemistry side but I'll attempt to explain exactly what the hell he is talking about.  Look at the following picture (taken from Lustig, RH "Fructose: Metabolic, Hedonic and Societal Parallels with Ethanol" J Am Diet. 2010; 110:1307-1321).  Just follow the arrows and see how they take you to words such as VLDL, Inflammation, Muscle IR (insulin resistance) and Dyslipidemia.  Fructose has the capability of sending these pathways into unchecked overdrive and that is exactly the point.




This is a slide directly from Dr. Lustig's lecture.  It's important to understand what sucrose or table sugar actually is.  


Sugar is a disaccharide (meaning two sugars linked together) of fructose and glucose.  Glucose is used in every single cell in the body.  When you are low of the storage form of glucose, glycogen, your body takes fat and protein and makes more glucose in a process called gluconeogenesis.  Glucose is the carbohydrate of bread, rice, pasta, etc.  Most of the glucose you eat ends up hitting the blood stream, being taken up by cells, and used to make energy.  A small percentage of it enters the liver where it is mostly converted to glycogen.  Only a very small percentrage becomes pyruvate (see graph above) which then goes into the mitochondria and, via the Krebs cycle, is converted to ATP (the energy of life).  

Sucrose (or high fructose corn syrup which is even worse), on the other hand, is quickly broken into fructose and glucose.  About 10% of the glucose makes it to the liver.  However, nearly 90% of fructose goes to the liver where it is metabolized exclusively in this organ.  It's converted into a number of products like glyceraldehyde (aldehydes cause protein cross-linkage and protein damage).  In fact, the acetaldehyde metabolite of alcohol is the compound that causes cirrhosis and liver scarring.  Fructose, for all intents and purposes, causes the exactly the same scarring by way of glyceraldehyde.  If you're having a hard time believing this, just think about this well-known fact: the number one cause of liver cirrhosis is not alcohol but something called non-alcoholic steatohepatitis.  It's another way of saying: cirrhosis scarring due to a fatty liver.  Check out ethanol metabolism and compare it with fructose.  Pretty similar if you ask me:

  

In medicine, we call any substance that has no metabolic or biologic purpose and is exclusively metabolized by the liver a poison.  It's a little tricky to see in the biochemical map above, but fructose is converted into pyruvate bypassing an enzyme called phosphofructokinase (PFK) that is involved in converting glucose into pyruvate.  This enzyme is what we call a rate limiting step.  That means that it's a major toll booth or bottleneck that slows the whole process down when you get too clogged with the end products (which is ATP).  Fructose's ability to bypass this enzyme means that there is no check on the whole process.  Fructose is converted to pyruvate which then becomes acetyl-CoA.  Acety-CoA generates ATP via the Krebs cycle.  When there is too much ATP, citrate, an step in the Krebs Cycle, leaves the mitochondria and is converted directly into fat.  It also blocks phosphofructokinase interestingly thus the reason this enzyme is rate limited.  However, since fructose bypasses this enzyme, it doesn't really matter.  Citrate is converted in stepwise fashion to VLDL and free fatty acids. In other words:

                                        Fructose -->Glyceraldehyde--> Pyruvate --> Citrate --> FAT

Alcohol also very efficiently is converted to acetate which is converted into citrate and hence fat.  A lot of people think the carbohydrates in light beer are eliminated.  However, most of the calories in regular beer that reach the liver are the same that reach the liver in light beer.  Why?  Because both types of beer have the same alcohol content and it's the alcohol that is directly converted to fat.

Dr. Lustig also made reference to another physician named Dr. John Yudkin who in 1972 wrote the book "Pure, White and Deadly."  I just finished reading this magnificent book.  Forty years ago he predicted the inevitable consequences of a diet high in sugar.  At the time the biochemical maps as I've outlined them hadn't been discovered fully.  He only had epidemiological and animal evidence.  To this day, if you as a scientist wanted to study diabetes in rats, you feed them a pure fructose diet to give them obesity and diabetes.  In any case, he spent his years trying to discredit the fat theory of cardiovascular disease as the worst falsehood ever to be hoisted upon the American public.  It was based upon a study done by an epidemiologist named Dr. Ancel Keys who created the following chart:  


However, he chose only 6 countries to be included in his data.  What does the data look like when the rest of the countries are added back in?  Compare for yourself.


This is a closer view of the real data:


As you can see, Dr. Keys went and cherry-picked his data.  I can see why Dr. Yudkin was so frustrated with the medical establishment's insistence on fat as the culprit when in fact there  seems to be something else going on.  In fact, the real data was published in 1957.  You would have thought this data would have discredited Ancel Keys, but current the persistence of low-fat, sugar containing processed foods like yogurt as "heart healthy" means we are still living with his legacy.  The USDA and the FDA looked at fat as evil, looked for substitutes (enter vegetable oils), and never looked back.  And we're fatter than ever.

A lot of people have luck with lower carbohydrate diets.  They cut out bread, pasta and other sources of carbohydrates and seem to have great weight loss results.  However, if you have a ham sandwich on white bread or even wheat bread with mustard and cheese, most likely the only component of the sandwich without high fructose corn syrup or sugar is the cheese. Are they giving up glucose in the bread and pasta or is the real benefit coming from eliminating the sugar that is usually in these foods?

Give serious consideration to cutting back on sugar if not outright eliminating it.  See how you feel. 






Tuesday, February 11, 2014

The Power of the Little Things

Workout #2: 2/9/14

1st set (very slow, intense movements)
Push-up to failure
Wide arm pull-up to failure
Squat (two 35 lb weights) to failure

2nd set
Military push-up to failure
Reverse grip narrow-grip pull-up to failure
Squat (two 35 lb weights) to failure

3rd set
Wide arm push-up
Overhang narrow-grip pull-up to failure
Squat (two 35 lb weight) to failure

5K walk with wife and dog.

I walk a lot during my day job.  When I'm not walking, I'm usually on my feet.  Healthcare workers, unless they have a desk job, are quite mobile.  As an operating room pharmacist, we specialize in dosing, making and delivering drugs to the right patient at the right time as quickly as possible in the OR.  We're constantly shuttling between operating rooms.  If, however, you find that you're at a job or have a daily routine that allows you to sit for extended periods of time, you may want to try getting a little weird.  For instance, even though there are chairs I can sit at when working on computers, I usually elect to stand for most of the day much to puzzlement of my co-workers.  Why?  It keeps my blood moving and my mind a little sharper.  Even Thomas Jefferson was famous for writing and working at his famous standing desk.  If a standing desk helped even slightly in the writing of the Declaration of Independence, I'm sold.  Say what you will of his politics, Donald Rumsfield is famous for using a standing desk as well.  Other such famous desk standers include Leonardo Da Vinci, Charles Dickens and Winston Churchill.  Not bad company if I do say so.

I had an epiphany, or at least what felt like an epiphany, that the little things we do every day add up to great gains when given enough time.  These days, when a great idea strikes me, it doesn't take a lot of mental shuffling to realize my "great idea" was really something my wife told me was important to do a long time ago.  She's quite wise and I'm just stubborn about it until I arrive at the long-time-coming conclusion she was right all along! Did you know on average it takes about 35,000  to 40,000 steps to run a marathon?  If you followed the advice that it's a good idea to take 10,000 steps a day, every 3.5 to 4 days you'd walk a marathon distance.  What do you think about parking farther away now?

About a year and a half ago, when I first started taking running more seriously, I bought a pair of minimalist running shoes from New Balance called, wait for it, Minimus.  They are great shoes for running in that they helped me develop a better forefoot to midfoot strike while at the same time taking a significant amount of impact off my knees.  Alas, I think I pushed too hard, too far, too quickly and ended up developing iliotibial band inflammation in my right knee.  I wasn't properly stretching that ligament after runs.  Still though, it was quite an improvement from when I used to run in sneakers where within a few runs, I'd develop severe pain under my kneecap, curse the ridiculousness of running and swear I'd never do it again.

Even though I am training now for a half-marathon, I keep thinking about my wife's good advice...it's the little things that count.  It's the taking of the stairs, even if it's 8 floors up, versus using the elevator that will make all the difference if done on a daily basis and as often as possible.  Yesterday, I parked my car on the roof of the parking garage, went down the stairs and climbed them back up at the end of my shift.  In addition, as fortunately I am only required to wear comfortable shoes to work with covers on, I have decided to try to take as many steps as I can in my minimus shoes.  I figure if I am shooting for 10,000 steps a day, it should be, as often as possible, in the very shoes (well shoes like it) that I want to run in for the half-marathon.  Suffice it to say, after a 10 hour shift yesterday standing on my feet in thin soled minimalist shoes and climbing stairs, especially a day after working out, my calves and feet were pretty sore.  I will not rupture a tendon, pull a hamstring or sideline myself taking these small steps on a consistent, daily basis.  However, just like the power of saving 5 bucks a day, at the end I hope to have a good deal of capital saved up or in this case muscle strength, endurance and good ligament strength.  If you're feeling guilty about not getting a workout in, not running your usual 3 miles five of six days a week and you take the elevator to the 4th floor on a regular basis, you'll do yourself some good by deciding to save a little electricity and take the stairs.

I'll make an effort, in the moments between my workouts, to take more steps, climb more stairs and stand more often.  After all, slow and steady wins the race.  And in the future, when I write these posts, just as I am doing now, I'll be standing.  After all, if it was good for Da Vinci, it's good enough for me.






Monday, February 3, 2014

Principles of the 15 Minute Marathon

Workout #1: Sunday 2/2/2014

1st set (very slow, intense movements)
Push-up to failure (about 20)
Wide arm pull-up to failure (about 9)
Squat (two 35 lb weights) to failure (about 10)

2nd set
Military push-up to failure (10)
Reverse grip narrow-grip pull-up to failure (10)
Squat (two 35 lb weights) to failure (10)

3rd set
Wide arm push-up (15)
Overhang narrow-grip pull-up to failure (6)
Squat (two 35 lb weight) to failure (10)

And we're off.  It was a good workout and I think a good start to my training.  I've made it a goal to post after every workout.  I promise not to workout between posts as that's the whole point of my project.  However, I do take 5K walks pretty regularly with my wife and dog so that will continue.  That doesn't even count, right? Right...?

I wanted to take a few moments to briefly talk about the underlying principles behind this project:

Principle One:  The Pareto Principle (Less is More)

My workouts will consist mainly of high intensity interval training (HIIT).  The latest science seems to support the idea that conventional aerobic training and HIIT produce similar adaptive changes in muscles that allow for increased efficiency, athleticism and power.

Your muscles are comprised of three types of muscle fibers: 

  • Type 1 - Slow-twitch (for the endurance): they take awhile to exhaust, oxidative and recover quickly
  • Type 2a - Fast-twitch oxidative: aerobic and anaerobic, store glycogen, useful for power, recover slowly
  • Type 2b - Fast-twitch glycolytic: anaerobic, all power, takes a week to fully recover, store glycogen

The important point is that slow aerobic workouts engage slow-twitch muscles.  Weight lifting and sprinting, however, exhaust fast-twitch muscles and their glycogen stores.  The majority of muscle glycogen is stored in these fast-twitch fibers but how often does a typical american engage these muscles? Not often.  Generally, when you weight train, you initiate these muscles in sequence with slow-twitch trying to lift the weight first, then type 2a fast twitch and then finally when all else fails, type 2b fast twitch.  Once the fast-twitch muscles are engaged, it takes 5-10 days for them to recover.  It's similar to a cut on your arm.  It doesn't usually heal in 3 days.  In fact, it takes about 5-10 days!  It takes roughly that duration of time for micro tears in your muscle to heal and the adaptive process to take shape after a strenuous, fast-twitch muscle inducing workout.  I never understood the whole "workout every three days" advice.  When I used to lift weights every three days, I felt like I was never fully recovered.  It was only during those accidental weeks where I had been too busy to work out and a week had gone by that I noticed marked improvement in my strength from the previous session.

The majority of your cardiovascular health improvement can come by simply taking more walks, mowing the lawn, or taking the stairs instead of an elevator.  You'll be at the proper heart rate for endurance training when you go for a long walk without the added stress and overuse injury that plagues most chronic aerobic exercisers.

Principle Two: Nutrition is Key

I've more or less, for the past 5 months, been on a paleo diet.  I follow an 80/20 rule because there are certain experiences (like going out to eat) that I just enjoy.  Having said that, I feel healthier than I have been in a long time.  I can go into a bunch of health benefits I've experienced with this diet as it has helped me to lose a good deal of weight.  However, there are a lot of websites and books out there that can do a better job explaining the diet than I ever could.  Suffice to say, my diet has been and will mostly consist of:

The 80%
  • Fruits
  • LOTS OF VEGETABLES - it angers me that people, especially paleo people, take this diet as a license to eat a hell of a lot of bacon.  It isn't.
  • Lean meats: mostly organic, grass fed.
  • Oily Fish: We like salmon.  I like shrimp (not technically fish) and I love canned sardines.
  • Some nuts though I don't consistently eat these.
The 20%
  • Dark Chocolate...it's a treat
  • Bread/Pasta.  It's a once in awhile treat because my wife is an excellent bread maker.  Bread, in general, however is a nutrition devoid carb bomb.
  • Desserts

I do not eat processed foods.  They are pretty easy to spot.  It's anything that wouldn't exist if it wasn't for modern science...for the most part.  If you can't kill it or pull it out of the ground, it's probably not good for you.  One could argue, in fact, that foods like bread are some of mankind's original processed foods.  Grain seeds were never a part of our repertoire until we figured out a way to grow it, harvest it, pulverize it, ferment it and enjoy it.

Principle Three: Get Plenty of Rest and Relax(ation).

I think this principle speaks for itself.  Whatever you can do to make sure you sleep well enough, do so.  I've had some trouble with this over the past year.  Recently, I discovered that I could have been chronically dehydrated.  After spending the last week or so consciously willing myself to rehydrate more often, my sleep has infinitely improved.  If you're having trouble sleeping, whatever the cause may be, it's definitely worth doing what you need to do to fix it.

Also, plenty of relaxation is required.  Your body needs time to recover.  I also work about 50 hours a week so recovery during down time is critical.  Lastly, relaxation, preferably with loved ones, is just good for the mind and soul.

These are my principles.  What do you think?




Thursday, January 30, 2014

The Beginning: An Introduction

I wanted to start off this project idea in a positive way but all I can think of is how much I hate running.  More specifically, I hate adult running.  When I was kid, I loved it.  I played a lot of two-hand-touch football in my neighborhood and I was always the kickoff returner.  Why?  Because I was fast, purposeful and pretty much untouchable.  It was a lot of fun.  Most importantly, it didn't feel like I was working on purpose in some bored, droning way to improve my conditioning although in fact it was all I was doing.  In the endless summer days of continuous neighborhood soccer games, football games, biking and basketball, it seemed as though my energy tank was bottomless. Exercise had a natural rhythm of high intensity interspersed with medium intensity and plenty of rest and relaxation.  This project is about finding that again.

I've never run a marathon or a half marathon.  I've periodically taken up running only to eventually injure my knee, specifically my right knee, with either "runner's knee" (patellofemoral pain) or iliotibial band irritation.  About a year ago I ran for a period of about 6 months (my longest ever) making a switch from my thick soled sneakers to New Balance Minimus Vibram-soled running shoes.  Barefoot running was a godsend as far as my knee goes.  I ran roughly a 5K every 3 days at about a 8-10:00 minute mile pace which felt like hell to me most of the time.  Despite running for 6 months at this pace, I never felt like my endurance improved all that much.  When I tried to improve my pace by simply running faster, I ended up with an irritated iliotibial band and my hopes dashed.  I've never ran an official 5K or 10K and so I have no idea what my times would be for these events.  I do know this: when I run chronically, I injure myself.  I think the dirty little secret of the running world is that every runner injures themselves eventually.  Doing an exercise chronically that inevitably ends up in injury doesn't make much sense to me.  That such exercises are a cornerstone of modern fitness is even more abhorrent.

I want to run my first half marathon in Las Vegas at their annual Run, Rock n' Roll on November 16th, 2014.  With my checkered past when it comes to adult running, why the hell would I want to run a half marathon?  After all, like I said, I don't like running.  I don't feel the "runner's high" like a lot of long distance runner's experience.  So why this project?  Because I'm naturally contrarian.  I think humans are, to borrow the title of a book, "born to run."  However, we are not born to train in the way we train.

I do have an intense interest in nutrition.  I have my doctor lady wife to thank for that.  She knows how to cook well and nutritiously.  There isn't a vegetable she can't make more delicious.  We have always had great discussions on the topic of nutrition and together, we've experimented with various diets up to and including veganism.  Over the last 4 months, we've experimented with the paleo/primal diet craze.  What I can say is that I'm a convert and I will talk extensively about my nutrition as the project progresses.  

Following the lead of men like Mark Sisson of Mark's Daily Apple and Doug McDuff and taking into account my training in biochemistry and in pharmacy, I've decided to take a different approach to training for this half marathon.  I've want to focus on two aspects of training that are all but ignored by modern endurance runners: sprinting/high intensity training and adequate rest.  Guys like Brian McKenzie, with his CrossFit Endurance training, comes a bit closer in my opinion but he completely ignores the concept of adequate rest and recovery.

My training program will be pretty simple.  It'll consist of a weight training routine involving a circuit of pushup's, pull-ups, and squats that focuses on core, whole body functional strength.  After all, when I've felt fatigued from a run, it was not only in my legs but in my arms, shoulders, back, neck and core. As far as running goes, when I run, it'll be sprinting only.  There will be no long runs.  The only long run that I will do will be on raceday.  My routine will be short (15-20 minutes) of very, very intense exercise every 4-7 days to allow for adequate rest and relaxation.  Hence the 15 Minute Marathon.  The project is my attempt to see if a decently fit, but mostly sedentary, couch potato/desk jockey like myself can push himself beyond the slow plod of the amateur fitness jogger and run a decent time in a half marathon.  It's my attempt to tap into dormant physical potential (even though I am far from being a gifted runner or athlete) using techniques that minimize injury.  It'll be a way to incorporate knowledge of the inflammatory and anti-inflammatory properties of food with a new idea of fitness training and perhaps health.

Or, I could bonk out after only 3 miles because this whole time I refused to follow conventional wisdom.  If that's the case, at least I'll be in Vegas.  And just maybe, despite whatever happens, I'll feel like a kid again.