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Wednesday, 4 May 2016

Princess Health and May 4th, 2016 Flipping The Ratio. Princessiccia

Princess Health and May 4th, 2016 Flipping The Ratio. Princessiccia

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May 4th, 2016 Flipping The Ratio

I sincerely appreciate each and every email, comment and Facebook message received in support of last night's blog post. I haven't had a chance to reply to every single one, but I will over the next couple of days. After staying up too late last night, I set myself up for a rough day. Tonight, I'm taking better care and getting some extra rest.

The effect of the NYT article on Dr. Hill's study was just as I and many others predicted. Judging from the tone of several messages today and even within my tight support circle, many people read it and was horribly discouraged. I read everything from "I got a sick feeling in my gut" to "I was so depressed about it, I had a binge."

My experience in not being able to go past 515 pounds, despite my best efforts for nearly two decades, certainly supports the set point theory. Why it was between 505 and 515 for me, 700 for another and 325 for someone else, is simply because we're all different. But still, my experience also supports a much more positive side of things. I'm convinced that a damaged metabolism can be revived and healed back to an optimal level. My belief is supported by maintenance weigh-ins like today's.  
photo 207-0 weigh day_zpsangpexoj.jpg
After March 30th's 206.8 all-time low weigh-in, I decided to go to a monthly schedule. Today's visit to the doctor's office found a tiny .2 gain. Two tenths of a pound! I'll take it!
photo 207-0 weigh day progress report_zps53ecwelk.png
This nice five pound range since early December on 2300 calories per day is still somewhat unbelievable to me. I would have never guessed it possible for me to maintain at this calorie budget level. I guarantee, there was a time--this level would have meant a small steady weight gain.

Again--this whole thing isn't hopeless. It isn't doom and gloom. There's plenty of hope and promise for transformation that goes far beyond the physical. The physical is truly the least of this experience.

One of the things that has helped me is what I call "flipping the ratio of focus." Instead of starting out focusing 80% on the food and exercise and maybe 20% on the mental/emotional aspects, I've flipped it around. I've focused 80% on the mental/emotional aspects and 20% on the food and exercise. The mental/emotional aspects covers a wide range of things from accountability and support measures to digging deep in order to uncover the underlying issues behind the emotional dependency and connections with food.

And as our mental/emotional transformation develops, incredible epiphanies come--and then, we're able to devote more time and focus on the important elements of food and exercise, because now we've developed a stronger, more stable foundation for everything else.

The non-physical mental/emotional transformation, in my opinion, is the biggest of all. This is why my first and best advice is always keep it simple. Simple is sustainable. Set a limit, make a doable schedule and honor the integrity of your plan--make it something that fits your likes...something that allows you the mental space to work through the deeper, critically important issues. Because let's be honest, it's our behaviors, encouraged by the experiences shaping our emotional/mental development, that brought us here in the first place.

In my experience working with others coming from all methods of weight loss, the biggest conclusion I've made is this: No matter what method of weight loss you choose, there's no substitute for the mental/emotional work required along the way. This is why we can relate to one another on a deep level--because many of the most important things involved are universal.

Today was a tired day, yet surprisingly productive in several ways. I maintained the integrity of my maintenance calorie budget, I remained abstinent from refined sugar and I exceeded my water goal. I'll do my best to do the same, tomorrow.

Today's Live-Tweet Stream:
































Thank you for reading and your continued support,
Strength,
Sean

Princess Health and My Recent Paper on Linoleic Acid in Adipose Tissue. Princessiccia

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Linoleic acid (LA) is the predominant polyunsaturated fat in the human diet, and it's most concentrated in seed oils such as corn oil. LA accumulates in fat tissue, and as with many of the nutrients we eat, it is biologically active. In a new paper, we systematically review the studies that have measured the LA concentration of fat tissue in US adults over time. We show that the LA concentration of fat tissue has increased by approximately 136 percent over the last half century.

Susan Carlson, PhD
In 2011, I posted a graph on my blog in which I summarized some of the studies that have measured the LA content of fat tissue in US adults over time (1). It showed a remarkably consistent upward trend. Last year, a University of Kansas nutrition researcher named Susan Carlson contacted me and asked if I had published my findings in a scientific journal, because she wanted to cite the trend in one of her papers. I said I hadn't published them, but that I would love to do so together.

Read more �

Princess Health and Stanford hospital is first in Kentucky to go back to laughing gas, or nitrous oxide, to relieve the pain of childbirth. Princessiccia

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Photo: Abigail Whitehouse, Interior Journal
Ephraim McDowell Fort Logan Hospital's Birthing Spa in Lincoln County is the first in Kentucky to offer nitrous oxide, often called laughing gas, as an alternative pain relief measure for women during childbirth, Abigail Whitehouse reports for The Interior Journal in Stanford.

Dr. James Miller, the unit's medical director, told Whitehouse that the Birthing Spa aims to provide support and comfort to mothers during labor and that nitrous oxide, which was commonly used for this purpose in the 1950s until epidural anesthesia became popular, provides another option to help decrease anxiety and pain during childbirth.

"We in our unit found, when we started hearing again about the nitrous oxide, that it just fit really well with our philosophy of trying to offer choices to moms," Miller told Whitehouse.

Miller said that while epidurals continue to be used most often during labor for pain management, the procedure comes with some risk and are expensive.

"Epidurals cost a lot and haven't shown the benefits. And they changed labor from a low-risk setting to a high-risk setting," Miller told Whitehouse. "With an epidural, we know that it drops the mom's blood pressure, so they have to have an IV ahead of time and load up on fluids to try to prevent the drop in blood pressure, and then it can still happen. Then you have to monitor the baby's heart tones."

In addition to nitrous oxide, the Birthing Spa also offers alternate options for pain management during childbirth, including: water births, which he said have been proven to lower cost and shorten the length of labor, showers big enough for two with multiple shower heads, a nursing staff trained to "almost function as a doula," a beautiful garden to walk in, and massage chairs. The unit also offers epidurals or an alternative intravenous medication for pain.

Miller noted that nitrous oxide, which is delivered through a mask, allows laboring mothers control over their pain management because they can put it on and remove it as needed; it can also be used earlier in the process than an epidural.

Miller told Whitehouse, "It's very fast acting so when the pain is starting to contract, they start breathing the medicine and within seconds it takes effect and then as the pain resolves, they take the mask away and the medicine wears off that quickly too."

Tuesday, 3 May 2016

Princess Health and May 3rd, 2016 A Hopeful Response To The New York Times Article On Dr. Hall's Biggest Loser Season 8 Study. Princessiccia

Princess Health and May 3rd, 2016 A Hopeful Response To The New York Times Article On Dr. Hall's Biggest Loser Season 8 Study. Princessiccia

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May 3rd, 2016 A Hopeful Response To The New York Times Article On Dr. Hall's Biggest Loser Season 8 Study

I sat in the waiting room of the surgery center with mom yesterday morning as we waited for her name to be called. The Today Show was on the television and mom was asking questions about that amazing day I'll never forget. "Did you meet Al?" Unfortunately, no. "Did you meet that other guy?" No, Matt was taking a day off. Our mother-son Today Show Q&A was cut short by, "Beverly, come this way..." I once again reassured mom she was in good hands and this procedure was going to be okay, "I hope so," --It will mom, I love you. "I love you, too, son." And off she went into a patient only area.

And then it was just me, sitting there, watching Today on NBC--and making my way around my phone. I checked email, connected with my private support group via Facebook and thought about lunch plans. It wasn't very long in the waiting before I noticed a news headline for an article in The New York Times by Gina Kolata, picked "especially for me," all about Kevin Hall PhD's study on Season 8 Biggest Loser contestants. The study was over a period of the last six years. And since I've experienced my personal study over the last seven years, I was immediately drawn in to every single word Dr. Hall and this article presented.

The study, monitoring the season 8 contestants, documented the regain most experienced post-show. It concluded the same as similar studies: The body can and does develop a weight "set-point," and for those of us who lose weight, it means our bodies are constantly pushing back to this set point.

While the experiences of my exploration, or "research," if you will, agreed with much of this scientific study, specifically about the body having a set-point weight, I was extremely disappointed in the overall hopeless tone of the article's conclusion. The truth isn't hopeless. I've lived it. I'm living it every day. Trust me, there's plenty of hope. 

Instead of hope, I immediately recognized the fuel for self-defeating rationalizations of which I'm very familiar. I talked myself into staying near, at or above 500 pounds for almost two decades, I know all about self-defeating rationalizations. These self-defeating thoughts, especially when supported by scientific research and presented in a publication respected the world over, become even more powerful. I wonder how many people read this same article and then released their embrace of taking extraordinary care?

To conclude our body will find a way to return to this set-point, as if it's a given, without exploring the role of personal responsibility/behaviors/and habits, not to mention the monumental effects of our necessary mental/emotional transformation, or lack of, was, in my opinion, potentially damaging to the millions of people embracing their plans and holding on to hope for a life at a healthy body weight.

Because, if we're biologically programmed to regain back to this set point, then why bother?

A friend of mine who struggles with weight issues, sent me a text about the study first thing this morning, "...it's a little bit frightening."  Her message wasn't the only one. By days end, I had received several messages and engaged in a couple of conversations about the study. Several things came up, words like depressing and frightening, and the common question: Is what I'm doing pointless?  No, it isn't pointless.

The following is an excerpt from the archives of this blog. In it, I describe my own discovery of this "body weight set-point" and I offer my answer to the question: Are we destined to return to a life of morbid obesity?

From The DDWL Archives-April 17th, 2015:

I don't know when it happened. At some point, I believe, I fried the circuits responsible for regulating my body weight. I hit 500 pounds before age 20 and although it took a lot of over-eating, late night fourth (and fifth) meal eating, an occasional binge and zero intentional exercise to accomplish this, I didn't consider the quantity of food at any one setting should have warranted such a morbidly obese body weight.

I remember reading an article when I was twelve years old about the worlds heaviest man. Reading about his typical day of food just wasn't ever me, at twelve--at twenty, or thirty-five. A dozen eggs, a pound of bacon and a loaf of bread for breakfast? In my late teen years, as the scale crept above 500, I'm sure some might have imagined I had similar eating habits, but no, never did. Perhaps I just spread mine out a little more. But here's the kicker:

At a certain point, I stopped gaining. My body settled between 500 and 515 for years on end while I did absolutely nothing to lose weight or maintain the weight. It was as if I found my body's "set point." And it seems this is where my fried body-weight regulating circuits want me to be, naturally.

I have zero doubt, if it wasn't for this turnaround period from relapse/regain over the last year, I would be back between 500 and 515 by now. Not a shred of doubt. I was headed that way in a hurry.

Recently, a medical paper was published in the Journal Lancet Diabetes & Endocrinology. And it was written about in a CBS News Interactive piece by Jessica Firger. Below is an excerpt from the article:

"Although lifestyle modifications may result in lasting weight loss in individuals who are overweight, in those with chronic obesity, body weight seems to become biologically 'stamped in' and defended," Dr. Christopher Ochner, lead author and Assistant Professor of Pediatrics and Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, said in a press statement.

The authors of the paper say we need to change the way we think and talk about obesity, and use language reflective of the fact that being morbidly obese is a chronic disease. Like addictions to drugs and alcohol, patients can overcome it but shouldn't expect to be "cured."

"Few individuals ever truly recover from obesity; rather they suffer from 'obesity in remission,'" Ochner says. "They are biologically very different from individuals of the same age, sex, and body weight who never had obesity."

Those of us with chronic obesity have a body weight that is "stamped in and defended." Sounds very familiar to me. I wasn't surprised when I read the article. Not one bit. I knew about this from living it.

It's incredibly easy for me to regain weight. If I suddenly stopped intentionally exercising and tracking my consumption, even without binge episodes, I truly believe my weight would consistently creep upward. Maybe not as fast as it did in the middle of binge city-relapse/regain, but with the same ultimate destination between 500 and 515 pounds.

So now what?

Are we doomed to gain it all back because that's the curse of chronic obesity?

Is there any hope at all?

First of all, there is hope for long term recovery. I know people who have done it (maintained their weight loss) for ten, twenty and nearly thirty years. It does take work. And no, it's not fair. And that's precisely where our success starts.

Acceptance. If I'm constantly resistant of the elements I must practice each day because it's not fair that so and so can eat a truck full of food and never gain an ounce, then I'm in big trouble.

It is what it is. I've discovered the quicker this acceptance is fully embraced the quicker I can continue enjoying life at a healthy body weight. Something so effortless to some requires daily attention and diligence for someone like me.

They key, I believe, is finding a way--a plan you can truly enjoy. If you read this blog regularly, you see everything I eat. I do not feel deprived in the least. I love what I'm eating. And it's plenty.

I've set the boundaries of my plan and I hold them sacred. I must always hold them sacred. No sugar, daily food tracking and calorie budget management, regular exercise and most importantly, support. Exchanging support with people like me who are in this deal right alongside, is critically important. Writing this daily blog is also a strong source of support and accountability.


Acceptance to me, means these elements of my recovery become more than habit, they become woven into the fabric of my life, for the rest of my life. There isn't a finish line. There isn't a declaration of some big final victory.

I must never try to live someone else's normal. I must live my normal. This is my normal. And you know what? It's all good, even with the set point weight my body tries to gravitate toward if I don't stay on top of it.
----------------------------------

What would happen if we gave our individual plans the same level of reverence as someone in successful recovery from drugs and alcohol gives their sobriety? 

I've been getting the answer to that question for the last two years. When I started applying this importance level was when I consistently starting shedding my one hundred sixty-four pound regain/relapse weight, plus lost an additional twenty-three pounds and today, I continue to maintain a very nice weight range--and I've maintained this healthy weight range for over eight months. It's all documented--every single day, right here in this blog.

And I always keep in mind--I'm not cured and I don't "got this." My continued success isn't guaranteed. If I continue making what I do each day, important, then I have a really good chance at continued weight maintenance.

Another excerpt from very early in the archives is a message of hope to anyone getting started:

I've been doing a bunch of tough thinking lately about why some struggle so hard while others seem to be so solidly on their way. Why some say they �get it,� but continuously give in to the temptation that's trying to take this away.

I think it's actually harder for people who are exceptionally smart.

Let me explain: It's nearly impossible for someone to really learn something if they already believe they know. Especially when the solution has been broken down into very simple terms and easy to understand mental exercises. It can't be that easy, they might think.

And so their search continues---looking for books and articles to break it down into slices that challenge their intelligence. Some people insist on complicating things. It doesn't have to be complicated. It can be easy if you accept that it can.

Once you turn off the excuses. Once you accept 100% responsibility for your behaviors with food. Once you become completely self-honest about your consumption. Once you realize the importance of consistency. Once you stick to a lower level of calories. Once you commit to a real exercise schedule, once you do these things�it's almost impossible not to succeed. And yes, you have to fight. You have to bring out the fight inside and often times battle that little devil on your shoulder. If any of these vital components are not in place, it can seem very difficult.

You must not forget that I'm a food addict. You must realize and remember that I too spent my entire adult life until now, struggling the same way. I was out of control.

So if you read my words these days and think, Oh Sean, you make it sound so easy don't you? Never forget from where I've come. And realize that if I can get to this place, then it's not impossible for you to get here too.

And you don't have to understand everything to get started. I didn't. (I still don't!)

I didn't know or practice anything but the very basics on day one. You might even say I was going through the motions at first. Along the way these simple truths came out about my past failures and all of a sudden things started making sense. I started to have a better understanding of why I always struggled before and why I was struggling less now. Epiphanies started happening, they're all documented...go back and read them.

So if you're trying to get everything in order in a way that makes complete sense before you start succeeding, you're complicating the process. The things that must be rock solid from day one are your commitment to fight. Your resolve must be �iron-clad.� Your desire to succeed must exceed your desire to binge. It's that importance level thing again. Set it dramatically high. And fight for your life. Defend this journey from those evil thoughts within that threaten your success along this road. And find comfort in the fact that you will learn things and have epiphanies along the way that will catapult you onto different levels of understanding. But in the beginning you must fight. It's a fight worth fighting, it really is.
--------------------------
Okay--back to Dr. Halls study and the article from The New York Times. His study's conclusion, compared to my experience, was spot on. Yes, spot on. I believe 100% the body weight set point is scientific fact for many of us.

I also believe, with nothing more than my own experience to back it up, that our metabolisms can actually improve dramatically depending on what we're putting in our body.

My maintenance calorie budget is 2300 per day. This level, at one time, would have resulted in weight gain for me--but instead, it's now keeping me in a very nice range. How is that possible?

Is it the abstinence from refined sugar? Is it the food selection? Is it the water consumption goal each day? Or is it all of the above? I don't know. I've never claimed to have all the answers. But what I do know for sure is, there's hope. There's plenty of reasons to keep taking extraordinary care.

What I didn't like was the hopeless tone of the overall piece.

I was also appalled by the nine hour workout days on The Biggest Loser. My heart broke for fellow Oklahoman Danny Cahill while reading about the workout schedule he so desperately tried to maintain post-show. It was TV, I get it--there was a schedule--a time frame for hitting these milestones--but my question is this:

How did this approach affect each contestant's metabolism and biological makeup? The weight set point is real, sure--but is what we're doing--the method we choose, making dramatic contributions to the complications explored in the study?  

I've always been big on "consistency beats intensity" and "simple is sustainable." I've rarely worked out for longer than an hour in one day. And still, dramatic results happened. The lessons embedded in all of this reminds me of the age old tortoise and hare story.

I'm passionate about sharing my experiences, perspectives and philosophies along this road. First and foremost, it helps me stay accountable and grounded in support. When someone let's me know how it's helped them, too--that's simply one of the most beautiful bonuses.

The sad thing is this: Hundreds of thousands, if not millions, will read the New York Times article about this study, and likely, less than a thousand will read this blog post. Countless people will feel discouraged by the findings and the idea that regain is a biological certainty. By comparison, few will read this blog's real life study of the last seven years. And you know what?

That's okay. 

Because again, my number one concern is my continued recovery and successful maintenance of a healthy body weight. I'll continue doing what I do, regardless. And as time passes, and I maintain the fundamental elements that keep me well each day, it will strengthen my philosophies and understanding of this entire experience.

I'm simply passionate about effectively communicating a message of hope. I hope that comes through loud and clear.
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I make my way to the doctor's office in the morning for my maintenance weigh-in. I'll have the complete weigh-in update in tomorrow night's edition.

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Thank you for reading and your continued support,
Strength,
Sean

Princess Health and Prescription drug addiction not only comes at a personal cost to individuals, but also at an enormous cost to employers. Princessiccia

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By Melissa Patrick
Kentucky Health News

With nearly one of three opioid prescriptions being abused, employers are not only subsidizing the cost of these drugs, they are also paying for the fallout that results from the abuse, according to a new study.

"The personal impact that opioid painkiller abuse takes on individuals, their friends, and family is absolutely tragic,� Kristin Torres Mowat, senior vice president of health plan and strategic data operations for Castlight Health, the health-information firm that led the study, said in a news release. �This crisis is also having a significant impact on the nation�s employers, both in the form of direct and indirect costs. From higher spending on healthcare, to lost productivity, to the dangers associated with employees abusing medications in the workplace: these are aspects of the crisis that are too often overlooked in the current discussion.�

The study, titled "The Opioid Crisis in America's Workforce," looked at anonymous claims data from nearly a million employer-based health insurance claims between 2011 and 2015, defining abuse as those who received more than a 90-day supply of opioid prescriptions and received prescriptions from four or more providers. It excluded claims that had cancer, palliative care or convalescence care diagnoses.

Graph from "The Opioid Crisis in America's Workforce" report
The study found that 22 of the top 25 cities that abuse opioids are in the rural South. Henderson was the only Kentucky town on this list, as part of the Evansville, Ind., metropolitan area, which had a 7.8 percent opioid abuse rate.

Kentucky ranks fourth in the nation for painkiller prescriptions, at about 130 prescriptions for every 100 people, Christine Vestal reports for Stateline.

So why aren't more Kentucky towns on the list? "Anywhere with a ZIP code is included," Castlight spokeswoman Cynthia Cowen said in an email. "However, in less populated regions, showing the abuse rates may inadvertently lead to patient identification."

The Castlight study also found that on average, 4.5 percent of Americans who get narcotic painkiller prescriptions are abusers, and account for nearly one-third (32 percent) of total opioid prescriptions and 40 percent of opioid prescription spending.

And the cost to employers is huge, estimated at $10 billion annually for absenteeism and poor work productivity, says the report. In 2015, the study found that employers spent nearly twice as much ($19,450) in medical expenses on opioid abusers annually than on non-abusers ($10,853), a difference of $8,597.

The study offered some additional insights, including: baby boomers are nearly four times more likely to abuse opioids than Millennials; poorer people are twice as likely to abuse opioids as rich ones; states with medical marijuana laws have a lower opioid abuse rate than those that don't; patients with a behavioral health diagnosis of any kind are three times more likely to abuse opioids than those without one; and opioid abusers have twice as many pain-related conditions as non-abusers.

The federal Centers for Disease Control and Prevention has called this issue a public-health crisis and has asked doctors to change the way they prescribe opioids, by only prescribing them for three to seven days at the lowest possible effective dose.

According to the CDC, nearly 2 million Americans are abusing prescription opioids, resulting in 16,000 deaths per year. In 2014, the latest data available, 1,087 Kentuckians died of overdoses, according to the Kentucky Office of Drug Control Policy.

The report suggests that employers have a role to play in addressing this through the use of data and analytics to determine prescribing trends that can then help them better understand what their employers needs are as they relate to opioid use and abuse, and then to guide them to appropriate benefit programs to prevent or treat their addictions.

Princess Health and Studies conclude that abstinence pledges do little to cut youth sexual activity, pregnancies, sexually transmitted diseases. Princessiccia

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Abstinence pledges�sometimes called purity pledges�don't keep young people from engaging in sex, contracting sexually transmitted diseases or avoiding pregnancy, according to a pair of studies, Denise-Marie Ordway reports for Journalist's Resource. The main problem is that students are not receiving enough sex education. A federal Centers for Disease Control and Prevention report from December 2015 found that "fewer than half of high schools and only a fifth of middle schools teach all 16 topics recommended by CDC as essential components of sexual health education."(CDC graphic)

A 2005 study by Yale and Columbia universities found that 88 percent of youth who take the abstinence pledge engage in pre-marital sex, Ordway writes. "The study found that pledgers were just as likely to get STDs as those who never made a pledge of virginity."

A more recent study, published in April in the Journal of Marriage and Family, found that among students in grades 7 to 12, "as a whole, young women who did not take abstinence pledges and those who did but broke them were equally likely to acquire HPV, a common STD," Ordway writes. "Approximately 27 percent of each group tested positive for HPV. Of the young women who had two or more sex partners, pledge breakers were more likely to have HPV. The difference was largest among women who had between six and 10 sex partners. One-third of women who had not taken a pledge and had six to 10 sex partners tested positive for HPV. Meanwhile, 51 percent of pledgers who had six to 10 sex partners acquired HPV. About 30 percent of pledgers and 18 percent of non-pledgers became pregnant within six years after they began having sexual intercourse outside of marriage."

"In the U.S, the teen pregnancy rate is higher than in any other western industrialized country, according to the CDC," Ordway writes. "At the same time, a growing number of American teens and young adults have been diagnosed with sexually transmitted diseases (STDs). While individuals aged 15 to 24 make up 27 percent of the U.S. population that is sexually active, the CDC estimates that they account for half of the 20 million new infections occurring annually."

Monday, 2 May 2016

Princess Health and May 2nd, 2016 At Ease. Princessiccia

Princess Health and May 2nd, 2016 At Ease. Princessiccia

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May 2nd, 2016 At Ease

I took a personal day away from the studio in order to accompany mom to her medical procedure today. She was very nervous, tired and hungry. Still, we found ways to laugh and I think she started to calm down some with a different perspective. The doctor came back with fantastic news--everything was fine! She was so relieved--still tired and hungry, but completely at ease.

Instead of dining out per our original plan, mom allowed me the pleasure of preparing lunch for her while she rested in the easy chair. Mom was excited about the flatbread pizza, saying, "I've seen these on your blog tweets and always wanted to try one." She loved it! And I loved her loving it!

I made my way over to my daughter and son-in-law's new place after my Monday night support group conference call. Everyone was getting together for dinner. It was an opportunity to visit with both of my daughters at the same time (rare) and my little grandson Noah, again!! This is two days in row for visiting with Noah!

My monthly maintenance weigh-in day is coming up on Wednesday morning at the doctor's office. This will be the first monthly weigh-in. I really kind of missed not weighing two weeks ago. But, I think a monthly weigh-in will work better for me. We'll see!

I'm letting the Tweets tell the rest of today's story--

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Thank you for reading and your continued support,
Strength,
Sean
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