Fat Pride. Why it Isn't Good for Us

Let me begin by saying that this post may not be completely politically correct. I don't really like political correctness very much. Being super careful not to offend anyone is not really a great way to motivate. I will also say that I am sensitive to the issues I am about to present. As a fat, then skinny, and now fat again person, I more than most understand the issues that overweight people face. I have been made fun of, and felt insecurity and depression about my body image.

With all of that said, I HATE the current "fat pride" movement. In this era of equality and social progressiveness, we are taught that however a person chooses to live is totally OK, and that we should celebrate their life choices. Now, I am in no way racist or sexist. I am really glad that women have achieved equal rights, and that people of non-white ethnicities have made huge strides in social, economic, and academic circles. I am also very glad that gay marriage has become acceptable. Regardless of your beliefs about the sinfulness or lack thereof of homosexuality, I think most people can agree that gay marriage is a political, not a religious issue. I truly believe that everyone deserves equal protection under the law, regardless of what the dominant religion has to say about it. (I am Christian, but in America, religion and law are two separate issues).

The fat pride movement is quite different. There are plusses and minuses to it. I'll start with the positive. It is a good thing that people are happy with who they are, and don't have to suffer major self-esteem issues because they don't fit society's standard of beauty. Here in America, beauty seems to be the most important objective. Most people want to lose weight because they need to fit into a bikini, or look good in their little black dress.

Which leads us to the big minus: beauty is a secondary concern. As a doctor, I am primarily concerned about people's health. Unlike being a woman, being African American, or being gay, obesity leads to scads of health problems, including high blood pressure, diabetes, heart disease, stroke, depression, chronic pain, and most likely early death. This is my big problem with fat pride. People use it as an excuse to forgive themselves for what is usually a deep emotional issue, or a major addiction. It would be similar to having a movement for alcoholic pride, or meth abuser pride. Just because someone chooses a certain lifestyle doesn't mean that it needs to be celebrated.

I am pissed off at myself because I gave up and got fat again. I don't want to accept my body. I am not depressed or unhappy, but I am not satisfied with how I currently am. My goal is to reach 175 lbs (about 100 from where I am now). After reflecting for a long time about the fat pride movement, I have decided to selectively accept a few things, and reject others. I accept that overweight people should not be ridiculed or disrespected just because they don't fit our narrow view of beauty. I reject that we should stay how we are out of some misguided sense of pride or arrogance. Thankfully, no one need ever be obese. All it takes to find health and a normal weight is a few lifestyle changes.

The DevolveHealth eating plan is simple, easy to understand, and works every single time. All you have to do is follow 3 guidelines:

1. Eat foods like they grow in nature. (No processed sugars, oils, or "food products."
2. Eat a wide variety of fruits, vegetables, legumes, nuts, and grain, and very little if any meat, dairy, or eggs.
3. Choose food for nutrition, not flavor.

Easy to implement, sometimes hard to follow. As I always tell myself in a weak moment, nothing worth having is easy. So refuse to be insulted because you are overweight, but also refuse to accept that obesity is the only possible outcome for you. Join me in reclaiming your health and fitness, and post your comments on here, or on my Facebook page (www.facebook.com/devolvehealth). Or go to my web page, and send me an email (www.devolvehealth.com). I would be thrilled to share in your journey, or hear about your successes and hardships.

M. Jacob Ott, MD

Relapse

Relapse

Hi all. I know it has been a LONG time since I have written. An awful lot has happened to me in the past year and a half or so.

Those of you who have followed my blog the previous couple of years know that through a rigorous vegan diet and daily exercise, I had gone from a horribly obese 350 lbs to a svelte 200. I had reclaimed my health, lost my hypertension and borderline diabetes, and discovered more energy then I knew was possible. My depression, which had plagued me for years, had even gone away. Without a doubt, I knew my avoidance of processed foods and animal foods, as well as daily exercise had been responsible for my weight loss. Overall, I had never felt better in my life. I felt as if I was invincible.

Life, however, is never without its share of tragedy. Just when I thought I had reached my highest point, the universe decided to take me down a peg or two. First, my wife demanded a marital separataion. Not terribly long after, I found out she was having an affair. Finally, three days before our 11th anniversary, she filed for divorce. The marriage I had hoped to save for the months of our separation was over.

I was completely devastated. I went from living in a nice house to a one bedroom apartment. I only got to see my kids 8-10 days a month. The illusion I had of a "good life" was completely shattered. Financially, I was shackled by huge child support and alimony payments, which amounted to approximately 60% of my monthly salary. I was forced to work extra shifts every month in order to make ends meet.

As I have mentioned many times in the past, I am an emotional eater. When I get upset or anxious, I tend to resort to food as my comfort drug. As unhappy as I became, I simply quit. I stopped eating my unprocessed plant-based diet. I stopped exercising. Instead, I took to sitting and watching television to take my mind off of my circumstances. And I ate. A lot. I ate fried chicken, mashed potatoes, macaroni and cheese, pizza, and all of the "comfort foods" that I used to rely on. 

It is surprising how simple it is to slip back into old patterns. I vowed that I would never eat animal products again, but under pressure, that vow was easily broken. Not surprisingly, given the research I have shown in previous blog posts (feel free to read them all), bringing back the animal foods meant the return of the weight, and the return of my chronic diseases. Depression, obesity, and high blood pressure quickly returned. I ballooned from 200 pounds to 280. I was afraid to write blog posts advocating health, because I felt like a hypocrite, and I was ashamed to tell my story, as it had taken a huge turn for the worse. 

Not too long ago, however, I realized something. This part of my story is worth telling. Relapse is part of the process of change. The question to ask is not "will I mess up," but "when will I mess up?" Clearly, resorting to those comfort foods was a huge mistake, and It cost me dearly. 

Thankfully, I regained control of my life. I deepened my connection with God, filling a lot of the void in my life. As much as I hate dating, I also met a wonderful woman who is as fully committed to me as I am to her, and we were wed in January. 

The waters having calmed a little in my personal life, I took a look at my health. At first, I thought going vegan again would be too hard, given that I had strayed from it for so long, so I tried to eat Paleo. That just didn't work for me. One good thing I discovered trying that eating plan was how bad gluten is for us. I will elaborate on that in a future post. 

Finally, since no other eating plan has ever worked for me, I decided to return to a vegan diet. Specifically, I decided to follow my own eating advice, the DevolveHealth Eating Rules:

1. Eat foods as they occur in nature

2. Eat a wide variety of fruits, vegetables, legumes, and nuts, and very little if any meat, eggs, or dairy

3. Choose foods for nutrition, not flavor

Within a week of committing to eat plants again, my energy returned, and I began to feel better. I have lost about 10 lbs so far, and will not stop until I reach my goal weight of 185.

As with many things in life, buried in tragedy is hope, and opportunity. I had thought my rough patch was just a punishment, but now I realize that I can make some good from it. The last time I reached out to you readers about nutrition and exercise, I did it as someone "on the other side" if you will. I had already achieved my goal. The mountain always looks smaller when you are at the top. This time, I will take you along with me on the journey, and we can help each other climb.

I encourage each of you to set a goal to reach with me, be it a weight goal or a fitness goal. On my end, I promise to post frequently on my progress and the lessons I learn. I hope you will commit to following me to fitness and a better life. Feel free to post your story, or your commitment in the comments. Mine is far from the only story worth telling.

Either way, this should be an adventure!

Jacob Ott, MD

The Freedom to Not Choose

Today is Memorial Day. We dedicate today to remembering those who have served and given their lives for the freedom that we all enjoy. The fact that we live in a country with a constitutional republic, in which we are free to express our views and opinions without fear of censorship, oppression, or even death is due to the actions of countless brave men and women over the course of two centuries and counting.

Freedom is something that must be constantly defended, because it is not a natural state. Ever since man has existed, we have tried to exert power over our fellows, and force them to work toward our ends. Sadly, most of the ancient wonders of the world were built with forced labor, and up until very recently, slavery was not only acceptable, but common practice. We are very fortunate to live in a country in which we are free to choose the course of our lives.

By now, you might be wondering how this all ties in to a health and wellness blog. Good question. There is one crucial point that most of us never think of with regard to freedom. Just because we can do something, does not mean that we should, or that it is best for us. Besides having unprecedented legal and social freedoms, Americans (and residents of other industrialized countries) also have culinary freedom which has never been experienced on the planet before.

To realize this point, you need to look no further than the cookout you will likely attend this afternoon. Represented at your Memorial Day cookout will likely be hamburgers, hotdogs, fried chicken, potato salad, potato chips, corn, fruit salad, watermelon, cantaloupe, beer, soft drinks, green beans, deviled eggs, cupcakes, cookies, and countless other foods. Before eating today, let's think for just a minute on what foods will be represented in the average American backyard today:

Beef                                         Chicken                                  Pork
Potatoes                                  Eggs                                        Corn
Mayonnaise                            Bananas                                 Grapes
Watermelon                           Cantaloupe                             Sugar
Beans                                      Milk                                        Wheat
Rice                                         Soybeans                                Pineapple

This list is far from inclusive, but it gives you the basic idea. As important as how many foods we have access to is how easily we can obtain them. Unlike our caveman ancestors, we don't have to forage and hunt in order to obtain the foods we eat. All we have to do is go to the grocery store, and we see all of the foods above and more sitting on the shelves. Cavemen would never have been able to match either the quantity or variety of food that we have at our fingertips. The foods above come from all over the world, from Europe to America to tropical islands in the middle of the pacific ocean.

It is wonderful that we have access to all of these foods, in quantities that ensure most people don't have to worry about where their next meal is going to come from. It is also somewhat ironic that this freedom is slowly killing us. In the past fifty years, we have been getting larger and larger and larger. Two-thirds of all Americans are now either overweight or obese. Infectious diseases like pneumonia, which used to be the biggest killers of people, have been supplanted with diseases of lifestyle like heart disease, cancer, hypertension, and diabetes. Mounting evidence in the past 20 years has shown that some foods, particularly meat, milk, and eggs, are directly related to the diseases which now kill us in epidemic proportions.

I, like all of you, dear readers, am extremely grateful for the men and women who died to allow us to live free of oppression and slavery, and to pursue our dreams. I shudder to consider what those men and women would think if they were to see how we are slowly killing ourselves. I have never served in the military. The fight I participate in is not for our freedom, but for our health. This Memorial Day, I would like to humbly suggest that we try to honor the memory of those who served by trying to take care of our bodies, and using some of our freedom to not choose some of the foods which cause us so much harm.


Happy Memorial Day,

M. Jacob Ott, M.D.

Supplemental Danger

Yesterday, I read a fairly disturbing study about calcium intake. The study, which was a retrospective study which took into account various factors, including supplement intake, showed that taking calcium supplements significantly increased the risk of heart attack. The exact findings are as follows:

• Participants who took supplements that included calcium were 86 percent more likely to have a heart attack, compared to people who didn’t take any supplements.
• Participants who only took calcium pills were more than twice as likely to have a heart attack. 

This is fairly disturbing, but not the first time a supplement has been indicated in a problem. A 2004 study showed that taking mega-doses of Vitamin E as supplements increased risk of death. Just like calcium, Vitamin E was previously shown to be helpful. Several other studies have shown single supplements, and even the ubiquitous multivitamin to be harmful.

What is the common link between all of these studies? The fact that it is a supplement. When we isolate a chemical from food, and put it in a pill, something happens. At best, it loses its effectiveness. At worst, it becomes harmful. The supplement study is only part of the story. In fact, rarely has a supplement ever been shown to be helpful in pill form. I have previously spoken about fiber, which is not effective in the myriad of powders and pills that are sold, and is only beneficial when taken as part of the food.

Why is it that our pills do not help us? I believe it is because we have an incomplete understanding of how food works. While we do our chemistry and isolate these chemicals, and then take them, we are unaware of the thousands of other compounds in the food which contribute to the action of the "vitamin" that we have isolated.

But Jake, you ask, what about calcium? I know I have to take a supplement of at least 1500 mg of calcium a day for bone health? My doctor told me so. All parts of the above statement are wrong. I will spend the rest of this post debunking the calcium myth:

1. Calcium intake is required to prevent osteoporosis: Point one is a partial truth. Bones are comprised of a matrix of calcium phosphate. In order to build or maintain bone, you must have some calcium. Where this truth gets distorted is in the advertising. People in this country have spent billions of dollars associating two items in our brain: milk and calcium. I wrote a previous post about this, but the short version is that milk does nothing to prevent osteoporosis. If it did, then the countries with the most milk intake would have the lowest rates of osteoporosis. In fact, the opposite is true. The more milk a country consumes, the HIGHER rate of osteoporosis it has.

2. Calcium supplements (or mega-doses of milk) are needed, because dietary sources are inadequate: The milk people, and the people who sell the pills would have you believe that people cannot get enough calcium from their diets, and thus some form of supplementation is necessary. Though good for the old bottom line, this "fact" is simply not true. Here is a list of foods which are rich dietary sources of calcium:


Spinach
Turnip greens
Mustard greens
Collard greens
Blackstrap molasses
Swiss chard
Kale
Basil, thyme, dill seed, cinnamon, and peppermint leaves
Romaine lettuce
Rhubarb
Broccoli
Sesame seeds
Fennel
Cabbage
Summer squash
Green beans
Garlic
Tofu
Brussel sprouts
Oranges
Asparagus
Crimini mushrooms

Many of these foods have as much or more calcium as milk, and are rich in untold other nutrients as well.

So, in summary, there is no need to take a calcium supplement, especially given the results of the study that came out yesterday. The formula for bone health is simple:

1. Eat a wide variety of plant foods, which are rich in all the nutrients you need.
2. Avoid excess protein intake. The acid load that proteins provide actually dissolve bone.
3. Perform load bearing exercise (running, jumping, etc...) the impact stimulates bone formation.

Good Eating,

 




M. Jacob Ott, M.D.

Runnin' in a Winter Wonderland

I don't know where you may be reading from, but at least here in Kansas, winter has arrived. For the past few months, the weather had been toying with us, offering temperatures in the 50's. There were even a few days in the 60's. Not very winter like.

I am an Ohioan by birth, so the cold does not really bother me very much. That doesn't mean I like it. I would definitely prefer 70 and sunny every day. Add some grey clouds and snow to the cold, and you have a recipe for some dreary days.

Since the cold is on my mind today, I thought I'd write about how workouts should change due to the short days and cold weather. I know that many people who are habitual exercisers tend to take winters off, because of the cold and the holidays, and then begin working out again in the spring. Though rest is good for your body, taking off three months can be seriously damaging to your fitness level as well as potentially your waistline.

I definitely continue to work out over the winter months, and I recommend that you do the same. If you want to use the winter as something of a rest period, consider working out 3-4 days a week, and taking the other days to rest.

You may need to modify your workouts as well. It is still OK to exercise outside. In fact, I kind of like winter runs. They can be rather invigorating. Be sure to take a few precautions, however:

     1. Dress for the cold. Be sure to cover your head, fingers, and toes well. If the temperature is in the 20's or below, frostbite can set in rather quickly, even in as fast as 30 minutes. As long as you are moving and active, hypothermia is not much of an issue in the short term, but be sure to get in out of the cold as soon as you are done. Also, wear some layers, preferably of a heat retaining tech fabric. Avoid wearing too much clothing, however, as you can still overheat. You should feel a little chilly when you start, or you are wearing too many layers. Trust me, you will warm up as you go.

     2. Be careful of slipping. In the ER, I see many patients who slip on the ice. Obviously, if you are running fast, this danger is increased. Be careful, especially going down hills or on pavement. Try to keep an eye on the ground a few yards in front of you, so you can identify any slick spots before you actually hit them.  If you do slip, try to sit down on your bottom, rather than extending your hand or leading with your head.

     3. Prepare for emergencies. carry with you at least a little water, a small amount of food (like an energy bar), and your cell phone. You don't want to sprain an ankle three miles from any sort of aid, and be unable to call for help.

Follow these precautions, and you will be able to safely work out through the winter. Who knows, you may even enjoy running in the snow!

M. Jacob Ott, M.D.