Geoff's Miscellany

Miscellaneous Musings

Health

My GERD Experiment

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I’ve mentioned before that I have a genetic bone disorder and have utilized my interpretation of scientific publications to self-experiment.

This self-experimentation has had positive health results. Other times I have merely yielded knowledge about what does not help. For instance, I’ve had pretty bad acid reflux for the past few years. I recently discovered from my mother that I also had terrible reflux as a baby. I might even have a weak LES muscle. I don’t know, I haven’t been to the doctor for it for years because they just prescribe proton pump inhibitors or histamine blockers. I can buy those and as far as I can tell, they have long term deleterious effects on the human body. 

  1. Gregory L Austin et al., “A Very Low-Carbohydrate Diet Improves Gastroesophageal Reflux and Its Symptoms,” Digestive Diseases and Sciences 51, no. 8 (August 2006): 1307–12, doi:10.1007/s10620-005-9027-7. In this study, a very low carbohydrate diet (consuming less than 20 grams a day) led to improved symptoms in all eight participants. The metric was a probe utilized to determine acid exposure time in the esophagus. There was no blind in this particular study, but the objective measurement is interesting. The measurements were taken before the diet was initiated and then six days later.
  2. WS Yancy Jr., D Provenzale, and Ec Westman, “Case Reports. Improvement of Gastroesophageal Reflux Disease after Initiation of a Low-Carbohydrate Diet: Five Brief Case Reports,” Alternative Therapies in Health & Medicine 7, no. 6 (November 2001): 120.

In this article records the case of five individuals who self-initiated a low-carb diet found themselves without frequent symptoms of heart-burn and indigestion. It is published in an alternative therapy journal, but it’s still peer-reviewed.

The Pay Off

So, I started an extremely low carbohydrate diet about two weeks ago. The main purpose was precisely to decrease symptoms of heartburn that had become more frequent that non-heartburn. My existence had become somewhat miserable because if I happened to even eat a small snack, within minutes I would feel very full and bloated. I would have heartburn (even if I took medicine prior to eating) and the full feeling would last for several hours. If I ate lunch at work, I usually was not able to eat dinner or go to the gym at night. The only way to get food in prior to the gym was to eat around 10 am, then just be full and miserable all day at work. This started around March, but the heart burn goes back to my early twenties.

Anyhow, I started the diet, eschewing the conventional wisdom that fatty foods lead to heartburn. For the first two days, I ate less than 20 grams of carbohydrates, continued drinking coffee, and obtained most of my carbohydrates from sauerkraut, spinach, and mushrooms. My protein and fat came from butter and meat. I expected my digestion to remain slow, but to at least experience less heartburn. Within two days, I had my first day with no heartburn and no medication. Upon increasing my carbs to about 50 grams per day, and allowing myself one “cheat day a week,” I have had only one serious experience of heartburn and 7 light flare-ups that went away as soon as I took an antacid or dissipated by the time I walked to the medicine cabinet. My digestion has sped up as well. Just Tuesday I ate a rather large lunch and was able to hit the gym by 3:45 without losing my food after deadlift.

So, despite conventional wisdom to the contrary, a high-fat, low-carb diet may assist with the relief of symptoms related to GERD and indigestion.

Update: Carnivorous Diet

I tried the carnivorous diet to contribute data for N Equals Many. During it I had no heartburn at all. This makes sense.

Update: More Research on the Same Topic

  1. The effect of dietary carbohydrate on gastroesophageal reflux disease “More acid reflux symptoms are found after high carbohydrate diet. High carbohydrate diet could induce more acid reflux in low esophagus and more reflux symptoms in patients with gastroesophageal reflux disease.”
  2. Dietary carbohydrate intake, insulin resistance and gastro‐oesophageal reflux disease: a pilot study in European‐ and African‐American obese women “GERD symptoms and medication usage was more prevalent in European‐American women, for whom the relationships between dietary carbohydrate intake, insulin resistance and GERD were most significant. Nevertheless, high‐fat/low‐carbohydrate diet benefited all women with regard to reducing GERD symptoms and frequency of medication use.”

Exercise and Fitness: What are they?

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Begin with the End in Mind

Many people go to the gym without and move around without a particular end in mind.

This is okay if you’re only trying to enjoy yourself or meet people (a common event at gyms).

Toward a Definition of Fitness and Exercise

But, if you want to become fit, then you have to know what fitness is. Lon Kilgore says that to be fit one must have:

“Possession of adequate levels of strength, endurance, and mobility to provide for successful participation in occupational effort, recreational pursuits, familial obligation, and that is consistent with a functional phenotypic expression of the human genotype.”1

What this means is that fitness is relative to the needs of the individual, but objective precisely because one’s optimal fitness is not actualized if they experience unnecessary struggle in work, fun, and family.

So much for fitness, but what is exercise? Exercise can be defined as training undertaken for the purpose of obtaining and maintaining fitness. For instance, sport training is not designed for fitness per se, as one can be fit without being good at a sport. And one can be pretty good at a sport while still being incredibly unhealthy otherwise.

Now that you have a definition of fitness, I suggest that you make a plan to achieve it. Any good exercise plan should make provision for improving or maintaining:

  1. Strength
    Include some form of resistance training with weights, bands, and/or calisthenics. Also, certain explosive activities like sprinting and jumping have utility here, but they do come with an increased safety risk.
  2. Endurance
    Endurance exists at several levels. For instance, if you can dead lift 350 pounds, then your endurance for light weight lifting is probably quite remarkable. Cardiovascular endurance is another level, but it is important to remember that while general physical fitness is real, activities still improve in specific ways.
  3. Mobility
    Mobility can be enhanced by stretching, running, walking, lifting weights through a full range of motion, jumping, etc.

References

1 Kilgore, Hartman, and Lascek, Fit: An Unconventional Guide to using conventional methods for creating fitness for the real world (Killustrated, 2011), 5.

How I Escape the Dungeon

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Everybody finds themselves in the dungeon from time to time. It’s that place where you feel like progress is impossible or meaningless, like you’ve gone too far in a wrong direction, or that there’s no such thing as the right direction. It’s so weird, because it feels like the same place no matter where you are. Sometimes, just being a person gets you down. The stresses of parenthood, the anxiety of being single, the Sisyphean task of making/spending money, the frustrations of work, feeling stuck at a job you hate, feeling like important tasks are undone, and dealing with other people. All of these together can make you feel like just getting out of bed is a chore. How do I escape? Here’s my get out of the dungeon plan, in the form of questions, when everything comes together to make me feel staying in bed all day:

  1. Have I been to the gym more than twice in the past seven days?
    For men, being strong helps you feel engaged in the world and gives you a sense of personal dominance over nature in a way that does not contradict nature. The weight room is a place where a man gains Marcus Aurelius’ mindset: “Our inward power, when it obeys nature, reacts to events by accommodating itself to what it faces…what is thrown atop the flame is absorbed, consumed by it – and makes it burn still higher. (M. Aurelius 4.1)” Being stronger is obviously useful for women, too. 
  2. Do I engage in daily exercise (push-ups, squats, calf-raises, stretches, etc) upon waking?
    There are a minimum of three exercises I try to do in the mornings, when I’m planning my life well, the list is longer and includes stretches and joint mobility exercises that vastly improve my arthritis pain. If I’m feeling down, I almost certainly stopped doing them days ago.
  3. What am I eating lately?
    If I base my diet around meat, eggs, cheeses, and vegetables I’ll feel better. If I’m eating sweets, breads, and even too much fruit, I start to feel worse. My family tree has some diabetes, so I suspect that my body just isn’t meant for sweets more than one or two days a week.
  4. How am I managing my sleep?
    If I’m sleeping 6-9 hours a night I’m feeling great. If I sleep 9 hours too many nights in a row, I start feeling more sleepy all day. But if I sleep less than 6, then I’m a wreck. Chances are, if I’m feeling down, I’m not managing my sleep well.
  5. Am I thinking about the past?
    Sometimes I think a lot about elements of my past that went poorly and I just replay them over and over. This strategy literally does nothing to improve my lot. But when focus on improving the quality of my work, of my relationships, of my knowledge, and of my skill-base now, then I start to feel better. It’s funny how whether it’s inside or out, complaining does nobody any good unless we voice it in prayer.
  6. Am I obsessing over something I cannot change?
    Many fantasize about a job they wish they had but don’t. If it’s changeable, change it. On the other hand, many have children for whom provision is necessary. Such parents cannot change their job, yet. So, they shouldn’t fantasize all day about where they aren’t (if they wish to feel good). In my case, because of the nature of my job, I’ll think myself into a funk by thinking about my job. As a teacher I want my students to choose well. It’s difficult to watch some of them choose poorly. But what I can change is the quality of my teaching, the content of my courses, and whether I teach in a manner that is pleasant for my students and myself. Others may do this to themselves with politics, economics, sports teams, and so-on.
  7. Am I taking my religious duties seriously?
    When I’m regularly participating in leisure time centered around Bible study, actively putting Jesus’ words into practice at work, in my family life, and in how I spend my money, and when I’m participating in the life of the church I feel better. There is less moral incongruity. I feel connected to the foundation of reality.
  8. Am I keeping track of my blessings?
    The old song says, “count your blessings…see what God has done.” People might think it’s cheesy or stupid, but they probably live their lives miserably. In the morning and before bed, when I think of specific blessings for which I am thankful, I feel better in between. Another step might be to declare the steadfast love of the Lord in the morning. Wake up and say, “Jesus loves me and gave himself up for me” or “God so loved the world that he have his only begotten son.” If you’re not a Christian or not religious, are you filling that psychological gap with something?
  9. What are my priorities?
    When I make my main goals in life virtue, the well-being of my family, and my health, then I tend to function more joyfully. If I make my goals financial, task based, or too far into the future, then I get down.

Two Weight Lifting Book Reviews

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As with all books, fitness tomes range in quality and genre.

Some are essentially reprints of complicated protocols used by coaches.

Others attempt to give training advice based on evidence, whether scientific, anecdotal, or testimonial. Some attempt to give theories of training from principles. Here are brief reviews of the latter sort.

McGuff, Doug, and John R. Little. Body by Science: A Research Based Program to Get the Results You Want in 12 Minutes a Week. New York: McGraw-Hill, 2009. 

Many people might think this book is bogus, especially because of the subtitle. But the book is a marvel of attempting to use scientific research that really is not about training protocols in order to come to conclusions about the human body. Those conclusions are used to infer the most efficient training program available. Thus the system is brief, simply, hard, and safe. This is also one of the best books for pointing out the rather comprehensive benefits of strength training. 

When the subtitle says, “12 minutes a week” it does not mean only twelve minutes in the gym. It means doing each set of exercise to muscular failure for one hard set after a warm up. Thus your squats performed in this fashion might be a set that takes one minute of smooth reps taking 4 seconds each for 12-14 reps. After training in this fashion you will need to rest briefly before your next exercise. But with adequate rest (less than the book prescribes…I’d say to train this way between 1 and 4 times a week) you will make progress. So the twelve minutes is referring to the fact that a six movement routine will, ideally require 6 minutes of time actually lifting the weight after a warm up. Doing such a routine twice a week is 12 minutes of training.

Perryman, Matt. Squat Every Day Myosynthesis, 2013 Kindle Book

Perryman’s book is superb. He challenges several misconceptions by trying to look at the nature of the human person in a “meta” sort of way. You are a dynamic system so training your body in increments makes sense, but it does not necessarily work like this “Stimulus, rest, adapt, repeat.” He recommends that to make long term gains it is useful to expose your body to difficult but not impossibly difficult stimulus on a regular basis, like every day. This sort of protocol will not be best for saving time, but it might be best for injury recovery (due to a weird feature of connective tissue), psychology (you don’t have to psyche yourself up to lift heavy weight if you do it every day), and strength (because the movements are trained so often that they actually become a skill). 

Conclusion

These books, though widely divergent in conclusions, might be the best books that are easy to read for understanding the human response to exercise. Both approaches work and both are based upon the same principles. Depending upon your goals and values (time/strength/soreness/nagging injury healing, etc) you can use one or a combination of both approaches to approach your desired level of fitness.