Miraculum's Journal, 08 August 2017

08 August 2017
I'm embarking today on a new phase, a new challenge: limiting my carbohydrate intake to under 20 grams per day.

I would like to try a ketogenic diet, but I question whether I can do the high-fat part because of a "sliding hiatal hernia" at the juncture between my esophagus and stomach causing gastroesophagel reflux disease (GERD). I don't need surgery, but it responds well to dietary restriction of fat.

When I was eating uncontrolled amounts of high-fat foods, I'd experience daily acid reflux so severe that I would chomp on four 1000-mg antacid tablets at a time, several times a day. Even after going to bed, I'd need multiple doses of Pepto-Bismol to relieve symptoms so I could sleep.

I haven't had any of these symptoms since July 1st, when I started modifying my diet.

If anyone has experience with acid reflux and trying a LCHF WOE, please let me know what your experience was or is. Thanks!
212.5 lb Lost so far: 72.5 lb.    Still to go: 44.5 lb.    Diet followed reasonably well.

Diet Calendar Entries for 08 August 2017:
473 kcal Fat: 16.76g | Prot: 56.98g | Carb: 26.59g.   Lunch: Boar's Head London Broil Cap-off Top Round Oven Roasted Beef, Plum. Dinner: Pork Loin (Tenderloin), Peaches, Cooked Summer Squash (from Fresh), Yellow Summer Squash, Red Onions, Great Value Romaine Lettuce, Sweet Red Peppers, Cucumber (with Peel), Walden Farms Calorie Free Thousand Island Dressing, Harris Teeter Whipped Topping. more...
2368 kcal Activities & Exercise: Resting - 18 hours, Sleeping - 6 hours. more...
on diet LCHF: Low carb, High fat / Ketogenic Diet   losing 3.5 lb a week

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Comments 
Miraculum, I couldn't do it. I figured out years ago I couldn't succeed on a low carb diet. Luckily, I don't have health issues such as diabetes where I need to. But I am currently TRYING to keep carbs to no higher than 60-65% of what I eat and keep fat grams below 50. I have a hard time getting enough protein unless I use protein powder or shakes and my doctor suggested I don't do that. He wants me to eliminate as much as possible processed foods. So I try, but knowing how I am, I allow myself my small hot chocolate most days and 1/2 to a whole piece of bread. I get a lot of my carbs from fruit. Thankfully, the watermelon is almost gone! And since my doctor stated specifically "NO PROCESSED MEATS!" I don't have bacon, sausage, ham, pepperoni, salami, etc, except once in a great while I'll get a hot dog when shopping at Costco. But rarely. I do have "silent" reflux and when I don't have sodas or crystal lite (I used to drink gallons of the raspberry ice tea) I don't have the cough that the reflux caused. 
08 Aug 17 by member: Fritzy 22
Hi, Fritzy! I've proven to myself that I can do "lower carb" -- significantly lower than what I was consuming -- and lose weight. I eat very simply -- sliced turkey and roast beef, ground sirloin burgers without bread, roast chicken breast; pork loin; steak every so often (NO processed meat -- you're right!); fresh peppers, onion, zucchini, and yellow summer squash roasted on the grill or sauteed in Walden Farms "zero everything" Italian dressing; lots of salad with other WF "zero" dressings; and limited portions of ONLY low-carb fruit (berries, peaches, and plums -- no citrus or melon). It's really working! I had a cough from reflux that especially bothered me when I tried to go to sleep. I LOVE diet raspberry Snapple iced tea and Crystal Lite, and drank some Diet Coke, but I don't drink any of that anymore because I've given up sweeteners other than stevia. What I'm more concerned about is tolerating the "high fat" part of a ketogenic diet because of the reflux. 
08 Aug 17 by member: Miraculum
Miraculum, sounds like we are utilizing similar diets. My doctor never told me to lose weight (for some reason where I live they don't do that) but I was seeing him because of fatigue, no energy. After he ran tons of tests and the only thing that showed up was a reading that inflammation was off the charts, I actually said to him that I would probably feel better and have more energy if I lost weight. That's when he agreed with him and encouraged me to lose weight. Because of the inflammation he suggested a mostly plant based diet avoiding processed foods (I think he's vegan). I told him I couldn't go vegetarian or vegan because even eating meat I don't get enough protein. So I eat mostly chicken and eggs and occasionally a ground beef patty and some fish. So I did what he said and even eating fruit 3 or 4 times a day I lost quite a bit in one month. But it was hard and I eventually went back to my bad habits (except for the processed meats since he was so adamant). After a few months on the potato chip diet I am back trying to follow my doctor's advice allowing myself the bread and hot chocolate like I said before. Actually after I posted that to you I decided I will try not to have both hot chocolate and bread on the same day, but alternate. 
08 Aug 17 by member: Fritzy 22
I have been low carb high fat since March, Keto since June. I am off my statins, High blood pressure meds and off nexium which I was prescribed for acid reflux. The high fat without the flour, grains and sugar does not bother me at all. I've never felt better and am never hungry. I have lost 49 lbs in less than 5 months. 
08 Aug 17 by member: 2426girl
Fritzy, "the potato chip diet"! Even though I was addicted to sugar, fat, and chocolate, I would indulge in a tube (a whole tube!) of Pringles every so often! I can relate! However, because of diabetes, hypertension, and arthritis, my various doctors have been begging me to lose weight for decades -- in NYS and NC! 
08 Aug 17 by member: Miraculum
2426girl, thanks for relating your experience with keto. That's interesting, that the flour, grains, and sugar are may be related to acid reflux. It'll encourage me to go ahead and try keto. I took delivery today of BulletProof coffee, ghee, and Brain Octane Oil.) I'm already off metformin (Glucophage, for T2DM), atorvastatin (Lipitor, for high cholesterol), and verapamil (Verelan, for HTN), and have drastically reduced my insulins. I only took a prescription antacid for a few weeks but decided against it. Thanks, again! 
08 Aug 17 by member: Miraculum
The quick responses from fellow FSers -- I really appreciate it! Thanks! 
08 Aug 17 by member: Miraculum
I am trying to lower my carbs as I am diabetic and having problems but I am nowhere near as low as your I will watch your food for inspiration if you don't mind  
08 Aug 17 by member: countess sherry
i am thinking of using a vegetable style burger to replace bread  
08 Aug 17 by member: countess sherry
I understand the idea behind low carb, but don't get why high fat. Isn't a diet high in fat dangerous for people with high blood pressure or heart conditions. Or dangerous if you want to prevent heart issues? Unless it's good fat like in avocados. But I see lots of people eating bacon, sausage etc on these high fat diets. That can't be healthy, although I remember in my 20's doing a high fat diet eating bacon and cheese omelets for a month and losing weight. 
08 Aug 17 by member: Fritzy 22
Dear Miraculum, I would agree with 2436girl, fats combined with the carbs of pastas, grains, sugars, and rice are when I suffer with reflux. Doing Keto with insulin, be very careful. Nothing worse than a low as you know. However, you may return to what you are doing now instead of keto, it may not work as well as what is working for you now. I know you track your food and etc. You will be able to tell what works best for you. I just gotta tell ya, bulletproof coffee is NOT for me! I tried it for 2 days.  
08 Aug 17 by member: ginger dog
Ginger Dog, what was your experience on BulletProof coffee? 
08 Aug 17 by member: Miraculum
Ginger Dog, I do watch for lows, test my blood sugar multiple times a day, and have been adjusting my medications (ALL of them!) lower and lower. (It's amazing!) Thanks for the caveat, though. I will be careful to keep glucose tablets with me at all times. Fortunately, I don't binge on glucose tablets! LOL! 
08 Aug 17 by member: Miraculum
I have been keto since April. One thing most people don't understand is once adapted to this WOE the high fat comes from the fat stores on your body. In the beginning higher fat consumption help to satiate, but once the body adapts to burning fat for fuel instead of carbohydrates hunger and craving is drastically reduced so a great portion of the energy comes from stored fat instead of ingested fat. I was on Nexium for acid reflux before going keto. I stopped taking it about 2 weeks after I began this WOE. I also do not have a gall bladder. One big concern is your diabetic meds. Dr. Westman and Drs. Phinney and Volek are very careful the first couple of weeks because quite often dosage needs to be dropped or the patient may need to stop taking it entirely. That is something worth discussing with your doctor. 
08 Aug 17 by member: Hipaagrammy
Countess Sherry, I'm very happy to share whatever I post with anyone who'll benefit. You'd notice from my food diary that, up to now, I've not been as religious as I *could* be about avoiding chocolate and have still lost weight. On days when I'm strict, I come in at less than 1000 calories, but I averaged out to about 1160/day in July 2017. 
08 Aug 17 by member: Miraculum
I've made a decision to limit my chocolate treats, from now on, to what I've posted to the Food List as one of my FS "Favorite Meals." It's on the list as ** Suisse Mocha Coffee-Mate (Caffeine Free) ** and has 10.86g carb, 7.6g saturated and total fat (from Coffee-Mate), and 130 calories. 
08 Aug 17 by member: Miraculum
For my "Favorite Meal," I measured out 13g of GF International Coffee Suisse Mocha (Sugar/Caffeine Free) and 13g of regular Coffee-Mate. I'm going to look for a sugar-free creamer that doesn't have saturated fat, in an effort to reduce the carbs and saturated-ness! If anyone has a liquid or powdered replacement for Coffee-Mate, please post it. 
08 Aug 17 by member: Miraculum
Miraculum I found a 1 carb a piece chocolate called Choczero it is dark chocolate and every once in a while it takes the edge off. I have pre-insulin diabetes and quit all my diabetes mess. I check couple times a day and never been higher than 120 never lower than 80. I stick to 20 net carbs a day or less. Meet all my protein and let the fat in what I eat(eggs , chicken, guacamole, beef ) handle the fat, except for coffee booster, which is ghee, coconut oil, and cocoa powder. 
08 Aug 17 by member: pattychin-dutcher
It's doubtful. But you can try. That's something I have heard can be a problem. 
08 Aug 17 by member: paulanavarette
Miraculum, Yes, I know you are conscious of the risk and check your blood sugars, but I had a few lows at night. Be vigilant. As far as the coffee, I drink it black, strong, and hot. I couldn't adjust to the taste and the feeling that I was wearing coffee lip balm. But, other people swear by it and enjoy it. I am curious as to your reaction to the bullet coffee. 🙀 
08 Aug 17 by member: ginger dog

     
 

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