Determined To Succeed

Day one-hundred-eight.

I hate feeling sick, and not just the kind of sick where you act like a baby but the kind of sick that genuinely knocks you out, zaps all your strength, makes your brain almost overheat and you spend all day (and most of the night) in one room of the hosue (and that ain’t the living room). I had a day like that yesterday and I swear to you I felt like complete and utter crap.

Needless to say my eating was thrown off severly. I think what caused it in the first place was what I ate. You see, lately I’ve been really good at shopping and eating at home and I got these frozen ribs. The old Bill would have eaten a whole slab of ribs, cole slaw, french fries and two pieces of white breat which also had a generous portion of bar-b-que sauce smeared on them. This new and improved Bill merely ate six ribs and a helping of green beans. No potato, no bread, just the meat and veggie. Wow. All I have to say is it started that night (Monday) and took me all through yesterday. What a shitty way to lead into Thanksgiving, though. A day completely devoted to food and enjoying food, football and more food and I now have to be careful and make sure I don’t overdue it especially since I am trying to finish feeling better.

I do feel much better today thanks to actually getting some food into me last night and taking it easy this morning (my apologies for being so late with today’s blog). I just didn’t want to push it by getting up early and not getting enough rest.

But me being sick isn’t what you want to hear. I know, it’s all about Thanksgiving and enjoying a day with family, friends and loved ones…oh, and a little bit of turkey and all the trimings thrown in. So, for both me and you, here are some wonderful and healthy eating tips to remember for tomorrow so you don’t end up feeling like a turkey on Thanksgiving:

Get Active

Create a calorie deficit by exercising to burn off extra calories before you ever indulge in your favorite foods. As much as we don’t want to hear it, eating less and exercising more is the winning formula to prevent weight gain during the holidays so increase your steps or lengthen your fitness routine the weeks ahead and especially the day of the feast.

Eat Breakfast

While you might think it makes sense to save up calories for the big meal, eating a small meal in the morning can give you more control over your appetite. Start your day with a small but satisfying breakfast — such as an egg with a slice of whole-wheat toast, or a bowl of whole-grain cereal with low-fat milk — so you won’t be starving when you arrive at the gathering.

Lighten Up

Whether you are hosting Thanksgiving dinner or bringing a few dishes to share, make your recipes healthier with less fat, sugar, and calories.

Police Your Portions

Thanksgiving tables are bountiful and beautiful displays of traditional family favorites. Before you fill your plate, survey the buffet table and decide what you’re going to choose. Then select reasonable-sized portions of foods you cannot live without. Also, don’t waste calories on foods that you can have all year long. Fill your plate with small portions of holiday favorites that only come around once a year so you can enjoy desirable, traditional foods. Also…

• Try to resist the temptation to go back for second helpings.
• Leftovers are much better the next day, and if you limit yourself to one plate, you are less likely to overeat and have more room for a delectable dessert.

Keep to Best Bets

While each of us has our own favorites, keep in mind that some holiday foods are better choices than others. White turkey meat, plain vegetables, roasted sweet potatoes, mashed potatoes, defatted gravy, and pumpkin pie tend to be the best bets because they are lower in fat and calories. But if you keep your portions small, you can enjoy whatever you like.Slowly Savor

Eating slowly, putting your fork down between bites, and tasting each mouthful is one of the easiest ways to enjoy your meal and feel satisfied with one plate full of food. Choosing whole grains, fruits, vegetables, broth-based soups, salads, and other foods with lots of water and fiber add to the feeling of fullness.

Go Easy on Alcohol

Don’t forget those alcohol calories that can add up quickly. Have a glass of wine or a wine spritzer and between alcoholic drinks, (or) enjoy sparkling water. This way you stay hydrated, limit alcohol calories, and stay sober.

Be Realistic

The holiday season is a time for celebration. With busy schedules and so many extra temptations, this is a good time to strive for weight maintenance instead of weight loss. Shift from a mindset of weight loss to weight maintenance. You will be ahead of the game if you can avoid gaining any weight over the holidays.

Focus on Family and Friends

Thanksgiving is not just about the delicious bounty of food. It’s a time to celebrate relationships with family and friends. The main event should be family and friends socializing, spending quality time together, not just what is on the buffet.

And ain’t that the truth, my friends. So, to each and every one of you, have a happy, joyous and delicious Thanksgiving. I will check back in with you on Friday to see how you did (and let you know how I did). Hopefully I can maintain. And to all of us who are missing a loved one this Thanksgiving (I love you, Mama, so much and miss you) take time to be thankful for the ability to be happy and healthy. That is the best way to remember those not with us in body but always with us in spirit.

Enjoy, and have a slice of pumpkin pie for me, too.

Day thirty-eight.

I will apologize now if today’s entry seems a bit off. It comes from my experiences attending last night’s meeting. There’s just no other way to say this, but last night’s twelve-step meeting was weird. There was just a weird energy in the room. As there were twelve of us and it was all guys, the subtle movie reference to “Twelve Angry Men” wasn’t lost on me, but it was the tone that was different and more pronounced. It wasn’t angry. It was a tone of desperation. Quiet desperation. That’s the only way I can put it to you.

I am always humbled being in my meetings because I find people struggling with the same addictions from which I suffer (including the urge to eat everything in sight). It helps to ground me and make me absolutely thankful for the life I have. But I have to admit sometimes I do not suffer from the same moods others do, and there seemed to be a sense in the room from several of the guys of just going through the motions and being there just to be there, saying things because they are correct and guys “telling” on themselves as if in Catholic confessional – as if to clear their consciences of what they’ve done so they can maybe do it again. I don’t know how much of this had to do with last night’s topic of amends-making but it was clear several of the guys just wanted to get stuff off their chests, which is cool, but it seemed the desperation felt by them was of feeling lost and not knowing what to do or where to go from here.

As I sat and listened I felt compelled, almost, to just say something positive just to have a positive affirmation of some type in the air. It wasn’t a “blow smoke up your ass” kind of comment, it was honest, but I wanted it to be of some affirmation that we were all doing well offering each other friendship and fellowship while working on those afore-mentioned amends, not just to others but to ourselves, too, because, in my mind, we absolutely have to continue backing up those amends with actions. That, and only that, makes those amends stick and mean something. I’ll give you an example related to food.

Last month I received free coupons in the mail for Chick-Fil-A (and I loves me some Chick-Fil-A). These coupons were for a free breakfast sandwich, a free Spicy Chicken Sandwich and a free Coke Zero. I may not be able to use all the coupons at the same time but this small sheet of coupons is rare because no other purchases were required. Just drive up, order the freebie, turn over the appropriate coupon and leave. Easy-peasy. But my problem comes in when I think about the WHY I want to take advantage of those coupons.

Not growing up with very much food I hoarded what I could. That comes from the insecurity of abandonment, that feeling of “what will I have if this goes away?” That’s all. Being in good therapy these days I recognize it for what it is and I am now better-equipped to say “food will not leave me, even if I do not take advantage of this coupon.” My conflict comes also from it being free food and a waste if I don’t use it, which goes against my grain to use the blessing of free food when and where I can. However, I made an apology to myself for being 400 pounds in the first place and for regaining 20 or so pounds after mom died.  I made an amends to get right with myself to re-re-re-re-lose this last bloody 20 pounds to get back to my goal weight.  If I used those coupons, even though it is for free food, it would mean my amends meant nothing (especially since the chicken sandwich in question is deep-fried and the breakfast sandwiches, while yummy, aren’t the healthiest for you, calorically speaking).

So, in my meeting last night I tried to say to these guys, “look, we are here working on this but we need to keep working on this. We can’t just come here to spout off and go away. This is as honest and as real as it gets and we have to back up those amends for not only the people in our lives but for ourselves. That’s why we’re here.” God, I hope that message got through because I take sobriety and addiction very seriously, especially since it can so frequently involve food and eating and easy, easy weight gain.

I left that room last night as fast as I could without being rude because I wanted to be back in my positive zone. I know there will be times I am down in the dumps but I will remember my blessings and push through those times because, having been where I’ve been, I never want to be there again. Ever. That includes being 400 pounds because quietly desperate times like last night make the desires for cheeseburgers, fried mushrooms, Chinese food, pizza and more that much stronger. But it’s through the amends process, and the twelve steps, that I am trying my best to not just SAY I’m gonna be better but actually BE better in my new and healthier reality.

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Day thirty-seven.

Last night I had the pleasure of attending the presentation of the 2010 Liberty Medal at Philadelphia’s National Constitution Center. The medal was presented by former president Bill Clinton to Britain’s former prime minister, Tony Blair,  honoring his success resolving the conflict in Northern Ireland and his ongoing pursuit of peace in the Middle East and Africa. But even as I listened to the incredibly worth-while reasons to give such a distinguished honor to a bloke I liked when he was in office in the U.K., I was thinking about two other things – my recent weight gain and, of course, the motivation to take it off.

I know you must be saying, “what is this yahoo talking about weight loss for when he’s attending a ceremony honoring a world leader?” Well, my friends I will tell you. It had to do with one of the seven lessons of liberty learned by former prime minister Blair in his efforts to bring change to the world. In fact, it was the first one that struck me the most – “Every milestone on the road to liberty marks a struggle. . . . opposition, even defeat, and occasionally desperation along the way.”

That hit me like a ton of bricks because I could instantly equate it to weight loss. I even played with the words a bit just to see if it would fit and it did.

“Every milestone on the road to weight loss marks a struggle. . . . opposition, even defeat, and occasionally desperation along the way.”

I thought about the milestones on my own weight loss journey, including the struggles to just take the first ten pounds off. I thought about the current weight I need to re-lose. I also thought about all the pain and emotion in-between and it fit, incredibly and absolutely. However it also proves that not only is weight loss possible but that it is also not a clear, smooth road and that it can and will be difficult at times and those difficult times are to be expected.

Losing weight is a struggle, one that requires you to take care of the one person who needs you the most – you. But there will be times when you don’t feel like going on, and when you feel like giving up because it just ain’t worth it. Believe me, I’ve been there. But in what Mr. Blair said is the truth of it – there is hard work in achieving any goal worth achieving and it wouldn’t be noteworthy once you reach that goal unless you had to absolutely climb some mountain, miss some pothole or get over some bump to get there. That is what makes milestones milestones. Because of what you had to get through to get there, they are a marker of success. They are a marker of your success.

The other point Mr. Blair made about peace, the seventh, that could also be applied to weight loss was this: “Liberty needs optimism. . . . No one has ever achieved anything by being a cynic or a pessimist.” He added that peace ultimately came to Northern Ireland primarily “because the people felt it could happen. That optimism of the human spirit is what drives liberty.” So let’s switch out a word or two…

“Weight loss needs optimism. . . . No one has ever achieved true and sustained weight loss by being a cynic or a pessimist.” Losing weight ultimately happened to those committed to it primarily “because the people felt it could happen. That optimism of the human spirit is what drives us to our weight loss goals.”

See? Even at a very cool ceremony honoring peace we can also find a way to honor our struggles in our own battles of the bulge.

I guess I took this to heart so much because I am now back on my way down in my own weight loss. I am down a pound today and am feeling every ounce of it gone from my body (thank God). It’s a good feeling knowing I have not only recommitted to my life and my soul but also to my weight loss and am not using food to numb pain or shame. I love food but I should use it for more than just yummy fuel. It is not a drug and it is not to be used to numb away pain.

I may talk about more of Mr. Blair’s lessons tomorrow as several more could also be applied to our struggles as the large trying to become smaller and lighter. But for today this is a great start. Or should I say re-start. So thank you, Mr. Blair, wherever you are. Your words prove that there is commonality in this world if we just get past our own petty bullshit to find it. THAT, my friends, is what will eventually save this planet. And it’s that commonality that makes our fellowship in weight loss stronger and helps us to know none of us are alone.

Day Thirty-three.

Well, here we are again. We reached the end of another week and, as usual, my brain is toast.  Overall, it’s been a pretty good week except I am desperately trying to shed these remaining, stubborn-ass pounds. I don’t like being up in my weight but am looking forward to my martial arts workout today as I continue on my path toward better health (and a lighter weight).

There are a number of factors that have gone into my recent weight gain but ultimately what made me gain weight back was my eating, my soda drinking, my dessert eating, my snack binging and my non-portion controlling. That’s all it is, plain and simple, and I freely and willingly admit to it. I have always emotionally eaten and thanks to some good old-fashioned therapy I am finding out exactly why. Shame.

It’s amazing what we do to abuse ourselves out of shame. Some people lash out at the world while others, like me, try to hide it all and stuff it down to lock it away using things like food. Wow. I never realized how much I had packed away down there until I started opening up the boxes and seeing what there was inside.

I know I’ve told you guys about not having much money growing up, and because of that my mom and I frequently didn’t know where our next meal was coming from. But what I didn’t tell you about was the shame that caused. It caused shame because I could never have friends over to my place, and even if I did (which I would never have) I didn’t have what other homes had – video games, a VCR (yes, it was the 80’s after all) or even a color TV. I know my mom did the best for me she could and loved me very much but those things, combined with the almost constant verbal abuse spouted by kids (hey fatty, Buffalo Bill, etc.) made me just want to go hide. What it ended up doing, though, is creating someone who falsely depended on food to mask his pain and toxic shame.

Food was my solace. It was my way out and my drug of choice back then to make the world go away for a precious little while. And when it was Chinese food from my favorite place, Lung Wah Chop Suey on 53rd Street, I was in self-medicated heaven. Their egg rolls still have their taste etched onto the permanent memory of my taste buds, and the beef chop suey such a comfort that any place that serves a beef chop suey today has a special place in my heart.

That is what shame can do, and my over 400 pounds is what stuffing all that shame down with food can do.

Today is the start of the weekend and, as you regular readers know (and thank you for being out there) I worry about the weekends because I tend to let go a little more than I should. But I am so trying, especially now that I am better than I have ever been in my life, to purge the bad and dark energies and karma in my life to get to the real me again. And yes, it will be a me, in part, that is at or around 225 pounds.

I know I’ve told you all before that you can do it but I need to say today that you do need to get down to why you are really eating to do it. Are you sad, lonely, depressed, angry, upset, foolish, in denial, happy or tense? Dare I say there is an emotional reason deeply rooted in you that is causing you to act out and eat. This may all be conjecture on my part and certainly doesn’t take into account those of you out there who suffer from a medical condition that makes you gain and/or doesn’t allow you to lose weight, but I’d be willing to guess that for most of us we are masking something deep down that is the root cause of our eating.

My friends, it is time to be brave and address what is really going on inside. We spend so much of our lives trying to hide these things that we end up putting so much pressure on ourselves just to maintain the ruse. You are worth more than that, believe me, you are. And I am sure that whatever is causing you to feel shame, guilt, remorse, anger, fear, regret, all of it, once found can actually help you see why that cheeseburger doesn’t taste as good as you think it does.

In my life’s journey, and in my weight loss journey, I have discovered many things. But most of all, through trials and a helluva lot of errors, I’ve found that I am worth it as a person to be healthier and to live a long and happy life. We all need food to survive, and we should all enjoy the foods we eat because they are good and part of life’s most wonderful experiences. But food is not a drug and should never be used as one. We should not need it to be because, in the end, we must not let whatever feelings we truly have buried bury us for real.

Today is Friday, the sun is shining and it is a beautiful day. Go out and enjoy it and this amazing weekend. And if you have to work, have a multitude of errands to run or are going through something in your lives take heart. There is someone out here who understands and who understands the why and how of weight gain and loss. And who, like you, wants to truly get better about taking care of the one person we should always take care of first and foremost – ourselves.

Remember Saturday morning cartoons? I know, I know. They’re still on the air and Saturday mornings are probably still cool for kids. However I’ve noticed the shows and commercials on the “Big Three” networks are far louder, outrageous and more bombastic than the shows and commercials I grew up with, probably because they now have to compete with the glut of competition from cable.

Anywho, I bring this up because, for me, staples of Saturday morning cartoons were cereal commercials. Oh yes, you’d have Count Chocula, Frankenberry, Honeycomb (my personal favorite), Cheerios, Frosted Flakes and Tony The Tiger saying “they’re greeeeeeeeat!” And no matter which one you liked they all had the following line: “…part of a nutritious breakfast.” You’d see a nice glass of milk, a small glass of juice, a couple slices of toast and select fruit either on or next to the sugary goodness that was the cereal.

While it always struck me as funny that the phrase didn’t necessarily mean that the cereal itself was nutritious the concept of starting the day with breakfast was. Throughout my weight gain years I know I was not good at all about eating breakfast. I skipped thinking it would save calories, but all it did was make me eat the bulk of my calories later, especially at night, and made me snack on unhealthy crap.

These days we barely glance at the kitchen in the morning (guilty). Fixing breakfast takes up precious time that’s in short supply. But there’s tons of evidence (pun intended) that the simple act of eating breakfast is a big part of losing weight.

“People skip breakfast thinking they’re cutting calories, but by mid-morning and lunch, that person is starved,” says Milton Stokes, RD, MPH, chief dietitian for St. Barnabas Hospital in New York City. “Breakfast skippers replace calories throughoutcream cheese, the day with mindless snacking. They set themselves up for failure.”

Two studies in the Journal of the American Dietetic Association backed up this finding. A group of researchers analyzed data from a study that followed more than 2,000 young girls from ages 9 to 19. They found that regular cereal eaters had fewer weight problems than infrequent cereal eaters. Those who ate cereal occasionally had a 13% higher risk of being overweight compared to the regular cereal eaters.

Another research group analyzed government data on 4,200 adults. They found that regular breakfast eaters were more likely to exercise regularly. And women who ate breakfast regularly tended to eat fewer calories overall during the day. Those men and women who ate breakfast cereal had lower overall fat intake compared to those who ate other breakfast foods.

It makes TOTAL sense (get it? TOTAL?! A cereal reference?! Ah, never mind). Eating early in the day keeps us from “starvation eating” later on. It also jump-starts our metabolism, says Elisabetta Politi, RD, MPH, nutrition manager for the Duke Diet & Fitness Center at Duke University Medical School. “When you don’t eat breakfast, you’re actually fasting for 15 to 20 hours, so you’re not producing the enzymes needed to metabolize fat to lose weight.”

But before you go filling up a bowl with Cocoa Puffs or fruity-patooties (or whatever passes for cereal these days with kids and their new-fangled rock and roll) listen up. Breakfast is the best time to make wise food choices. That’s where fruits, vegetables, and whole grains come into the picture. Because these are high-fiber foods, they fill you up – yet they bring less fat to the table, says Barbara J. Rolls, PhD, the Guthrie Chair in Nutrition at Pennsylvania State University in Pittsburgh.

These high-fiber foods allow you to eat more food yet get fewer calories. It’s a concept called “energy density” – the number of calories in a specified amount of food, Rolls explains. “Some foods – especially fats – are very energy dense, which means they have a lot of calories packed into a small size,” Rolls says. “However, foods that contain lots of water have very low energy density. Water itself has an energy density of zero. High-fiber foods like fruits, vegetables, and grains have low energy density.”

Translation: If you eat foods with high energy density, such as bagels, you rack up calories quickly. If you eat high-fiber, low-energy-density foods – such as oatmeal, strawberries, walnuts, and low-fat yogurt – you can eat more and get fewer calories.

For example: A breakfast made up of 1 cup of oatmeal, 1/2lf cup of low-fat milk, 1 cup of sliced strawberries, and 1 tablespoon of walnuts has only approximately 307 calories total. Two multi-grain waffles, with 1 cup of blueberries, 3 tablespoons of light syrup, and 1 cup of plain low-fat yogurt have about 450 calories total. That’s almost equal to the standard bagel-and-cream-cheese breakfast – yet it’s much more food, and much lower in fat.

So what are some healthier breakfast suggestions? I’m so glad you asked that ’cause I just happen to have a few right here:

* Banana with peanut butter
* Banana sliced into yogurt
* Oatmeal with fruit — like apples, blueberries, or peaches (what I just had for breakfast)
* Small tortilla with a few tablespoons of peanut butter and chopped strawberries. Roll it up, slice it. It works for kids and adults.
* Breakfast smoothies — berries, ice, and milk or yogurt.

As for the much-beloved bagel – sadly, it’s the calorie equivalent of five slices of bread so just eat half. Better yet, go for smaller bagels, the little ones that are like hockey pucks. Spread some peanut butter on it instead of cream cheese. If you must have cream cheese, buy low-fat. Honestly there is no difference in taste. Add a little bit of jam, some sliced strawberries and you are good to go.

If on-the-run fast food breakfast sandwiches are your food of choice indulge them in a healthy way: whole-grain English muffins, a cooked egg, low-fat cheese melted on top – ham or Canadian bacon optional. It’s portable. You can drive with that. It’s got a good beat and I can dance to it. I give it an 87.

So, my friends. You can now see how important breakfast is and have some suggestions for what to eat. As for the sugary cereals we were fed as kids, some breakfast is better than no breakfast. The last thing anyone should do is skip breakfast. Otherwise, you’ll be eating something even worse later on – candy bars and potato chips – because you’re starving. But if you have time for that cereal take sweetened cereal and mix it with unsweetened cereal, or take unsweetened cereal and mix it with something a little sugary – like yogurt.

That may not please Count Chocula or the little dude from Lucky Charms but who cares. This is about you not them and losing weight is ultimately what is “magically delicious.”

P.S. – Always remember one simple rule especially at night: IF YOU’RE NOT HUNGRY FOR CEREAL THEN YOU’RE NOT REALLY HUNGRY.

Earth. Look at it. When we take a step back she is beautiful (that is when we aren’t completely killing her with oil spills, wars and deforestation – all blogs for another day). All of us have been taught how over 70% percent of the earth’s surface (71% to be more exact) is covered by water and how absolutely essential water is to maintain life on this fragile big blue marble spinning out in space.

Coming back a little closer to home today is Wednesday and you know what that means…mixed martial arts. As you know I’ve started taking mixed martial arts as a way to improve my overall fitness, tone up and hopefully lose the rest of the weight I need to get back to my original goal weight of 225 pounds. However, as I get my inner Daniel-san on, I am reminded of something extremely critical in any exercise regimen…the need for water. Today’s temperatures are going to exceed 95-degrees (yikes). With that in mind I thought it important to remind us all how important this amazing liquid is.

Even if today’s temps weren’t reaching surface-of-the-sun hot water is the most essential ingredient to a healthy life. Water has many important functions for the body including:

• Transportation of nutrients / elimination of waste products.
• Lubricating joints and tissues.
• Temperature regulation through sweating.
• Facilitating digestion.

Proper hydration is especially important during exercise and is essential to your comfort, performance and safety. The longer and more intensely you exercise, the more important it is to drink the right kind of fluids. Studies have found that a loss of two or more percent of one’s body weight due to sweating is linked to a drop in blood volume. When this occurs, the heart works harder to move blood through the bloodstream. This can also cause muscle cramps, dizziness and fatigue and even heat illnesses including heat exhaustion (the body’s response to dehydration and an excessive loss of water and salt through sweat which typically occurs after long periods of heat exposure) and heat stroke (a serious medical emergency in which the body’s cooling systems stop working and the core temperature can rise to dangerous levels. Symptoms of heat stroke include hot, dry skin, lack of sweating, a very fast pulse, confusion and perhaps seizures or coma. If untreated, heat stroke can be fatal).

There are several main causes of dehydration:

• Inadequate fluid intake
• Excessive sweating
• Failure to replace fluid losses during and after exercise
• Exercising in dry, hot weather
• Drinking only when thirsty

Because there is wide variability in the individual length and intensity of exercise, sweat rates, losses and hydration levels of individuals, it is nearly impossible to provide specific recommendations or guidelines about the type or amount of fluids people should consume while working out. There are, however, two simple methods of estimating adequate hydration:

1. Monitoring urine volume output and color. A large amount of light colored, diluted urine probably means you are hydrated; dark colored, concentrated urine probably means you are dehydrated.
2. Weighing yourself before and after exercise. Any weight lost is likely from fluid, so try to drink enough to replenish those losses. Any weight gain could mean you are drinking more than you need.

Also, while specific fluid recommendations aren’t possible due to each individual’s variability, most people can use the following guidelines as a starting point, and modify their fluid needs accordingly.

Hydration Before Exercise

• Drink about 15-20 fl oz, 2-3 hours before exercise
• Drink 8-10 fl oz 10-15 min before exercise

Hydration During Exercise

• Drink 8-10 fl oz every 10-15 min during exercise
• If exercising longer than 90 minutes, drink 8-10 fl oz of a sports drink (with no more than 8 percent carbohydrate) every 15 – 30 minutes.

Hydration After Exercise

• Weigh yourself before and after exercise and replace fluid losses.
• Drink 20-24 fl oz water for every 1 lb lost.
• Consume a 4:1 ratio of carbohydrates to protein within 2 hours after exercise to replenish glycogen stores.

And class, just so we have it all straight and know what to look for, here is a list of the early symptoms and most common signs of heat exhaustion:

• nausea
• dizziness
• weakness
• headache
• pale, cool and moist skin
• fast and weak pulse
• disorientation.
• paleness
• muscle cramps
• tiredness
• fainting

If heat exhaustion is left untreated, it may lead to heat stroke. The key difference between heat stroke and heat exhaustion is the presence of confusion and other mental status changes during heat stroke. During heat stroke, the neurological system is affected and can cause odd behavior, delusions, hallucinations, and eventually seizures or a coma.

IMPORTANT:  At the first signs of heat exhaustion, you should stop activity and cool the body by seeking shade, shelter or a cool room, and drinking cold fluids.

MOST IMPORTANT: Seek medical attention immediately if symptoms are severe.

Ok, my friends, there you have today’s lesson on the importance of water. As we all get ready for an incredibly hot day, no matter whether exercising or not, make sure you get plenty of water. Not only is it the best way to keep your body healthy, it’s also nature’s original soft drink.

Good Sunday morning, my friends (yaaaaaaawwwwwwnnnnnn). And how are we today?

Life has a funny way of doing things sometimes. Remember how I had to go to the dentist, not once but twice, to get my tooth “fixed?” Well…I am headed back a third time tomorrow morning because it just feels – how should I put it – wrong. It feels achy, in a strained, empty sort of way, not in a direct pain sort of way. So, just as a precaution I am going in first thing in the morning.

The last time I was there and getting things “fixed” they didn’t say to me “well, Bill. For the next 48-hours you shouldn’t have this or that,” which is what I guy like me needs. I need some simple, clear instructions about what to eat and not. It is driving me nuts, this tooth-o-mine. As I was out and about yesterday I pondered this and, almost instinctively, reached for a plain Hershey bar in the Wawa. As I did that I caught myself, gave me the tisk-tisk and walked away. But I started thinking about chocolate. Does it really cause cavities? Is it really all that bad for you?

The answer is yes…and no.

Like with all things in the scientific, health-related worlds there are conflicting data. Ugh. I like my chocolate (he says whining).

On the “go-ahead-and-eat-chocolate” side, Dr. Rutai Hui of the Chinese Academy of Medical Sciences and Peking Union Medical College in Beijing and his colleagues did analysis of eight different studies and showed that eating chocolate might bring down cholesterol levels in some people, lower blood pressure and that chocolate eaters were less likely to suffer a stroke or heart attack over the next 10 years.

That’s because they were freaking happy, that’s why (just kidding).

Dr. Hui looked at how cocoa affected blood fats, or lipids, and found eight trials including 215 people. When the studies were analyzed together, the team found eating cocoa cut levels of LDL, or bad cholesterol, by about 6 mg/dL and reduced total cholesterol by the same amount. Analysis also showed that only those who ate small amounts of cocoa — containing 260 milligrams or less of polyphenols — experienced cholesterol lowering effects. People who consumed more showed no effect (polyphenols are antioxidants found typically in fruits, vegetables, chocolate and red wine. A 1.25 ounce bar of milk chocolate contains about 300 milligrams of polyphenols). The team also found that healthy people didn’t get any cholesterol benefits from cocoa, but people with risk factors for heart disease and diabetes, saw their LDL cholesterol and total cholesterol drop by about 8 mg/dL each.

There’s even research that shows chocolate can protect against tooth decay.

Huh?

A study carried out by researchers at Osaka University in Japan found that parts of the cocoa bean, the main ingredient of chocolate, thwart mouth bacteria and tooth decay. They discovered that the cocoa bean husk – the outer part of the bean which usually goes to waste in chocolate production – has an anti-bacterial effect on the mouth and can fight effectively against dental plaque and other damaging agents.

See, now there’s a medical reason to have my plain Hershey bar (just kidding again).

Foods that contain fermentable carbohydrates (FCs) are the nasty cavity-causing culprit. Although FCs are found in chocolate, the cocoa butter in chocolate coats the teeth, making it less likely to cause tooth decay. Chocolate may be high in sugar, but it melts quickly in your mouth, leaving little time for bacteria to attack your teeth and cause cavities. Plus, if you brush regularly, you won’t have a problem!

On the “O.k.-step-away-from-the-chocolate” side…

Pure cocoa has positive effects on blood pressure and cholesterol and also prevents heart disease. However, processed chocolate is what the majority of people are eating, and it contains added sugar, milk fats, saturated fats and corn syrup. These ingredients actually promote heart disease, weight gain, high blood pressure and high cholesterol.

Also, even dark chocolate is packed with calories. Its fat content may not cause cardiovascular disease, but eating it in large quantities can result in weight gain. (WHY ARE THERE ALWAYS CALORIES? IN THE NEW WORLD ORDER I AM ABOLISHING ALL CALORIES).

The refined sugar in processed chocolate can be detrimental to your teeth when eaten often without regular and proper teeth brushing. Sugar plays a harmful role in tooth decay by providing the bacteria in your mouth with energy. The bacteria begin to multiply faster, and plaque begins to grow in size and thickness on your teeth. Bacteria can also use sugar as a type of glue to cling to your teeth, making it difficult to get rid of with just a toothbrush.

Sugar can also cause and aggravate gum disease. Milk chocolate, along with other sweets, should be consumed only in moderate amounts. It is especially important to monitor the amount of sweets eaten by children to prevent bad habits (including childhood obesity), and tooth and gum problems later on.

So there it is. The good and bad of having a chocolate sweet tooth. I know it’s a bit long-winded, especially for a Sunday morning, but it does make for some interesting reading. I know there is no substitute for good chocolate but fruits provide the same health advantages of dark chocolate without the calories and saturated fats. They also contain natural sugar for those who crave sweets. If you must have chocolate (like yours truly), buy it in the smallest serving sizes possible (like those bite-size Halloween portions). This prevents you from eating up all of your calories for the day but satisfies your cravings.

And what have we learned? Eating some chocolate is O.K. Check. Especially if it’s dark chocolate. Check. Even better if it’s straight cocoa (although I have no idea how that would taste). Check, check. Brush teeth regularly. Double Dog Dare Check. Visit dentist regularly…

Yeah. No kidding…

You guys know me and my fave beverage of choice – an ice-cold Coca-Cola. However I am not sure if I’ve ever told you guys about my extreme dislike for Diet Coke. Yes, as much as I love “regular” I can’t stand the taste of “unleaded.” I am also one of those people who will only drink certain diet sodas because of the crappy after taste. On my list of decent diet drinks: Diet Dr. Pepper, Diet Canada Dry Ginger Ale, TAB and Diet A&W Root Beer. Other than those few I’d rather drink motor oil (well, OK, I wouldn’t but you get the picture).

As we start having warmer days and want to get our bodies in shape for summer (mine included), my thoughts turn to diet soft drinks. So many people I know love – LOVE – diet drinks, especially Diet Coke. But as today’s temperatures climb to almost 90-degrees here in the Philadelphia/South Jersey area I am wondering exactly how (and if) diet drinks will actually help someone lose weight? Well, more and more studies show they aren’t helping. They also show they even hurt.

Some food (or drink) for thought today before you “hit the road:”

Diet soda isn’t the silver bullet to weight loss it’s often made out to be. Nor does it prevent weight gain. In fact, drinking diet soda is strongly correlated with obesity. When people drink sweet diet sodas our bodies get the message that sweet, high-calorie foods are coming to nourish it. However, when no sweets and/or calories follow the body gets confused: where are the promised calories we need? This may then stimulate your hunger for other high-calorie, sweet foods and drinks (sweeter cereals, snacks, breads and desserts) which may, in turn, lead to weight gain. Also, by getting ourselves used to so much artificial, higher-concentrated sweet, normal sweet flavors such as fruit become bland and so do other healthful foods such as grains and vegetables, thus reducing our willingness to consume them and ultimately the quality of our diet is affected

Further, some health experts speculate that, while diet soda doesn’t cause obesity, people who are starting to put on weight think choosing diet soda alone will stop the process. Meaning, you can’t go into a fast-food restaurant, eat a high-calorie, fatty meal and say, ‘Oh, it’s OK, because I had diet soda.’ If you don’t do anything else but switch to a diet soft drink, you are not going to lose weight. Also, drinking multiple cans of diet soda every day squeezes out from our diets the healthful beverages – juices, water and teas – that can best benefit and truly hydrate our bodies.

Finally, there is still some suspicion – not confirmed – that aspartame, the low-calorie chemical used to sweeten diet sodas, may have some bad health effects. Some animal studies have linked consumption of high quantities of the chemical to brain tumors and lymphoma in rodents. The Food and Drug Administration has certified the sweetener’s safety, but reported side effects include dizziness, headaches, diarrhea, memory loss and mood changes.

Eeeeeewwwwww! He said diarrhea….

A diet soda study, conducted by the University of Texas Health Science Center, studied data on 1,550 Americans ages 25 to 64. The participants were studied for 7 to 8 years. Results showed that total soft drink consumption was tied to increased rates of obesity, but – perhaps surprisingly – participants drinking only diet soda faced the highest obesity rate of all, even greater than that of participants drinking both regular and diet drinks. What exactly is the obesity risk for diet pop (as we say in Chicago and the Midwest) drinkers? The study found an obesity risk of 37.5% for those drinking 1/2 to 1 can of diet soda daily, 54.5% risk of obesity for those drinking 1 to 2 cans daily, and a whopping 57.1% risk for those drinking more than 2 diet pops per day.

Wow!

With so much to do today remember healthier choices abound. Start your day with a small glass of 100 percent fruit juice. Drink skim milk with meals. Sip water throughout the day. For variety, try sparkling water or add a squirt of lemon or cranberry juice to your water. Save diet soda for an occasional treat if you want to have it because, like anything and everything else, taken in moderation it’s OK.

Just not as OK as you might think (or drink).

Sometimes I feel like such an addict. It starts with my thoughts wandering toward my addiction. I’m just going about my business and all of a sudden those thoughts start their evil takeover. How nice a small taste might be. Then, out of nowhere it goes from being just a thought to a powerful taste that begins in my mouth before running to and infecting my brain. When it gets there, it’s all over. That’s when my mind starts playing tricks on me, helping my conscious justify having my addiction and lying to me saying “if we just have this one it’ll be the last time.” The phrase “I can quit any time I want” comes to mind. It’s so bad sometimes I feel like dressing up in a trenchcoat, brimmed hat and sunglasses just to “score.”

Now I have been lucky in my life that my tastes, my addictions, do not run to illegal drugs, or alcohol or gambling. No, they run in a different direction. One that promises to thwart any weight loss journey if done to extremes – My friends, my name is Bill and I’m a Coca-holic.

I know I’ve spoken about this before but those of you who know me know I have this “thing” for ice-cold Coca-Cola. I don’t know what it is but I do and lately it has gotten so bad I think the Coke delivery people are wondering why they have to refill the Coke section of the local Wawa so much in my part of town.  And if I have one I get that rush of immediate satisfaction followed closely by “ok, I just want one more…”

See, I am an addict.

Don’t you guys get that craving for that one something? That “thing” of yours you can’t resist? Ice-cream, doughnuts, candy bars, potato chips, hot dogs or Chinese food (that’s another addiction of mine, too, but one that’s way more controllable since the Chinese food here isn’t as good as it is back home in Chicago). It doesn’t matter. EVERYONE has an addiction to some type of food. I can’t be alone in this. Am I?

And what makes it worse if that my addiction goes part-and-parcel with weight gain, and I have struggled so hard to keep this stupid weight off and will be working on that for the rest of my life.  I talk about driving “the gauntlet” all the time (Wendy’s little red-haired girl, McDonald’s clown, Burger King’s, well, king, and Kentucky Fried Chicken’s colonel), but nothing will stop me more in my tracks than a 20-ounce bottle of “the good stuff.”

Jeez! Thank God I don’t crave anything else addictive.

Yesterday was a good day. I didn’t have a single Coke and I feel fairly strong today that I will not have one, kind of like going through detox and coming out the other side clean and sober. Part of that is from that wonderful voice in my head saying there are a million reasons to do bad/dumb/unhealthy things. But everything is a choice and, at some point, you chose to move in a healthier direction. It’s not perfect, and if I fail today it doesn’t mean I’ll fail tomorrow.  I do just keep moving in a good direction while also trying not to eat crap, too. And I so try to ignore the cravings, the call of the impulse buy coolers next to the checkout counters. Yesterday I succeeded and I plan to succeed again today.

Yesterday I spoke of light bulbs going on in our head that help us deal with our weight issues. I talked about how mine went on and that’s when I decided to lose weight. But food addictions can easily knock those lights out again. We (and I) just have to find ways to control them, and I have to find ways to walk away from the Coke. Find a way to turn the light bulb back on by developing a new set of Coke-coping skills. That is a food person’s “rehab.” My Coke rehab.

Coke ain’t a bad thing, and I do try to have it, as well as my other favorite foods, in moderation. It’s just been getting bad lately, hence my weight gain. But the sun is out today and I feel “clean.” I like that “clean” feeling very much, as if the syrup is drained from my veins and blood is flowing strong and free again. My scale also showed me good news today and I so love that feeling, too.

And like any recovering addict I will just take this one day at a time. Oh great, now the theme song from the old 70’s TV show is running through my head. That’s enough to kill the taste for anything from anyone’s mouth.