The Paleolithic Solution – Episode 8

Here is episode 8 to get everyone their fix before the long weekend.  Have a happy & safe New Year’s!

Show Topics:

  1. Ketogenic diets & migraines
  2. Peskin’s thoughts on fish oil
  3. Cheat meals & carb loading
  4. Moving folks to a perfect paleo diet
  5. Contrarian view of paleo diets
  6. Butter & autoimmune issues / Why don’t all folks do well on a low carb approach?
  7. Paleo diet & mass gain for 21 year-old male
  8. Paleo diet & fertility
  9. Junk food cravings during period
  10. Elderly folks gaining weight
  11. MREs
  12. Diet prep for ranger school
  13. Huntington Disease / Broccoli & Thyroid function / Skin rashes / Alkaline foods / Why lean meats?

Show Notes – The_Paleolithic_Solution_Episode_8

Paleolithic Solution – Episode 8

 
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94 Comments

  1. Parker
    Posted January 2, 2010 at 9:11 pm | Permalink

    Would it be possible to note the times of the start of each topic. for example:
    1. Ketogenic diets & migraines – 0:00
    2. Peskin’s thoughts on fish oil – 8:00
    3. Cheat meals & carb loading – 15:45
    4. Moving folks to a perfect paleo diet – 19:00
    5. Contrarian view of paleo diets – 26:00
    6. Butter & autoimmune issues / Why don’t all folks do well on a low carb approach? – 35:00
    7. Paleo diet & mass gain for 21 year-old male – 41:50
    8. Paleo diet & fertility – 46:00
    9. Junk food cravings during period – 51:00
    10. Elderly folks gaining weight – 53:50
    11. MREs – 58:00
    12. Diet prep for ranger school – 59:50
    13. Huntington Disease / Broccoli & Thyroid function / Skin rashes /Alkaline foods / Why lean meats? – 102:23

    The reason I ask is some topics, like migraines, don’t apply to me, while others do. thanks

  2. Sage
    Posted January 3, 2010 at 5:03 am | Permalink

    My take is…though insulin may just be playing a permissive role in protein synthesis, it appears that for a “maximal” protein synthetic response, the combination of EAA, energy availability and insulin are the most potent elixir. In combination they result in both increased translation initiation and translation elongation.

    Adding glucose to AA results in a greater response than AA alone, and the EAA+CHO mixture potentiates the anabolic effect of resistance exercise. Basically, you are providing optimal substrate at a time (immediately post workout) when the synthetic machinery is already activated, augmenting the anabolic effect.

    I don’t know that the exact mechanism(s) has been elucidated, and it’s likely synergistic, but AA and insulin signaling converge at mTOR, therefore it is possible that mTOR integrates these signals thereby enhancing the response. Insulin may also stimulate muscle blood flow to enhance AA delivery. Since insulin is such a potent inhibitor of protein breakdown and you couple that with the signaling effect, a transient increase in serum insulin post exercise likely enhances and prolongs the protein synthetic effect of AA.

    Additionally, digestion rate is an independent factor effecting protein synthesis, and while I’m not a fan of liquid food at any other time either, the immediate post workout window may justify it’s utilization to enhance adaptation and recovery. A hydrosylate source, versus an intact protein, is more quickly digested and absorbed, resulting in greater postprandial AA availability. The subsequent elevation in insulin reduces protein breakdown and, with an added resistance exercise stimulus, will facilitate increased protein synthesis. A rapidly digested food source will also quickly improve the cellular energy state and reduce or shut down the catabolic AMPK and allow downstream signaling to mTOR.

    I don’t believe it necessitates a huge bolus of CHO at all (especially with a hydrosylate), just enough to stoke all the fires and facilitate the greatest response. Anyway, I don’t mean to go on and on. I would definitely be interested to hear your take. I dig this stuff.

  3. Jason
    Posted January 3, 2010 at 10:11 am | Permalink

    Hey Robb,

    Love the podcasts, keep up the great work!

    I was cruising the web for high protein low cal keto diets and found this abstract

    http://www.ajcn.org/cgi/content/abstract/87/1/44

    Just more interesting benefits as “non anecedotal evidence” for your side especially for the the low carb camp!

    Jason

  4. Posted January 3, 2010 at 10:15 am | Permalink

    Jason!!
    Nice find, thanks man!

  5. Posted January 3, 2010 at 10:25 am | Permalink

    Chad,
    I’m reading Good Calories, Bad Calories and there is a section about cultures who eat rice but also tend to do it for economical reasons (i.e. that’s all that they can afford) and tend to balance sub-par diets with hard work and being way more physically active. I’d be interested to hear more about this in a podcast though.

  6. Posted January 3, 2010 at 10:26 am | Permalink

    Sage-
    I dig it, especially finding the minimalist CHO dose that gives optimum return on investment. Many of the folks following OPT’s program found a nice increase in muscle mass with the minimalist CHO+PRO PWO meal.

    I tend to be VERY type A and extreme so the metered approach has been a tough lesson for me. I have historically overdone the CHO side with chubbaliscious results.

    We may see some kind of a sliding scale here:
    Assuming “good” insulin sensitivity we can get solid muscle gains from
    1-A liquid protein only PWO (substrate and insulin signaling)
    2-Possibly better muscle gain from a minimalist CHO+PRO

    There are also some non-insulin growth pathways associated with EPA and the MAPK pathways…need to think about how those two might overlap.

    If you ever want to do a combo article, either for here or the Performance Menu let me know.

  7. Posted January 3, 2010 at 10:30 am | Permalink

    Parker-
    I’ll look at this but we are running this on a skeleton crew and the purpose to some degree was for this project to decrease my workload. I’m trying to reach more folks in less time vs trying to keep on top of what is over 800 emails per day. I completely understand this would make things easier to make relevant for folks but we need to find a way to make it time efficient.

  8. Posted January 3, 2010 at 10:37 am | Permalink

    Kris-
    This is pretty common with skinny chicks who are “able to eat anything”. We only associate health problems with obesity and this is a BIG mistake. If she is blonde she is at exceptionally higher risk of several nasty conditions (I can talk about this in a podcast…some genetics involved here). I don;t know how to beg or cajole her more other than her condition will only worsen if she does not get a handle on it. If she would get aggressive she could be symptom free in a few months. Fish oil should make her menses easier, not worse. Keep me posted.

  9. Kris
    Posted January 3, 2010 at 11:37 am | Permalink

    Robb,

    Thank you very much. If this topic makes it as a pod cast question I would appreciate a more in-depth approach. I’m beginning to to feel a little like the dad from Lorenzo’s Oil and way behind on my science and am on the race to catch up before something worse happens. If this doesnt make the cut as a pod cast query then I’d be glad to pay for a private consultation, just let me know which would be more appropriate.

  10. Steve
    Posted January 3, 2010 at 12:40 pm | Permalink

    Robb, I just started Paleo about a week ago. Up until then, I was on a measured Zone and then went unmeasured for most of the year. I just wanted to know if it is typical to feel kind of crappy for the first few days on Paleo. I feel like I’m starving most of the day, and my food intake has increased since leaving the zone. I realize that my metabolism is probably in high gear since the processed food has left my diet, but this is affecting my workouts as well. I’m doing a “strength based CF program”. It’s a linear progression heavy lift then a short to medium length WOD. Any advice you could offer is greatly appreciated. I’m a big fan of your site. Thanks

  11. Sage
    Posted January 3, 2010 at 12:53 pm | Permalink

    Absolutely. That would be great. I believe you have my email address from here…email me any time.

  12. Barbara
    Posted January 3, 2010 at 2:11 pm | Permalink

    Rob, this is such a fantastic site, I love it!. Sleep is pretty good, keep to good sleep hygene, and stress is high but the meditation helps. I have been using 2 tablespoons of mineral oil at PM and AM and this helps. Do you think this is okay or contraindicated, any problem with daily use for a bit?
    Thanks for your input.

  13. Preston
    Posted January 3, 2010 at 2:13 pm | Permalink

    Hey Robb- loving the podcast, great work. Been a long time lurker and sponge here and this is one neuroscience postdoc who digs your pseudo-science- keep it up!

    Super interesting take on PWO food from Sage! This is such a tough area that I’ve heard excellent physiological arguments for on both sides. Devany’s hypothesis that any PWO nutrition blunts GH release is compelling, but I think (?) unproven/undocumented. Skipping it certainly does wonders for leaning out and getting ripped body comp, but not so great for us terminally tall/lean dudes that have trouble putting on muscle.

    **So the question to Sage/Robb- What would be the ingredients of an ideal liquid food to use in the PWO window with a combo of EAA/CHO? I would definitely be into giving this a shot. Thanks!

  14. Sherist
    Posted January 4, 2010 at 5:42 am | Permalink

    Love the podcasts. I never thought I’d look forward to Tuesdays so effin much. Thanks for all your hard work, guys.

    If the following questions have already been answered, hopefully someone will point me in the right direction.

    I bought a big bottle of fish oil…I’m not sure what to do next. I’m a bigger gal and a paleo newbie. How much should I be taking? Is it best to take it all at once? In the morning? Or is it better to take it all throughout the day? WITH meals?

    Thanks again!

  15. Posted January 4, 2010 at 10:46 am | Permalink

    Sherist-
    Take with meals and likely more along 3-4 EACH meal. Keep in mind, that fish oil is something missing from our food, we need to replace it.

  16. Posted January 4, 2010 at 11:24 am | Permalink

    Barbara-
    I have a sneaky suspicion it;s more stress than anything. NOT a fan of the mineral oil! Olive oil or anything like that seems preferable. Alovera juice also but the stress/sleep dealio is BIG.

    Keep me posted.

  17. Posted January 4, 2010 at 11:26 am | Permalink

    Steve!
    Check this out:
    http://robbwolf.com/?p=690

    You may need to up the fat AND may just feel crappy for a few days. Keep me posted!

  18. Posted January 4, 2010 at 11:28 am | Permalink

    Kris-
    We podcasts are about 3 weeks behind questions coming in, we will very likely hit this but it will not be for 3-4 weeks. Contact Chrissy via the contact form on this site if you would like to do a consult.

  19. dan
    Posted January 4, 2010 at 11:36 am | Permalink

    i know you’ve touched on milk and autoimmune issues/acne a few times, and that grass fed milk is better, but could you clarify this

    does milk being grass-fed/pasteured eliminate or reduce autoimmune issues/acne or is just healthier b/c it has more omega3s but it will still present with those problems in some ppl.

  20. Ricky H
    Posted January 4, 2010 at 12:43 pm | Permalink

    Robb,

    Along with paleo, do you have any advice for someone with what I believe to be a highatal hernia? I have been taking a Prilosec every morning for the past five years or so and understand that I have to get off that stuff. When I don’t take it, I get bad heartburn feeling and vomit especially during excercise or even gag while brushing my teeth. My doctor says as long as the prilosec helps not to worry but I hear there is a downside to taking it too? My wife recently read that an apple every morning would help? any thoughts?

  21. Sunny
    Posted January 4, 2010 at 1:44 pm | Permalink

    I’ve seen a few comments about cultures and eating rice. I didn’t believe that giving up rice was necessary until I got it completely out of my system. This meant not visiting my mom for a couple months as she always forces it on me.

    I used to eat rice three times a day. It was cheap, I had a 10cup rice cooker that played music, and 50lb bag of rice. But when family members started coming down with cancers, diabetes, and other diseases, I tried Paleo. It took a couple months of the on/off thing. Then I went a solid month without it. It is worth stopping the excuses and going through the struggle. I don’t like to demonize food, but if I were to call any food the devil it would be white rice. You do not need to eat it to live, really, you don’t. If you’re having a hard time eliminating grains, I feel for you, but it is totally worth the effort.

  22. Mathieu Lalonde
    Posted January 4, 2010 at 2:21 pm | Permalink

    Re: PWO Meal

    An Oral Essential Amino Acid-Carbohydrate Supplement Enhances Muscle Protein Anabolism After Resistance Exercise. Journal of Applied Physiology, 2000, 88, 386–392.

    6 subjects (3 men, 3 women) performed resistance exercise (leg press 10×8, leg extension 8×8 @ 80% 1RM with 2 min rest between sets) and were given either a pwo drink consisting of 6 grams of essential amino acids (EAA) and 35 grams of sucrose (table sugar, CHO) dissolved in 500mL of distilled water or a placebo (artificially flavored drink sweetened with aspartame). The researchers analyzed protein synthesis after 1h and 3h in both the groups. Analysis included femoral arterial and venous blood samples and biopsies (for protein synthesis), leg blood flow, as well as arterial insulin concentration. The researchers found no difference in protein synthesis between the groups that consumed the EAA/CHO drink 1h or 3h after resistance exercise. Some subjects were given a placebo at time=1h and then the EAA/CHO drink at time=3h. Protein synthesis only reached high levels at the 3 h mark in this case. Interestingly, the aspartame in the placebo drink did cause a small (barely significant) increase in arterial insulin and phenylalanine concentration.
    The fact that no difference was seen between 1h and 3h throws a wrench in the whole post workout feeding window. It is well known that muscle fractional synthetic rate remains elevated for 48 hours after a bout of heavy resistance exercise. The PWO meal may merely be condensing the protein synthesis to a shorter time frame (i.e. completion in a few hours as opposed to 48h). A similar effect has been observed with glycogen repletion. Consuming carbohydrate post workout will accelerate glycogen repletion. For at least 12 hours PWO, the muscle glycogen of a subject that has consumed a PWO CHO drink will be higher than that of a subject that did not consume the drink. However, past the 12 hour mark, the glycogen levels of both subjects are the same. The drink merely serves to accelerate the glycogen repletion process and is not necessary if the next workout will not occur until the next day.
    Although PWO meals of protein and carbohydrate do increase the rate of protein synthesis and muscle glycogen repletion, they do so at a cost of insulin sensitivity and reduced growth hormone production. If you are in a competition setting, go ahead and use PWO meals to your advantage. Otherwise, skip them and reap the full benefits of your training.

  23. Hanneke
    Posted January 4, 2010 at 2:30 pm | Permalink

    I came across this article

    http://www.thebsdetective.com/search?updated-max=2009-10-12T16%3A37%3A00-07%3A00&max-results=7

    He things Gary Taubes is a BS’er
    I was wondering what your thoughts are on that.

  24. Geoff Aucoin
    Posted January 4, 2010 at 7:37 pm | Permalink

    So y’all have been to the Calgary Farmer’s Market? No? Oh. Then you haven’t got a clue what you’re talkin’ about!

    http://www.calgaryfarmersmarket.ca/

  25. Tim
    Posted January 5, 2010 at 4:18 am | Permalink

    I got my questions answered this time, cool. About HD, I got in touch with this woman now. Thanks a million.

    About broccoli and thyroid. I googled a little. Goitrogens seem to exist in strawberries, spinach, peanuts, soy and other foods – they are not just in cruciferous vegetables. It seems like cooking might beneficial and destroy the substance or enzyme or whatever. Although the time seems to vary between “you just need to steam them briefly” to “you need to cook them for 30 minutes”. Like you said Robb, it’s probably a good thing to rotate the veggies or whatever you eat.

    About skin rashes. Kindergarten needs a doctor’s certificate before they give gluten free food. So I hope the doctor is nice to me. Will keep you posted about the progress.

    About alkaline foods. Maybe seasonal is the wrong word. I meant that fruits were only available in the summer. Don’t know about the veggies. So that’s why I speculated about they were net acid yielding the other three seasons. But I’ll google it.

    About lean meats. I thought toxins was the big thing, but obviously not. Didn’t think about the omega balance. But I still think “lean” is somewhat confusing for average Joe.

  26. Roelant
    Posted January 5, 2010 at 8:09 am | Permalink

    Hey Robb,

    quick question about IF. I know you’re no longer such a huge fan of it (lifestyle choices, dialing in diet,etc), but for some reason I’m NEVER hungry before 11am….I end up doing a semi 16/8 anyways. Is this bad? If I end up having to scarf down food in the morning I’ll do it, but it’s forced. Is there something wrong with me? I’m a student, regular schedule, Xfit 3-4x a week. 3 Big meals a day, Paleo + full fat dairy (moderate).

    Thanks,

    Roelant

  27. Rob
    Posted January 5, 2010 at 8:58 am | Permalink

    Your crystal ball is on target man re my IBS . Saw my chiropractor yesterday as I pulled a muscle in my back doing kettlebell wo and found my hips were off 1 1/2 ” which is huge for me and no doubt part of my trouble. Will take you advice re olive oil over mineral, rest, sleep etc.

    Thanks for you wise input.
    Babara

  28. Posted January 5, 2010 at 9:07 am | Permalink

    Roelant!
    I’m actually a huge fan of IF, but the results have been pretty variable for the folks I’ve worked with. I think CF may be too much intensity too often to work well with IF. Add to this the variable schedules of police/mil/fire and I have seen some disastrous results. I think that 16hr fast is money…so long as we see solid body-comp, performance and sense of well being. I think IF is a very powerful tool but in an excessive volume/intensity program with no “off season” I’m not sure how good of a fit it is. Will be looking at this more in the coming months.

  29. Posted January 5, 2010 at 9:18 am | Permalink

    Hanneke-
    I’ll tackle that in the podcast…good stuff there!

  30. Posted January 5, 2010 at 9:21 am | Permalink

    sunny-
    And that’s been my gig…just give it a shot and see. Most folks notice a pretty remarkable difference. I do fine on a few meals of rice (sushi binge for example) but string several together and I start getting digestive problems.

  31. Preston
    Posted January 5, 2010 at 11:00 am | Permalink

    Thanks for the info Mat- After thinking about PWO nutrition myself for the past few days, I tend to agree with your conclusion. Like everything else in biology- it’s about trade-offs: A little bit of increased protein synthesis and glycogen replenishment vs. decreased insulin sensitivity and decreased GH release.

    Robb- at the bottom of your FAQ you mention putting together an advanced topics program for the geeks- I would be super interested in this as I’m sure others would. Maybe you can put that as #147 on your to-do list ha.

    Seriously though, I find it crazy that I studied metabolic biochemistry in grad school with a man who is possibly THE living authority on mitochondria and when I talked with him about the benefits paleolithic nutrition and ketogenic eating, he basically waved his hand at me and took a bite of his bagel.

  32. Ricky H
    Posted January 5, 2010 at 2:06 pm | Permalink

    Robb,

    Any thoughts on the prilosec question I posted yesterday? Thanks.

  33. Anthony White
    Posted January 5, 2010 at 2:43 pm | Permalink

    Dear Robb,

    In this podcast, you talk about a therapeutic dose for fish oil and backing people back off it, particularly if they are on mainly grass-fed meat and otherwise clean.

    I’m 200 pounds and about 12 percent fat, and have been following the prescription of 1 gram fish-oil per pound bodyweight (1g containing 180mg EPA, 120mg DHA). I’m pure paleo for about four months, barely even a cheat meal a fortnight. Even before I was paleo I was pretty clean by non-paleo standards, effectively a paleo plus wholegrains and some diary. I’m in New Zealand, so all my sheep and beef meat is grass-fed, eat fresh fish a couple times a week, a can of tuna or salmon every day. Eggs – have never found omega 3 enriched in New Zealand. Nuts are mostly walnuts and macadamia.

    Should I still be taking 20 fish-oil pills per day? At what point to you back people away from the Rx?

    Kind regards,
    Anthony White

  34. Posted January 5, 2010 at 2:44 pm | Permalink

    Ricky-
    Are you 100% grain/dairy free? We have seen tremendous improvement with acid reflux, even in hiatal hernias with paleo.

  35. Ricky H
    Posted January 5, 2010 at 4:32 pm | Permalink

    Robb,

    I am in the early stages of going grain/dairy free. 2 weeks in now. I guess what I’m asking is how long to feel relief or if there are any ideas as to things I can do to help with speeding up the transition to zero prilosec. Like yesterday, I didn’t take it in the am for the first time in years but by midnight I had to give in and pop the pill. Thanks again for the help.

  36. Posted January 5, 2010 at 4:50 pm | Permalink

    Ricky-
    I really do not know. You may need to titrate down instead of going off all together. I have no solid ideas on this other than you should be able to at the very least decrease your dosage, but that to remains to be seen.

  37. Posted January 5, 2010 at 4:52 pm | Permalink

    anthony-
    given your GF meat you may not need to supplement much, i at all. I would titrate down perhaps 5 caps per 2 weeks and see how you do at each level. An aracidonic acid EPA test could offer some insight here as well.

  38. Steve Smith
    Posted January 6, 2010 at 8:29 am | Permalink

    Robb and Sage –

    I would also love to hear or read recommendations for PWO meal suggestions and research. I would like to put on about 10-15 lbs this year (6′1″/~170lbs currently). I eat pretty much paleo with a glass of milk 2-4x a week. PWO, I try to have 2-3 oz of turkey or roast beef along with a piece of fruit and/or a glass of whole milk… I’ve been trying to do this for the past few months and haven’t really seen any weight gain. Then again, the crossfit gym was biased to metcon’ish’ workouts. The programming is changing this year with a CFSB WOD 3x a week. I’m excited to see how this works out.

    It seems that OPT recommends either 40/40g pro/cho after workout or 40/25 (male 8-12% bf) depending on the type of workout. That’s a lot of protein to put down.

    Thanks for the great poscasts.

  39. Anthony White
    Posted January 6, 2010 at 4:37 pm | Permalink

    Dear Robb,

    Thanks for your reply above. I guess the follow up question is, “What might the potential negatives of too much fish oil be?”

    Thanks again,
    Anthony White

  40. Posted January 6, 2010 at 7:41 pm | Permalink

    Kris,
    I hope your partner comes round to Paleo / fish oil.
    The Zone diet plus paleo food choices plus fish oil absolutely blitzed my PMS, and severe menstrual pain (we’re talking intense pain that causes vomitting).
    However I have primary dysmenorrhoea (not secondary – linked with fibroids etc). I do know many women for whom fish oil made a massive difference.
    I take about 2000mg per day DHA+EPA.
    It made absolutely no difference to the heaviness of bleeding but does give that bright red blood that naturopaths and Chinese practitioners seem to focus on as a good sign! Not the dark red clotty type (sorry to be so graphic!)
    Paleo actually reversed in between spotting for me and gave more consistant relief from PMS. Exercise too helps – regular intense exercise adds to reduced menstrual pain.

    here is a great testimonial from the paleo diet website:
    http://www.thepaleodiet.com/success_stories/#menstrual

  41. Jason A.
    Posted January 7, 2010 at 10:08 am | Permalink

    Robb,

    I’ve got a friend of mine with Coeliac’s disease, along with a bunch of other grain allergies. To my knowledge, she’s gone off of grains completely, and I’ve given her this website to help her get started.

    However, she’s looking to get back into shape, and trying to find a protein bar to use that won’t interfere with her allergies/intolerance.

    I’ve hooked her up with the Paleo Brands website, but she’s looking for something with 20+ grams per bar, and hoping to find something that’s readily available in stores (We’re in Canada, and cross-border shipping is killer).

    Any advice you can give would be great.

    Thanks.

  42. Posted January 7, 2010 at 10:12 am | Permalink

    Jason-
    The Egg protein bar should fit the bill but I’d recommend that your friend eat no “fake foods” for several months. The Paleo Bar included.

  43. Derek
    Posted January 13, 2010 at 4:59 pm | Permalink

    Broccoli is a goitrogen. I’ve read that the more goitrogens we eat, the more iodine we need. Here is the question. Does this mean we can eat all the broccoli in the world each day and have a normal thyroid so long as we consume enough iodine to match? Or does this mean we have to eat broccoli in moderation and consume enough iodine to match?

    Before I knew anything ever about the thyroid, I ate some broccoli once or thrice a week, never consumed fish or sea vegetables, and had no problems. But I consumed a ton of soymilk and soy protein concentrate and became iodine deficient and low thyroid. But when I counteracted this with Iodoral, a high potency iodine supplement, I still felt lousy, with slow speech, slow heart rate, and so forth. Iodoral is obviously not natural and according to Dr. Alan Gaby, the amount is based on a calculation error that overestimates the amount Japanese eat each day, about 13mg (13,000mcg) instead of the actual 500+/-mcg. It would be interesting to know whether one can consume as much soy or broccoli each day and try and add a bit more sea veg/fish to the diet. On a side note, I talked to the guy who runs soyinfocenter.com, and he said he consumes about two servings of soy per day and has never thought about iodine.

  44. Derek
    Posted January 13, 2010 at 5:07 pm | Permalink

    And Robb, I promise to cool down with the questions! I was just so excited that the Paleo diet seemed to match a great deal what I have researched about male pattern baldness. Thanks for bearing with me!!

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