Download a transcript of this episode
Topics:
1. [1:32] Excessive Sweating
2. [6:16] Orthorexia
3. [11:41] Paradoxical Responder
4. [16:40] Marathons Causing Heart Attacks
5. [24:54] Functionality
6. [38:32] PWO Carbs for the Strong & Lazy
7. [44:45] Strength and Conditioning on the Same Day
8. [54:00] Chronic Back Pain Relief
Questions:
1. Excessive Sweating
Cindy Says: Hi Robb, I have a 17 year old daughter who has a problem with excessive underarm sweating and odour. She has good hygiene, showers daily etc, but always smells by the middle of the day. It is affecting her confidence and social life. (I find it hard to get her clothes smelling fresh after washing them). She is not overweight (body fat around 19%), but she has low energy and does not exercise much. She is also dyslexic and has struggled with her classes. How much of the sweating is anxiety and how much is a physical problem? Could you advise me how to help her? I know if I go to the Doctors they will put her on some medication and I don’t want to put drugs into her system if there is a better way. Thanks.
2. Orthorexia
I’m followING a pretty clean paleo diet, and for the last year or so, I’ve been reading a lot of Mr Wolf’s forum as well as other paleo oriented discussion boards. The thing that has caught my eye is that some people seem to get way too obsessed (at least for my liking) about their diet, what they eat, when they eat it and so on. It seems that every single bite of food you ever eat must have a function or otherwise it cannot be eaten. Absolutely nothing is eaten just for pleasure or taste.
I understand that if gluten makes you poop blood for days, you might want to avoid it, but when people are boasting that they haven’t eaten anything with sugar in it for nine years… damn just live a little!
Orthorexia Nervosa is not an established medical term (yet), but it’s the term I would use about these cases. http://en.wikipedia.org/wiki/Orthorexia_nervosa
I think it’s really sad that a good diet and it’s health benefits can obviously sometimes lead to actually lowering your quality of life and even your health. Also as a gastronomer I must say that I despise people who refuse to eat a magnificent high quality serving of food if there’s a little something in it that they don’t like but are not really allergic to.
What do you guys think about this subject and how common do you think these problems are among the paleo crowd?
3. Paradoxical Responder
Hi Robb, love the show and admire your skill at fielding questions. I am a 47 year old female who went on the paleo-diet after being diagnosed with celiac. I decided that if I need to give up grains I should just go all in and give them all up. I workout 2-3x week doing a improvised circuit training routing using weight, body weight sprinting and jumping activities. My health has improved leaps and bound after eating paleo for the last 5 month.
At month 6 I had some routine blood work done and was surprised by the results. My total cholesterol went from 165 to 230 with the increase all attributable to LDL, which went from 90 to 160. I eat very well, no dairy or grains and mostly lean cuts of meat with fats coming from grassfed ghee, coconut and olive oils and of course tons of veggies and modest fruit intake, 1 serving/day.
I am fully aware that plasma cholesterol is not the end-all be-all of CHD risk assessment, but the changes really caught me off guard as my husband’s blood lipid values have dropped significantly on the same diet. I was wondering what the chances are that I may be a paradoxical responder or if there are other variables I should consider that I am not currently thinking of. Could stress be an issue as I run a family business that is to say the least stressful and have also been helping/worrying about my aging fathers health issues, i.e could cortisol be an issue here?
4. Marathons Causing Heart Attacks
Sam Says: Hi Robb, Have you seen this article by Kurt Harris about a study that showed a higher rate of heart disease in marathoners? Seems to support the points you’ve been making about fitness and he also clearly points out how diet is the most important factor in prevent heart disease. Never mind the statistical significance, I think it’s interesting and would love to hear your thoughts on it.
5. Functionality
Andy Says: When at my local crossfit facility that I attend once a week, the coach told another member, who was struggling to do strict pullups, not to worry because strict pullups aren’t as functional as kipping pullups. Then she said functionality is the key. I do agree functionality is important, but that the strength to pull isn’t important, or that strength would not increase your functionality seemed off to me. What is your take?
Thanks for the great book and for coming to Houston. I gave many copies of the book to friends and family.
6. PWO Carbs for the Strong & Lazy
Alan Says: Hi Robb & Greg! First off, thanks for the great work with the podcast and for helping so many people get so much healthier. I really enjoyed the book, and of course think that the podcast is awesome.
My question is about (yawn) post-workout nutrition. I’m sure that you’re sick of this topic, but I’d like to know what you recommend as a post-workout carb intake for someone who mainly does low-rep strength work and walks a bunch. Whenever I hear about post-workout nutrition, it always seems to involve what to take after doing some significant metabolic work. This is great for CrossFitters, but what about those of us who want to get/stay lean and lift really heavy weights a few times a session? My bodyfat percentage is relatively low – probably a bit under 10%. My goal is to get stronger, over a long period of time if necessary, without increasing my body fat percentage significantly. Ideally, this would involve a low-carb lifestyle.
Apologies if this question elicits a facepalm, but after being told for years that post-workout carbs are crucial for recovery, it’s psychologically tough for me to forego them. Do I have your blessing to ditch the PWO carbs as long as I stay with a high-intensity, low-rep scheme?
Whether or not this question makes it to the podcast, thanks a lot for all the great work.
7. Strength and Conditioning on the Same Day
Matt Says: Quick question. Martin Berkhan and some others say to never do strength training and conditioning on the same day. Martin specifically states, “In simple terms, conditioning activates a protein (AMPK) which blunts another protein (MTOR) that turns on muscle protein synthesis.” [1] Doing so leads to crappy results for both strength and conditioning. Given this AMPK/mTOR business is correct, this seems to make intuitive sense to me.
BUT! OPT, Catalyst, MEBB, CF Football and others routinely program a strength portion followed by a (shorter) met-con. These guys seem to be very deliberate about their programming and have good results. So, what’s the deal?
[1]I think he’s pulling this from here: http://books.google.com/books?id=taGpgaQ4Q7UC&lpg=PA330&ots=e9tsbXLWtT&dq=MTOR%20blunts%20AMPK&pg=PA330#v=onepage&q&f=false
8. Chronic Back Pain Relief
Emerson Says: Hi Robb, A few years ago, my mother was hit by a car while riding her bike and broke her spine. Needless to say this changed her life for good. In the time following her accident she stopped being active, became a total sugar fiend (processed sugars and carbs multiple times a day), takes morphine for pain and is now addicted, developed some serious depression, and obviously has chronic pain issues with her back and hips. Anyway, I recently convinced her to attempt a 30 day strict paleo diet and she is seeing some very positive changes. She’s lost some weight, has more energy, and her mood has improved a lot. This change has come about pretty quickly (she’s only 3 weeks into the diet) and without much exercise (just some walks in the hills behind our house). However, she still has a big morphine habit and whenever she’s tried to lower her dose the pain in her hips has been unbearable. Her doctors have done some procedures that have provided relief, but they say it is only temporary. Are there any diet or exercise recommendations you can make that might help her deal with this chronic pain? I’ve searched through your website and Mark Sisson’s blog, but haven’t really found anything specific. Anyway, the progress she’s made so far is truly inspiring, so thanks for your amazingly helpful website, podcasts, and facebook posts!
Adam Kayce says
Cheers to Greg – he rocked this episode. His
rantuh, discourse started at 8:00 in was epic.Pozatron says
The rant was legit. I think the question may have been misinterpreted slightly: Chris Kresser and Kurt Harris covered this topic a bit on an older Healthy Skeptic podcast. Yes, you get these orthorexic types in any diet camp. No, they’re not representative of paleo-dieters as a whole.
However, I don’t think the question author’s observation of the condition was meant to “hate” on people who are super-strict paleo. This is where I think Greg’s rant is misguided. I think it was meant to point out that when people let their dietary habits affect their mental well-being, increasing stress, there is a problem. But, nothing we can really do about that except educate people.
LW says
Yes. It was epic. And.. kind of in conflict with a lot of things Robb has said in his writings.
80/20?
Victoria says
exactly. I don’t understand how you can say 80/20 and then be so militant. Hypocritical much?
Mike K says
Hey Robb,
Was catching up on some older podcasts and heard the one segment on sun exposure. I read the below book last year, and in it he basically recommends half the amount of time in the sun that it would take your skin to start to be pink a few hours later about 3-4x per week as sufficient to maintain vit d levels while minimizing skin cancer risk.
He is also for sensible tanning bed exposure so long as it follows the same guideline and that the beds have UVb bulbs.
Interesting and quick read too – http://www.amazon.com/Vitamin-Solution-3-Step-Strategy-Problem/dp/1594630674
Robb Wolf says
Thabks mike!
Whomp says
I loved the rant against “moderation in all things”. I hate it when people say that. I usually bust out this quote from Aristotle on moderation, where he talking about virtue and moderation being a sort of mean between two extremes:
“But not every action nor every passion admits of a mean; for some have names that already imply badness, e.g. spite, shamelessness, envy, and in the case of actions adultery, theft, murder; for all of these and suchlike things imply by their names that they are themselves bad, and not the excesses or deficiencies of them. It is not possible, then, ever to be right with regard to them; one must always be wrong. Nor does goodness or badness with regard to such things depend on committing adultery with the right woman, at the right time, and in the right way, but simply to do any of them is to go wrong.”
I think we can add gluten to list of things, like adultery, whose names imply badness… the people touting “moderation in all things” just want to eat muffins with their mistresses once in a while.
Jeremy Priestner says
I have a question that popped into my mind when Greg talked about how he does no conditioning work at all with his weightlifters.
Does conditioning play a role in aiding faster recovery for in athletes who mainly do strength/ power training? I know Louie Simmons advocates a conditioning cycle before the beginning of a powerlifting season. I’m just wondering if there is a difference btw. powerlifting and weightlifting or these two coaches philosophies.
Thanks,
Jeremy
Laura says
Hi, sorry if I’m a little off-topic, but I’d like to say that I’m French and have never heard of Jerry Lewis in my whole life – and I’m sure the same goes for pretty much everyone I know… Seems like you need a little update… 🙂
Robb Wolf says
No Laura, I just thin the collective taste of the French has improved :0p
Best Traits Procreate says
Dear Robb and Greg,
You guys should write a piece titled “I quit my Crossfit Gym, now what.”
Thanks
Dan
Agreed says
here here! I’m not a Kool-Aid drinking CFer nor a hater just collecting alternative views and getting educated. Still doing CF a 2-3 times per week but filling in a couple other days with a periodized program, ala 5/3/1. Eventually quitting is a possibility. I like the topic suggestion.
Steve says
Robb, my two sons (age 20 and 16) and I are planning to hike up (and down) Mount Whitney (elevation 14,497) in a single day. It’s 22 or so miles round trip, a hell of a lot of elevation gain and a view from the top worthy of the highest spot in the lower 48, which it is). The round trip takes about 13 or so hours. It’s a monster of an undertaking and requires a lot of planning in terms of food/nutrition. I’ve done the hike twice before in the last few years, but that was back in my pre-paleo, very grainy days when my idea of the proper “fuel” for my body for such a long hike was an assortment of Power Bars, Clif Bars, Gu packets, etc. You know…carb/glucose overload. I’d stuff those things in and have what I now realize was an insulin spike followed by a crash. Rinse, repeat and stir over and over for 13 hrs and, believe me, you can be one miserable, cranky MF by the end of this trek. What’s the, er, “paleo solution” to food on this kind of long-distance one-day hike? Lots of jerky and nuts? An I.V. drip of guacamole? Is there any place for electrolyte beverages in this, rather than good old water? Any tips on nutrition and hydration for this crazy adventure will be appreciated. All the better if it’s a fattier food solution that doesn’t burn off as fast as all those Clif Bars and Gu packets did. Thanks, Steve.
Robb Wolf says
Steve- you should do a consult with Amy Kubal, she is an experienced mountaineer. Has done all the 14+ peaks in the US I believe.
Keith says
I was wondering a bit about the “paradoxical responder” and Robb’s answer. Mostly I am wondering if we have any real evidence of a connection between saturated fat and cholesterol. My experience, and it is limited, is that carb intake drives cholesterol levels more so than saturated fat (it sounds like “paradoxical responder” thinks saturated fat is bad, since she mentioned “lean cuts of meat,” she may already be eating a low saturated fat diet).
I have two acquaintances that were prescribed cholesterol lowering meds. Before they got the meds their Doctor advised them to try diet and exercise. Both Doctors recommended cutting saturated fat, upping the carbs, and cardio. The result: cholesterol levels worsened and their doctors explained that “diet and exercise doesn’t work for everyone, that is why we have these drugs.”
So, I am just wondering if we actually have any evidence that saturated fat causes a rise in LDL cholesterol.
ReneeAnn says
Thanks for the dl’ phenylalanine tip!! I have to have Tylenol to ease my pain so that I can sleep. I’d love to give up the Tylenol! I’m going to give this a try.
By the way, you can get some good GoogleJuice by hiring someone to make a transcript of the podcasts and posting it on the blog. It would also be great when people want to know what chemical compound you mentioned. 🙂
Paleo Pigtails says
Dear Greg Everett,
Will you please come to my house every morning and make me laugh the way you did today??? No, but seriously ORTHOREXIA?… I suffered from eating disorders for many years so I can understand when people get absolutely WONKY over this stuff. And although I am NOT one of those who do (thank you baby Jesus) can’t we just all agree that it could be much worse? The whole point of Paleo is to be healthy. So if geekin’ out over how nutritious your food is compared to your McDonald’s lovin’ neighbor puts some “umph” in your KB swing, than go for it!
Jess says
Perfectly put!
EHAYES says
“Paradoxical” responders
I had a very hard time accepting the fact that a calculated LDL cholesterol number is insignificant. This seems to be a very common occurence with people switching to a Paleo or similar approach. I think the high LDL “bad” cholesterol link is so embedded in our culture, we can’t ignore it even if we know better.
Try the Iranian Formula for calculating LDL. I bet that formula will bring your total cholesterol back down to the upper 100’s. I don’t know how accurate it is but it might make you feel better. To me it just points out that there may be some problems with a “calculated” LDL and this puts me at ease, relying on the fact that every other marker of inflammation is perfect.
My friend is a 5’9″ Male. He used to weigh over 250 lbs, with total cholesterol in the 300’s, Triglycerides well over 150 and HDL well under 40. He is now 180lbs, Trig-65, HDL-68, but he was freaked out his total cholesterol was still in the high 200’s even though every other aspect of his life has made HUGE improvements. After I told him his “calculated” LDL with the Iranian Formula gave him a total cholesterol of about 200 compared to the Friedewald, High 200’s, he was put at ease.
Hope this helps.
Nico says
I think Greg’s response to the orthorexia was a little over the top, and also kind of directed at a straw man rather than the actual question, which seemed to me very thoughtful and worth talking about.
Dr. Harris and Chris Kresser have also addressed this issue. In Chris’ podcast with Dr. Harris, Chris talked about a patient of his who had given up most foods, was suffering from stress and G.I. issues, losing tons of weight, and got better when he started eating beer and pizza. Now, clearly that’s not a good idea for the gluten intolerant, or even for most people, but I think the point was that people do really suffer from stress as a result of excessive concern about what they eat.
This kind of thing definitely exists in the paleo community- Melissa Mcewen has written about paleo folks she encounters who basically never go out with friends. I think it’s useful to remind people that the costs of obsessing over food can indeed outweigh the benefits.
Finally, as Dr. Harris also has written about, a lot of people think that ANY health problem they have must be due to diet. But reducing stress, getting more social contact, and other things like meditation seem to make a big difference for a lot of people. I think Robb would agree with that. So I think there’s something to be said for raising awareness of the potential costs of focusing on food at the expense of fun, relaxation, and just generally living life.
Robb Wolf says
Nico, not only did I agree with that, I and Greg articulated all that ;0)
Danny says
Hi Greg and Robb
(I have dyslexia Greg so make sure you hit the coke before reading this!!!)
Quick question about adding mass and the best way to go about it.
First of stats
Weight is 12 stone 12
Height 5’10
Body fat 20%
Crossfit three times a week
Strength training once a day after bjj.
Here’s my question I want to add some mass but am not sure if am best to cut back on body fat a little more then try adding weight via paleo (eating more)
or to start as I am now and work my way up, the problem with my weight loss is I tend to lose it all of my arm before it decides to aim to mid section so I end up looking like Mr burns!!!
If I was best to start adding weight
How would people like yourself advise clients to go about doing this without turning into a beach whale?
I.e. training and eating!!!
Thanks for all your help and info
If you ever find yourself over in the uk
“THE HOOKERS AND COKE IS ON ME”
Josh says
I am pretty sure they would both say get the body fat under control. At 20% you are pretty high for what they would typically recommend for a mass gain. For example John Welbourn is extremely concerned with strength and when he was playing ball he was around 8% body fat. While we can’t all be John Welbourn, we should all be pretty lean before we add muscle. You muscles will be much more visible with less body fat, so with your shirt off you will look bigger (although you total body mass will be smaller). You’re arms are only shrinking because of the body fat on them. I would bet your lean muscle mass stays about the same. I know when I went from 22% to 14%, my actual pounds of muscle increased even while cutting the body fat off. It all comes down to diet. Stay strict on the Paleo and the fat loss should come pretty easily. Make sure you are getting around 1 gram of protein per pound of bodyweight and your muscle mass should not decrease. Most likely it will grow.
Good luck!
Ryan says
Nutrition topics do get a bit boring after 80+ episodes, but I always find the exercise topics interesting, especially more philosophical ones about what is fitness, functionality vs strength, putting fitness on top of dysfunction, training for health/longevity etc.
Also, any chance of getting martin berkhan on the show some time?
Squatchy says
I second having Martin Berkhan as a guest
Whit says
I second this. As much as I love the nutrition talk, I have really enjoyed some of the more recent fitness-centric episodes. Thanks guys!
Bea Binag says
I am all for this as well.
Dean says
I vote for Al Kavadlo on the podcast for a different angle on the exercise. The Olympic lifting bias is becoming increasingly prevalent.
Robb Wolf says
OL is definitely Satan’s training method!
Emerson says
Hi Robb,
Thanks so much for taking the time to address my question. I submitted it awhile ago so I thought I would just give you an update. My mom is doing pretty well, she has lost over 20lbs by eating paleo and has decided to keep up with the diet. We live in the SF bay area so she’s started doing some PT work with KStarr, who has been amazing, so we’ve got the exercise and diet covered pretty well. I don’t think she’ll have any problem getting enough sun, the bay area is pretty amazing this time of year. I’ll look into the DL phenylalanine (spelling?). Any particular brand or website you recommend ordering from? Thanks again for your help. Your book and podcasts have been lifesavers!
Lilith says
AMPK activation due to alterations in cellular energy state (i.e. oxidative exercise) alters downstream signaling through mTOR. This blunting most significantly occurs at p70s6k, a downstream effector necessary for protein synthesis
This is a good paper with regards to repeated sprints and resistance training:
http://www.ncbi.nlm.nih.gov/pubmed/19692661
Robb Wolf says
Thanks Lilith!
Jan says
Thank you SO MUCH for your definitive, unequivocal comments about endurance work, triathlon etc. The rants in this cast were outstanding!
After many years (almost a decade) of playing with insane loads of training for ultramarathons + swimming, biking and weight lifting, my guts are destroyed from the ibuprofen. I have severe arthritis in my feet. I’ll be lucky if I can walk in my 50s.
I was indeed self medicating. How I wish I’d found your books and podcasts years ago. What makes me ashamed is that so many people look to me as a paragon of health and athletic fitness with my insane training regimen. Now, I would say to people – ask yourself how much it’s worth to you? Because the cost might be more than you think… Do you have a career or scholarship riding on it? Then ask yourself what you are avoiding when you are training for 15-20 hours a week?
Running long races on mountains is indeed a form of self medicating – at least for me. I almost stood up and cheered when you said it was a form of escaping from your life. It absolutely is – and I can say that being a bit of an expert at that. I’m not so social…but that doesn’t matter when you have a 7 hour run to do every weekend. 😛 Given, I had my reasons. But…I didn’t know the costs would be so steep. Now I understand better and I thank you.
I just took 2 months off (almost) all cardio after reading your book. (My partner did so as well, because we are both running/workout addicts). I’m learning power lifting (we do it together because he learned it in conjunction with learning crossfit – which he stopped after about 6 months because it entailed overtraining by its very nature — even for him after years of logging/planting, some MMA training and fighting, then hardcore distance trail racing + weight lifting…crossfit’s regime just got nutty, so what does that say about crossfit? We like the skills and techniques, but come on…)
After 6 weeks I can deadlift 200lbs and clean and jerk almost 100 lbs, which is neat. (I forget what my pr is on that because we just microload up and i forget to do the math…but it’s coming along and interesting training.) We just bought some rings and are learning some fun gymnastics skills. (Rings are fun!) I like learning the skills – learning to do something that’s both hard, and not damaging in the long term. Sort of hard to play on rings for 7 hours. Ours are in the kids room, or we take them to the park.
I have to say, by the end of two months of the first real rest I’ve had in year, plus the diet (no more vegan soy-dependant diet – now, tons of fish and meat for the first time in 17 years) I feel much better.
Most importantly, I have hope. (I often wondered if I’d be able to walk in my 50s, nevermind run ever again. I’m 40. :()
But, you are right when you say that power lifting and yoga are SO not the “cheesecake” Greg mentioned. At 6 weeks of no cardio, i was getting sort of… depressed. Just last weekend, my partner and I said that a wee jog on the treadmill would be good after our heavy lifting sessions – both of us knowing full well that it had nothing to do with health – it was just that we wanted that little treat – a stimulant. We just wanted that endorphin rush.
Now, I’m back on cardio 3 x per week – met/con type training because running is hard on my destroyed feet and I can never (god help me) take ibuprofen again. I’m going to detrain every 3 weeks to offset the accumulative effects of intervals 3x per week, plus strength training, bike commuting and swimming 1-2x per week. I’ll approach it knowing that cardio is (for me) like a drug, and it can have costs that outweigh any benefits. In a word, I’ll just take it easier. I guess I can’t feel very smug that I don’t use antidepressants because frankly, i do. Just mine come in the form of cardio classes or “insanity workouts”. (have you considered creating a “sanity” workout DVD? lol that would be awesome. The first time we looked at that workout, I was like: Ok, this is going to be stupidly fun, but seriously, this guy did not get to look like that by doing these workouts. There should be a disclaimer on the friggin box: “Results may vary. This instructor has spent many years doing classic strength conditioning and probably some anabolics to get his musculature.” Hahah.)
I know I will someday probably let it go and stick to weights, swimming, easy cycling and yoga… but for now, I’m not ready to give up the cheesecake entirely. (meaning cardio – cheesecake is out in favour of MASSES of 90% linddt chocolate ;)) After so many years, I find it’s hard to stop the “how far can I push today” aspect. For most of my life it’s been a question that I’ve had to answer. Honestly, I’m like an exercise crack ho. 🙁
But, at least now I’m no longer kidding myself that it’s good for me. At least now I know it’s more like chocolate in my diet, as opposed to something that’s going to help my health. So far I’ve found that’s changed my approach to it. I love my tabata and interval workouts for the lift I get, the fear factor if you will…but I no longer think it’s anything more than my own version of hookers and blow.
Having said all that – I can say I’m truly grateful for your work Robb. Also – Canadians love you because we are smart. 🙂 All that snow makes for lots of time to READ and learn…so we like folks like you – people with generous hearts and questioning minds.
BTW – the high fat, fish diet has solved many diet issues that I didn’t know came from veganism. I was lucky that a naturopath took me off all gluten 17 years ago, so that’s given me a ton of headroom (which I unfortunately seem to have blown on distance running), but the soy was killing me – I didn’t know until I removed it. Feet are slowly healing but will probably never be all better (again – was it worth it? At the time…maybe. Now? No.)
Still, I strongly believe your book has helped my partner and I dodge several bullets in health. We owe this to our children, so once again, thank you so very much.
Jocelyn says
Did I hear you say that you’ll be coming to Austin, Texas? I want to know more about that. Thanks.
Robb Wolf says
We are still batting that around.
Sean says
re: Orthorexia
I can see how taking up a new WOE could appear intense from the outside.
One of the “symptoms” is how many hours a day you think about this stuff. Well, if you’re trying to peel back decades of dietary misinformation, ideally as soon as possible, it requires some commitment. “Good Calories, Bad Calories” isn’t getting finished with 15 minutes every other day. Not to mention sourcing quality foods from a hodgepodge of shops and markets. It gets better… it’s nice to be able to put more of this on autopilot, but it takes time to learn and apply a cohesive framework for anything.
p.s. – has the medical community coined a cute term for the disease where you don’t think about nutrition, like, ever?
Ben says
Robb,
I think you mentioned some info for the show notes on the Paradoxical Responder. Have you posted that and I missed it? Could you post it if not. Thanks!
Aubrey says
Robb,
What did you mean when you referenced Chris Kresser and A1C? R
eading on his site I saw the article where he mentioned reduced risk at A1C<5.3 and lower still <4.6. Also how it can be affected by hydration, hemoglobin level, genetic disorders.
http://thehealthyskeptic.org/when-your-%e2%80%9cnormal%e2%80%9d-blood-sugar-isn%e2%80%99t-normal-part-2
All that said, I didn’t see anything to indicate it is not still a valuable measure to assess cardiovascular health, just that the range put forward as normal by the American Diabetest Association (<6=normal) is not consistent with the latest literature correlating CVD and A1C.
What is your current thinking on the usefulness/validity of A1C?
Lilith says
imagine that
http://www.mmafighting.com/2011/05/27/off-yearlong-vegan-diet-experiment-frank-mir-feels-stronger-for/
Robb Wolf says
We’ve been working with Frank via my publisher. His whole family is on the program.
Lilith says
Very nice! He looks great, can’t wait to see the fight
Adam Kayce says
Isn’t Frank Mir really Greg Everett? Or, twins separated at birth?
Rob Is says
Hey guys,
I was really glad to see that post-wo carb question asked as I have been wondering this too, but to be honest I was a bit disappointed in the answer. It wasn’t really attacked directly. A rare instance indeed.
The need for post WO carbs after an intense metcon is explained mechanistically: the glycogen stores are depleted and then need to be refilled. Since the body needs them so badly, stuff is immediately shuttled to the muscles and not stored in liver. It’s an ideal time to load carbs. (I have this right, right?)
The question is, without that metcon element, are the carbs necessary? Is there still the depletion and refill needed from just heavy lifting? If not, do the carbs even do anything beneficial? Are they necessary? Are they giving you an unwarranted insulin spike? Do you want that insulin spike for the anabolic effect?
I would like a mechanistic theory at least if possible. Anyone care to take a shot?
Thanks everyone.
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