Is losing weight a sign of health?

A good friend posed this question to me earlier this week and I was struck by what a complex question this is. I want to address it as thoroughly as possible, but before I do that I'd like to give a brief explanation of what Ketosis/the ketogenic diet is.

Ketosis is a state of being; ketogenic is the way of eating (WOE). So, you are IN Ketosis, and you adhere to a ketogenic lifestyle. The ketogenic diet is described as a composition of specific macronutrient ratios consisting of 5% carbohydrates, 75% fat, and 20% protein. Commonly this way of eating (WOE) results in a calorie deficit, however calories are not considered a priority especially in the initial stages of Ketosis. This diet is arguably the "original" primal way of eating for our species, but beyond that it has hundreds, and probably thousands of research articles on its effect on patients with epilepsy, MS, diabetes, PCOS, neurological disfunction, and over all estrogen dominance disorders (3). Now that we've discussed the diet, what is Ketosis? Ketosis, as mentioned above is a state of being. Ketosis is what happens during and after Keto-adaptation. The body prefers and will use carbohydrates from our food for energy. When the body does not observe carbohydrates coming from digestion, the body will produce ketones which will lead to gluconeogenesis in the liver. Ketones require fat breakdown to exist, so if you are overweight, Ketosis can take fat from your body. If you are not overweight it becomes necessary for the fat to come from your plate. I know that if you are not familiar with Ketosis, the first thing you might think is, "Is this like Ketoacidosis?" Short answer: No. Long answer: No, they have very very little in common. Ketoacidosis has easily 100-1000X the amount of ketones in the blood compared to Ketosis (1). Unless you have certain insulin disorders (DMII is not one :)), it is thought to be impossible to induce ketoacidosis through diet alone. Keto has been recommended for the afore mentioned disorders for almost 100 years now, however in the past 2 decades more research has been produced on the benefits of Keto and diabetes mellitus II (2).  

So, I suppose the first step in determining if weight loss is a sign of health is we must decide if weight gain is a sign of poor health. First, let's go ahead and remove some outliers; rapid unexplained weight loss or gain is not healthy, weight gain for underweight people is healthy, and weight loss for those who are overweight is healthy. Now, what determines that a person needs to lose weight? Tricky tricky! Need implies necessity, necessity implies lack of function due to weight; our bodies are complex beyond our comprehension, within this there are systems dependent on systems dependent on systems. More and more we see that subclinical deficiencies are making an impact on organ systems and maintaining health (4). I am not beyond the idea that some people's constitutions require a heavier load, however I do think that each body has it's own structural limits. Research also suggests that our organs have a limitation in the workload they can handle; for instance long term variances in blood volume is shown to damage arteries. Or, long term blood sugar variances have been shown to tax the pancreas and ultimately reduce insulin production and/or sensitivity (DMII).

What is health? This is a philosophical question. But fortunately for you this is my jam! Health is not the absence of disease. Health is a culmination of physical signs and state of mind. Health is being able to work towards physical and lifestyle goals without physical limitations. If you want to run a marathon; you should be able to train for it and complete it. If you want a new job you should be able to apply mental focus and enthusiasm to attain a new position. If your body or your mental state prevents you from making or achieving goals; this is unhealthy. Age is irrelevant; there is no age in which goals lose value or purpose. I once cared for an 89 year old woman who set the world record for running her last marathon at 84 years old (She no longer holds the record!!!)

Getting to serious business: Weight is one of the 6 vital signs. Obesity has a negative impact on physical and emotional health. The most commonly prescribed medications in the US are drugs that support hormone secreting organs (Thyroid/Pancreas/Uterus). While my previous statement is inference, Metformin, hormone-replacement therapies (HRT), and birth control pills (BCP) are directly related to this conversation. I don't think it is possible to deny the weight:health ratio, however a quick Google search of "Does BMI matter?" Will show you the controversy over determining what "over weight" means. 

Also, within the confines of defining health and word choice, there is a systemic allusion to sustainability and longevity; this inherently means that weight loss cannot be healthy (weight loss is not something you can do indefinitely, therefore it is not healthy). Weight loss should not be a lifetime pursuit. So I suppose my answer is weight loss is not a sign of health. Weight gain is not a sign of health. Equilibrium and the pursuit of affairs outside of the 6 vital signs, is a sign of health. (The last 3 statements can only be true if we remove the outliers mentioned before.) Healthful pursuits are a sign of health, but that does not necessarily mean weight loss or gain. Despite ancestral inclinations of using food to define culture and society, I would call for a transition away from this. We identify with comfort foods, and we make friends around dinner tables. What if we made friends on hiking trails? Or standing in line at the DMV? Or, let's go super modern.... What if we made friends in meetup groups? You see, that's precisely what I've done. 

I am 28 years old. My body has only recently shown signs of trouble; I am fairly healthy. I am overweight, I am anemic, and I occasionally have heart palpitations. These are all things that have existed for years. However, I noticed these things more when they began negatively impacting my life. I began to notice them when other things in my life were going poorly. I moved to a city that I hated, I was surrounded by people I didn't like, and I went from LIVING outside to being inside 23 hours a day. I went from running and riding my bike 20-30 miles a week to not exercising for 9 months. This was my form of depression. It bled into everything. I made friends with people who were depressed. I sank away and despite the extra weight, despite the anemia, and despite the heart palpitations, that is the first time I have felt in poor health. About 4 months ago I started the ketogenic diet again, I registered for a distance bike race, and I forced myself to go to meet ups where I was certain to be the newbie, and a complete stranger. My life is coming back to me. Not only have I lost weight, not only have I actually started TREATING the anemia and heart palpitations, my friends are more supportive, my community is stronger, my life is on a good path. 

Poor health cannot simply be defined as high blood pressure, weight gain, or any other dis-ease. Poor health is the systemic representation of deviation from an innate path. Our culture makes social media addiction a light joke; but we don't see each other anymore. We are more connected and less attached than ever. So, despite the irony of sharing this on a blog, I woud implore you to buy a coffee for the person behind you in line. Carry a small packet of coloring pages and a few crayons for the impatient kid in line at the DMV. When you know you'll be walking in an area with homeless people, tuck a care package in your purse. Smile, just to smile. When you see the overweight man walking down the side walk, say a little prayer that he keeps working. I encourage you to step out. If you like something, there's a pretty good chance there's a thousand people out there who like it too. Make friends! Make connections! Will these things make you lose weight? I don't know. Maybe? But more importantly they press us to the hard lines of our comfort zone. One of the most wonderful men I've ever known told me once, "Life grows in adversity." In recent months, along with my Keto diet, my outings, and my random acts of kindness, I feel refreshed. And while healthy weight and blood pressure are important, so is feeling human. I am optimistic for your healthful pursuits. Please let me know if I can help you in any way. 

Also, if you have reached out to me, I am so honored! Thank you for giving me your time. Next up: Chiropractic principles (Specific focus on the principle of Time!) 

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Proper Introductions

Hi! I am Sam. I am a Chiropractor in Santa Maria, CA. I realized over the past several months that I've been getting repeated questions, that have pretty complex answers. I should note here that I don't have all the answers. I am a huge supporter of specialization. Therefore, my research is specific to my specialization. With my previous statement it shouldn't come as a surprise that I am a supporter of research. Everything I write on will be something I have actively participated in, or something I have research articles available for you to read upon request. Now that I've got you on the edge of your proverbial seat, my specialization is fertility, pregnancy, and post-partum. I am a certified Marquette method NFP instructor, and am available for one on one instruction as well as group style classes.

My intentions for this blog are to share articles and information on my experiences with Chiropractic care, natural family planning, and the ketogenic diet. Don't worry, I will cover these topics in later submissions. 

Most of my articles will not be personal, so I would like to take a moment to explain how I came to those three topics. Please keep in mind that I am a human being, and I have not been perfect in any of my pursuits, but thankfully that is not a goal of mine. I welcome questions and comments at any time. Comment below, or feel free to contact me through the contact information also provided on my google+ page. 

1. Chiropractic: 

 This may shock you, but I didn't go to the Chiropractor for the first time because I was in a car accident or in pain. I was 19 years old and my allergies were becoming a problem. I was sick every month with allergies and I felt like I was going through 2 packs of medication a month: 1 non-drowsy tablet in the morning, and 1 tablet at night. Around this time my aunt developed a tumor on her kidney, and thankfully it wasn't malignant, but it was a wake up call that I needed to be aware of the stress I was putting my kidneys under. I googled "allergy home remedy" and kept hearing about Chiropractic. I hesitated for a few months, went in for an exam, didn't go back for another month or two, then finally I went in and got adjusted. I stopped having allergy issues. Then fast forward 4 years, my boyfriend (now husband ☺️) dislocated his knee and required surgery. He was a poor college student and didn't have health coverage at the time of the accident, and I was working for a Chiropractor as a Nanny. She was really surprised when I told her of his predicament and immediately told me to have him come in. My first reaction was, "What can you do for his knee?" But then, he went in and began care. Two months later he was walking around without any help. My favorite part of her interaction with him is that she offered him HOPE. She said, "We can help your body perform at it's best." Telling a healthy, obnoxiously active man that he has to have surgery and probably can't do all of the things he loves anymore is the opposite of hope. About a year later she recommended that we check out Chiropractic school. We did, we loved it, and here we are. 

2. NFP (Marquette Method): 

Like many women, when I was 18, I was told I had a hormone related menstrual disorder that required a hysterectomy or birth control (what? like...is that traumatic or something?). So, like a good patient I began taking oral birth control. During my intake from the above mentioned Chiropractor, she asked, "What condition are you taking the birth control pills for?" When I told her, she responded, "Does it help?" And I thought about it and realized that it didn't. It was supposed to make my menses shorter, or lighter, or more regular....and it really didn't. So, I went to my MD, again, like a good patient, and told him I was planning to stop. In hindsight he was incredibly understanding and supportive. I dabbled for a few years and then a wonderful friend introduced me to the Marquette method (MM). As a doctorate student who really didn't want to conceive while still in school, it's efficacy and objectivity was a huge reason why I chose it. It is AS effective as barrier method (approximately 98%). 😍 

3. Ketogenic Diet:

I was 25 years old the first time it occurred to me that out of 40+ family members, I was one of the few without a thyroid medication prescription. At the time I was overweight, but I wouldn't consider myself obese at that point. I did some research on candida and chronic systemic issues, which led me to Ketosis (Keto). I did it for a month, loved it, but stopped. I did it the next year for a month, and stopped. I did it the following year for 4 months, and stopped. And now, I'm doing it for a year with the intention of keeping it going. I am very goal driven. If I was a puppy, I would be all about those treats as positive reinforcement! So every time I've started the Keto diet, I have met my goal of longevity. However, what I've noticed is that my body responds well to this eating style; and as a product I don't have plans of stopping. The ketogenic diet is described as a low carb, high fat diet. This way of eating (WOE) is based on the methodology by which your body makes/stores/uses glucose. If we consume carbohydrates, our bodies can directly use them for glucose. If we consume a low carbohydrate diet, our bodies can convert fat in our body (or if you are at a healthy weight, fat from our diets) to convert into ketones, which research dictates as a more efficient glucose producer. If you are geeking out right now, and are displeased with my usage of the term "efficient", please know that I do not mean efficient in terms of abudance, or ease of conversion, but long term sustained glucose sourcing (i.e., no sugar crashing/3pm low energy). But there will be plenty more on this topic later! The basics for now: 5% net carbohydrates, 75% fat, 20% protein. I recommend if you are interested to go to the link below to calculate exactly what that means for your daily intake, and download myfitnesspal to start tracking your carbohydrate intake. Also, those suggested macro percentages are only appropriate in certain circumstances. Please find someone you trust (or email me and I can help) to help you determine what your macros should look like.

A keto calculator resource


ketogains calculator