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So you aspire to draw gasps of delight, rather than horror, as you pedal through Portland in the nude. Or, perhaps you just want to look good in a thong by summer. Well, you’re reading the right article. Your friends won’t tell you this, so I will–nobody wants to see a guy in a thong. Please, don’t leave the house in that. Now let’s address your body. If you’ve tried eating less and exercising more and that hasn’t worked, these tips will make the difference.
First, let’s just get this out of the way. Are you actually eating less? Rather than thinking of overeating as consuming more calories over the course of a day than you burn, start thinking of it as consuming more calories in a sitting than your body can readily utilize.
For instance, your friend Botswana consumes only 1500 calories a day—all in one meal—and she can’t understand why she’s not losing weight. Your other friend Mozambique eats five meals of 400 calories each, and keeps losing weight, even though he’s totaling 500 more calories per day than Botswana. Here’s the deal: Botswana is going so long without eating that her metabolism slows down. Even when she eats both lunch and dinner, her body still goes 17 hours from dinner to lunch the next day. So her body says to itself, “I’m gonna run on 1200 calories per day”—which she exceeds by 300 calories. But more importantly, she eats 1500 calories at once. There’s no way she’s going to utilize all that anytime soon.
Be like Mozambique. Eat frequently. Don’t go more than about four hours between meals (except from dinner to breakfast). Eat a protein-rich breakfast—egg whites, lean meat, beans, nonfat Greek yogurt, etc. Keep dinner light. Your metabolism will speed up. Stop snacking—don’t eat anything between your meals. Let your stomach empty out completely. You’ll get to eat again in just a few hours, so stop yourself before you get full. Didn’t your mom ever tell you not to pack the washing machine with clothes? They won’t circulate at all. They’ll come out dirty and moist. Well, the same goes for your stomach. The goal is not to fill your stomach to capacity; it’s to eat just enough to not be hungry anymore.
Now, if you’re thinking, “But Peter, the food I eat is so damn good, I can’t stop eating until my body will simply not accept any more!” then we need to have a different conversation. It’s called the Stop Going Unconscious While You’re Eating conversation. Wake up. You’re tuning out your body while you’re eating. It’s the only possible way to ignore your body’s cries of protest. Tune in instead.
If your food is so good, why not do everything possible to enjoy the experience? That means putting away your reading material and your cell phone, turning off the TV, placing a piece of duct tape over the mouth of your dining company, letting go of whatever you’re stressing about, pulling over if you’re driving, sitting down if you’re standing, and then savoring the hell out of that food. Always keep part of your attention on how your body feels, and as soon as you’re not hungry anymore—usually with an amount of food about one-and-a-half times the size of your closed fist—stop. Bonus: you won’t be in a food coma after lunch.
You’ll also have more leeway with meals if you limit yourself to only non-caloric drinks. Instead of soda or juice (which have a ton of sugar in them), or a latte (basically a huge glass of milk), just stick to water, unsweetened tea, or—if you must—coffee with just a dash of milk. If you want a calorie-free sweetener, try stevia leaf extract instead of the chemical stuff.
Meanwhile, make sure you’re getting enough deep, restful sleep—at least seven hours. Studies show sleep deprivation is associated with weight gain. Next, ditch the plastics. Most plastics contain chemicals known as exogenous endocrine disruptors that can throw off our hormones and contribute to weight gain. Never microwave anything in plastic, and stop buying water in plastic bottles. Haven’t you heard of that swirling island of plastic in the middle of the Pacific that’s half the size of the US? While you’re at it, stop eating food from cans, since they’re all lined with plastic containing bisphenol-A (BPA), a known endocrine disruptor.
Finally, remember this: In the whole history of the human species, we’ve only consumed large amounts of grains and sugars in the tiniest, most recent slice of time. Our bodies just can’t handle it—we get diabetic, fat, and hypertensive. Even in the last few decades, we’ve gone low-fat due to overly simplistic thinking about how we form body fat. In the meantime, our sugar consumption has ballooned, and so have our waistbands. If you want to lose weight, the single biggest change you can make to your diet is to cut way down on sweeteners and flour.
If you take my advice, you should be in good shape for the naked bike ride. Might want to get your suspension tuned up before then, too.
(Originally appeared in About Face Magazine, Issue 06)
Want to know more?
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Here's a fantastic seasonal favorite from the Best of Dr. Peter Borten articles vault! Enjoy, and please feel free to share YOUR favorite chilled summer treat recipes in the comments below!
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Ah, summer. The warm, bright sun, birds chirping, bees buzzing, and the sound of ice cream trucks in the air. We crave cold, sweet things like lemonade, ice cream, popsicles, and gelato. Somehow the specialness of summer convinces us to let ourselves and our kids indulge a bit more in the sugar. But summer treats don’t have to be full of refined sugar in order to be yummy and refreshing. Try these healthier variations on summer staples. You’ll feel in the spirit of the season, but don’t have to worry about putting on extra weight at a time of year when you may feel self-conscious of your body in skimpy summer attire.
In Chinese nutritional theory, sour foods are considered to help generate fluids in the body. When we’re hot and thirsty, the sourness of lemonade often feels even more refreshing than plain water. But the sugar just adds tons of extra calories (Minute Maid has about 12 teaspoons of sugar per 16 ounce glass) and makes you feel full if you drink too much. Your first healthier option is simply lemony water. A squirt of lemon (or lime) juice makes me much more enthusiastic about drinking enough water throughout the day. If you’re accustomed to drinking fruit juice daily, you can easily make the switch to lemony water and lose the extra sugar. If you don’t want to bring a lemon to work with you, try getting one of those lemon-shaped squeeze bottles of juice. If you have access to a juicer or juice bar, another excellent substitute for more sugary juices is cucumber juice. It’s wonderfully cooling in the summer. I like it with a squeeze of lemon and/or some fresh mint.
If you really want the sweetness of lemonade, try some stevia powder. It comes from the leaf of the stevia plant, it has no calories, and it’s much sweeter than sugar. You can also use it to sweeten your iced tea. (Bottled, sweetened iced tea, like lemonade, is full of sugar.) Also, you may wish to try a virgin mojito. Crush ice over fresh mint, add lime juice, stevia powder, and sparkling water. Very refreshing. Stevia powder varies a bit in quality. The lower quality stuff often has a bitter aftertaste. Generally, the 100% pure kind (which is also more expensive) tastes the best. A bottle will last you a very long time, because you only need minuscule amounts. You can find it at Trader Joes and natural food stores. It’s not quite as good as sugar, I’ll admit it, but you can get used to it.
Next are popsicles. The least healthy ones are made with high fructose corn syrup, artificial colors and artificial flavors. Slightly better are the fruit juice sweetened kinds, but keep in mind that they’re made with concentrated fruit juice so as to maximize the sugar content. Better still are homemade popsicles made with just plain juice, though they still have a decent amount of sugar. If you want a sugar-free version, I’ve come up with a good recipe that we make at home:
Brew several cups of fruity herbal tea. I like to use Lemon Zinger or Red Zinger (Celestial Seasonings) though there are many other options. Then add some lemon juice and stevia powder until it tastes right and freeze it using popsicle forms (or an ice cube tray with foil or plastic wrap over it and tooth picks poked through). I you really dislike stevia (first, I'd encourage you to try a few different kinds, including both a powdered one and a liquid one), a second healthier option is xylitol crystals, a plant-derived “sugar alcohol.” It tastes more like sugar than stevia, and it’s also somewhat more expensive. However, it’s not calorie-free – xylitol has about 40% fewer calories than sugar. But it doesn’t raise our blood sugar the same way that normal sugar does, so it’s a safe substitute for diabetics. Xylitol has some other interesting properties, such as helping to prevent tooth decay and treating allergies and upper respiratory infections (usually used in nasal spray or gum form for this). While it’s quite safe, consumption of very large quantities can cause gas and/or diarrhea. Another promising sugar alcohol called erythritol has fewer calories than xylitol, the same health benefits, and less potential to disrupt the digestion. You can find erythritol and even combination erythritol+stevia products (including the popular Truvia) at many grocery stores.
One other easy popsicle substitute is simply frozen berries. Blueberries are the most popsicle-like to me, and because they take longer to eat, you won’t eat a whole box at once. We always have some bags of frozen blueberries, raspberries, cherries, strawberries, and blackberries in our freezer. They are my daughter's dessert of choice.
When you really want ice cream, frozen bananas can be a surprisingly close substitute. Break them into small pieces before freezing them. Once frozen, put them in a food processor or a strong blender with a dash of vanilla extract, and puree them. You may need to open the blender a few times and push the banana back down into the blades (I recommend turning it off before doing this) in order to get all the lumps blended. In the end, you should end up with something that has the consistency of sherbet or soft serve ice cream. Kids love it. You can also add other kinds of frozen fruit to change the flavor. Another option is the addition of raw, organic cocoa powder. Usually, the sweetness of the bananas is enough to offset the bitterness of the chocolate, but if not, let the bananas get extra ripe (brown) before you freeze them, or try adding some stevia extract. If it’s not creamy (fatty) enough for you, you can add some coconut milk or pureed cashews and re-chill it for a while to help it thicken.
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I get asked about coffee by patients so often that I thought it was about time to write an article thoroughly examining it from all angles. Unlike stronger recreational drugs, I think the potential drawbacks of coffee are usually fairly mild. But if you endeavor to achieve great health – and especially if you’re struggling with a health problem – it’s worth being honest with yourself about whether coffee is contributing to or detracting from this goal.
What’s Good About Coffee
So many people worldwide depend on coffee to wake them up, get them motivated, make them feel sharp, promote digestion, and even lift them out of mild depression. Is that so bad? Well, depending on your constitution, maybe not.
Scientific research has shown that coffee consumption appears to reduce one’s risk of developing type 2 diabetes, Parkinson’s disease, and colorectal cancer. One constituent that’s especially interesting and abundant in coffee is called chlorogenic acid. Chlorogenic acid is an antioxidant, it seems to slow glucose release after eating (so it may help maintain stable blood sugar), it promotes bile secretion, reduces gallstone formation, maybe reduces the incidence of liver disease, and probably promotes weight loss. Chlorogenic acid is much more abundant in green (unroasted) coffee beans than the roasted ones, which has led to the fad of “green coffee extract” for weight loss.
A drawback of chlorogenic acid is that it may interfere with the absorption of certain minerals – namely zinc and iron – from the intestines. For this reason, it may be best to consume coffee or take green coffee extracts a few hours apart from food. Or consider taking extra zinc (or a multimineral supplement). I don’t generally recommend consuming iron supplements, though, unless you have a known iron deficiency. Incidentally, coffee isn’t the only thing that has the potential to interfere with iron absorption. Many compounds (knows as polyphenols or monomeric flavonoids) can do this, and they’re found in black tea, peppermint, chamomile, chocolate, and other natural foods and drinks.
Due to its flavor, coffee acts as a digestive bitter. Like other bitters, it tends to “activate” the digestive system, stimulating intestinal movement and the production of gastric juices. However, if you add cream and sugar to it – diminishing its bitterness – you probably diminish its value as a digestive stimulant, too.
What’s Bad About Coffee
The energy-boosting, mind-sharpening effects of coffee result from the fact that it’s chock full of vitamins, minerals, and everything else our bodies need for good nutrition. Every cup is like consuming a complete, balanced meal.
Of course, the truth is almost the opposite. Coffee is a stimulant. And we’re stimulant addicts. Let’s just be real about that. The first thing I want to know when a patient tells me about their coffee habit is, “How would you feel without coffee?” If the answer is “tired” or “withdrawn” or “constipated” or anything else unpleasant, then I think it’s worth considering whether or not coffee is the best remedy. There are dozens of possible causes of fatigue, and most of them are not coffee deficiency. These issues are best addressed in a more direct, non-coffee way. If coffee consumption masks them, it means putting off a real solution.
Fatigue: If someone is fatigued because of depletion – and often I think of adrenal depletion (the endocrine glands most directly involved in our stress response) – then coffee is specifically a bad idea. Stimulants just drain these glands of what little energy they have left, and make recovery impossible. Adrenal deficiency can lead to reduced immune function, lightheadedness, sleep problems, anxiety and depression, inflammation, hypoglycemia, and other symptoms. If this sounds like you, see a naturally oriented healthcare provider, and meanwhile, try quitting coffee.
Hypertension: Coffee can raise blood pressure, especially in people who consume a lot of it. Regular coffee drinkers tend to develop some tolerance to this effect.
Digestive Upset: The combination of coffee’s acids, its bitterness, and its strong stimulating effects can cause digestive discomfort, nausea, acid reflux, diarrhea, and exacerbation of ulcers in certain individuals. Those with irritable or inflammatory bowel disorders, ulcers, or GERD should be especially cautious with coffee.
Sleep Problems: Despite our visceral understanding of what coffee does to us, many folks with bad sleep don’t consider that their coffee might be part of the problem. If sleep doesn’t come easily and deeply for you, you should at least avoid coffee after noon. Sometimes even just a morning cuppa is enough to disturb our slumber.
Anxiety: As with insomnia, it shouldn’t be surprising that stimulation can contribute to anxiety. Yet most of my anxious patients consume it and nearly all of them improve when they quit.
If you have insomnia, anxiety, or digestive upset, come up with a scale to evaluate how bad it is, then quit coffee and re-rate it after a couple weeks. When coffee contributes to these problems, it’s due to overstimulation. Frequently, as with adrenal fatigue, there’s a background of “diminished buffer.” It’s like running high voltage electricity through thin wires with not much insulation on them. It’s worthwhile to consider what kind of wiring you have, meaning, how sensitive your nervous system is to stimulation. Thin, stressed, and underslept people tend to be less able than others to handle caffeine and other stimulants well.
Dyslipidemia: Coffee can raise LDL and total cholesterol when consumed in large amounts. However, this may be meaningless in terms of the actual health risk it represents. Also, this effect is thought to be mainly due to chemicals that are very effectively removed with a paper filter.
Inflammation: A 2004 study examined numerous markers of inflammation in the blood of over 3000 Greek men and women. It found that in people who consumed over 200 milliliters of coffee a day (that’s about 6.75 ounces), all indicators of inflammation increased. The funny part is that in their conclusion, they wrote, “A relation exists between moderate-to-high coffee consumption and increased inflammation process.” Moderate-to-high coffee consumption?! Clearly they’ve never been to the United States.
Bone Weakness: High doses seem to be associated with increased osteoporosis and hip fracture in older women.
Dehydration: Coffee is a diuretic – it promotes urination. Medically speaking, sometimes there’s a need for a diuretic, but for most people, this property of coffee just means an increased risk of dehydration. Drink extra water to make up for this effect of coffee.
Pregnancy and Nursing: Coffee, especially in larger amounts, probably slightly impairs fertility in women (perhaps in part by interfering with iron absorption), increases risk of miscarriage, and may contribute to low birth weight. Lots of coffee consumption by nursing mothers may degrade babies’ quality of sleep and make them irritable. Pre-term babies seem to be more affected.
Acrylamides: Roasting coffee produces chemicals called acrylamides which are considered a “probable human carcinogen” by several public health agencies. It may be worthwhile to choose a light or medium roast, which, in my opinion, also produces a better flavor, and is also likely to retain more chlorogenic acid. (Incidentally baking or frying starchy things, such as flour and potatoes, also produces acrylamides, with French fries having the highest content.)
Other Factors to Consider
Dosage: Many of the studies revealing health problems from coffee consumption looked at people who consumed large amounts – like five cups a day. But before you dismiss them because you only have two cups a day, consider that a regular cup of coffee is just 6 ounces. That means your Venti from Starbucks is more than 3 cups. showing negative effects of coffee consumption
Additives: What are you adding to your coffee? It might be worse for you than the coffee. A 16 ounce latte contains about 14 ounces of milk or milk substitute. That’s a lot of milk, especially for an adult. If you use soy milk, keep in mind that it’s bean juice and many people have problems digesting it. If you get your latte from a café, it’s unlikely that they use organic milk or soy, so the soy milk is almost guaranteed to have come from genetically modified beans (and probably also highly sweetened). Dave Asprey, a self-styled “biohacker” advocates the use of “upgraded” mold-free coffee beans to brew your coffee and then, instead of cream and sugar, pureeing this with a combination of butter from grass-fed cows and medium chain triglycerides or coconut oil. Stevia, xylitol, or erythritol can be used as a non-caloric sweetener. He calls it “bulletproof coffee.”
Pesticides: Many coffee producing countries happen to be rather indiscriminate users of agrichemicals, and often the kinds and application of these chemicals are unregulated. Luckily, there are still farmers who grow coffee in the same way they have for generations – all natural. Look for coffee from Yemen, Ethiopia, and Sumatra, or anything that’s certified organic.
Traditional Thinking: Although coffee is widely and indiscriminately consumed by everyone who likes the taste or wants a boost, it may be worth applying the wisdom of traditional medical systems, which tend to view it as more of a medicine than a food. That is, it has specific properties – stimulating, drying, and heating, for example – that make it appropriate only for certain people. Just as one wouldn’t assume that everyone could benefit from an antibiotic, it might be shortsighted to assume that everyone’s body and mind should benefit from coffee.
In conclusion, if you choose to drink coffee, here’s my advice: Consume it in moderation, meaning one or two cups (six to eight ounces each) per day. Remember to rehydrate – drink as much extra water as the volume of coffee you consume. Consider using a paper filter to remove some of the unhealthy constituents. Skip the sugar and minimize the milk/cream. Avoid artificial powdered creamers. Choose clean, good quality, light to medium roast beans. If you use a coffee maker, clean the water reservoir (which harbors bacteria) with vinegar at least once a month. Know how your body and mind respond to it (the big picture, please), and if they don’t like it, respect their wishes.
Be well,
Dr. Peter Borten
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So you aspire to draw gasps of delight, rather than horror, as you pedal through Portland in the nude. Or, perhaps you just want to look good in a thong by summer. Well, you’re reading the right article. Your friends won’t tell you this, so I will–nobody wants to see a guy in a thong. Please, don’t leave the house in that. Now let’s address your body. If you’ve tried eating less and exercising more and that hasn’t worked, these tips will make the difference.
First, let’s just get this out of the way. Are you actually eating less? Rather than thinking of overeating as consuming more calories over the course of a day than you burn, start thinking of it as consuming more calories in a sitting than your body can readily utilize.
For instance, your friend Botswana consumes only 1500 calories a day—all in one meal—and she can’t understand why she’s not losing weight. Your other friend Mozambique eats five meals of 400 calories each, and keeps losing weight, even though he’s totaling 500 more calories per day than Botswana. Here’s the deal: Botswana is going so long without eating that her metabolism slows down. Even when she eats both lunch and dinner, her body still goes 17 hours from dinner to lunch the next day. So her body says to itself, “I’m gonna run on 1200 calories per day”—which she exceeds by 300 calories. But more importantly, she eats 1500 calories at once. There’s no way she’s going to utilize all that anytime soon.
Be like Mozambique. Eat frequently. Don’t go more than about four hours between meals (except from dinner to breakfast). Eat a protein-rich breakfast—egg whites, lean meat, beans, nonfat Greek yogurt, etc. Keep dinner light. Your metabolism will speed up. Stop snacking—don’t eat anything between your meals. Let your stomach empty out completely. You’ll get to eat again in just a few hours, so stop yourself before you get full. Didn’t your mom ever tell you not to pack the washing machine with clothes? They won’t circulate at all. They’ll come out dirty and moist. Well, the same goes for your stomach. The goal is not to fill your stomach to capacity; it’s to eat just enough to not be hungry anymore.
Now, if you’re thinking, “But Peter, the food I eat is so damn good, I can’t stop eating until my body will simply not accept any more!” then we need to have a different conversation. It’s called the Stop Going Unconscious While You’re Eating conversation. Wake up. You’re tuning out your body while you’re eating. It’s the only possible way to ignore your body’s cries of protest. Tune in instead.
If your food is so good, why not do everything possible to enjoy the experience? That means putting away your reading material and your cell phone, turning off the TV, placing a piece of duct tape over the mouth of your dining company, letting go of whatever you’re stressing about, pulling over if you’re driving, sitting down if you’re standing, and then savoring the hell out of that food. Always keep part of your attention on how your body feels, and as soon as you’re not hungry anymore—usually with an amount of food about one-and-a-half times the size of your closed fist—stop. Bonus: you won’t be in a food coma after lunch.
You’ll also have more leeway with meals if you limit yourself to only non-caloric drinks. Instead of soda or juice (which have a ton of sugar in them), or a latte (basically a huge glass of milk), just stick to water, unsweetened tea, or—if you must—coffee with just a dash of milk. If you want a calorie-free sweetener, try stevia leaf extract instead of the chemical stuff.
Meanwhile, make sure you’re getting enough deep, restful sleep—at least seven hours. Studies show sleep deprivation is associated with weight gain. Next, ditch the plastics. Most plastics contain chemicals known as exogenous endocrine disruptors that can throw off our hormones and contribute to weight gain. Never microwave anything in plastic, and stop buying water in plastic bottles. Haven’t you heard of that swirling island of plastic in the middle of the Pacific that’s half the size of the US? While you’re at it, stop eating food from cans, since they’re all lined with plastic containing bisphenol-A (BPA), a known endocrine disruptor.
Finally, remember this: In the whole history of the human species, we’ve only consumed large amounts of grains and sugars in the tiniest, most recent slice of time. Our bodies just can’t handle it—we get diabetic, fat, and hypertensive. Even in the last few decades, we’ve gone low-fat due to overly simplistic thinking about how we form body fat. In the meantime, our sugar consumption has ballooned, and so have our waistbands. If you want to lose weight, the single biggest change you can make to your diet is to cut way down on sweeteners and flour.
If you take my advice, you should be in good shape for the naked bike ride. Might want to get your suspension tuned up before then, too.
(Originally appeared in About Face Magazine, Issue 06)
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