Is Durum Wheat Semolina a Whole Grain?

In the 30-Day Nutrition Upgrade program, players earn points by choosing whole grain foods instead of refined grain foods. But distinguishing one from the other can sometimes require an advanced degree in label reading! As one of my Upgraders recently posted in our private Facebook group:

“Labels on food can be confusing. Pasta labels are especially confusing – one says ‘durum wheat semolina’ and another says ‘enriched durum wheat semolina’. I know enriched means refined but if it doesn’t say enriched does that mean it’s whole grain?”

Let’s break down some of this terminology:

Durum” is a strain of wheat that is used mostly for pasta, due to its higher protein content. (Think of “Durum” as its first name and “Wheat” as its family name.) But unless it says “whole grain” you can assume that it is refined, which means that the nutritious germ and fibrous bran have been removed.

The word “Semolina,” on the other hand, refers to the fact that the durum wheat is coarsely ground–again, in order to produce good pasta texture. The word “semolina” is sort of like the designation “Esquire” after a lawyers name; it’s not part of the lawyer’s identity like her first or last name but an indication of her preparation and function.)

The word “enriched” almost always signals a refined grain. Refined grains are often enriched in an effort to replace the nutrients that are lost to refining. You will virtually never see “enriched whole wheat,” because it would be unnecessary to replace nutrients that have not been removed.  However, the absence of the word “enriched” doesn’t mean that it is not refined.

You can save yourself a lot of label reading by looking for the 100% whole grain stamp. When you see this (or the words “100% whole grain”) on the front of the package, you don’t even need to flip the package over to see the ingredient list….that’s the golden ticket right there.

 

Can we all calm down about coconut oil?

I’ve gotten several emails from readers asking me to respond to a viral video in which a Harvard (Harvard!) professor asserts that coconut oil is “pure poison.”

It’s hard to imagine how someone with such a prestigious pedigree could make such as silly and sensational statement in public. Presumably she was pushed over the edge by the ridiculous claims that some people have been making about coconut oil lately.

Can we all just calm down about coconut oil?

Coconut oil is not pure poison. On the other hand, it’s also not going to make you smarter, thinner, younger, or fold your laundry for you.

Proponents of coconut oil make a big deal out of the fact that coconut oil is rich in medium chain triglycerides (MCTs). But, as I discussed in my podcast episode on MCTs, claims for these specialty fats tend to be exaggerated or unproven.

Coconut oil haters such as this Harvard (!) professor mostly object to the fact that coconut is is almost 100% saturated fat. But, as I discussed in my recent podcast episode on butter, saturated fat in moderation may even have some heart health benefits.

Despite saturated fat’s rehabilitated reputation, I still think it makes sense to limit saturated fat intake to around 10-15% of calories, if for no other reason than to leave room in the diet for other healthy fats. But if you want to spend your sat fat allowance on coconut oil, I see no reason to call in Poison Control.

The case for super slow weight loss

One of the things that sets the Weighless approach apart from other weight loss programs is our emphasis on slow weight loss.  Instead of coaching our members to lose a couple of pounds a week, we try to hold them to a couple of pounds a month.

Crazy, right? And yet there is a method to our madness.

Most people can only lose 2-3 pounds of body fat per month. If you’re losing weight faster than that, the rest is likely to be lean muscle. Believe me, that’s NOT what you’re trying to lose. Although our approach may seem like an insanely slow way to lose weight, we’re finding that it’s actually a much quicker (and less unpleasant) path to sustainable fat loss.

Interestingly, our members frequently report that after losing weight the “Weighless way,” they look and their clothes fit as if they have lost much more than they have.

Losing weight slowly not only preserves your metabolism and muscle mass. It also gives you more time to acquire the habits and practice the skills that will help you maintain a lower weight, heading off the dreaded–and seemingly inevitable–rebound weight gain.

It all makes sense, right? But occasionally, someone in the group will ask if there is published research to support the merits of the super slow pace of weight loss we endorse. Fair enough. I’ve built a reputation for being evidence-based, and most of the people who sign up for my programs cite this as one of the reasons they trust my advice.

Show Me the Research

A few studies have compared the effects of slow vs. fast weight loss. For example:

A 2016 study involving almost 60 subjects found that those who lost weight more slowly lost less muscle mass, which was associated with less weight regain. A similar (but longer) study dating back to 1994 compared the effects of “fast” vs. “slow” weight loss and found that the fast losers lost more weight initially but were much more likely to regain it.

The problem is that virtually all of the studies that compare fast and slow weight loss define “slow” as 1-2 pounds a week, which is still too fast by our standards.

There’s this 2008 study which found that small, cumulative changes in diet and activity (similar to the approach we use in Weighless) produced slow but sustainable weight loss–and was ultimately far more effective than giving people standard weight loss advice.

At the other end of the spectrum, the famous (and heartbreaking) “Biggest Loser” study demonstrates just how much damage fast weight can do to your metabolism. After six years, virtually all of the contestants had regained every pound (and more)–despite continuing to eat fewer calories. 

Our approach is certainly informed by research–but it also draws heavily on our experience and common sense. And although we are not (yet) conducting a controlled trial, the results we are seeing and the feedback we are getting from our members are enormously validating.  I think we’re onto something here…and maybe the researchers will take notice.  In the meantime, you can learn more about our Weighless group here.

Is Halo Top Ice Cream Healthy?

Piper writes:

“Ordinarily, I try to eat natural, whole foods. But I have a soft spot – literally and figuratively — for ice cream. There are some new brands of ice cream, such as Halo Top, that are supposedly higher in protein and lower in fat, sugar, and calories.  The main ingredients are milk protein concentrate, erythritol, corn fiber, and other things one would not find in premium ice cream. Being able to eat an entire pint of ice cream for just a few hundred calories is tempting. But are these products too processed to be good for us?”

Premium ice creams made from milk, cream, and sugar can claim to be less highly processed and perhaps more “natural.” They are also deliciously rich–meaning, high in sugar, fat, and calories. If you’re the type that can savor the recommended (but ridiculously small) half-cup serving size, you can enjoy a decadent treat without doing too much damage.

The problem is that most of us can easily plow through an entire pint of Ben and Jerry’s (did I mention the part about delicious?), at which point we’ve consumed a half day’s worth of calories and four day’s worth of added sugar.

One of the big attractions of Halo Top ice cream is that you can eat the entire pint for about the same number of calories as a tiny scoop of Ben and Jerry’s.  You also get 20 grams of high-quality protein, 12 grams of fiber, and 24 grams (one day’s worth) of added sugars.  For many people, Halo Top wouldn’t just be a healthier dessert option; it would make a more nutritious breakfast!

What is in this stuff?

Although taste is highly subjective, I actually think they taste pretty darned good. Which is surprising when you look at the ingredient list, which contains things like erythritol, prebiotic fiber, milk protein concentrate, vegetable glycerin, organic guar gum and organic stevia leaf extract (in addition to things like milk, eggs, cream, and cane sugar).

This is not a minimally-processed food, by any stretch of the imagination. But perhaps this is processing put to a good cause. Continue reading “Is Halo Top Ice Cream Healthy?” >

Can collagen supplements make your skin younger?

There’s a lot of buzz about collagen peptide supplements these days. Collagen is a structural protein present in the skin, joints, hair and nails. The gradual loss of collagen as we age can make the skin look less plump. The idea is that collagen supplements can replace some of that lost collagen and improve the look of the skin.

Assessing the effectiveness of skin care products or supplements is notoriously difficult. For one thing, it’s difficult to isolate the effects of any particular cream or pill. The condition of our skin surface can be affected by diet, hydration, sun exposure, temperature and humidity. It’s also really hard to be objective about what we’re seeing in the mirror.  So how do we know whether these supplements are actually working? Continue reading “Can collagen supplements make your skin younger?” >

What exactly is water weight?

Hai-Ting asks: “What exactly is water weight? It’s a phrase that gets thrown around a lot. I would love to know what we are talking about. How and why do we gain and lose so much water?”

If you are in the habit of getting on the scale every morning (a practice which is linked with healthier body weights over the long-term) you’ve probably noticed that your weight can vary wildly from day to day—in ways that sometimes seem unfair. “How could I have gained two pounds overnight? I had a salad for lunch and skipped dessert at dinner. I should weigh two pounds less!”

It’s tempting to think whatever we did or didn’t eat yesterday should show up the next day on the scale. But it doesn’t work that way. As Dan Ariely pointed out in our recent interview, it takes a lot longer for dietary changes to result in fat loss (or gain). If you gain or lose three or four pounds overnight, most of that is probably due to water weight.

This article is also available as a podcast. Click below to listen

Where is Water Weight Stored

Our bodies contain a lot of water, but we’re not just giant water balloons. Water is held in a variety of places in the body. Some of these don’t change very much from day to day. Our bones, for example, are about 30% water but that stays relatively constant.

Other compartments, such as our stomachs and bladders, can hold relatively large amounts of water, but only on a very temporary basis. And here’s the thing: Water is heavy. A pint of water (or, for that matter, beer) weighs about one pound.

If you were to weigh yourself, drink 16 ounces of fluids and immediately weigh yourself again, you’d have “gained” one pound in about 15 seconds. A couple of hours later, a lot of that water will be collected in your bladder. Weigh yourself before and after visiting the bathroom and you can enjoy the thrill of “losing” up to a pound in 15 seconds.

Obviously, the amount of fluid in your stomach and bladder have a fairly profound (yet meaningless) effect on your body weight at any given moment. But that’s not the only thing we’re talking about when we mention water weight.

In between the stomach and the bladder, things get a bit more complex. As it passes through the small intestines, the water we consume is absorbed into the bloodstream and distributed throughout the body’s organs and tissues, where it is used for all kinds of things, everything from lubricating our  membranes to metabolizing nutrients to maintaining electrolyte balance. All of these activities affect the amount of water retained in our bodies.

Water is a major component of perspiration, for example. Heavy sweating can cause us to lose a lot of water weight in a relatively short period of time. Run a few miles on a hot day and jump on the scale before rehydrating and you’ll see how much water you’ve lost. (You probably won’t, however, see how much fat you burned.)

Water is also involved in lots of different chemical reactions. Some reactions—such as converting carbohydrates into glycogen—require water. Others—such as breaking down proteins—release water.

Sudden changes in the protein or carbohydrate content of your diet can either lock up or mobilize relatively large amounts of water.

How Diet Affects Water Weight

If you dramatically reduce the amount of carbohydrates you are eating, your body will be forced to dip into the glycogen stored in your muscles and liver for energy. As the glycogen is used for energy, a lot of water is released into the bloodstream and routed to the kidneys for elimination. Obviously, this has nothing to do with fat loss but it does give low-carb dieters a big sense of accomplishment during the first few days of their diet.

Even if you don’t go low carb, suddenly reducing your calorie intake will also force the body to use its glycogen stores and result in some water loss. The effect is just not quite as dramatic as it is with a low carb diet.

This effect is also completely reversible. As soon as you start eating more calories or carbohydrates, your body will use some of those carbs plus some water to restock its depleted glycogen energy stores, leading to an increase in water weight.

But these sorts of changes in water weight don’t represent changes in your fat stores. That’s going to have more to do with how many calories you take in and burn over the long term, not how many of them are from carbohydrates.

Although it takes a lot longer to lose fat than it does to lose water, there is a pretty big consolation prize: The resulting changes in your body size (and how your jeans fit) are much more durable. Having a piece of bread with dinner won’t undo them by morning.

How Kidneys Regulate Water Retention

Eventually, all the water in your body passes through the kidneys, which regulate how much water is either retained or eliminated in order to maintain the right amount of fluids and concentration of electrolytes. This process is directed by hormones released by the pituitary and adrenal glands.

Any health condition that affects the kidneys or the glands that secrete these hormones can cause this delicate balancing system to go awry—causing excess water retention. Less alarming but still frustrating is the temporary water retention that many women experience before their period, due to fluctuations in hormone levels.

What Foods and Nutrients Reduce Water Retention

There’s not too much we can do about our hormones. But there are a few dietary factors that we can control. Eating a lot of salt, for example, can cause the kidneys to keep more water in circulation in order to dilute the extra sodium. Reducing your sodium intake (or, paradoxically, increasing water intake) can help reduce water retention.

It may also be useful to increase your intake of green vegetables. In addition to being high in water, they are also good sources of magnesium and potassium, which may help relieve water retention. In particular, dandelion greens and asparagus are known to have diuretic properties.

As tempting as it might be, I don’t recommend using diuretic supplements or teas to get rid of water weight, except as directed by a health practitioner. Overdoing it with diuretics can lead to dehydration and electrolyte imbalances, which can be potentially serious.

The Quick and Dirty on Water Weight

Water weight can come and go for a variety of reasons, but most are temporary and not related to long-term changes in body fat. Don’t get too freaked out (or impressed) by big swings on the scale. A moving average calculator can help smooth out those meaningless ups and downs and reveal what’s really going on with your weight.

Is IV Nutrition Worth a Try?

Will IV Therapy improve your health?

If you have a confirmed deficiency of a specific nutrient, or a condition that prevents you from absorbing nutrients  delivered orally, IV nutrition might make sense. And if you were severely dehydrated, an IV can be an efficient way to deliver fluids.

But I have grave reservations about these “IV therapy” clinics that are springing up and pumping people full of nutrient cocktails.  Although it’s promoted as everything from a hangover cure to energy booster to anti-aging therapy, most of the claims are not supported by evidence and may even be unsafe.

IV fluids may help relieve some of the acute symptoms of a hangover (many of which are due to dehydration), but won’t counteract the other harmful effects of drinking too much. More questionable are the alleged benefits of the vitamins, minerals, and other compounds used in IV therapy.

Supplying nutrients in excess of the body’s needs will not make your cellular processes work better or faster, any more than over-filling your gas tank will make your car run faster.

High doses of antioxidants can even shut down the body’s own antioxidant mechanisms.

There are also general risks associated with any IV therapy, such as infection or hematoma.

Those administering IV therapy may be well-meaning but uninformed, or they may simply be out to make a buck. Given the lack of regulation and oversight (and research), I think I’d steer clear.

Is Tofu a Good Source of Calcium?

Karen writes: “How would you rate tofu as a source of calcium? Is it bioavailable?”

Calcium sulfate is often used as a coagulant in the tofu making process. It’s added to the soymilk to get it to set into a solid form. The more coagulant you add, the firmer the tofu gets. As a result, firm tofu will contain more calcium per serving.

The exact amount of calcium per serving varies considerably by brand, so check those nutrition facts labels.

Calcium sulfate is also a bioavailable form of calcium which can rival milk as a source.

A cup (8 oz) of milk contain about 300 mg of elemental calcium, about a third of which is absorbed from the digestive tract, providing about 96 mg of calcium.  A three ounce serving of firm tofu can also provide 300 mg of calcium. Despite a slightly lower absorption rate, you’d still get about 93 mg of calcium out of it.

Note that the recommended intake of calcium (1000 to 1200mg per day) is based on the amount of calcium in the food and not the amount of calcium that you absorb. In other words, the recommendations take into consideration the fact that calcium absorption varies from food to food and are based on typical dietary patterns.

Here’s more on calcium absorbability from different foods.