The Hemp Connection:
fasting insulin

  • What is all this body fat for, anyway?

    What is all this body fat for, anyway?

    We all throw the word"fat" around as if we really know what it is. If I were to stand at the mall and take a survey, I'd likely get the following answers to the question,"What is fat?"

    "Gross"

    "Something I have too much of."

    "Saturated and unsaturated."

    "Something that unfortunately makes food taste good."

    Have you ever thought about why we even make and store fat in the first place? Just a few decades ago, nutrition students like me were taught that the primary source of fat was as a storage tissue for excessive calories eaten. Oh! And it helps to insulate you and keep you warm. That was that.

    That paradigm is what the vast majority of nutrition advice is based on…that fat is an inactive mass that has little value, really, so when we have too much of it we should do whatever it takes to get rid of it. Diet. Exercise. Liposuction. Bariatric surgery.

    In recent years, scientists have been studying fat and learning some really interesting things. Fat is actually an endocrine organ! Just like the pancreas and the liver, our fat tissue manufactures and secretes hormones and chemicals of communication that are used by other parts of the body in other locations. Fat tissue can make estrogen, and it can also even make cortisol! Other hormones that fat tissue can make include leptin, resistin, and adiponectin.

    The fact that fat has functions suggests that we should be much more respectful of its existence. Apparently it is created when we need what it does. Simply removing it, without figuring out what conditions triggered it to appear in the first place, is likely why drastic, imbalanced methods of reducing fat don't have long-term success.

    I read long ago that insulin has a mild-antidepressant activity. It occurred to me, that when a person is not living their life in balance, and the nervous system is having a hard time doing its job, that we may have been programmed to have back up plans to ensure our survival. Such as not allowing insulin to be used by muscle and fat, rather rendered available to be used by the brain to keep doing what it does. After all, if our brains aren't working, we aren't working…right?

    So instead of thinking we are depressed because we are fat…maybe we should consider that we are fat becasue we are depressed.

    The type of fat that is found in our abdomens is commonly written about as dangerous to have. Yes, it is associated with a lot of expensive and deadly illnesses. However, it is also where a lot of omega-3 fatty acids are stored. So if we're eating the kind of fat that overpowers the ability of the body to do its job, and not eating enough omega-3 fatty acids in the first place, it's actually pretty amazing, if you think about it, that our bodies have a way to make sure that despite these somewhat self-destructive choices, the fats our brains desperately need, stay in the body and get to where they are most needed?

    I stopped thinking of fat as a bad thing a long time ago. When I see someone whose adipose organ is overdeveloped, it makes me stop and think about how far out of balance they must be. If you exercise and train and work your muscles routinely over time, they become big and strong, right? If your life is imbalanced, your fat tissue will be worked out in similar fashion. If you don't need the fat, it is not likely to stick around.

    When I see someone with an overdeveloped fat organ, my very first thought is,"That body is having to work sooo hard to stay in balance. That must be an exhausting job."

    When you are diligent with self-care, that is you make food choices that promote better balance, you move your body regularly, you don't take on unnecessary stress, and you practice good sleep hygiene, your body won't have to be so dependent on its fat tissue to do all that work. The responsibility is better divided between other body parts.

    It's a bit of a shift to wrap your brain around, I know…but I encourage you to think about it. The very fact that you're able to make fat may have been lifesaving, up to this point. But since extra fat was more designed as a backup plan, and not the primary way to stay in balance, perhaps you can think of your choices from this point forward as ways to give that organ a break and not wear it out…not wear YOU out…before your time.

    http://www.ncbi.nlm.nih.gov/pubmed/15195692

  • I just finished eating dinner and I am starving. How can this possibly be?

    I just finished eating dinner and I am starving. How can this possibly be?

    This is a common complaint I hear. Let's work backwards to understand what is happening…and what can be done about it.

    Your hunger and satiety (fullness) is regulated by a number of factors. Only one of those is how physically full your stomach is. Another very important mechanism is your blood chemistry…primarily, your blood glucose.

    Your blood glucose is strongly linked to your insulin levels. Insulin is a storage hormone, and its job is to pull glucose and fat out of the bloodstream and store it. One of the first things that happens with PCOS, before you develop full blown insulin resistance, is hyperinsulinemia (elevated insulin levels). This extra insulin is always in the blood, which means you may have more of a tendency than average to experience drops in blood glucose.

    It takes awhile for food you've eaten to be digested, absorbed, and to get into your blood. So if your blood glucose dropped precipitously before dinner, it may take awhile to bring it back up to a place where you're not feeling hungry. Even though your stomach might be feeling physically full, you may not have enough energy in your system for your biochemical radars to trust that you're ok.

    And so they tell you that you are hungry.

    The very best solution to this, is to eat a diet higher in protein. About half of the protein that we eat is converted into glucose, and that process tends to kick in just about the time the carbohydrates we're eating have been used up. So if you're having trouble feeling hungry just as you're finishing up dinner, try having a snack with about 10 grams of protein mid-afternoon.

    This is one reason why it can be challenging (and not appropriate) to use a 100% intuitive eating approach when you first start to change your diet. If you acted on that post dinner hunger, you would likely binge. Intuitive eating is what you're aiming for, but you may need to be a little bit more conscious about structuring your diet in the early phases of a nutrition plan so that your hormones aren't interfering with your ability to detect true hunger and satiety.

  • Important Lab Tests for PCOS

    Important Lab Tests for PCOS

    Important Lab Tests for PCOS
    Many women who have PCOS have not had the correct blood work done or don't know what blood tests to ask to have done.I would like to post some important labs used to diagnose and monitor PCOS
    1. Total testosterone (elevated levels are > 50ng/dl
    2. Free testosterone
    3. Luteinizing Hormone (LH) (plays a role in ovulation and egg development)
    4. Follicle Stimulating Hormone (FSH) (responsible for egg release from the ovaries)
    5. LH/FSH ratio (results should be under 2)
    6. DHEA-sulfate (this test tells how much androgens or"male hormones" your body is producing) DHEA sulfate converts into testosterone.
    7. Prolactin
    8. Thyroid Stimulating Hormone (TSH) this test will help to rule out hypo or hyperthyroidism (slow vs fast metabolism issues)
    9. Liver Function tests (LFT's). Important since medications pass through the liver, to check for possible damages. Checking every 3-6 months is recommended.
    10. Fasting Lipid Profile: Total Cholesterol (<>45 mg/dl is ideal)Low Density Lipoproteins (LDL) (<130 mg/dl is ideal)Triglycerides (fat in blood) (<150 mg/dl is ideal)
    11. Fasting Insulin (results should be <10) difficult to do, it needs to be frozen when brought to the lab and tested before it reaches a certain temperature, expensive but would be very beneficial in determining and monitoring insulin resistance.
    12. Fasting blood chemistry panel (includes glucose, electolytes and sometimes renal labs)
    13. Fasting glucose to insulin ratio (used to diagnose and monitor insulin resistance, ratio under 4.5 usually indicated insulin resistance)

    Ellen Reiss Goldfarb, RD
    11500 W. Olympic Blvd, Suite 400
    Los Angeles, CA
    310-408-1770
    info@ellenreissgoldfarb.com