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1: J Gastroenterol. 2007 Apr;42(4):267-74. Epub 2007 Apr 26. Links
Metabolic syndrome and gastrointestinal diseases.

Watanabe S, Hojo M, Nagahara A.
Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Tokyo 113-8421, Japan.
Metabolic syndrome is a cluster of metabolic abnormalities consisting essentially of obesity, especially abdominal obesity. Metabolic syndrome has been highlighted as a risk factor for cardiovascular and other chronic diseases. Obesity has been implicated in various gastrointestinal diseases such as gastroesophageal reflux diseases and colorectal cancer. Recently, abdominal obesity has been shown to be more important than obesity as expressed by an elevated body mass index as a causative factor for the development of these diseases. In addition to the mechanical effects of obesity, such as an increase in intra-abdominal pressure from large amounts of adipose tissue, substances that adipose tissues secrete, such as tumor necrosis factor-alpha, interleukin-6, leptin, and insulin-like growth factor-1, have been proposed to be pathogenic links to these diseases. In this review, we discuss the association of metabolic syndrome or the individual components of metabolic syndrome, focusing on obesity and abdominal obesity, with gastrointestinal diseases.
PMID: 17464454 [PubMed - indexed for MEDLINE]
This is where treating symptoms gets VERY tricky and leads to supression of the issue instead of addressing the underlying causes. It seems simple:
too much acid, so consume or alkaline items. This leads ultimately to things like Tums (popular antacid in the us...not sure if you have it down under) and sodium bicarb. These are both massively alkaline...and will only make things worse. Put out the stomach acid (fire) and you get large intact food particles crashing into the small intestine...this is where more potent food allergies take root.

I swear...any issue a client has look for metabolic derangement FIRST.

 

Posted 8-27-2007 by Eric Jones

What does everyone think of skim milk and whole foods within ~ an hour post-workout for protein/carb replenishment versus protein powders and what not?

I weigh about 165lbs and try to follow an 18 block Zone (in a 6-7 hour IF window. Thats 9 blocks of carbs PWO, which would be 5 cups of milk (at 1 block per cup) and 4 blocks of fruit or sweet potato (typically for me, banana, raisins, figs or a combination of those to get 4 blocks). That quantity of milk also provides 35g (5 blocks) of protein.

I haven't started this yet, but would like to replace my protein powder and Amino supplements with skim milk once I finish my tub of whey. It makes so much more sense to me to eat whole foods, especially milk, versus powders and isolated vitamins and aminos PWO. I also find it ironic that nature made milk in Zone proportions.
Just wondering everyone's thoughts on this....

Response by Robb Wolf

I tend to have my best results with whole foods. Shakes and other liquids pork me up right in the midsection. I think I am as insulin challenged as a person can be! Tinker with it and see. Similar to mods suggestion I know many folks really swear by the PWO LF chco-milk. Can not say that plays towards the health and longevity bias but DAMN yummy!

 

Posted 3-17-2008 by John Velandra

Hi all!
I have a client that has vitiligo along with a ton of upper respiratory issues, neuro-muscular imbalances,weakness, etc..... just started my research on vitiligo, and it's issues, etc.

Any help out there???

Response by Robb Wolf

John-
Vitiligo has a strong autoimmune component exacerbated by....insulin. Drop insulin levels and the progression will cease. Some folks have noted a recovery of the normal pigmentation with time, others not. There tends to be a high prevalence of Raynauds (a vascular condition that occurs when going from hot to cold environments ).

Search under "vitiligo and insulin/hyperinsulinism".

 

Posted 4-28-2008 by Jeff Evans

I originally asked this on the Crossfit nutrition forum but didn't get any responses there.

I can't reconcile this. In Nutrient Timing, Dr. Ivy basically argues that it's ideal to raise your blood sugar level just at the end of a workout, because your muscles are more receptive to glycogen intake during that window, which closes quickly (like within half an hour of the end of the workout). Also you need insulin to build muscle, so increasing your insulin window during this time means your muscles will regenerate more effectively during the recovery and eating period to follow. This all seems to make sense.

On the other hand, in Protein Power, Eades/Eades argue that the critical component in muscular development is HGH (human growth hormone, generally recognized as very good stuff), and that the release of HGH is attenuated in the face of high blood sugar. Therefore you shouldn't eat any carbohydrate before, during, or after your workout. You should just have a high protein/fat meal an hour after lifting because HGH will be manufactured if you keep your blood sugar low.

OK so what am I missing? If one of them is wrong then which one? If they're both right then which negative (or positive) factor is dominating?
Response by Robb Wolf

Jeff-
This topic gets hashed about a good bit and for good reason: it depends. There is no doubt that carbs post WO, particularly a hard metabolic session ala-crossfit, will improve recovery...both in terms of glycogen repletion AND muscle recovery/growth. That said we also see some very interesting adaptations with a low/no carb post WO period with regards to fat adaptation and some cellular stress adaptations that might be quite favorable for health and longevity.

There is likely some break-even point of being able to sneak in some carbs post WO without perturbing the whole insulin situation such that we get serious downsides. The solution I've found in this regard is to eat most of my carbs post WO and i keep this to REAL food. A portable non-retch inducing meal I've been using lately is a small pop-top can of salmon from trader joes (wild salmon) and ~100g of carbs from a yam. The remainder of my meals are protein and fat...some greens. Performance is good, I feel good...sleep is good etc. No symptoms of elevated insulin levels as evidenced by leanness and clear thinking.

You can find more info on this topic in threads like the health and longevity bias...i think I had something on my blog a while back also.