Head space

The pensieve is a wonderful idea, and blogging is as close as this muggle is going to get to a magical stone basin in which to store all that's in my head.



Tuesday, June 3, 2014

Why I’ve decided to live without carbs

Disclaimer: some of this post may be TMI, so forgive me if I gross you out.

I know it’s all the rage these days. The latest thing. What everyone’s doing because they believe it’s going to make them skinny. And I have to admit, that’s why I started. But it’s not why I’m continuing with this new way of eating.

It turns out that carbs and sugar have a really bad effect on my body, something I didn’t realise until I cut out this convenient and addictive food. I’ve suffered a number of ailments over the years, starting when I still in the single digits of age. They all seemed unrelated to each other and were all treated in isolation.

Here’s a breakdown of all my medical woes. If it doesn’t interest you, scroll about half way down for the carb-free stuff.

When I was a kid, I got a sore knee. An ache that no doctor could explain. I have no recollection when or how it started. I went for x-rays and all sorts of other tests, but there was nothing to see. Someone told my mom it must be growing pains and it would go away. When I got to my twenties and the pain was still there, albeit not permanently – it came and went with no discernible pattern – I figured there must be something else wrong. But it’s never been an excruciating pain that I felt needed further investigation. It’s just something I’ve learned to live with.

When I was in my late teens, I went to the doctor with a post nasal drip. The kind of snot build up that blocks your sinuses when you’re trying to sleep. He prescribed me an antihistamine and said the likely cause was an allergy. However, since it’s usually really hard to pinpoint an allergy, he suggested that if I could live with taking a pill every day it was the way to go. I wasn’t really in the position to pay for and undergo expensive tests, so I took the pills and just learned to live with it.

I experienced my first bout of heartburn when I was about 23. I know it’s fairly common, and to start with, Rennies worked fine to control it. But since starting on cortisone for the eye problem (which I’ll explain now), it’s gotten worse, and I’ve noticed that when I eat a lot of carbs, I need to medicate it with something stronger.

At the end 2008, I contracted an intestinal bug. It took about a week for me to realise that it wasn’t just something I ate and get myself to a doctor. I had to submit a stool sample (one of the grossest things I’ve had to do) and got a prescription for antibiotics for my trouble. After the bacteria had been successfully eliminated, I experience unexplained diarrhoea. It took me another two years to come across the idea that perhaps a probiotic would help. It did, and I made sure to carry a stash of pills at all times, because I never knew when it would strike.

In 2010, I got an eye infection. The GP thought it was pink eye and prescribed drops. When that didn’t clear the problem up, he sent me to an ophthalmologist, who diagnosed scleritis. Scleritis is an autoimmune disease usually caused by arthritis or diabetes. I was tested for these and other possible causes, but they found nothing.

The scleritis morphed into plain old orbital inflammation, again without a known underlying cause. The treatment for this is lots and lots of cortisone. However, after three years of reoccurrences and increasingly heavier doses of cortisone that didn’t seem to be working, I was referred to a rheumatologist for cortisone sparing immunosuppressant drug therapy, which I need to be on for at least two years.

In 2011, I was forced to see a physiotherapist for repetitive strain injury in my forearms. It was thought the pain was caused by overuse of the computer mouse. While the massage and needle sessions did help somewhat, the pain never really went away. The second physio I went to, about a year ago, gave me exercises to do at home, which did seem to help.

In February, I gave up carbs. My parents had started on this new diet about four months previously and my dad had amazing results. He lost weight, and lowered his cholesterol and blood pressure. I gave up gluten (and dairy) at about the same time they gave up carbs, and I did see some positive results. Mainly, my eye inflammation was manageable.

But as Christmas approached, I went off the rails. I ate all the things I knew I shouldn’t – bread, pizza, muffins, mince pies and all the yummy food associated with Christmas and holidays. And my eye just kept getting worse. I had two cortisone injections into the eye socket before the doctor closed for the holidays, and was taking more and more oral cortisone, but nothing seems to make a difference. It wasn’t until February that it dawned on me that my eating might be the problem.

So I gave up carbs. That is, I cut down on my intake drastically. I did have a few days that were completely carb free, but it’s not realistic to give up all carbs all the time. Especially considering all the places carbs like to hide – in sauces mostly.

I cut out wheat – pasta, bread, all things made with flour – pretty much completely. I cut down on rice and potatoes, and all the things that contain sugar. No more biscuits, crackers, doughnuts, cakes or pies. No more sugary soft drinks. No more frozen meals or processed food. Also, no more low fat or fat free options, like yoghurt.

I embraced the LCHF (low carb high fat) diet, buying butter instead of marg, and adding cream to everything. I bought nuts and seeds by the kilo. I stocked my kitchen with coconut oil and flour. I added almond meal to my baking ingredients. I planned my meals, milled my own flour from flaxseed, baked my own bread and muesli. It was hard work, but my eye was so much better.

Then, around Easter, I fell off the wagon. It was a week of eating junk food – pizza, doughnuts, chocolate, chips, coke, oat crunchies. I ate through all the warning signs my body was throwing at me and settled for medicating the symptoms: antacids for the heart burn; probiotics for the upset tummy; Deep Heat for the sore arms; cortisone for the sore eye.

After a week of a painful, swollen, throbbing eye, I was back at the rheumatologist, getting an extremely expensive cortisone drip to get things under control again.

But it made me realise that all my problems were connected – by carbs. When I eat right, with minimal carb intake, I don’t suffer from heart burn, joint or muscle pain, diarrhoea, flatulence or an inflamed optical orbit.

A carbohydrate intolerance basically causes a low-grade inflammation, which targets areas of weakness, of which I seem to have many. It causes weight gain, especially around the mid section and makes weight loss really difficult. Okay, I personally can’t blame all my weight problems on a carb intolerance, but it goes a long way to explaining my situation.

When the eye problem started, and I saw a small army of specialists to try and get some answers, I asked them if it was possible that something I was doing to cause the problem. Everyone said no. But now I know differently.

I’m sharing this story in case it resonates with others out there, searching for answers and coming up with nothing. There are apparently blood tests that can prove a person’s carb intolerance, although I’ve never actually been for one – I’m listening to what my body is telling about the food I eat.

I can handle a small amount of carbs on a daily basis, but I have to be very careful not to overdo it. But even then, I try to choose rice or potatoes over wheat and sugar. Aside from the things it does to my weak spots, the sugar cravings that increased carb intake causes is hell to get under control again.

My aim is get off the cortisone, which I’ve been on for eight months nonstop, something I can only do when I’m off the carbs. I’d also like to lose weight, for I believe that once I’ve lost the 75 or so extra kilos I’m carrying around, the inflammation problem will be minimal and more easily controlled. 

But for now, it’s mostly a case of fighting the urge to inhale carbs at every opportunity, to say no when I know I’ve reached my limit, to make healthier choices.