Week One: Chasing Ketosis

The past week has felt like a dog chasing a car, and I really see no end in sight. This marks the end of the first week of the dietary project I have been looking forward to working through for almost the past year. Basically, I have signed on for a 12 week nutritionist-supported keto-therapy diet out of California with the Ren.Nu group, which is connected with Santa Barbara Nutirents who produces a medical food for polycystic kidney disease, KetoCitra. It was a bit of a stretch for me to decide to engage with a sort of pre-clinical trial based on a ketogenic variant diet, especially when the totally cost would be around $2000. However, the reality is that the money is pocket change when one looks at his or her health. To me, the science looked promising, and considering my last attempt at keto allowed me to compete at the IBJJF World Masters in 2019 in Las Vegas, I knew there was potential. If I could even learn a few tricks, a few more ways forward, or at least come to understand the disease better, then the 12 weeks would be well spent. In a worst-case scenario I would lose some weight post-Covid and maybe feel a little disillusioned. As long as there are no voodoo rituals involving chickens and ancient spells pushed through cosmic crystals, I will accept the outcome.

I am a skeptic. I never gamble. I take risks, but only those that I am mostly in control of the main parameters. I also understand that Hope and Will can often “damn the genetics” and with a touch of science, magic is possible. Not Harry Potter magic or woo-woo New Age stuff, rather the unexpected leaps that a Carl Jung writes about in Synchronicity: the exception to the rules. Let’s face it, the rules seldom even make sense in our universe, so I see no real reason to expect all narratives to end the expected way; the best stories seldom do. They all end, but not in the way you expect.

How has it gone? Hmmm. Good question. I would say that I see positive changes in my eating, and I am back to being hyper-aware of my eating in a mindful way. The issues with water retention last month appear to be self-correcting, and I actually like the taste of KetoCitra. I had a tonne of blood taken for tests, and my initial results show significant improvements my eFgr and creatinine levels from March and November (probably based on my sclerotherapy procedures in December). I also feel super weak, brain foggy, exhausted and I feel frustrated with the challenge of balancing out a way of eating that meets the criterion of the program. At the end of each night, I am either too high or too low in calories, too high in carbohydrates, too high in protein, too low in fat or just hating the whole damn thing. The darkly toasted bread dripping with butter and jam calls my name. I just trudge off to bed and ignore the siren calls…for now.

Jiujitsu is probably the hardest obstacle to maneuver. It is a combat sport based on being fueled by carbs, caffeine and acai bowls. A single session of 90 minutes might rob me of 1100 calories and all of my glycogen stores on a normal night. When I do not have 1100 calories to begin with by then, it gets a little hairy in there when you get thrown in with some world-class black or brown belts. When the opponent is trying to rip your limbs off and you are fueled by avocado and a prayer…you get the picture. Suggestions always range from taking time off to doing yoga instead or maybe some gentle stretching; one of the main reasons for my work on my health is so that I can continue to train, so stopping training kind of defeats the purpose. Becoming injured by a carbed-up 26 year old at the end of a sweaty night also defeats the purpose. The dilemma ensues.

I do not know how other people are functioning through this first week yet. My ego tells me that it cannot be good for them, but then I am probably wrong. Other people can often follow the recipes and eat from a plan, whereas my brain demands that I use the recipe as a starting place and go from there. I don’t know; I will figure it all out by the end of the 12 weeks because I have to do so. Who knows, maybe it will get easier. Perhaps my nutritionist will have a eureka moment or my body will learn to perform on fat as fuel by the time I start my intense week of training at the BJJ Globetrotters Camp in Estonia in mid-July. Time reveals all, just as a butterfly flapping his wings in Brazil may cause the siren calls of carbohydrates to cease in my ears.

I should note that I already did a run with ketosis in 2019. I found that it was useful in terms of weight control, lowering of inflammation and pain, and self-esteem, but that it was unsustainable beyond a 3-4 month time frame. The body (my body) simply rebelled and said that enough was enough. Weight slowly crept back up with a bump in Covid due to the unavailability of fresh food in Canada, and no amount of exercise can counter social isolation, lack of community, and eating canned soup or frozen chicken fingers. I guess I see this diet program as my first decisive step back into the world post-covid. A hard, difficult step to be sure, but all great journeys begin in chaos and uncertainty.

I do have the distinct advantage of already having self-implemented a meditation routine using Sam Harris’ Waking Up app (by far the best meditation resource on the market). I have a digital scale (Withings), blood pressure monitors (Qardio), heart rate monitors, macro tracking app (MyPlate), an intermittant fasting app (Zero), and other tech that all integrate seamlessly on my iPhone. I have the metrics, but I do not have all of the answers.

Over the next few weeks, I will write a few reflections and see how my main health factors are progressing or declining: weight, stress, blood pressure, blood glucose, mental health, jiujitsu play, and any pains or aches in my flanks that normal come from the preceding factors. The goal here is not to write a review of Ren.Nu, Santa Barbara Nutrients, KetoCitra or anything personal about others. The goal is just to share my voice and perspective on a challenging disease which needs participation in groups like this if there is to ever be any long term progress. This week was about beginning the chase without ever expecting to hit ketosis nor having the car run over me. While there is great value in becoming a PKD Warrior (as I often see in social media posts), I feel that my true value in the community is as more of a magician or charlatan with cheap parlour tricks to entertain but provide riddles and rhymes to engage the little inspirational part of the mind. No warrior can sustain a war without end or purpose, but with a great story the weakest citizen can take down tanks and topple governments. With just a sprinkle of the magic that is a compelling story…anything can happen.

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