One stop solutions, all-in-one answers, and that damn screwdriver on your Swiss Army knife tend to leave you disappointed at the end of the day. I feel like ketogenic therary in its hardcore iterations may well be the same kind of experience; that being said, for me it remains the best game in town. Perhaps the hardest part of any diet remains the question of how sustainable it is for the body and mind over a long period of time within a certain social culture. It is much harder to go ketogenic in a colder climate where carbohydrates and sugars are the common response to a lack of fresh vegetables/greens and some darn depressing weather. Personally, my body hates the winter; I absolutely would rather live somewhere like Bangkok, Spain or Hawaii. However, even as I edge towards only 6 years before retirement, I know the value of the having a superb, almost accessible medical team with all of the hi-tech kit my kidneys could hope for. I feel fortunate to have been given three sclerotherapy sessions to drain four large cysts off my kidneys over the past year. How easily that might happen in Bangkok is questionable at best.
Now access to the best medical resources is one thing, but becoming a patient who seems like a good bet for such access is the hard part. If one thing drives me to stay healthy, lose weight, drink water, adapt my diet and maintain a positive mindset, then it is to appear like a better choice than the other patient who smokes, drinks, eats Cheetos all day long, and feels like a 5 minute walk is a vigorous workout. Survival of the fittest when in the land of the blind, the one-eyed man is king. But let me be clear: none of this can happen without helping to build a better PKD community experience for everyone. If I can help one or two people somewhere in the world to rethink their diet or mindset once they are diagnosed, then writing a blog about my experience or participating in the Ren.Nu program is the least that I can do.
So, how has this week been? This is my hardest week of the year, as my wife is chaperoning a Indigenous Awareness school trip on the other side of the country, my five year old daughter needs a lot of ice cream and shoe-shopping to cope with no mommy-time, I had 140 school reports to write, a jiujtisu class to sneak in. Very little sleep, massive amounts of caffeine and some familiarity with my old friend alcohol, would all be the challenges of a week like this, but to pretend that weeks like this do not happen would be highly detrimental when considering the sustainability of this diet. As the week came to an end, I was surprised to see how well I came out of it by Friday morning. Yes, I went over on carbohydrates. Yes, I am out of ketosis. But…and it is a big BUT, I feel pretty awesome overall. My body feels healthy and my weight is around 171-173 lbs of fairly lean muscle. Hence, the message that I took from the week is deeply founded in the reality that I can survive a week of less than optimum behaviours, thought I doubt that would continue for more than 7 days.
Perhaps what I found most interesting was that while my body told me that I needed carbohydrates, I readily compromised with the choices I went with. Instead of a hamburger bun, I would added 1/2 cup of brown rice to curried ground beef with dandelion greens. Instead of a nice piece of lemon cake, I went with some heavy cream and strawberries. There was no fast food options chosen, and pizza never appeared in the pantheon of my cravings. Maybe one idea to take away is that the idea of cheating is easier to deal with when your cheat options are still healthy by anyone’s standards. Yes, I know that the program swears off things like bananas, rice, almonds, spinach and red meat, but I personally feel that some of those elements should remain in tiny quantities while I am still functioning with fairly solid kidney function. That level of function will undoubtedly degrade over time, but a slower degradation is my personal goal. I am not attempting to eradicate my 50-100 cysts, I am just trying to outlast them to the end of my life.
As far as ketosis goes, I am mostly in a 0.5-0.7 low level for my ketones, and that is okay for now. Once my weight loss stops (it will once the love handles get eaten up), then I will slowly edge my ketosis up. Once I start being able to recover from the stresses of year end, it will be much easier to sleep a full night and a bit into the mornings. I only have a few days before the family goes camping and then I am immediately off to Estonia for a BJJ Globetrotters Camp. It will be pretty hard to tell how many classes I can do on any given day, but I feel like I can do 2-4 hours of camp a day with just some time spent watching from the mats’ edges. I am really hoping that the meal plan gives me a decent healthy factor of choices with the “vegan” option, but given the sheer number of calories burnt in a session, I am pretty sure that my body will just burn the glycogen before it can even settle in my muscles.
The opportunity to train with a large group of European players can only add more depth to both my game and open up a whole different paradigm to the martial art. I could also just use some fun, some conversation and a few days where I can be quiet. Train. Eat. Sleep. Train. It will also be super cool to have another chance to hang out with my friend Angel from California. Covid took its toll on our correspondance, but it will be reassuring to see how his game has evolved in two years passing. He was the first to introduce me to the Squid Guard and the lapel game that I have been working so hard upon over the past few years.
Week Four has been decent. I am not setting the world on fire, but I am settling in to the diet lifestyle in a way that finally seems sustainable for a long haul. Whether the blood and urine labs in September will confirm that this is the right approach for me remains to be seen. I suppose that I am finding my own way, and hopefully along the way I will inspire a few people through this blog to find their own way. Whether that involves KetoCitra or keto or calorie counting or meditation or whatever, the point is that we can all forge a pathway towards a slightly improved health outlook. For my own part, it has been quite a long haul with a lot of fear, anxiety and negative surprises founded in the fact that most doctors are not particulary good at giving any guidance to their patients beyond “there is not much you can do, so don’t stress and drink lots of water.” It felt like idiotic advice 4 years ago, and it feels even more irresponsible now.