[ Note: This article was written by my friend who is a fitness and nutrition author, Jon Benson. I have his permission to share it with you and I know you will enjoy this article. ]

Sometimes you have to nearly lose it all to realize what you truly have.

I can honestly say that I have come close to death several times in my life. I’ve had my share of accidents, medical emergencies, and a near-fatal accident while driving.

But there was something about just laying on the gym floor today with two doctors hovering over me that gave me serious pause.

Time for some major reflection.

Now, before you get too alarmed (for those who know me, or just think I’m a pretty good guy… ; )… fear not. I did not have a stroke or anything like that, thank goodness.

What I did have was a major drop in blood pressure… so much that I came dangerously close to entering the “coma” zone.

I kid you not.

And trust me… I felt like I was slipping fast.

My girlfriend was there with me. I had her kneel down and, just like Spock in an old episode of “Star Trek”, I had her slap me several times in the face. Hard!

“If my eyes roll back, hit me harder.”

The doctor probably thought I was nuts… but I know that’s one way to elevate my blood pressure.

So, what happened? Am I falling apart at the relatively young age of 46? Is my dietary and exercise advise dangerous after all?

No… and here’s why:

     I actually VOLUNTEERED for this.

Before you think I’ve totally lost my marbles, hear me out. If you listen to the rest of the story, you’ll see that not only has my advice been of great value when it comes to exercise and dietary strategy… it actually ended up saving my butt!

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Really Bad Genetics Meets
The Cath Lab:  A Wild Encounter
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First, the “volunteered for this” bit needs explaining… right? Right.

If you read my first book, published in 2004, called “Fit Over 40″ (read more at www.fitover40.com) then you may recall that I went into great detail about my poor genetics and horrible health in my early and mid-30s.

Since then, and knowing exactly how bad my genetics are for such things as high blood pressure (oh, the irony!), heart disease, and stroke, I adopted the dietary plan and exercise routine I use to  this very day. The very ones I cover in “The Every Other Day Dietplan” and “7 Minute Body.”

(If you don’t have these books and want them, you can get both here… The Every Other Day Dietplan Revealed — oh, and I have a short video up on this page if you have not seen on a 1-minute fatloss tip… )

Now, let’s get real folks:  Dietary power and exercise MAY not be enough to overcome really bad genetics when it comes to certain diseases. And being ever curious, I wanted to know exactly how my own health was doing on my plan. So a month or so ago I paid a visit to the hospital to have some tests ran. All my yearly check-ups were okay, but I wanted a closer look at my heart… and I mean “literally”.

I wanted to be “cathed”… this is where they insert a camera into your heart, going up the femoral artery in your right leg, and take a look around. If they find anything dangerous, like a clogged artery, they can fix it right then and there with a stent. A stent is a metal device that presses plaque against the artery wall and opens up a clogged artery.

Of course I hoped I would not find such a thing… and certainly nothing worse. I mean, can you imagine?  “Mr. Benson, you need a quadruple bypass!”

I could not, that’s for sure… and I was fortunate because, as you probably guessed, I didn’t hear those words from my doc.

It’s hard to get a cath done as it’s a risky procedure. I can’t even tell you how I managed to pull it off … that’s how touchy the hospitals are when it comes to this kind of stuff. Afterwards, I volunteered to do 5-10 workouts at their heart care facility so I could hook myself up to some nifty gadgets. I get to watch my EKG (how my heart is functioning during cardio and weights… and it works like a charm!) and really nice doctor folks come by to check my blood pressure (which is always low) during the workout.

Yep… the doc and I wanted to put my workout plan to the test, I guess you could say. I wanted to do it just to make sure I was 100% healthy during my training. You never really “know” I suppose, so I was up for it. And my doctor wanted me to do it just in case what he found during the cath was serious. There’s a lot to this process, and there’s some details I don’t wish to cover for privacy sake… but anyway, back to my story.

It’s long, but it may save your life too. : )

—————————————–
The Good News… The Bad News…
And The Stupid Jon News!
—————————————–

Turns to find out I made a few mistakes… some pretty costly mistakes… but (get this) none of them had to do with my dietary or exercise plan.

During the cath, here’s what the doc said:

“Jon, your heart’s two primary arteries look good… hardly any obstruction at all. And they are nice and thick from exercise.” For a guy who has had a cholesterol level of over 400 before, and a history of heart disease in the family, this was really good news.

“However, your genetics are catching up to you in one of your arteries…. and you need to be more aggressive with your drug treatment to make sure we don’t have to go back in here one day!”

Er… what??

Yep… turns out that the only thing that saved me from a BYPASS (that’s right) was what the doctor called “an enormous amount of peripheral arteries formed from years and years of weight training and exercise.”

Wow.

“Look right here Jon…”  (He showed me my beating heart on camera… freaky…) “See all these arteries? Well the average person doesn’t have them. You do. Congratulations… you earned them.”

Wow again. And remember, I only workout with weights 3-4 times per week and my workouts are rarely over 21 minutes (time under the weight.)

—————————————–
What I Did Right… And What
I Did Wrong… And Why This
Could Save Your Life
—————————————–

So, listen up folks as I’m about to tell you everything I did wrong for the past several years… how it ALMOST cost me dearly (a bypass?… no thanks!)… how I managed to prevent it… and how I ended up on the gym floor today with doctors all around me.

It’s all related. And again, sorry for the novel-like email, but (again) this may save your life.

First, here’s what my excellent cardiologist said I did RIGHT:

1. Exercise:  “Jon, your exercise plan, to put it bluntly, saved you from a great deal of pain… in fact it probably saved your life as these blockages would have been far worse without it.” With it, I had only one artery with enough blockage to warrant the drug therapy that I should have been on for years… more on that in a second…

2. Dietary plan:  “Jon, your diet is perfect for this condition… low in carbs, high in protein and healthy fats is all anyone can do in order to help fight this genetic killer.”  Yep… again… prevention in the form of dietplan saved my butt. Or rather my heart. : )  But it wasn’t enough… at least for one artery. However, it WAS enough to prevent them from having to do surgery on me.

“Jon, the take-away here is simple:  Exercise and dietary plans, even the very best, may not be enough for super high-risk people… but in your case your lifestyle saved your life. And it certainly prevented you from having to have any serious surgery to correct a truly broken heart.”

Talk about EXCITING news… yep… you CAN beat this killer, even when you have MY horrible family genetics. However, like me, you may need some help… more on that in a second.

3. Blood pressure:  “Jon, your blood pressure is excellent. Your lifestyle and very low-dose diuretic has kept your formerly sky-high blood pressure (it was 200/110 when I was 32!) to an excellent 118/78.”  But you know doctors… even “excellent” isn’t enough and they recommended a stronger BP med for “my intense weight training.”

So, I listened… and ended up on the floor today. You see, many doctors do not realize the POWER of weight training compared to cardio. My blood pressure never budges during cardio, but less than 3 minutes into a resistance (weight-training) session it goes down like the stock market after a bad news day.

I mean SHOOTS down. I tried to explain this by letting the doctor see the veins in my legs… “Doc, my veins are MUCH larger than the average person’s… trust me, my pressure is fine.”  “Jon, just try it for a few weeks.”

Bad mistake…. like I said, I ended up on the gym floor today with a blood pressure of 72/45. If I hit 40, I’m literally in a coma. 5 points away… very scary. Needless to say the doc took me OFF these meds and let me do it my way:  With my Every Other Day Dietplan (low-carb most of the days) and good-old exercise.

If you have high blood pressure, I URGE you to take up weight training or resistance (body-weight or band) training. Of course, ask your doc about it first… but I’ve seen first hand for three weeks now how powerful my weight training sessions are compared to intense cardio sessions.

They are night and day folks… weights RULE. Cardio is good, but weights are best. Both of course would be the best course for ultimate health, but most people do far too much cardio and far too little resistance training.

—————————————–
Oops…
—————————————–

Now, here’s what I did WRONG:

1. Cigars:  “Jon, you cannot afford to smoke cigars… ever. They have lowered your protective HDL to a dangerous level. Stop NOW!” That’s all it took folks. Yes, I smoked cigars for many years, but fortunately I was never an addict. I quit that very day.

Guess what? 10 days later my HDL DOUBLED (no kidding)… and without drugs. Of course that’s not all I did…

2. Fat too LOW:  “Jon, you’ve lowered your dietary fat too low… this affects your HDL.”  Yep, I normally eat about 35% dietary fat… and I cut it down to 20% to help me get ready for a photoshoot. Now that I put it back to where it belongs, I still have my abs (yep!) and my HDL is raising as I type.

3. Stress:  “Jon, you are simply working too hard not to do some form of meditation or de-stressing.”  So I dove back into my meditation CDs. (I’ll tell you more about Holosync and my hypnosis CDs in my next email… very cool stuff.)

4. Advil:  “Jon, you take 4 Advil before you train? You’re nuts! That stuff can cause sticky plaque formations!!”  You know, I may never even had an issue if I had known this (and not smoked cigars) a few years ago. Live and learn!

5. And finally… oh, this hurt to hear… no drugs!  “Jon, if you want to make sure you beat this thing, you simply must take some meds to help.”  Okay, I resisted any form of statin drug for the past 15 years (drugs to lower cholesterol.) I opted to try natural stuff… but unfortunately for me I was never too consistent. And I paid the price.

So the doc and I came to a compromise:  I would take the LOWEST dose of statin along with 400 mg of CoQ10 (scary, but this was my idea, not his, and statins deplete this heart-friendly enzyme!) But I wanted a natural solution to the real issue:  small particle LDL. You see, I’ve known for years that I carry the gene that makes LDL “small”. LDL is not dangerous unless it is small… that’s why “total cholesterol” means nothing to me. I’ve seen folks have heart attacks with a cholesterol level of 130. No joke. But their LDL was super-small… like mine.

And guess what?  Dietplans cannot really help this. Well, they can HURT it (too many carbs, too many toxic fats, etc.) but they cannot shift the LDL from small to large.

For that, you need plain old niacin. Just a simple B vitamin… but in not-so-simple doses. In fact it’s considered a drug at the dose you have to take, and you should NEVER take niacin over 50 mg without a doctor’s supervision as it can be very toxic to the liver.

—————————————–
The Conclusion:  The Power
Is In Your Hands
—————————————–

In conclusion, I’m A-Okay… my heart pumps and functions “like that of a strong 20-year-old” (my doctor’s quote) thanks to the extra arteries I developed from my exercise program (how cool!) … but in order to keep that one artery in check, I’m taking his advice and taking much better care of myself than I have been.

Today I learned that this does NOT mean taking blood pressure meds…thankfully… : ) But I had to make some changes. Some of them were “stupid” changes… sure, I know cigars are not good for you. I know you need good fats in your dietplan. I could have used common sense and figured out that 4-8 Advil on workout days was… well, stupid.

But the good news, which is what I choose to focus on, is this:  In the areas that 95% of people NEVER change, I didn’t have to change much at all.

Dietary plan and exercise.

Turns to find out that what I was doing works great… and it did, in fact, save my heart and quite possibly my life.

For more on my dietplan and exercise routine, go here:

The Every Other Day Dietplan Revealed

Thanks for reading, and I wish all of you good health!

P.S.   I got lucky in many ways, but especially so when it came to my doctors. Both of my doctors are young and savvy enough to be up on the latest research on nutrition. They know NOT to buy into this “low-fat” nonsense for heart health. (I’d use a harsher word, but kiddos may be reading… : ) That only works for about 10-15% of the population. The rest of us need to lower our CARBS, not our fats… but the way I do it I get to keep my favorite carbs in my dietplan every week.

The little that I do eat keeps me happy as a clam, and keeps my heart nice and healthy too. A little bit of bad food will not hurt most people… but eating it every day can flat-out kill you.

Please… take this seriously. I promise, my dietplan and exercise routine is a PLEASURE to follow… but if you don’t follow it then find one that IS enjoyable for you to follow… and do it.

Life is too short, you know?

What The New “Low-Carb” Study REALLY Says

A news media feeding frenzy erupted recently when a new diet study broke in the New England Journal of Medicine (NEJM). Almost all the reporters got it wrong, wrong WRONG! So did most of the gloating low carb forumites and bloggers. Come to think of it, almost everyone interpreted this study wrong. Some valuable insights came out of this study, but almost everyone missed them because they were too busy believing what the news said or defending their own cherished belief systems …

The New England Journal of Medicine

The new study, titled, “Weight Loss With a Low-Carbohydrate, Mediterranean, or Low-Fat Diet” was published in The New England Journal of Medicine (NEJM) in issue 359, number 3.

I quickly read the full text of the research paper the day it was published. Then, I shook my head in dismay as I scanned the news headlines. I found it amusing that the media turned this into a three ring circus, putting a misleading “low carb versus high carb,” “Atkins vindicated” or “Diet wars” spin on the story. But that’s mainstream journalism for you, right? Gotta sell those papers!

Just look at some of these headlines:

“Study Tips Scales in Atkins Diets Favor: Low Carb Regimen Better Than Low Fat Diet For Weight And Cholesterol, Major Study Shows. “

“Low-Carb and Low-Fat Diets Face Off “ “The Never-Ending Diet Wars” “Low Carb Beats Low Fat in Diet Duel.” “Atkins Diet is Safe and Far More Effective Than a Low-Fat One, Study Says” “Unrestricted Low-Carb Diet Wins Hands Down” Some of these headlines are hilarious! I wonder if any of these reporters actually read the whole study. Geez. Is it too much trouble to read 13 pages before you write a story that will be read by millions of already confused people suffering the pain and frustration of obesity?

Here’s a quick look at the study design.

The low fat restricted calorie diet was based on American Heart Association guidelines. Calorie intake was set at 1500 for women, 1800 a day for men with 30% of calories from fat, and only 10% from saturated fat. Participants were instructed to eat low fat grains, vegetables, fruits and legumes and to limit their consumption of additional fats, sweets and high fat snacks.

The Mediterranean diet group was placed on a moderate fat, restricted calorie program rich in vegetables and low in red meat, with poultry and fish replacing beef and lamb. Energy intake was restricted to 1500 calories per day for women and 1800 calories per day for men with a goal of no more than 35% of calorie from fat. Added fat came mostly from nuts and olive oil.

The low carb diet was a non-restricted calorie plan aimed at providing 20 grams of carbs per day for the 2 month induction phase with a gradual increase to 120 grams per day to maintain the weight loss. Intakes of total calories, protein and fat were not limited. However, the participants were counseled to choose vegetarian sources of protein (more on that bizarre-twist shortly).

The study subjects were mostly male (86%), overweight (BMI 31) and middle age (mean age 52)

Here were the study results:

There were some health improvements in cholesterol, blood pressure and other parameters in the Mediterranean and low carb group that bested the high carb group. That was the focus of many articles and discussions that appeared on the net this week. However, I’d like to focus on the weight loss aspect as I’m not a medical doctor and fat loss is the primary subject matter of this website. All three groups lost weight. The low carb group lost 5.5 kilos, the Mediterranean group lost 4.6 kilos and the low fat group lost 3.3 kilograms…. IN TWO YEARS! Whoopee!

My conclusion would be that the results were similar and that none of the diets worked very well over the long term!

Amanda Gardner of the US News and World Report Health Day was one of the few reporters who got it right:

“Diet plans produce similar results: Study finds Mediterranean and low-carb diets work just as well as low fat ones.”

Tara Parker-Pope of the New York Times also came close with her headline:

“Long term diet study suggests success is hard to come by: In a tightly controlled experiment, obese people lost an average of just 6 to 10 pounds over two years.”

Even this headline wasn’t 100% accurate. The study was HARDLY tightly controlled. Tightly controlled means metabolic ward studies where the researchers actually count and control the calorie intake.

The problem is, you can’t lock people in a hospital or research center ward for two years. So in this study, they used a food frequency questionnaire. Sure, like we believe what people report about their eating habits at restaurants and at home behind closed doors! BWAHAHAHAHAHAHAHAHA!

“No! I swear Dr. Schwarzfuchs! I swear I didn’t eat those donuts over the weekend! I stayed on my Mediterranean diet. Honest!”

One of the most firmly established facts in dietetics research is that almost everyone underreports their food intake BADLY, sometimes by as much as 50%. I’m not saying everyone “lies,” they just forget or don’t know. In fact, this underreporting of calorie intake is such a huge problem that it makes obesity research very difficult to do and conclusions difficult to draw from free-living studies. Another blunder in the news reports is that this study didn’t really follow Atkins diet parameters OR even the traditional low fat diet for that matter, so it’s not an “Atkin’s versus Ornish” showdown at all. If you actually take the time to read the full text of the research paper it doesn’t say ANYTHING like, “Atkins is the best after all.” That’s the spin that some of the news media cooked up (and what the Atkins foundation was hoping for). It says, “The diet was based on the Atkins diet.” However, the sentence right before that says, “The participants were counseled to choose vegetarian sources of fat and protein.” Vegetarian Atkins? The chart on page 236 says the low carb diet provided 40% of calories from carbs at 6, 12 and 24 months. If I’m reading that data properly, then the only low carb period was a brief induction phase in the very beginning. Does that sound like Atkins? 40% carb sounds more like the Zone diet or my own Burn The Fat program to me.

The Atkins Foundation, which partially supported this study, told reporters, “We feel vindicated.” HA! They should have paid the reporters and told the researchers they felt ripped off and they wanted a refund for misuse of their research grant!

After carefully reading the full text of this study, there are many interesting findings we could talk about, from the differences in results between men and women to the improvements in health markers. Here’s what the study really says that stood out to me. It’s what I would have talked about if the newspapers or TV stations had called me:

1. “Mediterranean and low carb diets may be effective alternatives to low-fat diets.”

I can agree completely with that statement. All three diets created a calorie deficit. All three groups lost weight. Low carb lost a little more, which is the usual finding because low carb diets often control appetite and calorie intake automatically (you eat less even if you don’t count calories). Also, if body composition is not indicated, there’s an initial water weight loss that makes low carb diets look more effective in the very early stages.

2. “Personal preferences and metabolic considerations might inform individualized tailoring of dietary interventions.”

Absolutely! Nutrition should be individualized based on goals, health status, body type, activity level and numerous other factors. Different people have different phenotypes. Some people are more predisposed to thrive on a low carb approach. Others feel like crap on low carbs and do better with more carbs or a middle of the road approach. Those who dogmatically follow and defend one type of diet or the other are only handcuffing themselves by limiting their options. Iris Shai, a researcher in the study said, “We can’t rely on one diet fits all.” Hmm, far cry from “Atkins wins hands down,” wouldn’t you say?

3. “The rate of adherence to a study diet was 95.4% at 1 year and 84.6% at 2 years.”

THIS was the part of most interest to me. When I read this, immediately I could have cared less about the silly low carb versus high carb wars that the news reporters were jumping on. I wanted to know WHY the subjects were able to stick with it so well. Of course, that’s boring stuff to journalists… adherence? What does that word mean anyway? Yawn – not interesting enough for prime time, I guess. But it was interesting to me, and I hope YOU pay attention to what I found. The authors of the study wrote:

“This trial suggests a model that might be applied more broadly in the workplace. Using the employer as a health coach could be an effective way to improve health. The model of group intervention with the use of dietary group sessions, spousal support, food labels, and monthly weighing in the workplace within the framework of a health promotion campaign might yield weight reduction and long term health benefits.”

Hmmmmm, lets see: * Dietician coaching
* Group meetings
* Motivational phone calls
* Spousal support
* Workplace monitoring (corporate health program)
* Food labels – calorie monitoring
* Weigh-ins (required and monitored)

Wow, everything helpful to long term fat loss that sticks. Can you say, ACCOUNTABILITY? These factors help explain the better adherence.

By the way, the adherence rate for the low carb group was the lowest.

90.4% in low fat group
85.3% in the Mediterranean group
78% in the low carb group

Here’s the bottom line, the way I see it:

First, please, please, please learn how to find and read primary research and take the news media stories with a grain of salt. If you want to know who died, what burned down or what hurricane is coming, tune in to the news – they do a GREAT job at that. If you want to know how to lose weight or improve your health, look up the original research papers instead of taking second hand information at face value.

Second, those who prefer a low carb approach; more power to them. Most studies, this one included, show at the very least that low carb is an option and it’s not necessarily an unhealthy one if done intelligently. I also have no qualms with someone claiming that low carb diets are slightly more effective for weight loss, especially in the short term, free living situations. Is low carb superior for fat loss in the long haul? That’s STILL highly debatable. It’s probably superior for some people, but not for others.

Third, low carb people, listen up! Even if low carb is superior, that doesn’t mean calories don’t count. Deny this at your own peril. In fact, this study shows the reverse. The low carb group was in a larger negative energy balance than the high carb and Mediterranean group (according to the data published in this paper), which easily explains the greater weight loss. Posting the calories contained in foods in the cafeteria may have improved the results and helped with compliance in all groups.

When energy intake is matched calorie for calorie, the advantage of a low carb diet shrinks or disappears. For most people, low carb is a hunger management or calorie control weight loss advantage, not metabolic magic (sorry, no magic folks!)

Fourth, choose the nutrition program that’s most appropriate for your personal preferences, your current health condition, your genetics (or phenotype) and most important of all… the one you can stick with. Then tend your own garden instead of wasting time criticizing how the other guy is eating. Your results will speak for themselves in the end. Take your shirt off and show us.

If I were forced to choose only one approach (and thank god I’m not), I would recommend avoiding the extremes of very low carb or very low fat or very high fat or very high carbs. Balance makes the most sense to me, and the research suggests that this helps produce the highest compliance rate. That’s not rocket science either, it’s common sense. If you have a serious fat loss goal, as when I compete in bodybuilding, then a further reduction in carbs and increase in protein makes perfect sense to me as a peaking diet. If an extremely low or extremely high carb diet worked for you, great. But generalizing your experience to the entire rest of the world makes no sense. Arguing from extremes is the weakest form of argument. The reason I have THREE nutrition plans (three phases) in my own fat loss program is because programs with flexibility and room for individualization beat the others hands down in the long term. In fact, I wrote an entire chapter in my e-book about unique body types, how to determine yours and how to individualize your nutrition – it’s THAT important. If you have more choices, you have more power. The people who are shackled by dogma and narrow thinking are stuck. They also risk missing what’s really important. Things like: Personalization
Adherence
Long-term Maintenance
Accountability
Social Support

and…

CALORIES!

Train hard and expect success,

Tom Venuto CSCS, NSCA-CPT
Fat Loss Coach
www.OfficialBurnTheFat.com
PS. If you want to learn more about a balanced, flexible and proven approach, which teaches nutritional individuality and which can produce similar weight loss in one month, month after month, that the subjects of this study produced in TWO YEARS, (if you ADHERE to it!), then visit my fat loss website.

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