text:
Ketosis and Athletic Performance: More Than Fat Loss 153 Comments
The above video is a presentation by Peter Attia, M.D.
His talk is somewhat technical, but I always write blog posts hoping 20,000 people will *love* them, not that 1,000,000 will *like* them.
In this presentation, you will learn (in my words, not Pete's):
- More about nutrition than most MDs learn in med school.
- How ketosis-adapted performance can aid fat loss and high-altitude resilience.
- Why the calorie estimates on treadmills and stationary bikes are complete BS.
- The three primary systems of energy production and basic organic chemistry, both of which aid understanding of all athletics.
Even if you struggle a little with vocabulary, the first 30 minutes are well worth watching a few times.
This talk made me immediately want to jump back on the Cyclical (or "Cyclic") Ketogenic Diet (CKD), which was conceptually introduced to me in 1996-1998 by the writing of Lyle McDonald, Dr. Mauro Di Pasquale, and the late Dan Duchaine. It's incredible for simultaneous fat loss and lean muscle gain, though perhaps needlessly complicated for non-athletes.
I usually limited the carb-reloading period to 12-18 hours after a glycogen depletion workout on Saturdays, though I experimented with moderate Wed night carb-ups while training for sports like kickboxing.
If you've experimented with ketosis, what was your approach and experience? Pros and cons?
For additional reading, I suggest the following posts by Dr. Attia:
Odds and Ends:
This week, I'm using my birthday to change the world with @charitywater. Please click here to take a look. You could do the same.
Posted on July 30th, 2013
Related & Recommended Posts
Leave a Comment or Question
153 Comments
I did Kiefer's Carb Nite protocol for six months last year. I'm 50 lbs overweight, and have been Crossfitting for almost three years. Down 50 lbs from pre-Crossfit days and figured I'd try Carb Nite after seeing Mark Bell's results from 2012. The problem with ketogenesis and Crossfit is maintaining energy levels that support metcon performance. Some days in the gym were fine, but others were horrible in terms of strength and energy. If I do Carb Nite again I'll take six months off from metcons and take on more of a strength-only focus. I lost 20 lbs on Carb Nite but once I returned to eating carbs regularly 10 lbs came right back. No big deal though…so did my performance in the gym. Might try carb nite with two refeeds during the week (exclusively rice & sweet potatoes) to maintain glycogen levels.
I find 2 carb nites a week work the best. Especially when doing crossfit style workouts. Usually my carb nites are rice dishes. I love rice.
I'm currently also following CarbNite, currently at 9% BF at 210lb, 6′. It's a solid program, and hits the reward/sacrifice schedule with the yummy carb re-feeds. I keep the ULC days paleo, and the carb re-feeds GF. Lift 5 days a week (shockwave) 2 days of HIIT post re-feed, working great! feel awesome
Kiefer is well known for abusing "citations" – easy example: http://gokaleo.com/2013/06/11/women-and-running/
To put my comment in context, I only know Kiefer through his direct work with the Supertraining Gym team and athletes like Mark Bell. He and I have spoken in person a few times, and his results with powerlifters have been impressive. I am not very familiar with his writing.
Perhaps, but he has been exposed multiple times for citation abusing – nicotine, creatine, the running article I mentioned, etc etc.
It's systematic and a gross appeal to "look at all my citations."
Kiefer has a background in physics not physiology. This much is obvious from the free chapters of CarbNite available on his site.
At PaleoFX he actually claimed that women metabolize carbs differently than men and shouldn't even have them after a workout. Oh and don't run bitches cuz it will give you a flat ass. Hardcore Dangerous Kiefer
Tim Sol has an excellent guide at all things supplements, check it out at www. examine DOT COM.
He knows his stuff. -
Yeah Sol is correct. I wouldn't follow Kiefer if you want to understand true physiology and not hype/citation abuse/misuse.
I've messed with extremely low carb all week, refeed post workout saturday, 11am until 8pm-ish. Ive also tried adding a carb night on wed (100g of carbs for dinner). Havent had great success with either. My goal is to always be under 7-8% BF.
I do a lot of olympic lifting and hypertrophy after, 5 days a week. All of my carbs come from, white rice, sweet potatoes, a little fruit (berries).
So my question is, what am I doing wrong?Thanks Tim
You have tried for 1 week, and you ask what you are doing wrong? Give it a go for a longer period a month or two. White rice, You don't know about insulin, or Tim's and most people in general trying to drop weight. Don't eat anything (carbs) that are white. I don't know you, but you say you do Olympic lifting followed by Hypertrophy ( training I assume ). After Olympic lifting then training to build muscle after (same day?). That is Ridiculous. There is not enough time (are you in a ketogenic state/ 1 week), and the amount of information you give, nobody could tell you what you're doing wrong…. Just to kindly point that out.
I tend to aim for a protein filled dinner and intermittent fast until 2pm next day, which is sufficient to reach a state of ketosis (as checked by ketostix). Coupled with a work out c. 12 hours post last meal, it really kicks off ketones in the body! Have been using this technique for fat loss post a heavy weekend of eating/ drinking, but clearly not daily. 1-2 days of that shows strong results on fat stores for me.
I am in ketosis now!!! I go between a 4hr body and a strict Keto diet depending on my mood and how bored I get with the keto. The one thing that makes it easy to keep going is using ketostix to see if I am in ketosis, that and losing weight of course. I am less likely to break my diet or even come close to cheating if I am in a dark maroon zone of the stix and when I am not I tend to diet harder to get there. I have lost 27lbs in three months and that is with 8 days of hardcore cheating in Hawaii where i put back on 7lbs that I had lost. They came off pretty fast when I got back into the swing of things of course. I am shooting for another 20-30lbs. Thank you for your book, you put me on the right path.
I've done Keto for the last four months. I love it. Went from 198 lbs to 178 lbs and feel like I've added a little muscle doing a lot of compound movement weight lifting.
I've followed a simple Keto diet most of the time, keeping carbs to 5%, protein 20%, and fats around 70%. Tried a cyclical keto for a few weekends but wasn't disciplined enough not to have fats with carbs.
I started reading Peter Attia's website, eatingacademy.com, a month ago. The guy is like Keto Superman. So much great information from a very reputable source, not only with medical knowledge, but athletic application data.
Definitely recommend following a Keto diet if looking to drop fat.
After watching Dr. Attia's TED Med talk and checking out his website, I tweaked my Paleo diet to incorporate some dairy. It hasn't hurt my fat loss and has given me more options. I enjoy ketosis; I have a clearer head, more energy, less food cravings, and I am losing a couple of pounds a week without any real training.
Hi Tim,
I first experimented with ketosis after reading 4HB nearly one year ago. I lost about 8,5 kg in 8 weeks but I probably gained 2 kg of muscle in that time too. I still live on the slow carb diet since then with influences of John Romaniello´s advices of intermittent fasting and Dave Asprey´s Bulletproof Coffee which is my breakfast. I am feeling very well and I am on track to reach my phsyical goals. I recommended the slow carb diet to a colleague of mine who lost 10 kg of fat in 5 weeks – she loves me now – thanks to you! The only con of being ketonic – bad breath. But if you know it you can work against it.
Thx and all the best!
What works very very well against bad breath is spirulina. Most of the standard supplements are rather expensive for the doses you'll need but I've found one organic webshop in the Netherlands that sells a years supply for the price of one-two month with Now Foods and similar brands. It really works magic plus has several other positive side effects.
Hi Floris,
thx for the tip. It is a 4 hours drive from where I live to the netherlands so it shouldn´t be a problem to organise some of it. What is the name or URL of the webshop?
That's the one where I've ordered. I went for 2 1 KG boxes
I prefer to be in ketosis most of the time. I prefer it because I have more consistent energy and don't feel as hungry as often. Also, as long as I'm eating grass fed meat, pastured eggs, organic bacon, ect. I find that I can eat like a fatty and stay at around 12% bodyfat, andI don't just have a "fast metabolism", i use to weight 300lbs. Only con for me is that I have to piss every hour while in ketosis.
Awesome! I am on lean gains diet now, but I really really want to try CKD. Thank you, Tim Ferris!
You can do both! That's what I do. Just do the CKD in an 8 hour window.
Thank you sir, so you eliminated weekly workout-carb days for fat\protein ones?
I have found using blood ketone monitors are a much more accurate way of measuring ketones than urine sticks, very easy to do too!
An interesting read is 'The Art & Science of Low Carb' Performance'
http://www.artandscienceoflowcarb.com/the-art-and-science-of-low-carbohydrate-performance/Dave Asprey also has really interesting views on exercise & ketosis in this video interview here http://www.180nutrition.com.au/2013/07/23/dave-asprey-the-bulletproof-executive/
Awesome topic!!! And thanks for sharing Tim… Guy
The Dave Asprey link is a great resource filled with lots of useful bits of information. Just listened to the whole interview while on my morning run and was inspired.
Thanks for this
I've tried no-cabohydrate before and just felt really horrible, I.e. massive headaches, complete exhaustion, hunger, depression, haziness. I'm considering increasing portion sizes and waiting it out, to see if it improves but generally I'm actually kinda confused about diet these days. Everyone has their own idea about what's right and the data is often misleading.
Right now I'm on the slow carb diet but adding in some sweet potato, I've been losing weight, but put on a bit too much weight on cheat day that doesn't go away fast enough. I have made progress, on my 2nd month, gonna go for another 30 days, maybe cut out the sweet potato, maybe include come no-carb meals but generally been finding the whole dieting thing confusing and frustrating. I find I get extremely hungry and kind exhausted and sick at night also.
I'm sure people here will be pro SCD generally but any advice on how to clear up the fog and confusion on diet (could just be my own brain-fog) would be greatly appreciated, thanks.
Alex, I have tried and failed at low carb diets several times and I think I've figured out how to make them manageable. I first tried slow carb and paleo with dismal results. It wasn't that they were too strict. On the contrary: They weren't strict enough. Also I just found out I am hypothyroid, so beans are some of the worst foods I can eat. Had no idea…
Apart from not feeling well if you are experiencing fat loss, I'd continue to tweak the diet. Tim lists the common mistakes people make in the 4HB. I was frustrated when it wasn't working for me, but as it turns out it was the beans. The number 1 mistake with low carb diets is not eating enough. Another is exercising too much. Not drinking enough water. Eat very generous portions. Someone I just had dinner with looked at me like I was committing slow suicide when I had 2 bun-less Double Doubles (no cheese) from In-N-Out burger for dinner tonight. Sure enough the ketostix say I have a "moderate" amount of ketones in my system, which is great compared to none, which is what I had a few days ago. In particular, eat more fat. It will help with energy and satiety. It has for me. Good luck.
Best keto meal is a 4×4 from in n out, protein style and mustard-fried. 56g fat 60g protein and only 3g carbs.
Mostly utter nonsense;
1. N=1 experiments mean NOTHING.
2. NUSi has more inherent bias than any medical journal ever could.
3. There is no difference in fat loss between low carb keto and low carb non-keto diets.
4. Lyle would go bugsh*t if he found his name alongside Kiefers. And would probably lose his sh*t if he knew how much his work has been bastardized here.
5. 5 words: Metabolic ward studies – see them.-
I'm not claiming Lyle's work is reflected in anything in this post. I'm trying to give credit where credit is due for piquing my interested in ketogenic diets, generally speaking.
You need to go to Attia's blog and read it. I paid the $50.00 for Lyles book and it's amazing but Attia takes it to a new level – and so he should it's ten years plus after Lyle's publication.
Who cares if "Lyle would lose his shit" or not. Let him do that and spread his childish, arrogant antics on even more message boards, so more people can be exposed to his questionable character.
In fact, why don't you direct him to this blog post, I'm sure it would rile him up good.
Thanks for posting the video Tim, I'll brew a pot of Maté and watch it before bed
Ive been on a 60 day test of MCT oil supplementation. I stopped all coconut oil intake. Resumed animal fat [butter intake]. I de-loaded my training for the period, did only 5 metcons, no lifting, but than maintained my normal regimen of surfing. I 90% paleo , and tried not create a fair base line, and try to get my body into ketosis. Very low carb intake which I actually bummed up especially prior of Intermittent Fasting. Been feeling over trained so Ive been using carbs to promote a food coma and get to sleep. Its helped. Were talking a small portion of white rice or corn flakes. I followed Nate Miyakis recommended approach here
5 days on 2 off. 5000mgs a day was the regimen
I gone from 223lbs to 212. Per skin fold test Im 8.06 [21 pinch, 7 site test] and from the same person I was 10.24
Only thing I bumped up was hydration after review I not hydrating enough.
Side effects, have been a curious heart flutter which at first was weird. After some looking into it it is a small but obvious side effect.
I anticipate blood work soon to assess lipid panel and triglyceride levels. I get most of my panel see if there are any weird correlates from the MCT's.
Palpitations are fairly common when first entering a ketogenic state. This goes away for most people fairly quickly. I had this problem initially as well.
This is awesome Tim! Are you still on the SCD or do you switch around? I'm a big fan of SCD + KB training…really good way to look good with minimal time investment. What kind of workouts and diet are you currently doing?
Totally 100% SCD, though I often omit the beans or lentils, as I am consuming a high % of calories from fat. For training, I'm doing mostly KB swings, 2-5 rep compound movements (a la "Effortless Superhuman" chapter in 4HB), and sport (e.g. rock climbing).
SCD + swings is a great minimal effective dose, for sure. Few things beat it for minutes invested.
Keep it up!
Where your strength levels at these days Mr Ferris?
Awesome! Thank you for the clarification Tim!
No more BJJ training? I am disappoint.
Sorry Tim but in the absence of beans and lentils, there is no SCD.
I've experimented with one before and concluded it a losing proposition when competing in athletics (demanding anyways), mainly because you will require CHOs if using a mix of power and endurance modalities. If a sport required less dynamics, a more steady-state, then I can see how a ketogenic approach may be undertaken. To me, it would depend on the quality and quantity of all-out efforts required by your undertaking. On a side note, one thing that gets lost in the macronutrient wars is food reward theory. Instead of thinking about diets from a typical macro-perspective, it is important begin to understand the organ that probably mediates all diets effects, the brain. I experimented with keto-dieting when "revisiting" competitive tennis (an ex-college player) and I feel it limited my efforts in significant ways.
Ketosis has worked very well for fat loss, better than slow carb but harder to sustain. My body seems to sustain on slow carb not lose, but ketosis definitely gets the needle to move.
Thanks for posting this resource, and for all the excellent discussion that's bound to follow.
With true ketosis, you can't really even eat protein, because your body will fight ketosis *so* hard that it will take all available protein and convert it desperately into carbs.
If you really want to box your body into a metabolic corner, then sure, go for ketosis, but you're really limited to eating just fat. Otherwise, you'll pop right out of ketosis.
A high protein diet without carbs is essentially still a high carbohydrate diet, it's just going to put a ton of stress on your liver in the process.
And, think about this: If you don't eat anything, what are you living on after your glycogen stores are depleted? You're living on *yourself* when you are starving, and you are made of protein, and fat.
So if you *eat* only protein and fat, aren't you just "simulating" starvation, on a metabolic level?
Ketosis is a fad unless you've got a real medical reason to use it, it's probably a good idea to not mess with your metabolic function to that level. You'll probably be kicking yourself in a few years when you start wondering why you can't eat carbs, or higher calories anymore without packing on fat.
Have you done keto?
You *can* eat protein on keto, as long as you stay within your personal needs. It is not a fad, and it works for some people (I'm not saying that it will work for anybody).
Also, some people might have better results by doing any other diet.
It works for me, and a lot other people. Look up /r/ketogains and /r/keto in reddit for lots of success stories.
Can you please link to the studies that show protein turning into carbs?
Here's a good primer on how glucose is generated from certain amino acids (among other things):
FWIW the science isn't settled on this either – AFAIK. The accepted dogma is that GNG drives blood sugar up with excess protein, but mostly it's extrapolation of noticing that blood sugar rises on a meal of protein. Especially in the arena of ketosis which is even less researched, GNG on anything but an infintessimal scale doesn't seem logical – if there's enough fat available (which produces glycerol and ketones as a by-product) then the reason for the body to use a very metabolically expensive process to rip apart structural proteins for it's glucose seems absent.
Very few people question it – even fewer studies and journals – it's just accepted that GNG is the fate of "excess" protein, but we're relying on a theory mostly: http://www.ketotic.org/2013/01/protein-gluconeogenesis-and-blood-sugar.html
This blog post includes a graphic of all the places different amino acids can feed into the Kreb's cycle, etc.
There is no evidence that gluconeogenesis is substrate driven, and it is certainly false that excess protein must be converted to glucose to be used for energy (or stored as fat).
Also some AA are ketogenic, notably the BCAA's. Dairy and beef would be good choices for protein sources then …
You obviously don't know what you're talking about. I consume 100-150 grams of protein and about 30 grams of carbs a day but still remain in ketosis with little to no exercise. I don't use ketostix. I test via blood using the Precision Xtra 2x a day.
There must be something off in your assumptions, because for the past few years I have typically eaten < 30 g of digestible carbohydrates (i.e. not including fiber) per day and my strength is not all that bad, nor have my muscles atrophied to the extreme, as your analysis implies they should have.
Today I learned…
"A good heroin habit will help you with weight loss."
Good to know!
Does the slow carb diet lead to ketosis? Is that the means by which the fat is burned?
The slow carb as described in 4HB does not lead to ketosis. Probably only 1 big serving of beans/lentils per day is enough carbs to keep you out.
To dip into ketosis, your diet pretty much must consist only of meat and veggies – maybe with some nuts or something. Eat plenty of fat. Always buy organic.
I'm a relatively competitive powerlifter and I've been training 4 times a week for the past 7 months pretty much always in ketosis and almost always semi-fasted. When I started in January I was 200lbs and I just competed in a powerlifting meet at 183lbs after a 2lbs water cut. I unfortunately didn't take measurements but I'm almost certain I've gained some muscle while losing fat on this diet.
The only problem that I have with ketosis is that I don't sleep as well. Using my fitbit track my sleep efficiency is always below 50%. I'm wondering if anyone has any tips on improving sleep quality while on a ketogenic diet?
Some people fare well with Raw Honey in small amounts before bed. Also, some people have used Trehelose before bed as well. This is to give you body just enough glucose for the brain while sleeping. I don't have personal experience with this but I can share sources of information on this. Also, many have tried non-denatured grass-fed whey protein concentrate, collagen protein, and/or mct oil before bed as well as certain peptides.
Are you supplementing magnesium? Magnesium glycinate helps my sleep tremendously, as does cold thermogenesis. Also, sleeping in a completely pitch black room with limited EMFs nearby you, and possibly eliminating blue-light frequencies prior to bed (i.e. use blue light blockers, f.lux, and turn lights off unless using amber bulbs or candles).
Hope this helps!
5g of glutamine prior to bed helps me sleep while on a carb restricted diet.
Years ago I was annoyed by the constant "meat and fat will kill you bro" rhetoric so went in search of proof that would tell me either way that I couldn't eat steak every day.
Took a while, but eventually I stumbled upon an article by Stefansson from 1935 about life on an all-meat diet, and subsequent clinical tests on all this stuff. Changed my life.
The article could be written today – it's full of the same feelings of incredulity toward the established dogma of "eat a balanced diet" and all that BS, at least back then people weren't yet exposed to many of the frankenfoods we've got the population running fat and sick on nowadays.
From there I went head-long into research (he also wrote a couple books) and the more I read the more I realised that steak wasn't just something I *can* have now and then – it's something that *should* be a staple. I immediately cut sugar and processed starches, then over time slowly reducing my veggie intake to settle where I've been for the last couple years – 95% carnivore (I eat broccoli and pumpkin once every week or so) and ketogenic.
The original article available here: http://highsteaks.com/carnivores-creed/vilhjalmur-stefansson/adventures-in-diet/
I have followed a ketogenic diet before.
The good stuff: I was never hungry. Literally no cravings or slumps ever. Lost lots of fat. Got cut without effort.
The bad stuff: pretty bad breath. More expensive to get quality fats (organic saturated fats).
I did a leangains type IF with low to no carbs for about 6 months. It was terrible. I gained weight, was terribly depressed, etc. Once I embraced simple sugars, I lost weight and depression lifted. I think aiming for ketosis is absurd and will eventually damage metabolism.
What you're talking about is in no way Leangains.
I don't think Tim or anyone advocates for no to low carbs for that long. Most people recommend at least one re-feed per week, oftentimes more. Martin of leangains cycles b/t low carb and high carb days depending on training, did you do that?
I didn't have enough energy to train.
Leangains is not "low to no carbs"… It's more about intermittent fasting, carb and calorie cycling. On non training days it can be around 70 grams of carbs in a caloric deficit, and 350 grams on training days in a caloric surplus (I'm using myself as an example, cutting).
I should have been more clear, when I said lean gains I was referring to the timing of the IF. Refeeds didn't solve my issues either.
Holy shit that was interesting. Thanks so much for sharing! Definitely one who loves this, will have to research more & try the state myself..
Man I feel bad for your folk's hearts… YOu are all going to get heart attacks…
Homocysteine levels will rise due to dysfunctional protein metabolism via inadequate protein intake (resulting in hypocysteinemia) and inadequate B12 absorption, which meat- especially red meat carries. The Clinton diet will lead to stroke if not careful. http://www.ncbi.nlm.nih.gov/pubmed/11176224 http://www.ncbi.nlm.nih.gov/pubmed/14762035 http://www.ncbi.nlm.nih.gov/pubmed/15153278 http://www.veganhealth.org/b12/hcy
Also, researching fats and their effect on health in a cutting edge facility, I can vow for isolated fats made into oils (unrefined, that is), that they are critical for hormonal signaling, insulin sensitivity, and epigenetic expression- although I entirely agree with removing the oils with high Arachidonic Acid content, such as corn oil, yet Dihomogamma linoleic acid interconverts to GLA to produce counteractive eicosanoids that prevent proinflammatory arachidonic acid. In addition, anti-arachidonic acid stems from EPA and DHA, and EPA and DHA bind to GPCR 120 to recruit glucose transporters to the surface of GPCR 120 expressing cells. These transporters take glucose out of the bloodstream into cells- preventing hyperglycaemia and hyperinsulinaemia which both cases are highly inflammatory and cause oxidation of lipoprotein particles, shrinking LDL lipoproteins into their "bad" state. These "bad" LDLs are then able to get caught in lesions and become unable to repair tissue and deliver fats and cholesterol- which is their designed purpose- and cause plaque formation, and start atherosclerosis. http://www.cell.com/abstract/S0092-8674%2810%2900888-3?switch=standard
Sorry to rain on your biased opinion, but knowing doctors (my boss/PI, my father, and I work with them), they often (some still do, this doesn't pertain to all) don't care for the science and would rather learn how to just treat the condition, and it seems these two men have that mindset and would rather just get money for their "input". The diet may be beneficial, however, to people who have highly dysfunctional LDL receptors, though.
"Homocysteine levels will rise due to dysfunctional protein metabolism via inadequate protein intake"
Inadequate protein intake is what exactly? The WHO recommends 6% of calories from protein is more than sufficient. Most fruits and vegetables contain more than that. There isn't even a medical term for protein deficiency. Malnourishment, yes, but not protein deficiency. Homocysteine levels are typically higher in high-protein type diets.
B12 deficiency is just as common in high animal protein diet eaters as it is plant based diets. If eating red meat is a good source of B12 for us, this wouldn't be the case. B12 is also present on the surface of unwashed, organic fruits and vegetables. All the pubmed links you posted support the reasoning behind a "Clinton-type diet"(a wholefoods, plant based diet) as healthier than a high fat/ high protein type diet.
Tim (and everyone else), I highly suggest looking into the work of Dr. Jack Kruse – very few (if anyone) has really looked into the implications for performance that ketosis can offer in the PROPER context. He has a blog and has done podcasts with Ben Greenfield – he also has an extensive cold thermogenesis protocol. To be brief, ketosis+cold thermogenesis (Dr. Kruse style, not Ray Cronise style)+an 'epi-paleo' diet would be the way to go. The deep cold thermogenesis would drive up thyroid production and knock down rT3 and increase fatty acid utilization, RER, and VO2 max; the seafood heavy diet provides iodine, selenium, and the fatty acids needed – also in a 'cold adpated' state, according to Kruse' work of course, the body uses PUFAs better in cells to maintain fluidity. Barry Ross, who Tim has spoken of in his books, frequents Dr. Kruse forums and speaks about the implications for sports performance.
Other notable people/protocols to look into are that of Dave Asprey and Ben Greenfield. Here is Ben Greenfield's current ongoing ketogenic experiment: http://www.bengreenfieldfitness.com/2013/05/low-carb-triathlon-training/ He recently set a PR in Japan.
The more I learn about epigenetics and nutrigenomics, the less I believe ketosis is ideal for EVERYONE, because certain alleles may actually create an environment for your body to be consuming less fat (ApoE4 allele I believe). Dr. Kruse speaks about this and his 'epi-paleo' diet is largely based around seasonality, personal genetics, goals, and labs, and georaphic location… i.e. someone in winter who doesn't have some sort of pathology would be eating a strict keto-diet and doing deep CT (exposing yourself to the weather, ice baths, cold workouts) and in summer would be eating a lot more calories AND carbs through foods that are only grown locally (you wouldn't be eating banana's if only wild berries are the carbs in your area).
I have been using some of these techniques myself with resistance training and martial arts (BJJ) and seeing improvements. If the circumstances weren't as they are in my life right now, I would quantify everything much more intensely. I plan to blog about my "experiment" in the future, after I learn how to organize it a bit better and after I screw around with his tDCS device I found for $39;)
Thanks for the great material Tim! I plan on using your language learning tips + tDCS (and bulletproof coffee after I get some money, lol) to speed learn Polish! Your blog/books are amazing, write another one, lol!
Thanks for the thoughtful comment, Jacob! Kruse's work is interesting, to be sure. On the tDCS front, I'd be careful there. I'm actually funding and participating in tDCS studies at a top university in SF. Done improperly, it can hurt performance, and no one knows the long-term implications. Not trying to stop you, but I'd encourage a lot of research and perhaps waiting 6-12 months for more data. I know it's coming, as I'm quite involved.
All the best,
Jack Kruse is the biggest bullshitter you have ever come across. I think he suffers from some mental issues as the tripe he comes out with has to signify some deeper problem.
Jack Freaking Kruse???
look deeper into him before you dive into that icy bath-
Exactly! Can you say "balls in bear trap"?
I have. Great stuff. His CT protocol rocks, and his emphasis on getting our circadian clocks working right to engage the PPP deep fat burning pathway is a huge missing puzzle piece in most people's perception of fuel and performance.
I'm still working on getting my clock reset (sleep quality and hormone labs are the key indicators), so I can access that pathway efficiently, but I'll get there. The changes in perceived fule needs, so far, are stunning. But still a long way to go.
Thanks for the info about Jack Kruse,[this is why i love the 4hww comments section! awesome people in here] looked up his website and 3 hours later was very impressed. Especially CT-6 which even Doug Mcguff praised [see the comments section]
I know thats a little bit Argument from Authority but if you know someone who knows more than you in a particular area of study, may indeed have a better method of evaluation for data collected, and conclusions drawn
I've been doing the ketogenic diet since about late 2001.
I was introduced to it by searching the web and found out about Dan Duchaine, Maurio Di Pascuale and eventually Lyle McDonald.
I've been doing CKD all this time and about a year ago I switched to TKD with great success. I body build for hobby, and only with these approaches have I been able to stay between 10-8% body fat all year long, while increasing my muscles.
We have a small space on reddit devoted to this, (/r/ketogains) where our main goal is to help other people excel in the sport of their choosing, while using a ketogenic protocol.
So far, we've had lot of success stories and we look forward for even more
I've been experimenting with doing a bit of carb cycling lately, eating brown rice on the days where I do heavy lifting and then staying totally paleo the days that I don't. It's worked extremely well so far, we'll see how it goes from here.
Great video. Thanks for sharing it Tim.
Most recently, I've been doing a keto-focused, intermittent fasting regime with a CKD perspective. For energy and concentration, and recovery, it has been phenomenal, but not so good for fat loss.
Peter Attia also did a more accessible talk about insulin resistance at a Ted conference: http://www.youtube.com/watch?v=UMhLBPPtlrY
I absolutely love what he's doing with NuSI.org, and hope that the message propagates out through every channel possible.
Just read today that the average Canadian doctor is grossing $370k/yr – I struggle to understand what service they're providing for their millions of overweight patients. Kudos to Peter and his mission!
Cheers, Luke
To be fair I really doubt fat people go to the doctor to lose weight, they go for other maladies.
As a doctor (GP) mate of mine who does a ketogenic told me – "Doctors are experts in illness, not health.", and said that out of his near decade of study he was never taught more than 20 hours of nutrition, and most of it was just "eat less, move more".
That's a great way to put it. Excellent expression… and not necessarily a knock on doctors. One can't be expert in everything.
Tim, you should check out my Great Ketogenic Ironman Experiment…google it. You'd get a kick out of the biohack.
definetly in the 20,000. Attia is amazing…also, thanks for your Feynman doc loved it.
I believe that some of the smarted people on the planet on this topic are Truly Natural Competitive Bodybuilders and Physique Artist. I being one have studied how far I can go into Ketosis and then implement a "Starchy Carb Reload" to keep and even build muscle mass going into a show and get down to 2.5% – 4% body fat. Every Natural bodybuilder eventually realizes that Starch Carbs is the Anabolic factor that allows us to get "Intense Work outs" in while still getting lean at the same time… Call it experimentation or Bro Science.. Carb Cycling strategy is def the key for athletic performance.. Great Post Tim..
I find 2 carb ups during the week works best, one small one Wednesday night, one large one throughout Saturday. This is with a training schedule Mon, Tue, Thu, Fri. I'll do an upper body workout one day followed by lower body workout the next, preferring compound movements like squats and chin ups, and glycogen deplete in these workouts as much as possible, stacking weights for pyramid style training. The break comes in on Wednesday, where I don't workout, but I have a small carb up in the evening to better perform in Thursday's and Friday's workouts. My metabolism/genetics are quite carb sensitive, so my carb ups involve low GI beans or sweet potato- if I hit pasta or rice I can't shed fat (I might even put fat on!). I also fast 16/8 as per Martin Berkhan, although I don't think it's necessary to also fast in order to lose fat on the CKD. A few times I have done a fat fast, Atkins style, which I have found very effective, but a challenge psychologically the first few times! Pesto is a good food for that.
Keto is not optimal for high-intensity training performance. Nor is it optimal for the best possible experiences in Italian restaurants.
Alan knows how to build a body, you may want to check out his AARR. http://alanaragon.com/aarr.html
Good Stuff.
I have tried a ketogenic diet and intermittent fasting and never had a good experience with either. I know it some situations and I think with the right genetics it may be worth.It always made me feel terrible. I do have a number of mutations which affect me methylation and detoxifaction which cause a plethora of health problems.
That being said I do tend to have a lower carbohydrate diet but I think different people need different amounts of carbohydrates based on health status (blood sugar problems, thyroid problems, genetic issues such as myself), levels of activity/exercise and how it makes them feel on a day to day basis. Some do better with lower carbohydrates and some with more. Generally though if you have blood sugar issues (many people do) its best to go lower carbohydrates to stabilize blood sugar.
I have been a strict adherent to the slow carb diet since Tim's original "How To Lose 20 Pounds In 30 Days" post. The SCD helped me go from 245 pounds to 160 pounds within the first year. Unfortunately after that initial weight loss, I plateaued at around 160-165 pounds and was never able to lose any more body fat. I am only 5'6 and at 160 pounds I have a considerable amount of belly fat that manifests itself as a spare tire and love handles.
I have tried everything to lose this excess fat. I tried the diet plan in "The Last Mile" presented in The Four Hour Body for over 2 months and saw no changes in body composition (weight or inches using the body measurement techniques outlined in 4HB). I tried cardio for 6 months, building up to distance running of 55 minutes every other day which culminated in an Achilles injury. This created no body composition changes either.
I started weight lifting using Tim's workout plan from 4HB 9 weeks ago and have made significant strength increases. Unfortunately the scale has stayed in the 163-165 pound range throughout. The tape measurerer shows minor gains around my biceps and thighs, but my navel measurement has remained consistent throughout and my before pictures show a striking resemblance to my current pictures… It should also be noted that I began intermittent fasting with 8 hour feeding windows – still adhering to the SCD – at the same time I started weight training.
I guess my question is, would ketosis be a good option for me to break through this 2 year + fat loss plateau and help me get from the mid 20s body fat % to the low teens?
Hi Jonathan
I've used the Effortless Superman and also a version of Hypertrophy recently while hardly changing my diet to get bigger. Slow reps under tension helped build me up (10 lbs in around 6 weeks – aided by a month of 1 teaspoon of creatine in the morning). I don't eat beans (just brown rice) and carb cycle (just a bit) but follow the SCD ideas fairly well. I have noticed more definition even though I'm heavier due to a small amount of muscle growth. So looking at what you say the answer may be to change your workouts to lose fat rather than diet.
Strength training doesn't necessarily build size, you may need to spend more time under tension (hypertrophy) and maybe even do a few weeks of "pump" (the typical 3 sets of 8 to 12 at 50 to 60% of 1 RM). Now I know that this may not be strictly in keeping with 4HB but remember that you seem to have been training for a while and plateauing…so what worked before doesn't necessarily work now.
On the plus side if you build bigger muscles it should translate to more fat loss for the same diet. That is what I read about and it seems to work for me. But that's something you need to test – like I said try changing your workouts to do more higher volume resistance training (not cardio) but don't change your diet.
Oh and for reference I went from 12 st to 12 st 10lbs (I'm still around 13 to 14% bodyfat). I actually look a bit more defined now than I did. Go figure!
I agree entirely with what Mickey Said. You have to adapt to what works best for you. Another thing I would like to add to this is that you may consider Cold Therapy (CT) experimentation. Like mentioned in some of the comments above. I don't know what your supplement regiment is but you should look into that for potential answers to your plateau issue. You might be deficient in something you are completely unaware of.
Jonathan Reichel
Hi Jonathan,
You might want to give a try on Ketogentic diet. I was in similar situation you are and tried keto diet (Cyclic Ketogentic Diet, CKD) more than 12 yrs ago.
I was 220 lb(@5-9 1/2) 12 yrs ago and started sort of moderate low carb + high protein diet (somewhat close to sears' Zone diet at that time). With this diet and exercise, I was able to go down to around 185lb within 6-7 month time frame. During this time period my bf went from 30% to 19%. But, I hit the plateaued at that point. Actually, weigh loss itself wasn't totally plateaued (slowed but not stopped). I wasn't loosing much fat. My body composition was not changing anymore for more than 4 weeks.I switched to CKD at that point after reading the Lyle's book. I stayed on that diet for another 5-6 month and was able to drop my bf to 14%. So it worked for me to break plateau. Since SCD is somewhat close to what my diet (difference was inclusion of low GI complex carb & moderate fruit) was before I switched to CKD, changing to keto diet might help you to break plateau.
I spent 3 months last year in ketosis strictly following Jeff Voleks idea of a 'well formulated low carbohydrate diet' from his most recent books on the topic. Besides being ridiculed by my fellow Dietetic colleagues, I found I leaned out from around 17-18% down to 13-14% (confirmed by bodpod) despite over eating and not really trying. Didn't lose any LBM either which was interesting.
In terms of gym performance, I found that I maintained all of my strength but my ability to perform repetitive movements was severely limited. Reps went from 8-12 to 4-6 of course due to being severely glycogen depleted.
Whilst I'm of the opinion a ketogenic diet has a therapeutic place in the world depending on the clinical context (especially in the case of epilepsy, insulin resistance etc), it is for most people not necessary if all that someone wants to do is lose fat. That can be achieved every simply by: eating plenty of protein/fat + timing carbohydrates around some form of training. Of course insulin resistant people will of course benefit from being on the lower end of the carbohydrate scale.
Mike- This post made me so happy. Carbs are not bad. I love Tim's work and think it has its place for sure. I had lots of success with it. Ketosis for me is more therapy than a performance boost. Volek and Phinney's work is laughed at in the endurance community fyi.
I am familiar with the ketogenic (or Modified-Atkins) diet solely because my son had epilepsy and we had discovered this as a treatment when searching for any non-pharmaceutical alternatives. For the year we've been doing it, it has been 100% effective in eliminating the seizures. I couldn't begin to explain the science of it, all I know is that it has worked for him.
I am curious now to research and possibly try this for myself for the fat loss and muscle-gain aspects of it.
absolutely love this. link to more technical stuff
Totally non-scientific but remarkably powerful observation about the long term effects of ketogenic diets.
I spent an afternoon about a year ago following the muse around YouTube watching the ketogenesis people speak their piece. I've done every diet known to man since losing 100 pounds on The Zone in 2002. My degree of obsessiveness does not match yours, Tim, but is sufficient enough to make everyone around me think I'm at least a little off.
After about three hours of listening and observing the experts as they explained the benefits of their program my spidey sense began to fire. It took another half hour and a sudden dive back through every video that I had seen for a few moments each to realize this: the longer the presenter had been doing a ketogenic program the older they looked. To a man (or woman) they all looked OLDER than their age, not younger. Prematurely gray hair. Age lines. The whole package.
I decided that was an important clue and that it trumped all the science ever written about the efficacy of the diet as no one has done a fifty year study of ketogenic diets while looking for aging markers.
Here are my bona-fides. Last pair of images was a round of the SCD last year.
What's with the appearing and disappearing chest hair? This is puzzling.
Congratulations on your fat loss.
Tim, thanks for beating this drum! I carb up every 5th night. It has been hugely effective for me… has allowed me to eat as much as I can while still getting down to ~7% bf. Mean while my strength continues to climb (400+ squat, 500+ DL, 385 bench).
If anyone needs help with coaching or would like more info on how to put this type of program together feel free to contact me.
Here's something I'll never get. Why are people so impressed by MDs who brag about learning nothing useful in medical school and then lecture folks on all the nutritional science they didn't learn?
On his website, Attia discusses his reduced performance in ketosis. He then began using superstarch (e.g. carbs is carbs) sometime late 2011 to improve his performance. So much for ketosis being some exalted advantaged metabolic state. I can't help but point out that he has now extended his n=1 weight back to 2003 and included a low in 2012 to get his 40 lbs. In reality, doing the ketosis thing April to August 2011, he lost about 7 lbs — 4 fat, 3 lean.
Misleading title for that video then …
I'm a big fan of the Apex Predator Diet. It's an unholy combination of CKD with higher protein and intermittent fasting. It was written up by Jamie Lewis on his NSFW blog here:
I've experimented with CKDs and the SCD and everything in between since Dipasquale was working with the Vince McMahon bodybuilding federation and the "High-Fat Diet" was being pushed by Leo Costa Jr. In the Serious Growth program (workouts not recommended:D ) and Lyle mcDonalds books.
Anywho, after many "carb-in" years between I returned to low-carb dieting last after reading 4HB and rekindling my interest in losing fat and getting into better shape.
By far the greatest adjunct to low-carb dieting I've found is Dave Aspreys Bulletproof Coffee.
The current plan I've been following with superb results has been …
Diet – 30 grams of protein within 30 minutes of waking a la Mr. Ferriss followed up by Bulletproof coffee about an hour later right before I leave for work.
I usually have some sort of caffeine in the afternoon that prolongs the lack of hunger that starts to kick in around 230-3.
I eat dinner which consists of meat and low-carb veggies.
Occasionally I have a spoonful of natural peanut butter if I'm up late.
That's it six days a week. Seventh day (Sunday) is the cheat day. Noon to midnight usually. Anything goes.
Workouts – twice a week ~ 20 weight workouts, every third week I do three and every fourth week off.
Kettlebell swings one exercise each for shoulders, chest, bi's and tri's. all negative only save the swings – which in essence are negative- accentuated hence their effectiveness.
The talk by Peter Atria was fantastic! Thank you so much for posting. I usually lose interest in this kind of talk and don't make it through, but he's a great speaker, and I felt compelled to watch it all, and got a lot out of it. Really, good stuff. Cheers!
"Attia", bloody autocorrect.
Over the past 12 months I've lost over 75 pounds of fat, and gained 30 pounds of muscle, a 100+ pound turnaround, using a ketogenic diet, with a once a week carb load all you can eat junk fest. I'm so bloated by the end of my cheat day I can barely walk, and by the end of day 2 I'm back in ketosis ready to rock. My diet/workout plans are taken from a few different sources. Diet is taken from dave Palumbo. He recommends the fats come from eggs, peanut butter, nuts, and learn meat/fish, also the fat % isn't as high as Duchane or McDonald recommended. I get around 130 grams a day and I'm 195 pounds 10% bodyfat. I keep protein at 300 grams. I stole my work outs from Lyles Ultimate Diet 2.0, where he has you do a full body workout Monday and Tuesday to deplete glycogen and rapidly establish ketosis. People don't realize all the body holders of old ate ketogenic diets, including Arnold himself. Just YouTube Pumping Iron and look for the restaurant scene and pay attention to what they ate. It's all there, there's no better way to get and stay shredded while gaining and retaining muscle. Email me and I can give you my full story and workout diet regimine.
I'm interested in what your workout and diet is
Having used ketogenesis before in the cyclic form, I completely agree with the doctor's statements about the "feeling" you get when your brain is on ketones. Thinking of going back!
Wow! What an interesting and informative presentation! (Even though I didn't understand much of it).
I've done keto on and off for the past year or so. I haven't done the carb-loading portion of it because I'm not exactly athletic, but I do have designated cheat days. I have trouble coming back from those cheat days though sometimes (mentally) so I try not to have them at all unless I hit a plateau. Best "diet" there is if you ask me, you're never hungry without carbs, they truly are addictive.
Ketosis rarely works for people that are very fit. It works wonders for the obese that have to lose 50 or more lbs. We need carbs at some point to facilitate weight loss. Not to mention ketosis all the time just makes your muscles flabby and hurts strength gains. Once in a while I think it might be therapeutic to dip into ketosis but definitely not all the time.
Thank You very much. It is much appreciated!
I have dealt with a lot of keto diets in my day both personally and with my patients.
I have a broad spectrum of patients from extremely obese to bodybuilders. I have seen it help the most metabolically diseased folks and also help a handful of athletes.
I have also seen it destroy the metabolisms of healthy patients as well causing some of my obese patients to have major thyroid issues and women to lose their periods. Many of my athletes lose muscle and strength as well.
It is a powerful too but should be used as needed. Folks should be very careful and be in tune with their bodies.
Thanks for sharing that. I continue to be impressed at the variability of human function. Each body is different – with a limited continuum of possible choices. You are persuasive. Perhaps it's the white coat in the picture. LOL
hehe thanks I should have put the stethoscope on my shoulders to add effect
Wish you were my MD! ha ha great comments Spencer
I am fairly familiar with a ketogenic diet as I train and support physicians to implement a ketogenic protocol for weight loss, but primarily to address metabolic syndrome.
I've been living an extremely low carb ketogenic diet for the past 4 months that I have been combining with a daily intermittent fast of typically 18 hrs up to 21. I am loving living in ketosis. I have yet to experience a downside.
I'm a marathon runner and this video really piqued my curiosity. I've hit the wall (bonked) so many times and would love to somehow avoid it – or at the very least put it off till mile 25 Gonna incorporate this into my current training cycle.
Dr. Attia mentioned on his blog that ketones could also be increased via supplements (not raspberry). Which supplements help to increase ketones?
Medium chain triglycerides – they don't digest like normal fats, they basically slip straight through to the liver and quickly metabolise to ketones and stuff.
Coconut oil is full of them, or you can buy MCT oil which is a concentrate and without the coconut flavour – actually as far as I can tell it's completely odourless and tasteless.
I've been intermittent ketogenic for a couple years now and never really noticed MCT oil doing much for me even when shotting a few tablespoons of it, however coconut oil gives me digestive issues – oddly enough it's the other way around for most folk as far as I can tell.
I think everyone should be skeptical just from a quick defense protocol. My GF is constantly (every week) tossing new "diets" over to me to evaluate, so sad.
However, having said that, if you have read Timothy's books 4HR WW, 4HR Body, and 4HR Chef, and watched Diggnation, and watched Foundation, and watched the "Random" podcast, then you can gain a far bit more contrast to what Timothy is blogging about.
I am always skeptical of anyone's claims about anything remotely related to diet, exercises, or even health in general. I've personally lost more than 150 lbs, not even using Tim's methods. Does it mean my program was right, or even portable to everyone, of course not. Be skeptical and question everything, please.
This is a great post, and Tim, thanks for adding this video. (I watched the whole thing and it was valuable to me).
I have done experimentation with supplements and their behavior for years, and was more than accepting when I read 4HR Body and saw what Tim was doing. Simply incredible, and I was jealous to say the least.
This info in this video is not only relevant, it truly is ground breaking. If i had a 100K to spare I would be investing in Peter's foundation right now.
Timothy F, thank you for everything you have done so far and all that you continue to do.
Very interesting presentation! He left me with several questions:
-what was his fat breakdown? What is his percentage saturated/unsaturated/etc?
-As per my experience, ketosis leaves you HUNGRY. 4000 kcal/day sounds about right. How did he deal with the immense amount of kcal required?
-Ketosis also leaves you with an intense desire to binge cheat (bonk). How did he deal with that without blowing his diet?
Big fan of high fat diets, fat is brain fuel so therefore low fat diets are for dumbasses
Great article! -
Tim, what are your thoughts on Roddy's work?
He claims that faulty energy metabolism leads to the "higher functioning" of stress hormones and that ketogenic diets interfere with normal cellular respiration.
Roddy says "Besides carrots and salsa, I never eat vegetables, mainly because I'm lazy and I can't think of any reason why I would want to include them in my meal."
As a carnivore I agree with the that, but he outlines a typical day'ish of eating which includes 1-2L of milk, 1-2L of orange juice, some white sugar, 1-2 Mexicokes (whatever they are)? The rest sounds like actual food.
To think a ketogenic diet interferes with cellular respiration compared to up to a gallon of milk and OJ and sugar and soft drinks (?) is kinda bananas innit?
Disappointed I'm reading this late. I met you at Google and asked about intermittent fasting if you recall.
I'm curious how fasting affects body composition. From personal experience have been doing intermittent fasting with low-moderate exercise for well over a year with paleo. Recently, as soon as I switched to a full day fast after my cheat day I noticed my body changing composition, not weight, but I felt I developed less abdominal fat.
I'm curious on trying different fasting methods (many here http://bit.ly/16H4j9m in bbc documentary) and their effect on myself and others. Would be a great crowdsource project Tim if you gathered groups of folks and tried fasting methods with those folks and then based on feedback had them try another method. Questions I have developed for myself based on my recent fasting experiments:
-Does when I eat/fast matter more than what I eat?
-Is a method where I fast for full days more effective than intermittent fasting?
-How does all the above affect my biometrics?I have genes, per 23andme, that lend themselves to high triglycerides and carbohydrates and my number 1 disease I am subject to is coronary heart disease (56.7%).
Aren't you going to start suffering from ketoacidosis at some point?
Nevermind, I found the answer on his website
Hey Tim,
not talking right now about this topic but…
Are you in Recife – Brazil?!?!?I swear to God that I've seen a guy that looked so much like you last week in a steakhouse restaurant.
I'm a BJJ fighter here in my city, so if you are really here for a time and want to train in our gym you are very welcomed! =D
You have my email if that was really you! hahahaAnyway, your book changed my life! Thanks for sharing everything you do!
I have experiemented with low carb diets. It takes some getting used to especially when you train hard. I usually workout 4-5 times a week, including endurance training and find I need the carbs just to fuel my workouts. I guess if I was less active than I wouldn't struggle so much.
I now follow a modified 'carbohydrate cycling' diet which enables me to focus on vitrtually no-carbs on non-training days and medium carb intake on training days. It works well for my needs and is sufficent to encourage ketosis. I'm down to 8% BF and energy levels are fine. I guess you have to experiement a little to find the right nutrient intake for your body type, size and energy needs.
Admittedly, I do not suffer with excess body fat. I am an avid practitioner of mountain biking and hit the weights twice in an average week (slow movement, 9 lifts, whole body per work out). For the sake of full disclosure, I may have a genetic predisposition for low body fat and general health.
While I do not argue against the short-term solutions offered by the high-protein, paleo-esque diet – I do believe it is worth asking a simple question: how do I weigh my long term health against my desire for immediate satisfaction? As an athlete, I have enough anecdotal evidence to suggest that high-protein diets (Paleo, et al.) will produce phenomenal body alterations in the shortest amount of time. In our days roaming the sub-Saharan continent, access to high-protein foods would have been intermittent. These diets likely prey upon systemic frameworks targeted at taking advantage of these occurrences to generate growth and fuel the androgenic system. However, I do believe that there is continual evidence to suggest that diets aimed at utilizing these systems over long periods cause the body to deteriorate over the long term. Remember: evolution does not care about humans in their late 20′s or 30′s. Once you and your prospective mates produce 1.1 viable children, you are considered an evolutionary success.
As Mr. Ferriss is sure to point out, time is our most precious resource. I agree whole-heatedly with his sentiment. Therefore the question of health and diet must be re contextualized: how do I weigh my desire for immediate results against my goal of "useful longevity". I would suggest that unless you are a professional athlete, you consider our unnatural access to raw "superfoods" from around the world. By leaning toward a nutrient rich, raw food diet you may see a marked delay in immediate muscle building or fat loss – however I plan on using this plan to continue athletic performance into my 90′s and beyond.
2 questions regarding athletic performance & ketosis.
I follow SCD, Effortless Superhuman and play a crazy, crazy sport called underwater hockey ( http://www.youtube.com/watch?v=zWftTaLD9rw , the first 2 min should give an idea of the intensity and game play) and I suspect ketosis might solve one of my biggest problems.
A weighted puck is pushed along the bottom of the pool by people wearing fins, masks & snorkels. No scuba gear allowed. One of the keys to great play is an excellent breath hold. Being able to stay under 20 sec is good. 30 secs? Never mind 80-20, it's more a 98-2 kinda situation. The pay-off in a 10 sec breath hold at max intensity would be huge (and so would being able to do it again after 5 breaths). So I'm really keen to sort that out.
Would a state of ketosis help me get that extra 10 secs? From what I understood in the talk, it might but all Dr Attia's cases were for 60% intensity over longer periods of time or for high intensity with constant access to air (plyo stuff). In underwater hockey the effort to propel yourself (+ puck) at speed makes for high intensity without O2. Sometimes you stay under for 20 sec working as close to max, come up for 5 breaths (sometimes there's only time for 1) and down again. On perceived exertion scale: Often not able to talk (even if it hadn't been underwater I'd be too out of breath). If I manage to talk, it's hard to do so.
Typical game time (tournaments): 20 – 30 min
Game time (weekday practices): 60 – 90 minMy second question is am I understanding him correctly if I say that ketosis helps with post exercise recovery? Weekday practices are Mon, Wed & Thurs nights. On Thursdays my in-game performance is down (subjective observation: I feel tired, can't out-swim poeple as often and bottom time is shockingly bad) and on Friday mornings I struggle to get out of bed. Would ketosis improve the kind of recovery? I'm currently playing around with when I cheat but so far no noticeable improvements.
Awsome video tim, thank you for sharing. I honestly enjoy learning more about the impact of nutrition on my body. I recently started a routine to change the way I eat to fuel my body. I got your 4hB (& 4HC) and planning to change and tweak my diet, in addition i am also interesting to follow the concept behind Dave Asprey´s Bullet proof diet. Though I must admit I get overwhelmed sometimes with the information there is.
How can you guys stay in ketosis if you load with carbs at all? It's taken me almost 14 days to switch over to burning fat not carbs, during which time I felt so rough, I'm actually too scared to go near a carb. But, seriously, why do you need to reload if you're not using glycogen in the first place? I'm doing just fine, Crossfitting 4 times a week, in full ketosis, not a carb in site! And now I'm fully keto-adapted I feel tremendous. I'm doing this for performance, not for fat loss. Female, 49, 120lbs.
If I'm in Ketosis and carboload and then STOP CARBS, I usually find I'm back in ketosis within 24 hours, maybe 30 at most
Awesome video, THANK YOU TIM! Now I finally have a (reasonably) bite-size and credible bit of info to send friends and family who think my diet is insane.
I've been doing intermittent fasting that has me in ketosis for most of the day, with a 4-6 eating window. Like some others on here, I use Asprey's Bulletproof Coffee with butter and MCT oil as a breakfast that doesn't break the fast, but then eat SCD foods for two big meals in my eating window. I'm vegetarian, so that's basically beans, eggs, and veggies. Another commenter mentioned the price of coffee beans for BP coffee: Asprey's beans are supposedly free of mold toxins, and they DO make me perform better on Lumosity brain games than regular beans… but you could get the ketosis effects with regular coffee beans, grass-fed butter, and MCT oil for cheaper.
For anyone interested in getting most of the benefits of ketosis without an extremely restrictive diet, intermittent fasting with buttered coffee in the morning has been a great middle ground for me.
Like Peter Attia, I LOVE the way ketones make my brain work, I'm never hungry, and I have consistent energy throughout the day. I had more cravings during the day when I had 30g of protein within 30 minutes of waking following strict SCD. Plus, now I can do sprints, lift weights, or do KB swings while fasting, just running on glycogen and ketones.
This was fantastic! Great presentation and now I know about Peter's website to dig into deeper.
Awesome Stuff Peter – Thank Tim for this awesome post. I always learn something new to help my weight loss.
Hello Tim and support team.
My question is pretty straight forward, can I take PAGG during the CKD. I competed in Bodybuilding for years and I knew the late Dan Duchaine and have read his book. With the CKD. do you differ on the Carb loading phase. Lastly, what do you think of Garcinia Cambogia. I tend to use supplements that have stood the test of time, but I made an exception with Garcinia because of the claims that have been made. If the claims are true, would you recommend taking it during CKD?
I hope can do 10 dragon flag with 60 degree instead of 4 with 45 degree (now) after a month
Got some new insights, thanks a lot! I made the experience that "playing" with carbohydrates' share in my nutrition has an immediate effect on well being, performance and body fat. "All or nothing" doesn't apply. Whether it is shape, performance or health – there's nothing else to do but to try and error to find out the best long term carb – equilibrium to support the personal goals.
Dr Attia has named primal flora his probiotics of choice, for those with frequent stomach issues. says he knows and trusts the guy who makes it.
Ketogenic diet worked for me very well but I didn't strictly keep the 12-18 hours time after the glycogen depletion. Maybe it didn't work that well, but it's still a pretty fast weight loss plan. Especially when you train a lot
Hi. I love the fourhourbody-diet. I feel really well in every aspect besides having palpitations. I have read about this and it seems many who start this diets gets them. I never had those in my life before so it must relate to the diet, and it seems that many gets them. Of course this is a matter for a doctor. But since so many experience the same problems could you give your opinion on the matter? It worries me a lot. I would love to continue eating like this for a long time since I like it, but palpitations are kind of scary…. Best, Anna
Very interesting information. Thanks for letting us know.
I'm a bit of a latecomer to this post. I did ketosis for a couple months when I couldn't go to the gym after a surgery. Some observations:
* There's a definite adaption period. You feel better 1-2 weeks in.
* Once I was keto-adapted, it became my new "state". If I had a bunch of carbs, I re-entered ketosis much more easily (as measured by ketostix)
* Electrolyte balance was more difficult. I was occasionally lightheaded and had to pay conscious attention to salts. I probably should have eaten more avocado
* Energy was pretty constant. Hunger far less pressing than on a regular diet, could go long stretches without food (and I'm already used to intermittent fasting)
* I have IBS-like symptoms, which makes ketosis more difficult. Certain carbs, such as blueberries, seem to work miracles for my gut. On ketosis I had no idea how to fix things if digestion went awry.
* When I went back to the gym (barbells), I experienced a crash. I went back to my usual carbs post workout diet. If I were sticking with ketosis, I'd have to pay much more attention to how to manage carbs
* Intermitten fasting appears to have helped with keto-adaptation. I only took a few days to enter it the first time.Overall, a very useful diet for certain purposes. I was already lean, so no real weight loss need, but it would be very useful for anyone trying to lose fat. No hunger or cravings once you're on it.
Also an excellent option if for some reason you can't do heavy lifting for a period (injury, traveling). Likewise great if you have to keep an irregular schedule.
Keto was the best 3 weeks I ever had. I felt more energetic, alert, and stronger than before. I dropped 16 lbs while still gaining strength.
It's an incredibly difficult routine to follow. My favorite part was I could eat hot wings on a diet. How cool is that?
It may be a bit difficult in terms drastically limiting your carbohydrate intake and find those types of foods you can enjoy. However, I think the benefits are much more extensive compared to the restrictions.
It is difficult because it pushes into finding those types of foods which fit in with the ketogenic diet. And since most of the supermarkets are carbohydrate predominant, this is where it becomes challenging.
Nevertheless, I found that dark-chocolate with 85% cocoa has only 3-4grams of net carbohydrates per 100grams (3.5oz), which means feast!
Ketosis works for me on ALL levels. I wish I started sooner! It just feels diffrent and carbs make me " mental "
I like your presentation and the article as well. I will use the CKD and see how it will work for me.
Thanks for sharing… -
Wow, for me this is a great news. My Zumba leaderWith the right plan and the right discipline, you can get seriously shredded in just 28 days.
Palpitations are fairly common when first entering a photogenic state. This goes away for most people fairly quickly. I had this problem initially as well.
Hi- I love your blogs and your podcasts. The question I have is "how long will I feel absolutely awful while exercising, after going into ketosis?" I initially only dropped my carbohydrate intake to about 125 grams per day. I did that for 3 weeks, then after reading and learning more, I dropped it to under 50 grams per day. During the 3 weeks of "moderate" carbs, I noticed that I was starting to struggle with workouts over an hour. At about mile 7 or 8 of a 12 mile run, I would feel like it turned into a death march. I tried increasing my carb intake a little (in the form of more fruit) for the day prior to a long run or in a meal 3 hours before. I still bonked at the hour point. Now that I have dropped to under 50 grams, I am not sure I could even run a mile. Do you have any encouragement or words of advice? If this will pass in a couple of weeks, I can tolerate it. Otherwise I will probably like to go back to adding a few carbs immediately before and during exercise.
Not exactly sure of where you're at in your timeline, but based on what I have read, eating 125 g of carbs per day is 20% of your daily carb intake (I assumed 2500 calories per day, which is 700 calories more than the average American woman, since you are an athlete), which perhaps isn't low enough to fully keto-adapt. Also, 3 weeks might not be long enough to fully keto-adapt. So perhaps stick with your 50 g carbs/ day for another 3-4 weeks and then see how you feel.
Hey Kathy,
the treshold is not necessary 50g of carbs per day, it's individual. For some it's above, for many people below 50g. As a general guideline I'd say the more metabolicly broken and insulin resistant someone is, the higher the carb intolerance and the lower the carbs have to be, in order to adapt.
Personally, I kept them around 15g until it worked, just to be sure.
Fat should be high (80% of the total kcal), protein moderate.The time it takes to adapt is individual as well. Too high protein, cardio training and other physical or mental stress can prevent keto-adaption. HIT in the first days of adaption-process might speed up the adaption. To soften adaption symptoms salt might help.
Also while not yet keto-adapted and still in keto-flu MCT-oil or coconut oil (60% MCTs) do help most people, since MCTs can be used as fuel even though the body is not keto-adapted (yet).Good luck!
HIT is great for depleting glycogen quickly which forces your body to start burning fat. Be careful with keeping it going during ketosis though.
You need a little bit of carbs to support mucous production, which in addition to the obvious places also helps form the lining in your gut. If you do lots of HIT in ketosis over more than a couple days and don't re-feed with carbs, watch out for dry eyes and nose. If you keep going, dry gut > leaky gut > inflammation and new food allergies. I'm not sure I've given myself new allergies, but I did have dry eyes and nose with a sudden, unexplained weight gain and acne. Likely a bit of leaky gut and associated inflammation.
From what I've read and experienced fat metabolism can support athletic efforts up to 80% of max. Sugar/glycogen is pretty necessary for higher efforts.


text:
Jean-Luc DUGELAY
Jean-Luc DUGELAY
Eurecom - Multimedia Communications
04 93 00 81 41
04 93 00 82 00
- He is currently with the EURECOM, Multimedia Communications dept. as a Professor
- He teaches Image and Video Processing and Coding, and Imaging for Security Applications (Watermarking, Steganography, Biometrics, Video surveillance and Forensics)
Current research topics
- Image Processing and Coding
- 2D/3D Facial Image Analysis
- Biometrics and Video surveillance
- Image Forensics
Selected publications
About me
Additional info
- He was awarded the SEE 2010 Blondel Medal for his outstanding work in biometrics and digital watermarking.
- In July 2011, he was awarded a Best Presentation Award (with Antitza Dantcheva) for the article "Female facial aesthetics based on soft biometrics and photo-quality"
- He is co-author (with F. Perronin and Prof. K. Rose, UC Santa Barbara) of a paper that received the IEEE ICIP 2003 Best Student Paper Award « A probabilistic model of face mapping with local transformations and its application to person recognition »

subset: commoncrawl


text:
Reader Comments (Page 1 of 1)
Sunken Temple is part of one of the more foreboding quest chains in the game.
You start with a simple quest at level 40: http://www.wowhead.com/?quest=3520, and then get sent through Zul'Farrak, Jintha'alor, Sunken Temple, Zul'Mashar and Lower Blackrock Spire, before discovering that you were instrumental in supplying the Hakkari with the means to resurrect Hakkar into a corporeal body.
You then get sent to Yojamba Isle where, instead of berating you, the Zandalari Tribe aid you in your attempts to defeat Hakkar.


text:
Sign up login
The legendary "granny of Mexican cinema" began her movie career when she was a 22-year-old teacher in a nun's school for girls. One day, young Sara's attention was attracted to a small building in downtown Mexico City. Inside it was Azteca Films, one of the very fir
Daniel Ivan (born June 20th, 1972, at Mexico City, Mexico) is a Multimedia Artist focused on video-art, photography, experimental music, experimental sound art, multimedia environments, animation, experimental hypertext and net-art. His work is developed on digital environments an


text:
Results 11 to 14 of 14
I would definitely check the VIN on the windshield against the one in the glove box, because the only way that could be a 2000 is if the whole BCM computer system was swapped with a newer one. The gauges shown in the pictures are from an 03-06, and would not be compatible with a 2000 unless it had the newer electronics system swapped in. Also, the front end has had some modifications, so it is possible the entire front end from a 99-02 or a 00-06 tahoe/suburban was put on. I know this because the lower valance on the bumper is the version that was only available on Z71 tahoes and suburbans, and never available from the factory for a silverado.
Either way, it looks like a nice truck. The escalade wheels have to go in my opinion, but I would keep the escalade interior parts and just make the rear seat area match it. I think the escalade interior is a bit classier.
Oh, and welcome to the club!
2001 Silverado Reg. Cab Not-So-Base -- SOLD
2003 Avalanche Z71. No Cladding. Check out my Mod thread.
1974 Triumph Spitfire 1500 - Work in Progress
2003 Sierra 3500 Duramax. The Newer, Better Work Truck
01-30-2011, 12:32 AM #12Hey Pop, check the vin# on your registration & title & see if they agree with the one on your drivers side dash. It's possible that your glove box door was replaced with a wrecking yard unit & the labels weren't switched out & this is what's throwing you a curve.
1988 Chevy C-3500 2wd (no pic)
350 c.i. 5.7 L Stock Block, 4 Bolt Mains
L-31 Vortec Heads, Edelbrock Cam & Intake,
Holley 650, Flowtech Headers, Magnaflow exh.
Jet Trans 700R4, B&M Ratchet, 4:10 gears,
3" susp. lift kit "shadetree"
No rev limiter, No speed limiter lol
01-30-2011, 05:29 PM #14Welcome to the club!
Bobby - North Carolina
2008 4x4 5.3L V8
6" Suspension Lift and 1.5" Body Lift
20x9 Ballistic Jesters w/35" Toyo Open Country MT's & 1.5" rear wheel spacers
4:56 Yukon Gears
Hypertech Speedometer Calibrator
Baja style bed mount spare tire carrier
Flowmaster 40 series dual exhaust
Recon Smoked LED tails/3rd brake lights/black projectors w/switchback LED's in the corners
N-Fab Nerf Steps
No Fear Pedals
Tint, Line-X bedliner, Window visors, Rear wheel well liners
Painted front grill, bow ties and door badges, de-"lettered" tailgate
Powder coated front and rear bumpers
Similar Threads
Recovery Straps
By 1flyfisher in forum General Chevy & GM Tech QuestionsReplies: 10Last Post: 02-02-2010, 07:12 PM -
AMSOIL Diesel Recovery Emergency Fuel Treatment
By 1st Synthetics in forum 1st SyntheticsReplies: 0Last Post: 01-10-2010, 07:59 AM -
â??Turn rateâ?? indicates economic recovery: JD Power - CanadianDriver
By Steve in forum Chevy Traverse Forum (GMC Acadia, Buick Enclave)Replies: 0Last Post: 11-18-2009, 12:00 AM -
Coolant Recovery Tank Issue
By mavrickwax in forum Chevy Truck AccessoriesReplies: 3Last Post: 03-21-2008, 02:16 PM
Tags for this Thread


text:
Fatal head-on crash in Plymouth
UPDATED 6:49 AM EDT Sep 22, 2013At least one person is dead and several injured in a head-on crash on Federal Furnace Road in Plymouth
Video TranscriptAND JUST HOW CHILLY WE'LL GET THIS WEEK. WE'RE FOLLOWING BREAKING NEWS OVERNIGHT. PLYMOUTH POLICE ARE INVESTIGATING A DEADLY TWO-CAR CRASH. SOME VIDEO JUST INTO OUR NEWS ROOM. IT ALL HAPPENED AROUND 12:30 THIS MORNING ON FEDERAL FURNACE ROAD. AT LEAST ONE PERSON WAS KILLED. THE CONDITION OF TWO OTHERS INVOLVED IN THE CRASH IS STILL UNKNOWN.
The views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


text:
A collection of news and information related to David Arquette published by this site and its partners.
Top David Arquette Articles
Displaying items 45-55
'Dancing With the Stars': Carson Kressley, Hope Solo or David Arquette, who went home?
Story | Oct 18, 2011 | 9:32 PMWho's "Dancing With the Stars" 80s week was, like, a total bummer? Find out below. Spoiler alert.... -
Anne Hathaway, Daniel Radcliffe, George Lucas hit Scream Awards
Story | Oct 17, 2011 | 4:32 PMScream Awards 2011: Spike TV hosted its 2011 Scream Awards bash Saturday at Universal Studios Hollywood's Falls Lake, where the likes of Anne Hathaway, Daniel Radcliffe and Nicolas Cage came to honor the fans of their various franchises.... -
'Dancing With the Stars' results recap: Mission Incomplete
Story | Oct 12, 2011 | 4:34 AMIn the end, the mission ended up being impossible. As if it wasn't hard enough to freeze during your routine during a live show, Chynna Phillips had to endure an hour's worth of being told she messed up and then...... -
'Dancing With the Stars': Julianne Hough sizzles; one contender fizzles
Story | Oct 11, 2011 | 9:40 PMTonight's results show promoted the remake of "Footloose" with gusto. Hough danced to "Holding Out for a Hero" with co-star Kenny Wormald. Blake Shelton sang "Footloose." In the night's high point, Julianne and brother Derek Hough performed a jive to... -
'Dancing With the Stars': Who will be the finalists?
Story | Oct 12, 2011 | 4:40 PMThat means in the next month "Dancing" fans will see David Arquette, Carson Kressley, Nancy Grace and Chaz Bono get the boot. Arquette has been inconsistent, and the other three are inferior dancers. The big question is in which order they go. Can ABC... -
'Dancing With the Stars': Why didn't Cher say, 'Snap out of it'?
Story | Oct 10, 2011 | 9:40 PMRicki Lake danced a theatrical tango to the theme from "Psycho," and it was the night's showstopper. Derek Hough came through again on the choreography. Goodman predicted it would top the leader board. "Brilliant," Inaba ruled. Scores: 29, with 9 from... -
'Dancing With the Stars' recap: Movie Night
Story | Oct 11, 2011 | 4:35 AMWhat do you get when you cross the "Dancing With the Stars" Mirrorball with the silver screen? Movie scores night, of course! For Week 4, the nine remaining couples danced to "some of the most memorable movie music of all time."... -
'Dancing With the Stars' results: 'madness'
Story | Oct 4, 2011 | 9:41 PMThe show previewed next week's movie theme with a big dance number set to "Tara's Theme" from "Gone With the Wind." Mary J. Blige performed two songs. But the high point was a jubilant 50th anniversary salute to the Twist, which featured Chubby Checker...... -
'Dancing With the Stars' results recap: Thanks for the memories
Story | Oct 5, 2011 | 4:35 AMShe attempted the booty shake, but in the end she just got booted. In somewhat of a "Dancing With the Stars" surprise, it was not the low-scorer from Monday night's performance show who was released from this very sparkly constellation..... -
Johnny Depp offers 'heartfelt' apology for rape comment [update]
Story | Oct 6, 2011 | 4:32 PMJohnny Depp is backpedaling after some comments comparing the hassle of sitting through a photo shoot to being raped. Johnny Depp made the comments in an interview with Vanity Fair.... -
'Dancing With the Stars' recap: In Loving Memory
Story | Oct 4, 2011 | 4:35 AMBirths, deaths and second chances all figured into Week 3 of "Dancing With the Stars," in which the celebrities selected songs from their most memorable year in order to tell a personal story through their dance. And while these weeks......


text:
The most gorgeous beaches and water in the Caribbean! And you can see from the pictures how uncrowded they are, which we loved.Maundays Bay- This was the beach at our hotel and our favorite. It was very uncrowded and gorgeous. And the beach services could not be beat! My husband enjoyed taking out the kayak and I just enjoyed the beautiful views and swimming in the calm, clear water.Shoal Bay East- We visited this beach on our boat day trip and also another day when we rented a car. Relatively, this was the busiest beach we visited, but it really wasn't crowded at all. The colors of the water here were beautiful (especially near the point and near Gwen Reggae Grill) and there was some ok snorkeling. After eating lunch at Gwen's we were able to use their chairs and park ourselves under a palm tree.Meads Bay- This beach was very pretty, but probably the windiest and roughest of the beaches we visited. (the wind was nice since it kept us cool, but the water wasn't quite as inviting as it was at our hotel) We had breakfast at Straw Hat and were able to use their chairs and umbrellas on the beach.Sandy Ground- It was interesting seeing all the boats moored here, but I don't think I'd spend much time on this beach. Even with all the boats around, the water looked surprisingly clear. We sat on this beach for a bit while we waited for the boat to Sandy Island.Sandy Island- Johnno's called for the boat and it took about 5 or 10 minutes to get there. This little island was so pretty! The water was very calm and clear. We rented chairs from the restaurant and found a perfect spot under two small palm trees. My husband also enjoyed laying in the hammock. There were people on the island from a day trip in St. Martin and a couple people from Anguilla. But it was by no means crowded. My husband said he experienced better snorkeling here than anywhere else on the island. Most of the coral was dead, but he saw a wide variety of fish. I mostly just walked around the island taking photos and soaked in the scenery.Rendevous Bay Beach- This beach was long and wide with beautiful water. We tried going to Dune Preserve to enjoy the beach from there, but it was closed that day. We didn't stay at this beach too long because we couldn't find any shade.
Share Your Story or Tip


text:
Livex S312 Striped Silk Bell Clip Chandelier Shade in Burgundy
Item#: HN-LXL1333Price:
- Classic design for a traditional look
- Bell-shaped silk shade in burgundy with striped pattern
- Top measures 3 diam. inches
- Bottom measures 5 diam. x 4.5H inches
What's Included
Chandelier shade
About Livex Lighting
Livex Lighting is a manufacturer and distributor of decorative residential lighting. The company was founded in 1993 and is now headquartered in a 150,000-square-foot facility in Morristown, New Jersey. Livex Lighting currently offers over 2,500 products ranging from lighting fixtures for indoor and outdoor applications to lampshades, chandelier shades, ceiling medallions, and accent furniture. The goal of Livex Lighting is to provide the highest-quality product at the most affordable price. We are constantly responding to the ever-changing needs, styles, and fashions of the lighting industry while always maintaining the highest standards of quality.
Dimensions & Specifications
Livex Lighting
Shade Color
1 Year Manufacturer


text:
Pinoy Cinema Uncensored
Uncensored is a 1942 British World War II drama, directed by Anthony Asquith for Gainsborough Pictures and starring Eric Portman and Phyllis Calvert. The film was ...
- Site info & statistics: view
My Video Collection video Collection from cooking, tv shows, tagalog movie. Search. Main menu
- Site info & statistics: view
Related Entries


text:
Financial firm fined 200K over free tickets
ST. LOUIS (AP) - A Chesterfield-based financial services firm has been fined $200,000 by securities regulators for giving away thousands of free sports tickets to school board members, superintendents and other government officials.
The St. Louis Post-Dispatch reports that municipal bond underwriter L.J. Hart & Company was fined by the Financial Industry Regulatory Authority for violating so-called "pay for play" rules designed to keep corruption out of the municipal bond business.
The company and the independent regulator declined to identify the ticket recipients. The company's past clients include the Normandy, Lincoln County, Winfield, Warren County, Grandview, Windsor, Hillsboro and Festus school districts.
School officials received tickets to St. Louis Cardinals, Rams and Blues games, as well as pro contests in Kansas City.
Latest News
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
Rosenthal pain-free, Wacha pitches well for Cards
JUPITER, Fla. (AP) -- Trevor Rosenthal had a pain-free spring training debut and Michael Wacha pitched three effective innings for the St. Louis Cardinals in a 4-4 tie with a Wa...
Miller helps Blues to 2-1 win over Avalanche
DENVER (AP) -- Ryan Miller stopped 26 shots, and David Backes broke up a scoreless game in the second period, helping the St. Louis Blues beat the surging Colorado Av...
State Department: 3 Americans on missing plane
WASHINGTON (AP) — The State Department confirms that three Americans were aboard the Malaysia Airlines jet that vanished Saturday. Spokeswoman Jen Psaki says in a statement ...
2 charged in connection with infant's body
WARRENSBURG, Mo. (AP) — The discovery of an infant's body in a cave has led to arrests and charges against two residents of Warrensburg in west-central Missouri. Police and ...
Student reports sex assault in Lindenwood library
ST. CHARLES, Mo. (AP) — A female student says she was sexually assaulted in a library bathroom at Lindenwood University. The St. Charles school sent email and emergency text...
Wal-Mart seeks to intervene in electric rate case
JEFFERSON CITY, Mo. (AP) — Wal-Mart is seeking to intervene in a dispute about electric rates between Ameren Missouri and its largest electric customer. Noranda Aluminum Hol...
UPDATE: Police find missing toddler safe
UPDATE: The 3-year-old boy reported missing earlier this afternoon has been found safe in Springfield, Missouri. Police say Jamil Hanson took Jaden Hansen from the boy's mo...
Health care advocates push for enrollment before deadli…
JEFFERSON CITY, Mo. (AP) - Health care advocates are making an extra push to get people signed up for insurance through a federal website before a March 31 deadline. ...


text:
Works great for me with cycle multiplier 6, anti-alias on, refresh rate default on Droid X oc'd to 1.25 GHz. If I run it slower than that, it lags, but I maintain 60 fps at that processor speed.
Oh, and I can't get fast forward to work. Is that because the machine had enough trouble keeping up with it at normal speed?
Sent from my DROIDX using DroidForums App


text:
Here is an interesting statistic: according to a recent study in England, about 4% of all children born in the country are not fathered by the person claimed, according to DNA tests.
The authors of the study say that governments and society have not yet woken up to how DNA testing and genetic profiling are lifting the lid on a "Pandora's box" of hidden sexual behavior or how the results might affect individuals, family relationships, or public health.
Their review of estimates of so-called paternal discrepancy over more than 50 years suggests that the father was not the natural parent in between 1% and 30% of cases. The team from Liverpool John Moores University agreed that the figures, drawn from studies of men and women seeking proof of paternity, might be exaggerated because uncertainty over fatherhood is usually the reason for tests.
I'd suggest that you read all the statistics in the full story on the Guardian's web site at http://society.guardian.co.uk/children/story/0,1074,1546809,00.html before jumping to any conclusions.
It does make one wonder how accurate our genealogy databases are…


text:
US: Pulse Beverage Corp makes sales head appointment
By just-drinks.com editorial team | 21 June 2011
The Pulse Beverage Corp has appointed a vice president and national sales manager.
just-drinks articles are only available to registered users and members.
Join now for increased access
There are various access options to choose from. All provide instant access to the latest news, insight and expert analysis.
If you're already a member, login here.
The Pulse Beverage Corp has appointed a vice president and national sales manager.
- Unlimited access to all the latest global beverage news and insight
- Expert analysis that puts the news into context
- Exclusive interviews with leading industry figures
- Monthly management briefings with detailed analysis on hot topics
- Personalised RSS feeds and email newsletters
- 10-year archive of news, insight and intelligence
- Discounts on just-drinks market research
- Plus much more
If you're already a member, login here


text:
AMES, Iowa — Iowa State coach Fred Hoiberg has a knack for identifying unique talent and building teams around it.
Hoiberg landed one of nation's most unorthodox point guards this offseason in senior transfer DeAndre Kane, who has proven to be a perfect fit for the unbeaten Cyclones.
Kane has played like a star in his lone season for No. 13 Iowa State (11-0), which is off to its best start in school history heading into today's non-conference finale against Northern Illinois. Kane, a 6-foot-4 native of Pittsburgh, is second among Big 12 players with 5.5 assists per game and 11th in scoring at 14.9 points a game.
But Kane is also eighth in the league in rebounding (7.5), and he, UCLA's Kyle Anderson and Utah's Delon Wright are the only players averaging at least 14 points, seven rebounds and five assists a game.
"He's fast. He's crafty. He's quick. He's got great size for a point guard, and he can play off the ball as well. But the biggest thing with DeAndre is you can put him in spots to use his playmaking skills if you space the floor properly,'' Hoiberg said.
It's not much of a shock to see Kane become a key piece for the Cyclones after he averaged 15.1 points and seven assists for Marshall a year ago.
What's been surprising is how easy Kane has made it look so far.
Kane had no problem dominating in Conference USA. He was the freshman of the year in 2010-11 for Marshall, earned second-team all-league honors in each of the next two seasons and finished 2013 as one of just two active players with at least 15 points a game in three straight seasons.
Kane also left Marshall with a degree, year of eligibility and a waiver to play elsewhere. Iowa State needed a point guard to replace Korie Lucious, and Hoiberg's success with the likes of Royce White, Chris Allen and Will Clyburn helped him land Kane.
Iowa State wasn't asking Kane to carry its team like he did with Marshall. The Cyclones already had established frontcourt standouts like Melvin Ejim and Georges Niang, who were bolstered by a host of young guards.


text:
What are the risk factors for appendicitis?
How is appendicitis diagnosed?
In addition to a complete medical history and physical examination, diagnostic procedures for appendicitis may include the following:
- Blood tests (to check for signs of infection such as elevated white blood cell count)
- Urine tests (to rule out a urinary tract infection)
- Imaging procedures, including the following:
- Abdominal ultrasound - a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels.
- Computed tomography scan of the abdomen, with or without barium (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.
- Lower GI (gastrointestinal) series (also called barium enema) - a procedure that examines the rectum, the large intestine, and the lower part of the small intestine. A fluid called barium (a metallic, chemical, chalky, liquid used to coat the inside of organs so that they will show up on an x-ray) is given into the rectum as an enema. An x-ray of the abdomen shows strictures (narrowed areas), obstructions (blockages), and other problems.
Copyright 2007-11, MD Kiosk


text:
Forgot password?
Elegant, contemporary and timeless summer houses
The basic model has a 120 x 120 mm column frame, 45 x 140 mm beams, as well as clapboard roof and suspended flooring. Optional sliding or fixed glazed panels in IROKO or PINE are also available to enhance your construction and make it look complete.
4 standard sizes: 300 x 300 cm, 420 x 420 cm, 420 x 300 cm or 540 x 300 cm.
Retrouvez-noussur Facebook
Refer a friend, a colleague, a parent and receive a gift SMARTBOX or BONGO !


text:
Relevant offers
He was not yet two-years-old, blue and out of breath.
With a chicken bone blocking his airway, Stephane Cornille was the first patient treated at Starship Children's Hospital 21 years ago.
As Starship celebrated its coming-of-age birthday party yesterday Cornille recounted the story of how the hospital staff saved his life.
A bone had lodged in his lung so his mum rushed him to the newly opened hospital, but she did have her reservations.
"My mum was afraid the machines weren't going to work, but it worked out fine," Cornille said.
The bone had to be surgically removed and he spent a night in the new wards.
He suffered no long-term health effects - not even a scar.
Now aged 22, Cornille works in healthcare. He said he was inspired by his early visit to Starship.
His job at Fisher and Paykel Healthcare in Auckland sees him helping to market the machines used at Starship Children's Hospital.
But his helping hand doesn't stop there.
Last year he ran the Auckland full marathon to raise money for the Starship Foundation.
Cornille said he is happy to help a hospital dedicated to children.
"You see by the decorations and layout for the hospital it is made for children.
"They care about children and it's nice we can do that in New Zealand."
Hospital staff and friends threw a coming of age afternoon tea party, with cake included.
The hospital opened on November 18, 1991 and was the country's first hospital for children.
Starship gained its name by its shape and is built around a central atrium with a rainforest theme, a playground and natural light.
- © Fairfax NZ News
Sponsored links
Cyclone Lusi lashing northern NZ
Investigator: Missing plane flew over Malaysia
Pistorius photographed in bloodied prosthetics
Distracted drivers make for dangerous crossings
Missing plane mystery takes toll on family
Veteran British politician Tony Benn dies
Midnight Espresso proves its staying power
Melbourne? Too dirty. Canada? Too cold.
Politicians back in website's sights
Should we raise the retirement age?


text:
Tag Archives: Warriors
Rapper Lil B Tries Out for the Golden State Warriors (@lilbthebasedgod)
The Warriors just have not been the same since they let Monta Ellis go. Yes, they swapped out Kwame Brown for Andrew Bogut and gave Monta's minutes to Klay Thompson but the Warriors are still a little bit away from … Continue reading
2011 NBA Draft: Klay Thompson a Warrior
Klay will soon get tired of hearing coach Mark Jackson's catchphrases such as "Momma there goes that man." This is a very thin draft at SG, so the Warriors basically got the best player at his position in the draft … Continue reading
11th Overall Selection – Golden State Warriors
Out goes Keith Smart. In comes new head coach, Mark Jackson. Mark Jackson has stated that his focus will be to improve the team's defense. With Stephen Curry, Monta Ellis, Dorell Wright, and Reggie Williams, it's obvious that the Warriors … Continue reading
Posted in College Basketball, NBA, NBA Draft
Tagged Bismack Biyombo, Chris Singleton, Golden State Warriors, Klay Thompson, NBA, NBA Draft, Tristan Thompson, Warriors
2 Comments