Taking Back My Thyroid

After numberous tests it is clear that in order for me to get healthy again and perform my best I need to fix my Thyroid.  Here are my latest Thyroid hormone numbers based on my latest blood test.  The column all the way to the right are my latest numbers.


The sad part about this was that I was taking a supplement with active thyroid hormone in it and the numbers are still bad!  TSH is probably so low because I was taking the supplement so my Thyroid didn’t need to produce any TSH.  But as you can see even still my free T3 is still low.

The question is why?  As you can see my Tyroid Peroxidase and Thyroglobulin were not elevated so that is not causing my hypothyroid symptoms.  The only thing left is that my body is downregulating my Thyroid because I am not eating enough.  So as an exercise I tracked a normal week of food intake, and here it is.


I was averaging about 2000 calories a day.  The highest calorie intake I had that week was 2208 and that was on a day where I burnt 1200 calories.  I also never took in more than 100g of net carbs any day that week.  After talking with Chris Kelly from Nourish Balance Thrive about these numbers we determined that I should be consuming around 3500 calories based on my training.  The problem I am facing is that I am just not hungry.  Eating 2000 calories a day feels like enough.

The plan is to try and increase my calorie intake by 200 calories a week going forward.  To do this I need to try and consume more carbs with the idea that it will make me hungrier.  I am still trying to wrap my head around how I am going to do this because I am so set in my eating patterns it is just hard to change them.

Honestly lots of what I eat has to do with convenience.  I like quick easy meals.  My mornings are busy getting my kids ready and such so my current breakfast of hard boiled eggs, kimchi, avacado, MCT oil, and either smoked salmon or US Wellness Meats organ meats takes all of 10 mins to get together.  Even a smoothie would take twice as long to prepare and cleanup.  My lunch salad is just a matter of throwing a bunch of veggies and canned meat on a plate and eating it.  So I am going to have to come up with some way to satisfy both the convenience factor and take in the necessary calories and carbs.

I will try to document how the process goes as I figure it out.  Happy racing!


The Results Of My 7 Day Carb Test

First let me say if you have not read Wired To Eat, I suggest you go buy it now! It is a great book. While it is not targeted towards active people like the ones in this group, the concepts and theories Robb discusses are very insightful.

I will lead off with the results of my tests. Note while the amount of each carb source is different, each one was equivalent to 50g of effective carbs (total carbs – fiber).

Day 1:
260g of boiled sweet potato (not cooled)
Morning Glucose Reading: 88
1hr Mark: 70
2hr Mark: 74

Day 2:
250g of ripe bananas
Morning Glucose Reading: 80
1hr Mark: 74
2hr Mark: 95

Day 3:
335g of black beans
Morning Glucose Reading: 82
1hr Mark: 83
2hr Mark: 82

Day 4:
180g white rice
Morning Glucose Reading: 89
1hr Mark: 89
2hr Mark: 104

Day 5:
300g Grapes
Morning Glucose Reading: 94
1hr Mark: 94
2hr Mark: 90

Day 6:
390g Apple Sauce
Morning Glucose Reading: 93
1hr Mark: 82
2hr Mark: 80

Day 7:
690g butternut Squash
Morning Glucose Reading: 93
1hr Mark: 79
2hr Mark: 78

Bonus Day 8:
485g gluten free oats
Morning Glucose Reading: 84
1hr Mark: 101
2hr Mark: 111

Robb says in the book that if your glucose reading 2 hr after eating the food is above 115 than you should retest the next day with half the amount. If it is still above 115 than that carb is likely not good for you. If its less than you probably just need to be careful consuming that food. I didn’t find one carb that ever spiked my glucose that high. In fact some carbs appear to lower my reading which I am curious about and don’t have a good answer for. I included the Oats on day 8 because that is a food I never eat and since nothing else appeared to be spiking my glucose I wanted to try something out of the ordinary for me. It had the worst response, but still not bad.

I followed the testing protocol that Robb outlined in the book. I would wake up and immediately eat my test carb source with no other food besides water. This is not the way I normally operate by any means. First, I rarely eat carbs in the morning unless I am going to do a hard workout in the AM, and I never come close to eating 50g. Second I usually don’t eat breakfast until 9AM (i like to get in a 14-15hr fast). So this is certainly a departure from what I am used to. But it makes sense because you want to keep everything pretty much the same for each test. If you try to do it later in the day there are too many variables that get introduced that could effect the results from day to day.

A couple of observations I made throughout the process….

Eating 50g of carbs of one food is generally hard to do. Rice would be the easiest to overeat. Every morning I was surprised about how much I had to eat to hit 50g of carbs.

It is hard to consume 50g of carbs from whole foods. Because whole foods are nutrient dense and are low in carbs compared to other processed foods you need to eat a lot of them, it fills you up, and is in most cases, is pretty bland by itself. In my experience black beans were the worst. By themselves they are bland, and they have a ton of fiber in them so the effective carb count per serving is pretty low. Fruit is probably the easiest to eat because it is generally sweet. However even eating 50g of bananas was a little much IMO.

I didn’t notice the typical “crash” at any point, and that is probably due to the fact my glucose never spiked either. Some foods I noticed I was mildly hungry at the 2 hr mark but not “hangry.” My mood was generally good with all my test carbs and I felt like I had a lot of energy. I didn’t experience any digestion issues either. I did notice I was burping quite a bit after eating black beans but it wasn’t anything upsetting.

Overall I am glad I spent the 8 days doing this. It showed me that I can tolerate carbs pretty well, which I kind of suspected already. It also gave me a good gauge on what 50g of carbs looks like so it is easier to eat intuitively. I was surprised on how much you need to eat to get there. I think we (Primal folks) are so carb conscious that we loose sight about how much you really need to eat to get to that 50g mark, this was a nice reset for me. It also made me respect how whole foods by themselves are hard to overeat. Even in the Paleo/Primal world we would rarely eat a carb source by itself. We like to put fats on our carbs which make them taste better and therefore easier to eat. Take that fat away and the food is pretty bland.

I think I am going to continue to incorporate these carbs in my diet (except for the oats) to find the optimal amount for me based on my activity level and how I feel. I know Keto is all the rage but I am seeing the need for carbs in my diet the more and more I experiment.

Must Listen Podcast For Primal Endurance Athletes

If you are following the guidelines in the Primal Endurance book than you are hopefully eating a low carb high fat diet.  Whether you are just getting started with your diet or are in the middle of your transition to being a fat burning beast, it is always good to hear success stories from people who have already made the transition and are putting it to use.  Able James, AKA Fat Burning Man, recently published a podcast where he interviews Tawnee Prazak, host of Endurance Planet, and successful endurance athlete.  During the podcast Able and Tawnee talk extensively about becoming fat adapted and how it has helped her become successful in her endurance events.  You can listen to the PodCast on YouTube below, view it on iTunes, or download it.

Carbs, Fats, and Aerobic Training

When you first dive into Primal Endurance, you quickly realize that Mark and Brad REQUIRE that you start your race season with an 8-12 week aerobic base building period.  What does this mean and why do this?  First lets start off with the why?

The traditional thought behind training for an endurance event revolves around three main components.  First is logging the right amount of miles.  The thought being the more miles you log the better prepared you are going to be for your endurance event.  In order to have the energy needed to log these huge numbers of miles each week you need to fuel your body.  This brings us to the second component, how you fuel your body.  Again, traditionally this means eating a large number of carbs.  Everything from sugary drinks, cereals, pastas, breads, gels, energy bars, etc.  Just Google how to fuel your body for an endurance event you will likely find a number of suggestions on how to shove as many carbs in your body as possible.  Finally we need some advice as to what workouts to do, and how many miles to run, so we traditionally turn to a training plan to guide us on our journey to finishing our endurance event.

So what is the problem with this approach?  There are a number detailed in the book, but here are the ones that suck out to me.

Lets start out with the typical endurance athletes diet, because everything builds from what you put in your body.

Fueling your body with carbs causes your body to store excess body fat.  When you eat carbs the body transforms them into glucose, but since your body doesn’t need the glucose after you are done with your workout your body stores the glucose as fat for later.  The problem with this is that your body wants to fuel itself with glucose and not fat so the glucose it stored as fat never gets used.  This is why even though you are training hard you may still be carrying around extra fat on your body.  Mark and Brad provide some pretty amazing facts to back this up.  For example…

First of all, we’re not making this stuff up. Dr. Timothy Noakes, long considered the world’s pre-eminent endurance exercise physiologist and whom you’ll read about frequently in this book, cites a study showing that a full 30 percent of the participants in the Cape Town Marathon were classified as overweight or obese. That’s the same overweight/ obese percentage as the world’s population as whole, as reported in the 2013 Global Burden of Disease Study.

Sisson, Mark; Kearns, Brad (2016-01-04). Primal Endurance: Escape chronic cardio and carbohydrate dependency and become a fat burning beast! (Kindle Locations 429-432). Primal Nutrition, Inc.. Kindle Edition.

In addition, burning carbs is kind of like burning coal.  Burning coal for energy produces a ton of pollutants.  When your body burns carbs it releases free radicals into the body, kind of like the pollutants released when burning coal.  These free radicals wreak havoc on the body causing oxidative damage and accelerating aging.

The final problem with fueling with carbs is that your body has a very limited supply of glucose available for use at any given time.

We are only able to store four to five hundred grams, or sixteen hundred to two thousand calories (highly trained athletes can teach their bodies to store a bit more than the average person) of glycogen in our liver and muscle tissue, and there’s only around five grams of glucose in our bloodstream at any given time.

Sisson, Mark; Kearns, Brad (2016-01-04). Primal Endurance: Escape chronic cardio and carbohydrate dependency and become a fat burning beast! (Kindle Locations 2496-2498). Primal Nutrition, Inc.. Kindle Edition.

Once you run out of glucose to burn, you bonk.  This is why endurance athletes that fuel their body with carbs need to refuel with carbs during a race, they essentially run out of fuel if they don’t.

What are the solutions to these problems?  In the book Mark and Brad propose the solution is to fuel your body with fat.  This involves changing a couple of things.  First you need the fat to burn.  However we don’t want to get that fat from carbs because we don’t want to provide the body with the carbs to burn.  Instead we just want to eat more healthy fats while at the same time limiting the carbs we take in.  Mark and Brad suggest you take in anywhere from 50-150 grams of carbs a day.  If you want to have optimal fat loss you should try to stay below 100 grams of carbs a day.  In addition the carbs you take in should be high quality carbs.  Things like fruits, starchy vegetables like sweet potatoes, and quinoa are all good sources of high quality carbs.


The rest of your diet should be composed of meat, fish, foul, eggs, and non-starchy vegetables.  So in summary you want to decrease your carb intake, while at the same time increasing your healthy fat intake.  Everything else should be vegetables, meat, fish, foul, and eggs.food_pyramid_flat_2011sm-1

Next we need to train the body to burn fat instead of glucose.  To do this we need to change the way we are training so we are training at a level where the body prefers fat as fuel over glucose.  This level is different for everyone and it seems to depend on your age.  Luckily there is a formula you can use to give you your fat burning heart rate zone.  That formula was designed by Dr. Phil Mafetone and is extremely easy.  Simply subtract your age from 180 and that is the point at which your body will switch from burning primarily fat to burning glucose.  For example, I am 31 years old so my max heat rate would be 149.  If you stay at or below this heart rate during your training your body will burn more fat than glucose.  By keeping our training at this level we can reprogram our bodies to burn more fat than carbs.  This type of training is called aerobic training.

To most endurance athletes training at or below this heart rate will feel incredibly slow and hard to do, as in hard to stay below.  Mark and Brad stress that you MUST stay below this aerobic threshold or else your body will continue to prefer glucose over fat.

So how long does it take to train your body to prefer fat over glucose?  Mark and Brad suggest you take 8-12 weeks to train at or below your aerobic threshold.  During these 8-12 weeks you should NOT DO ANY anaerobic training.  This includes training above your aerobic heart rate, and any kind of strenuous strength training.

If you do your 8-12 weeks of aerobic training AND switch your diet to include more fat and less carbs your body will begin to prefer to burn fat over glucose and will no longer require you to consume as many carbs as before.  This will help you loose fat and have a more ideal body composition, reduce the release of free radicals into your body, and allow you to race longer without the need to refuel during the race.

You may think that training at this low heart rate and slow pace will somehow hinder your endurance goals.  It is actually the opposite.  By training at this level you will become more aerobically efficient.  This will allow you to continue to become faster even though your heart rate remains the same.  How will this help you during your endurance event?

When you are performing in an endurance event, which heart rate system do you think you use the most, anaerobic or aerobic?  The answer is aerobic, you would not be able to finish such long endurance events if you were using your anaerobic system.  So if you are becoming more aerobically efficient and you are primarily using your aerobic system durning a race than you are going to become faster overall during the race!

This all sounds good, but how does it apply if you are an obstacle course racer?  We will take a look at that in the next blog post!