Progress, Not Perfection

How I lost 8 inches in the waist, and my endocrinologist kicked me out of his practice.


Since I last posted, I have reached an all-time low of 189 pounds, but I am staying right around 192 for the time. At my minimum recent weight, I went to the lab to have blood drawn. I thought, hey, looks good—not as good as it should be, yet, but no worse than before, and in some cases better. My HDL was up, but so was total cholesterol. I have come to understand this is sort of a temporary phase during ketosis, so I was encouraged. So a week after I get my blood drawn, I phone my endocrinologist for an appointment. At first, the receptionist stonewalls me, so I say I’ll just call back later. I called a second time, and she tells me I should follow up with my cardiologist. Really? And no communication from the doctor to tell me why? This concerns me. So I phone back again and ask him to call me. She says, of course, he’ll call you this afternoon. That was a Wednesday. On Friday, I still had not received a call, so I call back. I inform the receptionist that so far, the doctor’s actions have been tantamount to abandonment, which is a legal issue. A couple hours later, I get a call from the doctor telling me why he’s recommending a cardiologist. I told him that if he’d bothered to see me for another appointment, he would know that I had lost 40 pounds (I think I was 232 last time I had seen him), and that my resting heart rate and blood pressure were both down 20 points. He hung up on me. Nice. Well, I am moving on to a physician who understands these things, so I don’t get locked into entrenched idiotic ideas about how the body needs drugs to operate properly. I would rather not take statins or blood pressure medications. I would also prefer not to develop Type II Diabetes. Thus far I have achieved all three of these goals.


I will give the doc one thing—according to further reading, I have found that diets higher in animal fats tend to yield a worse LDL profile—characterized by the small, dense, atherogenic LDL particles. A diet higher in monounsaturated fats tends to yield an LDL fraction with more large, less atherogenic particles. I have begun to shift the diet from mainly red meat to more chicken and fish. In 4-6 weeks I will get my blood drawn again, hopefully to see an improvement there as well. Thus far, this is without the advice of a physician. I am kind of doing the opposite of what they want. I suspect that doctors want sick patients. I don’t see them interested in making people well—there’s no money in it. I know that is an obstructively cynical view, and I am sure they’re not all like that, but I know hospitals and drug corporations are like that. Why advertise a truly healthy diet, if sick people pay you to take your drugs instead? Oh well, one of these days we’ll all be in a perfect world. Until then, I choose to make progress.


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