When Everything Changes in Seconds: Traumatic Brain Injury (TBI) + Initial Recovery

One decision, one slip in judgment and everything can change in seconds….

I want to use this post to discuss my accident along with the initial protocol I implemented as a result. My goal is to show those that have suffered you are not alone and for those who may suffer in the future hopefully offer some hope and guidance that there is a lot you can do to help. However, it is important to not get caught up stressing around doing everything but to do what you can because at the end of the day the most important thing is to be stress-free and rest and remember we are all different

Why Bintan 70.3 Ironman?

At the beginning of this year, I set two pretty ambitious goals, targeting World Championship qualification in both Half and full distance Ironman, something I previously never perceived as possible.

In my pursuit to attain an early qualification for 2020 Taupo 70.3 World Championships, I flew over to Bintan, Indonesia to race a Half Ironman. Everything was going perfectly to plan with a solid swim and on target for an awesome bike on a very challenging technical & hilly course, I was racing my perfect race, feeling great with everything going to plan, in fact, if I kept tracking as I was I would have won my Age Group (I needed a podium to guarantee my qualification spot) and also came in the top 5 overall. However, this was not meant to be as at the 75km mark of the bike everything went blank….

I couldn’t tell you what happened first hand because I have no recollection but from what I was told, I came flying around the corner towards two speed bumps, the first I bunny hopped and then hit the second of the two with my front wheel off-centre (according to my Garmin Computer at 42kms) sending me flying over my handlebars headfirst into a curb, with my right side taking most the impact/ road rash but I must have rolled as well because I was cut up on my left as well. I am not sure how long I was out for but I don’t recall anything from my time at the crash site but apparently, I was repeatedly asking the same questions over and over “what happened??” “Is my bike ok??” Once told I would ask the same question straight away again. Not surprisingly the volunteer that was helping me knew I was not in a good place so he called in the doctor to assess me, you would think at this point my race was over but the doctor said if I want to keep going I can and those who know me I am extremely stubborn and a sucker for a challenge so there was no choice in my head (not that it was working anyway) I assume, this is when I jumped straight back on my bike and went on autopilot. This is the part that really scares me because I still have no memory of any of this, I am not sure why the doctor let me go, maybe it was because I was being difficult wanting to jump back on my bike and not listening (I wouldn’t be surprised, I put a lot into the prep of this race) but he should have never given me the option in the state I was in, he should have pulled me from the race. The volunteer that helped me at the time of the accident found me after the race and filled me on all of this he couldn’t believe the doctor let me back on the bike, he also could believe I had finished the whole race.

With no one stopping me there was no way I wasn’t getting back on my bike. Dazed and confused it wasn’t until after the race I looked back to my Garmin Computer for answers and they truly shocked me! Turns out I spent 17mins at the crash site…… No clue how much of that I was unconscious or what was going on and then back onto the bike on autopilot with 15kms left of the 90km bike course. Still with no memory of this, I wonder what was going through my mind because this was quite possibly the stupidest thing I could have ever done, not just because I was back on the bike but the speeds I was going with an extremely beaten up mind, body and bike (Bike had $3700 worth of damage….). My Garmin once again highlighted my stupidity although overall last 15km was slower than it would have been it showed multiple times where I exceeded 60km/hr and if you know anything about concussions the absolute worst thing you can do is have another in close concession… Even within up to 3 weeks. Thankfully I survived this very silly decision.

In to transition and onto the 21km run, this is where I somewhat came to. Dazed and confused and with no memory of losing 17min at the crash site or my slow last 15km, I did my best to keep my mind on what I came here for a podium finish to qualify. Again not a smart move in hot humid 35-38 degree conditions and with a whole host of injuries and road rash that I never took the time to assess my situation. It didn’t take long until I turned my Garmin off the speed setting because I wasn’t even close to my target pace and I just focused on getting to finish as fast as possible. This was not easy as I had also pulled my right calf in the crash so I felt each and every step.

Long story short, I got through the hottest run of my life (thank god for all the sponges) and pretty much collapsed across the line and mumbled the words “medical, I need medical” I was in an absolute state, I could no longer stand and had to be helped and lost all control of my body (even my bladder….) even sitting wasn’t possible. I spent the next 3-4hrs or so getting checked and monitored in the medical tent trying to figure out the extent of everything.

Everything seemed to come somewhat better and was I able to hold a conversation but it wasn’t until I got back to my accommodation (maybe due to all the movement?) things really hit me and went downhill. Travelling alone this can be scary but thankfully I was surrounded by a really nice Italian man, who had also raced and some really helpful resort staff. Although none of their English was great I managed to get my message across (google translate was our best friend). I got them to monitor me every couple of hours and then made the decision if I was not better by 9 pm I would go to the hospital. Reluctant as being on isolated island I can’t imagine they had assessment tools like MRI that I would need to assess a brain bleed etc. Thankfully by 9 pm I felt slightly better and decided to stay and rest.

I used my high pain threshold to my advantage and endured the pain and passed on any medication offered (I got some pretty confused/weird looks saying no). Why would I refuse? TBI on their own result in extreme gut damage so I didn’t want to cause further damage by adding them to the mix. Plus I would rather be conscious/mindful of the pain to ensure I can truly assess my symptoms and ensure I am not doing anything to aggravate them.  I am not saying you have to say no to drugs if needed, this is just my personal choice as I like to be in tune with what my system is telling me not masking it. If you do choose to take drugs you do need to be careful especially if there is any chance of a brain bleed as non-steroidal anti-inflammatory drugs (NSAIDs) will increase the bleeding so try your best to stay clear and stick to traditional painkillers eg paracetamol.

I was lucky I didn’t have to leave until the day after the race and my Italian friend broke down and packed my bike for me because there is no way I could even fathom doing that. I spent the rest of my time taking things very slowly which wasn’t too hard as I couldn’t walk after pulling my calf and running a half marathon on it, you could say it was not too happy so walking was very slow with a massive limp. The upside I was thankful to be in paradise, so just chilled and got straight onto my rehabilitation.

Initial treatment

This is the part where I want to share what I did initially to support my TBI and hopefully can help as a resource for others struggling or know someone struggling.

Obviously, on an Island, I had very limited access to support or interventions but luckily I always travel with supplements for optimal health and performance which in this case I was lucky as some of them are also the first line of call for brain health and repair.

Below is a list of the things I implement with dosages and why they were applied, to provide you with a greater understanding. You may note some of these are a little higher than recommended doses so please check with medical professional first. Obviously I had to work with what I had in an isolated location, in the future I will endeavour to provide a detailed protocol of what I would do in an ideal world but for now, here is what I implemented:

Sleep/ Rest:

Why: When it comes to TBI nothing comes close to rest so that became my primary focus. I have an Oura Ring which is one of the leading personal sleep trackers so this was great for me to monitor and assess my sleep. Although sleep is the best thing for a TBI, poor sleep is also often associated in particular REM sleep can be affected. I designed my day around maximise my sleep. Priming the circadian rhythm with early morning

Dose: I aimed for more sleep than normal targeting 9-10hrs. However, I did not always get that

Daily Routines:
Morning:

  • Meditate: to relax the mind
  • Sun Exposure (no sunglasses with as much skin as exposed as possible)
  • Grounding (bare feet),
  • Movement (or should I say limping…)

Day:

  • Napping: As required but no later than 3 pm as I didn’t want to impact my sleep during the night

Evening: Focused on winding down early

  • Early Dinner
  • Blue-blocking Glasses (which were also godsent when over stimulated throughout the day)
  • Meditate: to relax the mind

Meditation:

As mentioned above

Why: Not only is mediation powerful for cultivating a positive perspective but it is great for unloading the exhausted mind. I ensured I had a solid foundation of daily meditation (morning and night) and whenever I overloaded the system and felt symptoms worsening I would take a step back and meditate and straight away fell a release in the pressure within my head.

Dose: 10-20min Morning and night and when needed throughout the day

Exogenous Keytone Salts
Brand: Pruvit

Why: Quite possibly the most important thing I could take early on. Keytones are known to be the most efficient clean fuel for the brain and they can provide up to 70% of the brains energy. Even more importantly a TBI resembles Alzheimer’s disease (AD) as they both present with a reduced ability to utilise glucose for energy. With the reduced capacity to utilise glucose (carbohydrate) for energy, ketones are even more vital in supplying the brain fuel.

Dose: 1 Max Packet per day (half in the morning and the other half in the afternoon)
To increase ketones in the body across the day

DHA (Docosahexaenoic Acid)
Brand: BePure Three

A high strength DHA/EPA Omega 3 Fish oil with Vitamin D and natural vitamins A and E.
Why: DHA is recognized as an essential nutrient for the proper development and function of the brain. In a number of TBI animal trials have shown an improvement in cognitive function, reduction in nerve swelling, stabilisation of cellular energy production and increase nerve repair with the supplementation of DHA & Omega3.

Dose: 2 capsules Morning and Evening

Probiotic
Brand: BePure

Why: Probiotics offer a health benefit to brain function and promote the diversity of gut microbiota.
TBI has shown to greatly impact the gut-brain axis. The communication pathway that has lead to the gut being known as the second brain. TBI results in increased colon permeability, leaving individuals 12 times more likely to die from blood poisoning which is often caused by bacteria, and 2.5 times more likely to die of a digestive system problem, compared with those without such injury. However, a good probiotic can mitigate these effects and help in assisting the healing of the gut.

Dose: 2 capsules Morning and Evening

Antioxidant:
Brand: Viberi Powder

Why: Following a TBI there is a significant increase in reactive oxygen species (ROS). It is the ROS which causes the cascading of events and the primary stress to the brain following a TBI. Antioxidants are important early on as they can fight the increase ROS, reducing the load on the brain allowing it to heal.

Dose: 1 sachet/day (However sadly ran out over there so split them over a few days)

Magnesium
Brand: Bepure

Why: Depletion of magnesium is observed in the animal brain and in human blood after TBI. Magnesium is critical in restoring brain plasticity and for improving cognitive function. Researchers showed that with magnesium supplementation they could reverse brain ageing by as much as nine to 14 years. Anything that helps the health of the brain long term can be assumed is helping in the short term acute situation like a TBI. Not only this but magnesium is great in regulating inflammation along with assisting in sleep which can be challenging when suffering from a TBI

Dose: 2 capsules Morning and Evening

Diet: Fasting + Whole Food Antioxidant-Rich Diet

Why: Fasting: Purpose of fasting is to naturally increase levels of ketones in the body, reduce inflammation and along with providing the gut a period to heal and repair following the onslaught of racing and the TBI. However, important to note I was not strict, I did not want to place any unneeded additional stress on my system so when hungry I would eat.

Outside of the fasting, I tried to limit carbohydrates as much as possible and a trend towards a more keto approach. Although this turned out to be challenging to do due to limited food choices over in Asia. Interestingly, I did find myself craving carbohydrates more, I am not sure if this was due to having more than normal or if my body was requiring them so I would listen to the body and not restrict when craving carbohydrates.

Aside from the fasting and minimising carbohydrate where possible I aimed to eat a diverse wholefood rich diet. With a special focus on getting in vibrant colourful foods as vibrant colours are closely associated with nutrients and antioxidant properties. Also in a new country presented a great opportunity to try new foods and develop a bit more of a diverse microbiome.

Does: Length of Fasting is dependant on your ability and adaptation to do so. The key thing to keep in mind is you need to listen to the body. I can happily do 16-18hrs but this is never a target! I just listen to what the body was telling me and adjust accordingly.

Activity:

Walking: Broken and chronically exhausted I couldn’t do much but walk/limp so I took it easy and stayed well within my limits and walked as much as possible and gradually increase easy day.

Why: Movement is phenomenal for recovery as long as you stay within limits as it increases blood flow, Neurotransmitters, (the chemicals in your brain that transmit messages between neurons) and activates neuroplasticity (the brain’s ability to rewire and repair itself after brain injury)

Dose: Every morning and as much as my mind/body would allow throughout the without aggravating symptoms. Gradually increasing each day as my body/mind allowed. For me mornings where best by the afternoon-evening I was exhausted and just rested

Two days post Crash: Bintan to Singapore

 

Then Tuesday rolled around and it was time to leave and catch the ferry back to Singapore and straight to the airport to fly home. Still waiting to hear back from my travel insurance I slowly and painfully got myself to the airport. While waiting to check-in, they finally got back to me and told me to get straight in a taxi to the hospital to be cleared before catching my flight home. At the time, however, this just seemed like too much! I just wanted to get home even as much as I was dreading the flight. However, after talking to my mum, as I was in no state to make a decision she made me realise they were right, you only get one brain and I have worked hard on mine so just not worth the risk. I thought I would only have to stay one night but the insurance company still wouldn’t let me fly so I ended up staying for another 4days in Singapore going back and forth from the hospital for assessments, scans and then for my road rash which became infected. In this time I persisted with my protocol as listed above the best I could.

When it comes to assessment for concussion there is not much they can do in the way of identifying the extent of damage, all an MRI can do is look for a brain bleed which would be a worst-case scenario. Thankfully I was cleared to fly home which by this time I had exhausted my supply of supplements so I was keen to get home to get back on to them to regenerate my brain.

Home:

Finally back home with access to all the resources I need and touched base with a couple of friends of mine a special mention to Cliff Harvey who was really helpful to bounce some ideas and get his thoughts and advice. Especially with a foggy mind, this was extremely helpful as reading literature wasn’t really possible at this time. I then distilled what I knew and what Cliff and others had suggested into a protocol. In my next post, I will discuss what I have implemented in the month or so since coming home.

Hit the Reset Button: Tricks & Tips for the Holiday Season

The silly season is among us! With the extra time, it is the perfect opportunity to take the time to focus on your health and wellbeing.

Let’s not sweat the small stuff, indulge a little and relax – you all have earned it! Enjoy.

The holiday period also presents as a great opportunity capitalises on extra free time to develop key positive habits that can help set you up for an awesome 2019. In this post, you will find our top tips to focus on this holiday period to help reset yourself for a big 2019.

 

1. Hack your Sleep:

The holidays present a great to focus on establishing the habits and getting the restorative sleep you desire.

Top Sleep Hack:

  1. Design your own Sleep Sanctuary
  2. Ditch Technology
  3. Black it Out
  4. Airflow
  5. Plants
  6. Quality Mattress & Pillow
  7. Most of all, develop a routine and keep it consistent!

Learn More

2. Remove Toxins & Stimulants

The holiday season is a great opportunity to clear out all the unneeded toxins and stimulants from your life.

  • Plastic

Reduce your use of plastics as much as possible. The plastic leaches chemicals like pcb’s dioxins which are xeno-estrogenic and mimic estrogen in your body. This creates an estrogen dominance which develops an insulin resistance, making it extremely difficult to regulate and reduce fat.

Remove Plastic:

  • Ditch the plastic drink bottles: Replace with a metal bottle
  • Rethink Tupperware: The last thing you want to do is put hot food into a plastic container (or worse – to reheat it!). Replace with glass or bamboo.
  • Plastic Straws: Replace with metal or bamboo

 

Coffee is the greatest source of Polyphenols (Antioxidants) in the western diet! It is also well known that us Kiwis love our coffee per capita consumption ranks among the top 20 in the world, according to the statistics portal, Statista.com.

Can there be too much of a good thing? If you have become reliant on it and can’t survive a day without it. It is time for a detox! With no deadlines or time constraints with work, this is the perfect time for a detox! Remove caffeine from your life for 2 weeks to allow your body to reset.

Removing the stimulant for two weeks is extremely powerful as when reintroduced, you will once again notice the stimulant effects again, that have most likely been stunted due to overuse.

Quick note: If you currently exceed 3 coffees a day I wouldn’t suggest going cold turkey unless you are that way inclined. Gradually cut down!

Learn More

 

Light is a nutrient that plays a significant role in signalling your mitochondria (cellular powerhouses) to do things and when to do them. Different light frequencies trigger different signals in your cells. Blue light which mostly comes from LED lights places the body under a significant amount of stress.

Newer artificial light bulbs lack many of the sun’s frequencies that our bodies and brains need. Artificial lights, have eliminated most of the infrared, red, and violet light found in natural sunlight, and are amplifying the blue light beyond anything we have evolved to handle. Most LEDs and compact fluorescents emit about 5 times the blue light we’re used to.

Where to start:

Reduce blue light or what is now known as Junk light. Download a blue-light filter app like F.LUX for digital devices (Mobile & laptop) and switch all the lights in your house to halogen and incandescent. They aren’t perfect, but they’re better. Your white LEDs might be saving your power bill but they are sapping your personal energy levels!

Learn More

3. Hydrate

Too often we forget the simple things like hydration. Yet, hydration levels are one of the most important things to regulate.  Water contributes to the maintenance of normal physical functioning, cognitive functioning and thermoregulation. Our body is made up of 60% water, so it is important that you achieve optimal water levels as it is essential for feeling good with optimal health and energy. With 1% of dehydration affects performance by up to 10%!

How much water should I drink?

0.033 litres per kg of body weight, which roughly equates to the following amounts:

  • 60 kg = 2 litres
  • 75 kg = 2.5 litres
  • 90 kg= 3 litres

Hydration Tips:

  • Carry a metal drink bottle with you everywhere.
  • Download Hydration app, to remind you to drink

 

4. Mindfulness

Slow Down: Too often while on holiday I see people stuck in the busy mode unable to slow down. On a mission racing around from place to place and not taking the time to relax and enjoy the present moment. It is easy to get stuck in old patterns but we need to be able to detach ourselves from these habits. I have caught myself in this very situation myself many times. This where it is great to include a mindfulness practice.

Mindfulness Definition: A mental state achieved by focusing one’s awareness on the present moment, while calmly acknowledging and accepting one’s feelings, thoughts, and bodily sensations.

Mindfulness is all about detaching yourself from the past and the future and focusing on the present moment, as it is only the present moment that you can impact. The holiday period presents as a great opportunity to increase or introduce a mindfulness practice.

Where to start?

  • Download an amazing app like Headspace, that will help guide your mindfulness practice. The great thing about Headspace is its flexible nature, that allows you to design a practice around your needs such a length of session and specific focus points.
  • Walk slowly, sounds simple but can be especially tough for busy people to do.
  • Sit down and enjoy scenery eg. beach, park.

Learn More

5. Look after your Gut!

Our gut is now known as our second brain so it makes sense to look after it! Did you no 90% of your serotonin (feel-good hormone) is created in your gut. That means poor gut health can lead to depression.

A great way to start your day is with a lemon juice/apple cider vinegar to help stimulate digestion through stomach acid and bile production.

  • 1 tbsp. Apple Cider Vinegar (it has to be raw, unfiltered, with the mother)
  • Juice from 1 lemon
  • Pinch of Pink Himalayan Salt (antioxidant/electrolyte)
  • 1 Cup of warm water (Make it as a tea)

Aim to drink 30mins prior to breakfast for best results.

Why not throw in some bitter and fermented foods to aid digestive support this summer too.

Popular recommendations include: 


 

Bitter:

  • Turmeric, (turmeric lattes)
  • Cacao
  • Ginger
  • Good quality Organic sourced dark chocolate
  • Leafy greens like Spinach and Kale.

 

 

Fermented:

  • Kombucha
  • Kefir
  • Natto
  • Sauerkraut
  • Pickles

 

 

6. Gratitude

The benefits of practising gratitude are nearly endless. By taking the time to notice and reflect on what you are thankful for, you experience more positive emotions, feel more alive, sleep better, express more compassion and kindness, and even have stronger immune systems.

A great way to cultivate this practice is a Gratitude Journaling. Journaling works as it slowly changes the way we perceive situations by adjusting what we focus on. Shifting our focus away from the negatives and onto the positives. Journaling can be as simple as writing 3 things you are grateful each day.

7. Fear Setting

With the new year brings new year’s resolutions. University of Scranton research suggests that just 8% of people achieve their New Year’s goals. Let’s not fall into this trap! This year instead of new year’s resolutions replace them with ‘Fear Setting’ (An exercise recently popularized by Tim Ferriss)

Fear setting is all about embracing your fears! A simple process in which you write down and quantify your fears. What is the worst-case scenario? (often it is not as bad as you think). Once identified work back from that scenario, how can you mitigate these consequences and then how could you recover from this scenario. You will be surprised how powerful this technique can be.

Follow these 3 steps to fear-setting:

Do an 80/20 analysis:

  • “Which 20% of sources are causing 80% of my problems and unhappiness?”
  • “Which 20% of sources are resulting in 80% of my desired outcomes and happiness?”
  • “Which 20% of sources are consuming 80% of my time?”

Write a to-do and not-to-do list:

  • “Why haven’t I done my most important to-do?”
  • “Why haven’t I stopped doing my most important not-to-do?”

Define your fears clearly (Once identified ask yourself this series of questions):

  • What is the worst-case scenario if I did what I’m considering?
  • What are all the things I could do to minimize that from happening?
  • If the worst-case scenario happened, what steps could I take to minimise repair the damage

Learn More

Most of All:

Have an amazing break, take the time to relax, unwind and get some quality time outdoors in the sun! Merry Christmas & Happy New Year from the Taylored team

Re-United with My Sugar Addiction…..

Post-Holiday Addiction

I think we have all faced this at one time or another, you visit an amazing place with phenomenal food and you trying everything insite because, hey you’re on holiday.

Many of you will know I have just come back from Melbourne and to those that have been to Melbourne, you will know that is world renowned for amazing food. As a massive foodie, it is fair to say I went a little overboard…. But no regrets because that is what holidays are for, expanding your horizons to new things, just sometimes that also means expanding your waistline at the same time. There is nothing wrong with this and I think we should all live and experience life but I have noted since coming home the true danger lies in coming home reunited with my old friend my sugar addiction. As I have stated in many of my previous articles this is powerful as a cocaine addiction, as it reacts in the similar fashion in the brain.

In realising the trap for myself I quickly realised that I will not be alone in this struggle, so why not share the strategies I will implement to get myself back on track. This document is for anyone looking to cut sugar, it doesn’t matter if you have been on holiday or not, just coming out of winter can be hard enough, as we tend to drift towards comfort foods

Cold Turkey

Just like any addiction moderation is not a good idea as “just a little bit” ends up as a “big bit” or “another bit”

Time to be strict, no more sugar for me for at least two weeks, so goodbye to my beloved chocolate, although I eat 90% dark chocolate it does still have a small amount, so that will have to go as well.

Two weeks strict no leniency and following this I will reassess and most likely be more liberal with good quality sources eg my dark chocolate (90%). The key focus is to break the habits of snacking.

 

I’m going, Keto

Those who follow me know that I am an advocate for keto when done appropriately for the right person, I have written extensively on it

I traditionally cycle in and out of keto depending on my training and racing schedule, but it looks like it is time for another solid cycle of Keto, especially with race season around the corner now.

Keto is one of the quickest ways to kick the cravings to a curb. However, it is always harder going into with re-established sugar cravings. The induction period can be tough as for any detox you are removing an addictive stimulant that you currently rely on. Your body doesn’t know what hit it, naturally, you begin to crave those foods more and begin making elaborate explanations and justifications to why you “need sugar” or “This is a good source of sugar” All this does is draw out the induction period. If this sounds like you and something you have tried and failed with before, the next couple of steps may also be challenging for the same reasons but don’t worry we have a solution for you! Check out the Exogenous Ketone section.

There is no one fits all approach

Not everyone needs to go full keto, high fat low carbohydrate (HFLC) will be sufficient and keto maybe to extreme for many. You need to keep in mind my baseline of carbohydrate intake was previously very low and I know I personally function best in this state with my performance goals. Everyone will function off varying amounts of carbohydrate. It is what Cliff Harvey calls “carbohydrate appropriate” so don’t feel like you need to go all or nothing. I would personally suggest starting HFLC and see how you go, re-assess and decide if you want to take it a step further to keto.

 

No Snacking

While on holiday it is easy to snack and graze on food throughout the day. Although our bodies are not designed to graze, this places a greater demand on our digestive system which in turn our body neglects other key processors.

Back from holiday is a great time to establish my new routine so no more snacking instead focus on 2-3 key nourishing meals.

 

Intermittent Fasting

For those like me who like to take it a step further beyond restricting carbohydrate and snacking and want optimal benefits. Intermittent fasting should definitely be considered as it provides your digestive system a greater opportunity to rest placing less unneeded external stress on your system

There are wide-ranging fasting protocols, that you can select from and to learn more read my previous posts but I think the key to any of the protocols that is often missed is that you should never suffer! Fasting is not about starving yourself it is about listening to your body and eating when hungry. As you become less reliant on carbohydrate for fuel and your body shifts over to primarily utilising your fat stores, as this happens you will naturally be able to fast for longer, but you should never push this adaptation phase, listen to your body and gradually increase your fasted window.

 

This is too hard! I Need a Helping Hand

If you are struggling with the above steps and you need a helping hand or just want to stay feeling amazing, look no further than Exogenous ketones.

Exogenous Ketones

Cravings and hunger catch us all off guard at one point or another but what if you could remove these while putting yourself into a fat burning zone (ketosis) while increasing mental capacity and clarity.

Sound good?

Exogenous ketones are the answer with an extensive list of benefits they are phenomenal from a performance standpoint but also a sugar addicts best friend as they detox the sugar. They are my specialist trick and often refer to them as the “catalyst for ketosis”. There is nothing as powerful in getting you through the tough times of induction period of keto or kicking the sugar addiction. Firstly because they taste amazing (even sweet) but because they remove hunger, craving and keep you performing at your best. Plus they are high in electrolytes which keeps the dreadful keto flu at bay.  

 

Out of Site out of Mind

When struggling with willpower which you most likely will early on, hide your treats. For some, this is not enough so I suggest giving them away or throwing them out so that your house is clean with no treats.

Accountability

Get friends, family, flatmates onboard. Let them know your plan and why you are doing it, ask them to keep you honest and on track, because let’s be honest we can justify anything, at least this way you will get an unbiased accountability.

Brush your Teeth

Danger time for me is following dinner, normally when I reach for the dark chocolate or go for seconds and then thirds when I am not even hungry. Brushing your teeth straight after dinner is a great way to stop yourself from eating

Join in the Journey: Stay Tuned

Join me as I re-undergo this induction phase and ditch the sugar and carbohydrate. I have my exogenous ketones ready to go and looking forward to being addiction free and back full of energy with no spike or crashes.

 

Science Behind Ketone Supplements

Part Two: For those like me who enjoy the science

After discussing the application and benefits of exogenous ketones in my last post, I want to dive into some science behind them and highlight the differences between various types to arm you with the knowledge to make the right decision.

What Are Ketones?

Natural, Clean Energy

Ketones are our fourth fuel substrate, they are clean-burning as they reduce the production of potentially harmful Reactive Oxygen Species (ROS) inside cells. Plus they also clean up ROS produced from other metabolic processes.

Ketones have been shown to be preferable fuel for the brain over glucose as they aid in brain development. When ketones are present they preserve glucose for pentose phosphate pathway which results in ribose for DNA syntheses and NADPH for lipid biosynthesis

Before we touch on ketone supplements you must first understand the mechanism that defines the state of ketosis. Simply put, when your body is in a state of ketosis, ketone bodies are present in a higher concentration than normal (0.5+ mmol/L). I have discussed this further in the previous post

Three Ketone Bodies:

  • Acetate (Acetone): Is the least abundant, produced in much smaller amounts, and is usually exhaled through the lungs rather than being used as fuel.
  • Acetoacetate (AcAc): Is part of the metabolic pathway whereby humans make and use ketones, but it tends to be found in the blood at lower levels than BHB.
  • Beta-hydroxybutyrate (BHB) Is the most prevalent of the ketones. Due to far higher concentrations and existing outside the cell, compared to Acetone and Acetoacetate it is widely used to measure ketone levels.

Two Forms of BHB:                                                                

  • D-β-hydroxybutyrate: The right-handed version. 

“D” comes from the Latin dexter.

  • L-β-hydroxybutyrate: The left-handed version, lab-made ketones.                    

“L” comes from the Latin laevus.

D-BHB vs. L-BHB: Which is better?

There is currently a lot of controversy around which form is safest and best to use as a supplement form. One side argues the D-BHB is superior in enhancing mitochondrial function, whereas other evidence suggests a mixture of D & L is handled better and more beneficial for neurological diseases and cancer. L-BHB is thought to be a signaling molecule to reduce inflammation and has been shown to also convert a portion to D-BHB. Additionally, the production of D-β-hydroxybutyrate (right-handed) is a more expensive supplement to produce.

When measuring it may appear that D-BHB promotes higher blood ketone levels. However, that is because most commercial ketone measuring devices only measure D-BHB, not L-BHB.

To the best of my knowledge, there has not been a comprehensive study to truly determine if D-βHB is more beneficial than DL regarding general use applications, or value to the consumer from a financial perspective.

History of Ketones

Ketones are nothing new, it is just our understanding that has changed. beginning, in 1865 scientist discovered a molecule called acetoacetate in the urine of diabetic patients. Acetoacetate is a ketone or also known as a ketone body. Through discovering acetoacetate ultimately led them to identify BHB.

In identifying them, they began seeing BHB in high concentrations in uncontrolled diabetics (Ketoacidosis), thus leading scientist to label ketones as bad. However, as our understanding has grown this was shown to be short-sighted and to predominantly be a factor for uncontrolled diabetics patients.

Ketoacidosis is Not Ketosis

I know it sounds similar but they are the same.

Ketoacidosis or Diabetic Ketoacidosis (DKA) is a complication of type 1 diabetes mellitus. Associated with a dangerously high combination of ketones (much higher than ketosis) and blood sugars which makes your blood too acidic. As limited insulin is available for the cells to adequately uptake the sugar (glucose) in the blood to use for energy. Ultimately this can alter the normal functioning of internal organs like your liver and kidneys. It is a critical condition that requires prompt treatment as it is a life-threatening condition and often occurs quickly within as little as 24hrs.

DKA Ketone levels can increase up to 20-25 mM, which decreases blood pH, whereas a state of ketosis is determined as 0.5-3mM. With an upper threshold of 7-8 mM (e.g. during very-low-calorie Keto Diet and use of exogenous ketone supplements).

DKA is a predominantly a factor for type 1 diabetes but individuals with type 2 diabetes who have little or no insulin production, need to be careful as it can occur if not controlled.

Ketone Supplements:

  • Ketone salts: This is the form found in most ketone supplements available on the market. Ketone salts are a compound consisting of a mineral ion, such as sodium (Na+), potassium (K+), and BHB. Ketone salts are high in electrolytes; so they can aid replenishing electrolytes lost in urine while on the ketogenic diet.
  • Ketone esters: Ketone esters are primarily used in research and are not currently available to consumers. This form consists of pure beta-hydroxybutyrate or Acetoacetate without other additives.
  • MCT Oils: Medium chain triglycerides (MCT) doesn’t contain BHB but has been shown to moderately raise BHB levels. MCT’s require a greater amount of processing than other exogenous ketones thus taking longer to get into ketosis. Along with this, MCT’s are a more calorie dense which could be counterproductive for those needing to watch their caloric intake.

What Ketone Supplements do I use?

I personally utilise a mix of MCT Oils and Ketone Salts. I have used them for close to two years now and couldn’t imagine life without them especially the Pruvit (ketone salts).

My goal is performance and un-tapping my potential, I can’t settle for suboptimal, I want to always be performing at my best. Therefore, I use these supplements in many varying capacities from training and racing (triathlon), speeding up my recovery, to increase my mental capacity and clarity (ps. I am functioning on ketones as I write the majority of my blog posts 😉 ). Aside from performance end I also utilise Pruvit for longevity and to keep hunger at bay and extend my fasts so perfect for travel or when on the go with no good food insight or time, this gets me through these dangerous moments and keeps me functioning at a high level without hunger pains or cravings.

MCT Oils (Bulletproof or Melrose): I use this mostly when I need a little bit of mental and energy boost, but mostly to keep my hunger at bay. Plus sometimes to blunt the effects of those carbohydrate treats for me this normally means MCT Oil on my fruit salad. 

Ketone Salts (Pruvit): MCT is great but nothing compares with Ketone Salts, this would have to the biggest performance enhancing supplement I have ever taken, it is my rocket fuel!

Mixing Things Up:

I have traditionally taken each supplement separately until recently when I came across research stating the benefits associated with a combination of both Ketone salts (BHB) and MCT’s. This combo has been shown to further elevate the BHB response in the blood. Plus as it has a delayed gastric absorption it extends and sustains a higher elevation of blood ketone level over a longer period. The combination is looking extremely promising as it appears to be better than either ketone salts or MCT’s alone. Even better, it has been reported that it may remove the adverse gastrointestinal emptying effects of MCT oil that is often associate when MCT is taken on its own. However, further research is required to identify ratios and best application

Recently I have been playing around with my own ratios and I have introduced MCT oils into my staple long ride fuel of ketone salts and so far it has been great but I will keep you all posted with how I get on.

Why Pruvit?

Pruvit or Keto OS, which stands for “Ketone Operating System,” They were the first to patent to ketone technology, meaning they are most widely researched and used. Pruvit, is now one of the quickest growth nutrition based companies and has posted 400% year-to-year growth since its inception and is showing no signs of slowing down as it has recently moved into Canada, Asia, and Australia.

 

“I Need to Try Ketones for Myself!”

Flick us at Taylored a message and we can get you set you up with a trial.

Info@tayloredhealth.co.nz

Subject: Ketone Trial

 

Keytone Supplments: What is the Fuss about?

Ketone supplements or more technically known as ‘Exogenous Ketones’

Why All the Fuss?

The product has been shown to put you in ketosis in 30mins!

A profound statement when you compare to the time it takes to achieve nutritional ketosis through diet alone which normally takes around 2-3 days and potentially as long as 7 days! It is no wonder people are flocking to exogenous ketones. Plus with all the success stories it does not seem to be disappointing.

What is this magical state ‘Ketosis’?

When in a ketogenic state you produce ketones which simply put is your 4th fuel substrate so fat, protein, carbohydrate, and ketones. This state can be achieved by either restricting carbohydrate or by taking an external supplement such as exogenous ketones, that puts you into to this state and promotes production and use of ketones.

What does Ketosis Achieve?

  1. Weight loss
  2. Increased Energy & Mood
  3. Increased mental clarity & Focus
  4. Increased Performance (Mental & Physical)
  5. Better Sleep
  6. Faster Recovery
  7. Longevity

There are two types of ketones:

  • Endogenous ketones: Endogenous = ‘Endo’ = within. ‘Genous’ = origin.”                                                
  • These are ketones made naturally by the body through the process of ketogenesis.
  • Exogenous ketones:Exogenous = ‘Exo’ = external. ‘Genous’ = origin.”
  • These are ketones supplied to the body by an external source like a nutritional supplement

Application:

No doubt this sounds great but what are people using it for?

  1. Adaptation Phase: Keto Induction

Exogenous ketones are especially helpful for some getting started on a keto or high fat low carbohydrate (HFLC) diet because as you remove carbohydrate from your diet you will face two major challenges ‘Keto flu” and hungry/carbs cravings

  • Keto Flu: Adaptation to a ketogenic diet (keto-induction) can be associated with some unpleasant symptoms, this has been coined as “Keto Flu”. The symptoms associated have been shown to subside after 3-5 days and people report better energy and mental clarity afterward. However,

Exogenous ketones have been shown to be a viable aid in this induction period and avoiding keto flu.

How?

Keto Flu stems from a lack of sodium.  As you deplete your stored carbohydrate (glycogen), you lose 3-4 grams of water for every gram of glycogen (stored carbohydrate). Explaining the initial weight loss associated with ditching carbohydrates. Therefore, in this induction period, it is important to increase sodium (salt) intake to compensate for the loss of water and sodium to aid in retaining water loss. No need to stress, salt intake is not unhealthy like we have been fooled to believe. This is one way that exogenous ketones can help have they are packed full of salt it can aid in minimising this depletion and unpleasant effects associated.

  • Hungry/Carbohydrate Cravings:

The shift from carbohydrate can be difficult as you cut sugar (carbohydrate) it has been shown to reflect a similar addiction response to cocaine. Overcoming any addiction is not easy! The great thing is exogenous ketones can help with this as the increased satiety and remove cravings and instead of being bound to the pantry, hungry at all times, you end up finding that you will need to remind yourself to eat. This liberation from the need of continual refueling was one the most profound effect I personally saw.

 

  1. Weight Loss:

  • Calorie Restriction:

Yes, calories are important and no a calorie is not a calorie.

I personally recommended the approach ‘quality over quantity’, first as it is a more nutrient-dense plus for the purpose it will normally self-correct as you are more satisfied from good quality foods and will naturally limit calorie intake. However, to accomplish  weight loss goals you need to attain a healthy negative calorie balance and being in ketosis is one of the greatest methods in achieving this as mentioned above it curbs your hunger and cravings, liberating you from your need to snack and regularly refuel, resulting in you naturally extending periods between food and eating less at meal times and as a result you reduce your caloric intake which results in weight loss!

  • Lifestyle Buffer: When life gets the best of you, exogenous ketones are also great for keeping yourself on track. They are great for those who struggle with maintaining a strict ketogenic diet and find themselves slipping up, exogenous ketones will aid in buffering the effect of a slip-up, keeping you on track towards your goals.

Application: Take around and during the meal, to buffer response

 

  1. High Performers:

Perfect for any high flyers, always on the move that is either:

  • Time poor
  • Always on the road
  • Up in the air
  • In back to back meetings

Time poor and always traveling with back to back meetings doesn’t leave you much time to eat well, making it extremely hard to come across healthy options.

Dealing with a lot of high flyers, this is a never-ending question that I get asked as they gradually see a decline in their health as they continue down the vicious track. What if I was to tell you the solution is a small sachet that can increase mental clarity, focus, energy, mood while keeping you full till you have time to eat a nutritious meal. Obviously, we want to do our best to eat well but this aid will get you through the tough times, especially the tempting junk food found in conferences! With no insulin spikes and crash, so you won’t crave the slices and sausage rolls.

Especially helpful for those who fly a lot, it is well known how bad airplane food is. It not only tastes bad but because we lose taste buds in the air, they pack it full with sugar and sweeteners to make it palatable….. Instead, I say no to food and come prepared with a sachet of exogenous ketones to sip on and if long hall brings along my own healthy snack like macadamias. Ketones will also help with minimising effects of jet lag as another added bonus.

  • Productivity: Due to the increase in cognitive function and mental clarity, exogenous ketones are my biggest performance hack. Whenever I am under the pump or need to be productive you can guaranty I am sipping on some exogenous ketones.   

 

  1. Sporting Performance:

Performance cannot be forgotten exogenous ketones are like rocket fuel and amazing for all athletes from high intensity to endurance athletes.

The effects on athletes are phenomenal. Using them myself personally in training and racing across a variety of distances from sprint to Ironman Triathlon for the last year and a bit, I can personally attest to this. It is important to understand there is multiple applications to optimise sporting performance.  

  • Fat adapted (Metabolic Flexibility):

The ability to optimise your fuel substrate utilisation and tap into fat for fuel which has an endless supply of energy.  have to be one of the most powerful tools in training fat adaption as within 30mins they put you in a ketogenic state but also they help at keeping the hunger at bay allowing you to extend the fast. They are a great tool to use in the none key steady fasted sessions.

Can you spot my Keto OS Swiss Cacao

Training fasted? Fasted sessions are all about training your bodies ability to tap into your endless supply of fat stores instead of relying on external fueling of carbohydrate like a traditional athlete. You may think I’m crazy but I will often do a lot of my ironman training fasted, a couple hours on the bike followed by a run and then refuel afterward which could be a total of 18hr fast. However, important to remember this is a trained skill and fat adaptation takes approximately 3 months or so to train. I am never hungry or craving food and you shouldn’t be! If you are, eat! You should never suffer if so, you are playing with fire and will burn out due to excessive stress. Additionally, important to understand not all sessions should fasted, fast on steady-state training rather than high-intensity key sessions or longer sessions.

Application: Sip on full sachet across the session.

  • Recovery: The anti-inflammatory benefits of bringing in ketosis is not only beneficial for chronic health conditions but also your recovery from training and racing. Keeping blood sugar levels balanced you no longer get insulin spikes that are associated with an inflammatory response. I see the recovery component being one of the greatest underestimated benefits of exogenous ketones.

Recovery = Adaptation = Results

Drinking Keto OS while in my Recovery Boots in the middle of a big training weekend

Too many athletes neglect the recovery component, and in its place double down on training, putting themselves further in the hole and not allowing the body the time to adapt to training response. What if you could speed this process up and get back training sooner. Exogenous ketones will absolutely aid in a quicker recovery and are something I believe all high training load athletes need to consider. Maybe less important for sports which training frequency is low and have to recover but in sports like triathlon and especially sports like Ironman where you training 15-30hrs per week, most of the time on top of your full-time job, you really need to double down on recovery strategies as you are placing a significant amount of external stressors on your system. This needs to be balanced out!

Sleep is the most powerful component for recovery and exogenous ketones have shown to be effective in improving your sleep and I don’t think I need to explain the benefits of a good night’s sleep we all know the power that poses (For more information on the importance of sleep).

Application: Sip on half sachet before to get the benefits of alternate fuel source while training and racing and sip on the other half post session to promote recovery.

Or

Sip on full sachet post session across the remainder of the day to double down on recovery.

  • Endurance:

Want to go harder and for longer exogenous ketones are the answer! No longer in training do you need to rely on gels and blocks the wreak havoc with your Gastrointestinal (GI) system. Instead, you can fuel your training sessions on exogenous ketones. On most long rides I use ketones for fuel.

Fat Adaptation: Caveat

Although I have been discussing training low void of carbohydrate as much as possible when we race of looking to optimise performance it is a different story! We want to be metabolically flexible and race with the high amounts carbohydrate that our bodies can handle comfortably (Train Low Race High).

Why?

We want to optimise substrate utilisation, once fat adapted we can then utilise carbohydrate on race day/ race prep session (Test before the race!) to buffer our energy stores and give us the high octane fuel for those surges and sprints.

  1. Chronic Disease:

Chronic Health Conditions that might Benefit from Keto:

  • Type 2 Diabetes
  • Cancer (glycolytic driven cancers)
  • Multiple Sclerosis (MS)
  • Epilepsy
  • Metabolic Syndromes
  • Traumatic brain injury (TBI)
  • Alzheimer’s disease
  • Dementia
  • Parkinson’s Disease (PD)
  • Autism spectrum disorder (ASD)  
  • Migraine headaches
  • Gastrointestinal conditions eg. Irritable Bowel Syndrome (IBS)
  • Skin conditions eg. acne vulgaris, acne rosacea, eczema, and psoriasis

 

A relatively new area of application and with lives at risk it is an area that obviously requires a lot of research to ensure validity. Not mainstream treatment by any means. However, many people are now well aware of the effects of ketosis on certain conditioning, especially as it has been used as a clinical treatment for epilepsy since 1920. People, as a result, have begun self-supplementing with exogenous ketones to help aid their treatments.

Other Applications

These applications discussed above are only the beginning and as the growing body of literature grows, I believe so to will the number of varying application. I take many performance-enhancing supplements but nothing has compared to Exogenous Keytones so I am excited to watch this field grow.

 

“I Need to Try Exogenous Ketones for Myself!”

Flick us at Taylored a message and we can get you set you up with a trial.

Info@tayloredhealth.co.nz

Subject: Ketone Trial

 

Next Post:

Following on from this post I will take it a step further into the science behind Exogenous Keytones and highlight the differences between the various types to arm you with the knowledge to make the right decision.