Colonic Irrigation For Weight Loss?

Colonic irrigation may seem like a positive,
"relaxing"and necessary procedure but...

I’m okay with my weight, and with my body. Most days, that is. But what if I opened my email to find a Groupon that lured me with the promise of feeling better, of losing weight, of being cleaner, healthier? And what if I passed on it the first time, simply ignored it, but received it again, when I wasn’t in my best place? And what if I didn’t have the wisdom to know how I was being played with, manipulated, misinformed, for them to make a buck off me?

I ignored the promise of a cleaner colon and all of its wonders.

That was the first time. This time, particularly after inspiration from Carrie’s post at E-D Bites, I needed to post my rebuttal.

Won’t Colonic Irrigation (and laxatives, and diet pills) solve the obesity epidemic?

Here’s what the Groupon promised:

• Colon hydrotherapy gently purges digestive tract of debris & toxins to ease chronic pain & restore organ function
• May kick-start weight loss
• Noninvasive and relaxing treatment
• Purges body of impacted debris and toxins
• Can boost organ function and relieve pain

And the facts?

From Medicare:

“Colonic irrigation is a procedure to wash out or lavage material on the walls of the bowel to an unlimited distance without inducing defecation.  This procedure is distinguished from all types of enemas, which are primarily used to induce defecation. There are no conditions for which colonic irrigation is medically indicated and no evidence of therapeutic value.” Given its uselessness, it is nota covered service. Bummer.

From the Cleveland Clinic 

“While the idea of ridding one’s body of built-up toxins from sugar, alcohol, caffeine and meat is appealing, the truth is that the data supporting colonic cleansing and body “detoxification” have not been studied sufficiently in clinical trials.

Carol Burke, MD, Director of the Center for Colon Polyp and Cancer Prevention in Cleveland Clinic’s Digestive Disease Institute, warns of the hazards and lack of evidence to support these therapies. “There is no evidence to support their benefit; there is only evidence of their complications,” adding that complications may include rectal perforations from colonic irrigation and enema therapy, oftentimes requiring surgery.”

From Medial News Today: 

“Twenty past studies about colon cleansing published over the last decade were analyzed by researchers, and found little evidence that the procedure offers any benefits. Instead, a number of the studies noted side effects such as cramping, bloating, vomiting, electrolyte imbalance and kidney failure.”

And really, calling the procedure relaxing and noninvasive? Do we need a visual here to remind us of what the process is? (Sorry, no photos this time).

My reaction might seem targeted to colonic irrigation. But really it’s about being taken advantage of—by the media, by those who ought to know better, and by our own vulnerability. Because products promising weight loss, laxatives and colonic irrigation lying about cleansing our weight away, only cause us damage. We so desperately want to believe, to hope that something will fix our ills, will improve our weight, will help us feel better about ourselves.

We’re bombarded everywhere by media messages—as well as comments from friends and strangers, directly and in overheard conversations—about their latest, their best diet ever. Their solution, found at last, if only for this week.

It comes from people you trust—like your chiropractor, whose hands of gold and makes you feel physically better with his adjustments, perhaps. For a significant contribution to his monthly income, he encourages outrageous products such as 3 day cleanses. 

Yup, several of my patients, including those struggling with bulimia have been victim to the transfer of trust—the belief in the provider who has been trustworthy in some arena of care—but who is damaging in others.

Angie believed she had multiple allergies. What she had was the start of an eating disorder that snowballed into severe restrictive eating and reliance on products her chiropractor sold her. In spite of unhealthy behaviors and food avoidance, she was sold a line of products that contributed to her belief that cleansing was the answer. Her health deteriorated, and by the time she presented to me I knew she needed a higher level of care. Seeing her chiropractor ultimately kept her from following up with her doctor, who might have had the wisdom to see the harm she was doing to herself.

It doesn’t help that we are manipulated at every turn about what is normal and realistic, regarding our appearance. I am not saying that the media causes eating disorders—merely that it influences how we see and feel about ourselves. As we age, skin wrinkles, and hair may gray. Trust me, I know. Weight may fluctuate, as does our level of activity and eating. If we compare ourselves to our younger selves, we may yearn to change. If we look to the photos in magazines and online of individuals our age, we are misguided into believing they are real. 

Please view this amazing video, which lets you in on the secret:

http://www.youtube.com/watch?v=S_vVUIYOmJM

Your Challenge

In this post New Year’s period, have you been challenged, triggered by the pull of diets or diet aids? I’d love to see your responses to the crazy messages you’re enduring. How did you twist it to avoid the pull? What did you say to yourself to come to your senses? Please share via the comments on this post!

And if you need help knowing what something isn’t a wise choice, ask in comments as well! Again, check out E-D Bites post for examples.

The Hyperbole of Weight Gain—The Problem With Relying On How You Feel.

Do you think she struggles with her size?

“We’ve got a big problem here”, she said, in a most unsettled way. “I’ve gained like 85 pounds”. I’m like a great heifer, no, a large female milking cow—whatever they are called”.  I am F-ing fat, and I can’t fit into my pants, and it’s not good. I’m eating, and now I’m hungry when I wasn’t before, and it feels like I just can’t stop.” Kara was able to sarcastically acknowledge that no, it wasn’t 85 pounds, but certainly 35 or so added pounds gained this one-week period between our sessions.  All while trying to increase her intake, to gain some weight gradually, following a period of weight loss from her already-too-low place.

Hyperbole, and then some, right?  Yet this true story from the past week speaks to a feeling, one that was anything but exaggerated. And I write this to point out how feelings could lead us astray in our attempt to get healthy. Kara’s session was not unlike others I’ve had in my career—in this past few weeks, even—counseling patients struggling with eating disorders and disordered eating.

Following the outburst, I acknowledged that her feeling like she had gained a million (or 35) pounds was real. Yes, it feels different, eating more than her abysmally inadequate diet of past weeks. Her food choices—lots of high fiber whole grains, fruits and vegetables—make it all the more challenging. Their large volume and relatively few calories don’t fit with a need to increase calories. Yet she feels as if she’s eating a lot, too much, in fact.  Oh, and the large coffees throughout the day didn’t help, either.

What’s worse is that once she started to eat more, she got hungrier. As is expected, metabolic rate, and along with it hunger, increases with an increase in food. So while metabolism slows with restriction, it picks back up with refueling. Research confirms it continues to increase (your metabolism, that is) until you hit a healthy weight range. (By the way, it’s also possible to be at a normal weight, eating pitifully little, resulting in a slowed metabolism. Increasing food, in this case, increases metabolic rate and weight may not increase, as calories increase along with metabolic rate.

But even if you know it, it feels scary having your hunger return. “What if it never stops increasing?” “Will I always be hungry, even though I’m trying to eat more?” “Will I ever be able to control my intake once I start eating more again?” The panic mounts.

Don't you just feel like staying this way sometimes?

If you respond to your hunger and honor it, it settles down—if you are eating enough. Sure, you’ll get hungry later—maybe 2 or 3 or 4 hours—and you’ll need to respond to that hunger as well. Otherwise, you may find yourself overeating, having restricted before. Until your signals start working for you, you may simply need to eat on a schedule—eating every few hours.

Back to Kara.

I weighed her. And she did gain weight. But it was only ¼ pound, to be exact. She assumed my scale was broken. I assumed she was serious, since that’s how she sounded. And what concerned me most, was my inability to reason with her in that moment; you can’t reason with someone who is irrational, who is simply responding to her feelings.

 It’s just like trying to reason with a young, underfed child; a malnourished individual is incapable of sensible decision-making and rational thought.

Somehow Kara came to her senses. Perhaps it helped being heard. Maybe the increased eating this week was a boost, allowing her to move from her stuck place, to hear the wisdom of my recommendations. And, finally trusting that rationally, she wasn’t having enough to eat, enough calories, to support her body’s needs.

Perhaps having me acknowledge how difficult, and scary, this whole process is, helped ground her in reality, helped. Rarely do providers describe the negatives of recovery, but I was honest with Kara and acknowledged that it sucks to have to feel.  Being numb—from restricting, binging, disconnecting, really works. It can be quite challenging to start to be present and to feel things you’d rather not be feeling.

Sometimes we really see ourselves
as distorted as this tape measure.

In past years, prior to more intensive treatment, there was no reasoning with her. It’s like a recent 24 year old male patient of mine who couldn’t get past his own food rules, and maintained his vigilance around raw foods, unprocessed foods low in fat, that never provided enough calories for his 6’2” frame. This bright young man was anything but reason-able, rational. That was all lost. It was all about how he felt. At that point, all I could do was recommend a higher level of care, to re-nourish him and restore his brain to allow him to think and act sensibly. Only then can we begin to successfully work together and move forward in recovery.

Last week a patient thanked me for letting her express her darkest, most disordered thoughts. After I listened, I rebutted. She had to hear my counter argument. She needed to see the pros and cons of her feelings—her feeling that she needed to drop some weight, in spite of being in the low end of a healthy weight range, in spite of the consequences on her body, her thinking, and her mood. She accepted my guidance, feeling liberated, and applied it in the days which followed. Because she was healthy enough, like Kara, she was able to come to her senses. Her thoughts helped change her feelings and subsequently her behaviors, and she is turning things around. Nice work!

If you are stuck on how bad your body feels, take a breath, and do a reality check. Is the change as major as it feels? And if so what are the benefits of eating more?  Being numb may feel safe, and change can be overwhelming, but what are the consequences of staying where you’re at, in your unhealthy place? With a supportive team and the right level of care, it’s not too late to move forward.

Struggling With Your Eating? Carrot Cake May Be The Answer.

I ate too much. I kid you not. Eight days filled with fried foods is weighing me down. And while I don’t celebrate Christmas, it happens to be my husband’s birthday. So I made the obligatory carrot cake with cream cheese frosting—his favorite—a total yum— and probably ate a bit more than was necessary. And that was after the Indian food we had out—shared lentil soup, appetizers—the works.

Having my jeans fit rather tightly can be challenging even if I needed to gain some weight—which I don’t. Somehow, there’s just no positive reinforcement in our culture for having your waist band cut into your flesh—even if it’s truly a sign of progress, of necessary weight gain for recovery. Growing out of your clothes (unless you’re an adolescent, entitling you to indulge in the newest fashions) yields little benefit in our society. But in my case, that’s beside the point. My personal goal is maintenance, within my normal and healthy weight.

Yes, even nutritionists can, and do, overeat at times. Of course I know better, yet I found myself grazing on salted, roasted cashews rather mindlessly while mixing up the carrot cake batter. And serving the cake from the table? Big mistake. It called to me, a mere arms-distance away. Those skinny, knife thin slivers don’t really count, do they?

What did I resolve when I woke up this morning? First, I wouldn’t dare consider weighing myself—no need to see what I already knew. I might have considered a bowl of bran flakes or oatmeal. But I really felt like having the freshly baked bread I made the night before. (I was rather productive on Christmas, wasn’t I?) 

Rather than have the cereal while yearning for the bread, I decided to have what I really wanted. And so I cut a thin slice of this rather dense, wholesome bread, chock full of oats and flax, figs and walnuts, seasoned with anise seed, and had a bowl of yogurt and fig jam to go with it. And, had my coffee, of course.

What I didn’t resolve was to make up for the extras consumed in the many days before. I did not resolve that I blew it, that I shouldn’t even bother, because it’s useless. Or, that the leftover carrot cake was to be trashed, so that I wouldn’t eat it again. I wouldn’t dream of such a thing (besides, my husband would probably fish it out of the trash barrel if I did). And if I did, it would only reinforce that cakes were something I wasn’t entitled to eat, so it was now or never when they were within my reach. This, of course, would only lead to overeating. I did, however, slice it up, wrapping each slice individually, and froze it.

I did not resolve to skip my usual workout, or my walks with Mica (you know who he is, by now, right?), because “why bother?” I love my treks through the woods by my home. It’s hard to know who gets more excited at the sight of a squirrel—me, or Mica.

Yes, it’s a process. We all need to remind ourselves of what is in place, rather than focusing on where we slipped. This morning’s Skype session with a client overseas addressed, in part, expectations. It came naturally to Anna to focus on the fact that her weight had not yet improved. But the positive changes she has been making were far less obvious to her, and certainly more difficult to measure. She needed to recall that having two chocolates, only two, was in fact, progress. Yes, there was a time, not too long ago, that she would have laughed when I suggested this was possible; chocolate was something to be avoided, when trying to manage weight, for fear that once she started she’d have no control over stopping.

Being able to distinguish her hunger—and her fullness—has also been a major recent achievement. Previously, without this awareness, she was left without the tools to self-regulate food intake. One night this week, she chose to have a snack, responding to this hunger, prior to dinner being ready. As a result, she was left with little hunger at mealtime. She gave herself permission to delay dinner—rather than eating it at the planned time—another step forward in listening to her body’s signals. She knew she could, and would, eat again later when she needed to. The fact is, as a result, she ended up being more in control of her eating, versus overeating.

But if the only goal is pounds lost, then she made no progress this past holiday week at all. Anna needed to revisit the house-building analogy, to shift her focus on what’s truly important at this stage of our work together. Building her foundation is a necessary first step to changing her relationship with food—and ultimately her weight.

As for me, I did have a lighter dinner this evening—a root vegetable soup, accompanied by the sliced homemade bread. And, I mindfully enjoyed every bite of the microwave-defrosted slice of carrot cake. 

And I’m feeling quite good.

PS: Here's the recipe some of you requested!

Joel's Birthday Carrot Cake

Ingredients

2 cups flour

2 cups sugar

2 tsps baking soda

2 tsps cinnamon

1/2 cup oil

1/2 cup unsweetened applesauce 

3 eggs

2 tsps vanilla extract

3 cups finely grated carrots

1 cup walnuts

1/2 cup shredded sweetened coconut

3/4 cup drained crushed pineapple

(See Cream Cheese Frosting Recipe below)

Preheat oven to 350 degrees F. 
Line 2 round cake pans with wax paper, then grease or spray them. (a  13 X 9 inch pan works fine too, but doesn't look as awesome!)

Blend the dry ingredients in a mixer.

Add the next ingredients, through vanilla, beating thoroughly.

Then fold in remaining ingredients.

Pour batter evenly into the two pans.

Place in middle rack of oven.

Bake approximately 1 hour, or until the edges pull off the sides or a toothpick comes out clean when inserted into the center of the cakes.

Let cake cool 10 minutes in the pans. Then flip them over onto plates or cake platter. They should fall from the pans with ease.

Peel off the wax paper and let cool an hour.

Cream Cheese Frosting

12 oz reduced fat cream cheese or Neufchatel (brick form), room temperature

4 Tbsps (1/2 stick) unsalted butter, room temperature

1 1/2 cups confectionary sugar

1 tsp vanilla extract

2 Tbsps milk

Blend it all until smooth, without lumps, and it's ready to use.

Frost one whole cake. Then drop the second cake onto the first and frost top and sides.

Sit down with a slice, and enjoy every bite. Remove the rest from the counter, by slicing and removing the pieces from view (freezing is ideal!)