Sometimes people find out that I’ve lost a tremendous amount of weight[1] and ask me “What’s your secret?” as if there’s one key piece of information that I know that helped me lose weight and get fit. My stock answer is that “I’m more active and eat better.” Everyone knows that’s how you lose weight, right?

No one is ever satisfied by that answer, though, because it’s only part of the equation. It’s harder to tell people that there are a whole bunch of things that you have to change: what you eat, your habits, hobbies, tools, attitude, and self-perception. I’ve been posting my “secrets” to this blog for the past four years. I tried to distill the psychological aspects of weight loss in “How to Lose Weight” but that’s not the only part (although I believe it’s the biggest part).

I’ve been trying to come up with an elevator pitch that condenses my weight loss “secrets” down into a 20–30 second soundbite, but its’ hard to compact a few dozen little things into a pithy statement, and even if I could, people would likely be dissatisfied with that answer anyway.

The Bigger You Are, The Faster You Fall

Here’s something that’s promising: the more weight that you have to lose, the easier the initial pounds come off. It’s encouraging to see weight come off the scale every single day when you’re just starting out with your Clean Livin’ regime, even just a week or two in.

Not everyone has as much to lose as I did, though, so my results are probably atypical and while I’m happy to be an inspiration for anyone, don’t be disappointed if you don’t lose 50 pounds in three months like I did.

As I’ve lost more weight it’s gotten harder to lose weight, and it’ll likely get harder still. I’ve had to reduce my calorie budget a couple of times already since I’m no longer burning as many calories just keeping my now smaller body alive. It’s not terrible. I’ve adjusted by eating healthier, lower-calorie foods so I wouldn’t have to reduce portions to the point where I’m hungry all the time (although I am hungry before I eat).

You’ll have to experiment a little, and adjust your calorie budget based on your weigh-ins, how fast you want to lose, etc.

Surely you’re thinking “I want to lose weight as fast as possible,” but if you want to keep it off, and get healthier while you’re losing weight, that’s probably not your best strategy. Optimal, sustainable (local and organic) weight loss is healthy only if you lose about 1–2 pounds per week, which means creating a calorie deficit of 500–1000 calories per day, either through eating less, eating healthier foods, by exercising more, or some combination of the three.

Garbage In, Garbage Out

A lot of people ask me “what do you eat?” as if there’s a magic weight loss diet. Me? I eat what I like. I try to eat new vegetables, or familiar favorites prepared in a new and exciting way. Novelty helps me. People are so used to various diets that stipulate cutting out entire swathes of foods that they expect I’ll have a short and simple answer like “Oh, I used the Paleo Diet” or “I cut out carbs, fats, and sugar.”

Sometimes people get annoyed with me when I try to simplify my eating strategy down to “I count calories, stay within my budget most days, and eat healthier foods so I’m hardly ever hungry.” Is it because that’s the conventional wisdom that everyone already knows? It’s common knowledge because it works, people.

Constant Feedback

Weigh yourself. Record the weight. Log what food you eat. Count the calories (especially helpful is to plan out a meal before you eat it). Take a tape measure and measure your waist. Take your blood pressure if you have a cuff. Talk to your doctor about measuring your percentage of body fat.

The more you know the more information you’ll have to help you make better decisions.

Check the color of your urine. While cloudy, yellow urine isn’t a sure sign that you’re dehydrated, clear pee is a good sign that you’re well-hydrated, especially if it’s combined with more frequent urination[2].

Wash the Weight Away

You’re not drinking water because you’re thirsty, you’re drinking water to flush out the crud that’s been building up in your system, and making it easier to get the water that comes out of your adipose tissue (i.e. your fat cells) flushed out of your body as you break down the fat cells (which also contain water) to make up for the calorie deficit you’re creating by eating fewer calories. Why weigh all that extra water weight? Go pee that stuff out because you’re hydrating like crazy.

It’s a Decision

That’s all fitness is: a series of good choices that get you to where you want to go.

You are trying to transform your body, but the transformation has to begin in your mind. Imagine an Olympic athlete suddenly inhabited your body (like in one of those Freaky Friday, 18 Again, Vice Versa, or Like Father, Like Son movies, but with an athlete switching bodies with you instead of a relative whose life will inspire you to change. That athlete will likely be frustrated with how your body performs, like asking a race car driver to compete in the Indy 500 in a Prius. You can bet they’d whip their new body into better shape, though. So become that athlete yourself and you won’t have to wait around and hope for a magic mirror, fountain, or fortune cookie.

You’re Not Exercising. You’re An Athlete.

Exercise isn’t something you do for thirty minutes at a certain time every day. It’s who you are. You are motion. You are activity. Every day you’re getting stronger. Your day-over-day improvements in strength, endurance, and speed may be imperceptible to you, but week-over-week, month-after-month you’ll start to find that you can do so much more than you could a month or two ago. Exercise isn’t work. It’s training.

Goals Are Where You Are Going To Be, and What You Are Going To Do To Get There

Your weight loss goals aren’t something that would be nice to do. Your goals are a series of small things that you do that get you incrementally closer to where you want to be. You’re playing the long game, setting milestones and taking every step necessary to get there.

Your goals are small enough that each one should be 100% achievable. You’re going to lose those ten pounds because you’re going to create a calorie deficit every day, by reducing what you eat at most meals, most days, and increasing your activity level to take up the slack.

The best way to predict the future is to invent it.
– Computer scientist Alan Kay, 1971

So How Did You Lose So Much Weight?

I eat better and move around a lot more.

So much fuss has been made over the poor little egg. Eggs have pretty consistently gotten a bad rap in recent dietary history. Are they good for you, bad for you, neutral, or really good for you? New research points to the latter.

When talking about the “egg” from here on out I’ll be mostly talking about standard white chicken eggs, but most bird eggs have a similar nutritional profile, and are equally delicious (although I have a particular fondness for duck eggs).

Who, besides Zooey Deschanel[1], doesn’t enjoy eggs for breakfast, lunch, or dinner? For me, the three most beautiful words in the English language are “breakfast served anytime.”

Yolk It Up

While there are numerous parts of an egg, when we talk about eggs as food we generally discuss only two parts: the yellow egg yolks and egg whites[2], known scientifically as the albumen. Nutritionally the whites are a good source of protein… and little else. Given the cholesterol scare of the past half century many people have started eating egg white omelets or otherwise avoiding the yolk. Why so much fuss about such a tiny little yellow embryonic sac?

Is it because of the saturated fat? A single egg yolk contains only 1.5g of saturated fat, and contains about 80% of the calories of both the yolk and white combined, since the egg white consists of about 90% water, which has zero calories. An average large egg white has around 17 calories, whereas a whole egg (white + yolk) is between 70 and 100, depending on size (for calorie counting purposes I always record a 100 calorie egg regardless of whether I’m eating large or extra-large eggs).

While an egg’s protein is split nearly an even 50/50 between the yolk and the white, the yolk contains dozens of nutrients, and is rivaled only by wheat grass juice in packing a nearly complete nutritional profile for humans in such a small package. The only major nutrient you can’t get from eggs is Vitamin C. So drink a glass of orange juice with your breakfast (or better yet, eat an orange, the fiber is better for you than the juice).

Eggs are one of the most perfect sources of protein available to the human diet, supplying all nine essential amino acids necessary for proper health. They’re high in Vitamins A, D, B₁₂, E, riboflavin, folic acid, iron, calcium, potassium, and choline, an essential nutrient for brain development, especially in fetuses and babies. Some eggs are “fortified” with omega–3 fatty acids (the same found in avocados and fish oil) by feeding the laying hens kelp meal, whose nutrients are then passed through to the eggs.

The Vitamin A in the yolk actually helps your body to better assimilate the protein, so when you make an egg white omelet you’re doing yourself a disservice both in missing the nutrients present in the yolk, but also in degrading your body’s ability to process the protein you get from the whites, which we should once again mention is the only real nutrient in the egg white.

Is it an added bonus that egg yolks are delicious on just about anything? Drop a poached egg onto just about any sandwich and you’ll greatly improve the quality of that sandwich. I can’t remember the first time I ate a burger with a fried egg on top, but my pupils dilated like in Requiem For A Dream.

Shell Game

Most eggs produced in the United States are white, although in New England brown eggs are more common than elsewhere in the country. There is no difference in taste between different colored eggs, whether they’re uniform in color or speckled, or even their size. Different colored eggs are nutritionally all the same. I’ve noticed that brown eggs in my local supermarkets tend to be more expensive than plain white eggs, so unless you want brown eggs for their aesthetic properties, you may as well stick to the cheaper and more plentiful white eggs.

Health Scares Aren’t All They’re Cracked Up To Be: Egg Myths Debunked

Myth: Cholesterol in eggs raises your blood cholesterol.

British researchers have determined that there’s little evidence to support the common wisdom that the cholesterol found in eggs has any effect on raising blood cholesterol in people who consume them.

From the British Nutrition Foundation’s publication:

The egg is a nutrient-dense food, a valuable source of high quality protein and essential micronutrients that is not high in SFA or in energy. In the current difficult financial climate, eggs can play a useful role as a relatively inexpensive source of nutrition for all and especially for people on low incomes. The high protein content of eggs may help with weight maintenance or loss, a significant factor in the context of the current fight against obesity. It is high time that we dispelled the mythology surrounding eggs and heart disease and restored them to their rightful place on our menus where they can make a valuable contribution to healthy balanced diets.

That’s why I eat eggs but pass on Egg Beaters™. Given the choice, I’d rather consume a food made by nature than one manufactured by a giant corporation[3]. You don’t always have that choice, at least not without the tradeoff of convenience or price, since locally grown eggs from chickens who haven’t been raised on a diet of corn feed and growth hormones are not as readily available at the supermarket as those from mass chicken farms, and even when they are available they can cost several times more (although many would argue that they’re worth it, as they taste better).

Dr. Uffe Ravnskov has written a number of books on the subject of cholesterol myths, and quotes Dr. George V. Mann, research participant of the famous decades-long Framingham Heart Study:

The diet-heart hypothesis [that suggests that high intake of saturated fat and cholesterol causes heart disease] has been repeatedly shown to be wrong, and yet, for complicated reasons of pride, profit and prejudice, the hypothesis continues to be exploited by scientists, fund-raising enterprises, food companies and even governmental agencies. The public is being deceived by the greatest health scam of the century.

Consider also that Japan[4], the country with the highest consumption of eggs in their diet also has one of the lowest rates of heart disease. That can’t be a coincidence.

Myth: Eggs cause type2 diabetes in adults.

It was once thought that eggs (specifically the yolk) was a cause or major contributor of type 2 diabetes in adults, but that myth was also recently debunked.

Myth: Egg pasteurization reduces their nutritional content.

Nope. Eggs are pasteurized through applying a little heat to a simple water bath. Unlike many vegetables, eggs lose none of their nutrients through cooking (although runny yolks are delicious on just about anything).

Myth: Raw or undercooked eggs may contain salmonella.

Okay, this one’s real. While getting salmonella from eggs is rare, it still does happen. Salmonella is a dangerous (to humans) bacteria that is found in many chickens. You can reduce your risk by:

• Only eating eggs where both the white and yolk are fully-cooked.
• Ensure that the raw egg doesn’t touch anything else that you plan to eat.
• Eat only pasteurized eggs (most eggs from the supermarket are pasteurized, but read the label).

Granted, while we tend to buy pasteurized eggs I love a good runny yolk, and will even order over-easy eggs at a restaurant.

If you want to be scared about egg safety, though, you can read Scrambled Eggs a publication produced by the Center for Science in the Public Interest (CSPI, which sounds like a government agency, but isn’t) which describes both the problem and suggested solutions for how the government can help to reduce our risk of contamination, like requiring more frequent inspections of egg-producing farms and requiring that farms refrigerate eggs sooner.

The Egg and I

I enjoy eating eggs. I’m an egg-enthusiast. If I’m going to eat a bunch of vegetables together, I’d rather wrap them in some ovum protein in an omelette than eat them any other way. Omelette possibilities are endless – you can basically stuff them with anything – vegetables, cheese, meats, or any combination of the three. I tend to not add more than three fillings to keep the flavor from becoming too much of a melange, and of course some things go better together than others. Add some spinach, tomato, olives, and feta cheese for a Mediterranean flavor. Bacon, tomato, and cheddar make for a nice burgery sensation. Avocado, shallots, and goat cheese and you’ll eat like a Californian (provided all of the ingredients are local, sustainable, and organic).

Sometimes I just want to experience the pure joy of eggs themselves. For my money, the perfect expression of the egg is poached. I even bought a fancy egg poaching spoon produced by celebrity chef Michael Rhulman for easier separating of the white and then retrieval of the eggs from the poaching liquid.

If you’re looking for ways to introduce more eggs into your diet, indulge me on a Bubba from Forrest Gump exploration of the various ways eggs may be prepared:

• hard-boiled
• soft-boiled
• poached
• scrambled
• coddled
• shirred
• fried
• over-easy
• over-hard
• sunny-side-up
• pickled
• omelette
• frittata
• eggs benedict
• spanish torta
• strata
• french toast
• soufflé
• custard
• quiche
• croque madame
• egg salad
• mayonnaise
• hollandaise
• meringue
• egg foo young
• huevos rancheros
• loco moco
• toad in the hole / egg in the basket / bird in the nest / one-eyed jack
• scotch egg
• eggs in purgatory
• migas
• shakshouka

So now that we know that eggs are both delicious and nutritious, won’t give you high cholesterol or diabetes, you can eat your unfertilized chicken embryos without guilt, apology, or having to worry about getting any metaphorical egg on your face.

For the past few years I’ve been getting an annual physical that includes a blood test for various vitamin concentrations, a blood glucose test to screen for diabetes, and a lipid panel to test for cholesterol levels. The lipid panel has to be taken after you’ve been fasting for at least twelve hours because fat in food you’ve recently eaten can artificially raise your triglycerides and throw off the results.

I had a “holy shit” moment this year when I got my results back and found my total cholesterol and LDL (the “bad” cholesterol) were both high for the first time. When I dug up my results from the last two years it’s clear I should’ve been concerned about this sooner. Last year I was right on the cusp of having high cholesterol and didn’t think anything of it. My doctor even warned me about it in her letter accompanying the results, but I paid it no mind, probably because it was just under the normal range.

Here’s how my cholesterol has crept-up since 2010:

This year, though, my doctor’s letter contained an implied threat: if I couldn’t get my cholesterol down through diet and exercise alone in three months, I’d have to start taking statin drugs. Challenge accepted! Statins are a prescribed medication that have various side-effects and other nasty business of which I want absolutely no part. Could I really reduce my cholesterol naturally? I was determined to try.

What The Hell Is Cholesterol, Anyway?

Cholesterol is a waxy, fat-like steroid found in every cell of your body. About 75% of your cholesterol is produced by the liver, and you get the other 25% from the food you eat. Your cells need cholesterol to function, and they get cholesterol delivered to them via the bloodstream. If a cell has enough cholesterol, then the cholesterol globules continue through your body until they’re reabsorbed by your lower intestines where they’ll go back to your liver to be recycled.

When you have an abundance of cholesterol in your blood, though, that won’t be accepted by cells and is more than the liver can re-process, your body will start to store it throughout the areas where your blood travels, usually throughout your arteries, gunking up the walls of the little tubes your blood flows through. Yes, even your blood can get fat. Then it will start to build up in the heart, which can impair its function and eventually cause a heart attack.

The problem with having high cholesterol is that there are no symptoms until you have your first heart attack. Getting a cholesterol screening can help diagnose potential issues while you still have a chance to remedy the situation.

Cholesterol is a kind of fat and can be screened by what’s known as a lipid panel or lipid profile (“lipid” being the fancy scientific term for “fat”).

A lipid profile typically includes measurements for:

• Total cholesterol
• High-density lipoprotein cholesterol (HDL)
• Low-density lipoprotein cholesterol (LDL)
• Triglycerides

An extended profile (which is much more expensive, and not typical) may also include:

• Very low-density lipoprotein (VLDL)
• Non-HDL

However, most cholesterol testing doesn’t include a full lipid panel, and instead only measures LDL cholesterol and total cholesterol, and then the results of the others are calculated from those. If your initial cholesterol screen looks like you may have high cholesterol, your doctor may order a more complete profile.

Cholesterol levels are measured in mg/dL, or how many milligrams of each cholesterol lipoprotein are contained in a deciliter of blood. When I refer to “points” or “levels” I’m talking about a measurable quantity of mg/dL. For reference, Americans, a deciliter is a little less than half a cup. The average human body contains about five and a half quarts of blood (depending on size different people will hold more or less blood in their body). So the cholesterol test takes a sample and then projects how much total cholesterol you have.

LDL vs. HDL

Low-density lipoprotein, or LDL (“bad” cholesterol) is a fatty protein that transports cholesterol through the bloodstream when your cells reject its delivery (because they have enough). It’s “bad” because it deposits excess cholesterol in the walls of arteries, or wherever else it can. It just stuffs it wherever it’ll fit.

When that happens white blood cells attack the LDL and try to digest it, but are unable to, so the LDL is converted into a toxic, even waxier substance called plaque, which builds up in arterial walls and makes it harder for red blood cells to carry oxygen through those parts of your cardiovascular system. Plaque tends to build up over time, and eventually can cause a rupture, on which a blood clot can form and if that clot breaks free and travels to the heart, can cause a heart attack.

High-density lipoprotein, or HDL (“good” cholesterol), scavenges LDL cholesterol and returns it back to the liver where it can be broken down and essentially recycled for when it’s needed again. HDL also scrubs the walls of your blood vessels so that plaque doesn’t form.

It’s long been thought that higher levels of HDL in your blood prevented heart attacks, but new research conducted in May 2012 suggests that raising the HDL levels of people with low HDL doesn’t lower their chances of getting a heart attack, probably because of other factors that lead to heart attacks, such as a sedentary lifestyle and poor diet.

While HDL alone may not be the panacea for your heart’s health, higher levels of HDL are beneficial mostly because they control the levels of your LDL cholesterol, and that’s good.

Triglycerides

Triglycerides are the main form of fat in the body. When you consume excess calories, food is broken down into triglycerides and stored in your fat cells (adipose tissue) where it may be used again when you burn more calories than you take in. Triglycerides are packed together in the liver and wrapped up inside the strands of very low-density lipoprotein, or VLDL, and then go on their way through your bloodstream until they’re tucked neatly away in one of your body’s fat stores.

It’s not currently known how high triglyceride levels in the blood affect the heart. Part of the reason is that high triglycerides tend to occur when you have other risk factors for heart disease, like high LDLs or high blood pressure.

There is also a direct correlation between alcohol consumption and high triglyceride levels. Drinking more than one drink per day for women, or two drinks a day for men may raise triglyceride levels considerably. Of course, if you’re trying to lose weight you’ve already cut back on drinking alcohol for the calories alone.

How Can You Lower Your Cholesterol?

Besides medication, there are some all-natural ways you can lower your cholesterol:

• Aerobic Exercise
• Diet
• Supplements

I wrote them in that order so they wouldn’t have the acronym “SAD.” By fighting cholesterol on all three fronts you may have a better chance of lowering it, and thus lowering your risk of heart disease.

Exercise Lowers Cholesterol

So how does exercise lower your cholesterol? Exercise raises the level of your lipoprotein lipase (LPL) enzymes[1] which in turn attach to triglycerides to essentially remove them from the bloodstream, thus lowering your triglyceride levels too.

Exercise also increases the size of both LDL and HDL cholesterol, which means that the LDL can’t nestle into the tiny nooks & crannies of your heart and blood vessels.

While there’s a direct correlation between exercise (especially aerobic exercise like walking, running, or otherwise moving your body without resistance) and lowering cholesterol, researchers aren’t quite sure why exercise works, but they know it does.

A 2002 study at Duke University Medical Center found that more intense exercise lowers LDL cholesterol far more than moderate or light exercise. People who exercised more vigorously also raised their HDL cholesterol. Win-win. So you have to push yourself harder to have a greater effect in lowering cholesterol.

Foods That Lower Cholesterol

In addition to exercise, certain foods are known to help lower cholesterol.

• Oatmeal – Oats contain a substance called beta-glucan which absorbs LDL cholesterol and removes it from your body. If there’s any one magic bullet for lowering cholesterol, oats are it. If anything, since the 1980s when the FDA allowed oat-based foods to carry a health claim, additional research has proven that above all other foods, oats can lower cholesterol by as much as 20%.
• Fish – Especially those high in omega–3 fatty acids, like salmon, herring, sardines, and tuna, can lower your cholesterol. Sure, you can take a fish oil supplement, but you gotta eat, and adding more fish to your diet can help lower your cholesterol and provide healthier proteins than red meat or poultry.
• Flax Seed – Flax is like a wick that soaks up that bad cholesterol and removes it from your body. Add a tablespoon or two to your oatmeal, yogurt, or other healthy food, and you probably won’t even notice it’s there. Flax seeds are also high in omega–3. Do you see a trend? Fiber and omega–3 fatty acids work to reduce cholesterol.
• Chia Seeds – You know those novelty terra cotta Chia Pets that grow little greens? Eating the seeds rather than planting them may help reduce your LDL. Cha-cha-cha chia!
• Olive Oil – Not only does olive oil help to lower LDLs, but because it’s a monounsaturated fat it doesn’t lower your HDLs, so a little olive oil in your diet can help you in more ways than one.
• Avocado – Speaking of omega–3 acids, avocados are loaded with the stuff, and taste great when mashed up with a little lime juice, onion, cilantro and salt. I could probably eat guacamole every day.
• Walnuts – Also high in omega–3 fatty acids (unlike most other nuts), which can help slow down the growth of plaque in your arteries. Other nuts, like almonds, pecans, pistachios, and peanuts also help to lower cholesterol, mostly because they’re high in fiber, but none are as effective as walnuts.
• Blueberries – The high level of antioxidants in blueberries have been found to reduce cholesterol… in hamsters. However, they taste great in oatmeal, so it’s worth trying (plus blueberries contain numerous compounds known to be beneficial).
• Red Wine – In vino veritas… and it has been found to lower cholesterol, too. Only the red wines, though, ladies. Your chardonnay, while delightfully crisp and oaky, won’t have much effect because white wines do not contain a chemical known as a flavonoid, which has a protective effect that makes your heart and arteries less able to accept LDL cholesterol for storage. The flavonoids are stronger in red wine because they come from the grape’s stem, seeds, and skins, which are skimmed out of white wine earlier in its fermentation process. The tannins in red wine also suppress the peptide responsible for hardening arteries. As beneficial as red wine can be for your health, it still contains a lot of alcohol and therefore should only be consumed in moderation (one glass per day for women, two glasses for men).
• Dark Chocolate – The darker (i.e. containing more cacao) the better. Dark chocolate also contains flavonoids (as well as 300 other chemical compounds known to cure a great many ills both physical and psychological).

If these foods have anything in common, it’s that they’re high in calories. So moderation is key. Try replacing some other food you were going to eat with these heart-healthy choices and you’ll be lowering your cholesterol in no time.

In addition to eating these special foods, though, improving your overall diet, eating the proper number of calories, and getting ample nutrition is going to be the most effective in preventing various diseases.

Foods High in Cholesterol

It’s not all sunshine and oatmeal. There are a number of (primarily animal-based) foods that contain a lot of cholesterol, such as:

• Egg Yolks – While egg yolks only contain 1.5 grams of saturated fat, eggs have become the poster child for high-cholesterol foods. Of course, eggs have many other health benefits (I’ll write more on how great eggs are later).
• Red Meat – Steak, hamburgers, pork, bacon, etc. are all high in fat and dietary cholesterol.
• Dairy Fat – Dairy fats like butter, cream, cheese, and even whole milk contain cholesterol.
• Shellfish – Shrimp, lobster, oysters, and mussels are all high in cholesterol.

While the dietary cholesterol you ingest doesn’t become “serum cholesterol” in your bloodstream, consumption of saturated fats may stimulate cholesterol production in the liver. It’s long been considered a given that the type of fats you consume influences the types of cholesterol you produce.

My dietician suggested that I reduce (or eliminate) my consumption of the above foods, but there is an abundance of research to suggest that a diet high in saturated fat has no correlation to increased blood cholesterol levels. I expect we’ll see more research in this area in the near future.

Since there are no obvious health detriments to reducing your consumption of saturated fat, however, why not reduce your intake to be on the safe side?

Do Any Vitamins or Supplements Lower Cholesterol?

I’ve been taking Benecol Smart Chews which are essentially a concentration of plant stanol esters. Sounds tasty, no? Plant stanol esters are naturally occurring in vegetables, fruits, nuts, and other natural whole foods, but in such limited quantities as to have little effect on the body. The refined, esterified, and hydrogenated stanols bond with LDL proteins and remove them from the bloodstream. Sterol esters have a similar effect, but are partially absorbed by the body, and thus raise levels over time. Studies suggest that this may be a problem so I’ve stuck with the stanol instead of the sterol esters.

Statins

I’m not down on statin drugs, as they can help reduce cholesterol for a lot of people who can’t rely on exercise and diet alone to reduce it. I just try not to take any more medication than I absolutely have to, and am trying to hold back the march of time on my body. For people who need them, I’m sure that statin drugs are a godsend.

Statin drugs work by blocking production of an enzyme in the liver that is responsible for producing cholesterol (the enzyme is called HMG-CoA reductase, or as it’s known to its friends, “3-hydroxy–3-methyglutaryl COA”).

Statin drugs are the most common prescription drug in the world. Some statin brands prescribed include Lipitor, Crestor, Zocor, Mevacor, Altocor, and the comically named Lescol (for less cholesterol?), Livalo (live a little longer?), and Pravachol (which, uh… prevents cholesterol?). Whatever the brand name, these statin drugs actually provide different statins, so if one doesn’t work another may work better for you. Lipitor recently fell out of patent protection and therefore a generic may be prescribed in its place (although in Summer 2012 the generics aren’t much cheaper than the brand name drug).

Station drugs are known to have some fairly serious side effects, though, including nausea, dizziness, cramping, diarrhea, constipation, headaches, and bloating due to gas. Lovely. The worst side-effect seems to be myositis, or inflammation of the muscles, which can cause injuries when trying to exercise. None for me, thanks.

So How Did I Do?

After improving my diet, adding copious amounts of foods known to help lower cholesterol to my diet, chewing Benecol with each meal, and increasing the amount of exercise I get each day, I gave blood again for another lipid panel.

Here are my cholesterol levels after my most recent blood test:

My total cholesterol reduced by 56 points, and my LDL cholesterol went down by 40 points in three months[2]. Oddly, my HDL, the “good” cholesterol, also decreased, which is typical for those taking statin drugs but unusual for people who achieve lowered cholesterol through diet and exercise alone, especially since exercise is known to lower LDL and raise HDL cholesterol. Puzzling.

I’m not stopping now. While my total cholesterol is now well within the “normal” range you can’t really ever get your LDL too low, and I’d like to lower my LDL as much as possible while raising my HDL even higher.

I’m going to re-check my cholesterol in four months to see how I’ve been progressing, and I’m going to pursue lowering my cholesterol as a good excuse to lose weight and get healthier, and continue to act like my cholesterol is high. After all, heart-healthy foods like oatmeal, avocados, salmon, sweet potatoes, blueberries, walnuts, and olive oil aren’t exactly hard to fit into your diet, because they’re delicious.

Being diagnosed with slightly high cholesterol was just the kick in the pants I needed to get back on track with my Clean Livin’. I’ve lowered my cholesterol by 56 points naturally, yes, but I’ve also lost over 30 pounds in the same interval.

Goal planning is a critical aspect of losing weight and getting or staying fit. Without goals, you’re like a boat caught on the waves without a sail. Sometimes it’s okay to be adrift without any specific goal in mind, but usually if you’re trying to lose weight, you already have a desired outcome. What you may not have is a plan to get there.

Weight loss planning is a lot like driving from one place to another. You know your starting location, and your destination, and you need to plot a course to get there. Turn left here, turn right there, take the highway for four miles, take the exit, turn right, etc. Losing weight is a lot like that, wherein you have long term goals that you reach by setting and achieving shorter and shorter term goals.

By working backwards from your long-term goals to the current moment in time (your starting place) you can actually decide to get there, rather than just aimlessly hoping that you get to your goals.

Most people start out a weight loss or fitness plan with a big overarching goal, like “I want to lose 40 pounds,” or “I’m going to work out every day.” These are great goals, but without planning the intermediate steps to achieve them you’re unlikely to make as much progress as you could with a good plan.

I tend to break my goals up into smaller, more achievable chunks that vary mostly by timeframe:

1. Immediate
2. Daily
3. Short-Term
4. Mid-Term
5. Long-Term

Immediate Goals

A journey of a thousand miles begins with a single step.
– attributed to Lao-Tzu (604 BC – 531 BC)

Immediate goals are the easiest to keep because they’re the result of choices that you’re making right now. Exercising, eating right, goal planning, and logging your progress are all things you can just do. You want to go exercise? Go exercise. Your goal is to eat right for this meal? What’s stopping you? Being healthy is just one immediate good choice after another. Like walking from here to there – you put one foot in front of the other. Before you know it, you’ve arrived at your destination.

You don’t really think of something you’re doing now as a “goal,” but rather a choice. Sure. But those choices are going to be informed by, and support, goals that come to fruition in the future.

Daily Goals

Daily goals are a little more concrete and measurable. Exercise and calorie goals are daily goals. Your immediate goals will depend on your daily goals, and the results of how well you succeed at your daily goals depend on your immediate goals.

Your daily goals are things that you plan to do every day, or every n days (every other day, three times a week, etc.). You want to walk on the treadmill for 30 minutes per day every week day, and then take the weekend’s off? Those are still daily goals.

There are a few goals that I keep track of every day:

• Calorie Intake – 1800–2000 calories/day, currently.
• Water Intake – My goal is to drink at least eight 8oz glasses of water per day, if not more.
• Exercise – 2 miles on the treadmill in the morning, every weekday.
• Steps – I break this out from exercise as it’s a slightly different goal, but because I wear a Fitbit I can measure every step I take. My current step goal is 10,000 steps/day, minimum.
• Floors Climbed – Also counted by the Fitbit. My current goal is at least 20 floors/day.
• Writing – I get up two hours earlier than I need to get ready for work so I can write a little every day. You’re reading the results of this writing right now. I tend to keep a dozen or so drafts on various topics going at any given time, and then when one starts to gain critical mass I’ll decide on a publication date and plan to work on that particular article every day until then. Since I usually publish on Monday mornings I’ll spend my morning work and reflection time on Monday editing the article I’m about to publish.

Short-Term Goals

Short-term goals are my weekly or monthly goals. They may be simple like “lose 1–2 pounds per week” or “maintain my current weight while on vacation next week.”

While immediate goals are immediately achievable (because they’re the result of choices), and daily goals are easy enough to achieve, short-term goals are trickier because they should be the result of your daily goals.

Think about the short-term goals as an extension of your daily goals. I use the phrase “short-term” rather than “weekly” or “monthly” – but let’s say that short-term goals encompass both of those.

One of my standing, repeating short-term goals is to lose 1–2 pounds per week. That’s reasonable, right? It won’t happen, however, unless I follow through on my daily and immediate goals.

Mid-Term Goals: A Bundle of Short-Term Goals

I don’t know if a “mid-term” goal is quarterly, bi-annual, or even yearly. It depends on how far out your long-term goals are. These will tend to be set by working backwards from your long-term goals, and will probably roll-up some short-term goals together. For example, if my short-term goal is to lose 1–2 pounds this week, and my monthly goal is to lose 5–10 pounds per month, then maybe a good mid-term goal would include a few weeks or months together.

For example, my current mid-term goal is to weigh under 275 pounds by the end of the summer (Labor Day). I actually set this goal a month ago, based on my projections from my current average rate of weight loss.

I’m keeping this as my next weight loss goal until I hit it, at which case I’ll probably keep to the same timeline but update the weight I want to lose by then. I just did this with another mid-term goal that I’ve already achieved. My company is having an event at the end of June and two months ago I set a goal to be under 290 by then. The only problem? I weighed under 290 by the beginning of June. So I could either check that one off and move to the next goal, or keep that date but now try to weigh even less by then. So that’s what I did. New goal: 280. Will I make it? I have about five pounds to go and one week to do it, so probably not.

Would it have been better to set the goal to 285 and hit it rather than just missing my new goal of 280? I don’t see how. You’re going to try to punch your goal weight in the face and you’re not trying to hit a spot on its face – you’re trying to hit a spot that’s six inches behind its face. You’re going to try to swing through your goal, not just make it. Punch through your goals.

How about a baseball metaphor? If you hit the ball and start running towards first base, you don’t have to reach the base exactly and stop – you can just keep running as fast as you can and run right over that base to be “safe.”

Charge at your goals like you’re William Wallace leading his blue-skinned Scotsmen into battle against the English[1].

Setting Long-Term Goals

One word of caution I’ll offer about setting long-term goals is to not focus on numbers as much as condition. In other words, while one of my long-term goals is to weigh under 200 pounds, my stronger long term goal is to maintain 23–25% body fat, to continue to eat healthily, and be more active. The problem with many people’s long-term goals, and the reason I think that a lot of people gain weight back after dieting is that they stop doing what it was they did to lose the weight once they’ve crossed the finish line.

The finish line never really comes. The race never ends. You just keep on going. That’s not as dismal as it sounds, and achieving goals feels great. Just don’t expect to ever be “done.” You may, however, eventually be done with setting mid-term and long-term goals. The other short term goals will just become your habits and you’ll go on to be a fitter, healthier you. I think I’ll happily trade the thrill of victory for the steady and ongoing success of being fit and not needing to lose weight anymore.

How to Set Weight Loss Goals

• Write Them Down – Goals that you don’t record somewhere aren’t goals; they’re dreams. This isn’t a wishlist – these are things you are going to make happen. Write your goals down somewhere, whether that’s in a special weight loss goal journal, your calendar, or in a piece of software made to record weight loss goals.
• Be Specific – You don’t just want to “lose weight” – you want to lose a certain amount of weight. You don’t want to “eat right” – you want to eat certain things, or stay within a specific calorie range.
• Set A Timeframe – Goals are a statement of your expected condition at a certain time. Without setting a timeframe you don’t have a goal.
• Make Them Measurable – If you can’t measure it, you can’t know when you’ve achieved it. Success means defining something that has a clear means of measuring your achievement.
• Measure Them – Of course you’ve been getting constant feedback about your weight loss, so measuring your progress toward your goals is just a further extrapolation out from those stats you’re already keeping.
• Be Positive – You can’t really plan to not do something. Or rather, whatever you plan to do, you’re planning to not do everything else. Rather than a negative goal like “Don’t eat poorly,” plan a goal that sets a positive tone “Eat a salad for lunch today.” You’d be amazed how more easily achievable positive goals are than negative goals.
• Goals Are Actions – Sure, you can set a long term goal to lose 100 pounds, but most of your supporting goals will be action-oriented. Things you do. Walk everyday for 30 minutes. Limit your daily intake to 2,000 calories. Ride your bike to work at least 2–3x per week. Go to the gym after work every Monday, Wednesday, and Friday. Setting goals based on numbers on a scale are okay as long as you also set intermediate goals based on actions that will help you get there. You’re not going to lose the weight magically no matter how much you want to.
• Start Small – You don’t need to set all of your goals in stone when you’re first starting out. Set a few small and easily achievable goals first. You never get off the couch and want to walk for an hour a day? That’s great. Start with walking five minutes per day, and then if that seems too easy, do more. You can always do more later. Don’t discourage yourself by biting off more than you can chew (excuse the pun) from the get-go.
• Don’t Choke After Success – You set a goal to walk 15 minutes a day, and now that you’ve done your 15 you still feel like walking? Don’t stop just because it exceeds your goal. Your goals should be minimum effort or otherwise achievable without desperate measures. They’re easily achievable because you started small and built upon that solid foundation over time.
• Be Realistic – You want to lose 50 pounds … before your sister’s wedding next month? Far be it for me to be a naysayer, but that’s probably not going to happen. You need to set your timelines forward from a measurable and realistic present. For instance, if you are losing 1–2 pounds per week, then you can kinda sorta predict how long it’ll take you to lose any number of pounds[2].
• Treat Yo’ Self[3] – Establish a reward for achieving a goal that’s something to look forward to, and preferably has something to do with the goal. Have your eye on a new Fitbit? Set a goal to walk every day for a month, and reward yourself with a new tool to help you better track your progress. Your reward for doing the Right Thing should reinforce that right thing, or at least other right things. Don’t reward good performance with food, especially the unhealthy food that you’ve been avoiding to achieve this goal. Don’t make the reward something that slides you back past the goal line again.
• Readjust. Realign. Resume. – You’re probably not going to achieve every single goal, but that doesn’t mean it’s over. When you drive you probably don’t even think about the thousands of tiny course corrections that you make constantly just to keep your car in the correct lane. You adjust your speed to ensure that you don’t run into the person in front of you. If you turn the wheel, or use your brakes, are you a failure at driving? No. Your fitness goals are a lot like that. You will need to make adjustments. It’s just part of the process. Nothing to get hung about.

When To Start

You thought about your goals, you have pencil in hand and paper in front of you, and now you’re ready to start, right?

Your starting timeframe is easy. How’s now? Is now good for you? Oh, you want to start later? No you don’t. You already have momentum just thinking about it. You don’t need to finish what you already have in your pantry. The starving children in Africa will still be starving regardless of whether or not you throw away that half-package of uneaten Ding-Dongs[4].

Don’t wait until next Monday. I know the beginning of the week seems a good time to start, but really anytime is a good time to start. You were going to start after your last birthday, or after the holidays, or after the new year started, or after some other special occasion, but didn’t because you were waiting for that nice round “start date.” There will always be a new special occasion. In fact, there are so many of them I don’t even know why we call them special.

Start now. There will never be a better time.

Example Time

So I set a goal in early May to weigh under 275 by the end of the summer. I weighed just under 300 pounds then, so I gave myself about four months to lose about 25 pounds. That’s doable… isn’t it?

Let’s work forward. If I lose one pound per week, over the 16 weeks until early September I’ll only be 16 pounds lighter. If I lose 2 pounds per week, then it’s easy to lose only 25 pounds.

So how have I been doing over the past few weeks, and is this level of activity and calorie budget enough to get me there?

Looking at my weigh-ins, it looks like I’ve been losing an average of 1.5 pounds per week, so projecting outwards in 16 weeks I should lose around 24 pounds, which is pretty close to my goal of 25.

I’ll call that one close enough.

Time to Reflect, Review, and Tweak

You should take a few moments each day to reflect on how you’ve done, where you faltered, and what you can do better tomorrow. I actually find it easier and am more consistent in it when I do my Clean Livin’ planning in the morning after I first get up, rather than just before bed. When I’m tired the last thing I want to do is beat myself up about bad choices just before I go to sleep.

In the morning you can start over, reflect on yesterday and plan better for today. Plus, if you weigh yourself in the morning then you can get feedback for how you did and plan to make better choices today. What’s done is done, but you can always do better if you know you didn’t do the right thing. Sometimes I’m going to eat a cheeseburger. I probably won’t regret it or beat myself up about it unless it’s becoming a regular habit. Then I’ll need to adjust.

How To Recover When You Miss A Goal

Goals are definitely more fun when you charge triumphantly across the finish line, fists in the air, head tilted back. Victory is yours. It’s fleeting, but for now, you get to enjoy that rush.

Falling flat on your face a few steps before the goal is a different feeling entirely. You set a goal, you set smaller goals to work towards that larger goal, but still you failed. Clearly, this is the end of the world.

You’re upset about the result you didn’t get because of the work you didn’t do. Let’s think about how we can fix that.

First of all, you should’ve seen this coming because if you were reassessing your immediate, short-term, and mid-term goals you could project that you’d be missing your goal if you remain on the same trajectory.

By how far did you miss the mark? It may not be that big of a problem if you set a weight goal for a certain date and you hit it a week later instead. You should revise your goals after that accordingly, but it’s probably not a problem. We’ll ignore for a moment the problems with setting goals for how much you weigh at any given time, as your weight will fluctuate day to day and weight goals, like the one I set for myself to lose a certain amount of weight by the end of the Summer, for instance, is more of a general target than something I’ll be depressed about if I miss it. I also try to set as realistic goals as possible, based on current data from my weigh-ins. I’ve been losing a consistent 1.5 pounds per week for the past eight weeks. Setting goals in the future, provided I continue with the behavior that got me to where I currently am, isn’t so much a goal plan as it is a projection.

If you miss your goals by a wide-margin there are two likely reasons:

1. You stopped doing what you needed to in order to reach your goal, or
2. You’re bad at math.

If you set a mid-term goal to run 20 out of every 30 days for the next three months and only ended up running 10 times in 90 days, then of course you’re going to miss your goal. Did you re-evaluate that goal after you missed most of your runs in the first 30 days? Was that much running an unrealistic goal for you to begin with?

It’s hard to say because when you’re starting out with setting weight loss goals everything seems unrealistic, and the work you haven’t done yet is easier in your mind than it is when you need to put rubber to the road and actually do the things you’ve planned to do.

So start small, with something you know you can do every day, like keep a log of what you eat, weigh-in, or walk for fifteen minutes a day, and build from there.

You may not notice the benefits of your new activities immediately, but over time they’ll compound. Every little bit helps.

As I contemplate my Clean Livin’ quadrennial I’m reminded of the last time I celebrated my healthier lifestyle anniversary two years ago.

In the interim I got busy with life, stopped writing here, continued to remain active, but otherwise stagnated for almost two years. When I started trending upwards again I decided to redouble my efforts, get back to basics, and work the program that I know is effective… when you actually do it.

Some things I do every dang day:

• Walk on the treadmill (okay, I do this almost every day).
• Ride my bike to work during the week (most days, about 8 months out of the year).
• Weigh-in and record my weight.
• Log everything I eat or drink that isn’t water.
• Assess my caloric intake at the end of the day.

Stat Me Up

Anniversaries are good for celebration, but also a good time to reflect on pass successes and stumbling blocks. Since life is a continuum and every day is a new Start Date you can’t fail, just not succeed as fast. As long as you’re alive, you can be a bit healthier than you were yesterday.

Here are some numbers to consider on the fourth anniversary of when I made the decision to improve my body, get healthy, and help others do the same:

• Weighed-in just over 1,200 times (which means I missed about 250 days due to travel, or missing a day or two here and there).
• Since I got my Fitbit in February, 2010, I’ve walked over 3,500 miles.
• Starting weight: over 451 lbs (since that was the max of the scale that couldn’t weigh me when I started – but considering that I was measurable less than a week after I started, I couldn’t have weighed that much more than 451).
• This morning’s weigh-in: 287.2 lbs. That means I’ve lost 163.8 pounds, or a 36.32% decrease from my former body weight. That’s about the weight of a full keg of beer[1]. Have you ever tried to lift a full keg? They’re heavy. Now imagine wrapping yourself with that much weight and carrying it around every day.
• My current goal weight is around 200 pounds. I’ll re-adjust when I get closer. If my calculations are correct, when this body drops 88 pounds you’re going to see some serious shit.
• At an average of –1 lbs / week, I should hit my goal by the beginning of 2014, which is a bit later than I’d originally planned, but of course if I can lose more faster I will.

It’s still a little shocking to me to see pictures of how I looked four years ago. I wish I thought of taking progress photos, or at least a “before” picture, when I started down this road, but here’s a photo of me from Thursday, 19 June 2008, three days into Clean Livin’. I’m in yellow, sitting on the steps at Daley Plaza by the fountain with some of my co-workers at the time (I wish I had a better quality image, but I think this was taken with someone’s old cell phone):

And to contrast and compare, here’s a full-body photo of me from our trip to the Milwaukee Art Museum last week (wearing, now that I see the picture, a shirt that’s too big for me):