Weight, Cholesterol, and Processed Foods

          When I went back to Zamboanga in late August last year, I expected myself to gain weight because I was sure I was going to indulge in a lot of foods that I haven't had in decades, plus I didn't have a weighing scale available to monitor my weight. I did indulge (especially satti) but apparently much less so than I anticipated. Instead, when I got back to Long Beach two weeks later, I had lost close to three pounds. Together with taking 40 milligrams of generic Lipitor daily, my cholesterol level also dropped dramatically. However within a month of returning to the U.S. my cholesterol level jumped about 35 points. Is that coincidental or does that have anything to say about eating fresh foods as opposed to mostly processed foods in the U.S. despite the reduction of trans fats from a lot of them? Then two months ago, I had to stop taking the Lipitor due to lingering muscle pain in all my limbs. When I had my cholesterol level checked, it was back to what it was before I started taking the statin. So I resumed taking a lower dose in hopes that the pain won't be as intense as before and that my body would adjust to it. It has been three weeks and although the pain came back within a week of restarting Atorvastatin, so far it's not as bad as it was before and it seems like I am able to maintain the intensity of my workouts.
          In the meantime, I'm trying my best to improve my diet. I've begun to refuse foods that my co-workers have been offering, especially a couple of them who usually give me fried fast foods. I also started bringing my own sandwiches to work - turkey sandwich with mustard and sriracha sauce, which I eat instead of the leftover patient snacks of ham and cheese sandwiches. But if the leftovers are turkey sandwiches, then I still eat them. Usually, when I get home from work in the morning, I have a slice of cheese and a small glass of wine to unwind. I put the kibosh on the cheese and started having a banana instead. Another change I made is instead of having ice cream, I am now opting for sherbet, which although high in sugar, it's at least dairy and fat free.

          How will these minor changes affect my cholesterol level? I won't know until the doctor orders another test. In the meantime, I have to schedule my next colonoscopy because it has been 5 years since the last one. But that's another topic for another day.

Note: half of this post was typed on a tiny Bluetooth keyboard using index fingers. Too small to touch type.

Walking Workouts of an Insomniac Post Myopathy - Part 2

          Two days after my pre-dawn walk to and from Walmart, I unintentionally awoke early again Saturday morning and decided to show up at Signal Hill to walk with the Long Beach Walking Club Meet-up group. I haven't joined them in a couple of months because it was there where I slipped on some gravel and pulled a left thigh muscle. Well, the walk wasn't scheduled till 7 a.m. so I drove to Von's first to buy some tissues which were on sale for 78 cents a box (limit 2), and second, to Food 4 Less to buy some bread. I still arrived 20 minutes early at Signal Hill which was enough time to do a 15 minute warm up. Oh boy, did I need to warm up because it was chillier than it was on Thursday. I had three layers of clothes: a thin base layer, a fleece layer, and a mid-weight jacket, to go with my track pants and gloves. In retrospect, I should have worn a beanie too. When I returned from my warm up, there were two people waiting there and another getting out of her car. It was a very sparse group and probably due to the colder than usual weather. How cold could it really have been? Well, it was so cold that when I talked, I was slurring my words as if I was having a stroke and my hands felt so numb except for my right thumb which was actually painful.
          As we started and headed up the first hill, everyone was ambling along and socializing, which didn't help to get me any warmer, so I took off. This time, I had my radio to keep me company during my alone time. As usual, I backtracked several times so I could stay relatively close to the group while also increasing the duration and distance of my workout. After all those weeks of recovering from the Lipitor induced myopathy, I had lost some aerobic conditioning despite all the indoor cycling workouts. The uphill climbs felt like I was doing all out 400 meter intervals on the track and left me in oxygen debt. In the past, I would carry over the quick leg turnover after I crested the hill, but this time, I had to recover for a couple of hundred feet before I could pick up the pace again.
          The group altered the course slightly on this day so my backtracking enabled me to find out which part to eliminate and to add. They eliminated the dirt path and used the steeper climb of Skyline Drive instead, which made for a tougher workout but slightly shorter than the original route of six miles. That didn't matter much to me because I didn't bring my GPS watch and my plan was to walk at least an hour and a half, not including the 15 minute warm up. With all the backtracking I did plus an extra hill at the end, my total workout time was two hours, which based on previous walks up and down those hills, probably covered slightly more than 8 miles.
          You know what? With my early morning awakenings or at times barely sleeping at all, I would rather have walked on my treadmill because it has been really cold outdoors. But out of respect for my neighbors beside and below my apartment, not wanting to bother them with my noise, it was better to face the elements outdoors. I wish I could say that I ran outdoors instead, but that kind of workout is not in the cards right now. I can tell you though that I've jogged a few times on the treadmill recently, but I don't feel ready to try it on the harder pavement while I continue to recovery from the myopathy caused by Lipitor.

My Experience With Lipitor and the Resultant Myopathy

I went to see the doctor two weeks ago for a follow up on my body’s response to Atorvastatin (generic Lipitor). A few days before that I had my blood drawn for a cholesterol level. At the doctor’s office, I was told that my cholesterol  level went up from 133 to 164 and LDL from 44 to 70, which is understandable because the doctor halved my dose from 40 mg. daily to 20 mg. To add to that, I had been eating almost indiscriminately on Thanksgiving and the days that followed. But that was not what I was concerned about. In the last few weeks, I noticed that whenever I worked out, my muscles seemed to recover more slowly than usual, meaning that the soreness lasted longer, and the left thigh injury I had suffered from running several weeks ago wasn’t healing well. I’ve read about the side effects of Lipitor and myopathy was one of them but I minimized it, thinking that because I try my best to keep physically fit, such a thing could not happen to me. Well, it turns out exercise cannot overcome this side effect because as time went on, my muscles have become more sore. I even feel soreness when I do my usual aerobic workouts nowadays consisting mainly of treadmill hill walks and stationary cycling. Since there are no other factors that could possibly contribute to the soreness, I can only assume that it’s the Lipitor that’s causing it.

During my visit to the doctor, I mentioned the soreness so he decreased the dose to 10 mg. daily. However, that hasn’t seemed to have helped because my muscle pain has become worse since then. It’s so hard to believe the breakdown happened so fast since it’s only been over three months that I’ve been taking Atorvastatin. I’m now seriously considering calling the doctor up to tell him that I’m discontinuing the Lipitor and see if my muscles could recover before permanent damage occurs. I’ll have to start eating healthier again and see if I can maintain the decrease in cholesterol levels I’ve achieved since taking the medication. It would be terrible not to be able to workout due to being debilitated by muscle damage. Heck, I need my daily cardio fix after all, even if it’s not from running.

                Here’s the catch though: drug companies advise that once you take Lipitor or any other statin, you have to take it forever. Of course they have a vested interest in this approach since they make money off it. There is of course an opposing view that in the absence of other risk factors, it’s not worth continuing taking the medication if the side effects affect your quality of life adversely. I’m just stating that here briefly since there is already too much information about this issue on the internet. I’m not getting into coenzyme Q10 and vitamin D and how those might help with the myopathy, or neural pathways of the medication. That’s easy enough for anybody to look up if so interested. Here is a good article on statin myopathy and exercise though : http://www.medscape.com/viewarticle/707898 . The title is: Are Physically Active Individuals Taking Statins At Increased Risk For Myopathy?

                So anyway, I’m planning on stopping generic Lipitor and hope that my LDL doesn’t get out of control. It is at a manageable level now at 70 and not the 138 it was in August. As my high school classmate who is a doctor advised: more psyllium J.

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