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11/Jul/2022

Fasting for six years

I thought it was a good time for me to personally reflect on the last six years of intermittent fasting. Yes, for the last six years I have been following a relatively strict program of fasting for 16-20 hours of the day. Usually this means having my last meal of the day around 6pm and my first meal the following day at 11am.

I remember first hearing about the benefits of intermittent fasting (IF) at a medical conference organized by the Association for the Advancement of Restorative Medicine back in 2016. After Dr. Denis Wilson M.D. spoke about all the clinically supported benefits of IF as well as his own personal journey with IF, I was sold!

Fasting and Climbing

That was around the same time I started to take rock climbing seriously. A was training 2-3 days per week and for around 2 hours each session. I decided it would be an interesting experiment to combine IF with my morning training. I was hitting the gym while in a fasted state (usually around 16 hours at that point) and would train as hard as I could.

When the body is in a post 14 hour fast it starts to convert fat into an energy source called ketones. This is because all the sugar stored in the body has been used up. Exercising while fasting speeds up this process. I was amazed to see how quickly this combination of fasting and exercise transformed my body and my health. Over the course of a year I lost 15lb and went up several grades in my climbing. My climbing partners couldn’t believe I was able to climb hard on an empty stomach, but I actually felt lighter and clearer. I would try to have my first meal of the day within an hour after workouts for optimal protein metabolism to build muscle. I would regularly get comments from familiar faces at the gym asking if I’m doing anything special outside of the gym. I simply told them that I’m fasting and climbing. Pretty simple but very effective.

Finding the right program

Over the following 5 years I had short 2-3 week periods where I would take a break from IF but would soon return as I felt my best, looked my best and climbed my best while on a pretty strict IF program. I have since recommended IF to dozens of patients, the majority of whom see results within a few months. One of my biggest supporters and now followers of IF is my dad. He saw such dramatic results that IF is now a regular lifestyle habit for him as well.

I dabbled a few times with doing pretty long fasts (20-23 hours) and eating only one meal per day but I found that this was a bit hard on my body. I was getting irritable and was not performing very well at the gym. I now have a pretty good understanding of how many hours my body likes to fast for and how many meals per day is best.

Everyone is going to find a sweet spot for themselves. I don’t recommend forcing the body into a particular program but to try fasting for different lengths of time and see what feels and works best. It does take a little getting used to at first but it is important to remember that this is a very natural state for the human body.

It’s only natural

Through most of human evolution humanity had to go for extended periods of time without food. In fact, an abundance of food at our beck and call is likely contributing to a lot of chronic disease in our modern way of living. Many religious traditions still practice fasting in order to clear the mind, body and spirit. Centuries of cultural practice as well as hundreds of recent studies are in support of fasting in one form or another. It is one of the cheapest, simplest and most effective medical programs I can recommend for a patient.

What lies ahead

Looking ahead to the next decade, I don’t see myself giving up IF anytime soon. There are a few other lifestyle changes I would like to implement but IF will continue to be the backbone of my personal health and wellness program. There are some individuals including in pregnancy where IF is not recommended. I encourage those of you curious about IF or trying it out, to at least have a consultation with a health professional like myself. The benefit of being supervised by a Naturopathic Doctor is the peace of mind that your are practicing something that is safe for your body, you have someone to answer questions as they arise and even to run blood tests if necessary. If I have inspired at least a few people to give IF a try then I have passed along a valuable lifestyle tool as it was passed to me six years ago. Happy fasting everyone!


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03/Mar/2022

For the past 6-months I have been supplementing with collagen peptides in my morning coffee. I take relatively few daily supplements; Lions Mane mushroom for my brain, Vitamin D for my immune system and Collagen Peptides for my joints. I became focused on protecting my joints (especially my fingers, toes, knees and shoulders) a few years ago as I started training harder in rock climbing. I began to feel stiffness, soreness and occasionally pain after hard training sessions. I decided I needed to do something soon or I would lose the ability to climb at a relatively young age.

Instead of suppressing inflammation with compounds like curcumin, glucosamine and chondroitin I wondered if it would be possible to actually strengthen my tendons and ligaments. I had been aware of collagen supplementation through a number of patients taking it for hair and skin health. I had largely dismissed collagen as a beauty supplement and it was therefore not on my radar as a potential athletic enhancement.

Just over 6-months ago I had received a newsletter about of tendon health for climbers. The physiotherapist/climbing expert outlined specific exercises for warming up fingers and also mentioned the benefits of collagen supplementation for tendon health. At that moment I decided to re-visit the research on collagen, and I am glad I did!

Collagen peptides are small amino acid chains derived from collagen, which is the primary structural protein in ligaments, tendons, bones and skin. The research behind supplementing with collagen peptides seems to support three key areas.

Skin

A few studies, including randomized placebo controlled trials, have shown an improvement in skin moisture, elasticity and wrinkles with daily supplementation of Collagen Peptides. The daily dose ranged from 4-10 grams daily.

Osteoarthritis

Several studies have demonstrated a modest benefit in pain and function with daily supplementation of Collagen Peptides. Most studies focused on osteoarthritis (OA) in the knees but a couple also mention hip and hand. In general the improvement was modest (a little better than chondroitin) and took approximately 3-5 months to appear. Some studies used collagen peptides in combination with other compounds like chondroitin and hyaluronic acid. Most studies used a 10 gram daily dose.

Performance Enhancement

A great systematic review came out in 2021 that looked at the effects of collagen peptide supplementation on body composition, collagen synthesis and recovery from joint injury.

Five studies demonstrated a positive effect on reducing joint discomfort, knee pain , ankle and knee function and recovery from achilles tendinopathy. Those studies used 40 mg-10 grams per day over a 4-6 month period.

Four studies looked at the effects of collagen supplementation on body composition and muscle strength. The studies combined collagen supplementation (15 grams per day for 3-months) with resistance training.The studies, which were conducted on elderly men, active men and untrained pre-menopausal women, found an increase in fat free mass, a decrease in body fat percentage and an increase in hand grip strength.

Two studies assessed the effect of collagen supplementation on exercise performance and recovery from muscle soreness. The studies included recreationally active men, one used 3 grams per day for 6 weeks and the other used 20 grams per day for 7 days prior to intense exercise. There was a strong positive effect on pain with movement and muscle soreness.

Two studies assessed the effects of Collagen peptide supplementation on collagen synthesis. When taken 60min prior to exercise there was a significant increase in collagen synthesis markers following ingestion of 15 grams collagen enriched with vitamin C.

Conclusions

When it comes to preserving joint, ligament and tendon health for myself and my patients, collagen peptide supplementation is now a staple. The evidence in favour of collagen, along with a strong safety profile makes collagen peptides a valuable nutritional supplement in both sports medicine and anti-aging medicine. The recommended dose seems to be between 10-20 grams per day for 3-6 months.

References

Inoue N, Sugihara F, Wang X. Ingestion of bioactive collagen hydrolysates enhance facial skin moisture and elasticity and reduce facial ageing signs in a randomised double-blind placebo-controlled clinical study. J Sci Food Agric. 2016;96(12):4077-81.

Czajka A, Kania EM, Genovese L, et al. Daily oral supplementation with collagen peptides combined with vitamins and other bioactive compounds improves skin elasticity and has a beneficial effect on joint and general wellbeing. Nutr Res 2018;57:97-108.

Asserin J, Lati E, Shioya T, Prawitt J. The effect of oral collagen peptide supplementation on skin moisture and the dermal collagen network: evidence from an ex vivo model and randomized, placebo-controlled clinical trials. J Cosmet Dermatol. 2015;14(4):291-301

Sangsuwan W, Asawanonda P. Four-weeks daily intake of oral collagen hydrolysate results in improved skin elasticity, especially in sun-exposed areas: a randomized, double-blind, placebo-controlled trial. J Dermatolog Treat. 2020:1-6.

Benito-Ruiz P, Camacho-Zambrano MM, Carrillo-Arcentales JN, et al. A randomized controlled trial on the efficacy and safety of a food ingredient, collagen hydrolysate, for improving joint comfort. Int J Food Sci Nutr. 2009;60 Suppl 2:99-113.

Kumar S, Sugihara F, Suzuki K, Inoue N, Venkateswarathirukumara S. A double-blind, placebo-controlled, randomised, clinical study on the effectiveness of collagen peptide on osteoarthritis. J Sci Food Agric. 2015;95(4):702-7.

Trc T, Bohmová J. Efficacy and tolerance of enzymatic hydrolysed collagen (EHC) vs. glucosamine sulphate (GS) in the treatment of knee osteoarthritis (KOA). Int Orthop. 2011;35(3):341-8

Moskowitz RW. Role of collagen hydrolysate in bone and joint disease.Semin Arthritis Rheum 2000;30:87-99

Kalman DS, Schwartz HI, Pachon J, Sheldon E, Almada AL. A randomized double blind clinical pilot trial evaluating the safety and efficacy of hydrolyzed collagen type II in adults with osteoarthritis. FASEB Experimental Biology 2004 Abstracts, Washington DC, April 17-21, 2004; A90.

Amino Acids. 2021; 53(10): 1493–1506.Published online 2021 Sep 7. doi: 10.1007/s00726-021-03072-xPMCID: PMC8521576PMID: 34491424The effects of collagen peptide supplementation on body composition, collagen synthesis, and recovery from joint injury and exercise: a systematic review Mishti Khatri,1 Robert J. Naughton,1 Tom Clifford,2 Liam D. Harper, 1 and Liam Corr1


dr_shawn

Patient focused integrative health care. Utilizing effective natural approaches designed to be used alone or to compliment conventional medical care.


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