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Answered on March 25, 2014
Created March 25, 2014 at 1:37 AM

After being diagnosed with severe asthma I decided to move to a strict paleo diet- for health and weight loss.

I am female 37 yr old, 5'8" and started at 188lbs after gaining almost 30lbs from steroid medicines. For breakfast I'll eat eggs lunch salad with chicken or beef and dinner will be some kind of fish with veggies. I also eat fresh fruit but don't eat dairy or honey but do eat nuts and dried fruit. I drink tea sparkling mineral water and occasional decaf coffee but no soda or juice.

My exercise is walking, lifting children laundry etched but mostly am stuck behind a desk all day at work.

After one month I've gained weight and am now almost 200lbs. NOT GOOD!!

I also haven't really seen any improvement asthma wise and continue to take the meds/ steroids. Any advise??

Cf08ad26759fdd206a2c9f9385080a57

(995)

on March 25, 2014
at 12:53 PM

http://www.ncbi.nlm.nih.gov/pubmed/17530938

"In conclusion, duration and aerobic training via the interval method seems to be beneficial to soccer players with Exercise Induced Asthma."

Cf08ad26759fdd206a2c9f9385080a57

(995)

on March 25, 2014
at 12:49 PM

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009607.pub2/abstract

"This review indicates that swimming training is well-tolerated in children and adolescents with stable asthma, and increases lung function (moderate strength evidence) and cardio-pulmonary fitness (high strength evidence). There was no evidence that swimming training caused adverse effects on asthma control in young people 18 years and under with stable asthma of any severity. However whether swimming is better than other forms of physical activity cannot be determined from this review."

Cf08ad26759fdd206a2c9f9385080a57

(995)

on March 25, 2014
at 12:38 PM

A review of 19 studies (involving 695 people) on exercises for asthma was published in the Cochrane Database of Systematic Reviews in 2012. The review found that exercise for asthma is safe, improves heart and lung fitness, and enhances quality of life.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010867/

Subjectively, many people with asthma report that they are symptomatically better when fit, where OP weighs 200lbs.

As exercise can induce asthma, the safety of exercise programs needs to be considered. I suggested stretching.

96440612cf0fcf366bf5ad8f776fca84

(19413)

on March 25, 2014
at 10:28 AM

Yet more proof that calories-in-calories-out doesn't work. Dude, she's got asthma, she can hardly breathe, you want her to do cardio or weigths? Really???? fix the core issue first, then the weight. That kind of advice could send her to the ER.

96440612cf0fcf366bf5ad8f776fca84

(19413)

on March 25, 2014
at 10:26 AM

"Let's see, do I want to be able to breathe today, or do I want to lose some weight... Hmmmm"

Medium avatar

(238)

on March 25, 2014
at 03:54 AM

What a downer you are.

A6535e32a2ad90ffe03bb2ef23b9e1cf

(0)

on March 25, 2014
at 01:53 AM

I forgot to add that I use coconut, grape seed and olive oils. No ghee. Also we only eat organic.

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6 Answers

0
C772212ab2b5415b0533a789f16a98ca

on March 25, 2014
at 05:39 PM

As far as the weight gain goes, plug a few days worth of meals into a tracker like myfitnesspal, daily plate, etc and see what an average day's worth of calories and macros looks like for you. It's incredibly easy to eat 1000 calories in fruit and dried nuts in one sitting. Likewise, if the cuts of meat you're eating are especially large and/or fatty, the calories can really add up there too. The 12lbs may just be a matter of portion control or more mindful eating.

0
618fc5298c4a96b817c4918c795a875f

(1217)

on March 25, 2014
at 06:24 AM

If you want to lose weight, stop eating the fruit (ESPECIALLY the dried fruit, which is a total sugar bomb and might s well be candy) and lay off the nuts - the rest of your diet sounds good. Maybe you are not eating enough fat? If I eat low carb / no fat, I get no satiety from my food and can eat large volumes. It sounds counterintuitive, but if you add good fats, you will eat less in the long run.

0
Cf08ad26759fdd206a2c9f9385080a57

(995)

on March 25, 2014
at 06:06 AM

It sounds like you're eating well. Have you looked into food / environmental allergy tests?

12lbs of weight gain in a single month is a pretty impressive gain, that's somewhere around 1500 calories extra (on top of say an 1800-2000 kcal diet) consumed every single day. Are you consuming crazy amounts of baked foods / starches or something? More likely, it's a measurement error and you've maybe gained half that amount.

To boost your metabolism, I would up the volume and intensity of your activity. (Lifting laundry isn't exactly resistance training.) An hour or so every day would be a good place to start. You can turn down the temperature and expose yourself frequently to cold temperatures (drink ice cold water / wash your face in ice cold water / sleep with <60 degree cooling) to epigenetically encourage fat oxidation.

To prevent overeating, I'd removing all snacking from your diet and try to up the water / fiber / fat content against carbohydrate and protein content (eat adequate protein in your meals, but you want to be eating more than twice that amount from fat calories at every meal.) If you find yourself hungry a few hours later, you likely didn't consume enough calories during the previous meal -- eat more food in those meals and/or more added fat. Eventually, you should be able to put more time between your meals, burning your own fat whenever there's a caloric deficit. If for any moment / snack / meal you eat outside of this range and binge out on carbs, you're likely going to have to re-adapt (which may take weeks), such that a single cupcake could mess up an entire month. Strict, strict, paleo if you want to guarantee* success. Once you're running on fats like a machine, you can play around with throwing wrenches in it.

How's your sleep? Diet and exercise is nothing without quality sleep.

Check out ddpyoga.com. It's sort of bro-ga, but you can throw that stuff around your day to kick it up. Ideally, you would be looking into things like HIIT / pushups / pullups and such, but holding an awkward pose for a moment might be a more realistic way to get your heart rate up.

http://www.ncbi.nlm.nih.gov/pubmed/11828038?dopt=Abstract

http://www.ncbi.nlm.nih.gov/pubmed/7937658?dopt=Abstract

http://www.ncbi.nlm.nih.gov/pubmed/8266199?dopt=Abstract

http://www.ncbi.nlm.nih.gov/pubmed/9055100?dopt=Abstract

http://www.ncbi.nlm.nih.gov/pubmed/11211575?dopt=Abstract

96440612cf0fcf366bf5ad8f776fca84

(19413)

on March 25, 2014
at 10:28 AM

Yet more proof that calories-in-calories-out doesn't work. Dude, she's got asthma, she can hardly breathe, you want her to do cardio or weigths? Really???? fix the core issue first, then the weight. That kind of advice could send her to the ER.

0
Medium avatar

(238)

on March 25, 2014
at 04:02 AM

If it was me I'd be searching for a doc as Zach mentioned. Actually I'd probably just do the research and try and figure it out on my own, but I wouldn't tell someone else to take that path. Ideally a good doc would figure out how to get you better while weaning you off the meds as much as possible if not all the way.

I had severe decades long sinus infection troubles which cleared with the elimination of grains & sugar. Nothing else, not surgery, meds (steroids, etc.), acupuncture, herbs, chinese meds, etc. did a damn thing to fix it. Only diet worked. Will it fix your issues, maybe if properly applied.

0
32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 25, 2014
at 02:31 AM

To think you're going to go off meds is a little too optimistic, particularly after just one month. You may never get off meds.

Medium avatar

(238)

on March 25, 2014
at 03:54 AM

What a downer you are.

0
13f174d097c9293ed7d079dba783217c

on March 25, 2014
at 01:57 AM

You may want to try to find a holistic practicioner or a functional medicine/naturopath in your area... sounds like you may have some underlying issues that diet's not going to control easily. you can google search terms "your city/area, naturopath, holistic medicine, paleo doctor, functional medicine, integrative medicine" the paleophysiciansnetwork.com and institute for funcitonal medicine both for sure i know of have the ability to search for accredited docs... you may also want to try to find a low carb dietitian/nutritionist.. but finding one of those is like finding a needle in a haystack most of the time lol

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