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Time Restricted

Experiences with Time-Restricted Eating and Managing Chronic Disease

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Three days at Buchinger Wilhelmi

August 30, 2018 By spao 2 Comments

Days 4-6 Still Alive and Well!

Thanks to all those who messaged me privately about the temporary pause in blogging! We are still alive and well!

We’ve been immersed in the Buchinger experience, and we’ve been taking advantage of the program! Even though we’re not allowed to use mobile phones outside our rooms, I had to use something to keep track of where to be!  The image above is a screen shot of our schedule over the last three days!  The program here runs from 6am to 8:30pm.

Buchinger uses a very holistic approach to fasting and well-being, which combine medicine and complementary therapies.  Some highlights from the last three days include:

  • abdominal sonogram – basically imaging my organs.  While doctors can’t tell things like the quantitative fat composition of the liver (that would require MRI), they can detect chronic liver disease, which I don’t have!  My results look “normal.”
  • breathing physiotherapy – basically a Swiss massage to encourage breathing.  As a lifelong allergy sufferer, I can tell you this really works!  The problem is that the results are temporary!  I felt great for a couple hours, and then with all the nature here, I was back to “normal!”  🤧
  • group meditation – While not that different from what I’ve done in the past (I went to Spirit Rock a few years ago), there are always good reminders to take away from these types of activities when doing both sitting and walking meditation.
  • personal training – I am at least starting to address the issues of my shoulders rolling forward.  The trainer asked me right off the bat, “You use a computer a lot, don’t you?”  Ouch.
  • painting workshop – just a chance to explore creatively.  Here’s an impressionist painting I did inspired by one of our hikes.
Painting inspired by one of our hikes
Painting inspired by one of our hikes

And, we’ve had a couple of really cool hikes!  (You can click on the images to get more information about the sights!)

St Leonard Birnual Basilica Hike
St Leonard Birnual Basilica Hike
Sipplingen - 7 Churfirsten Hike
Sipplingen – 7 Churfirsten Hike

Future topics deserving of their own blog posts include:

  • the importance of the relationship with your doctor
  • valerian root as a sleep aid during fasting
  • autogenic training

Stay tuned!

Results from morning nurse visits on Days 4-6

  • Blood pressure: 143/89, 134/84, 113/81 – Coming down!
  • Blood sugar: 145,134, 137 – Still needs work!
  • Weight: 71.3kg (156.9lb) , 69.9kg (153.8), 69.5kg (152.9) – Already slowing down, as most of the water weight is now gone!

Filed Under: Buchinger-Wilhelmi, Fasting

Höchsten Aussichtspunkt

August 26, 2018 By spao Leave a Comment

Day 3 – Walk good 👍, Enema bad 👎

Today was good and bad.

Walk good.  👍

On Sundays, the walks here at Buchinger Wilhelmi start at 8:30am instead of the usual 6am time both to attract a bigger group and to allow for longer excursions. Today, we went to the highest lookout point between Lake Constance and the Danube, referred to locally as the “Höchsten Aussichtspunkt.”  It was a nice, leisurely 4 mile walk, and we were rewarded with a great view at the end!

Sunday Walk at Buchinger Wilhelmi
Sunday walk at Buchinger Wilhelmi to start off the day!

Enema Bad 👎

While the walk was a great start to the day, the middle of the day took a downward turn.

Once fasting, you get an enema every other day here at Buchinger Wilhelmi.  The issue here is that fasting reduces your stimuli to poo, but having small quantities of food means that small amounts of digestive juices and bile are still produced, the mucous membrane peels away, and intestinal bacteria and epithelial cells must be removed.

The argument they make here is that while some people view enemas as unnatural, brushing your teeth is also unnatural but necessary due to modern nutrition.  Intellectually, this all make sense to me.

However, my candid opinion is that the enema has the potential to be a day-wrecking event.  I was admittedly pretty uncomfortable not only having the tube stuck up by butt, but also having the nurse fill up my bowels with water.  The upside is that, unlike the Glauber salts which required me to stay by the bathroom for 5 hours, the flushing process with an enema is fast.  I was ready to leave the vicinity of the bathroom in a few minutes.  Sill, the downside is that I was feeling a little queasy afterwards.  I really didn’t even want the vegetable consommé that was brought to my room, but I drank it anyway.

Hot Liver Compress Saves the Day 😅

The saving grace immediately after my broth was the hot liver compress!  I was unconscious at 1pm once I got my hot liver compress and felt much better after finally awakening!  My wife and I walked to the Überlinger Töpfermarkt, an annual pottery market on the lakefront, and enjoyed both the scene and the work of the artisans.  After that, I was totally ready for (and enjoyed!) the light gazpacho at dinner time!

Überlinger Töpfermarkt
Browsing at the annual Überlinger Töpfermarkt after the hot liver compress!

There really is a system here at Buchinger Wilhelmi to even handle the unpleasantries of intestinal cleansing!

Note: We also heard from others here that you can opt out of the enemas in favor of other laxatives.

Results from morning nurse visit

  • Blood pressure: 165/85 – higher than yesterday.  This isn’t supposed to happen!  We’ll check on this tomorrow!
  • Blood sugar: 109 – getting closer to “normal!”
  • Weight: 71.3kg (156.9 lbs) – down yet another 0.6 kg from the day before

Filed Under: Buchinger-Wilhelmi, Fasting

Hot Tea after Liver Compress

August 25, 2018 By spao 1 Comment

Day 2 – Almost too comfortable!

I was not looking forward to Day 2 of the fast.  At Buchinger Wilhelmi, that fear is unfounded.

The “Do it Yourself” Experience

I’ve tried water fasting before on my own, and Day 2 is always miserable.  Day 1 is usually easy because you get to burn your glycogen stores.  It’s Day 2 when your body goes into gluconeogenesis, and things can get uncomfortable!

Glucose Response Curve
THE GLUCOSE RESPONSE CURVE. True hunger occurs when glycogen stores are depleted, so that gluconeogenesis can be avoided. (Source: Nutrition Journal, 2010)

The Buchinger Experience

Here at Buchinger, day 2 is a breeze.

Inputs and Outputs

Part of the Buchinger formula to get to ketogenesis (fat burning) without the pain is through careful control of what comes out of your body and what goes in!  A summary:

  • cleaning out intestines with Glauber salts on day 1 to avoid hunger
  • a morning tea and yogurt (honey if you’re not diabetic)
  • vegetable consommé at lunch and dinner times (today we had chard broth at lunch time and tomato brother at dinner time!)

Outside the clinic, this is referred to as a fasting mimicking diet, where you still consume small amounts of food but “trick” your body to get the same therapeutic benefits of fasting!

Hot Liver Compress and Tea

The other thing starts on Day 2 is a hot liver compress.  The concept is to heat the liver to improve blood circulation and liver function during the fast.

Every day at about 11:45am, the nurse places a wet towel over your upper abdomen, puts a hot water bottle over the towel, and then swaddles you snugly using another cloth.  I don’t know whether it really makes the liver function better, but it definitely put me to sleep in the middle of the day, and made me feel great!  Quiet time at the clinic lasts at the clinic until 2pm.

After that, you get hot tea served in your room!

This felt like such an awesome mid-day pampering.  My wife joked that she’s never going home!

Results from morning nurse visit

  • Blood pressure: 157/89 – a tiny bit higher
  • Blood sugar: 141 – back to where it was on Wednesday morning
  • Weight: 71.9kg (158.2 lbs) – down yet another 0.8 kg from the day before

Filed Under: Buchinger-Wilhelmi, Fasting

The Glauber Salt Experience

August 24, 2018 By spao Leave a Comment

Day 1 – The Glauber salt experience

Today is our first day of fasting, and there is a system here at Buchinger-Wilhelmi.

The easy part

To start off the fasting, I was given two supplements to be taken through the duration of the fast.

  • Basica Compact tablets to act as a buffer to prevent build up of uric acid.  (my dosage – 2 tablets taken 3 times per day)
  • Magnesium supplements to prevent magnesium depletion.  (my dosage – 1 tablet taken in morning and evening)

Note that diabetics should take magnesium supplements anyway, as diabetics excrete magnesium along with the glucose through the urine.

Supplements - Magnesium and Basica
https://time-restricted.com/wp-content/uploads/2018/08/supplements.jpg”> Supplements given to us for our first day of fasting at Buchinger Wilhelmi[/caption

The hard part

Warning: this is a bit gross.

Right after my morning nurse visit, I was given my Glauber salt.  Basically, you get three things:

  • A pitcher of salt water
  • A glass of diluted lemon juice for taste (the salt water doesn’t taste so good)
  • A pot of peppermint tea to drink ½ hour after the Glauber salt

Then I was instructed to stay by the toilet for the next 5 hours.  Good advice.

For me, this wasn’t as bad as it sounded.  While excreting liquid feces out my butthole is never pleasant, at least this was not accompanied by the chills or dizziness that comes with food poisoning.  This was sort of a “clean” diarrhea experience, if there is such a thing!  (Update: my wife read this and told me I omitted a key piece of packing advice.  Bring Charmin from the US.  The toilet paper here at the clinic is a bit “rough!”)

The doctor here told me that cleaning out the digestive system prevents people from getting hungry, and I have to admit that was true.  I did not feel hungry at all.

That said, this is a pretty traumatic start, and both the doctors and nurses sagely advise to take it easy the day of Glauber salt.  There are many activities on the calendar here at Buchinger Wilhelmi, and I didn’t take advantage of any of them today!

By 6pm, both my wife and I were ready to take our vegetable consommé in the salon.  She had the pumpkin broth.  I had the turnip broth.  Both were good!  We also got to meet a few folks who shared the common experience.  I actually kind of enjoyed the bonding, and I think it’s a key part of the experience fasting as a group.

Results from morning nurse visit

  • Blood pressure: 152/88 – basically unchanged
  • Blood sugar: 121 – actually down from the day before despite all those carbs!
  • Weight: 72.7kg (159.9 lbs) – down 0.8 kg from the day before

Filed Under: Buchinger-Wilhelmi, Diabetes, Fasting

Bodensee-coastline

August 23, 2018 By spao Leave a Comment

Our first sightseeing excursions

Surprisingly, we got to take a little break from the pure clinical fasting experience to enjoy a little bit of the area.

Every day here at Buchinger-Wilhelmi, there are guided walks from 6am-8am.  This morning we couldn’t join because I had my first laboratory appointment at 7:40am.  Instead, my wife and I went for a little walk in the morning along the Bodensee coastline into Ûberlingen.  The town is only about a 15 minute walk form our clinic. We look forward to exploring it more when we have more time!

Bodenseereiter Fountain
Bodenseereiter Fountain in Überlingen – what was this sculptor thinking?

Every Thursday, there is an optional excursion to sights around the area, so we happened to catch one on our first full day here!  This week, the excursion was across the border to Switzerland to see the Rhine Falls and the town of Schaffhausen.

The Rhine Falls is billed as the largest waterfall in Switzerland and all of Europe, at 150 meters wide! I was very impressed at how close visitors can get to the falls!


Rhine Falls, Switzerland

Schaffhausen was also very cool, with roots in the Middle Ages!

Note that in the Middle Ages, there were no street addresses, so the buildings all had names!  Below, one building was called “To the green mountain” and another was called “to the doe.”  Of course, today, these buildings have addresses!

Schaffhausen Buildings
Building names from the Middle Ages – “to the green mountain” and “to the doe”

This clock in the Fronwagplatz is over 500 years old, and it served many functions.  Note that it just doesn’t tell the time but also the zodiac and even the phases of the moon.  (Right now, we’re nearly at a full moon.)

Fronwag Tower
Fronwag Tower with Astronomical Clock

Probably the biggest difference we saw there was how sparse Protestant churches were compared to Catholic churches.  Here’s a photo inside Münster Schaffhausen.  Note that the lack of decor compared to the sights in Italy and Spain!

Münster Schaffhausen
Münster Schaffhausen

We hope to be able to do some more sightseeing as we continue to fast!

Filed Under: Buchinger-Wilhelmi

Buchinger Wilhelmi Diary

August 23, 2018 By spao Leave a Comment

Digestive Rest Day

Today was our “digestive rest day.”  The concept is to choose one main food staple to eat throughout the day to prepare the body for fasting.

Choices were:

  • fruit
  • potatoes
  • rice
  • oatmeal

For me, Dr. Lischke recommended oatmeal because it works best for diabetics.  My wife chose potatoes.

My breakfast was oatmeal with a cinnamon-apple sauce over it.  Lunch and dinner consisted of a savory oatmeal with tomato sauce, zucchini, and squash medley.  I was concerned about all the carbs and what that would do for my blood sugar, but I also have now learned that blood sugar seems to be way less about inputs and outputs and much more about hormones…  We’ll see how this looks tomorrow morning for comparison!

Every day, we have to see our nurse between 7am-9:30am.  I get my blood pressure, blood sugar, and weight measured.  I am also logging sleep, how I feel, and other symptoms in a diary.

Today’s baseline:

  • Blood pressure: 152 / 87
  • Blood sugar: 142
  • Weight: 73.5 kg (161.7 lbs)

I know my blood pressure and blood sugar are high.  This is why I’m here!  The nurse said she always sees these two measurements go down as the days go by.  Let’s see how it goes!

 

Filed Under: Buchinger-Wilhelmi, Diabetes, Fasting

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Stephen Pao is the author of the Time-Restricted blog. Following a Type II diabetes diagnosis in 2003, Steve began experimenting with alternative approaches to managing the disease, including prolonged fasting as a complement to a low-carb lifestyle. Several years ago, Steve also added a more involved drug program, including Ozempic and Jardiance. By day, Steve is a consultant and board advisor to early stage technology companies. Steve and his wife are empty nesters, with two adult daughters.

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