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01 June 2005 — Self-Medication (11)

This year has been all about getting my life in order. I've:

During June, I plan to begin an exercise regimen.

Over the past week, I've made another change, too.

I'm a skeptic by nature. I don't believe in ghosts, or aliens, or witches, or any other sort of supernatural being. I'm wary of acupuncturists and chiropractors and naturopaths. I don't buy into conspiracy theories.

Because of my recent battle with depression, though, I've decided that it can't hurt to at least try some natural remedies, remedies I would formerly have eschewed. Spurred by this recent AskMetafilter thread, and by a doctor's visit last week, I spent some time in the organic vitamin aisle over the weekend. I picked up a natural multivitamin (vitamin A from betacarotene and fish oil!), a bottle of 81mg aspirin tablets, some melatonin, and some St. John's wort.

The multivitamins and the aspirin are general-purpose health-enhancers. The St. John's wort is apparently a natural anti-depressant. (In fact, in Germany it is the most widely prescribed anti-depressant.) It breaks down into something that is a "pre-cursor" to serotonin, a "feel-good" substance in the body. (Like my non-scientific explanation?) The melatonin not only helps me get to sleep, but also helps me sleep more soundly. (It also gives me wild, vivid dreams.)

I've only been using this regimen of pills for a few days, but I'm beginning to feel the effects. I feel well-rested this morning for the first time in weeks. (Months?) I'm in a good mood, too: playful, happy, excited. (When I sat down to write a weblog entry, I had a million ideas flying through my head; it was difficult to focus on just one.) In fact, at the moment I feel positively euphoric.

Are these changes all in my head? Or is there some real physiological effects going on? Who can tell? Does it really matter?

I'm keeping a private self-medication journal, tracking my dosages and my mental state. I'm curious to see how things go over the course of the next month.


On a related note:

I've managed to stick with my diet for an entire month. I started May at 202 pounds. I start June eight pounds lighter.

I've been using FitDay to track my eating and exercise. After every meal, I go to the web and enter what I've eaten. After every walk (since walking's the only exercise I've done so far), I go to the web and enter how far and how long I walked.

FitDay is a great tool, though its reports are mediocre. Still, they tell me enough to know that I'm only burning sixty calories through exercise every day. That's less than a third of what I ought to be exercising. FitDay also gives me a breakdown of my calorie consumption.

For the month of May, I averaged the following each day: 2031 calories, 67g fat (22g saturated), 291g carbohydrates (23g fiber), 93g protein, and 14g alcohol. (Yes, I know these numbers don't add up. I'm not sure why, but if you multiply the calories for the individual nutrients, you come up with a couple hundred extra calories per day. It's not important.)

Based on this first month of dieting, I've developed some goals.

First of all, I'm shocked to see how much alcohol I'm drinking. I'm averaging a drink a day. There's no way I would have believed that if you'd told me. I'm not sure I want to continue that pace. I realize that research continues to indicate that a glass of red wine a day has health benefits, but I'm skeptical of this. I'd be happier if I were consuming only a couple drinks a week, if that. My goal is to cut my alcohol consumption in half during June.

Second, I'm not getting enough fiber. I started the month well, focusing on fruits and vegetables. I'm just not a fruits and vegetables kind of guy. I rarely choose them for myself. I'll eat them if they're put in front of me, but when it comes time for me to choose something to eat, I'm going to get my veggies in the form of potato chips. (During the past month I've become the master of s-t-r-e-t-c-h-i-n-g junk food. It takes me half an hour to eat a bag of M&Ms. I can eat an ounce of potato chips a nibble at a time, using them as my vegetable course at dinner.)

Third, I need to eat a little less saturated fat and a little more protein. This shouldn't be too difficult. I love tuna and I love beans, so I just need to eat them more often. (Instead of potato chips!)

With continued discipline and a little perseverance, it's possible I could be down to 180 by the end of July, and maybe even back down to 160 by winter. It happened wight years ago; it can happen now.

On this day at foldedspace.org

2004My Liberal Agenda   In which I post two articles from elsewhere, one a letter-to-the-editor from the mother of a gay son, and the other an op-ed piece blasting Bush.

2003Simon Grey   Simon is social, but he's not a lap cat. He likes to be in the room when we have company, and he's especially tolerant of children; he lets the kids dote on him and pet him.

Comments
On 01 June 2005 (09:21 AM), Pam said:

A couple of years ago I gave a talk for National Medical Laboratory week about naturopathic/herbal remedies. St. John's Wort is very effective and probably the most economically efficient way to treat depression, but it is not FDA regulated so you never know what dose/quality you are getting. In fact, there is no requirement for a bottle labeled "St. John's Wort" to actually contain St. John's Wort! Also, be careful with the Vitamin A - too much can cause liver damage (just like eating a polar bear liver). Don't take more than the RDA.

And not having done the math, I'll try to explain it: Fiber doesn't get digested so the 23g may be the source of your missing 100 calories.


On 01 June 2005 (09:52 AM), Tiffany said:

I agree that it does not matter is the affects of the herbs are real or mental. It only matters that you feel better. I worked in a health food store for 5 years (high school & college) and it opened my mind to a whole new world.
I love that you are always trying to improve your life. You identify something that you do not like and focus on changing it. It is very brave of you to post your plans.


On 01 June 2005 (09:58 AM), J.D. said:

Tiff: I love that you are always trying to improve your life.

Thanks, Tiff. I only wish there weren't so much to improve! :)

Or, to put it another way: I only wish that once I lost the forty pounds, I kept them off instead of having to lose them again eight years later!


On 01 June 2005 (11:11 AM), Betsy said:

You're an inspiration to me on a few levels - must re-investigate St. John's Wort and melatonin, for starters. And that 'Getting Things Done' post is both terrifying and an incredible motivator...


On 01 June 2005 (11:52 AM), Chrees said:

I think you will find the exercise routine will have many side benefits that you didn't count on. More and more studies are showing that exercise is a pretty effective anti-depressant...and I have definitely found that to be the case for me.


On 01 June 2005 (12:28 PM), Cepo said:

I took St. Johns Wort recently for about a month (until I ran out and I didn't have a job so couldn't buy more). There may have been a slight change for me but I can't really say. The bottle recommended I take three pills daily but I admit I was pretty slack on that usually only taking one in the morning and one at night... sometimes only one for the whole day. I didn't really get more work done or crawl out of my antisocial shell at all... I just felt "content" more often than not. Not happy, just not sad. Now that I'm off of it I don't really notice a change either so I have to question whether or not it even did anything. I read a few comments above mine where someone said there's no requirement for a bottle of St. Johns Wort to actually have any of the herb in it... maybe this happened to me? Can anyone recommend a certain kind to buy?


On 01 June 2005 (09:06 PM), Blogeois said:

Oh, go YOU! FitDay is GREAT and really helped me see where I was lacking or partaking too much of. Oatmeal is great for fiber intake when a person isn't all about fruits and vegetables. And hope the St. John's Wort works for you. For me, my St. John's Wort habit was harder to break than most people have stopping heroin! And the depression afterward was HORRIBLE. Not a habit I care to ever repeat...


On 02 June 2005 (01:07 AM), tom said:

Good work, JD.

For me the most important things are getting good sleep, exercising (even a couple hours a week biking up hills makes a big difference), and cutting back the video games.

I find when I'm staring too much at a computer screen my moods take a decided turn for the worse. I've yet to find a video game that keeps me interested on any level deeper than a rat hitting a button, and even reading 'good stuff' on the 'net eventually leads to glazed eyes. I think there's something to be said for 'hard' intellectual engagement, something like exercise for the brain. And video games rarely fulfill it, especially if consumed in mass quantities.

A friend of mine (and roommate of my girlfriend) has had his life totally consumed by World of Warcraft for the last few months. It's really bad - we used to hang out a bit, but now even the roommates never see him really. He's sort of like an un-person who occasionally comes down to cook smelly meat or something. Very sad. So kick that habit!


On 02 June 2005 (11:55 AM), Nikchick said:

I've had very good results taking a little additional vitamin E, but I'm the spacey sort who can't remember to take my vitamins on a regular basis, so I often fall off the vitamin E wagon. Still, I recommend it before I recommend St. John's Wort.

I have used melatonin when taking long trips back and forth across multiple time zones and it never fails to give me wild, vivid dreams.


On 03 June 2005 (08:29 AM), Joel said:

Pam said: "just like eating a polar bear liver" Ha! We still have that awesome card you made with the polar bear exclaiming smilingly "Don't eat my liver!" Oo, I hope it made the move.

Cepo (and JD) the only lecture I've had on anti-depressants indicated that, while the chemical effect (generally more serotonin) of beginning the anti-depressant therapy is very rapid, for some unknown reason the actual therapeutic effect can take like six weeks. The brain is weird.


On 03 June 2005 (12:40 PM), JC said:

JD: I have an older Nordic Track in great condition. [At least I think it is. Someone gave it to me and I never used it.] It's yrs if you want it.

jc


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