T Nation

Dr. Ryan - Prime TIme 8/20-21

Go ahead and start posting questions.

What do you know about fiber type conversions? Check out my post from earlier today. It’s titled “Fiber Type Confusion”.

Thanks.

Dr. Ryan,
I live with people that are big into the Adkins diet so we have a lot of adkin’s food product lying around. When it says it has 3 net effective carbs, I should ignore that and just count the number of carbs it has right?
Thanks!
RetailBoy

Hi Dr.Ryan,

Just read your reply on the stupid PT quote thread. So what should diabetic be watching out when buying supps in general? Is it just the simple carbs or there should be more that needs attention?

This question always bugs me but the family doctor is not very helpful on this.

Apologies in advance if it is a stupid question.

Geek boy

what’s up doc. I have a question about calcium intake. There has been alot of stories in the media about calcium deposits in the arteries of the heart which of course leads to heart disease. My worry is that, along with my 6-8 servings of grow(about 250mg a serving) in a day along with whatever calcium i may get from brocolli, dairy, and other foods, i may be over doing my calcium intake and potential be ruining my arteries. How much of a possible could this be?

IHGM,

I will try to find the thread and get back with you.

Ryan

Retailboy,

Usually when they are talking about ‘Net’ carbs, they basically subtract the grams of fiber since it contributes little caloric value. Also, sugar alcohols are classified as carbs, but have a different metabolic effect than sugars and starches, so they also subtract those from the total carb amount.

Try doing a site search for sugar alcohols. It should give you more info. If you can’t find anything, let me know and I’ll see what I can dig up for you.

Take care,

Ryan

Dr. Ryan,

I’ve recently sustained what I believe to be a few injuries. I have a discomfort in the upper outer left thigh area that prevents me from doing squats, dead-lifts, or other similar exercises. I also feel a light sharp pain in my left hamstring when I bend forward at the waist, it is not present when simply flexing the hamstring at the knee. I’ve recently also had a pain in my left triceps/teres area. I feel like I’m falling apart these days…

Do you have any tips on how I can go about finding and selecting an appropriate heath-care provider? I’ve found a number of chiropractors/ART specialists in my area but I’m not certain how to select the right one. I’ve noticed certain providers are ART certified for: Upper Extremity, Lower Extremity, Spine, and Biomechanics. Do you know how a practitioner certified in biomechanics differs from one that isn’t? I am hoping to find someone that will be able to diagnose the reason for my injuries and provide suggestions for correcting whatever is the cause so that I can avoid further injuries. For example, I’d like someone that can tell whether some sort of imbalance (in structure, flexibility, strength, etc) is responsible for my injuries and suggest exercises, stretches or others steps to correct this.

Any help or suggestions would be appreciated.

geekboy,

Insulin dependent or non-insulin dependent?

Total carbohydrate content is important, regardless of whether or not it is sugar or complex carbohydrates. The body converts all of the carbs into glucose, the type of carbs only determines how quickly the carb is metabolized into glucose.

With regards to your question about supplements, if you are talking about MRP’s you would want to choose one that is high in protein with relatively lower carbs. You could use either Grow! or Low-Carb Grow! without any problem. If you want to control the type of carbs you eat, then the Low-Carb Grow! would be your best option.

Have you ever researched the glycemic index of foods?

Also, fiber and essential fats are your friends.

Let me know if you have any follow-up questions.

Take care,

Ryan

This post was flagged by the community and is temporarily hidden.

brotzfrog,

Don’t lose sleep over it.

The calcification in arteries occurs as a cascade of events related to vessels wall damage, cholesterol deposits, etc.

It is not related to dietary intake of calcium. The body has very sophisticated mechanisms for regulating the amount of calcium in the blood. If you have a large calcium intake, the body is capable of controlling how much is absorbed and excreted.

Take care,

Ryan

BobA,

I would try to find a chiropractor who is ART certified. If a Doc is certified in one portion, the odds are pretty good that he/she will be able to treat the other areas just fine.

ART is a trademarked form of myofascial release and is very effective for many injuries. However, the certification seminars are a good 1500-2000 each. So it is cost prohibitive for most providers to get the certification. Once you know how to do the procedures, you can adapt the treatment to other areas pretty easily. I can perform ART, as I was taught how in chiro college and I have the manuals, however, I haven’t taken the actual certification because of the price. Most patients have never heard of it in the first place.

Most of my patients are referred from other patients, so you may want to ask any of your friends/co-workers etc. if they have ever been to any of the providers and what they thought.

Also, call the office and ask what kinds of treatments they provide, do they do rehab and provide home exercises etc? Also, the doc might be willing to talk with you on the phone briefly to tell you whether they think they can help.

Ask what an average treatment plan would consist of. If they start talking about several months, then try someone else. Most docs would suggest possibly 3x week for 2 weeks at which point a re-eval could be done and treatment modified. Another two weeks may be necessary for increasing rehab etc. Obviously, this would depend on what they find upon examining you. They should definitely try to rule out your low back as a cause of the upper thigh/hamstring symptoms.

Let me know if you have any other questions.

Keep me posted.

Take care,

Ryan

Chushin,

It may be your Iliotibial band.

Try doing some stretches for it after doing your warm-up prior to doing legs. Then stretch it again after your workout.

Ice massage the area after your leg workout.

Also, look up Mike and Eric’s Feel Better for Ten Bucks article. It shows how to do some home myofascial treatment by using a foam roll.

If you don’t know any IT Band stretches, try doing a Google search for some pictures.

Let me know how it goes.

Take care,

Ryan

This post was flagged by the community and is temporarily hidden.

Greetings Dr.

This only started happening maybe a yr ago, i am a 30 yr old male.
when i get up in the morning, my ankles are stiff, to the point where they hit the floor it is uncomfortable for a few min. then after that, it goes away. why is this? i sleep in an airconditioned room. can it be the temp?

Thanks

[quote]Dr. Ryan wrote:
BobA,

I would try to find a chiropractor who is ART certified. If a Doc is certified in one portion, the odds are pretty good that he/she will be able to treat the other areas just fine.

ART is a trademarked form of myofascial release and is very effective for many injuries. However, the certification seminars are a good 1500-2000 each. So it is cost prohibitive for most providers to get the certification. Once you know how to do the procedures, you can adapt the treatment to other areas pretty easily. I can perform ART, as I was taught how in chiro college and I have the manuals, however, I haven’t taken the actual certification because of the price. Most patients have never heard of it in the first place.

Most of my patients are referred from other patients, so you may want to ask any of your friends/co-workers etc. if they have ever been to any of the providers and what they thought.

Also, call the office and ask what kinds of treatments they provide, do they do rehab and provide home exercises etc? Also, the doc might be willing to talk with you on the phone briefly to tell you whether they think they can help.

Ask what an average treatment plan would consist of. If they start talking about several months, then try someone else. Most docs would suggest possibly 3x week for 2 weeks at which point a re-eval could be done and treatment modified. Another two weeks may be necessary for increasing rehab etc. Obviously, this would depend on what they find upon examining you. They should definitely try to rule out your low back as a cause of the upper thigh/hamstring symptoms.

Let me know if you have any other questions.

Keep me posted.

Take care,

Ryan [/quote]

Thanks for the reply.

I saw a chiropractor who is ART certified many years ago for a lower back injury (I was living in another province at the time). He treated the problem (along with a shoulder issue) within 5-6 weeks. I went once a week.

He was well-know for treating pro athletes but I never found out why the back injury occurred or how to prevent future such injuries. My lower back hasn’t ever been 100% since but I’ve been able to lift. At times I suspect I might have one side of the lower back that is stronger or tighter than the other but, again, I’m not sure.

The list of providers I found was from the ART website, they list their e-mail addresses. I’ll try contacting a few and I’ll let you know what they say.

Cheers

Blaze,

Temperature can relate to stiffness. Are your feet exposed to the open air while you sleep?

I would also try to check and see what position your ankles are in while you sleep.

Do you have any history of ankle injuries?

Hi Doc,
On Mike Robertson’s Prime Time thread today I quizzed him about spondylolisthesis and powerlifting. In his reply he suggested it might be worth checking out Pettibon chiropractic. I’d never heard of this before, but I checked it out on the web and thought it looked interesting (although I doubt if there are any practisioners in Australia). Have you heard of this before, and what is your opinion of it?

sharetrader,

I have heard of it, but I don’t know much about it other than it places alot of emphasis on posture and spinal curvatures.

I will look into it and get back with you tomorrow during Prime-Time.

Take care,

Ryan

Great, thanks.