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13 Weeks: Week Seven, In Which We Whine

Yeah, I'm doing a Taubes-inspired low-carb diet and high-intensity training, and this week I'm not particularly happy about it. So there. Follow me here at PJ Lifestyle or at the 13 Weeks Facebook page and see if "bah, humbug" is a weight-loss strategy.

So, it's week seven, past the half-way mark in my 13 week experiment. Let's hit the objective data first: my weight loss continues. I hit 275 this week for the first time in quite a while, and I'm settling down to very exactly 1.33 pounds a week. My glucose also continues to improve with a linear best-fit trend of about 1.5 mg/dL per week -- which means, practically, that my glucose is often near normal even early in the morning when it seems to be highest. I could wish the weight loss was a little faster, but honestly the eating plan I'm on has really been very benign, very easy to do. In general, but I wasn't going to whine until the next paragraph.

Okay, it's the next paragraph. As you may recall, I was set to have a colonoscopy last Monday, and yes, thank you, everything came out all right. I don't have to do another one for ten years. Starting back on Friday or Saturday, though, my big toe started to hurt. Right in the metatarsophalangeal joint, which is to say, where it meets the foot. It got inflamed and swollen, with a distinct red patch right over the joint. Monday, did the procedure; toe was still hurting, but I was, how you say, impaired. Finally thought about it, looked it up and decided I was having a gout attack, my first. Started taking the official jungle medicine cure for all things orthopedic: 800mg of ibuprofen 4× daily. And called the doc because, after all, I'm not a real doctor.

Went to the doctor, told him my history, said I thought it was gout, and how I was treating it.

He said, "you're right. Fifty dollars, please."

If it keeps recurring, there's more stuff to do, but a lot of times it doesn't. Gout basically is caused by uric acid precipitating out in a joint, and I've been on a high protein -- and therefore high uric acid -- diet, plus I was dehydrated from the prep. (When I said "everything came out all right", I meant everything.) Still, it's Friday night and my foot is basically healed.