[24] HuiMei chat after angiogram

  • for LDL reduction, soluble fiber is more effective than insoluble fiber
  • vegetable oil.. could be blend oil. Consider sunflower oil, corn oil, soybean oil
  • Vit K2 for decalcification? Not good with Plavix
  • transfat is present in ham, beacon, and many commercial (esp. deep-fried) foods

— meal pattern/timing

  • intermittent fasting .. not recommended for my gastritis and my prediabetes “concern”
  • What if I feel an empty stomach but no real discomfort?
  • .. A: you have ignored it for decades. It may or may not mean acid
  • cereal + congee .. good for breakfast, or even after dinner
  • hungry after a full dinner .. warm, convenient fluid[milo, soups]. Avoid continuous snacking
  • 2 bowels of fruits+milk in office? delay to 4pm, and split into two snacks.

Continuous snacking after dinner is worse than 3/4/5 afternoon snacks in office.

— specfic food items

  • whole milk .. contains saturated fats and can affect my gastritis.
  • watermelon .. fructose? Reduce if you worry about t2dm
  • sweet rockmelon .. too much sugar? A: similar to watermelon
  • purple grape and juice … antioxidant helps anti-clott? but high sugar? Eat in moderation.
  • cheese .. Try reduced fat cheese. No cheese stick please.
  • avocado .. heart-healthy but fatty? up to 3 avocados/week is safe (safer than animal fats or nuts), but can affect BMI
  • .. my avocado smoothie .. fine if without the condensed milk. Additionally, consider alternatives to whole milk
  • 3 yolks/week including century egg yolks
  • beef is more (fatty) unhealthy than white meat? A: Red meat (incl. pork).. limit to 3 times/week
  • sliced fish noodle soup .. is low-calorie if without the evaporated milk

— 24 Sep 2024 ..我今天第四次约见我的营养师。她记得我有冠心病,轻度胃炎,也顾虑血糖和血压。

蛋白质 — 她建议微调,多摄入各种蛋白质。肉、鱼、鸡蛋白之外,豆腐,乳制品也提供蛋白质。她说蛋白质有助于增加或维持肌肉

我说与其多吃淀粉,我更愿意增加蛋白质。她点头。

体重 — 她记录了 2023 年8月至今4次体重,维持在64-67 公斤。她说很难得,尤其是最近半年瘦身。

她问了我每周运动项目,略表惊讶。她特别询问 有阻力运动 (resistance training),因为她一直提醒我,上年纪容易肌肉萎缩。我提到爬楼梯,蹲起,引体向上。她认为很有意义。

过去半年,她认为最大的进步在于三餐规律化。我告诉她,90%早晨都吃一点,晚上大都在10点前开始进餐。她再次提醒我不要在正式晚餐结束后再继续吃零食,连续吃2小时。为此,她希望我减少边吃边工作。

她大胆地推测,这几个月体重减轻,最可能的解释就是晚餐总量正常化,不像以前,正式晚餐结束后,还继续边吃零食边用电脑,不知不觉又吃了第二顿晚餐,直到一两点才停。

今天我意识到,“正式晚餐”应该有始有终。