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  • Upside Of Down

    UPSIDE OF DOWN
    By Gwen Mergian, Special To The Times Union

    Albany Times Union, NY
    First published: Tuesday, September 11, 2007

    Health regimen surpasses cholesterol goals and boosts mindfulness

    Six months, 20 pounds and 97 points!

    "Wow," my doctor said, when she saw my latest lab results. Shocked,
    I had even less to say.

    In six month's time, my LDL, the so-called bad cholesterol, dropped
    97 points, from 193 milligrams per deciliter to a svelte 96.

    That's 34 points lower than the goal I set last March when opting to
    try the Ornish plan, a low-fat vegetarian diet combined with moderate
    exercise and stress management techniques.

    Down from a lofty 303, my total cholesterol reads 177.

    And I lost 20 pounds. Stunning numbers, but better still, they're
    not the best part of the story.

    At the start of my experiment, though, only the numbers mattered. I
    fixated on LDL in particular.

    Given my family history of sudden cardiac arrest, the risk of a fatal
    heart attack hovered in the not-too-distant future.

    Middle-age and sedentary, I had two choices.

    "Take the Lipitor, eat the baklava," advised an amiable Armenian
    friend, referring to a prominent statin drug.

    Well, he certainly articulated a popular approach. The alternative
    meant serious lifestyle changes. But could a half-year of healthier
    habits undo the damages of a lifetime?

    "What the heck," I said, plunging right in.

    Small measures

    Armed with Ornish guidelines, I patched together a slew of small
    measures reported to lower cholesterol, speculating that the net
    effect might be enough.

    I ate blueberries, walnuts, gingerroot and barley. I drank white tea,
    pomegranate juice, apple cider vinegar and cod liver oil.

    I cheated just twice during the six months. (Remember Hattie's pie?)

    I walked home after work, biked around my neighborhood and gardened
    a bit. (Did you know sunlight lowers cholesterol?)

    With some misgivings, I also took red yeast rice, a dietary
    supplement similar to a statin. Just how similar, well, that remains
    controversial, although close enough to require periodic blood tests.

    Oh -- and I gave up eating meat, chicken and cheese, limiting fish
    to twice-a-week servings of salmon.

    Despite these profound changes, I haven't felt deprived.

    The small luxuries I allowed myself -- nuts, egg whites, nonfat
    dairy and a tiny amount of olive and canola oils -- kept the plan
    from feeling unduly restrictive.

    Brave new lifestyle

    On the other hand, and this is where the unexpected curve in the road
    appears, I began to enjoy my brave new lifestyle.

    Remember, liking it wasn't part of the plan.

    For the record, I considered myself an ordinary eater; roughly 40
    percent of my pre-experiment calories came from fats.

    Now my plate overflows with fruit and vegetables. I eat eight or more
    servings per day -- every day.

    And I feel better.

    So why go back to the way it was before? (Fortunately, my husband
    agrees.)

    I will, however, make some exceptions when visiting family and
    friends. They shouldn't have to worry about what to feed me.

    The exercise part

    Once I got the hang of eating beans every day, I set my sights on
    exercise, the bane of my existence. I floundered for weeks, unable
    to find an activity that fit my routine and sensibilities.

    Feeling desperate one day, I walked home after work which, for some
    inexplicit reason, amused me. The steady 2 1/2 mile incline was just
    vigorous enough to justify being called aerobic.

    Now I trek home regularly.

    Encouraged, I bought a refurbished older bicycle.

    After working up to a mile, I surprised myself by accepting a friend's
    invitation to bike an 11-mile route through the hilly terrain of
    southern Albany County.

    I trained all summer on flat city streets, building endurance. I fell
    off my bicycle. I picked myself up.

    I refused to think about hills. Until the big day, when I huffed and
    puffed, trying to keep up with my cycling friends who, more than once,
    politely waited at the crest of a hill. In fact, I dismounted four
    times to walk while catching my breath. But the fields and valleys
    were so lovely, I didn't mind.

    In a way, the lengthy ride symbolized my six-month journey. Both
    forced me out of my comfort zone, demanding new skills and steadfast
    determination. I weathered unexpected setbacks, too. But in the end,
    my friends were there to see me through.

    Breathing

    Let me admit, I am not a yoga kind of gal. But chronic stress can
    hurt hearts. Besides, there's no downside to breathing.

    Thus I tiptoed into the realm of meditation, doing deep breathing
    exercises while I ironed after dinner.

    I liked Zen ironing so well, I added "mindfulness" exercise to my walks
    home after work. Mindfulness meditation means paying close attention.

    Maybe I am more mindful now. I notice, for instance, the four pizza
    parlors at the corner of Ontario Street and Madison Avenue. (Not
    that I eat any, mind you.) I also notice worried eyes at the doctor's
    office, smiles on the playground, and madcap splashing in our backyard
    birdbath.

    Mindfulness awakens us to the power of the moment.

    >From there, it's reportedly not far to feeling less judgmental, more
    forgiving, and, in the end, less alone. Not bad, given the fact this
    was supposed to be about the numbers.

    What's next

    My experiment may be over, but I'm far from done.

    Looking ahead, I start a tai chi class next week. I've enrolled at
    a gym to begin twice-weekly weight training.

    And, gearing up for winter, I found an awesome stationary bike at a
    nearby yard sale.

    In his latest book, The Art of Aging, Dr. Sherwin B. Nuland says
    getting older has its surprising blessings. "Even as age licks our
    joints and lessens our acuities, it brings with it the promise that
    there can in fact be something more, something good, if we are but
    willing to reach out and take hold of it," Nuland writes.

    In conquering cholesterol, I inadvertently crossed a threshold,
    entering territory I didn't see coming but am more than happy to
    inhabit.

    Last spring, my doctor said, "Even if you end up on a statin, you'll
    be a much healthier person."

    As usual, she was right.
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