| Introducing HealthOS
#Personal Systems & Reflections #Food & Cooking
If you have an unhealthy relationship to food, fixing it is (usually, for most people, myself included) not a matter of ‘eat like a healthy person,’ the same way an alcoholic can’t drink like a normal person. You have to do something far more intentional and deliberate, more absolute, more costly, and do it constantly forever. - TheZvi in Medical Roundup #1

I believe it was roughly around this time of the year, several hundred years ago, third or fourth grade to be imprecise, that I declared in no uncertain terms that new years resolutions were stupid, and I would not be doing them.

If you’ve met me, that anecdote probably doesn’t seem very surprising. Yes, I was always like this. No, I won’t elaborate.

The reason I bring it up is that I’m about to talk about what to many people would in fact sound like a new year’s resolution, but is prompted approximately zero percent by the new year and entirely by the trip to Disney World staring me down from approximately two weeks in the future which I am clearly, woefully, physically unprepared for. No doubt I’ll still have an amazing time, but I can tell before I even catch my flight that some things are going to need to change.

Currently I weigh somewhere between “can walk up a flight of stairs without stopping” and “sir you won’t be able to ride this ride today.” I don’t always need a seat belt extender when I fly, but sometimes I do. I’ve weighed more, I’ve weighed less, but as I get older it’s becoming more of an issue in more ways, and something clearly has to be done. As a close friend once said, “you can be old, or you can be fat.” He was speaking from a position of authority and wisdom.

Like most fat people, I’ve already tried everything. Everything. Whatever you’re thinking, I’ve tried it. From “eat less, move more” to Keto, to GLP-1 agonists. Some things worked for a while, then stopped working. Some things never worked. Nothing worked indefinitely. The things that worked the best required persistent, ongoing, considerable discipline. I suspect any system that will succeed for me will have that feature, and the challenge will be convincing everyone to arrange my life around it. You can only get away with being so weird if you want to succeed by normal definitions of success, and I’m not Steve Jobs enough for abnormal definitions of success.

So this post is somewhat of a manifesto. It is, in part, an attempt to document the things I am going to attempt to start doing because I think they’ll help. It is also, in part, to justify the weirdness I will need to introduce into my life and the lives of others to improve my likelihood of success. It is, if nothing else, an attempt to be legible.

Part 1 - Food

“The real importance of the ‘never’ list is that you have to make a commitment that there are some things in your life that you’re going to give up and you’re never going to have again. And there’s not a diet that I know of that ever said, ‘You know what? You’re going to say goodbye to some things forever.’ I actually think that’s important because it’s a symbolic life change that says ‘I’m turning a corner.’ It’s a statement of ‘I’m making a permanent change.’ That’s important from both a psychological and nutritional standpoint.”

- Alton Brown

In 2010’s “Live and Let Diet” Alton Brown, host and creator of Good Eats, introduced what he called the “System of Four Lists” – effectively, a contract with himself that helped Brown build and maintain a 50lb weight loss. Each list was designed to either encourage good food choices, or discourage bad ones.

The first list was comprised of things he decided he must eat every day:

  • Leafy greens
  • Nuts
  • Carrots
  • Green tea
  • Whole grains
  • Fruits

As I understand it, the purpose of focusing on things he must have rather than things he couldn’t have, was to flood the playing field with good food. To leave less room for things that didn’t support his desired health outcomes. Instead of focusing on restriction as the primary goal, to focus on nutrition to the exclusion of problematic foods.

The second list are things he needed to eat at least three times a week:

  • Yogurt
  • Broccoli / Cauliflower
  • Sweet potato
  • Avocado
  • Oily fish
  • Tofu

Restriction enters the picture in his third list, the things he can only have once a week. Effectively, the treats:

  • Red meat
  • White starch
  • Desserts
  • Alcohol

In the original version of Live and Let Diet that aired, white starch was “pasta,” but in articles published later online it appears that he broadened it. My guess is by white starch what he really means is everything I think of as “sugar.” I have a notoriously broad definition of sugar, which extends pretty much all the way to all purpose flour. Any refined carbohydrate. So all breads are sugar, but a baked potato is not. Maybe he intended to include baked potatoes in his white starch category, I don’t know. I think my problem probably isn’t the number of baked potatoes I eat.

Finally, the “never” list. The things he had to give up for good:

  • Soda
  • Processed meals
  • Canned soups
  • “Diet” anything
  • Fast food

That seems clearly and objectively correct to me. There goes my chances of getting a Taco Icosahedron sponsorship, but I think that’s probably a risk I’m willing to take.

Let me say that I really like this approach. I like the idea of filling up on healthy “must haves” to edge out less healthy alternatives. I like the idea of allowing a little fun as a once a week treat. I even like the idea of saying “never” to the things we all know are bad. There’s power in never. Never reduces the option space, it removes an entire class of negotiation from the table. “No” is the most powerful word in the English language, and a complete sentence.

My smart move is probably to take this, exactly as written, and try it for a month before I make any adjustments. And I think that’s what I’m going to aim to do. Just for the sake of completeness though, here are the adjustments I’m considering:

  • Carrots are fine, but I’m not a huge fan and I just can’t think of how I’d manage to fit them in every day without getting sick of them.
  • I’m not a huge tea drinker, green or otherwise, but I’m game to try. I don’t like hot beverages, but I think tea might be my best opportunity for replacing soda.

That’s it. Those are the changes I think I’d want to make. But, let’s give it an honest try first.

… After I get back from Disney. Because it’s only a couple weeks away, because the food at Disney is part of the appeal, and because it provides a break point to clear out my kitchen and refresh anew.

Part 2 - Activity

In October’s State of the Apps CGP Grey talked about Whoop and the extent to which the data it provided was a “game changer” for his health journey. I bought one immediately. Well. Rented. Their business model is to give you the device on pain of subscription. I’ve been wearing it for over a month now, and its data collection is pretty impressive.

With a month of basically “normal” baseline data, it has a good sense of how healthy I am (or am not,) and suggests some reasonable goals:

  • More steps
  • Better sleep
  • Exercise a couple times a week
  • Avoid added sugar
  • Drink water

Which, really, seems like very milquetoast advice. What’s important is that it can mostly track those automatically, and suggest realistic goals based on how I’m actually doing. Next week, for example, I’m going to aim for 6600+ steps per day, a sleep consistency of 70%+, any exercise at least two days, no added sugar at least five days, and meeting my hydration goal at least five days. Then at the end of the week I’ll review, adjust as necessary, and try again. Unlike the food plan, this starts immediately. Although I can’t promise I’ll avoid added sugar at Disney. Because Dole Whip.

All of these systems, together, I’m calling my Health Operating System. Like any other OS, I’m sure they’ll need patching and updates from time to time, but I’m broadcasting it wide so that everyone who has to deal with me knows what’s what. These are the things I’m choosing to prioritize, and the rules I’m willing to be inconvenient to maintain. Apologies in advance.

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