The Shakeology “3-day Cleanse”

As far as I can tell, the Shakeology “3-day Cleanse” originated on Steve Edwards’ blog The Straight Dope, where he tells of how he worked with Beachbody coach Mike Karpenko to develop and test it.

I like tracking down the origins of things.  Oftentimes things get spun out of proportion or exaggerated, and the 3-day cleanse is no different.  What started out as a simple prescription (3 Shakeology drinks per day, a salad in the evening with lean protein, plenty of water, and coffee/tea as desired) turned into this:

* 3 Shakeology shakes per day
* 2 cups of green tea per day
* 1 or 2 pieces of fruit per day (optional)
* 1 salad for dinner-can include fish or poultry
* No dairy or extra sugars (this includes almond and soy milk)!
* Drink 2 to 4 liters of water every day
* Only use low-fat dressings, and go easy on the salt and/or pepper to taste
* 2 snacks before/after any of the major meals (breakfast, lunch, and dinner)
* Fruit is optional, and it is discouraged (however, some of you will need the calories while others may not)
* Power-workout participants (those who are already super conditioned) are recommended the higher numbers of calories
* For maximum results, do NOT use additives
* Dinner salad may include WHITE GRILLED PROTEIN-poultry or fish only

Now, I’ve actually done the protocol as detailed above, and it was do-able, but looking at the guys who came up with it, this regimen might be a little more strict than what they entailed.  But I can vouch for the effectiveness of it–I used this regimen to bust through my 180# plateau, and have yet to go back!

So whether you try it as Steve Edwards intended or in its modified form, the Shakeology 3-day cleanse is a great tool to consider if you find yourself stuck trying to get to a certain weight.  Sure beats the hell out of the Master Cleanse!


Krill Oil

That’s right, krill–the tiny crustacean that whales eat by the ton.  Apparently it really is as good for you as the marketing hype, but read on, because it’s not without it’s fair share of concerns.

A friend of mine had questions about the glucosamine post regarding MSM (methylsulfonylmethane, an inflammation reducer often found in glucosamine/chondroitin supplements).  He was wondering how MSM combined with Omega-3, which got us on the topic of Omega-3 supplements.  I had mentioned that I’ve been getting my Omega-3 from krill oil, but during the course of our discussion, I realized that I really don’t know all that much about krill oil.  I decided to change that.

I bought krill oil from GNC when I ran out of my fish oil supplements.  I saw it on the same shelf with the resto of the Omega-3 products, and it looked interesting.  While I prefer to research something using the internet, I often find that I educate myself on the spot (spoken “impulse buying”)–not my best quality.  Anyway, I was surprised to read that a published study showed that krill oil caused a significant decrease (increase?) in C-Reactive Protein (CRP), which is a marker for general inflammation in the body.  I learned earlier this year that inflammation is perhaps the most damaging of bodily responses over time, so I decided to go with the krill.

So is there any truth to the claim that krill oil reduces CRP, and is it really a good source of Omega-3?  I called on Dr. Weil for advice.  From his Q&A Library (published 7/3/2007):

A study involving 120 people at McGill University in Canada found that one to three grams of krill oil per day reduced LDL (“bad”) cholesterol by 34 percent and boosted HDL (“good”) cholesterol by 43.5 percent compared to placebo. In contrast, here is the effect of fish oil seen in this study: a 4.6 percent reduction of LDL and an HDL increase of 4.2 percent compared to placebo.

As for the claim about inflammation, he had this to say in the same article:

A study published in the February 2007 issue of the Journal of the American College of Nutrition found that a daily dose of 300 mg of krill oil inhibited inflammation and reduced the symptoms of arthritis within seven to 14 days among the 90 patients participating.

Seems that krill oil is the perfect Omega-3 supplement, but it is not without it’s opponents.  Krill oil is not nearly as well researched as fish oil, so it’s a little more difficult to find reliable information about it.  Wikipedia cautions that toxic residues have been found in krill oil, citing an article published in 1987 regarding the contamination of penguine food with organochlorine pesticides (OCPs) and polybrominated diphenyl ethers (PBDEs).  Now I have no idea what these things are, but I’m not a fan of consuming contaminated ANYTHING.  Unfortunately, fish oil is not without the same concern, as wikipedia also cites a study (in the krill oil article) published in 2007 that found anthropogenic and naturally occurring organobrominated compounds in fish oil supplements.  Ugh!!!

Of the few resources out there that discuss krill independent of marketing, healthyomega3.com seems to offer some good insight.  They appear to be a not-for-profit, informational website about Omega-3.  They make a strong (if not thorougly supported) argument for supplementing with fish oil.  They claim that, while both krill oil and fish oil have the potential for contamination, only fish oil undergoes a decontamination process.  While this is not true of ALL fish oil supplements, they recommend that you look for the certificate of analysis when considering any fish oil supplement, which should be posted on the company’s website.

Another argument that healthyomega3.com makes is that krill oil supplements are typically low on DHA, which they claim is the more important aspect of Omega-3 supplementation (over EPA, which fish oil tends to be high in).  I don’t know enough about this claim to weigh in yet, so stand by…

WebMD actually has some good info about krill oil.  While krill oil seems fairly safe, they recommend you avoid it if you’re pregnant or breast feeding, as not enough is known about krill oil to make any conclusions.  Since krill oil obviously is derrived from a crustacean, you should not supplement with it if you are alergic to shellfish.  And apparently all Omega-3 supplemets have blood-thinning properties, you should discontinue use 2 weeks prior to surgery and consult your doctor if you are on any sort of blood thinning medication or are on an aspirin regimin.  Also, WebMD states that krill oil “seems to be safe for most adults when used appropriately for a short amount of time (up to three months).”  It’s the only site that I’ve seen so far that recommends a term of use for krill oil.

So what’s the bottom line?  I think I’ll continue to use the krill oil that I have while looking for a better Omega-3 supplement.  Krill oil really does seem to offer significant benefits over traditional fish oil, but being a nitche product–the majority of the attention and money going to fish oil supplements–I’m concerned that the supplement is underfunded in general.  This could result in a lower quality product, regardless of what the companies claim.  I’m not uber-concerned about the contamination right now, but that’s probably because I’m only on my second month of the supplement.  And if I find something that I like better before I finish my second month, you can bet I’ll be switching to that.  Stay tuned…


Recovery Drinks

“Why You Might Need This: After workouts, a sports beverage can help speed recovery by supplying nutrients like amino acids (which the body uses to repair muscle) and carbs (to help restore depleted glycogen stores). [...] There are hundreds of recovery drinks on the market. The product I use is P90X Results and Recovery Formula. It contains whey protein (a fast-replenishing protein), electrolytes (which are lost in sweat), and some sugar (as its main carbohydrate). Why sugar, you say? The first reason is flavor. Recovery drinks have a lot of nutrients, and those all affect taste. No matter how healthy something is, it’s not going to be very helpful if you don’t want to drink it! And sugar tastes good. The second reason is nutrient transport. Sugar and other natural sweeteners speed nutrietns into your system quickly after a workout, which really helps with recovery.

Effective Dosage: Following your workout, there’s a 60-minute window during which you can replenish muscle glycogen and speed recovery two or three times faster than if you wait several hours to eat. Take your recovery drink within that time frame.” (from Tony Horton’s Bring It!, pg. 249-250)

I chose to lead off with this quote because for many of us, P90X is the first serious fitness program we’ve engaged in, and you can’t do a single routine without hearing how much you need the “P90X Recovery Drink,” whether it be from Tony himself during the routine or during the advertisements afterward. So much emphasis on something most have us have given little or no consideration to EVER opens the floodgates to some very important questison. Is the P90X Results & Recovery Formula the end-all, be-all of recovery drinks? Do I even need to drink a recovery drink at all? Are there less-expensive alternatives? Are there equivalent or even better altenatives? Can I make my own?

That last question opens flood gates of its own, such as: is it difficult to make something equivalent to the P90X recovery drink? Will it be cheaper or cost as much/more? Can I use the P90X recovery drink as a base and add more creatine/protein? Can’t I just drink chocolate milk?

I have no desire to evaluate the P90X Results & Recovery Formula; rather, I’m much more interested in evaluating the current research on recovery drinks to better understand them. But where to begin? There’s so much information out there, how can you make heads or tails of any of it? Well, that IS what I hope to do in this write-up. I have looked at the prevailing information out there regarding recovery drinks and the different theories on what makes a good recovery drink, and I have attempted to distill those ideas into one conveinent docoument to help you decide what’s right for you, and what’s just bogus. My desire is to arm you with the best information out there on the subject so that you can make the best decision that works for you, which will ultimately allow you to bring it all the way to the end!

(If you just want the recommendations, skip to “So What’s the Bottom Line” at the end.)

–BadDog3135

Do you even need a recovery drink?

We already know what Tony thinks. Let’s consider some dissenting opinion.  Dr. Andrew Weil, famous for pioneering the field integrative medicine, has posted in his Q & A Library (drweil.com) a response to the question whether or not there is any advantage to drinking coconut water as a recovery drink.  He writes, “I don’t believe that there’s a proven need for any kind of sports drinks after working out, but I do recommend drinking lots of water when you exercise strenuously – more than you think you need.”

Two of the most well-recognized docs—Drs. Oz and Roizen—have a slightly different opinion.  They believe that you don’t need a recovery drink for workouts less than two hours in duration; however, they do recommend one if your workout goes two hours or longer (from To Make Your Next Workout Easier, Drink This on realage.com). In Chapter 7 of their book You: On a Diet, they offer a more detailed explaination of their rationale (even if it is slightly in disagreement with their web article):

“Sports drinks may have some of the coolest commercials, but they’re necessary only if you exercise for more than sixty minutes. They rehydrate your body faster than water after long periods of exercise because they help you recover muscle power sooner than water does (because they contain minerals in your body called electrolytes that hasten the absorption of water). But if you drink them regularly or after short workouts, you’ll end up consuming more calories that won’t get burned off.” (Kindle book, location 2010)

At this point we can conclude that, at the very least, even the most conservative of medical opinions out there agree that you need to rehydrating after a workout, but there’s no doubt about it, they are at odds with Tony’s arguement for the need for a specialized recovery drink.

So what about that stuff about amino acids (aka protein) repairing damaged muscle tissue and carbohydrates (CHO) replenishing glycogen stores? Without getting too far ahead of myself, consider the following study from the pressplayfitness.com article Do You Need A Recovery Drink?

Seifert JG, Kipp RW, Amann M, Gazal O.: Muscle damage, fluid ingestion, and energy supplementation during recreational alpine skiing. International Journal of Sports Nutrition and Exercise Metabolism 15: 528-536, 2005.  This study involved skiers and found that for the subjects that received the carbohydrate-protein sports drink showed no signs of muscle damage, while indicators of muscle damage increased by

49% in subjects receiving only water.

The significance of this study is that it demonstrated that a combination of CHO and protein resulted in significantly less muscle damage in athletes who consumed it than in those who performed without it.

The roll of CHO in post-workout recovery is well documented. The website askmen.com summerizes it fairly concisesly. In their article Top 10: Recovery Foods, they say:

“After a workout, your body’s stores of glycogen — the carbohydrate that is stored in the muscles and liver — are depleted. If you don’t replenish them, your body won’t recover properly and your performance will suffer during your next workout. This is particularly important for athletes who partake in intense training sessions or competitions. If you only workout a couple of times a week, you will likely restore your glycogen between sessions; however, athletes who train hard almost every day must really pay attention to what they eat immediately after they exercise.”

To get a little more specific, nutritionist Jacqueline Berning, associate professor at the University of Colorado and consultant for the Denver Broncos and Cleveland Indians has this to say about the importance of CHO, as summarized in the article Nutrition for Recovery–Post Workout Drink Controversy (http://speedendurance.com):

“It takes about 24-36 hours to replace glycogen in the muscles. By consuming carbohydrates 30 minutes immediately after exercise, you can ‘reload’ your muscles in 12-16 hours. If you miss that 30 minute window, the replenishment time is lengthened. The Glycogen synthase enzyme that promote absorption in the muscles which are highest right after workout. Of course, Glycogen synthase is also indirectly triggered by insulin.”

The body experiences glycogen depletion as the result of energy spent during exercise, which is an unavoidable reality. How to best restore that spent glycogen is the subject of the rest of this essay.

Dr. Weil might be absolutely right. The average joe who’s working out to get in better shape may not need to drink anything more than water. However, there’s evidence to support the argument that the average joe might significantly benefit from consuming a recovery drink that includes electrolytes, CHO, and protein, even if he doesn’t “need” it. If that average joe happens to be doing an intense workout regimin such as P90X or Insanity, then an arguement can be easily made that a recovery drink is essential.

What’s so great about a recovery drink that contains both carbs & protein?

  Men’s Health published a book back in 2003 called The Book of Muscle: The World’s Most Authoratitive Guide to Building Your Body. This book was authored by Australian strenght coach and former powerlifting champion Ian King, who holds both a bachelors degree in movement science and is a certified strength-and-conditioning specialist who has trined world-class athletes on four conteninets. The book is co-authored by Lou Schuler, who is the fitness director of Men’s Health magazine and is also a certified strength-and-conditioning specialsist. Though non-medical, they offer the following expert opinion:

“Carbohydrate is crucial at two points in the muscle-building process: the pre- and post- exercise meals, when carbs and protein combine to stimulate insulin, the hormone that drives nutrients to your muscles.” (pg. 47)

Jessica Seaton, D.C., chairs the U.S. Masters Sports Medicine Committee in West Los Angeles, has written about this very topic, which can be found on the Southern Pacific Masters Association website (spma.net).  An excerpt from her article, Why Bother With Recovery Drinks?:

“Several studies have shown that adding protein to a carbohydrate mix will significantly enhance the release of insulin compared to carbohydrate alone.  [...]The optimal post-recovery nutrition would be a drink consisting of carbohydrates and protein.”

Based on the experiences of real-world athletes and trainers, there is something to be said for the effectiveness of a recovery drink that contains a mix of CHO and protein. But what about studies? Is there any research that can confirm this effectiveness?

Pacific Health Labs (PHL), a company that specializes in performance drinks, cites several studies supporting the effectiveness of sports drinks that combine both carbs and protein. One study cited on their site (pacifichealthlabs.com) specifically addresses the benefits of a carb drink that includes protein over a sports drink without protein:

Effects of Recovery Beverages on Glycogen Restoration and Endurance Exercise Performance, Williams MB, Raven PB, Fogt DL, Ivy JL. Journal of Strength and Conditioning Research. 17:12-19, 2003.

This study determined that “The rate of [post-exercise] recovery is coupled with the rate of muscle glycogen replenishment,” and that “recovery supplements should be consumed to optimize muscle glycogen synthesis as well as fluid replacement.” Eight endurance trained cyclists performed two trials consisting of a 2-hour glycogen depletion ride followed by an exhaustive ride at high intensity. Subjects received either a carb-protein beverage (Endurox R4) or a carb-only sports drink immediately and 2 hours post-exercise. Post-exercise ingestion of carb-protein beverage (Endurox R4), in comparison to the carb-only beverage, resulted in a 55% greater time to exhaustion during a subsequent exercise bout at 85% VO2max. Ingestion of the carb-protein beverage resulted in a 17% greater plasma glucose response, a 92% greater insulin response and a 128% greater storage of muscle glycogen compared to the carb-only beverage. (emphasis mine)

So there is a clear and proven relationship between consumption of a CHO/protein recovery drink and enhanced recovery and subsequent performance. While consumption of CHO facilitates glycogen replenishment, and the combination of CHO and protein stimulates greater insulins response, resulting in enhanced nutrient transportation throughout the body, the exact cause of this phenomenon remains a mystery.

What’s the ideal ratio?

While the health community currently seems to be in agreement that the ideal recovery drink is a combination of CHO and protein, the ideal ratio of those two elements is far from unanimous. The most commonly promoted ratios are 1:1, 2:1, and 4:1. According to the The Book of Muscle, “most research shows that a carbohydrate-protein ration of between 2-to-1 and 4-to-1 works best. You don’t need fat in your pre- or post-exercise meals or drinks, since it could blunt the fat-burning, muscle-building effects of growth hormone.” (pg. 59-60)

While a few products are formulated with a 1:1 ratio, research and opinion is not as well published promoting this ratio over others. Gatorade new G Series line has a 1:1 ratio (with the exception of the G Series Pro recovery drink, which has a 2:1 ratio). The gatorade.com FAQ states that the 1:1 ratio was chosen because it “provides a level of protein effective to support muscle protein recovery.” According to the Gatorade Sports Science Institute (GSSI), “consuming a small amount (10-20 grams) of high-quality protein after exercise promotes muscle protein synthesis compared to CHO alone and may enhance the body’s response to long-term training” (gssiweb.com, Protein Nutrition and Endurance Exercise: What Does Science Say?) However, in the same article, GSSI states that any more than 1.2 g/kg CHO consumption post-workout “negatates the benefits of added protein.” So even though most of their recovery drinks have a 1:1 ratio, their published research espouses anywhere from a 4:1 to as much as an 8:1 ratio!

Perhaps we can find a better proponent of the 1:1 ratio. Scientific Nutrition for Advanced Concitioning (SNAC) markets a recovery drink called Proglycosyn, “The Ultimate Post-Workout Recovery Formula”, which touts a 1:1 ratio. According to their marketing, “while glycogen synthesis is important and dependent on an adequate supply of post-recovery dietary carbohydrate, the provision of an adequate supply of dietary protein is just as important to ensure optimal post-exercise muscle protein synthesis – a process that requires a constant supply of dietary amino acids (1)” (http://snac.com, reference (1) lacks citation). Their “Research” page does not provide any further supporting material on the 1:1 ratio. At 25 grams of destrose, Proglycosyn is well within even the most conservative estimates of post-workout CHO requirements.

Moving on to the 2:1 ratio, Dr. John Berardi, Ph.D., is a strong advocate and provides detailed justification. In his article The Importance of Post Workout Nutrition, he states that “any ol’ amount of carbohydrates will not do. You need to consume enough carbohydrates to promote a substantial insulin release. [...] Research has shown that a carbohydrate intake of 0.8 to 1.2 grams per 1 kilogram of body weight maximizes glycogen synthesis and accelerates protein repair. However, unless you’ve had a very long, intense workout, 1.2g/kg may be a bit excessive as excess carbohydrate can be converted to bodyfat. Therefore I recommend 0.8g of carbohydrate per 1 kilogram of body weight for speeding up muscle carbohydrate replenishment while preventing excess fat gain (van Loon et al 2000a).” When it comes to protein, he says that “since muscle protein is degraded during exercise, the addition of a relatively large amount of protein to your post exercise meal is necessary to help rebuild the structural aspects of the muscle. After exercise, the body decreases its rate of protein synthesis and increases its rate of protein breakdown. However, the provision of protein and amino acid solutions has been shown to reverse this trend, increasing protein synthesis and decreasing protein breakdown. Researchers have used anywhere from 0.2g – 0.4g of protein per 1 kilogram of body weight to demonstrate the effectiveness of adding protein to a post-workout carbohydrate drink (van Loon et al 2000b, Roy et al 1998). As an increased consumption of the essential amino acids may lead to a more positive protein balance, 0.4g/kg may be better than 0.2g/kg.” (emphasis mine) When you do the math based on Dr. Berardi’s recommendations, consuming 0.8 g/kg of body weight and 0.4 g/kg of protein, you get the 2:1 ratio. Following his rationale, this ratio might be ideal if you are especially concerned about body fat due to too many carbs.

Pacific Health Labs (PHL) is probably the most well-known supporter of the 4:1 ratio. At http://pacifichealthlabs.com you can find no less than eight independent research articles supporting the 4:1 ratio, and they claim that the ratio is confirmed by no less than 30 published, peer-reviewed journals. In summary, according to their website, “in a series of trials they showed that when carbohydrate and protein were combined in a 4:1 ratio the results were extraordinary, not only at facilitating muscle recovery, but also extending endurance. The studies showed that compared to a conventional carbohydrate sports drink, a beverage containing a 4:1 ratio of carbs to protein: significantly increased endurance, reduced post-exercise related muscle damage, stimulated glycogen replenishment and protein synthesis. These studies showed conclusively that protein plays a critical role in improving endurance performance.”

The 1:1, 2:1, and 4:1 are the best documented ratios, but they’re certainly not the only ones. In their article Top 10: Recovery Foods, askmen.com recommends protein consumption that is inline with GSSI. “Studies have shown [perhaps GSSI?]that including some protein — 10 grams to 18 grams is ideal — in your post-workout snack or meal helps to replenish the glycogen more quickly, and stimulates muscle growth and repair. Also, don’t forget to rehydrate your body by drinking lots of fluids after your workout.” Thier recommended CHO consumption comes in just shy of Dr. Berardi’s: “ideally, you should ingest approximately 3/4 of a gram of carbohydrates per pound of body weight — about 135 grams of carbs for a 180-pound male — within 30 minutes of your workout, and about the same amount or slightly more two hours later.” Note that they’re recommending 0.75 grams per pound, not per kilogram, which makes their CHO recommendation significanlty higher. Using their recommendations, your carb/protein ration can vary anywhere from 7:1-13:1!

So how do we distill all of this conflicting advice into something we can use? With the exception of SNAC, the mainstream confluence of opinion on the proper amount of post-workout CHO is 0.8-1.2 g/kg. As for the protein, Dr. Berari’s recommendation of 0.2-0.4 g/kg seems to be reasonable and in agreement with other posted recommendations. If you lower the protein to the 10-18 grams as recommended by GSSI, you start to reach the levels used by PHL and the P90X Recovery Drink, which yeilds the magical 4:1 ratio. Since even the 4:1 proponents lower the protein content and maintain the CHO, I feel that it is safe to conclude that, for a recovery drink, the CHO content is more important than the protein content. Find something that has the right amount of CHO for your body weight, and adjust the protein as desired.

So What’s the Bottom Line?

I continue to maintain that different products work for different people, so the bottom line is that you should try different products to see what works best for your body chemstry and activity level. Regardless of what ratio you choose, it’s pretty clear that you need something that has carbs for glycogen resynthisis and protein for muscle repair. Whether you make it yourself or you buy a pre-made drink, you should consume your recovery drink within 30 minutes of finishing your workout for best results.

But what about the classic post-workout protein shake? I mean, isn’t that the classic recovery drink? I’ll leave you with a final thought regarding the classic protein drink. According to The Book of Muscle, “the timing of protein intake has gotten more attention recently. Intriguing research at the University of Texas Medical Branch shows that ingesting a protein-carbohydrate supplement before doing strength training leads to more portein synthesis than a post-workout supplement does. The most likely reason: bloodflow increases during exercise, so if you have more protein in your blood during exercise, more protein goes to your muscles. [...] Since the latest research shows the significance of pre-exercise nutrition, many experts now advise lifters to eat carbs and protein within one hour before exercise and immediately after.” (pg. 46-49, emphasis mine)

So consider consuming your protein drink pre-workout and having a carb/protein drink post-workout. All the research will be in your favor!

Recommendations

Natural

1% Chocolate Milk (from askmen.com)

“Yup, believe it or not, 1% chocolate milk is one of the best recovery foods out there. Two cups of this sweet stuff provide you with 320 calories, 52 grams of carbs, 16 grams of protein, and 5 grams of fat. Okay, so it does contain some saturated fat and is fairly high in sugar, but as an occasional glycogen-boosting drink after a hard workout, chocolate milk is a great choice.”

Skim Milk (from realage.com)

“You don’t need a fancy sports drink to recover quickly from a short workout and be ready for your next session. Instead, consider the potent recovery drink that’s probably already in your fridge: skim milk. It rehydrates exercisers as well as water does, and more effectively than sports drinks. Try it for a workout that lasts less than 2 hours (if it goes longer than that, we prefer you use sports drinks).

When you exercise, you deplete water and glycogen, the fuel that allows your muscle cells to come together or, as we say, shorten or contract. Being depleted of these things is like being starved of sleep: Your body just won’t perform as well. Being just 2% dehydrated reduces exercise performance and makes your workout feel harder. That’s why rehydrating is so important.

Milk may do more than that: There’s evidence that weight lifters who drank a 16-ounce glass of milk right after a workout, and another glass an hour later, gained more lean body mass and lost more fat than the lifters who instead drank a soy or carbohydrate sports drink. But we agree — that’s a lot of milk (and its calories may be more than you burned off during exercise). So next time you work out, try a single glass afterward and see if it makes your next workout feel even better.”

1:1

Gatorade Recover

Proglycosyn

2:1

Examples of products that work well as a recovery aid are Twinlab’s Amino Fuel (the powder form) and Metabolol II™ (Champion Nutrition)

4:1

Endurox

P90X Results & Recovery Formula