12/11/2012 Inside Out South West


12/11/2012

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Welcome to the programme. Surprising stories from familiar

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places. Tonight, with diabetes at and the -- epidemic proportions, a

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life-changing challenge. Can he get fitter in 28 days? Or

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will it prove too much of an uphill struggle? Also, the Somerset would

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land. The whole place is quivering, so it is floating on a cushion of

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water, that is exactly what this place should be like. So watch this

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Diabetes is a modern epidemic and the most common form of the disease

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in adults is strongly linked to being overweight. In many cases the

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condition can be controlled by changing your lifestyle. But how

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easy is it to do that? BBC Radio Devon's David Fitzgerald, who has

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At the end of last year, Inside Out set me the challenge of giving up

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drinking for a month. For a man known to like a libation or two, it

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was a serious challenge. So I was tested, prodded, poked and measured,

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and the results were not promising. Looking at your body mass index,

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that's coming out at 33.3 - in fact it's in the obese range, I hate to

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tell you. Your risk of developing high blood pressure, 4.1 times,

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cancer of the mouth 5.4 times the risk, stroke being three times the

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risk. At the moment your body is as of a 64-year-old. It's a bit of an

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eye opener when you're described as a 64-year-old who's looking forward

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to being overweight and not obese, which I am now, according to that

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figure. But to my and a few others' surprise, I stuck to it. What would

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you like? A Coke - Diet Coke, please. Marvellous(!). You have

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lost 2.1 kilograms in weight, which is five pounds, which is good.

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at the end of the experience, I made this pledge. After that, a

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little more exercise, a little less booze. Nearly a year on, and at

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least I've cut back on the drinking, anyway. Can have the full English

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without the black pudding, asI would rather gnaw my own leg off?

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But I'm still overweight and diabetic and I am not alone. Nearly

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a quarter of adults in Britain are now classed as clinically obese and

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diabetes has reached epidemic proportions. Treatment for the

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condition now accounts for nearly 10 per cent at the NHS's drugs bill.

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And I am one of those on the tablets. Now Inside Out are

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challenging me to get fitter, to do at least the Government's

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recommended 2.5 hours moderate exercise a week, for the next month.

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Well, is this wise? Diabetes is as serious condition with long-term

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publications but we can make a difference in terms of losing

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weight, changing diet, and crucially, doing more exercise. But

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it is an incredibly difficult thing to do and I see hundreds of

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patients every year for whom it's a very difficult challenge. But it is

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a challenge and a challenge worth taking. If you can do that, lose

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weight, take the exercise, then it's worth it. If you don't push

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yourself, you're never going to learn on these things, I don't know

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what you're going to put me through, Well, there's no going back now.

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This is it - my first visit to the gym in more than 20 years. And

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despite my earlier bravado, I have to admit to being scared. Scared of

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being amongst the young and beautiful people, scared of how

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people will look at me. But first, more tests, this time with my

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trainer, Simon. Oh dear. The results aren't looking good. I have

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a BMI of 32.1 and I'm in the high- risk category. When we're talking

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high risk, we are looking at where you are carrying your weight in

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terms of the risk towards cardiovascular diseases. I must

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admit I'm not looking forward to it, because there is that boredom

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factor of a gym, and also, I'm coming in to an area of beautiful

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people, and I don't fit into that category. Yeah, we have a lot of

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beautiful people here, but we have a lot of normal people. So I think

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you will be surprised of the clientele you'll see here. Exercise

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can be boring, but we do our best to try and stimulate. Stimulate?

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Balls - sitting on them. More difficult than you might think.

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Something to do with core strength, apparently. I think he's doing as

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well as somebody who hasn't exercised specifically for a long

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time. He's not as efficient as a 50 year-old man should be. So there's

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work to be done, there really is. And I would expect within four

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weeks time, significant improvements, providing that he

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buys into the task, the challenge and is consistent. Which is

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certainly achievable for Fitz. can do this. You've got to get over

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the intimidation factor, the fact that I know I'm unfit and the fact

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that I am 51 years old, coming up, and this is probably the wrong age

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to start, or is it? To be truthful, in this first week I haven't been

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to the gym as often as I should have. So I've decided to make up

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for it by spoiling a good walk by spending the entire afternoon

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hunting for a tiny white ball. It's This is what I call my upper-body

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workout. It gets better. Spot on! And then a lot worse. This is

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ridiculous. This is called Heart Attack Hill. I think every golf

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club has got a Heart Attack Hill. Probably named after some poor

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member who didn't quite make the After golf I realised I had to

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start taking this seriously, so it's back to the treadmill and the

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weirdest thing - I've missed it. This must be, including weekends,

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day eight now. And I'm finding it OK. In fact, I'm starting to enjoy

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myself. It might not look like it, but I really am getting into the

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rower. That's knackering. Memories of rowing 30 years ago, coming back.

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In one great nauseating wave. I was pretty fit once, 30 years ago I was

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a rower, and a cox for Exeter Rowing Club. They say that getting

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fit is about motivation, that joining a club and exercising with

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other people is a great way to get and keep that motivation. So I've

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stepped back in time. Hello. all right? I am Megan. What a

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flashback for me. Some great boats. You're the lady who's going to be

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teaching me to row? I'm going to try to! Last time I was a rowing

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boat was 1979. I wasn't even born then. Encouraging! Everything is

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now carbon fibre. Lightweight boats. Heavyweight rowers. What are we

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going to be going in? We are going to be going out in the quad. Lead

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Accelerate the drive. I was expecting a gentle scull, what I

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got was a near-Olympian workout. It is very tiring. 33 years out of a

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boat and probably God knows how many stone heavier, it is a real

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Nice and relaxed. Keep that outward pressure with your thumbs. Megan

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seemed so nice at the start! want to ease up? Yes. This is not

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easy. Especially in my shape, my At last, the finishing line. Will I

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get a medal? I don't think so! So how did I do? Pretty well

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considering it was such a long time. They are not balanced at the best

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of times, so you did really good, well done. It was a tough

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experience and maybe my macho ego, if there is one, suddenly it began

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to falter at the top of the river, I thought I might either throw up,

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pass out or end up swimming with the swans. After that experience,

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the gym seemed like an easy option. Hello, it's you again. Come on in.

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Which I have been going to pretty much every day for the last week.

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As the wife will confirm. The enemy is here. Ladies and gentleman, the

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good lady wife. Come and sit down. That was painful! That's because

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I've been exercising. How has it been? Well, I have to say that he's

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been really good at keeping to a schedule, and he's been going to

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the gum, but yeah, again, he's taken on this commitment and he's

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doing really well, I would say. feeling a lot better. I'm feeling a

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lot fitter. Little bit firmer? But you have reservations. I don't

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like skinny men! I don't think you're going to be disappointed.

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Despite Karen's concerns, I really wouldn't mind losing a lot more

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weight. So I'm off to see an old friend, Keith Makepeace, who runs a

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hotel. He's has been a real inspiration to me. Keith! Hello

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Fitz, how are you? OK at the moment. Still looking slim and trim! Got to

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keep at it. Hopefully I'm going to be at it with you. You are happy to

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Yeah, so apparently we are heading down there. OK? What have you got

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in mind today? Charlie needs some exercise, so a quick run to the

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beach and back. Five minutes down, Keith is also a diabetic, but

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unlike me, his diagnosis prompted Now, how are you at the moment?

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sugar level is a healthy sugar level, I haven't since very soon

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after I was diagnosed because I did something about it pretty quickly.

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I'm five stone lighter than my heaviest, I'm 15 stone now. This is

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purely from running? No, it's from exercise and healthy eating and a

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combination of the two. It's not from dieting per se. You are

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looking at me now, I'm 16 stone, whatever it is, what advice would

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you have for me? I think just getting up, and going for it is the

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first thing. A lot of us talk about it, but just get up, and - my God I

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have so much more energy than I ever had before. That transfers

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through to work. As you lose weight, you feel fitter, healthier -

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there's no negatives, really. And if close people say to you, "I can

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do it", then it helps. What about the future? Challenges. The next

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challenge is up that hill. Five minutes. Lead on. My foot's gone to

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Well, it started OK, but frankly, it really is an uphill struggle.

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How did that go, Fitz? No word of a lie, that is a killer. It's a bit

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of a hill, isn't it. I couldn't run, I had to walk it. Shows how unfit I

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am. I don't know, not many people can. People that come from London

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and are used to running around Hyde Park struggle with that. But that

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was one of my first challenges I set my trainer to help me with, I

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said I wanted to run to the beach and back like I could when I was 16.

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Well, I don't think I would ever be able to run that. This challenge

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really is proving to be harder than I thought. But despite the hill,

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I'm feeling fitter and I am really enjoying the gym, when I go.

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For the last four days, I haven't been able to get to gym, other

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things have come up, and I have been directed elsewhere. So I've

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felt that I'd let the system down, that I was cheating myself. So it's

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a Sunday today, and after a car show, I popped into the gym for an

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hour. I feel absolutely brilliant. And I know my body is changing

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shape. The other thing is, when I don't go to the gym, I can't sleep

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properly. Interesting. So you've changed me so far, Inside Out, I am

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roughly getting a fitter person. We Well thanks to the magic of TV,

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time has gone by and it's the last day I've committed to coming here.

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The truth is, my attitude has changed a lot. Coming into a gym

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like this was highly intimidating. I have been unfit for most of my

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life, and I don't want to mix with the young and the beautiful people.

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I was totally wrong. People that are wandering around the machines -

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they're all shapes, all sizes, all abilities, they don't care, they

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want to get on and do it. I have got on and done it, and I think I

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now blend into the background, even with a camera pointed at me. To be

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honest with you, still nobody's looking. I am not exactly addicted,

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but every day I miss a bit of training, I now feel guilty. That's

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odd, very odd. OK, 28 days later, and I feel an awful lot better. The

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trousers, much, much looser. Let's find out via science what I've done

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I can't pretend I'm not nervous. I really hope that all that hard work

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I've put in is reflected in the results. OK. Let's see the good or

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the bad news. Right. Looking at this, there's a lot of very good

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news. It's actually really gone well. My weight, BMI, blood glucose

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and diabetes indicators are all down and my liver function and

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muscle mass are up. Put on four kilograms of muscle. Just trying to

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get this into my head. I've put on eight pounds in muscle? One

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question, the damage already done, and I do admit that I've done

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damage, can it ever be repaired, can it ever be undone? Well, it can,

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and that's why it's really important that you've done what

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you've done. The cardiovascular risk will have fallen already just

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by losing this amount of weight and changing the proportions of the

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weight. That puts you in a much healthier position for the future.

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Well, it's been a tough and at times emotional journey for me

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since the beginning of last December when I gave up alcohol for

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a month. I've now completed a month of exercise and according to those

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figures, I've lost half a stone in weight, I have put on eight pounds

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in muscle and I feel a lot better and I'm not going to give up. I'm

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going to continue. And I'm hoping I've inspired some of you to do the

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We think of the south-west as full of beautiful, natural places which

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it seems are best left untouched. But Nick Baker has been to a great

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nature reserve in Somerset which has pretty much been created by

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West Hay Moor on the Somerset Levels. 300 acres of wetland

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paradise. Whether you're a birder like me or a bug fanatic, this

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place has got to be amongst the best in the west. It looks like a

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natural paradise, but in fact, it's anything but. The secret to this

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place is this black stuff underfoot, peat. It's been harvested here for

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generations, firstly as fuel, but in more recent times, and more

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controversially, it's used for horticultural purposes. If there's

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a plus to this industry, it's that it's left these whopping great big

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holes. Over the years, the holes left by peat digging have filled up

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with rainwater. That's helped create outstanding habitat for a

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whole range of birds, flowers and This pink flower on the lake is a

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national rarity, amphibious bistort. It's plentiful here. Over the lakes,

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dragonflies dart about hunting, or like this juvenile black-tailed

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skipper, perch on the lush vegetation. This beautiful species

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was first recorded in the UK in Essex in the '30s. It's been

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expanding its range, helped by gravel pits in the east of England

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or here by the peat holes man has The walkways, or droves, are dotted

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with hides and screens so you can get really close to some

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outstanding action. This adult Great Crested Grebe is feeding fish

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to a youngster, probably just two months out of the nest. Possibly

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too young to catch enough fish for itself. This guy seems to be

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We've had one of the wettest springs and summers on record,

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which means birds like these grebes associated with wetland and

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waterways have had a hard time of it. Their nests have been flooded

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out. But here, it's great to see that they're at least expressing

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some degree of nesting success. These grebes are nesting in late

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July. One parent is still bringing in nesting material to what looks

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like a pretty substantial nest already. At one point, there is a

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young chick on board the adult on the water while the other gets up

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from the nest and carefully turns over an egg with its bill. This

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basically ensures the chick inside develops correctly. With all this

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activity, it's good that when the grebe parent returns with even more

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nest material, there seems to be a It's all so neatly laid out here,

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with two long droves cutting the reserve into three sections and I'm

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on my way to its jewel in the crown. Believe it or not, these 30 acres

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are the largest expanse of lowland acid mire in the South of England

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and the Somerset Wildlife Trust, who run things here, are determined

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to make it larger. A key plant or building block for any mire or bog

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is this stuff, sphagnum moss. This is a very beautiful bright green

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species, but they come in varieties of reds and greens and they are all

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bright and gorgeous. If I give it a good squeeze, look at that. That's

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the secret. This thing is a living sponge, holding many, many times

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its own weight in water. That is key to the production of more peat,

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but also it keeps the place nice and soggy and wet, and that is the

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definition of the mire. I think the sphagnum here is beautiful in

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itself, but it's more than that, a kind of wet blanket that allows

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amphibians like this toad to move from ditch to ditch and it's a

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great habitat for a rare killer flower. You might expect

:21:58.:22:01.

carniverous plants to be of Triffid proportions, but everything pink in

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this little seed is actually one of the most exciting. This here is

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sundew and every single one of these pink blobs is one of those

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glandular hair-bearing leaves. If you're an insect, you don't want to

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land on one of these because if you do, you'll die. It's not the fact

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that you'll die that's so horrific, it's the fact that you will die

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This damselfly is dicing with death just a few millimetres above the

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leaves of the sundews. Just to one side, another hasn't been so lucky.

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It's anchored at three points and though still struggling, the sticky

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gum on the hairs won't let it go. As the leaves roll up, digestion

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starts. Further over, the remains of two other flies caught and

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slowly digested by the sundews. The flowers can't get much nutrient out

:22:53.:22:56.

of the bog itself so they've adapted to take it from any stray

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passing insect. Sadly, all over the country, bogs have been drained.

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Here, the Trust is putting something back. The sphagnum itself

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was in part rolled up from nearby ditches and laid like so much

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There's a wind-powered pump to keep up water levels in ditches around

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the mire. That acts as a kind of natural barrier to keep falling

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rainwater trapped in and stopping These are the final weapon in the

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Trust's armoury. Exmoor ponies Why Exmoors? Why are they good for

:23:35.:23:37.

this job? Exmoors through evolution are designed perfectly for these

:23:37.:23:43.

conditions. Nutrient-poor sites, very wet underfoot. What exactly

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are they doing, what's their job? This site is dominated by purple

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moor grass, molinia, a great component of the habitat here, but

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it's dominating. These animals will bite it down, they will reduce the

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amount of litter layer that the molinia lays down on the ground,

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create some barren patches where some more of the specialised bog

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species can break through. difficult is it to restore this

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mire? It's extremely hard to bring this back to a fully functioning

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mire. So much has been extracted. We want this nice and wet and

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squelchy underfoot, we want rare Next to the mire, a habitat that is

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almost as rare - wet woodland. It's pretty much a swamp. And it's just

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the job for dragonflies like the southern hawker. This needs acidic

:24:38.:24:47.
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waters if it is to breed and thrive Most visitors here probably won't

:24:57.:25:00.

venture into the wet woods and it's good that parts of the reserve are

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difficult to access, but in places, they've opened things up in a way

:25:04.:25:13.
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that allows some really privileged What I really like about this

:25:17.:25:21.

reserve is all along the droves are hides and blinds such as this one.

:25:21.:25:25.

If you put the time in and you're patient enough, you might just be

:25:25.:25:35.

We can hear a young reed warbler calling out. And it's fledged.

:25:35.:25:39.

After a while we can make it out through the dense vegetation. It's

:25:39.:25:42.

just about picked up the important skill of gleening small insects

:25:42.:25:49.

from the reeds. But there doesn't seem to be enough to go around. Its

:25:49.:25:53.

calls are answered. A parent bird arrives with its mouth stuffed full

:25:53.:26:02.

There are plenty of wetland specialists around, like the reed

:26:02.:26:08.

bunting, and a nice plump bird, the sedge warbler. This is most active

:26:08.:26:18.
:26:18.:26:21.

This is the so-called tower heights, only a few metres off the ground,

:26:21.:26:24.

but this elevation means we can overlook the reed beds and it gives

:26:24.:26:34.

us the best chance of seeing two And this is one of them, the

:26:34.:26:37.

bittern, a national rarity, a red- listed species, one of the most

:26:37.:26:43.

threatened in the UK. They reckon there may be 20 pairs breeding on

:26:43.:26:46.

the Levels. That is a great achievement. Go back two decades

:26:46.:26:50.

and they were all but wiped out. They're a type of heron and feed on

:26:50.:26:55.

fish like rudd that are thriving in the clean, unpolluted waters here.

:26:55.:26:59.

And this beautiful sight, the marsh harrier. Not under as great a

:26:59.:27:02.

threat as the bittern, but it's seen numbers rise and fall over

:27:02.:27:06.

decades. There are a couple of breeding pairs here. It has its

:27:07.:27:09.

head permanently facing down on the lookout for small birds and mammals

:27:10.:27:18.

It's a remarkable place. Managing the habitat here to keep it just

:27:18.:27:21.

right for such a huge range of species is a mammoth task, but

:27:21.:27:24.

there is evidence all around that they are doing just that and indeed,

:27:24.:27:31.

there is proof right under your I love this place because it's

:27:31.:27:35.

quite a dynamic environment. It's being put back together in front of

:27:35.:27:39.

our very eyes and if you want a demonstration of just what a good

:27:39.:27:42.

job the Wildlife Trust are doing, this used to be a scrubby bit of

:27:42.:27:47.

woodland. The Wildlife Trust have reversed it back to pretty much the

:27:47.:27:52.

mire it's supposed to be, and watch this for a demonstration. As I jump

:27:52.:27:55.

up and down like a nutter, the whole place is quivering, which

:27:55.:27:58.

means it's floating on a cushion of water and that's exactly what this

:27:58.:28:08.
:28:08.:28:08.

place should be like. So watch this So much of West Hay is really the

:28:08.:28:12.

product of a very complex interaction between man and nature.

:28:12.:28:16.

We damaged the environment in the first place by digging up the peat

:28:16.:28:19.

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