My experiment is going on. Of course, I have no idea if it is really new brown fat that turns me into an oven every time after my daily cold laps in the pool. For all I know, I could have a not-yet-recognized infection or any other disease that makes me burn up. Only thing I know is that I feel terrific – for the moment.
But for the sake of an interesting exploration, let’s stick with my brown fat hypothesis. This is what I have learned about about brown fat so far:
1. It used to be thought that only babies (protecting them from hypothermia) or bears (keeping a reasonable core temperature during hibernation) have brown fat. It turns out that traces of brown fat are still around in adult people. – A little aside: Other ways to increase body temperature are increasing surrounding temperature, moving about, shivering, and eating certain “warming” foods like cinnamon, ginger, onions, garlic, rutabaga, coriander, cloves – interestingly foods often used in the winter kitchen. But there is no hint that those foods increase brown fat. Or a shred of a proof that a so-called "Brown Fat Diet" will increase that precious tissue in your body.
2. Brown fat can help weight loss by increasing metabolism speed.
3. Brown fat also can decrease elevated insulin-resistance (also called pre-diabetes) and a diabetic situation.
4. Brown fat can be induced to increase by cold exposure – be it by swimming in cold water, immersing in a tub filled with ice water, or dancing in a walk-in food refrigerator (don’t you wish you had one of those at home??).
5. Needless to say, there are already pharmaceutical firms are already working on drugs that might trigger growth of brown fat, without going through the ado of cold exposure. The easy way out, I call it. And definitely not an interesting way, if you ask me.
I like to think about cold-induced brown fat as one of the benefits of moderate stress. We all know that stress is bad for you, don’t we? Not necessarily though. Moderate stress might be what makes the body function in the way Nature intended it. With heated dwellings with forgo the winter cold stress – and get sick for it, lacking brown fat. With air-conditioning in the summer, we miss out on the sweating which give our body a good cleanse of all the toxins – and get sick for it. Occasional hunger stress (fasting!) is another beneficial stress mechanism. Not only do we get healthier on occasional fasting, and live longer with less belly ballast, it also seems we get to be happier with fewer pounds – and less depressed.
One estimate is that there are about three million residential swimming pools in California (I am not even mentioning the pools in Florida and all across southern U.S.A.). If these pools are anything like our pool here in La Jolla, all those turquoise eyes should be gazing at the sky, basically unused. All, of course, using up precious water resources. How about using them? If you are in decent health (ask your physician), you start by doing a single lap across your pool. Tomorrow two, and every day one more until you reach twenty-one laps. The brown fat will appear very fast – and will help you lose weight.
Putting on brown fat, however, might mean walking a fine line: You want to increase your metabolism by cold exposure. But you don’t want to get where most winter swimmers end up: with more fat on their bodies. Fat (of any kind) protects against cold, and makes you better able to withstand long swims in icy water. Don’t go there! Read More
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Brown Fat And My Californian Pool
October 31, 2011
The experiment is still on: How long into the winter will I succeed to keep up my daily twenty-one laps in the pool?
So far, so good. The water is much colder now, but the days have been sunny and friendly – the fog lifted while we were at the East Coast.
Truthfully, lately it has been harder to face the pool: I am still battling a minor cold, and every day I have to decide if it is prudent to swim with the cold, or if I should just snuggle up in a warm blanket. But the exhilarating feeling after my daily swim – I seem to be addicted to it. I look full of vigor. My posture definitely is straighter. I am building up muscles where I never had any – on my back and my arms. Plus, the tiny belly I had is getting smoother (not smaller).
On the negative side is my skin. No outright rash or itching yet, but I have the suspicion that my skin looks a bit older, notwithstanding the coconut oil I slab all over me after each bath.
For a few days, I had been getting extremely cold after each swim, and couldn’t get warm at all. If you ever read my water book, you know that staying cold after water exposure is not a good idea. But with my inborn stubbornness (which might just get worse with age …) and medical curiosity, I kept doing what I should not have done: go swimming. And got colder and colder. In spite of the knee bends, blankets and hot tea with fresh ginger. Two nights in a row, I didn’t get warm all night – certainly not a healthy state!
Until yesterday. Shortly after I went swimming, had taken my short cold shower to get rid of the chlorine, had done my exercise, had rolled up in my blanket and imbibed the tea, I got really warm. Even my hands felt tingling with warmth. This lasted all night, and is still going on. I suddenly had the feeling that, for the first time in my life, that I was getting on the warm side in life. Like, where my husband always is.
Looking around for an explanation, I stumbled onto brown fat. Brown fat gets activated by cold. Brown fat is supposed to be healthier than yellow fat that just stores superfluous calories. Babies have more brown fat because it protects them from hypothermia – a constant threat for newborns.
Brown fat is not so much fat but is related to muscles. Brown fat is brown from the mitochondria and their iron contents; mitochondria are tiny energy factories. Brown fat has also more blood vessels for better oxygenation and is metabolically more active than yellow fat – it actually burns calories instead just storing them.
So, by swimming in the cool pool, I must have tapped into my brown fat – I can’t come up with any other explanation. And did you know? Brown fat is implemented in weight loss. Yes! Brown fat can make you lose weight – IF you have enough brown fat.
Sebastian Kneipp, the father of the Kaltwasserkur (Cold Water Cure) is famous for jumping into the wintry Danube River to cure his tuberculosis. Later, he modified his approach because he observed that some weakened patients were not able to withstand the bitter cold he himself had applied to his body. One could say he watered down his original approach … I had always repeated what I had been taught: that too much cold might be hazardous to your health. Which still might be true for frail people.
But I might be onto something here … I will let you know how this will work out.
P.S. After today's laps, I have very warm hands. Read More
My Hospital Manifesto
October 30, 2011
If I would decide how hospitals are governed (and I don’t), these would be important points for me:
1. Food: Thy food be thy medicine – and vice versa – Hippocrates said. What is served as “food” in hospitals these times, is mostly abysmal and just goes to show that conventional medicine is not interested in really finding out the root cause of disease. In many cases, it is nutrition, stupid!
2. Cafeteria: Same for the place where all the visitors come and eat. It could be an educational experience, instead just another gorging with inferior foodstuff, filled with chemicals, trans-fats, sugars and dairy.
3. Quiet: When I was a child in Germany, and my father was a doctor, he used to take me on his rounds. Hospitals then were very quiet places. The nurses (often nuns) would walk on their rubber soles like on cushions, and they spoke with low voices. The doors to patient rooms were double doors – the patient had privacy and quiet.
4. What hasn’t changed much: That the hospital routine is not geared toward patient recovery but to a ward schedule convenient for doctors and nurses: Then as now patients are pulled out of sleep to measure their temperature or draw blood tests at four am. I would like to see more concern for the patient’s wellbeing than for the organization’s.
5. No TV in patient rooms: My guess is that at least seventy percent of all illness is self-inflicted. It used to be that being in the hospital was a time for contemplation about what brought one there. Not any longer – as TV is squeaking and squealing day and night.
6. Conventional and complementary medicines are BOTH used. There should be no bias toward the one or the other – what has been proven to work should be applied: Hydrotherapy, movement therapy, food, herbal medicine and art, music, journaling, acupuncture, massage, and so on – they all should be used to make patients better. As they are in most European hospital. And paid for by national health insurance. And, no, they are NOT going to be broke …
7. More cleanliness in the facilities. More cleanliness of the patients. Used to be that hospital were spic-and-span places where you could eat from the floor; not any longer. Instead of on cleanliness we trust in antibiotics – to our detriment. Same with patients’ cleanliness: Used to be that nurses washed the patients daily; not any longer. Nurses have gone scientific (necessarily so – but who is now responsible for caring?); the paperwork has become overwhelming. Housekeeping has been out-sourced. And simple ideas like a washing and cleaning have become obsolete. But hospital infections are skyrocketing.
8. More friendliness and caring toward the patient. The patient has become a moneymaking device.
9. Less care and resources to be spent on very old, very sick people in their last days of life – more on pediatric and under-served populations. DNR (Do Not Resuscitate orders discussed with every patient and/or every family). It will lead to savings of money and will allow people to die with dignity.
10. In medical schools, only half of the students should be A+ nerds; the other half should be people who really want to become doctors and patient advocates from all walks of life. We need very brilliant students because they push medicine’s frontiers ahead. But we also need caring primary care physicians. And putting them together in medical school will hopefully lead to a dialogue between them.
As I am thinking more about this, I might come up with more ideas. What would you wish to implement in the hospitals of the future? Read More