Medicine, for me, is a quest for my healthier self, and healthier patients. I am learning something new every day. In a way, I feel sorry for my patients of so many years ago – now, I think, I could help them so much better.
This also implies that you – the patient – could possibly be a step ahead of your physician, if you are trying to figure out what makes your body feel better and stronger and more awake, and happier. With the Internet, we all have more information at our fingertips, flawed and good information, for sure – but more of the latter. If you ask me.
Take for instance the stomach problems that plagued me when I was younger. Setting out with conventional drugs like H2-receptor blockers (Tagamet, Zantac) and proton-pump inhibitors (Prilosec, Prevacid) years ago, I at least got the problem under control. Then, twenty years the, I found that at the root of my heartburn and stomach aches were allergies: I left out the offending foods – and I dropped all meds, and never looked back.
Forward a bit, and I discovered probiotics – bacteria that are helpful for the intestines. They improved my bowels, and I took them faithfully for many years. I still recommend them to nearly every patient I encounter. Many studies link probiotics to good clinical outcomes, even if we have not yet quite figured out all the intricacies of how they work. One thing is sure: What you eat helps or destroys the microbiome that coexists in your body. A microbiome is the whole entity of bacteria, good or bad, that thrives with you, in you, on you.
Don’t worry – the good guys are winning right now. Otherwise you would be dead. But that the good guys are winning is not guaranteed – it could change any moment. You could crowd out the good guys with sugar, or commercial dairy, or destroy them with a course of antibiotics) or meat from one of those inhumane, antibiotic-resistance breeding feed lots – the list is long how you can hurt your microbiome inside and outside; cosmetics and household cleaners are high on the list. But even if we did everything right in our personal lives, outside forces can destroy your good bacteria – pollutants in water, air and soil.
Not to be an alarmist, but no man is an island, and if we don’t preserve our Mother Earth, we surely can forget about the intricacies of feeding our coworkers - our good bacteria - the right amount of this and that.
Health comes down to the health of our gastrointestinal tract. Lately, I have found that probiotics can be applied not just as capsules or caplets, but as probiotic foods. A big group which I just mention in passing are fermented foods – sauerkraut, miso, kimchi, tempeh, and so on. “Fermented” can be taken as another word for “loaded with gut-healthy bacteria”.
I have argued widely against the dangers of dairy – and still do. Ninety-nine-point nine percent of dairy is bad for you because of the highly inflammatory proteins and cancer-breeding hormones (be it naturally occurring, or gene-technologically inserted). But there is a tiny fraction of organic dairy that contains live cultures. Examples are yogurt, kefir, buttermilk and sour cream. But only, if they truly are organic, contain live cultures and have absolutely no additives that turn a good food into a nightmare: sugars, sweeteners, fruit, fruit substitutes, tapioca, carrageenan, and so on. In my mind, to qualify as natural they also have to have their full fat content – nothing skimmed or improved or processed any way other than pasteurizing – and the good bacteria have to be added afterward. Fat is not the culprit in milk and milk products – milk proteins are. Not only are they inflammatory, but also addictive. Now you can even get dairy-free organic yogurts, made for instance from almond milk. Or probiotic powders, ready to be dissolved in warm water. But always read the labels for ingredients!
Good dairy bacteria do not take away dairy’s inflammatory proteins and cancer-causing hormones. Therefore these probiotics should be taken in small amounts – very small amounts, indeed: a sip or a teaspoon full is the serving size here. And you don’t eat or drink them. You swish them around in your mouth as long as you can stand it, or unless you forget about them, and finally swallow them.
Probiotics thus taken increase not only your gut health, but especially your oral health. Studies show that probiotics swished around in the mouth after brushing your teeth reduce caries and gum disease in most cases – and I bet the result would be even better if people would add a healthy, sugar-free diet on top of this.
Using this to fight caries sure beats taking poisonous fluoride. Fluoride made me always uneasy: Studies link fluoride to cancer and neurotoxicity. But other studies clearly showed that it reduced caries – and I had not yet come by a natural method to preserve my teeth. Granted, “primitive” societies usually boast perfect teeth, but I had not quite found out why. Not sure, why, but sugar-free nutrition was probably the main cause. Then again, who of us modern Americans can boast a totally absolutely sugar-free diet – since infancy? Not that I know anyone.
Still, I am a believer in brushing and flossing (and also with good results, I have to say) – and don’t want to get rid of that. But neither fluoride toothpaste appealed to me, nor the brutal cleaning of my teeth at the dentist’s office twice a year. There is nothing natural in putting sharp metal scraping objects in your mouth. Now I am using an organic, neem-based tooth powder most of the time.
With oral swishing probiotics we gently provide a mildly acidic environment in our mouths for a few minutes. That cleans your teeth of plaque and implants healthy bacteria into the lining of your mouth, which then can grow during the next hours, or overnight, and fight bad bacteria. The result is amazing. And natural.
We take for granted that with advancing age we will lose our teeth, and that diseases will creep up on us. Ever been to a nursing home? A certain old-age odor emanates from those old bodies. We think the odor is normal. It is not. If one eats well, nourishes one’s oral cavity and intestines, in their entire length, and not destroys the precious skin bacteria with harsh soaps and cosmetics, we would smell like babies until our final days (and those will come even if we take good care of ourselves, but I bet those final days with be sweeter and easier if you have lived your life well).
Working on the microbiome in my mouth – that has been the newest station on my medical quest. In a way, this quest has been a journey from mouth to anus - and still is. Read More
Blog: On Health. On Writing. On Life. On Everything.
Congee and Beans
February 28, 2011
Surely, I've been stressing my mantra "Vegetables, vegetables, vegetables" on this blog; without vegetables, no health.
Think of congee and beens as "fast" vegetables. They don't substitute for greens and roots and cabbages. But congee for breakfast and beans for lunch keep me going all day until I arrive at my vegetable-laden dinner table. The amino acids in congee and beans complement each other to a full, nourishing set, and congee and beans have this in common: They are easy to make and very economical – I bet you can’t come up with a healthier meal that’s less expensive.
• Congee: This Asian dish is basically rice cooked with lots and lots of water into a very satisfying thick soup. If you think you know rice, and don’t like it, try congee. To me it always tastes like it was made in heaven by some motherly, nourishing angel. Here is how you make it yourself:
If you have a rice cooker with a congee setting (which I don’t), you have it easy. I use a pressure cooker. One cup of brown rice – preferably the short, sticky variety – to two cups of water. Cook for about ten minutes. After cooling, add three to four cups more water. Cook for another ten minutes or so (I know my recipes are awfully vague; that’s how I cook – you figure out your own way). The pressure cooker method works better if you do it in two steps rather than pouring in all the water in the beginning. If, on the other hand, you have only a simple, big pot, you let the rice simmer on very low heat for several hours. If needed, add more water.
One cup of dry rice, transformed into congee, fills about four big breakfast bowls. You serve it with any kind of fermented pickles – sauerkraut being very good and cheap. (Look up my old blog on fermented foods if you are not familiar with their health benefits). Chinese traditionally have some nice pickles – but it has to be the fermented kind, not the modern processed stuff, and the fermented pickles are not longer found easily. I have used sour cabbage from the Russian store, or Greek marinated grape leaves (high in resveratrol!). Japanese have great fermented things like umeboshi plum paste. You only need a little bit for a whole bowl. Whatever you like. But don’t do sweet stuff like maple syrup – the congee needs fermented foods. Anything sweet will only feed your sweet tooth. And it is not written in stone that a breakfast needs to be sweet – that is the Kellogg brothers' invention, I suspect.
I always add a liberal amount of olive oil because otherwise it won’t last me until lunch. By the way, you may add a pinch of salt to your bowl – but fermented foods usually provide all the saltiness you may want.
This breakfast has one great advantage: Filling without stuffing, it squashes all cravings – and makes you go until lunch without ever thinking of food.
• Beans: I apologize to the purists among you, but I use canned beans. Of course, one can also soak beans overnight and cook them – but I have more interesting things to do. When you buy canned beans, make sure they have no additives – they should be beans and water, nothing else.
You open a can of beans and heat the contents (including the fluid) in a small pot to a boil. Add olive oil (I can’t even think of life without olive oil!), and pinch of salt and pepper. Toss in a handful of fresh or a table spoon full of dried herbs: Dill and parsley turn a boring can of beans a festive and health meal. Tarragon goes beautifully with garbanzos (which, technically are no beans, but belong to the legume family), marjoram or savory are great with butter beans, Italian herbs or Herbes de Provence plus garlic make dark beans a spectacular meal. Cilantro goes with everything – again add some garlic, and you already have a detoxifying, chelating medicine – “Your food be your medicine” as Hippocrates already said. We can now buy so many different kinds of canned beans. Find out what you like – and then rotate, because it is not good to eat the same fare every day.
If you can’t warm up your beans at midday at work on a stove (don’t use a microwave!), you can also make a bean salad (same ingredients, just drain the fluid of, and perhaps cut a small onion into the mix). But keep your beans refrigerated at all times, as they are prone to botulism germs when left at room temperature longer than two hours. And, hopefully you know better than use a bulging can of beans – discard it!
And then, as they say: Enjoy!
P.S. Did you notice that congee and beans are perfectly gluten-free? No-sweat gluten-free! Read More
These Times Are Hard On Your Liver
November 30, 2010
The liver is the heaviest organ in the body, and during the holidays, it is also the hardest working organ. Because the liver is your detoxification organ.
Too much heavy (sweet, fatty, alcoholic) foods hurt your liver – and too much even of good stuff can be hard on this most precious organ. But this is probably not the time to preach moderation. So what can you do to survive these taxing times? (I hope you hear the irony in my voice – when half of mankind is still starving).
Everything unhealthy has to be eliminated via the liver: spoiled and rotten food, modern preservatives, artificial colors and flavorings. If the liver is overloaded with rich foods and toxins, you end up with a fatty liver – a diseased liver that cannot fulfill its tasks properly. And if it gets really bad, you end up with cirrhosis, the shrinking of this valuable organ. Fatty liver is reversible with a better lifestyle; cirrhosis is not.
These are the essentials for a healthy liver:
• Drink enough water – not ice-cold. Herbal teas are helpful, especially in the winter season. Some of the herbs below come also as teas – make use of them. Enough fluid will flush out your liver.
• Elderberry juice helps regenerate the liver.
• Keep alcohol (wine, beer, liquor) at a minimum.
• After a big meal, go for a walk. A walk uses up some of the calories you have been ingesting, and it gives your whole digestive system a little boost – things in your stomach can settle, and the peristalsis gets a jumpstart. In Europe, Sundays and holidays will bring people out of their houses in droves – everybody goes for a walk after a feast.
• These herbs help to improve liver function: Most beneficial is milk thistle – you should have it at hand these days. Also helpful are bitter plants like dandelion, artichoke, sage, and gentian root. Most are available in capsules, often in combination.
• Kitchen herbs and spices also help digestion: For instance, the traditional stuffing for a goose is: grind the gizzards, add cut apples, raisins, walnuts and two hands full of fresh (or less of dried) marjoram. No bread!! Don’t know who invented the bread filling…
• A working gut relieves an overworking liver – and a probiotic helps with useful bacteria.
• Fermented foods like sauerkraut, soy sauce and miso help digestion. Traditional kitchens have very specific fermented foods – explore a Japanese or Korean store. Make sure you buy the real thing – not a modern product that still has the taste but no actual fermentation any more in the production process. Look up “fermented foods” in one of my earlier blogs.
• Make sure you eat not only meats and cakes and cookies – but also cabbages, red beets, celery and celeriac, carrots, cucumbers, radishes are famous for relieving a moaning liver.
• Take some very deep massaging breaths: Always start with exhaling. Deep breathing moves the abdominal organs, and oxygen is required in myriad detoxing chemistry processes of the liver. If you feel stuffed, do the deep breathing by lying on your back.
• Stop all unnecessary medications, especially over-the-counter drugs. They only burden your liver more.
And since we are discussing liver health: Hepatitis A can be acquired through food (especially uncooked oysters, and such), hepatitis B and C through sex, drugs and blood. There are vaccines available against A and B. Unfortunately not against C. It might be wise to get vaccinated. Talk to your doctor.
And enjoy the festivities! Read More