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.
Fast Will Not Last – A Step-By-Step Weight Loss Program
May 4, 2011
Fast Will Not Last – A Ste
After politics, I better return to my own turf. My forte is one-to-one talking with on people, not saving the world.
Ali - on Roanne Weisman’s blog Own your Health - has asked me this question: How can I lose weight fast?
Truth is: Fast will not last.
Most common request seems to be: “Now it is May – can you help me lose fifty pounds till September, because I will marry in September.” My answer is always: “No!”
Weight loss should be really slow so that the body does not go into survival mode and defies weight loss. As disappointing as this may be, it is the only way to success. Yo-yo dieting has been shown to be especially detrimental to the heart, so don’t even start that process!
Here are my rules:
• Do not lose more than two pounds per month!
• Weigh yourself every morning.
• If you inadvertently lose more than two pounds per month, don’t gloat about, and don’t be disappointed if you regain some of that weight.
• Once you have lost those two pounds, put your focus on keeping off those two pounds. The real challenge is to not regain any pounds during the month.
• Weight loss does not happen by diet alone, and not by sweating hours in the gym. Weight loss comes from a healthy lifestyle.
• One of the most important parts of that healthy lifestyle is getting enough sleep. Sleep deprivation leads to high stress hormone levels in the body, which leads to cravings and overeating.
• The next day is won the evening before: Prepare breakfast and lunch, and plan dinner for the next day, then go to bed early. Don’t hang around in front of TV or computer beyond your “tired point” – because then you get a second wind and can’t fall asleep. Best bedtime is between 8.30 and 10.00 pm. If you think you can’t do that every night, give it a try one evening per week – and observe the difference in how you feel.
• Below is the step-by step program. Take a new step either every week or every month, or when you feel you need to do more for your health, or when the weight loss progress stalls.
• The most important question: Is your weight loss goal realistic? If you are of Dutch ancestry, you might never get to be a dainty as many Asians are (only a rule of thumb – there are small Dutch people, and large Asians!). For that look up your BMI - for instance here: http://www.aarp.org/health/fitness/info-05-2010/bmi_calculator.html?CMP=KNC-360I-GOOGLE-HEA-FIT&HBX_PK=bmi&utm_source=Google&utm_medium=cpc&utm_term=bmi&utm_campaign=G_Health&360cid=SI_148921798_7430108821_1.
• Your BMI will give you a weight range. If you are small-boned, you should be at the lower part of that range, if you are big-boned, at the higher end. How do you know about your bones? Compare your wrist bones with those of other people to get an idea where you stand.
• If you still have a protruding belly, you are not at your ideal weight.
• In every meal have some protein and some good fat. Legumes provide protein.
• Most important is your intake of vegetables, which should be mostly cooked, especially in the winter.
• Cut down on meat to once a week, and do not eat deli and sausages at all. Have some fish – preferably small fish.
And here are the weight loss steps:
Step # 1: Buy a green leafy vegetable (chard, spinach, kale, dinosaur kale, kohlrabi greens, etc), cook it with olive oil and garlic - and eat it.
Step #2: Leave out all soft beverages - including "diet" beverages.
Step #3: Drink herbal teas when you are thirsty. Or plain (or filtered) tap water. Don’t drink bottled water.
Step #4: Leave out all dairy (cheese, milk, yoghurt, etc). Milk is a highly inflammatory substance, totally alien for people beyond infancy, that leads to all kinds of diseases besides obesity: diabetes, arthritis, depression, cancer, allergies and asthma, heart disease, and so on.
Step #5: Buy a root vegetable (red beets, celeriac, turnip, etc), cook in salt water until just soft enough to pierce with a skewer. Serve with olive oil, pepper and salt as a warm salad. Rutabaga, because it is usually waxed, needs to be peeled before cooking. Cut in cubes, boil with a bit of water and pepper and salt.
Step #6: Go for a daily walk. Best is during lunch hour, for the anti-cancer effect of light. Ten minutes in the beginning is fine. Go with a friend – so that you may stay with this habit.
Step #7: Leave out all sugars. And don’t use any sweeteners. They fool the body into thinking you get sweets – and then your body wants more food. Besides, most sweeteners except stevia carry their own health concerns.
Step #8: Find a new vegetable every week in your supermarket – try out what you don’t know (most vegetables are delicious with garlic and olive oil). Some fat is required with all vegetables because otherwise you cannot absorb the vitamin A in them.
Step #9: Leave out all grains and starches until you have your ideal weight. Then you might re-introduce some whole grains – but only if you are not regaining.
Step #10: Observe how much you are actually sitting during the day. Sitting is detrimental to your health – and of course, we are a sitting culture. Think about ways to move more: Putter in the garden, clean out the attic, walk a dog, play with the kids, ride a bicycle. The German philosopher Immanuel Kant recognized this principle and kept his handkerchief at the other end of the room, so that he had to get up from his desk to blow his nose. Try to come up with your own – and better - movements!
Step #11: Stop all margarine, spreads and butter. If you still eat bread, dunk it in olive oil.
Step #12: Volunteer somewhere – in a shelter, a soup kitchen, a church, a political campaign, a gardening project, a reading help for youngsters –to get out of the house and do good!
P.S. This is a long entry. But it boilds down to two points:
1. Vegetables, vegetables, vegetables - eat more, and more varied!
2. Put more movement into your day - little movements here and there.
P.P.S. Recheck this blog - I might add new points as they come up! Read More
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