Alexa Fleckenstein M.D.

Waiting for my transit airplane - already pretty stinky after traveling now for 24 hours, and not having farther advanced yet than from Perth to Shanghai - I find out that China does not allow access to Gmail, Amazon, Twitter or Google – so much for Freedom of Speech . I can as well use this time to write about things I learned in Western Australia recently. I learned about Noongar medicine, from the Aborigines in the South West – bush medicine, that is. The Aborigines are First Nation of Australia, just like our Natives in the Americas. The Aborigines believe that each person has a totem that is also the place where one belongs to, the spirit of that place, and the linchpin, so to speak, of your life. You see, the place from where you came, and where your soul is bound up, cannot be changed. That is some heavy stuff for somebody who, at age forty, left everything behind in Germany, and immigrated to the USA. But it is an interesting idea – one with many consequences. For instance, Aborigines are not interested in waging war, because you can only inhabit your own totem land, never the one of somebody else. His land will never be your land. So there’s no use for war. Nor for greed and envy, it seems. If you always live smack in the middle of the life that belongs to you – and only you – you are always home. You are also always at the most interesting, most fulfilled spot of your life. You wouldn’t have use for the Kardashians … Traveling – like I am doing now – has a different meaning under this aspect. Aborigines travel across the land according to changing food supplies throughout the seasons. Like Native Americans went from their winter dwellings in the forest to the coast in summer, to gorge on mussels and clams and lobsters – we still have an unexcavated midden near out Maine cabin. The Aborigines had an even harder life, roaming the arid regions of Western, North and middle Australia. They needed to know their seasonal foodstuff well – lizards and grubs and roots mostly, occasionally a kangaroo or an emu. All food is shared. I tried a piece of Australian celery last week. Very tasty. Seasonal is the keyword here. Aborigines don’t do sightseeing; they revisit their spirit location again and again. Because from there, strength and knowledge emanates. Place is important with such a concept; time is not. The seasons are revisitings. Life is a string of revisitings. Aging is not a problem. Any time you revisit your totem spot, you gain more knowledge, and – like the food – you share your knowledge with your tribe. The knowledge is handed down mostly as songs – long ballads, with repetitive lines. And the song is your totem, too. It is fascinating that I come to this Aboriginal knowledge just when I am also reading Flights, by the Polish author Olga Tokarczuk. I have been told she might win a Nobel – she certainly has written here a profound account of our restless, traveling lives. Not to hammer in the moral of this Aboriginal philosophy too much – you can do that for yourself. But I have found myself contemplating this new thought. New for me, of course. Very old for the Aborigines. So old that people estimate they have lived that same kind of life for at least 50,000 years. Without destroying their environment in the process. Compare this to our man-made global warming. Read More 

Gluten is a sticky protein in wheat, barley, rye, AND oats, naturally. But the gluten in oats is called avenin; the gluten in wheat, barley and rye is called gliadin. Shorthand, we use the broader term "gluten" in the place of the more specific term "gliadin". That's why we can call oats "gluten-free". And it is true that many people with a gliadin problem, are able to digest avenin. Some, however, are not. And no effort to label oats as "gluten-free" will make it so - it always will contain its specific gluten called avenin. For the people who think "gluten-free" is a health fad: It is not. Celiac disease is a severe autoimmune disease, with many consequences if neglected. Roughly 1 in 100 of people worldwide have gluten sensitivity. It's real (because it's in your genes), and it can't be wished away. [This article first appeared as a letter in the New York Times health blog 4/14/2018] Read More 

Sometimes, working, I forget to eat. My friends don’t believe that you can forget to eat. They think if you don’t eat you get jittery and weak and blank in your brain – how can one work through that? Then I remember that I used to be like that, too. To this day my family makes fun about the time I wanted to fast for a day, and broke the fast after three hours because I couldn’t go on – it felt as if I was falling apart. The difference between being hungry and being in the grip of hypoglycemia lies in how healthy your metabolism is. When you are diabetic or prediabetic (and most Americans fall in either category), you are always looking for food. You cannot go without for any prolonged time. Most Americans, for that reason, do not only eat, but they snack in between. And, listen – I don’t blame them. Because if your metabolism is lousy (because of the Standard American Diet – or SAD) you NEED to eat frequent meals. Otherwise you fall apart. You feel you are hungry. In reality you are voracious because your cells are on a sugar rollercoaster. This is how your metabolism – the sum of all the chemical and biochemical events in your body at any given time – functions if you eat SAD: You eat a load of sugar (white starches are chains of sugar molecules that are being digested within seconds of entering your mouth, filling you up with sugars, and more sugars). Your brain gets a nice sugar high. Insulin kicks in because high sugars are dangerous for your body (leading to blindness, impotence, heart disease, stroke, dementia, amputations, polyneuropathy, and so on). Since high sugars are so dangerous, your body shoots out much to much insulin. Next thing you know, your blood sugar is really low, and you feel lousy: weak, confused, shaky. What do you do? Well, you reach for another meal or a snack that starts the high-sugar/low-sugar cycle again. On the way, you gain weight because weight gain is the number one side-effect of insulin. And you go see-sawing through high and low blood sugars, never feeling top-fit and at your best potential. What is the difference when your metabolism is healthy? You eat your three meals, and then you forget about it. You have energy to pursue what you love to do in life. And yes, sometimes you forget to eat because making music, or cleaning the yard, or making a scrapbook is so much fun. What to eat to reach your perfect metabolism I have described in my diabetes book. But the main points are: Stop sugars and white starches (and don’t replace them with artificial sweeteners). Eat proteins and good fats in every single meal. Within a day or two, your body will experience the difference between hunger and hypoglycemia. When somebody around you says: “I am hungry,” I bet that in ninety percent they are talking the low-sugar jitters. Real hunger is different. Our ancient bodies are made to survive the normal periods of hunger and plenty of food. Our ancient bodies are not made to survive the overfeeding with sugars. By the way, I didn’t say that you can just suppress that feeling of being “hungry” and ignore it. That is exactly the point: Hypoglycemia is a real condition, and really dangerous. Don’t try to starve when you come off a sugar high. Eat reasonably first. Then you can even put in a fasting day – as I can do now without difficulty. Or you can, once in a while, forget to eat altogether because you are so happily ensconced in a project that warms your heart. Read More