A new study to answer the question: Which is the optimal blood pressure goal? has been terminated prematurely because it became statistically overwhelmingly clear that lower blood pressure targets will save lives.
That is a great outcome of a study: The clear-cut benefit of lower blood pressure. Not that it is all news: In medical school I already learned this medicine pearl: People with low pressure live for a long time, but they will feel lousy often – from dizziness and lack of energy. People with high blood pressure feel on top of the world – until they drop dead of stroke or heart attack.
It is good to know that our recent blood pressure goals have been set too high. If you have high blood pressure, or borderline high blood pressure, get ready for your doctor to put you on medication, or increase your anti-hypertension pills.
But the question is: Why do I read one report after the other about this blood pressure study, and all the commentators remark on how important it is to increase medications – and not a single commentator mentions that there are ways to lower your blood pressure without pills - naturally?
There are! You don’t have to take pills for the rest of your life; they can have serious side effect – one of the least seems to be impotence (erectile dysfunction), which is obviously a minor problem for the prescribing physician, but may make your life thoroughly miserable.
Here, if you want to go the natural way:
• End your hot showers always with a short (20 to 30 seconds) cold shower. Don’t do it yet if your blood pressure is uncontrolled high. But if you are on a pill, reasonably controlled, to can make this a daily habit. If a cold shower feels too harsh, wash yourself down with a cold facecloth twice a day in front of the sink.
• Get yourself a cheap step counter and walk more. The step counter is not really necessary, but is a great motivator. Walk more stairs, too.
• Also, walk on uneven surfaces whenever you have an occasion. Walking the beach, hiking, and walking barefoot have all been shown to lower blood pressure. One study showed that walking barefoot on pebbles is especially effective. Why is that so? The more uneven the terrain is, the more muscles you use, and the greater is the relaxation effect.
• Get enough sleep. Sleep deprivation leads to more stress, and stress increases blood pressure. Aim for being in bed around ten pm. Read for a few minutes, then sleep in darkness, with open window, whenever possible. Grandmother’s advice that sleep before midnight counts double sort of bears out in modern circadian rhythm studies.
• Meditate if your stress level is high. Or do woodworking, or play a musical instrument – any hobby that absorbs your attention wholly and makes you happy has a good de-stressing effect. Even just listening to soothing music lowers your blood pressure.
• Drink enough water. Salt does not seem the main culprit (but it does not hurt to ditch all processed foods – which are notoriously high in salt), but not drinking enough is. Aim for very light yellow urine. Dark urine shows that you are dehydrated (unless there is a kidney/bladder problem).
• Keep your relationships in order. I am all for a good fight if it is necessary. But an unhappy relationship will break your heart – with or without high blood pressure.
• Reduce screen time – TV, Twitter, telephone and Internet. All overexcite your brain. Be yourself – find quiet time often.
• Eat a diet high in vegetables and herbs. Plants contain thousands of chemical compound which all conspire to keep your blood pressure low. Eat meat but only organic (or from a farmer whose agricultural practices you trust). Have plenty of good fats like organic olive oil, coconut oil, cultured butter – fat is not the enemy.
• Slowly move toward your ideal weight by eating less sugars and starches. Avoid artificial sweeteners, too.
• And if you insist on a pill, let it be herbs (it may be advisable to work with a good herbalist – or a doctor who know herbs):
o Stinging nettle
o Linden
o Olive leaf
o Yarrow
o French Lavender
o Cinnamon
o Cat’s claw
o Hawthorn
o Celery seeds
o Garlic
o Cardamom
o Basil
And so many more! Some may go into your food as spices when you cook. Actually, cooking every evening from scratch might be the best course you could take: It will relax you after work and absorb your attention – and it will heal you body that gets high blood pressure from the pressures and habits of modern life. In 95 percent, hypertension is a lifestyle issue; only in five percent, a serious medical diagnosis (kidneys, endocrine) can be made.
If high blood pressure stems from wrong lifestyles, I suggest we replace it with better, healthier, more joyful lifestyles. Read More
Blog: On Health. On Writing. On Life. On Everything.
Bone Broth for Strengthening your Bones
September 9, 2013
Somebody in my family was in a bike accident and broke a shoulder – the collarbone as well as the shoulder blade. Ouch!
From my childhood in Germany, I remembered the heal-all properties of bone broth. Bone broth has all the ingredients a bone needs for knitting together again because bone broth is simmered for hours and hours – days, actually – until everything good in the bone now is swimming in the broth. Proof: If you try to eat the bones, they are soft and can be eaten like just another piece of meat. I find them just as tasty – but opinions differ here …
This is how you make a bone soup: Take beef bones like shank, oxtail and/or ribs. If you add chicken, it is better to have an old bird than a young one – the bones are stronger in an older bird.
Cover the bones with filtered cold water in a lidded pot, bring to a boil and then turn down the heat to simmering. For taste, I add herbal salt and black peppercorns in a tea ball. If you don’t like the taste of bone broth very much, add whole onions, garlic and carrots. Since the broth is reheated and simmered every day for a few hours until eaten up, it is not appetizing to have other vegetables in there – they would cook into a mush. But vegetables won’t hurt because all of them carry the minerals bones need to grow strong. – Before you serve the broth for the first time, cool it down and remove all visible fat from the top. Not that the fat is not healthy; most people just don’t like it swimming on their soup. – The meat can be eaten, or be discarded. All its goodness (or most of it) is now in the broth.
Make sure you buy organic meat and bones only. The detrimental effects of meat are not so much caused by meat – as vegans and vegetarians think. Unhealthy effects of meat seem to be related to the sick animals we eat. Sick animal come from bad husbandry. Bad husbandry requires medications like antibiotics to make the animals look healthy – but they aren’t. How can we expect health from a sick cow or a poorly chicken? Lead stores in bones - so make sure you get animals that were raised and fed in a natural way.
Bone broth is not a good source of all amino acids, but provides three essential amino acids, namely arginine, glycine and proline. Also it is rich in gelatin – once your broth cooled down, it separates in fat on top and the jelly below. Besides strengthening your bones – not only in a case of fracture, but against osteoporosis and osteopenia too – bone broth is said to be good for general bowel health and the immune system because of its anti-inflammatory properties. Not surprisingly, it is also good for skeletal appendages like tendons, ligaments, nails and hair, and it “greases” the joints. It calms the mind and promotes sleepiness. Unfortunately, none of these benefits have been proven by science because there are no studies published on this subject – at least not that I am aware of (and I looked!!). In past times, however, broth was always given to sickly people and patients recuperating from major illness. It fell out of fashion with easily available and processed foods – that doesn’t mean bone broth won’t work. But don’t assume that so-called chicken soup from the store would have the same benefits. It won’t.
Making a bone broth is no work at all – and once it is in the pot, you have a snack always available. A non-fattening quick, warming snack, that is, and highly satisfying. With few calories. And cheap – in Europe bone broth was always used widely during and after wars, when food was scarce. The simmering broth on our stove will likely be served much longer than the bones need to be mended; I can make a new batch every few days – no sweat! It is good, warming winter food, too.
P.S. 9/17/2013: We did some experimenting in the kitchen, and indeed one can add vegetables to the bone broth without getting it mushy. Indeed, the vegetables make it even more tasty. Celeriac root and celery greens can be cooked for days without getting mushy. Same with carrots. And some tough herbs like parsley and lovage. As the ingredients will not be eaten - only the broth - you don't have to cut anything.
The results are also superb: The healing goes well, and since the young man is moving his arm constantly with micro-movements (without the slightest weight bearing, of course - he does not even have a frozen shoulder or elbow. Read More
From Mouth to Anus
May 15, 2013
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