Alexa Fleckenstein M.D.

Our water is getting worse. A reminder that celebrating water today comes with the burden of working toward the goal of clean water. Clean water for those people who still don’t have it, and clean water for those who take it for granted, and don’t realize the water quality is deteriorating. Apropos the World Water Day today, I want to announce that finally a new book by me comes out. Or, put more modestly – and more accurately, a chapter in a handbook. The handbook is Integrative Sexual Health, and it is part of Andrew Weil’s Integrative Medicine Library series, published by Oxford University Press. My chapter 22 is called The Benefits of Water Therapy for Sexual and Pelvic Problems. If you have read my water book Health20 -Tap into the Healing Power of Water, you know already some of the usual suspects: cold shower, herbal bath, hot footbath, tepid sitzbath, and so on – just not with so precisely the lamplight turned on the area between your thighs and your navel (sorry for that metaphor …). You will find remedies for a whole host of ailments “down there” as my medicine hero Sebastian Kneipp (1821-1897) always put it. As a Catholic priest he might have felt uncomfortable talking about “down there”. Be assured that the authors of this handbook do not feel uncomfortable naming names and stating problems. How excited I was when writing that chapter! I had asked this question: How it could be that all the diverse healing approaches lined up in this book seem to help –cold water, herbs, exercise, better nutrition, talking therapy, improved sleep, hormones, vitamins, removal of toxins, weight loss, Ayurvedic Medicine, Traditional Chinese Medicine. What is the reason they all work? The answer I finally arrived: Disease is an imbalance in your body, and all these different medical modalities can nudge your body back into balance. And I don’t mean balance in a flaky way. I mean this in a strictly scientific way. Because, it turns out, that all these different modes of healing affect the neural-hormonal-intestinal axis from your pineal gland to your sexual glands (ovaries in women, testicles in men), to your gut. In between we have the pituitary gland, the thyroid, the adrenals – and they all work together in health, along that axis that also comes by the name of psycho-neural-hormonal-intestinal axis. And that axis is out of balance in sickness. This is how integrative (or alternative, or natural) medicine defines disease: Imbalance. Compare it to the predominant model in conventional medicine: You have a disease, you get a label (a diagnosis) – and only this kind of pill can make you right again. A prescription pill that only the physician can give you. Sometimes, actually, that model works – and in my chapter I list a whole slew of problems for which you better see a conventional doctor. But it is safe to say that many sexual problems are approachable by natural means. A bounty of advice and hints – that’s what you will encounter in this book. If you are not pleased with your sex life, or experience pain and discomfort in the area down-under, you might find a solution to your problem in this fat handbook. It will come out April 8th, and can already be pre-ordered. Happy World Water Day 2018! Read More 

A stalk of Brussels sprouts survived in my fridge while we were traveling to the East Coast. Last night, I suddenly had the vision that I would like to eat those green little roses – and of all things with raisins! No clue where it came from. The sixth sense? But I knew I had to get up a bit earlier this morning to actually cook this strange breakfast for myself. Since the nearly twenty years I don’t indulge anymore in the ubiquitous müsli or cereal breakfast, I usually eat dinner left-overs or open a can of beans, throw in a handful of fresh or dried herbs, pepper and salt, and some olive oil – it is a fast meal, but no junk food. At this point in my life, I take my gut feelings seriously. So I browned two large onions in coconut oil before I added the Brussels sprouts rosettes and a cup full of raisins. I let it simmer with some pepper and salt, until the rosettes were soft and the raisins plump. It was delicious – why had I never thought of adding raisins to this dish? The taste mingled the sharp black pepper and the sweet raisins to a new experience. Usually I serve Brussels sprouts with a good sprinkling of nutmeg. Why do I take my hunches seriously? Because I figure my body wants to tell me about a slight deficiency. Of course I don’t follow hunches for marshmallows and M&Ms, because they are not natural – although I might turn to dark chocolate if I had a craving for something sweet. Nearly thirty years ago I followed a hunch to visit a certain museum – five hundred miles away. And through that museum, I met my future (and now) husband … but that is a different story! Why do I bring up something as unscientific as hunches? Because daily we are bombarded by health news and scientific breakthroughs and advertisements for new super-foods – it is hard to find our way through this maze of information. I early on decided that I need to see – and feel – the difference in my body, my mood, my soul before I believe any new health hype. For instance, I always craved more fat in my diet than medical wisdom allowed me to eat. It always seemed that my brain did not function well without enough fat – and I am talking good fats here, mostly olive oil. At that time, I was still timid and told my patients to stick to the official line in conventional medicine, namely to cut out fat. But secretly, I bathed my vegetables in all the fat I desired. And interestingly, it was me who kept her weight since age twelve, not the people who had been advised differently. I was the one who weighed herself every day on a scale – contrary to what medicine was teaching at that time. So, now, when you take a new supplement: Do you take it because your doctor/your herbalist/your acupuncturist/your friend/your newspaper told you so? Or because you feel suddenly so much better than before? Over the years I found out that rarely do I feel better with ANY supplements. Exception are the phytogens (female herbs) by GAIA which I gave been taking for many years now. But I do feel better when I take my daily cold shower (or my daily laps across the pool), when I eat less at dinner and nothing thereafter, when I do moderate exercise throughout the day but feel miserable in the gym. I feel good about myself when I drop a small coin into the hand of a homeless veteran, but feel shabby when I argue to myself that he probably is an alcoholic who deserves his fate (nobody deserves that fate!!). Over the years I found out that vitamins and homeopathy don’t do anything for me, but freshly cooked meals do. That leaving out dairy cured my asthma, and improved my osteoarthritis vastly. That I need about double as much sleep as my husband, and that I definitely need my small thyroid pill after half of my thyroid was taken out years ago. Without that tiny pill I turn into a nagging bitch (as my husband found out!). Mind you, I don’t give in to silly cravings like drinking a ton of booze. But the occasional glass of wine seems to be fine. And when I was pregnant, I took very seriously my sudden hankering after lobster, and made my husband drive to a seafood restaurant late at night! When one turns vegan, most people feel wonderful, initially. Because it is a cleansing diet, after the overload on meats, delis and dairy products of the Western diet. But do you still feel wonderful after a few years on this diet? Or do you believe the vegan ideology more than what your body tells you? Do you feel great after an all-you-can-eat buffet, or do you feel like a stuffed turkey? Do you feel great after a diet coke, or do you have the lingering suspicion you might be addicted to the aspartame and caffeine? Do you feel good after a triathlon, or do all your joints scream? The big problem of course is that our brain can make us believe what we want to believe, deceivingly. It takes years of practicing your hunch skills before you can trust those wild notions coming out of nowhere. After all, there is something like the placebo effect, which may make you feel good erroneously – at least for a time. But nobody else can answer the question “How are you?” – except you. Because every body is different, and only you can feel how you are. As my friend Roanne Weisman puts it: Own Your Health! And, hey, I feel perfect today after Brussels sprouts with raisins! Read More