The Unchaste Berry

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A Chasteberry, By Any Other Name…

Vitex agnus castus, literally “chaste lamb vine”, hence its modern common English name “chasteberry”, gets its name from its traditional use as an anaphrodisiac for monks (indeed, it’s also called “monk’s pepper”), which traditional use is not in the slightest backed up by modern science.

Nor is its second most popular traditional use (the increase in production of milk) well-supported by science either:

❝Its traditional use as a galactagogue (i.e., a substance that enhances breast milk production) is not well supported in the literature and should be discouraged. There are no clinical data to support the use of chasteberry for reducing sexual desire, which has been a traditional application❞

~ Dr. Beatrix Roemheld-Hamm

Source: American Family Physician | Chasteberry

Both of those supposed effects of the chasteberry go against the fact that it has a prolactin-lowering effect:

❝It appears that [chasteberry] may represent a potentially useful and safe phytotherapic option for the management of selected patients with mild hyperprolactinaemia who wish to be treated with phytotherapy.❞

~ Dr. Lídice Puglia et al.

Source: Vitex agnus castus effects on hyperprolactinaemia

Prolactin, by the way, is the hormone that (as the name suggests) stimulates milk production, and also reduces sexual desire (and motivation in general)

  • In most women, it spikes during breastfeeding
  • In most men, it spikes after orgasm
  • In both, it can promote anhedonic depression, as it antagonizes dopamine

In other words, the actual pharmacological effect of chasteberry, when it comes to prolactin, is the opposite of what we would expect from its traditional use.

Ok, so it’s an unchaste berry after all…. Does it have any other claims to examine?

Yes! It genuinely does help relieve PMS, for those who have it, and reduce menopause symptoms, for those who have those, for example:

❝Dry extract of agnus castus fruit is an effective and well tolerated treatment for the relief of symptoms of the premenstrual syndrome.❞

~ Dr. Robert Schellenberg

Source: Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo controlled study

❝That [Vitex agnus castus] trial indicated strong symptomatic relief of common menopausal symptoms❞

~ Dr. Barbara Lucks

Source: Vitex agnus castus essential oil and menopausal balance: a research update

Is it safe?

Generally speaking, yes. It has been described as “well-tolerated” in the studies we mentioned above, which means it has a good safety profile.

However, it may interfere with some antipsychotic medications, certain kinds of hormone replacement therapy, or hormonal birth control.

As ever, speak with your doctor/pharmacist if unsure!

Where can I get some?

We don’t sell it, but here for your convenience is an example product on Amazon

Enjoy!

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  • Are You Stuck Playing These Three Roles in Love?

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    The psychology of Transactional Analysis holds that our interpersonal dynamics can be modelled in the following fashion:

    The roles

    • Child: vulnerable, trusting, weak, and support-seeking
    • Parent: strong, dominant, responsible—but also often exhausted and critical
    • Adult: balanced, thoughtful, creative, and kind

    Ideally we’d be able to spend most of our time in “Adult” mode, and occasionally go into “Child” or “Parent” mode when required, e.g. child when circumstances have rendered us vulnerable and we need help; parent when we need to go “above and beyond” in the pursuit of looking after others. That’s all well and good and healthy.

    However, in relationships, often it happens that partners polarize themselves and/or each other, with one shouldering all of the responsibility, and the other willfully losing their own agency.

    The problem lies in that either role can be seductive—on the one hand, it’s nice to be admired and powerful and it’s a good feeling to look after one’s partner; on the other hand, it’s nice to have someone who will meet your every need. What love and trust!

    Only, it becomes toxic when these roles stagnate, and each forgets how to step out of them. Each can become resentful of the other (for not pulling their weight, on one side, and for not being able to effortlessly solve all life problems unilaterally and provide endlessly in both time and substance, on the other), digging in to their own side and exacerbating the less healthy qualities.

    As to the way out? It’s about self-exploration and mutual honesty—and mutual support:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Further reading

    While we haven’t (before today) written about TA per se, we have previously written about AT (Attachment Theory), and on this matter, the two can overlap, where certain attachment styles can result in recreating parent/child/adult dynamics:

    How To Leverage Attachment Theory In Your Relationship ← this is about understanding and recognizing attachment styles, and then making sure that both you and your partner(s) are armed with the necessary knowledge and understanding to meet each other’s needs.

    Take care!

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  • 10 Lessons For A Healthy Mind & Body

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    Sadia Badiei, food scientist of “Pick Up Limes” culinary fame, has advice in and out of the kitchen:

    Pick up a zest for life

    Here’s what she picked up, and we all can too:

    1. “I can’t do it… yet”: it’s never too late to adopt a growth mindset by adding “yet” to your self-doubt, focusing on progress and the possibility of improvement.
    2. The spotlight effect: people are generally too absorbed in their own lives to focus on you, so don’t worry too much about others’ perceptions.
    3. Nutrition by addition: focus on adding healthier foods to your diet rather than eliminating the less healthy ones to avoid restrictive mindsets. You can still eliminate the less healthy ones if you want to! It just shouldn’t be the primary focus. Focusing on a conceptually negative thing is rarely helpful.
    4. It’s ok to change: embrace change as a sign of growth and evolution, rather than seeing it as a failure or waste of time.
    5. The way you do one thing is the way you do everything: be mindful of how you approach small tasks, regular tasks, boring tasks, unwanted tasks—you can either create a habit of enthusiasm or a habit of suffering (it’s entirely your choice which)
    6. Setting goals for success: set goals based on actions you can control (inputs) rather than outcomes that are uncertain. Less “lose 10 lbs”, and more “eat fiber before starch”, for example.
    7. You probably can’t have it all at once: you can achieve all your dreams, but often not simultaneously; goals and desires unfold in stages over time.
    8. The five-year rule: before adopting a new lifestyle or habit, ask yourself if you can realistically sustain it for five years to ensure it’s not just a short-term fix. If you struggle with this prognostic, look backwards first instead. Which healthy habits have you maintained for decades, and which were you never able to make stick?
    9. Are you afraid or excited?: reframe fear as excitement, as both emotions share similar physical sensations and signify that you care about the outcome.
    10. The voice you hear most: speak kindly to yourself in self-talk to create a softer, more compassionate tone. Your subconscious is always listening, so reinforce healthy rather than unhealthy thought patterns.

    For more on each of these, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like to read:

    80-Year-Olds Share Their Biggest Regrets

    Take care!

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  • What Grief Does To Your Body (And How To Manage It)

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    What Grief Does To The Body (And How To Manage It)

    In life, we will almost all lose loved ones and suffer bereavement. For most people, this starts with grandparents, eventually moves to parents, and then people our own generation; partners, siblings, close friends. And of course, sometimes and perhaps most devastatingly, we can lose people younger than ourselves.

    For something that almost everyone suffers, there is often very little in the way of preparation given beforehand, and afterwards, a condolences card is nice but can’t do a lot for our mental health.

    And with mental health, our physical health can go too, if we very understandably neglect it at such a time.

    So, how to survive devastating loss, and come out the other side, hopefully thriving? It seems like a tall order indeed.

    First, the foundations:

    You’re probably familiar with the stages of grief. In their most commonly-presented form, they are:

    1. Denial
    2. Anger
    3. Bargaining
    4. Depression
    5. Acceptance

    You’ve probably also heard/read that we won’t always go through them in order, and also that grief is deeply personal and proceeds on its own timescale.

    It is generally considered healthy to go through them.

    What do they look like?

    Naturally this can vary a lot from person to person, but examples in the case of bereavement could be:

    1. Denial: “This surely has not really happened; I’ll carry on as though it hasn’t”
    2. Anger: “Why didn’t I do xyz differently while I had the chance?!”
    3. Bargaining: “I will do such-and-such in their honor, and this will be a way of expressing the love I wish I could give them in a way they could receive”
    4. Depression: “What is the point of me without them? The sooner I join them, the better.”
    5. Acceptance: “I was so lucky that we had the time together that we did, and enriched each other’s lives while we could”

    We can speedrun these or we can get stuck on one for years. We can bounce back and forth. We can think we’re at acceptance, and then a previous stage will hit us like a tonne of bricks.

    What if we don’t?

    Assuming that our lost loved one was indeed a loved one (as opposed to someone we are merely societally expected to mourn), then failing to process that grief will tend to have a big impact on our life—and health. These health problems can include:

    As you can see, three out of five of those can result in death. The other two aren’t great either. So why isn’t this taken more seriously as a matter of health?

    Death is, ironically, considered something we “just have to live with”.

    But how?

    Coping strategies

    You’ll note that most of the stages of grief are not enjoyable per se. For this reason, it’s common to try to avoid them—hence denial usually being first.

    But, that is like not getting a lump checked out because you don’t want a cancer diagnosis. The emotional reasoning is understandable, but it’s ultimately self-destructive.

    First, have a plan. If a death is foreseen, you can even work out this plan together.

    But even if that time has now passed, it’s “better late than never” to make a plan for looking after yourself, e.g:

    • How you will try to get enough sleep (tricky, but sincerely try)
    • How you will remember to eat (and ideally, healthily)
    • How you will still get exercise (a walk in the park is fine; see some greenery and get some sunlight)
    • How you will avoid self-destructive urges (from indirect, e.g. drinking, to direct, e.g. suicidality)
    • How you will keep up with the other things important in your life (work, friends, family)
    • How you will actively work to process your grief (e.g. journaling, or perhaps grief counselling)

    Some previous articles of ours that may help:

    If it works, it works

    If we are all unique, then any relationship between any two people is uniqueness squared. Little wonder, then, that our grief may be unique too. And it can be complicated further:

    • Sometimes we had a complicated relationship with someone
    • Sometimes the circumstances of their death were complicated

    There is, for that matter, such a thing as “complicated grief”:

    Read more: Complicated grief and prolonged grief disorder (Medical News Today)

    We also previously reviewed a book on “ambiguous loss”, exploring grieving when we cannot grieve in the normal way because someone is gone and/but/maybe not gone.

    For example, if someone is in a long-term coma from which they may never recover, or if they are missing-presumed-dead. Those kinds of situations are complicated too.

    Unusual circumstances may call for unusual coping strategies, so how can we discern what is healthy and what isn’t?

    The litmus test is: is it enabling you to continue going about your life in a way that allows you to fulfil your internal personal aspirations and external social responsibilities? If so, it’s probably healthy.

    Look after yourself. And if you can, tell your loved ones you love them today.

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  • Support For Long COVID & Chronic Fatigue

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Long COVID and Chronic Fatigue

    Getting COVID-19 can be very physically draining, so it’s no surprise that getting Long COVID can (and usually does) result in chronic fatigue.

    But, what does this mean and what can we do about it?

    What makes Long COVID “long”

    Long COVID is generally defined as COVID-19 whose symptoms last longer than 28 days, but in reality the symptoms not only tend to last for much longer than that, but also, they can be quite distinct.

    Here’s a large (3,762 participants) study of Long COVID, which looked at 203 symptoms:

    Characterizing long COVID in an international cohort: 7 months of symptoms and their impact

    Three symptoms stood at out as most prevalent:

    1. Chronic fatigue (CFS)
    2. Cognitive dysfunction
    3. Post-exertional malaise (PEM)

    The latter means “the symptoms get worse following physical or mental exertion”.

    CFS, Chronic Fatigue Syndrome, is also called Myalgic Encephalomyelitis (ME).

    What can be done about it?

    The main “thing that people do about it” is to reduce their workload to what they can do, but this is not viable for everyone. Note that work doesn’t just mean “one’s profession”, but anything that requires physical or mental energy, including:

    • Childcare
    • Housework
    • Errand-running
    • Personal hygiene/maintenance

    For many, this means having to get someone else to do the things—either with support of family and friends, or by hiring help. For many who don’t have those safety nets available, this means things simply not getting done.

    That seems bleak; isn’t there anything more we can do?

    Doctors’ recommendations are chiefly “wait it out and hope for the best”, which is not encouraging. Some people do recover from Long COVID; for others, it so far appears it might be lifelong. We just don’t know yet.

    Doctors also recommend to journal, not for the usual mental health benefits, but because that is data collection. Patients who journal about their symptoms and then discuss those symptoms with their doctors, are contributing to the “big picture” of what Long COVID and its associated ME/CFS look like.

    You may notice that that’s not so much saying what doctors can do for you, so much as what you can do for doctors (and in the big picture, eventually help them help people, which might include you).

    So, is there any support for individuals with Long COVID ME/CFS?

    Medically, no. Not that we could find.

    However! Socially, there are grassroots support networks, that may be able to offer direct assistance, or at least point individuals to useful local resources.

    Grassroots initiatives include Long COVID SOS and the Patient-Led Research Collaborative.

    The patient-led organization Body Politic also used to have such a group, until it shut down due to lack of funding, but they do still have a good resource list:

    Click here to check out the Body Politic resource list (it has eight more specific resources)

    Stay strong!

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  • Fix Your Upper Back With These Three Steps

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    When it comes to back pain, the lower back gets a lot of attention, but what about when it’s nearer the neck and shoulders?

    Reaching for better health

    In this short video, Liv describes and shows three exercises:

    Exercise 1: Thoracic Pullover (Dumbbell Pullover)

    Purpose: Improves overhead reach and shoulder mobility.
    Equipment: light weight, yoga block, or foam roller.
    Steps:

    1. Lie on the floor with the foam roller/block beneath the upper back.
    2. Hold the weight in both hands, arms extended upward.
    3. Inhale deeply and reach the weight toward the ceiling.
    4. Exhale and arc your spine over the block, moving the weight backward.
    5. Keep core tension to maintain a neutral lower back position.
    6. Perform 10 repetitions.

    Exercise 2: Rotational Mobility Stretch

    Purpose: enhances torso rotation, core strength, and hip mobility.
    Equipment: none (or a mat)
    Steps:

    1. Lie on your side with knees stacked at 90° and arms extended in front.
    2. Hold a weight in the top hand.
    3. Inhale and lift the top arm toward the ceiling, extending the shoulder blade.
    4. Exhale and twist your torso, allowing the arm to move toward the floor.
    5. Modify by extending the bottom leg for a deeper twist if needed.
    6. Perform 6 reps per side, switching legs and repeating on the other side.

    Exercise 3: Doorway/Pole Side Stretch

    Purpose: targets multiple areas for a deep, satisfying stretch.
    Equipment: door frame, pole, or wall.
    Steps:

    1. Stand at arm’s length from the wall or frame.
    2. Cross the outer leg (furthest from the wall) behind the inner leg.
    3. Place the closest hand on the wall and reach the other arm overhead.
    4. Grip the wall or frame with the top hand, pressing away with the bottom hand.
    5. Lean into a banana-shaped curve and rotate your chest upward for a deeper stretch.
    6. Hold for 20–30 seconds per side and repeat 2–3 times.

    For more on all of these, plus visual demonstrations, enjoy:

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    Want to learn more?

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    Take care!

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  • Why Chronic Obstructive Pulmonary Disease (COPD) Is More Likely Than You Think

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    Chronic Obstructive Pulmonary Disease (COPD): More Likely Than You Think

    COPD is not so much one disease, as rather a collection of similar (and often overlapping) diseases. The main defining characteristic is that they are progressive lung diseases. Historically the most common have been chronic bronchitis and emphysema, though Long COVID and related Post-COVID conditions appear to have been making inroads.

    Lung cancer is generally considered separately, despite being a progressive lung disease, but there is crossover too:

    COPD prevalence is increased in lung cancer, independent of age, sex and smoking history

    COPD can be quite serious:

    Life expectancy and years of life lost in Chronic Obstructive Pulmonary Disease: Findings from the NHANES III Follow-up Study

    “But I don’t smoke”

    Great! In fact we imagine our readership probably has disproportionately few smokers compared to the general population, being as we all are interested in our health.

    But, it’s estimated that 30,000,000 Americans have COPD, and approximately half don’t know it. Bear in mind, the population of the US is a little over 340,000,000, so that’s a little under 9% of the population.

    Click here to see a state-by-state breakdown (how does your state measure up?)

    How would I know if I have it?

    It typically starts like any mild respiratory illness. Likely shortness of breath, especially after exercise, a mild cough, and a frequent need to clear your throat.

    Then it will get worse, as the lungs become more damaged; each of those symptoms might become stronger, as well as chest tightness and a general lack of energy.

    Later stages, you guessed it, the same but worse, and—tellingly—weight loss.

    The reason for the weight loss is because you are getting less oxygen per breath, making carrying your body around harder work, meaning you burn more calories.

    What causes it?

    Lots of things, with smoking being up at the top, or being exposed to a lot of second-hand smoke. Working in an environment with a lot of air pollution (for example, working around chemical fumes) can cause it, as can inhaling dust. New Yorkers: yes, that dust too. It can also develop from other respiratory illnesses, and some people even have a genetic predisposition to it:

    Alpha-1 antitrypsin deficiency: a commonly overlooked cause of lung disease

    Is it treatable?

    Treatment varies depending on what form of it you have, and most of the medical interventions are beyond the scope of this article. Suffice it to say, there are medications that can be taken (including bronchodilators taken via an inhaler device), corticosteroids, antibiotics and antivirals of various kinds if appropriate. This is definitely a “see your doctor” item though, because there are is far too much individual variation for us to usefully advise here.

    However!

    There are habits we can do to a) make COPD less likely and b) make COPD at least a little less bad if we get it.

    Avoiding COPD:

    • Don’t smoke. Just don’t.
      • Avoid second-hand smoke if you can
    • Avoid inhaling other chemicals/dust that may be harmful
    • Breathe through your nose, not your mouth; it filters the air in a whole bunch of ways
      • Seriously, we know it seems like nostril hairs surely can’t do much against tiny particles, but tiny particles are attracted to them and get stuck in mucous and dealt with by our immune system, so it really does make a big difference

    Managing COPD:

    • Continue the above things, of course
    • Exercise regularly, even just light walking helps; we realize it will be difficult
    • Maintain a healthy weight if you can
      • This means both ways; COPD causes weight loss and that needs to be held in check. But similarly, you don’t want to be carrying excessive weight either; that will tire you even more.
    • Look after the rest of your health; everything else will now hit you harder, so even small things need to be taken seriously
    • If you can, get someone to help / do your household cleaning for you, ideally while you are not in the room.

    Where can I get more help/advice?

    As ever, speak to your doctor if you are concerned this may be affecting you. You can also find a lot of resources via the COPD Foundation’s website.

    Take care of yourself!

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