Antibiotics? Think Thrice

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Antibiotics: Useful Even Less Often Than Previously Believed (And Still Just As Dangerous)

You probably already know that antibiotics shouldn’t be taken unless absolutely necessary. Not only does taking antibiotics frivolously increase antibiotic resistance (which is bad, and kills people), but also…

It’s entirely possible for the antibiotics to not only not help, but instead wipe out your gut’s “good bacteria” that were keeping other things in check.

Those “other things” can include fungi like Candida albicans.

Candida, which we all have in us to some degree, feeds on sugar (including the sugar formed from breaking down alcohol, by the way) and refined carbs. Then it grows, and puts its roots through your intestinal walls, linking with your neural system. Then it makes you crave the very things that will feed it and allow it to put bigger holes in your intestinal walls.

Don’t believe us? Read: Candida albicans-Induced Epithelial Damage Mediates Translocation through Intestinal Barriers

(That’s scientist-speak for “Candida puts holes in your intestines, and stuff can then go through those holes”)

And as for how that comes about, it’s like we said:

See also: Candida albicans as a commensal and opportunistic pathogen in the intestine

That’s not all…

And that’s just C. albicans, never mind things like C. diff. that can just outright kill you easily.

We don’t have room to go into everything here, but you might like to check out:

Four Ways Antibiotics Can Kill You

It gets worse (now comes the new news)

So, what are antibiotics good for? Surely, for clearing up chesty coughs, lower respiratory tract infections, right? It’s certainly one of the two things that antibiotics are most well-known for being good at and often necessary for (the other being preventing/treating sepsis, for example in serious and messy wounds).

But wait…

A large, nationwide (US) observational study of people who sought treatment in primary or urgent care settings for lower respiratory tract infections found…

(drumroll please)

the use of antibiotics provided no measurable impact on the severity or duration of coughs even if a bacterial infection was present.

Read for yourself:

Antibiotics Not Associated with Shorter Duration or Reduced Severity of Acute Lower Respiratory Tract Infection

And in the words of the lead author of that study,

❝Lower respiratory tract infections tend to have the potential to be more dangerous, since about 3% to 5% of these patients have pneumonia. But not everyone has easy access at an initial visit to an X-ray, which may be the reason clinicians still give antibiotics without any other evidence of a bacterial infection.❞

~ Dr. Daniel Merenstein

So, what’s to be done about this? On a large scale, Dr. Merenstein recommends:

❝Serious cough symptoms and how to treat them properly needs to be studied more, perhaps in a randomized clinical trial as this study was observational and there haven’t been any randomized trials looking at this issue since about 2012.❞

~ Dr. Daniel Merenstein

This does remind us that, while not a RCT, there is a good ongoing observational study that everyone with a smartphone can participate in:

Dr. Peter Small’s medical AI: “The Cough Doctor”

In the meantime, he advises that when COVID and SARS have been ruled out, then “basic symptom-relieving medications plus time brings a resolution to most people’s infections”.

You can read a lot more detail here:

Antibiotics aren’t effective for most lower tract respiratory infections

In summary…

Sometimes, antibiotics really are a necessary and life-saving medication. But most of the time they’re not, and given their great potential for harm, they may be best simultaneously viewed as the very dangerous threat they also are, and used only when those “heavy guns” are truly what’s required.

Take care!

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  • How much time should you spend sitting versus standing? New research reveals the perfect mix for optimal health

    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.

    People have a pretty intuitive sense of what is healthy – standing is better than sitting, exercise is great for overall health and getting good sleep is imperative.

    However, if exercise in the evening may disrupt our sleep, or make us feel the need to be more sedentary to recover, a key question emerges – what is the best way to balance our 24 hours to optimise our health?

    Our research attempted to answer this for risk factors for heart disease, stroke and diabetes. We found the optimal amount of sleep was 8.3 hours, while for light activity and moderate to vigorous activity, it was best to get 2.2 hours each.

    Finding the right balance

    Current health guidelines recommend you stick to a sensible regime of moderate-to vigorous-intensity physical activity 2.5–5 hours per week.

    However mounting evidence now suggests how you spend your day can have meaningful ramifications for your health. In addition to moderate-to vigorous-intensity physical activity, this means the time you spend sitting, standing, doing light physical activity (such as walking around your house or office) and sleeping.

    Our research looked at more than 2,000 adults who wore body sensors that could interpret their physical behaviours, for seven days. This gave us a sense of how they spent their average 24 hours.

    At the start of the study participants had their waist circumference, blood sugar and insulin sensitivity measured. The body sensor and assessment data was matched and analysed then tested against health risk markers — such as a heart disease and stroke risk score — to create a model.

    Using this model, we fed through thousands of permutations of 24 hours and found the ones with the estimated lowest associations with heart disease risk and blood-glucose levels. This created many optimal mixes of sitting, standing, light and moderate intensity activity.

    When we looked at waist circumference, blood sugar, insulin sensitivity and a heart disease and stroke risk score, we noted differing optimal time zones. Where those zones mutually overlapped was ascribed the optimal zone for heart disease and diabetes risk.

    You’re doing more physical activity than you think

    We found light-intensity physical activity (defined as walking less than 100 steps per minute) – such as walking to the water cooler, the bathroom, or strolling casually with friends – had strong associations with glucose control, and especially in people with type 2 diabetes. This light-intensity physical activity is likely accumulated intermittently throughout the day rather than being a purposeful bout of light exercise.

    Our experimental evidence shows that interrupting our sitting regularly with light-physical activity (such as taking a 3–5 minute walk every hour) can improve our metabolism, especially so after lunch.

    While the moderate-to-vigorous physical activity time might seem a quite high, at more than 2 hours a day, we defined it as more than 100 steps per minute. This equates to a brisk walk.

    It should be noted that these findings are preliminary. This is the first study of heart disease and diabetes risk and the “optimal” 24 hours, and the results will need further confirmation with longer prospective studies.

    The data is also cross-sectional. This means that the estimates of time use are correlated with the disease risk factors, meaning it’s unclear whether how participants spent their time influences their risk factors or whether those risk factors influence how someone spends their time.

    Australia’s adult physical activity guidelines need updating

    Australia’s physical activity guidelines currently only recommend exercise intensity and time. A new set of guidelines are being developed to incorporate 24-hour movement. Soon Australians will be able to use these guidelines to examine their 24 hours and understand where they can make improvements.

    While our new research can inform the upcoming guidelines, we should keep in mind that the recommendations are like a north star: something to head towards to improve your health. In principle this means reducing sitting time where possible, increasing standing and light-intensity physical activity, increasing more vigorous intensity physical activity, and aiming for a healthy sleep of 7.5–9 hours per night.

    Beneficial changes could come in the form of reducing screen time in the evening or opting for an active commute over driving commute, or prioritising an earlier bed time over watching television in the evening.

    It’s also important to acknowledge these are recommendations for an able adult. We all have different considerations, and above all, movement should be fun.

    Christian Brakenridge, Postdoctoral research fellow at Swinburne University Centre for Urban Transitions, Swinburne University of Technology

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • Beyond Guarding Against Dementia

    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.

    When Age’s Brain-Changes Come Knocking

    A woman guarding in a red dress.

    This is Dr. Amy Friday. She’s a psychologist, specializing in geropsychology and neuropsychological assessments.

    In other words, she helps people optimize their aging experience, particularly in the context of brain changes as we get older.

    What does she want us to know?

    First: be not afraid

    Ominous first words, but the fact is, there’s a lot to find scary about the prospect of memory loss, dementia, and death.

    However, as she points out:

    • Death will come for us all sooner or later, barring technology as yet unknown
    • Dementia can be avoided, or at least stalled, or at least worked around
    • Memory loss, as per the above, can be avoided/stalled/managed

    We’ve written a little on these topics too:

    Managing Your Mortality

    …or if the death is not yours:

    Bereavement & Managing Grief

    As for avoiding dementia, the below-linked feature is about Alzheimer’s in particular (which accounts for more than half of all cases of dementia), but the advice goes for most of the other kinds too:

    How To Reduce Your Alzheimer’s Risk

    And finally, about memory loss specifically:

    How To Boost Your Memory Immediately (Without Supplements)

    this one is especially about cementing into one’s brain the kinds of memories that people most fear losing with age. People don’t worry about forgetting their PIN codes; they worry about forgetting their cherished memories with loved ones. So, if that’s important to you, do consider checking out this one!

    What is that about managing or working around the symptoms?

    If we’re missing a limb, we (usually) get a prosthetic, and/or learn how to operate without that limb.

    If we’re missing sight or hearing, partially or fully, there are disability aids for those kinds of things too (glasses are a disability aid! Something being very common does not make it not a disability; you literally have less of an ability—in this case, the ability to see), and/or we learn how to operate with our different (or missing) sense.

    Dr. Friday makes the case for this being the same with memory loss, dementia, and other age-related symptoms (reduced focus, increased mental fatigue, etc):

    ❝We are all screwed up. Here’s my flavor … what’s yours? This is a favorite saying of mine, because we ARE all screwed up in one way or another, and when we acknowledge it we can feel closer in our screwed-up-edness.

    We are all experiencing “normal aging,” so that tip-of-the-tongue phenomenon that starts in our thirties and slowly gets worse is REAL. But what if you’re having more problems than normal aging? Is it time to throw in the towel and hide? I’m hoping that there is a group of people who say HELL NO to that idea.

    Let’s use lessons from research and clinical practice to help all of us work around our weaknesses, and capitalize on our strengths.  ❞

    ~ Dr. Amy Friday

    Examples of this might include:

    • Writing down the things most important to you (a short list of information and/or statements that you feel define you and what matters most to you), so that you can read it later
    • Making sure you have support (partner, family, friends, etc) who are on the same page about this topic—and thus will actually support you and advocate for you, instead of arguing about what is in your best interest without consulting you.
    • Labelling stuff around the house, so that you get less confused about what is what and where it is
    • Having a named go-to advocate that you can call / ask to be called, if you are in trouble somewhere and need help that you can rely on
    • Getting a specialized, simpler bank account; hiring an accountant if relevant and practicable.

    The thing is, we all want to keep control. Sometimes we can do that! Sometimes we can’t, and if we’re going to lose some aspect of control, it’ll generally go a lot better if we do it on our own terms, so that we ourselves can look out for future-us in our planning.

    Want to know more?

    You might enjoy her blog, which includes also links to her many videos on the topic, including such items as:

    For the rest, see:

    This Beautiful Brain | The Science Of Brain Health

    Enjoy!

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  • Stop Overthinking – by Nick Trenton

    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.

    This book is exactly what it says on the tin. We are given twenty-three techniques to relieve stress, stop negative spirals, declutter your mind, and focus on the present, in the calm pursuit of good mental health and productivity.

    The techniques are things like the RAIN technique above, so if you liked that, you’ll love this. Being a book rather than a newsletter, it also takes the liberty of going into much more detail—hence the 200 pages for 23 techniques. Unlike many books, it’s not packed in fluff either. It’s that perfect combination of “to the point” and “very readable”.

    If you’ve read this far into the review and you’re of two minds about whether or not this book could be useful to you, then you just might be overthinking it

    Check Out “Stop Overthinking” On Amazon Now!

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  • Eat It! – by Jordan Syatt and Michael Vacanti

    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.

    One of the biggest challenges we often face when undertaking diet and exercise regimes, is the “regime” part. Day one is inspiring, day two is exciting… Day seventeen when one has a headache and some kitchen appliance just broke and one’s preferred exercise gear is in the wash… Not so much.

    Authors Jordan Syatt and Michael Vacanti, therefore, have taken it upon themselves to bring sustainability to us.

    Their main premise is simplicity, but simplicity that works. For example:

    • Having a daily calorie limit, but being ok with guesstimating
    • Weighing regularly, but not worrying about fluctuations (just trends!)
    • Eating what you like, but prioritizing some foods over others
    • Focusing on resistance training, but accessible exercises that work the whole body, instead of “and then 3 sets of 12 reps of these in 6-4-2 progression to exhaustion of the anterior sternocleidomastoid muscle”

    The writing style is simple and clear too, without skimping on the science where science helps explain why something works a certain way.

    Bottom line: this one’s for anyone who would like a strong healthy body, without doing the equivalent of a degree in anatomy and physiology along the way.

    Click here to check out “Eat it!” on Amazon and simplify your diet and exercise plans for great, sustainable progress!

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    Learn to Age Gracefully

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  • Hazelnuts vs Cashews – Which is Healthier?

    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.

    Our Verdict

    When comparing hazelnuts to cashews, we picked the hazelnuts.

    Why?

    It’s close! This one’s interesting…

    In terms of macros, hazelnuts have more fiber and fats, while cashews have more protein and carbs. All in all, all good stuff all around; maybe a win for one or the other depending on your priorities. We’d pick hazelnuts here, but your preference may vary.

    When it comes to vitamins, hazelnuts have more of vitamins A, B1, B2, B3, B5, B6, B9, C, and E, while cashews have more vitamin K. An easy win for hazelnuts here, and the margins weren’t close.

    In the category of minerals, hazelnuts have more calcium, manganese, and potassium, while cashews have more copper, iron, magnesium, phosphorus, selenium, and zinc. This is a win for cashews, but it’s worth noting that cup for cup, both of these nuts provide more than the daily requirement of most of those minerals. This means that in practical terms, it doesn’t matter too much that (for example), while cashews provide 732% of the daily requirement for copper, hazelnuts “only” provide 575%. So while this category remains a victory for cashews, it’s something of a “on paper” thing for the most part.

    Adding up the sections (ambivalent + clear win for hazelnuts + nominal win for cashews) means that in total today we’re calling it in favour of hazelnuts… But as ever, enjoy both, because both are good and so is diversity!

    Want to learn more?

    You might like to read:

    Why You Should Diversify Your Nuts

    Take care!

    Don’t Forget…

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  • The Tiniest Seeds With The Most Value

    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.

    If You’re Not Taking Chia, You’re Missing Out

    Last Tuesday, we wrote about nutritional psychiatry, and the benefits of eating for one’s mental health.

    You can check out Dr. Uma Naidoo’s to-dos, here:

    The 6 Pillars Of Nutritional Psychiatry

    In response, one of our subscribers wrote to mention:

    ❝Really interesting….just put chia seeds in my diet love them……taking the Drs advice.❞

    ~ Cindy, 10almonds subscriber

    And then! On Friday, our tip at the top of the newsletter was:

    Not sure how to incorporate chia seeds into your diet? It’s easier to want the benefits of their many brain-healthy (and otherwise-healthy, too) nutrients, than it is to know what to do with them necessarily, and not everyone enjoys seeds as a snack. So…

    When you cook rice, throw in a tablespoon of chia seeds too. The cooking process will soften them and they won’t be texturally any different than the rice, but the nutrients will be all there.

    They can also be thrown in with lentils, in the same fashion! Or oatmeal, when cooking it or making overnight oats.

    We’ll be honest, it was Cindy’s comment that prompted us to suggest it. But wait! There was more to come in response:

    ❝You had a teaser ..on Chia seed.would of liked a article on the benefits . I’ve just discovered Chia seeds…❞

    ~ Cindy, 10almonds subscriber

    So, Cindy, this one’s for you:

    Nutritional powerhouse

    First things first, these tiny seeds have a lot of nutrients. There are not many more nutrient-dense foods than this (there’s a kind of seaweed that might be a contender; we’ll have to do some research and get back to you).

    Check them out:

    USDA Nutritional Factsheet: Chia Seeds

    So much protein and healthy fat, so many vitamins and minerals, and so many miscellaneous other micronutrients that we’d be here all day to list them (which is why we linked the above factsheet instead).

    Antioxidants in abundance

    These deserve a special mention, because they include quercetin which we’ve written about previously:

    Fight Inflammation & Protect Your Brain, With Quercetin

    …as well as quite a collection of others (including chlorogenic acid and caffeic acid, which may sound alarming but are great for lowering your blood pressure and against inflammation, respectively):

    There are others too, with cardioprotective effects, liver-healthy effects, and anticancer properties:

    Nutritional and therapeutic perspectives of Chia (Salvia hispanica L.): a review

    Good for the heart and blood

    Check it out:

    Oh, and about diabetes? There’s more, this time pertaining to reducing after-dinner blood sugars (or “postpranidial glycemia”, in sciencese):

    Good for the brain

    Regular 10almonds readers will know that “what’s good for the blood, is good for the brain” is a very good rule of thumb already, but their highomega-3 content makes them especially so:

    What Omega-3 Fatty Acids Really Do For Us

    Want some?

    We don’t sell them, but you can probably find them in your local supermarket and/or health food store, and if you prefer getting things online, here for your convenience is an example product on Amazon

    Enjoy!

    Don’t Forget…

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