What You Don’t Know Can Kill You

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Knowledge Is Power!

This is Dr. Simran Malhotra. She’s triple board-certified (in lifestyle medicine, internal medicine, and palliative care), and is also a health and wellness coach.

What does she want us to know?

Three things:

Wellness starts with your mindset

Dr. Malhotra shifted her priorities a lot during the initial and perhaps most chaotic phase of the COVID pandemic:

❝My husband, a critical care physician, was consumed in the trenches of caring for COVID patients in the ICU. I found myself knee-deep in virtual meetings with families whose loved ones were dying of severe COVID-related illnesses. Between the two of us, we saw more trauma, suffering, and death, than we could have imagined.

The COVID-19 pandemic opened my eyes to how quickly life can change our plans and reinforced the importance of being mindful of each day. Harnessing the power to make informed decisions is important, but perhaps even more important is focusing on what is in our control and taking action, even if it is the tiniest step in the direction we want to go!❞

~ Dr. Simran Malhotra

We can only make informed decisions if we have good information. That’s one of the reasons we try to share as much information as we can each day at 10almonds! But a lot will always depend on personalized information.

There are one-off (and sometimes potentially life-saving) things like health genomics:

The Real Benefit Of Genetic Testing

…but also smaller things that are informative on an ongoing basis, such as keeping track of your weight, your blood pressure, your hormones, and other metrics. You can even get fancy:

Track Your Blood Sugars For Better Personalized Health

Lifestyle is medicine

It’s often said that “food is medicine”. But also, movement is medicine. Sleep is medicine. In short, your lifestyle is the most powerful medicine that has ever existed.

Lifestyle encompasses very many things, but fortunately, there’s an “80:20 rule” in play that simplifies it a lot because if you take care of the top few things, the rest will tend to look after themselves:

These Top Few Things Make The Biggest Difference To Overall Health

Gratitude is better than fear

If we receive an unfavorable diagnosis (and let’s face it, most diagnoses are unfavorable), it might not seem like something to be grateful for.

But it is, insofar as it allows us to then take action! The information itself is what gives us our best chance of staying safe. And if that’s not possible e.g. in the worst case scenario, a terminal diagnosis, (bearing in mind that one of Dr. Malhotra’s three board certifications is in palliative care, so she sees this a lot), it at least gives us the information that allows us to make the best use of whatever remains to us.

See also: Managing Your Mortality

Which is very important!

…and/but possibly not the cheeriest note on which to end, so when you’ve read that, let’s finish today’s main feature on a happier kind of gratitude:

How To Get Your Brain On A More Positive Track (Without Toxic Positivity)

Want to hear more from Dr. Malhotra?

Showing how serious she is about how our genes do not determine our destiny and knowledge is power, here she talks about her “previvor’s journey”, as she puts it, with regard to why she decided to have preventative cancer surgery in light of discovering her BRCA1 genetic mutation:

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Take care!

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  • Quick Healthy Recipe Ideas

    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.

    It’s Q&A Day at 10almonds!

    Have a question or a request? You can always hit “reply” to any of our emails, or use the feedback widget at the bottom!

    In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

    As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

    So, no question/request too big or small

    “It was superb !! Just loved that healthy recipe !!! I would love to see one of those every day, if possible !! Keep up the fabulous work !!! ”

    We’re glad you enjoyed! We can’t promise a recipe every day, but here’s one just for you:

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  • Why We Get Sick – by Dr. Benjamin Bikman

    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.

    There’s a slightly buried lede here in that the title doesn’t offer this spoiler, but we will: the book is about insulin resistance.

    However, unlike the books we’ve reviewed about blood sugar management, this time the focus is really and truly on insulin itself—and that makes some important differences:

    Dr. Bikman makes the case that while indeed hyper- or hypoglycemia bring their problems, mostly these are symptoms rather than causes, and the real culprit is insulin resistance, and this is important for two main reasons:

    1. Insulin resistance occurs well before the other symptoms set in (which means: it is the thing that truly needs to be nipped in the bud; if your fasting blood sugars are rising, then you missed “nipping it in the bud” likely by a decade or more)
    2. Insulin resistance causes more problems than “mere” hyperglycemia (the most commonly-known result of insulin resistance) does, so again, it really needs to be considered separately from blood sugar management.

    This latter, Dr. Bikman goes into in great detail, linking insulin resistance (even if blood sugar levels are normal) to all manner of diseases (hence the title).

    You may be wondering: how can blood sugar levels be normal, if we have insulin resistance?

    And the answer is that for as long as it is still able, your pancreas will just faithfully crank out more and more insulin to deal with the blood sugar levels that would otherwise be steadily rising. Since people measure blood sugar levels much more regularly than anyone checks for actual insulin levels, this means that one can be insulin resistant for years without knowing it, until finally the pancreas is no longer able to keep up with the demand—then that’s when people finally notice.

    The book is divided into sections:

    1. The Problem: What Is Insulin Resistance
    2. The Cause: What Makes Us Insulin Resistant
    3. How We Can Fight Insulin Resistance

    The first two parts are essential for the reader’s understanding, but the third part is the practical part, with appropriately practical advice on the most insulin-friendly ways to exercise, eat, fast, and more. He also talks drugs, and discusses the pros and cons of various interventions—but of course, far better is the lifestyle management of insulin.

    The style is mostly very pop-science in overall presentation, and then occasionally gets very dense at times, but when that happens, he will then tend to follow it with an easier-to-understand explanation, to ensure that nothing remains opaque.

    Bottom line: if you care about your metabolic health and don’t mind reading a book where you may have to read a paragraph or two twice sometimes, then this is a top-tier book on insulin resistance and how to prevent/reverse it.

    Click here to check out Why We Get Sick, and stay well instead!

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  • The Oxygen Advantage – by Patrick McKeown

    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.

    You probably know to breathe through your nose, and use your diaphragm. What else does this book have to offer?

    A lot of the book is aimed at fixing specific problems, and optimizing what can be optimized—including with tips and tricks you may not have encountered before. Yet, the offerings are not bizarre either; we don’t need to learn to breathe through our ears while drinking a glass of water upside down or anything.

    Rather, such simple things as improving one’s VO₂Max by occasionally holding one’s breath while walking briskly. But, he advises specifically, this should be done by pausing the breath halfway through the exhalation (a discussion of the ensuing physiological response is forthcoming).

    Little things like that are woven throughout the book, whose style is mostly anecdotal rather than hard science, yet is consistent with broad scientific consensus in any case.

    Bottom line: if you’ve any reason to think your breathing might be anything less than the best it could possibly be, this book is likely to help you to tweak it to be a little better.

    Click here to check out The Oxygen Advantage, and get yours!

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Related Posts

  • What Flexible Dieting Really Means
  • How Nature Provides Us With A Surprisingly Powerful Painkiller

    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.

    It’s well-known (at least to regular 10almonds-readers) that seeing nature, ideally green leaves and blue sky, improves our mood by stimulating production of serotonin.

    See also: Neurotransmitter Cheatsheet

    But it does a lot more.

    Reducing the actual signals of pain

    Researchers at the University of Vienna have discovered that viewing nature scenes (even if just on video) alleviates physical pain—not just in self-reported subjective assessments, but also by a reduction of the neural activity that signals pain:

    ❝Pain is like a puzzle, made up of different pieces that are processed differently in the brain. Some pieces of the puzzle relate to our emotional response to pain, such as how unpleasant we find it. Other pieces correspond to the physical signals underlying the painful experience, such as its location in the body and its intensity.

    Unlike placebos, which usually change our emotional response to pain, viewing nature changed how the brain processed early, raw sensory signals of pain.

    Thus, the effect appears to be less influenced by participants’ expectations, and more by changes in the underlying pain signals

    This was tested against, varyingly, viewing an urban environment or viewing an indoor environment, neither of which gave the same benefits.

    The setup of the experiment is relevant, so…

    Matching soundscape accompanied each visual stimulus. The three pain runs had a total duration of 9 min each, during which one environment was accompanied by 16 painful and 16 non-painful shocks. Neuroimaging was used for all parts, and participants were exposed to all environments:

    • First, a cue indicating the intensity of the next shock (red = painful, yellow = not painful) was presented for 2000 milliseconds (ms).
    • Second, a variable interval of 3500 ± 1500 ms was shown.
    • Third, a cue indicating the intensity of the shock was presented for 1000 ms, accompanied by an electrical shock with a duration of 500 ms.
    • Fourth, a variable interval of 3500 ± 1500 ms followed.
    • Fifth, after each third trial, participants rated the shock’s intensity and unpleasantness at 6000 ms each.
    • Sixth, each trial ended with an intertrial interval (ITI) presented for 2000 ms.

    They found that as well as the self-assessment reports being as expected (nature scenes reduced subjective experience of pain),

    ❝In summary, the multivoxel and region of interest analyses converged in showing that pain responses when exposed to nature as compared to urban or indoor stimuli were associated with a decrease in neural processes related to lower-level nociception-related features (NPS, thalamus), as well as in regions of descending modulatory circuitry associated with attentional alterations of pain that also encode sensory-discriminative aspects (S2, pINS).

    In other words—to the extent that pain can be quantified objectively by neural imaging—the pain was also objectively reduced, much like with a chemical painkiller.

    You can read the paper in full, here:

    Nature exposure induces analgesic effects by acting on nociception-related neural processing

    How to benefit from this

    Well, first there is the obvious, “view nature“.

    However, note the timescales involved in the testing periods: 2000 milliseconds is two seconds, and that was the intertrial interval used—the equivalent of a washout phase in an interventional trial (but a drug/supplement/diet washout is usually a number of weeks).

    The fact that the test periods were a matter of seconds, and the intertrial period was also literally two seconds, this means:

    It works quickly, and the effect disappears quickly, too.

    In other words: if you want pain relief from nature, the good news is you can get it immediately while viewing nature, and the bad news is that you have to keep viewing nature to continue enjoying the painkilling effect.

    So that’s a limitation, but it’s still clearly a very worthy option for a little respite from chronic pain now and again, for example.

    Want to learn more?

    We’ve written quite a bit about pain management, including:

    Take care!

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  • Is “Extra Virgin” Worth It?

    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.

    It’s Q&A Day at 10almonds!

    Have a question or a request? We love to hear from you!

    In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

    As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

    So, no question/request too big or small

    ❝I was wondering, is the health difference important between extra virgin olive oil and regular?❞

    Assuming that by “regular” you mean “virgin and still sold as a food product”, then there are health differences, but they’re not huge. Or at least: not nearly so big as the differences between those and other oils.

    Virgin olive oil (sometimes simply sold as “olive oil”, with no claims of virginity) has been extracted by the same means as extra virgin olive oil, that is to say: purely mechanical.

    The difference is that extra virgin olive oil comes from the first pressing*, so the free fatty acid content is slightly lower (later checked and validated and having to score under a 0.8% limit for “extra virgin” instead of 2% limit for a mere “virgin”).

    *Fun fact: in Arabic, extra virgin is called “البكر الممتاز“, literally “the amazing first-born”, because of this feature!

    It’s also slightly higher in mono-unsaturated fatty acids, which is a commensurately slight health improvement.

    It’s very slightly lower in saturated fats, which is an especially slight health improvement, as the saturated fats in olive oil are amongst the healthiest saturated fats one can consume.

    On which fats are which:

    The truth about fats: the good, the bad, and the in-between

    And our own previous discussion of saturated fats in particular:

    Can Saturated Fats Be Healthy?

    Probably the strongest extra health-benefit of extra virgin is that while that first pressing squeezes out oil with the lowest free fatty acid content, it squeezes out oil with the highest polyphenol content, along with other phytonutrients:

    Antioxidants in Extra Virgin Olive Oil and Table Olives: Connections between Agriculture and Processing for Health Choices

    If you enjoy olive oil, then springing for extra virgin is worth it if that’s not financially onerous, both for health reasons and taste.

    However, if mere “virgin” is what’s available, it’s no big deal to have that instead; it still has a very similar nutritional profile, and most of the same benefits.

    Don’t settle for less than “virgin”, though.

    While some virgin olive oils aren’t marked as such, if it says “refined” or “blended”, then skip it. These will have been extracted by chemical means and/or blended with completely different oils (e.g. canola, which has a very different nutritional profile), and sometimes with a dash of virgin or extra virgin, for the taste and/or so that they can claim in big writing on the label something like:

    a blend of
    EXTRA VIRGIN OLIVE OIL
    and other oils

    …despite having only a tiny amount of extra virgin olive oil in it.

    Different places have different regulations about what labels can claim.

    The main countries that produce olives (and the EU, which contains and/or directly trades with those) have this set of rules:

    International Olive Council: Designations and definitions of Olive Oils

    …which must be abided by or marketers face heavy fines and sanctions.

    In the US, the USDA has its own set of rules based on the above:

    USDA | Olive Oil and Olive-Pomace Oil Grades and Standards

    …which are voluntary (not protected by law), and marketers can pay to have their goods certified if they want.

    So if you’re in the US, look for the USDA certification or it really could be:

    • What the USDA calls “US virgin olive oil not fit for human consumption”, which in the IOC is called “lamp oil”*
    • crude pomace-oil (oil made from the last bit of olive paste and then chemically treated)
    • canola oil with a dash of olive oil
    • anything yellow and oily, really

    *This technically is virgin olive oil insofar as it was mechanically extracted, but with defects that prevent it from being sold as such, such as having a free fatty acid content above the cut-off, or just a bad taste/smell, or some sort of contamination.

    See also: Potential Health Benefits of Olive Oil and Plant Polyphenols

    (the above paper has a handy infographic if you scroll down just a little)

    Where can I get some?

    Your local supermarket, probably, but if you’d like to get some online, here’s an example product on Amazon for your convenience

    Enjoy!

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  • Body Sculpting with Kettlebells for Women – by Lorna Kleidman

    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.

    For those of us who are more often lifting groceries or pots and pans than bodybuilding trophies, kettlebells provide a way of training functional strength. This book does (as per the title) offer both sides of things—the body sculpting, and thebody maintenance free from pain and injury.

    Kleidman first explains the basics of kettlebell training, and how to get the most from one’s workouts, before discussing what kinds of exercises are best for which benefits, and finally moving on to provide full exercise programs.

    The exercise programs themselves are fairly comprehensive without being unduly detailed, and give a week-by-week plan for getting your body to where you want it to be.

    The style is fairly personal and relaxed, while keeping things quite clear—the photographs are also clear, though if there’s a weakness here, it’s that we don’t get to see which muscles are being worked in the same as we do when there’s an illustration with a different-colored part to show that.

    Bottom line: if you’re looking for an introductory course for kettlebell training that’ll take you from beginner through to the “I now know what I’m doing and can take it from here, thanks” stage.

    Click here to check out Body Sculpting With Kettlebells For Women, and get sculpting!

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