Dietary Changes for Artery Health

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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

❝How does your diet change clean out your arteries of the bad cholesterol?❞

There’s good news and bad news here, and they can both be delivered with a one-word reply:

Slowly.

Or rather: what’s being cleaned out is mostly not the LDL (bad) cholesterol, but rather, the result of that.

When our diet is bad for cardiovascular health, our arteries get fatty deposits on their walls. Cholesterol gets stuck here too, but that’s not the main physical problem.

Our body’s natural defenses come into action and try to clean it up, but they (for example macrophages, a kind of white blood cell that consumes invaders and then dies, before being recycled by the next part of the system) often get stuck and become part of the buildup (called atheroma), which can lead to atherosclerosis and (if calcium levels are high) hardening of the arteries, which is the worst end of this.

This can then require medical attention, precisely because the body can’t remove it very well—especially if you are still maintaining a heart-unhealthy diet, thus continuing to add to the mess.

However, if it is not too bad yet, yes, a dietary change alone will reverse this process. Without new material being added to the arterial walls, the body’s continual process of rejuvenation will eventually fix it, given time (free from things making it worse) and resources.

In fact, your arteries can be one of the quickest places for your body to make something better or worse, because the blood is the means by which the body moves most things (good or bad) around the body.

All the more reason to take extra care of it, since everything else depends on it!

You might also like our previous main feature:

All Things Heart Health

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    • Unlimited Memory – by Kevin Horsley

      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.

      Premise: there are easily learnable techniques to rapidly (and greatly) improve one’s memory. We’ve touched on some of these methods before at 10almonds, but being a newsletter rather than a book, we’ve not been able to go as deeply into it as Horsley!

      Your memory is far, far, far more powerful than you might realize, and this book will help unlock that. To illustrate…

      Some of the book is given over to what are for most purposes “party tricks”, such as remembering pi to 10,000 places. Those things are fun, even if not as practical in today’s world of rarely needing to even know the actual digits of a phone number. However, they do also serve as a good example of just how much of “super memory” isn’t a matter of hard work, so much as being better organized about it.

      Most of the book is focused on practical methods to improve the useful aspects of memory—including common mistakes!

      If the book has any flaw it’s that the first chapter or so is spent persuading the reader of things we presumably already believe, given that we bought the book. For example, that remembering things is a learnable skill and that memory is functionally limitless. However, we still advise to not skip those chapters as they do contain some useful reframes as well.

      Bottom line: if you read this book you will be astonished by how much you just learned—because you’ll be able to recall whole sections in detail! And then you can go apply that whatever areas of your life you wanted to when you bought the book.

      Get your copy of Unlimited Memory from Amazon today!

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    • Vodka vs Beer – Which is Healthier?

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      Our Verdict

      When comparing vodka to beer, we picked the vodka.

      Why?

      As you might have guessed, neither are exactly healthy. But one of them is relatively, and we stress relatively, less bad than the other.

      In the category of nutrients, vodka is devoid of nutrients, and beer has small amounts of some vitamins and minerals—but the amounts are so small, that you would need to drink yourself to death before benefiting from them meaningfully. And while beer gets touted as “liquid bread”, it really isn’t. A thousand years ago it will have been a lot less alcoholic and more carby, but even then, it wasn’t a health product aside from that it provided a way of making potentially contaminated water safer to drink.

      In the category of carbohydrates, vodka nominally has none, due to the distillation process, and beer has some. Glycemic index websites often advise that the GI of beers, wines, and spirits can’t be measured as their carb content is not sufficient to get a meaningful sample, but diabetes research tells a more useful story:

      Any alcoholic drink will generally cause a brief drop in blood sugars, followed by a spike. This happens because the liver prioritises metabolizing alcohol over producing glycogen, so it hits pause on the sugar metabolism and then has a backlog to catch up on. In the case of alcoholic drinks that have alcohol and carbs, this will be more pronounced—so this means that the functional glycemic load of beer is higher.

      That’s a point in favor of vodka.

      Additionally, in terms of the alcohol content, correctly-distilled vodka’s alcohol is pure ethanol, while beer will contain an amount of methanol that will vary per beer, but an illustrative nominal figure could be about 16mg/L. Methanol is more harmful than ethanol.

      So that’s another point in favor of vodka.

      Once again, neither drink is healthy; both are distinctly unhealthy. But unit for unit, beer is the least healthy of the two, making vodka the lesser of two evils.

      Want to learn more?

      You might like to read:

      Take care!

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    • Rapamycin Can Slow Aging By 20% (But Watch Out)

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      Rapamycin’s Pros & Cons

      Rapamycin is generally heralded as a wonderdrug that (according to best evidence so far) can slow down aging, potentially adding decades to human lifespan—and yes, healthspan.

      It comes from a kind of soil bacteria, which in turn comes from the island of Rapa Nui (a Chilean territory best known for its monumental moai statues), hence the name rapamycin.

      Does it work?

      Yes! Probably! With catches!

      Like most drugs that are tested for longevity-inducing properties, research in humans is very slow. Of course for drugs in general, they must go through in vitro and in vivo animal testing first before they can progress to human randomized clinical trials, but for longevity-inducing drugs, it’s tricky to even test in humans, without waiting entire human lifetimes for the results.

      Nevertheless, mouse studies are promising:

      Rapamycin: An InhibiTOR of Aging Emerges From the Soil of Easter Island

      (“Easter Island” is another name given to the island of Rapa Nui)

      That’s not a keysmash in the middle there, it’s a reference to rapamycin’s inhibitory effect on the kinase mechanistic target of rapamycin, sometimes called the mammalian target of rapamycin, and either way generally abbreviated to “mTOR”—also known as “FK506-binding protein 12-rapamycin-associated protein 1” or “FRAP1“ to its friends, but we’re going to stick with “mTOR”.

      What’s relevant about this is that mTOR regulates cell growth, cell proliferation, cell motility, cell survival, protein synthesis, autophagy, and transcription.

      Don’t those words usually get associated with cancer?

      They do indeed! Rapamycin and its analogs have well-demonstrated anti-cancer potential:

      ❝Rapamycin, the naturally occurring inhibitor of mTOR, along with a number of recently developed rapamycin analogs (rapalogs) consisting of synthetically derived compounds containing minor chemical modifications to the parent structure, inhibit the growth of cell lines derived from multiple tumor types in vitro, and tumor models in vivo.

      Results from clinical trials indicate that the rapalogs may be useful for the treatment of subsets of certain types of cancer.❞

      ~ mTOR and cancer therapy

      …and as such, gets used sometimes as an anticancer drug—especially against renal cancer. See also:

      Research perspective: Cancer prevention with rapamycin

      What’s the catch?

      Aside from the fact that its longevity-inducing effects are not yet proven in humans, the mouse models find its longevity effects to be sex-specific, extending the life of male mice but not female ones:

      Rapamycin‐mediated mouse lifespan extension: Late‐life dosage regimes with sex‐specific effects

      One hypothesis about this is that it may have at least partially to do with rapamycin’s immunomodulatory effect, bearing in mind that estrogen is immune-enhancing and testosterone is immunosuppressant.

      And rapamycin? That’s another catch: it is an immunosuppressant.

      This goes in rapamycin’s favor for its use to avoiding rejection when it comes to some transplants (most notably including for kidneys), though the very same immunosuppressant effect is a reason it is contraindicated for certain other transplants (such as in liver or lung transplants), where it can lead to an unacceptable increase in risk of lymphoma and other malignancies:

      Prescribing Information: Rapamune, Sirolimus Solution / Sirolimus Tablet

      (Sirolimus is another name for rapamycin, and Rapamune is a brand name)

      What does this mean for the future?

      Researchers think that rapamycin may be able to extend human lifespan to a more comfortable 120–125 years, but acknowledge there’s quite a jump to get there from the current mouse studies, and given the current drawbacks of sex-specificity and immunosuppression:

      Advances in anti-aging: Rapamycin shows potential to extend lifespan and improve health

      Noteworthily, rapamycin has also shown promise in simultaneously staving off certain diseases associated most strongly with aging, including Alzheimer’s and cardiac disease—or even, starting earlier, to delay menopause, in turn kicking back everything else that has an uptick in risk peri- or post-menopause:

      Effect of Rapamycin in Ovarian Aging (Rapamycin)

      👆 an upcoming study whose results are thus not yet published, but this is to give an idea of where research is currently at. See also:

      Pilot Study Evaluates Weekly Pill to Slow Ovarian Aging, Delay Menopause

      Where can I try it?

      Not from Amazon, that’s for sure!

      It’s still tightly regulated, but you can speak with your physician, especially if you are at risk of cancer, especially if kidney cancer, about potentially being prescribed it as a preventative—they will be able to advise about safety and applicability in your personal case.

      Alternatively, you can try getting your name on the list for upcoming studies, like the one above. ClinicalTrials.gov is a great place to watch out for those.

      Meanwhile, take care!

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      • Enjoy Bitter Foods For Your Heart & Brain

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        When Bitter Is Better

        A good general rule of thumb for “does this food contain a lot of healthy polyphenols?” is:

        “is this (edible) plant bitter/astringent/pungent”?

        If it is, it’s probably rich in polyphenols:

        Deciphering the role of bitter and astringent polyphenols in promoting well-being

        …which is why it’s no surprise that black coffee and bitter chocolate score highly, as do hot peppers and even garlic.

        See also: Our Top 5 Spices: How Much Is Enough For Benefits?

        Even fruits, generally considered something sweet to eat, often contain more polyphenols when they are bitter—many berries are great examples of this!

        Read more: Goji Berries: Which Benefits Do They Really Have?

        You can read more about the science of this here:

        Sensory Nutrition and Bitterness and Astringency of Polyphenols

        Important for multiple reasons (including heart and brain health)

        Polyphenols have many benefits, and they’re most well known for their heart-healthy properties, but their antioxidant effect (and other mechanisms) also means these foods are generally neuroprotectants too:

        A century of research shows eating these compounds can help protect against heart disease and Alzheimer’s

        The science of this is not all as obvious as you might think!

        It is reasonable to expect “ok, this has antioxidant effect, so it will reduce oxidative damage to brain cells too”, and while that is true (and yes, polyphenols do cross the blood-brain barrier), they also help in other ways, including through the gut:

        Where to Look into the Puzzle of Polyphenols and Health? The Postbiotics and Gut Microbiota Associated with Human Metabotypes

        What if I don’t like bitter/astringent/pungent foods?

        If you do not have a medical condition that proscribes them (do check with your doctor if unsure), the best advice is to simply eat them anyway, and your tastes will adapt.

        It will also help if you avoid sweet foods (though this too is also a good general rule of thumb!), as this will move the balance of where your brain’s “set range” is for “good taste”.

        Bonus tip: dark chocolate (80%+ cocoa if possible, 95% if you can get it) and chilli peppers go great with each other. Here’s an example of a chilli chocolate product on Amazon; it’s 70% cocoa (which is not bad, but could be better). You might be able to get a higher percentage locally, especially if you ask your local chocolatière, or make it yourself!

        Enjoy!

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      • From straight to curly, thick to thin: here’s how hormones and chemotherapy can change your hair

        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.

        Head hair comes in many colours, shapes and sizes, and hairstyles are often an expression of personal style or cultural identity.

        Many different genes determine our hair texture, thickness and colour. But some people’s hair changes around the time of puberty, pregnancy or after chemotherapy.

        So, what can cause hair to become curlier, thicker, thinner or grey?

        Curly or straight? How hair follicle shape plays a role

        Hair is made of keratin, a strong and insoluble protein. Each hair strand grows from its own hair follicle that extends deep into the skin.

        Curly hair forms due to asymmetry of both the hair follicle and the keratin in the hair.

        Follicles that produce curly hair are asymmetrical and curved and lie at an angle to the surface of the skin. This kinks the hair as it first grows.

        The asymmetry of the hair follicle also causes the keratin to bunch up on one side of the hair strand. This pulls parts of the hair strand closer together into a curl, which maintains the curl as the hair continues to grow.

        Follicles that are symmetrical, round and perpendicular to the skin surface produce straight hair.

        A diagram shows the hair follicle shape of straight, curly and coiled hair.
        Each hair strand grows from its own hair follicle.
        Mosterpiece/Shutterstock

        Life changes, hair changes

        Our hair undergoes repeated cycles throughout life, with different stages of growth and loss.

        Each hair follicle contains stem cells, which multiply and grow into a hair strand.

        Head hairs spend most of their time in the growth phase, which can last for several years. This is why head hair can grow so long.

        Let’s look at the life of a single hair strand. After the growth phase is a transitional phase of about two weeks, where the hair strand stops growing. This is followed by a resting phase where the hair remains in the follicle for a few months before it naturally falls out.

        The hair follicle remains in the skin and the stems cells grow a new hair to repeat the cycle.

        Each hair on the scalp is replaced every three to five years.

        A woman with curly hair works on her computer.
        Each hair on the scalp is replaced every three to five years.
        Just Life/Shutterstock

        Hormone changes during and after pregnancy alter the usual hair cycle

        Many women notice their hair is thicker during pregnancy.

        During pregnancy, high levels of oestrogen, progesterone and prolactin prolong the resting phase of the hair cycle. This means the hair stays in the hair follicle for longer, with less hair loss.

        A drop in hormones a few months after delivery causes increased hair loss. This is due to all the hairs that remained in the resting phase during pregnancy falling out in a fairly synchronised way.

        Hair can change around puberty, pregnancy or after chemotherapy

        This is related to the genetics of hair shape, which is an example of incomplete dominance.

        Incomplete dominance is when there is a middle version of a trait. For hair, we have curly hair and straight hair genes. But when someone has one curly hair gene and one straight hair gene, they can have wavy hair.

        Hormonal changes that occur around puberty and pregnancy can affect the function of genes. This can cause the curly hair gene of someone with wavy hair to become more active. This can change their hair from wavy to curly.

        Researchers have identified that activating specific genes can change hair in pigs from straight to curly.

        Chemotherapy has very visible effects on hair. Chemotherapy kills rapidly dividing cells, including hair follicles, which causes hair loss. Chemotherapy can also have genetic effects that influence hair follicle shape. This can cause hair to regrow with a different shape for the first few cycles of hair regrowth.

        A woman with wavy hair looks in a mirror
        Your hair can change at different stages of your life.
        Igor Ivakhno/Shutterstock

        Hormonal changes as we age also affect our hair

        Throughout life, thyroid hormones are essential for production of keratin. Low levels of thyroid hormones can cause dry and brittle hair.

        Oestrogen and androgens also regulate hair growth and loss, particularly as we age.

        Balding in males is due to higher levels of androgens. In particular, high dihydrotestosterone (sometimes shortened to DHT), which is produced in the body from testosterone, has a role in male pattern baldness.

        Some women experience female pattern hair loss. This is caused by a combination of genetic factors plus lower levels of oestrogen and higher androgens after menopause. The hair follicles become smaller and smaller until they no longer produce hairs.

        Reduced function of the cells that produce melanin (the pigment that gives our hair colour) is what causes greying.The Conversation

        Theresa Larkin, Associate professor of Medical Sciences, University of Wollongong

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

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      • Thinking of using an activity tracker to achieve your exercise goals? Here’s where it can help – and where it probably won’t

        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 that time of year when many people are getting started on their resolutions for the year ahead. Doing more physical activity is a popular and worthwhile goal.

        If you’re hoping to be more active in 2024, perhaps you’ve invested in an activity tracker, or you’re considering buying one.

        But what are the benefits of activity trackers? And will a basic tracker do the trick, or do you need a fancy one with lots of features? Let’s take a look.

        Why use an activity tracker?

        One of the most powerful predictors for being active is whether or not you are monitoring how active you are.

        Most people have a vague idea of how active they are, but this is inaccurate a lot of the time. Once people consciously start to keep track of how much activity they do, they often realise it’s less than what they thought, and this motivates them to be more active.

        You can self-monitor without an activity tracker (just by writing down what you do), but this method is hard to keep up in the long run and it’s also a lot less accurate compared to devices that track your every move 24/7.

        By tracking steps or “activity minutes” you can ascertain whether or not you are meeting the physical activity guidelines (150 minutes of moderate to vigorous physical activity per week).

        It also allows you to track how you’re progressing with any personal activity goals, and view your progress over time. All this would be difficult without an activity tracker.

        Research has shown the most popular brands of activity trackers are generally reliable when it comes to tracking basic measures such as steps and activity minutes.

        But wait, there’s more

        Many activity trackers on the market nowadays track a range of other measures which their manufacturers promote as important in monitoring health and fitness. But is this really the case? Let’s look at some of these.

        Resting heart rate

        This is your heart rate at rest, which is normally somewhere between 60 and 100 beats per minute. Your resting heart rate will gradually go down as you become fitter, especially if you’re doing a lot of high-intensity exercise. Your risk of dying of any cause (all-cause mortality) is much lower when you have a low resting heart rate.

        So, it is useful to keep an eye on your resting heart rate. Activity trackers are pretty good at tracking it, but you can also easily measure your heart rate by monitoring your pulse and using a stopwatch.

        Heart rate during exercise

        Activity trackers will also measure your heart rate when you’re active. To improve fitness efficiently, professional athletes focus on having their heart rate in certain “zones” when they’re exercising – so knowing their heart rate during exercise is important.

        But if you just want to be more active and healthier, without a specific training goal in mind, you can exercise at a level that feels good to you and not worry about your heart rate during activity. The most important thing is that you’re being active.

        Also, a dedicated heart rate monitor with a strap around your chest will do a much better job at measuring your actual heart rate compared to an activity tracker worn around your wrist.

        Maximal heart rate

        This is the hardest your heart could beat when you’re active, not something you could sustain very long. Your maximal heart rate is not influenced by how much exercise you do, or your fitness level.

        Most activity trackers don’t measure it accurately anyway, so you might as well forget about this one.

        VO₂max

        Your muscles need oxygen to work. The more oxygen your body can process, the harder you can work, and therefore the fitter you are.

        VO₂max is the volume (V) of oxygen (O₂) we could breathe maximally (max) over a one minute interval, expressed as millilitres of oxygen per kilogram of body weight per minute (ml/kg/min). Inactive women and men would have a VO₂max lower than 30 and 40 ml/kg/min, respectively. A reasonably good VO₂max would be mid thirties and higher for women and mid forties and higher for men.

        VO₂max is another measure of fitness that correlates well with all-cause mortality: the higher it is, the lower your risk of dying.

        For athletes, VO₂max is usually measured in a lab on a treadmill while wearing a mask that measures oxygen consumption. Activity trackers instead look at your running speed (using a GPS chip) and your heart rate and compare these measures to values from other people.

        If you can run fast with a low heart rate your tracker will assume you are relatively fit, resulting in a higher VO₂max. These estimates are not very accurate as they are based on lots of assumptions. However, the error of the measurement is reasonably consistent. This means if your VO₂max is gradually increasing, you are likely to be getting fitter.

        So what’s the take-home message? Focus on how many steps you take every day or the number of activity minutes you achieve. Even a basic activity tracker will measure these factors relatively accurately. There is no real need to track other measures and pay more for an activity tracker that records them, unless you are getting really serious about exercise.

        Corneel Vandelanotte, Professorial Research Fellow: Physical Activity and Health, CQUniversity Australia

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

        The Conversation

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