Tourette’s Syndrome Treatment Options

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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

❝Is there anything special that might help someone with Tourette’s syndrome?❞

There are of course a lot of different manifestations of Tourette’s syndrome, and some people’s tics may be far more problematic to themselves and/or others, while some may be quite mild and just something to work around.

It’s an interesting topic for sure, so we’ll perhaps do a main feature (probably also covering the related-and-sometimes-overlapping OCD umbrella rather than making it hyperspecific to Tourette’s), but meanwhile, you might consider some of these options:

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    • Why You Should Diversify Your Nuts!

      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.

      Time to go nuts for nuts!

      Nuts, in popular perception, range from “basically the healthiest food anyone can eat” to “basically high calorie salty snacks”. And, they can be either!

      Some notes, then:

      • Raw is generally better that not
      • Dry roasted is generally better than the kind with added oils
      • Added salt is neither necessary nor good

      Quick tip: if “roasted salted” are the cheapest or most convenient to buy, you can at least mitigate that by soaking them in warm water for 5 minutes, before rinsing and (if you don’t want wet nuts) drying.

      You may be wondering: who does want wet nuts? And the answer is, if for example you’re making a delicious cashew and chickpea balti, the fact you didn’t dry them before throwing them in won’t make a difference.

      Now, let’s do a quick run-down; we don’t usually do “listicles” but it seemed a good format here, so we’ve picked a top 5 for nutritional potency:

      Almonds

      We may have a bias. We accept it. But almonds are also one of the healthiest nuts around, and generally considered by most popular metrics the healthiest.

      Not only are they high in protein, healthy fat, fiber, vitamins, and minerals, but they’re even a natural prebiotic that increases the populations of healthy gut bacteria, while simultaneously keeping down the populations of gut pathogens—what more can we ask of a nut?

      Read more: Prebiotic effects of almonds and almond skins on intestinal microbiota in healthy adult humans

      Pistachios

      Not only are these super tasty and fun to eat (and mindful eating is all but guaranteed, as shelling them by hand slows us down and makes us more likely to eat them one at a time rather than by the handful), but also they contain lots of nutrients and are lower in calories than most nuts, so they’re a great option for anyone who’d like to eat more nuts but is doing a calorie-controlled diet and doesn’t want to have half a day’s calories in a tiny dish of nuts.

      See: Effects of Pistachio Consumption in a Behavioral Weight Loss Intervention on Weight Change, Cardiometabolic Factors, and Dietary Intake

      Walnuts

      Popularly associated with brain health (perhaps easy to remember because of their appearance), they really are good for the brain:

      Check it out: Beneficial Effects of Walnuts on Cognition and Brain Health

      Cashews

      A personal favorite of this writer for their versatility in cooking, food prep, or just as a snack, they also do wonders for metabolic health:

      Learn more: The Effect of Cashew Nut on Cardiovascular Risk Factors and Blood Pressure: A Systematic Review and Meta-analysis

      Brazil nuts

      The most exciting thing about these nuts is that they’re an incredibly potent source of selenium, which is important not just for hair/skin/nails as popularly marketed, but also for thyroid hormone production and DNA synthesis.

      But don’t eat too many, because selenium is definitely one of those “you can have too much of a good thing” nutrients, and selenium poisoning can make your hair (however beautiful and shiny it got because of the selenium) fall out if you take too much.

      Know the numbers: Brazil nuts and selenium—health benefits and risks

      Bottom line on nuts:

      • Nuts are a great and healthful part of almost anyone’s diet
        • Obviously, if you have a nut allergy, then we’re sorry; this one won’t have helped you so much
      • Almonds are one of the most healthful nuts out there
      • Brazil nuts are incredibly potent, to the point where moderation is recommended
      • A handful of mixed nuts per day is a very respectable option—when it comes to food and health, diversity is almost always good!

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    • The Anti-Stress Herb That Also Fights Cancer

      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.

      What does Rhodiola rosea actually do, anyway?

      Rhodiola rosea (henceforth, “rhodiola”) is a flowering herb whose roots have adaptogenic properties.

      In the cold, mountainous regions of Europe and Asia where it grows, it has been used in herbal medicine for centuries to alleviate anxiety, fatigue, and depression.

      What does the science say?

      Well, let’s just say the science is more advanced than the traditional use:

      ❝In addition to its multiplex stress-protective activity, Rhodiola rosea extracts have recently demonstrated its anti-aging, anti-inflammation, immunostimulating, DNA repair and anti-cancer effects in different model systems❞

      ~ Li et al. (2017)

      Nor is how it works a mystery, as the same paper explains:

      ❝Molecular mechanisms of Rhodiola rosea extracts’s action have been studied mainly along with one of its bioactive compounds, salidroside. Both Rhodiola rosea extracts and salidroside have contrasting molecular mechanisms on cancer and normal physiological functions.

      For cancer, Rhodiola rosea extracts and salidroside inhibit the mTOR pathway and reduce angiogenesis through down-regulation of the expression of HIF-1α/HIF-2α.

      For normal physiological functions, Rhodiola rosea extracts and salidroside activate the mTOR pathway, stimulate paracrine function and promote neovascularization by inhibiting PHD3 and stabilizing HIF-1α proteins in skeletal muscles❞

      ~ Ibid.

      And, as for the question of “do the supplements work?”,

      ❝In contrast to many natural compounds, salidroside is water-soluble and highly bioavailable via oral administration❞

      ~ Ibid.

      And as to how good it is:

      ❝Rhodiola rosea extracts and salidroside can impose cellular and systemic benefits similar to the effect of positive lifestyle interventions to normal physiological functions and for anti-cancer❞

      ~ Ibid.

      Source: Rhodiola rosea: anti-stress, anti-aging, and immunostimulating properties for cancer chemoprevention

      But that’s not all…

      We can’t claim this as a research review if we only cite one paper (even if that paper has 144 citations of its own), and besides, it didn’t cover all the benefits yet!

      Let’s first look at the science for the “traditional use” trio of benefits:

      When you read those, what are your first thoughts?

      Please don’t just take our word for things! Reading even just the abstracts (summaries) at the top of papers is a very good habit to get into, if you don’t have time (or easy access) to read the full text.

      Reading the abstracts is also a very good way to know whether to take the time to read the whole paper, or whether it’s better to skip onto a different one.

      • Perhaps you noticed that the paper we cited for anxiety was quite a small study.
        • The fact is, while we found mountains of evidence for rhodiola’s anxiolytic (antianxiety) effects, they were all small and/or animal studies. So we picked a human study and went with it as illustrative.
      • Perhaps you noticed that the paper we cited for fatigue pertained mostly to stress-related fatigue.
        • This, we think, is a feature not a bug. After all, most of us experience fatigue because of the general everything of life, not because we just ran a literal marathon.
      • Perhaps you noticed that the paper we cited for depression said it didn’t work as well as sertraline (a very common pharmaceutical SSRI antidepressant).
        • But, it worked almost as well and it had far fewer adverse effects reported. Bear in mind, the side effects of antidepressants are the reason many people avoid them, or desist in taking them. So rhodiola working almost as well as sertraline for far fewer adverse effects, is quite a big deal!

      Bonus features

      Rhodiola also putatively offers protection against Alzheimer’s disease, Parkinson’s disease, and cerebrovascular disease in general:

      Rosenroot (Rhodiola): Potential Applications in Aging-related Diseases

      It may also be useful in the management of diabetes (types 1 and 2), but studies so far have only been animal studies, and/or in vitro studies. Here are two examples:

      1. Antihyperglycemic action of rhodiola-aqeous extract in type 1 diabetic rats
      2. Evaluation of Rhodiola crenulata and Rhodiola rosea for management of type 2 diabetes and hypertension

      How much to take?

      Dosages have varied a lot in studies. However, 120mg/day seems to cover most bases. It also depends on which of rhodiola’s 140 active compounds a particular benefit depends on, though salidroside and rosavin are the top performers.

      Where to get it?

      As ever, we don’t sell it (or anything else) but here’s an example product on Amazon.

      Enjoy!

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    • You’re Not Forgetful: How To Remember Everything

      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.

      Elizabeth Filips, medical student busy learning a lot of information, explains how in today’s video:

      Active processing

      An important thing to keep in mind is that forgetting is an active process, not passive as once believed. It has its own neurotransmitters and pathways, and as such, to improve memory, it’s essential to understand and manage forgetting.

      So, how does forgetting occur? Memories are stored with cues or tags, which help retrieve information. However, overloading cues with too much information can cause “transient forgetting”—that is to say, the information is still in there somewhere; you just don’t have the filing system required to retrieve the data. This is the kind of thing that you will try hard to remember at some point in the day when you need it, fail, and then wake up at 3am with an “Aha!” because your brain finally found what you were looking for. So, to avoid that, use unique and strong cues to help improve recall (mnemonics are good for this, as are conceptual anchors).

      While memory does not appear to actually be finite, there is some practical truth in the “finite storage” model insofar as learning new information can overwrite previous knowledge, iff your brain mistakes it for an update rather than addition. So for that reason, it’s good to periodically go over old information—in psychology this is called rehearsal, which may conjure theatrical images, but it can be as simple as mentally repeating a phone number, a mnemonic, or visually remembering a route one used to take to go somewhere.

      Self-perception affects memory performance. Negative beliefs about one’s memory can worsen performance (so don’t say “I have a bad memory”, even to yourself, and in contrast, find more positive affirmations to make about your memory), and mental health in general plays a significant role in memory. For example, if you have ever had an extended period of depression, then chances are good you have some huge gaps in your memory for that time in your life.

      A lot of what we learned in school was wrong—especially what we learned about learning. Traditional (vertical) learning is harder to retain, whereas horizontal learning (connecting topics through shared characteristics) creates stronger, interconnected memories. In short, your memories should tell contextual stories, not be isolated points of data.

      Embarking on a new course of study? Yes? (If not, then why not? Pick something!)

      It may be difficult at first, but experts memorize things more quickly due to built-up intuition in their field. For example a chess master can glance at a chess board for about 5 seconds and memorize the position—but only if the position is one that could reasonably arise in a game; if the pieces are just placed at random, then their memorization ability plummets to that of the average person, because their expertise has been nullified.

      What this means in practical terms: building a “skeleton” framework before learning can enhance memorization through logical connections. For this reason, if embarking on a serious course of study, getting a good initial overview when you start is critical, so that you have a context for the rest of what you learn to go into. For example, let’s say you want to learn a language; if you first quickly do a very basic bare-bones course, such as from Duolingo or similar, then even though you’ll have a very small vocabulary and a modest grasp of grammar and make many mistakes and have a lot of holes in your knowledge, you now have somewhere to “fit” every new word or idea you learn. Same goes for other fields of study; for example, a doctor can be told about a new drug and remember everything about it immediately, because they understand the systems it interacts with, understand how it does what it does, and can compare it mentally to similar drugs, and they thus have a “place” in that overall system for the drug information to reside. But for someone who knows nothing about medicine, it’s just a lot of big words with no meaning. So: framework first, details later.

      For more on all this, enjoy:

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

      Want to learn more?

      You might also like to read:

      How To Boost Your Memory Immediately (Without Supplements)

      Take care!

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    Related Posts

      • Why are tall people more likely to get cancer? What we know, don’t know and suspect

        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 who are taller are at greater risk of developing cancer. The World Cancer Research Fund reports there is strong evidence taller people have a higher chance of of developing cancer of the:

        • pancreas
        • large bowel
        • uterus (endometrium)
        • ovary
        • prostate
        • kidney
        • skin (melanoma) and
        • breast (pre- and post-menopausal).

        But why? Here’s what we know, don’t know and suspect.

        Pexels/Andrea Piacquadio
        A tall woman and her partner are silhoutted against the sunset.
        Height does increase your cancer risk – but only by a very small amount. Christian Vinces/Shutterstock

        A well established pattern

        The UK Million Women Study found that for 15 of the 17 cancers they investigated, the taller you are the more likely you are to have them.

        It found that overall, each ten-centimetre increase in height increased the risk of developing a cancer by about 16%. A similar increase has been found in men.

        Let’s put that in perspective. If about 45 in every 10,000 women of average height (about 165 centimetres) develop cancer each year, then about 52 in each 10,000 women who are 175 centimetres tall would get cancer. That’s only an extra seven cancers.

        So, it’s actually a pretty small increase in risk.

        Another study found 22 of 23 cancers occurred more commonly in taller than in shorter people.

        Why?

        The relationship between height and cancer risk occurs across ethnicities and income levels, as well as in studies that have looked at genes that predict height.

        These results suggest there is a biological reason for the link between cancer and height.

        While it is not completely clear why, there are a couple of strong theories.

        The first is linked to the fact a taller person will have more cells. For example, a tall person probably has a longer large bowel with more cells and thus more entries in the large bowel cancer lottery than a shorter person.

        Scientists think cancer develops through an accumulation of damage to genes that can occur in a cell when it divides to create new cells.

        The more times a cell divides, the more likely it is that genetic damage will occur and be passed onto the new cells.

        The more damage that accumulates, the more likely it is that a cancer will develop.

        A person with more cells in their body will have more cell divisions and thus potentially more chance that a cancer will develop in one of them.

        Some research supports the idea having more cells is the reason tall people develop cancer more and may explain to some extent why men are more likely to get cancer than women (because they are, on average, taller than women).

        However, it’s not clear height is related to the size of all organs (for example, do taller women have bigger breasts or bigger ovaries?).

        One study tried to assess this. It found that while organ mass explained the height-cancer relationship in eight of 15 cancers assessed, there were seven others where organ mass did not explain the relationship with height.

        It is worth noting this study was quite limited by the amount of data they had on organ mass.

        A tall older man leans against a wall while his bicycle is parked nearby.
        Is it because tall people have more cells? Halfpoint/Shutterstock

        Another theory is that there is a common factor that makes people taller as well as increasing their cancer risk.

        One possibility is a hormone called insulin-like growth factor 1 (IGF-1). This hormone helps children grow and then continues to have an important role in driving cell growth and cell division in adults.

        This is an important function. Our bodies need to produce new cells when old ones are damaged or get old. Think of all the skin cells that come off when you use a good body scrub. Those cells need to be replaced so our skin doesn’t wear out.

        However, we can get too much of a good thing. Some studies have found people who have higher IGF-1 levels than average have a higher risk of developing breast or prostate cancer.

        But again, this has not been a consistent finding for all cancer types.

        It is likely that both explanations (more cells and more IGF-1) play a role.

        But more research is needed to really understand why taller people get cancer and whether this information could be used to prevent or even treat cancers.

        I’m tall. What should I do?

        If you are more LeBron James than Lionel Messi when it comes to height, what can you do?

        Firstly, remember height only increases cancer risk by a very small amount.

        Secondly, there are many things all of us can do to reduce our cancer risk, and those things have a much, much greater effect on cancer risk than height.

        We can take a look at our lifestyle. Try to:

        • eat a healthy diet
        • exercise regularly
        • maintain a healthy weight
        • be careful in the sun
        • limit alcohol consumption.

        And, most importantly, don’t smoke!

        If we all did these things we could vastly reduce the amount of cancer.

        You can also take part in cancer screening programs that help pick up cancers of the breast, cervix and bowel early so they can be treated successfully.

        Finally, take heart! Research also tells us that being taller might just reduce your chance of having a heart attack or stroke.

        Susan Jordan, Associate Professor of Epidemiology, The University of Queensland and Karen Tuesley, Postdoctoral Research Fellow, School of Public Health, The University of Queensland

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

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      • Speedy Easy Ratatouille

        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 contributing factors to unhealthy eating? The convenience factor. To eat well, it seems, one must have at least two of the following: money, time, and skill. So today we have a health dish that’s cheap, quick, and easy!

        (You won’t need a rat in a hat to help you with this one)

        You will need

        • 3 ripe tomatoes, roughly chopped
        • 2 zucchini, halved and chopped into thick batons
        • 2 portobello mushrooms, sliced into ½” slices
        • 1 large red pepper, cut into thick chunks
        • 3 tbsp extra virgin olive oil
        • 2 tbsp finely chopped parsley
        • 2 tsp garlic paste
        • 1 tsp red chili flakes
        • 1 tsp dried thyme
        • 1 tsp black pepper
        • Optional: 1 tsp MSG, or 1 tsp low sodium salt (the MSG is the healthier option as it contains less sodium than even low sodium salt)
        • Optional: other vegetables, chopped. Use what’s in your fridge! This is a great way to use up leftovers. Particularly good options include chopped eggplant, chopped red onion, and/or chopped carrot.

        Method

        (we suggest you read everything at least once before doing anything)

        1) Put the olive oil into a sauté pan and set the heat on medium. When hot but smoking, add the mushrooms and any optional vegetables (but not the others from the list yet), and fry for 5 minutes.

        2) Add the garlic, followed by the zucchini, red pepper, chili flakes, and thyme; stir periodically (you shouldn’t have to stir constantly) for 10 minutes.

        3) Add the tomatoes and a cup of water to the pan, along with any MSG/salt. Cover with the lid and allow to simmer for a further 10 minutes.

        4) Serve, adding the garnish.

        Enjoy!

        Want to learn more?

        For those interested in some of the science of what we have going on today:

        Take care!

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      • Why Do We Have Pores, And Could We Not?

        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

        ❝Do we really need pores, and why are they bigger on the face?❞

        Pores secrete sweat or sebum (there are different kinds of pores for each).

        If we didn’t have sweat pores, we’d be unable to sweat, which superficially may seem like a bonus, but it’d make us prone to overheating (like dogs, pigs, and other mammals that cannot sweat).

        If we didn’t have sebum pores (usually called hair follicles, which are supplied by a sebaceous gland), we’d be completely hairless, and also unable to supply our skin with natural oils that keep it healthy. So we’d have no hair and very unhappy skin.

        Which is ironic, because to believe beauty magazines, we must at all costs minimize our pores (and indeed, interventions like botox* can kill them).

        *Let’s give that its full name though:

        Botulinum Neurotoxin Type A in the Treatment of Facial Seborrhea and Acne: Evidence and a Proposed Mechanism

        Suffice it to say, we do not recommend getting injected with neurotoxins unless it is truly necessary to ward off a greater harm.

        As for being bigger on the face, they need not be, but sebaceous glands are more active and numerous there, being most active and numerous in the face/forehead—which is why oily skin is more likely to appear there than other parts of the body.

        If your facial sebaceous glands are too active for your liking…

        …there are ways to reduce that, a simple and relatively gentle way (relative, for example, botox) is with retinoids, including retinols or retinoic acids. Here’s some of the science of that; the paper is about treating acne, but the mechanism of action is the same (down-regulating the sebaceous glands’ action):

        The treatment of severe cystic acne with 13-cis-retinoic acid: evaluation of sebum production and the clinical response in a multiple-dose trial

        The potential side-effects, however were noted as:

        • Cheilitis
        • Desquamation of the skin
        • Pruritus

        Which, in translation from sciencese, means:

        • Chapped lips
        • Flaky skin
        • Itchiness

        Which aren’t necessarily fun, which is why with retinoids are best taken in very small doses at first to see how your skin reacts.

        Remember when we said what your skin would be like without pores? This is what would happen, only much worse.

        Take care!

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        Did you arrive here from our newsletter? Don’t forget to return to the email to continue learning!

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