Lifestyle vs Multiple Sclerosis & More

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This is Dr. Saray Stancic. She’s another from the ranks of “doctors who got a serious illness and it completely changed how they view the treatment of serious illness”.

In her case, Stancic was diagnosed with multiple sclerosis, and wasn’t impressed with the results from the treatments offered, so (after 8 years of pain, suffering, and many medications, only for her condition to worsen) she set about doing better with an evidence-based lifestyle medicine approach.

After 7 years of her new approach, she would go on to successfully run a marathon and live symptom-free.

All this to say: her approach isn’t a magic quick fix, but it is a serious method for serious results, and after all, while it’d be nice to be magically in perfect health tomorrow, what’s important is being in good health for life, right?

If you’re interested in her impressive story, check out:

Doctor With Multiple Sclerosis On The Collapse Of US Healthcare

If you want to know what she did, then read on…

Six key lifestyle changes

Dr. Stancic credits her recovery to focus on the following evidence-based approaches:

The plant-centered plate

This is critical, and is the one she places most emphasis on. Most chronic diseases are exacerbated, if not outright caused, by chronic inflammation, and one cannot fix that without an anti-inflammatory diet.

An anti-inflammatory diet doesn’t have to be 100% plant-based, but broadly speaking, plants are almost always anti-inflammatory to a greater or lesser degree, while animal products are often pro-inflammatory—especially red meat and unfermented dairy.

For more details, see:

Anti-Inflammatory Diet 101 (What to Eat to Fight Inflammation)

Movement every day

While “exercise is good for you” is in principle not a shocker, remember that her starting point was being in terrible condition with badly flared-up MS.

Important to understand here is that excessive exercise can weaken the immune system and sometimes cause flare-ups of various chronic diseases.

Moving thoroughly and moving often, however, is best. So walking yes, absolutely, but also don’t neglect the rest of your body, do some gentle bodyweight squats (if you can; if you can’t, work up to them), stretch your arms as well as your legs, take all your joints through a full range of motion.

See also:

The Doctor Who Wants Us To Exercise Less, & Move More

Mindful stress management

Stress in life is unavoidable, but how we manage it is up to us. Bad things will continue to happen, great and small, but we can take a deep breath, remember that those things aren’t the boss of us, and deal with it calmly and conscientiously.

Mindfulness-Based Stress Reduction is of course the evidence-based “gold standard” for this, but whatever (not substance-based) method works for you, works for you!

About MBSR:

No-Frills, Evidence-Based Mindfulness

Good sleeping habits

Getting good sleep can be hard for anyone, let alone if you have chronic pain. However, Dr. Stancic advocates for doing whatever we can to get good sleep—which means not just duration (the famous “7–9 hours”), but also quality.

Learn more:

The 6 Dimensions Of Sleep (And Why They Matter)

Substance intake awareness

This one’s not so much of a “don’t do drugs, kids” as the heading makes it look. Dr. Stancic assumes we already know, for example, that smoking is bad for us in a long list of ways, and alcohol isn’t much better.

However, she also advises us that in our eagerness to do that plant-based diet, we would do better to go for whole foods plant-based, rather than the latest processed meat substitutes, for example.

And supplements? She bids us exercise caution, and to make sure to get good quality, as poor quality supplements can be worse than taking nothing (looking at you, cheap turmeric supplements that contain heavy metals).

And of course, that nutrients gained from diet will almost always be better than nutrients gained from supplements, as our body can usually use them better.

And see also, some commonly-made supplements mistakes:

Do You Know Which Supplements You Shouldn’t Take Together? (10 Pairs!)

Human connection

Lastly, we humans are a social species by evolution; as individuals, we may enjoy relatively more or less social contact, but having access to such is important not just for our mental health, but our physical health too—we will tend to deteriorate much more quickly when we have to deal with everything alone, all other things being equal.

It doesn’t mean you need a busy social life if that’s not in your nature, but it does mean it’s incredibly beneficial to have at least a small number of people that you trust and whose company you enjoy, at least relatively accessible to you (i.e., their life need not revolve around you, but they are the kind of people who will generally happily spend time with you and provide support when needed if they can).

As for how:

How To Beat Loneliness & Isolation

Want to know more from Dr. Stancic?

We recently reviewed this very good book of hers, which goes over each of these six things in much more detail than we have room for here:

What’s Missing from Medicine – by Dr. Saray Stancic

Enjoy!

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  • Do Try This At Home: The 12-Week Brain Fitness Program

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    12 Weeks To Measurably Boost Your Brain

    This is Dr. Majid Fotuhi. From humble beginnings (being smuggled out of Iran in 1980 to avoid death in the war), he went on (after teaching himself English, French, and German, hedging his bets as he didn’t know for sure where life would lead him) to get his MD from Harvard Medical School and his PhD in neuroscience from Johns Hopkins University. Since then, he’s had a decades-long illustrious career in neurology and neurophysiology.

    What does he want us to know?

    The Brain Fitness Program

    This is not, by the way, something he’s selling. Rather, it was a landmark 12-week study in which 127 people aged 60–80, of which 63% female, all with a diagnosis of mild cognitive impairment, underwent an interventional trial—in other words, a 12-week brain fitness course.

    After it, 84% of the participants showed statistically significant improvements in cognitive function.

    Not only that, but of those who underwent MRI testing before and after (not possible for everyone due to practical limitations), 71% showed either no further deterioration of the hippocampus, or actual growth above the baseline volume of the hippocampus (that’s good, and it means functionally the memory center of the brain has been rejuvenated).

    You can read a little more about the study here:

    A Personalized 12-week “Brain Fitness Program” for Improving Cognitive Function and Increasing the Volume of Hippocampus in Elderly with Mild Cognitive Impairment

    As for what the program consisted of, and what Dr. Fotuhi thus recommends for everyone…

    Cognitive stimulation

    This is critical, so we’re going to spend most time on this one—the others we can give just a quick note and a pointer.

    In the study this came in several forms and had the benefit of neurofeedback technology, but he says we can replicate most of the effects by simply doing something cognitively stimulating. Whatever challenges your brain is good, but for maximum effect, it should involve the language faculties of the brain, since these are what tend to get hit most by age-related cognitive decline, and are also what tends to have the biggest impact on life when lost.

    If you lose your keys, that’s an inconvenience, but if you can’t communicate what is distressing you, or understand what someone is explaining to you, that’s many times worse—and that kind of thing is a common reality for many people with dementia.

    To keep the lights brightly lit in that part of the brain: language-learning is good, at whatever level suits you personally. In other words: there’s a difference between entry-level Duolingo Spanish, and critically analysing Rumi’s poetry in the original Persian, so go with whatever is challenging and/but accessible for you—just like you wouldn’t go to the gym for the first time and try to deadlift 500lbs, but you also probably wouldn’t do curls with the same 1lb weights every day for 10 years.

    In other words: progressive overloading is key, for the brain as well as for muscles. Start easy, but if you’re breezing through everything, it’s time to step it up.

    If for some reason you’re really set against the idea of learning another language, though, check out:

    Reading As A Cognitive Exercise ← there are specific tips here for ensuring your reading is (and remains) cognitively beneficial

    Mediterranean diet

    Shocking nobody, this is once again recommended. You might like to check out the brain-healthy “MIND” tweak to it, here:

    Four Ways To Upgrade The Mediterranean Diet ← it’s the fourth one

    Omega-3 supplementation

    Nothing complicated here. The brain needs a healthy balance of these fatty acids to function properly, and most people have an incorrect balance (too little omega-3 for the omega-6 present):

    What Omega-3 Fatty Acids Really Do For Us ← scroll to “against cognitive decline”

    Increasing fitness

    There’s a good rule of thumb: what’s healthy for your heart, is healthy for your brain. This is because, like every other organ in your body, the brain does not function well without good circulation bringing plenty of oxygen and nutrients, which means good cardiovascular health is necessary. The brain is extra sensitive to this because it’s a demanding organ in terms of how much stuff it needs delivering via blood, and also because of the (necessary; we’d die quickly and horribly without it) impediment of the blood-brain barrier, and the possibility of beta-amyloid plaques and similar woes (they will build up if circulation isn’t good).

    How To Reduce Your Alzheimer’s Risk ← number two on the list here

    Practising mindfulness medication

    This is also straightforward, but not to be underestimated or skipped over:

    No-Frills, Evidence-Based Mindfulness

    Want to step it up? Check out:

    Meditation Games That You’ll Actually Enjoy

    Lastly…

    Dr. Fotuhi wants us to consider looking after our brain the same way we look after our teeth. No, he doesn’t want us to brush our brain, but he does want us to take small measurable actions multiple times per day, every day.

    You can’t just spend the day doing nothing but brushing your teeth for the entirety of January the 1st and then expect them to be healthy for the rest of the year; it doesn’t work like that—and it doesn’t work like that for the brain, either.

    So, make the habits, and keep them going

    Take care!

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  • Unleashing My Superpowers – by Dr. Patience Mpofu

    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.

    Dr. Patience Mpofu is on a mission to provide women and girls with the inside-information, knowledge, resources, and strategies to break through the glass ceiling. She writes from her experience in STEM, but her lessons are applicable in any field.

    Her advices range from the internal (how to deal with imposter syndrome) to the external (how to overcome cultural biases); she also explains and illustrates the importance of both role models and mentors.

    While a lot of the book is half instruction manual, half memoir of her incredible life and career (to illustrate her points), and is well-worth reading—and/or perhaps worth gifting to a girl you know with ambitions in STEM?

    Grab a copy of Unleashing My Superpowers now!

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  • Trout vs Haddock – Which is Healthier?

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    Our Verdict

    When comparing trout to haddock, we picked the trout.

    Why?

    It wasn’t close.

    In terms of macros, trout has more protein and more fat, although the fat is mostly healthy (some saturated though, and trout does have more cholesterol). This category could be a win for either, depending on your priorities. But…

    When it comes to vitamins, trout has a lot more of vitamins A, B1, B2, B3, B5, B6, B12, C, D, and E, while haddock is not higher in any vitamins.

    In the category of minerals, trout has more calcium, copper, iron, magnesium, potassium, and zinc, while haddock has slightly more selenium. Given that a 10oz portion of trout already contains 153% of the RDA of selenium, however, the same size portion of haddock having 173% of the RDA isn’t really a plus for haddock (especially as selenium can cause problems if we get too much). Oh, and haddock is also higher in sodium, but in industrialized countries, most people most of the time need less of that, not more.

    On balance, the overwhelming nutritional density of trout wins the day.

    Want to learn more?

    You might like to read:

    Farmed Fish vs Wild Caught: It Makes Quite A Difference!

    Take care!

    Share This Post

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    Inositol Does-It-Ol’!

    First things first, a quick clarification up-front:

    Myo-inositol or D-chiro-inositol?

    We’re going to be talking about inositol today, which comes in numerous forms, but most importantly:

    • Myo-inositol (myo-Ins)
    • D-chiro-inositol (D-chiro-Ins)

    These are both inositol, (a sugar alcohol!) and for our purposes today, the most relevant form is myo-inositol.

    The studies we’ll look at today are either:

    • just about myo-inositol, or
    • about myo-inositol in the presence of d-chiro-inositol at a 40:1 ratio.

    You have both in your body naturally; wherever supplementation is mentioned, it means supplementing with either:

    • extra myo-inositol (because that’s the one the body more often needs more of), or
    • both, at the 40:1 ratio that we mentioned above (because that’s one way to help balance an imbalanced ratio)

    With that in mind…

    Inositol against diabetes?

    Inositol is known to:

    • decrease insulin resistance
    • increase insulin sensitivity
    • have an important role in cell signaling
    • have an important role in metabolism

    The first two things there both mean that inositol is good against diabetes. It’s not “take this and you’re cured”, but:

    • if you’re pre-diabetic it may help you avoid type 2 diabetes
    • if you are diabetic (either type) it can help in the management of your diabetes.

    It does this by allowing your body to make better use of insulin (regardless of whether that insulin is from your pancreas or from the pharmacy).

    How does it do that? Research is still underway and there’s a lot we don’t know yet, but here’s one way, for example:

    ❝Evidence showed that inositol phosphates might enhance the browning of white adipocytes and directly improve insulin sensitivity through adipocytes❞

    Read: Role of Inositols and Inositol Phosphates in Energy Metabolism

    We mentioned its role in metabolism in a bullet-point above, and we didn’t just mean insulin sensitivity! There’s also…

    Inositol for thyroid function?

    The thyroid is one of the largest endocrine glands in the body, and it controls how quickly the body burns energy, makes proteins, and how sensitive the body should be to other hormones. So, it working correctly or not can have a big impact on everything from your mood to your weight to your energy levels.

    How does inositol affect thyroid function?

    • Inositol has an important role in thyroid function and dealing with autoimmune diseases.
    • Inositol is essential to produce H2O2 (yes, really) required for the synthesis of thyroid hormones.
    • Depletion of inositol may lead to the development of some thyroid diseases, such as hypothyroidism.
    • Inositol supplementation seems to help in the management of thyroid diseases.

    Read: The Role of Inositol in Thyroid Physiology and in Subclinical Hypothyroidism Management

    Inositol for PCOS?

    A systematic review published in the Journal of Gynecological Endocrinology noted:

    • Inositol can restore spontaneous ovarian activity (and consequently fertility) in most patients with PCOS.
    • Myo-inositol is a safe and effective treatment to improve:
      • ovarian function
      • healthy metabolism
      • healthy hormonal balance

    While very comprehensive (which is why we included it here), that review’s a little old, so…

    Check out this cutting edge (Jan 2023) study whose title says it all:

    Inositol is an effective and safe treatment in polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials

    Inositol for fertility?

    Just last year, Mendoza et al published that inositol supplementation, together with antioxidants, vitamins, and minerals, could be an optimal strategy to improve female fertility.

    This built from Gambiole and Forte’s work, which laid out how inositol is a safe compound for many issues related to fertility and pregnancy. In particular, several clinical trials demonstrated that:

    • inositol can have therapeutic effects in infertile women
    • inositol can also be useful as a preventive treatment during pregnancy
    • inositol could prevent the onset of neural tube defects
    • inositol also reduces the occurrence of gestational diabetes

    Due to the safety and efficiency of inositol, it can take the place of many drugs that are contraindicated in pregnancy. Basically: take this, and you’ll need fewer other drugs. Always a win!

    Read: Myo-Inositol as a Key Supporter of Fertility and Physiological Gestation

    Inositol For Weight Loss

    We promised you “this alcohol sugar can reduce your BMI”, and we weren’t making it up!

    Zarezadeh et al conducited a very extensive systematic review, and found:

    • Oral inositol supplementation has positive effect on BMI reduction.
    • Inositol in the form of myo-inositol had the strongest effect on BMI reduction.
    • Participants with PCOS and/or who were overweight, experienced the most significant improvement of all.

    Want some inositol?

    As ever, we don’t sell it (or anything else), but for your convenience, here’s myo-inositol and d-chiro-inositol at a 40:1 ratio, available on Amazon!

    Don’t Forget…

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

    Learn to Age Gracefully

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  • Beetroot vs Carrot – 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 beetroot to carrot, we picked the carrot.

    Why?

    It was close! And beetroot does have its advantages, but we say carrot wins on balance.

    In terms of macros, these two root vegetables are close to identical, down to both having 9.57g carbs per 100g, and 2.8g fiber per 100g. Technically, beetroot has a smidgen more protein, but nobody’s eating these for their tiny protein content.

    When it comes to vitamins, it’s not close and the margins are mostly huge: carrots have a lot more of vitamins A, B1, B2, B3, B5, B6, C, E, K, and choline, while beetroot has more vitamin B9.

    In the category of minerals, superficially it swings the other way, but the margins this time are small. Nevertheless, beetroot has more copper, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc, while carrots have more calcium.

    This would make things, on balance, a tie: equal on macros, carrots win on vitamins, beetroot wins on minerals.

    But because of the relative margins of difference, carrots win the day, because they’re almost as good as beetroot on those minerals, whereas beetroot doesn’t come close to carrot on the vitamins.

    Want to learn more?

    You might like to read:

    From Apples to Bees, and high-fructose C’s: Which Sugars Are Healthier, And Which Are Just The Same?

    Take care!

    Don’t Forget…

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  • Water Bath + More Cookbook for Beginners – by Sarah Roslin

    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.

    Whether you want to be prepared for the next major crisis that shuts down food supply chains, or just learn a new skill, this book provides the tools!

    Especially beneficial if you also grow your own vegetables, but even you just buy those… Home-canned food is healthy, contains fewer additives and preservatives, and costs less in the long run.

    Roslin teaches an array of methods, including most importantly:

    1. fermentation and pickling
    2. water bath canning, and
    3. pressure canning.

    As for what’s inside? She covers not just vegetables, but also fruit, seafood, meat… Basically, anything that can be canned.

    The book explains the tools and equipment you will need as well as how to perform it safely—as well as common mistakes to avoid!

    Lest we be intimidated by the task of acquiring appropriate equipment, she also walks us through what we’ll need in that regard too!

    Last but not least, there’s also a (sizeable) collection of simple, step-by-step recipes, catering to a wide variety of tastes.

    Bottom line: a highly valuable resource that we recommend heartily.

    Get your copy of “Water Bath + Pressure Canning & Preserving Cookbook for Beginners” from Amazon today!

    Don’t Forget…

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    Learn to Age Gracefully

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