
Chest Pain When Exercising Or Breathing Deeply?
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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!
No question/request too big or small 😎
❝It the same things always about eating the right foods that’s good for and bad for you. I have Costochondritis anything new about that??❞
First, for everyone else: costochondritis is a (usually painful) inflammation of the rib joints. The symptoms are often made acutely worse by exercise and/or poor posture, and breathing deeply can also trigger pain because that means taking the rib joints through their broadest range of motion.
Now, to answer the question…
Thank you for asking! The short answer is: nothing much, no
Isn’t it annoying when some things just go so under-researched?
In the case of costochondritis, this year (at time of writing) there have been:
- 9 papers published that used the word “costochondritis”
- 8 of those were about other things and just happened to mention costochondritis, in such contexts as “initially mistaken for” or as a minor aspect of the actual topic of the paper (e.g. a paper about public attitudes to rheumatology, or the case study of a very unlucky woman who had a lot of cancers and also, incidentally, costochondritis).
- 1 actually pertained to costochondritis, but is unlikely to be helpful to you.
That latter was about pediatric costochondritis, and given the average age of our readership, we will guess you are probably not a child.
In any case, that one paper did find that deficiencies in vitamins B9 and D were associated with pediatric costchondritis.
You can read about it here: Low vitamin D and folate levels are associated with costochondritis: a retrospective cross-sectional study on children with impaired bone health
What can be done?
Well, based on the above, you might want to make sure you’re getting enough of vitamins B9 and D.
It may or may not be a causal or even contributory factor in adults (and to be honest, it’s not even proven as such in children; it’s just an association), but since you do need those vitamins anyway, you might as well.
Aside from that, doctors’ preferred treatment approaches to costochondritis are usually, in this order:
- Hope it goes away by itself
- Painkillers, starting with the common kinds (ibuprofen etc) and switching to others if necessary
- Massage therapy (you might want to see a physiotherapist about this, if you haven’t already)
- Injections of more “heavy guns” treatments such as corticosteroids (a last resort vs inflammation) or local anesthetics (a last resort vs pain)
- Surgery—with the caveat that we haven’t found any reference to this aside from that one case study we mentioned about the unlucky woman with all the cancers; in her case, after multiple breast cancers, chemo, surgeries, and cancer meds, she got costochondritis and also an ulcer; they operated to do reconstruction (again) and then she died not long after. You can read her story here.
But, please do not let that case study worry you unduly. It was an extreme case in someone with recurrent cancers, and it happened the way it did because of the chemotherapy and cancer meds.
Aside from all that, since it’s an inflammatory condition, you might consider doing these things if you’re not already: How to Prevent (or Reduce) Inflammation
What else could it be?
We will assume that you, dear reader who asked this question, have received adequate professional medical attention and are confident that your costochondritis is indeed costochondritis and not something else.
Nevertheless, for everyone in general, it’s worth mentioning that chest pains can be anything from heartburn to heart attacks; here are some pointers for the milder things:
Sudden Chest Tightness at Midnight: When to Wait It Out
And as for the worst case scenario:
How To Survive A Heart Attack When You’re Alone
Take care!
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The Galveston Diet – by Dr. Mary Claire Haver
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We’ve previously reviewed “It’s Not You, It’s Your Hormones” by nutritionist Nikki Williams, and noted at the time that it was very similar to the bestselling “The Galveston Diet”, not just in its content but all the way down its formatting. Some Amazon reviewers have even gone so far as to suggest that “It’s Not You, It’s Your Hormones” (2017) brazenly plagiarized “The Galveston Diet” (2023). However, after carefully examining the publication dates, we feel quite confident that the the earlier book did not plagiarize the later one.
Of course, we would not go so far as to make a counter-accusation of plagiarism the other way around; it was surely just a case of Dr. Haver having the same good ideas 6 years later.
Still, while the original book by Nikki Williams did not get too much international acclaim, the later one by Dr. Mary Claire Haver has had very good marketing and thus received a lot more attention, so let’s review it:
Dr. Haver’s basic principle is (again) that we can manage our hormonal fluctuations, by managing our diet. Specifically, in the same three main ways:
- Intermittent fasting
- Anti-inflammatory diet
- Eating more protein and healthy fats
Why should these things matter to our hormones? The answer is to remember that our hormones aren’t just the sex hormones. We have hormones for hunger and satedness, hormones for stress and relaxation, hormones for blood sugar regulation, hormones for sleep and wakefulness, and more. These many hormones make up our endocrine system, and affecting one part of it will affect the others.
Will these things magically undo the effects of the menopause? Well, some things yes, other things no. No diet can do the job of HRT. But by tweaking endocrine system inputs, we can tweak endocrine system outputs, and that’s what this book is for.
The style is once again very accessible and just as clear, and Dr. Haver also walks us just as skilfully through the changes we may want to make, to avoid the changes we don’t want. The recipes are also very similar, so if you loved the recipes in the other book, you certainly won’t dislike this book’s menu.
In the category of criticism, there is (as with the other book by the other author) some extra support that’s paywalled, in the sense that she wants the reader to buy her personally-branded online plan, and it can feel a bit like she’s holding back in order to upsell to that.
Bottom line: this book is (again) aimed at peri-menopausal and post-menopausal women. It could also (again) definitely help a lot of people with PCOS too, and, when it comes down to it, pretty much anyone with an endocrine system. It’s (still) a well-evidenced, well-established, healthy way of eating regardless of age, sex, or (most) physical conditions.
Click here to check out The Galveston Diet, and enjoy its well-told, well-formatted advice!
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Banana vs Pear – Which is Healthier?
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Our Verdict
When comparing banana to pear, we picked the banana.
Why?
In terms of macros, bananas have slightly carbs and protein, while they are equal on fiber. So, which wins this round depends on how we prioritize those macros; for simplicity, we’ll call this one a tie.
In the category of vitamins, bananas have more of vitamins A, B1, B2, B3, B5, B6, B7, B9, C, and choline, while pear has more of vitamins E and K, so, a clear win for bananas this time.
Looking at minerals, bananas have more iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc, while pears have more calcium. Another easy win for bananas.
Adding up the sections makes for a clear overall win for bananas, but by all means enjoy either or both, as diversity is good!
Want to learn more?
You might like:
The Real Magic Number For Daily Fruit/Veg
Enjoy!
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Healthy Living in a Contaminated World – by Dr. Donald Hoernschemeyer
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There’s a lot going on here, as this book tackles very many kinds of common contaminants, from waste products and industrial chemicals (such as from fracking), pesticides that are banned in most places but not the US, smog and soot from coal and oil power, mercury and other heavy metals, dioxins, Teflon and its close relatives, phthalates, BPA, and other things again regulated out of use in many countries but not entirely in the US (which bans them only in some things, like baby bottles), drinking water issues of various kinds, and much more.
Indeed, there’s a whole chapter on the US and international regulation of toxic substances; the problem is often that on a political level, the same people who are against nebulous “chemicals” are also against environmentalist regulations that would ban them. This is mostly not a political book though, and rather is chiefly a book of chemistry (the author’s field).
It does also cover the medical maladies associated with various contaminants, while the bulk of the data is on the chemistry side of such things as “elimination times for toxic chemicals”, “amounts of pesticides in fruit and vegetables”, “antibiotics and hormones used in animal agriculture”, and so forth.
The style is dense, and/but it is clear the author has made an effort to not be too dry. Still, this is not a fun read; it’s depressing in content and the style is more suited to academia. There are appendices containing glossaries and acronym tables, but reading front-to-back, there’s a lot that’s not explained so unless you also are a PhD chemist, chances are you’ll be needing to leaf forwards and backwards a lot.
Bottom line: this book is not thrilling, but what you don’t know, can kill you.
Click here to check out Healthy Living In A Contaminated World, and improve your odds!
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Do kids really need vitamin supplements?
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Walk down the health aisle of any supermarket and you’ll see shelves lined with brightly packaged vitamin and mineral supplements designed for children.
These products promise to support immunity, boost brain development and promote healthy growth – leading many parents to believe they’re a necessary addition to their child’s diet.
For parents of fussy eaters in particular, supplements may feel like a quick and reassuring solution. But are they actually needed?
Anastassiya Bezhekeneva/Getty Images The nutrients children really need
It’s true that children require a broad range of vitamins and minerals – such as vitamins A, B, C, D, E, and K, along with folate, calcium, iodine, iron and zinc – for healthy development. These nutrients play essential roles in brain and nerve development, vision, bone strength, immune function, metabolism and maintaining a healthy weight.
However, for most healthy children, these nutrients can and should come from food – not from supplements.
Even children with selective eating habits typically receive adequate nutrition from everyday foods, many of which are fortified. Common staples such as breakfast cereals, milk and bread are often enriched with key nutrients such as B vitamins, iron, calcium and iodine.
What the science says about supplements
Although many children’s supplements claim to support immunity, growth, or overall wellbeing, there is little robust scientific evidence that they improve health outcomes or prevent illness in otherwise healthy children.
Leading health bodies advise that children who consume a varied diet do not need additional supplementation.
Research consistently shows that getting vitamins and minerals through whole foods is superior to taking them in supplement form. Foods provide these nutrients along with fibre, enzymes, and bioactive compounds, such as phytochemicals and healthy fats, which enhance absorption, metabolism and overall efficacy in ways isolated supplements cannot replicate.
Potential risks and unintended consequences
Parents should also be aware that supplements are not risk-free.
Fat-soluble vitamins – such as A, D, E and K – can accumulate in the body if consumed in excess. If they reach toxic levels, they can cause cause health issues. In the case of A and B vitamins, these issues can be severe and even cause death.
High doses of other water-soluble vitamins, such as vitamin C, may not be dangerous, but can cause side effects like diarrhoea or interfere with the absorption of other nutrients.
Many children’s supplements are flavoured or sweetened to make them more appealing. While this might make them easier to administer, it also introduces added sugars and artificial ingredients into children’s diets – potentially undermining healthy eating habits.
There is also a psychological dimension to consider. Routinely giving children supplements in response to normal eating behaviours, such as fussiness or selective food preferences, may inadvertently teach them that pills are a substitute for a nutritious diet, rather than a temporary aid.
So, what should parents do?
The most reliable way to provide children with essential vitamins and minerals is through a varied and balanced diet. This means including dairy, meat, poultry, fish, wholegrains, nuts, seeds, legumes, and a colourful array of fruits and vegetables.
If you’re regularly negotiating with a pint-sized dictator over a single pea, rest assured you’re far from alone. Research shows nearly half of children go through a phase of picky eating – a behaviour rooted in our evolutionary past.
Early humans developed an aversion to unfamiliar or bitter foods as a survival mechanism to avoid potential toxins. At the same time, they learned to seek out and store energy-rich, palatable foods to survive periods of scarcity.
So, how can parents gently encourage toddlers to embrace healthier, more colourful food options?
- Mix things up. Blend less nutritious beige or white foods with healthier ingredients. For example, add cannellini beans and cauliflower into mashed potatoes to boost nutrient content without sacrificing familiarity.
- Make healthy swaps. Gradually replace white bread, pasta and rice with wholegrain versions. Start by mixing brown rice into a serving of white rice to ease the transition.
- Use familiarity to your advantage. Pair new, colourful foods with familiar favourites. Offer fruit dipped in yoghurt or add a vibrant red or green sauce to pasta, making new flavours less intimidating.
By taking these small, strategic steps, parents can support their child’s nutrition and help them develop a positive relationship with food – no matter how selective their tastes may be.
That said, there are cases where supplementation may be appropriate – such as children with diagnosed nutritional deficiencies, specific medical conditions, or highly restricted diets.
In these instances, parents should seek advice from a qualified health professional, such as a GP or paediatric dietitian. Warning signs may include symptoms such as persistent constipation or signs of impaired growth.
But for most children, vitamin supplements aren’t necessary – they may be doing more harm than good.
Nick Fuller is the author of Healthy Parents, Healthy Kids – Six Steps to Total Family Wellness. His free, practical recipe ideas for a nutritious, varied diet can be found at feedingfussykids.com.
Nick Fuller, Clinical Trials Director, Department of Endocrinology, RPA Hospital, University of Sydney
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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10 Unexpected Benefits Of Slow Jogging
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Sometimes, less is more:
Slow and steady wins the race?
Here’s the rundown… Slowly:
- You burn more body fat: running at 50-60% of max heart rate primarily burns fat without having the usual compensatory metabolic slump afterwards, unless you go for a very long time.
- You can build more muscle: lower-intensity workouts improve muscle recovery, which is essential too.
- You can reduce muscle soreness: light jogging helps clear lactic acid faster (10almonds note: muscle soreness after exercise isn’t about lactic acid)
- You avoid injuries: less impact on joints reduces injury risk.
- You learn the proper form: running slowly allows better focus on technique.
- You can enjoy it more: slower pace lets you take in surroundings and boosts mood.
- You still improve your cardiorespiratory fitness: strengthens heart and lungs over time.
- You’ll burn more calories than you think: can burn 200–400 calories per 30 minutes.
- You’ll improve your mobility: gentle movement supports joint health and collagen production.
- You can improve your performance: builds endurance and strength for faster running
For more on each of these, enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like:
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Which nut butter is healthiest – peanut, almond or cashew?
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Once, the only nut butter on the supermarket shelf was peanut butter. Now you can also buy almond, cashew, hazelnut and macadamia nut butters, or blends.
So which is the healthiest nut butter to spread on your toast?
As we’ll see, the healthiest is not just about the actual nut. It’s also about what else goes in the jar.
Robert Owen-Wahl/Pexels What do they all have in common?
All nut butters are made from ground nuts that provide healthy monounsaturated and polyunsaturated fats, plant-based protein, fibre. They also provide essential minerals, such as magnesium, potassium, zinc and iron.
Across decades of research, regularly eating nuts is associated with a lower risk of heart disease and premature death. That benefit appears whether the nut is peanut, almond or cashew or any other type of nut.
But many commercial products contain vegetable oils, palm oil, salt, sugar, or stabilisers to improve texture and shelf life. These added ingredients dilute the nutritional quality and increase salt or kilojoules without providing any health benefits.
Choosing a nut butter made only from nuts (or nuts with minimal salt) means you get the full nutritional value.
How do I choose a nut butter?
Check the ingredients list. The healthiest options contain just one ingredient – nuts. Some added salt is fine, if minimal. But avoid products with seed oils (such as canola oil), palm oil, fillers or added sugars.
Looking at the nutrients in each nut butter per serve (a tablespoon, about 16 grams) can highlight how they differ. The numbers vary slightly by brand. But when the product contains 100% nuts, the numbers don’t generally change dramatically between nuts.
To keep things simple, we’ve focused on peanut, almond and cashew butters:
- protein: peanut butter wins slightly for protein content, at 3.84g per tablespoon, making it a solid choice for post-workout snacks or adding extra protein to your day. However, almond (3.36g) and cashew butters (2.82g) aren’t far behind. So they still contribute meaningful protein to your diet
- fat: almond butter takes the top spot for healthy fats (8.88g per tablespoon), followed closely by peanut (7.98g) and cashew butter (7.9g). The fats in nuts are mainly heart-healthy monounsaturated and polyunsaturated fats, which have been associated with improved cholesterol levels and reduced inflammation
- carbohydrates: cashew butter contains the most carbohydrates (4.42g per tablespoon), which might be important if you’re looking for quick energy before a workout or if you have type 1 diabetes and are adjusting your medication based on your carbohydrate intake. Then comes peanut butter (3.49g), followed by almond butter (3.01g)
- fibre: almond butter takes the lead for fibre (1.65g per tablespoon) followed by peanut butter (1.06g). Cashew butter lags significantly behind (0.32g), about one-fifth of the almond butter’s content. This makes cashew butter the weakest option if you’re relying on nut butter to contribute to your daily fibre intake
- calcium: almond butter dramatically outperforms the others for calcium, with 55.5 milligrams per tablespoon. This offers about eight times more than peanut butter (6.56mg) and cashew butter (6.88mg). This makes almond butter an excellent choice for bone health, especially if you avoid dairy
- potassium: both peanut and almond butter tie for potassium content (120mg per tablespoon). This makes them useful for supporting healthy blood pressure and muscle function. Cashew butter contains 87.4mg
- iron: cashew butter leads the pack for iron (0.805mg for tablespoon), followed by almond butter (0.558mg) and peanut butter (0.304mg). This is particularly relevant for people with higher iron needs, such as those menstruating, pregnant or breastfeeding, or people following plant-based diets. But overall, nut butters are not a meaningful source of iron
- zinc: cashew butter (0.826mg per tablespoon) offers nearly twice the zinc of peanut butter (0.445mg). Almond butter’s zinc content is in the middle (0.526mg). This makes cashew butter valuable for immune function and wound healing
- selenium: cashew butter provides the most selenium (1.84 micrograms per tablespoon), an important antioxidant mineral that supports thyroid function. Peanut butter comes in second (1.2µg), while almond butter contains notably less (0.384µg)
- magnesium: almond butter leads for magnesium (44.6mg per tablespoon). Close behind is cashew butter (41.3mg), then peanut butter (25.4mg). This mineral is crucial for muscle relaxation, sleep quality and energy production.
In a nutshell
Each nut butter has distinct nutritional advantages:
- peanut butter leads in protein and ties with almond butter for potassium, making it ideal for muscle support and feeling full
- almond butter is the standout for calcium, and is also higher in fibre, magnesium and heart-healthy fats. This makes it an excellent choice for bone health, digestion and cardiovascular support
- cashew butter is naturally sweet and is the strongest source of minerals such as iron, zinc and selenium. These are essential for immune function, energy production and thyroid health. However, it is the lowest in both protein and fibre. So while it contributes valuable micronutrients, it’s better suited as an occasional option rather than a primary protein source.
Any concerns?
Often, almond and cashew butters are processed on equipment that’s been used to process peanuts or other nuts. So traces of one nut may appear in another nut butter, which is stated on the label. So if you have a specific nut allergy, check labels carefully.
The cost also varies. Almond and cashew butters are usually slightly more expensive (at around A$2.40 per 100g) compared with about $1.82 per 100g for peanut butter.
What now?
No single nut butter reigns supreme as each brings different nutritional strengths.
The smartest approach would be to keep more than one on hand, choose versions made from 100% nuts, and let your taste preferences and nutritional goals guide you.
Lauren Ball, Professor of Community Health and Wellbeing, The University of Queensland and Emily Burch, Accredited Practising Dietitian and Lecturer, Southern Cross University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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