Don’t Do *This* If You’re Over 50 (And Want Better Sleep)

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Dr. Michael Breus, sleep specialist, explains:

Don’t make these mistakes

Dr. Breus recommends avoiding…

  1. Misusing magnesium: magnesium is a helpful sleep aid but must be carefully monitored. Recommended doses are 250mg for women and 300–350 mg for men, with slight adjustments for hot climates or active lifestyles. Overdosing can cause stomach issues, diarrhea, and dehydration, disrupting sleep. He recommends starting with magnesium glycinate for fewer stomach issues, and later mix with magnesium citrate. Always check supplements to avoid excessive magnesium intake.
  2. Misusing melatonin: melatonin production declines after age 55–60, making low-dose supplementation (0.5–1 mg) beneficial. He recommends, however, avoiding high doses (3–10mg), and he recommends to take it 90 minutes before bedtime. Melatonin interacts with some medications (including some meds for blood pressure or depression), so consult a pharmacist before use to avoid risks like serotonin syndrome.
  3. Going to bed too early: going to bed too early disrupts circadian rhythms and reduces sleep drive, causing earlier waking. Now, being an “early bird” is a generally healthy thing, but if you’re already getting up at 5am, say, you probably want your schedule to not continue to creep further forwards until you become nocturnal. Set a consistent wake-up time and count 7.5 hours backward (plus a set time to fall asleep, e.g. 20 minutes, but you’ll know what it is for you) to determine bedtime.
  4. Excessive caffeine consumption: from the heading, it may seem like a no-brainer, but older adults metabolize caffeine 33% slower on average, prolonging its effects. Dr. Breus recommends to reduce intake with “caffeine fading,” switching to half-caffeinated coffee for a while and then considering transitioning to decaf. He also suggests enjoying increasingly lower-caffeine teas, like black tea in the morning, matcha in the afternoon, and herbal tea at night to reduce caffeine’s impact on sleep.
  5. Falling foul of serotonin: avoid taking 5-HTP supplements with SSRI antidepressants like Prozac or Zoloft due to the risk of serotonin syndrome.
  6. Consider checking for physical problems: if you regularly wake up tired and/or groggy (despite having ostensibly had enough sleep, and there not being a pharmaceutical explanation for your grogginess), consider screening for sleep apnea. Home sleep tests are a convenient way to identify and treat this common but often undiagnosed condition.

For more on each of these, enjoy:

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Want to learn more?

You might also like:

How to Fall Asleep Faster: CBT-Insomnia Treatment

Take care!

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  • Potatoes & Anxiety

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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

    ❝My other half considers potatoes a wonder food, except when fried. I don’t. I find, when I am eating potatoes I put on weight; and, when I’m not eating them, I lose it. Also, although I can’t swear to it, potatoes also make me feel a little anxious (someone once told me it could have something to do with where they are on the “glycemic index”). What does the science say?❞

    The glycemic index of potatoes depends on the kind of potato (obviously) and also, less obviously, how it’s prepared. For a given white potato, boiling (which removes a lot of starch) might produce a GI of around 60, while instant mash (basically: potato starch) can be more like 80. For reference, pure glucose is 100. And you probably wouldn’t take that in the same quantity you’d take potato, and expect to feel good!

    So: as for anxiety, it could be, since spiked blood sugars can cause mood swings, including anxiety.

    Outside of the matter of blood sugars, the only reference we could find for potatoes causing anxiety was fried potatoes specifically:

    ❝frequent fried food consumption, especially fried potato consumption, is strongly associated with 12% and 7% higher risk of anxiety and depression, respectively❞

    Source: High fried food consumption impacts anxiety and depression due to lipid metabolism disturbance and neuroinflammation

    …which heavily puts the blame not on the potatoes themselves, but on acrylamide (the orange/brown stuff that is made by the Maillard reaction of cooking starches in the absence of water, e.g. by frying, roasting, etc).

    Here’s a very good overview of that, by the way:

    A Review on Acrylamide in Food: Occurrence, Toxicity, and Mitigation Strategies

    Back on the core topic of potatoes and GI and blood sugar spikes and anxiety, you might benefit from a few tweaks that will allow you to enjoy potatoes without spiking blood sugars:

    10 Ways To Balance Blood Sugars

    Enjoy!

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  • How To Recover Quickly From A Stomach Bug

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    How To Recover Quickly From A Stomach Bug

    Is it norovirus, or did you just eat something questionable? We’re not doctors, let alone your doctors, and certainly will not try to diagnose from afar. And as ever, if unsure and/or symptoms don’t go away or do get worse, seek professional medical advice.

    That out of the way, we can give some very good general-purpose tips for this one…

    Help your immune system to help you

    So far as you can, you want a happy healthy immune system. For the most part, we’d recommend the following things:

    Beyond Supplements: The Real Immune-Boosters!

    …but you probably don’t want to be exercising with a stomach bug, so perhaps sit that one out. Exercise is the preventative; what you need right now is rest.

    Hydrate—but watch out

    Hydration is critical for recovery especially if you have diarrhea, but drinking too much water too quickly will just make things worse. Great options for getting good hydration more slowly are:

    • Peppermint tea
      • (peppermint also has digestion-settling properties)
    • Ginger tea
    • Broths
      • These will also help replenish your sodium and other nutrients, gently. Chicken soup for your stomach, and all that. A great plant-based option is sweetcorn soup.
      • By broths, we mean clear(ish) water-based soups. This is definitely not the time for creamier soups.

    ❝Milk and dairy products should be avoided for 24 to 48 hours as they can make diarrhea worse.

    Initial dietary choices when refeeding should begin with soups and broth.❞

    Source: American College of Gastroenterology

    Other things to avoid

    Caffeine stimulates the digestion in a way that can make things worse.

    Fat is more difficult to digest, and should also be avoided until feeling better.

    To medicate or not to medicate?

    Loperamide (also known by the brand name Imodium) is generally safe when used as directed.

    Click here to see its uses, dosage, side effects, and contraindications

    Antibiotics may be necessary for certain microbial infections, but should not be anyone’s first-choice treatment unless advised otherwise by your doctor/pharmacist.

    Note that if your stomach bug is not something that requires antibiotics, then taking antibiotics can actually make it worse as the antibiotics wipe out your gut bacteria that were busy helping fight whatever’s going wrong in there:

    A gentler helper

    If you want to give your “good bacteria” a hand while giving pathogens a harder time of it, then a much safer home remedy is a little (seriously, do not over do it; we are talking 1–2 tablespoons, or around 20ml) apple cider vinegar, taken diluted in a glass of water.

    ❝Several studies indicate apple cider vinegar (ACV)’s usefulness in lowering postprandial glycemic response, specifically by slowing of gastric motility❞

    (Slowing gastric motility is usually exactly what you want in the case of a stomach bug, and apple cider vinegar)

    Source: Effectiveness of Nutritional Ingredients on Upper Gastrointestinal Conditions and Symptoms: A Narrative Review

    See also:

    Take care!

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  • Pinch Of Nom, Everyday Light – by Kay Featherstone and Kate Allinson

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    One of the biggest problems with “light”, “lean” or “under this many calories” cookbooks tends to be the portion sizes perhaps had sparrows in mind. Not so, here!

    Nor do they go for the other usual trick, which is giving us something that’s clearly not a complete meal. All of these recipes are for complete meals, or else come with a suggestion of a simple accompaniment that will still keep the dish under 400kcal.

    The recipes are packed with vegetables and protein, perfect for keeping lean while also making sure you’re full until the next meal.

    Best of all, they are indeed rich and tasty meals—there’s only so many times one wants salmon with salad, after all. There are healthy-edition junk food options, too! Sausage and egg muffins, fish and chips, pizza-loaded fries, sloppy dogs, firecracker prawns, and more!

    Most of the meals are quite quick and easy to make, and use common ingredients.

    Nearly half are vegetarian, and gluten-free options involve only direct simple GF substitutions. Similarly, turning a vegetarian meal into a vegan meal is usually not rocket science! Again, quick and easy substitutions, à la “or the plant-based milk of your choice”.

    Recipes are presented in the format: ingredients, method, photo. Super simple (and no “chef’s nostalgic anecdote storytime” introductions that take more than, say, a sentence to tell).

    All in all, a fabulous addition to anyone’s home kitchen!

    Get your copy of “Pinch of Nom—Everyday Light” from Amazon today!

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