Lacking Motivation? Science Has The Answer

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The Science Of Motivation (And How To Use It To Your Advantage)

When we do something rewarding, our brain gets a little (or big!) spike of dopamine. Dopamine is popularly associated with pleasure—which is fair— but there’s more to it than this.

Dopamine is also responsible for motivation itself, as a prime mover before we do the thing that we find rewarding. If we eat a banana, and enjoy it, perhaps because our body needed the nutrients from it, our brain gets a hit of dopamine.

(and not because bananas contain dopamine; that dopamine is useful for the body, but can’t pass the blood-brain barrier to have an effect on the brain)

So where does the dopamine in our brain come from? That dopamine is made in the brain itself.

Key Important Fact: the brain produces dopamine when it expects an activity to be rewarding.

If you take nothing else away from today’s newsletter, let it be this!

It makes no difference if the activity is then not rewarding. And, it will keep on motivating you to do something it anticipated being rewarding, no matter how many times the activity disappoints, because it’ll remember the very dopamine that it created, as having been the reward.

To put this into an example:

  • How often have you spent time aimlessly scrolling social media, flitting between the same three apps, or sifting through TV channels when “there’s nothing good on to watch”?
  • And how often did you think afterwards “that was a good and rewarding use of my time; I’m glad I did that”?

In reality, whatever you felt like you were in search of, you were really in search of dopamine. And you didn’t find it, but your brain did make some, just enough to keep you going.

Don’t try to “dopamine detox”, though.

While taking a break from social media / doomscrolling the news / mindless TV-watching can be a great and healthful idea, you can’t actually “detox” from a substance your body makes inside itself.

Which is fortunate, because if you could, you’d die, horribly and miserably.

If you could “detox” completely from dopamine, you’d lose all motivation, and also other things that dopamine is responsible for, including motor control, language faculties, and critical task analysis (i.e. planning).

This doesn’t just mean that you’d not be able to plan a wedding; it also means:

  • you wouldn’t be able to plan how to get a drink of water
  • you wouldn’t have any motivation to get water even if you were literally dying of thirst
  • you wouldn’t have the motor control to be able to physically drink it anyway

Read: Dopamine and Reward: The Anhedonia Hypothesis 30 years on

(this article is deep and covers a lot of ground, but is a fascinating read if you have time)

Note: if you’re wondering why that article mentions schizophrenia so much, it’s because schizophrenia is in large part a disease of having too much dopamine.

Consequently, antipsychotic drugs (and similar) used in the treatment of schizophrenia are generally dopamine antagonists, and scientists have been working on how to treat schizophrenia without also crippling the patient’s ability to function.

Do be clever about how you get your dopamine fix

Since we are hardwired to crave dopamine, and the only way to outright quash that craving is by inducing anhedonic depression, we have to leverage what we can’t change.

The trick is: question how much your motivation aligns with your goals (or doesn’t).

So if you feel like checking Facebook for the eleventieth time today, ask yourself: “am I really looking for new exciting events that surely happened in the past 60 seconds since I last checked, or am I just looking for dopamine?”

You might then realize: “Hmm, I’m actually just looking for dopamine, and I’m not going to find it there”

Then, pick something else to do that will actually be more rewarding. It helps if you make a sort of dopa-menu in advance, of things to pick from. You can keep this as a list on your phone, or printed and pinned up near your computer.

Examples might be: Working on that passion project of yours, or engaging in your preferred hobby. Or spending quality time with a loved one. Or doing housework (surprisingly not something we’re commonly motivated-by-default to do, but actually is rewarding when done). Or exercising (same deal). Or learning that language on Duolingo (all those bells and whistles the app has are very much intentional dopamine-triggers to make it addictive, but it’s not a terrible outcome to be addicted to learning!).

Basically… Let your brain’s tendency to get led astray work in your favor, by putting things in front of it that will lead you in good directions.

Things for your health and/or education are almost always great things to allow yourself the “ooh, shiny” reaction and pick them up, try something new, etc.

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  • The Rise Of The Machines

    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.

    In this week’s health science news, several pieces of technology caught our eye. Let’s hope these things roll out widely!

    When it comes to UTIs, antimicrobial resistance is taking the p—

    This has implications far beyond UTIs—though UTIs can be a bit of a “canary in the coal mine” for antimicrobial resistance. The more people are using antibiotics (intentionally, or because they are in the food chain), the more killer bugs are proliferating instead of dying when we give them something to kill them. And yes: they do proliferate sometimes when given antibiotics, not because the antibiotics did anything directly good for them, but because they killed their (often friendly bacteria) competition. Thus making for a double-whammy of woe.

    This development tackles that, by using AI modelling to crunch the numbers of a real-time data-driven personalized approach to give much more accurate treatment options, in a way that a human couldn’t (or at least, couldn’t at anything like the same speed, and most family physicians don’t have a mathematician locked in the back room to spend the night working on a patient’s data).

    Read in full: AI can help tackle urinary tract infections and antimicrobial resistance

    Related: AI: The Doctor That Never Tires?

    When it comes to CPR and women, people are feint of heart

    When CPR is needed, time is very much of the essence. And yet, bystanders are much less likely to give CPR to a woman than to a man. Not only that, but CPR-training is part of what leads to this reluctance when it comes to women: the mannequins used are very homogenous, being male (94%) and lean (99%). They’re also usually white (88%) even in countries where the populations are not, but that is less critical. After all, a racist person is less likely to give CPR to a person of color regardless of what color the training mannequin was.

    However, the mannequins being male and lean is an issue, because it means people suddenly lack confidence when faced with breasts and/or abundant body fat. Both can prompt the bystander to wonder if some different technique is needed (it isn’t), and breasts can also prompt the bystander to fear doing something potentially “improper” (the proper course of action is: save a person’s life; do not get distracted by breasts).

    Read in full: Women are less likely to receive CPR than men. Training on manikins with breasts could help ← there are also CPR instructions (and a video demonstration) there, for anyone who wants a refresher, if perhaps your last first-aid course was a while ago!

    Related: Heart Attack: His & Hers (Be Prepared!)

    When technology is a breath of fresh air

    A woman with COPD and COVID has had her very damaged lungs replaced using a da Vinci X robot to perform a minimally-invasive surgery (which is quite a statement, when it comes to replacing someone’s lungs).

    Not without human oversight though—surgeon Dr. Stephanie Chang was directing the transplant. Surgery is rarely fun for the person being operated on, but advances like this make things go a lot more smoothly, so this kind of progress is good to see.

    Read in full: Woman receives world’s first robotic double-lung transplant

    Related: Why Chronic Obstructive Pulmonary Disease (COPD) Is More Likely Than You Think

    Take care!

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  • How Much Alcohol Does It Take To Increase Cancer Risk?

    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.

    Alcohol is, of course, unhealthy. Not even the famous “small glass of red” is recommended:

    Can We Drink To Good Health?

    Alcohol also increases all-cause mortality at any dose (even “low-risk drinking”):

    Alcohol Consumption Patterns and Mortality Among Older Adults

    …and the World Health Organization has declared that the only safe amount of alcohol is zero:

    WHO: No level of alcohol consumption is safe for our health

    But what of alcohol and cancer? According to the American Association of Cancer Research’s latest report, more than half of Americans do not know that alcohol increases the risk of cancer:

    Source: AACR Cancer Progress Report

    Why/how does alcohol increase the risk of cancer?

    There’s an obvious aspect and a less obvious but very important aspect:

    • The obvious: alcohol damages almost every system in the body, and so it’s little surprise if that includes systems whose job it is to keep us safe from cancer.
    • The less obvious: alcohol is largely metabolized by certain enzymes that have an impact on DNA repair, such as alcohol dehydrogenases and aldehyde dehydrogenases, amongst others, and noteworthily, acetaldehyde (the main metabolite of alcohol) is itself genotoxic.

    Read more: Alcohol & Cancer

    This is important, because it means alcohol also increases the risk of cancers other than the obvious head/neck, laryngeal, esophageal, liver, and colorectal cancers.

    However, those cancers are of course the most well-represented of alcohol-related cancers, along with breast cancer (this has to do with alcohol’s effect on estrogen metabolism).

    If you’re curious about the numbers, and the changes in risk if one reduces/quits/reprises drinking:

    ❝The increased alcohol-related cancer incidence was associated with dose; those who changed from nondrinking to mild (adjusted hazard ratio [aHR], 1.03; 95% CI, 1.00-1.06), moderate (aHR, 1.10; 95% CI, 1.02-1.18), or heavy (aHR, 1.34; 95% CI, 1.23-1.45) drinking levels had an associated higher risk than those who did not drink.

    Those with mild drinking levels who quit drinking had a lower risk of alcohol-related cancer (aHR, 0.96; 95% CI, 0.92-0.99) than those who sustained their drinking levels.

    Those with moderate (aHR, 1.07; 95% CI, 1.03-1.12) or heavy (aHR, 1.07; 95% CI, 1.02-1.12) drinking levels who quit drinking had a higher all cancer incidence than those who sustained their levels, but when quitting was sustained, this increase in risk disappeared.

    Results of this study showed that increased alcohol consumption was associated with higher risks for alcohol-related and all cancers, whereas sustained quitting and reduced drinking were associated with lower risks of alcohol-related and all cancers.

    Alcohol cessation and reduction should be reinforced for the prevention of cancer.❞

    Source: Association Between Changes in Alcohol Consumption and Cancer Risk

    Worried it’s too late?

    If you’re reading this (and thus, evidently, still alive), it isn’t. It’s never too late (nor too early) to reduce, or ideally stop, drinking. Even if you already have cancer, drinking more alcohol will only exacerbate things, and abstaining from alcohol will improve your chances of recovery.

    For a reassuring timeline of recovery from alcohol-related damage, see:

    What Happens To Your Body When You Stop Drinking Alcohol

    Want to stop, but have tried before and find it daunting?

    There are a few ways to make it a lot easier:

    Rethinking Drinking: How To Reduce Or Quit Alcohol

    Take care!

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  • Gut Feelings – by Dr Will Cole

    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.

    More and more, science is uncovering links between our gut health and the rest of our health—including our mental health! We all know “get some fiber and consider probiotics”, but what else is there that we can do?

    Quite a lot, actually. And part of it, which Dr. Cole also explores, is the fact that the gut-brain highway is a two-way street!

    The book looks a lot especially at the particular relationship between shame and eating. The shame need not initially be about eating, though it can certainly end up that way too. But any kind of shame—be it relating to one’s body, work, relationship, or anything else, can not only have a direct effect on the gut, but indirect too:

    Once our “eating our feelings” instinct kicks in, things can spiral from there, after all.

    So, Dr. Cole walks us through tackling this from both sides—nutrition and psychology. With chapters full of tips and tricks, plus a 21-day plan (not a diet plan, a habit integration plan), this book hits shame (and inflammation, incidentally) hard and leads us into much healthier habits and cycles.

    In short: if you’d like to have a better relationship with your food, improve your gut health, and/or reduce inflammation, this is definitely a book for you!

    Click here to check out Gut Feelings on Amazon today!

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  • Parent Effectiveness Training – by Dr. Thomas Gordon

    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.

    Do you want your home (or workplace, for that matter) to be a place of peace? This book literally got the author nominated for a Nobel Peace Prize. Can’t really get much higher praise than that.

    The title is “Parent Effectiveness Training”, but in reality, the advice in the book is applicable to all manner of relationships, including:

    • romantic relationships
    • friends
    • colleagues
    • …and really any human interaction.

    It covers some of the same topics we did today (and more) in much more detail than we ever could in a newsletter. It lays out formulae to use, gives plenty of examples, and/but is free from undue padding.

    • Pros: this isn’t one of those “should have been an article” books. It has so much valuable content.
    • Cons: It is from the 1970s* so examples may feel “dated” now.

    In addition to going into much more detail on some of the topics covered in today’s issue of 10almonds, Dr. Gordon also talks in-depth about the concept of “problem-ownership”.

    In a nutshell, that means: whose problem is a given thing? Who “has” what problem? Everyone needs to be on the same page about everyone else’s problems in the situation… as well as their own, which is not always a given!

    Dr. Gordon presents, in short, tools not just to resolve conflict, but also to pre-empt it entirely. With these techniques, we can identify and deal with problems (together!) well before they arise.

    Everybody wins.

    Get your copy of “Parent Effectiveness Training” from Amazon today!

    *Note: There is an updated edition on the market, and that’s what you’ll find upon following the above link. This reviewer (hi!) has a battered old paperback from the 1970s and cannot speak for what was changed in the new edition. However: if the 70s one is worth more than its weight in gold (and it is), the new edition is surely just as good, if not better!

    Don’t Forget…

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  • Time Smart – by Dr. Ashley Whillans

    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.

    First, what this is not: it’s not a productivity book.

    What is rather: a book of better wellbeing.

    There is a little overlap, insofar as getting “time smart” in the ways that Dr. Whillans recommends will give you more ability to also be more productive—if that’s what you want.

    She talks us through time traps and the “time poverty epidemic”, as well as steps to finding time and funding time. Perhaps most critical idea-wise is the chapter on building a “time-affluence habit”, making decisions that prioritize your time-freedom where you can—which in turn will allow you to build yet more. Kind of like compound interest really, but for time.

    The writing style is a conversational tone, but peppered with bullet-point lists and charts and the like from time to time, and often with citations to back up claims. It makes for a very readable book, and yet one that’s also inspiring of the confidence that it’s more than just one person’s opinion.

    Bottom line: if you sometimes feel like you could do everything you want to if you could just find the time, this book can help you get there.

    Click here to check out Time Smart, and live your most satisfying life!

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  • How to keep your teeth young

    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.

    How to keep your teeth young

    The association between aging and teeth is so well-established that it’s entered popular idiom, “too long in the tooth”, and when it comes to visual representations, false teeth are well-associated with old age.

    And yet, avoiding such outcomes does not get anywhere near so much attention as, say, avoiding wrinkles or hair loss.

    At 10almonds, we’ve covered general dental health before, in a three-part series:

    1. Toothpastes & Mouthwashes: Which Help And Which Harm?
    2. Flossing, Better (And Easier!)
    3. Less Common Oral Hygiene Options

    Today, we’re going to be looking specifically at keeping our teeth young. What if you have lost your teeth already? Well, gum health remains important, and it’s foundational for everyone, so…

    Look after your gums first and last

    Hollywood’s most “perfect” whites would be nothing without the gums holding them in place. So, set aside the cosmetic whitening products that often harm gums (anything containing bleach / hydrogen peroxide, is generally a bad idea), andinstead focus on your gums.

    As for avoiding gum disease (periodontitis)?

    ❝In conclusion, periodontitis might enhance the association of biological aging with all-cause mortality in middle-aged and older adults.

    Hence, maintaining and enhancing periodontal health is expected to become an intervention to slow aging and extend life span.❞

    Source: Does Periodontitis Affect the Association of Biological Aging with Mortality?

    Ways to look after gum health include the obvious “floss” and “brush often” and “use fluoride toothpaste”, along with other options we covered in our “Less Common Oral Hygiene Options” article above.

    Also important: don’t smoke. It is bad for everything, and this is no exception.

    We expect we probably don’t have many subscribers who smoke, but if you do, please consider making quitting a priority.

    See also: Smoking, Gum Disease, and Tooth Loss

    Consider supplementing with collagen

    Everyone’s all about the calcium and vitamin D for bones (and teeth), but a large part of the mass of both is actually collagen. And unlike calcium, which most people not living in a food desert get plenty of, or vitamin D, which is one of the most popular supplements around, collagen is something that gets depleted as we get older. We’ve written about its importance for bones:

    We Are Such Stuff As Fish Are Made Of—Collagen’s benefits are more than skin deep

    And as for its role in combatting gum disease and tooth loss:

    Nanoscale Dynamics of Streptococcal Adhesion to AGE-Modified Collagen

    By the way, that “AGE” there isn’t about chronological age; it’s about advanced glycation end-products. Those are also something you can and should avoid:

    Are You Eating AGEs?

    A different kind of “spit and polish”

    We imagine you have the “polishing” part in hand; that’s tooth-brushing, of course. But spit?

    Saliva is hugely important for our oral health, but it’s not something most of us think about a lot. For example, you might not have known (or might have known but not thought much about) that many common medications affect our saliva, including many blood pressure medications and antidepressants:

    Impact of ageing and drug consumption on oral health

    Because there are so many possibilities, this is the kind of thing to check with your pharmacist or doctor about. But as a rule, if you take a medication whose side-effects include “dry mouth”, this might be you.

    Here’s a really useful (academic) article that covers what drugs cause this, how to diagnose it, and what can be done about it:

    Hyposalivation in Elderly Patients

    If something’s difficult, find a way to make it easier

    Sometimes, as we get older, some things that used to be easy, aren’t. We can lose strength, coordination, manual dexterity, memory, attention, and more. Obviously, we try not to, and do what we can to keep ourselves in good health.

    But, if you do have some disability that makes for example brushing and/or flossing difficult to do consistently and/or well, consider talking to your doctor to see if there are assistive devices that can help, or some other kind of support that could allow you to do what you need to.

    See also: Improving oral hygiene for better cognitive health: Interrelationships of oral hygiene habits, oral health status, and cognitive function in older adults

    There’s never any shame in getting help if we need it.

    Take care!

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