Good (Or Bad) Health Starts With Your Blood

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Blood Should Be Only Slightly Thicker Than Water

This is Dr. Casey Means, a physician, lecturer (mostly at Stanford), and CMO of a metabolic health company, Levels, as well as being Associate Editor of the International Journal of Diabetes Reversal and Prevention, where she serves alongside such names as Dr. Colin Campbell, Dr. Joel Fuhrman, Dr. Michael Greger, Dr. William Li, Dr. Dean Ornish, and you get the idea: itโ€™s a star-studded cast.

What does she want us to know?

The big blood problem:

โWeโ€™re spending 3.8 trillion dollars a year on healthcare costs in the U.S., and the reality is that people are getting sicker, fatter, and more depressed.

Over 50% of Americans have pre-diabetes or type 2 diabetes; itโ€™s insane, that number should be close to zero.โž

~ Dr. Casey Means

Indeed, pre-diabetes and especially type 2 diabetes should be very avoidable in any wealthy nation.

Unfortunately, the kind of diet that avoids it tends to rely on having at least 2/3 of the following:

  • Money
  • Time
  • Knowledge

For example:

  • if you have money and time, you can buy lots of fresh ingredients without undue worry, and take the time to carefully prep and cook them
  • if you have money and knowledge you can have someone else shop and cook for you, or at least get meal kits delivered
  • if you have time and knowledge, you can actually eat very healthily on a shoestring budget

If you have all three, then the worldโ€™s your oyster mushroom steak sautรฉed in extra virgin olive oil with garlic and cracked black pepper served on a bed of Swiss chard and lashed with Balsamic vinegar.

However, many Americans arenโ€™t in the happy position of having at least 2/3, and a not-insignificant portion of the population donโ€™t even have 1/3.

As an aside: there is a food scientist and chef whoโ€™s made it her mission to educate people about food thatโ€™s cheap, easy, and healthy:

Where Nutrition Meets Habitsโ€ฆ

โ€ฆbut today is about Dr. Means, so, what does she suggest?

Know thyself thy blood sugars

Dr. Means argues (reasonably; this is well-backed up by general scientific consensus) that much of human disease stems from the diabetes and pre-diabetes that she mentioned above, and so we should focus on that most of all.

Our blood sugar levels being unhealthy will swiftly lead to other metabolic disorders:

Heart disease and non-alcoholic fatty liver disease are perhaps first in line, but waiting in the wings are inflammation-mediated autoimmune disorders, and even dementia, because neuroinflammation is at least as bad as inflammation anywhere else, arguably worse, and our brain can only be as healthy as the blood that feeds it and takes things that shouldnโ€™t be there away.

Indeed,

โAlzheimerโ€™s dementia is now being called type 3 diabetes because itโ€™s so related to blood sugarโž

~ Dr. Casey Means

โ€ฆwhich sounds like a bold claim, but itโ€™s true, even if the name is not โ€œofficialโ€ yet, itโ€™s well-established in professional circulation:

โWe conclude that the term โ€œtype 3 diabetesโ€ accurately reflects the fact that AD represents a form of diabetes that selectively involves the brain and has molecular and biochemical features that overlap with both T1DM and T2DMโž

~ Dr. Suzanne M. de la Monte & Dr. Jack Wands

Read in full: Alzheimer’s Disease Is Type 3 Diabetesโ€“Evidence Reviewed โ† this is from the very respectable Journal of Diabetes Science and Technology.

What to do about it

Dr. Means suggests we avoid the โ€œglucose roller-coasterโ€ that most Americans are on, meaning dramatic sugar spikes, or to put it in sciencese: high glycemic variability.

This leads to inflammation, oxidative stress, glycation (where sugar sticks to proteins and DNA), and metabolic dysfunction. Then thereโ€™s the flipside: reactive hypoglycemia, a result of a rapid drop in blood sugar after a spike, can cause anxiety, fatigue, weakness/trembling, brain fog, and of course cravings. And so the cycle repeats.

But it doesnโ€™t have to!

By taking it upon ourselves to learn about what causes our blood sugars to rise suddenly or gently, we can manage our diet and other lifestyle factors accordingly.

And yes, itโ€™s not just about diet, Dr. Means tells us. While added sugar and refined carbohydrates or indeed the main drivers of glycemic variability, our sleep, movement, stress management, and even toxin exposure play important parts too.

One way to do this, that Dr. Means recommends, is with a continuous glucose monitor:

Track Your Blood Sugars For Better Personalized Health

Another way is to just apply principles that work for almost everyone:

10 Ways To Balance Blood Sugars

Want to know more from Dr. Means?

You might like her book:

Good Energy โ€“ by Dr. Casey Means

โ€ฆwhich goes into this in far more detail than we have room to today.

Enjoy!

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  • Is It Ever Too Late for Hormone Replacement?

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    Dr. Susan Hardwick-Smith explains:

    The short answer is โ€œnoโ€

    The famous (and since, discredited) Women’s Health Initiative (WHI) Study caused widespread fear about hormone therapy some decades ago. It looked at older women (average age 63) and used outdated, pro-inflammatory hormone types (conjugated equine estrogens such as Premarin and Provera, rather than modern bioidentical estrogen). This, along with some bad science when it came to calculating cancer risk, led to the misconception that menopausal hormone therapy (MHT) should stop at 60 or after 10 years, or perhaps even be avoided entirely.

    Corrected analysis shows that women under 60 in the WHI study actually had a reduced risk of heart disease, even with older hormone types. Women over 60 saw a slight initial increase in heart disease risk, due to pre-existing conditions rather than the hormones themselves. Another large study confirmed that starting MHT within six years of menopause reduces heart disease risk, while starting after ten years has a neutral effectโ€”neither harmful nor beneficial, in terms of heart health.

    Modern bioidentical estrogen is highly protective for the heart, brain, and bones, especially when started early. Transdermal estrogen (patch, gel) is even safer than oral estrogen.

    Bioidentical estrogen also improves vascular health, reducing the risk of Alzheimerโ€™s and dementia when started early.

    Stopping hormone therapy at a certain age is unnecessary. If MHT was started early, it should continue, as stopping increases risks of osteoporosis, heart disease, and cognitive decline. The only major reason to stop would be an estrogen-sensitive breast cancer diagnosis.

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesnโ€™t Load Automatically!

    Want to learn more?

    You might also like:

    Take care!

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  • Strong Curves โ€“ by Bret Contreras & Kellie Davis

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    The title (and subtitle) is, of course, an appeal to vanity. However, the first-listed author is well-known as โ€œThe Glute Guyโ€, and he takes this very seriously, not just for aesthetic reasons but also for practical reasons.

    After all, when it comes to posture and stability, a lot rests on our hips, and hips, well, they rest on our butt and thighs. Whatโ€™s more, the gluteus maximus is the largest muscle in the human body, so really, is it a good one to neglect? Probably not, and your lower back will definitely thank you for keeping your glutes in good order, too.

    That said, while itโ€™s a focal point, itโ€™s not the be-all-and-end-all, and this book does cover the whole body.

    The book takes the reader from โ€œabsolute beginnerโ€ to โ€œcould compete professionallyโ€, with clearly-illustrated and well-described exercises. We also get a strong โ€œcrash courseโ€ in the relevant anatomy and physiology, and even a chapter on nutrition, which is a lot better than a lot of exercise booksโ€™ efforts in that regard.

    For those who like short courses, this book has several progressive 12-week workout plans that take the reader from a very clear starting point to a very clear goal point.

    Another strength of the book is that while a lot of exercises expect (and require) access to a gym, there are also whole sections of โ€œat home / bodyweightโ€ exercises, including 12-week workout plans for such, as described above.

    Bottom line: thereโ€™s really nothing bad that this reviewer can find to say about this oneโ€”highly recommendable to any woman who wants to get strong while keeping a feminine look.

    Click here to check out Strong Curves, and rebuild your body, your way!

    PS: at first glance, the cover art looks like an AI model; itโ€™s not; thatโ€™s the co-author Kellie Davis, who also serves as the model through the bookโ€™s many photographic illustrations.

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  • The Keys to Good Mental Wellbeing

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    The Nine Keys To Good Mental Wellbeing

    Todayโ€™s main feature is a bit โ€œpop psychologyโ€, but it has its underpinnings in actual psychology, and is especially useful if approached from that angle.

    What itโ€™s most popularly enjoyed as:

    • A personality-typing system.
    • People love little quizzes and identifiers and such.

    What itโ€™s actually really useful as:

    • A tool for understanding why people (including ourselves) are the way we are
    • A foundational knowledge for living better ourselves, and helping others too

    This stems from the fairly simple principle, uncontroversial in psychology:

    • We have needs, desires, and aversions
    • We act in a way that tries to get our needs met and avoid suffering
    • Thus: Need/Fear โ†’ Motivation โ†’ Action

    The Enneagram

    The Enneagram (แผฮฝฮฝฮญฮฑ = โ€œnineโ€ in Ancient Greek) system posits that we each have one fundamental need/fear (from a list of nine) thatโ€™s strongest for us. A deep-seated insecurity/longing, that weโ€™ll go to almost any lengths to try to meet. Sometimes, in good ways, sometimes, bad.

    The Nine Basic Fears/Insecurities, And Their Corresponding Needs/Desires:

    1. Fear of being a fundamentally bad, wrong person / Need to be good and correct
    2. Fear of being fundamentally unloveable / Need to be loved
    3. Fear of being fundamentally worthless / Need to be valued
    4. Fear of being like everyone else / Need to be different
    5. Fear of being useless / Need to be useful
    6. Fear of being outcast / Need to have a set place in the group
    7. Fear of missing out / Need to experience things
    8. Fear of being hurt or controlled / Need to be in control
    9. Fear of conflict / Need to be at peace

    Of course, most of us have most of these fears/needs to some extent, though usually one will stand outโ€”especially if we arenโ€™t managing it well. The less healthy our coping mechanisms, the more obvious it is how weโ€™re trying to overcompensate in some fashion. For example:

    1. A person who fears being wrong and so becomes a perfectionist rules-abider to a fault
    2. A person who fears being unloveable, and so exaggerates problems to get pity, as the next best thing
    3. A person who fears being worthless, and so exaggerates their accomplishments in order to be admired and valued
    4. A person who fears being like everyone else, and so descends into a โ€œnobody could ever possibly understand meโ€ black hole of pathos.
    5. A person who fears being useless, so burns themself out trying to be an omnicompetent Leonardo da Vinci without ever actually taking the time to stop and smell the flowers as Leonardo did.
    6. A person who fears being outcast, so becomes clingy, passive-aggressive, and suspicious
    7. A person who fears missing out, so tries to experience all the things all the time, ruining their health with dizzying highs and crushing lows.
    8. A person who fears being hurt or controlled, so becomes aggressive and domineering
    9. A person who fears conflict, so shuts down at the slightest hint of it

    If we have healthier coping mechanisms, these same nine people can look a lot different, but in much more subtle ways because weโ€™re not trying to overcompensate so badly:

    1. A person who lives their life rationally by principles that can be adapted as they learn
    2. A person who loves and is loved, as perhaps the most notable part of their character
    3. A person who sets reasonable goals and accomplishes them, and seeks to uplift others
    4. A person who creates and innovates, enriching their own life and the lives of others
    5. A person who is simply very competent and knowledgeable, without overstretching
    6. A person who is dependable and loyal, and a reliable part of something bigger than themself
    7. A person who is fun to be around and loves trying new things, while also knowing how to relax
    8. A person who develops their leadership skills and is a tower of strength for others
    9. A person who knows how to make peace and does soโ€”by themself, and with others

    By being aware of our own fears/insecurities that may drive our motivations and thus underpin our behaviors, we can usually manage them in a much more mindful fashion. Same goes when it comes to managing interactions with other people, too:

    • Letting the Type 3 know you value them, not their accomplishments or what they can do for you.
    • Appreciating the Type 5โ€™s (varied or specialist) skills and knowledge.
    • Giving love to a Type 2 unprompted, but on your own terms, with your own boundaries.
    • And so on for other types

    Or for yourselfโ€ฆ

    • As a Type 8, remembering that you can let go sometimes and let someone else be in charge.
    • As a Type 1, catching yourself holding yourself (or others) to impossible standards, and then easing up on that a little.
    • As a Type 9, remembering to stand up for yourself and others, however gently, but firmly.
    • And so on for other types

    If youโ€™re unsure what to focus on, ask yourself: whatโ€™s your worst nightmare or greatest daydream? Then work out what it is about that, that makes it feel so bad or good.

    Then, approach things mindfully. Catch yourself in your unhealthy coping mechanisms, and find healthy ones instead.

    What if I get my type wrong? Or I get someone elseโ€™s type wrong?

    Obviously itโ€™s better to get them right for maximum effect, but you can never go too far wrong anywayโ€ฆ because we all have all nine of those qualities in us, itโ€™s just a matter of how strong a factor each is for us. So in the worst case scenario, youโ€™ll make someone feel more secure about something that was only a very minor insecurity for them, for example.

    Or in the case of your own type, you may mistakenly think youโ€™re acing being the worldโ€™s healthiest Type 5, until you realize youโ€™re actually a Type 3 who thought learning all those things would make you more worthy (spoiler: those things are great, but youโ€™re worthy already). Again, not the end of the world! No matter what, youโ€™re learning and growing, and thatโ€™s good.

    Want to delve further?

    Read: The Nine Enneagram Type Descriptions (Basic, but more detailed descriptions than the above)

    Read: How The Enneagram System Works (More complex. Now weโ€™re getting into the more arcane stuff we didnโ€™t have time for todayโ€”wings and lines, triads, health levels, directions of integration and disintegration, and more)

    Like learning from books? Here are our top two picks, depending on your learning style:

    Weโ€™d love to offer a quick free test here, but all the tests we could find either require paid registration or are wildly inaccurate, so weโ€™ll not waste your time.

    However, we do also think that working it out for yourself is better, as it means you have a handle on what those ideas, fears, insecurities, desires, needs, really mean to youโ€”that way you can actually use the information!

    Weโ€™ll close by repeating our previous advice: If youโ€™re unsure what to focus on, ask yourself: whatโ€™s your worst nightmare or greatest daydream? Then work out what it is about those scenarios that make them so bad or good. Thatโ€™ll help you find your real fears/needs, such that you can work on them.

    Good luck!

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  • Top 5 Exercises For Hip Mobility

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    Do more with less:

    Let’s open things up…

    Hip mobility exercises will, by default, be hip-opening exercises. The criteria used by mobility coach Liv Townsend to qualify these top 5 exercises are:

    • improves both strength and range of motion
      • these are the qualifying characteristics for a mobility exercise; if an exercise improves only one or the other, then it’s just a strength exercise or just a flexibility exercise
    • is accessible from almost any starting point
      • realistically, rather than “if you can’t do the vertical splits while balancing on one leg, start by doing the vertical splits against the wall” (yes, that’s a real piece of advice this writer saw in the wild one time)
    • can be progressively loaded or deepened
      • because otherwise we would get very limited benefits from it, so this characteristic is necessary too
    • delivers high value by working multiple muscles
      • because frankly, we have a lot of muscles, and working them all individually would take a lot longer than most of us have time to commit

    With these criteria in mind, here are 5 exercises that do all those things, and do them well:

    • Bulgarian split squat: ranks highest for accessibility, progression, strength, and mobility, improving hip extension in your back leg, hip flexion and internal-rotation stability in your front leg, and stretching your glutes, quads, and hip flexors through deep ranges, with balance easily assisted if needed.
    • Lateral squat: delivers high value by improving mobility and strength in your glutes, quads, adductors, hamstrings, and ankles, emphasizes inner-thigh mobility and external hip rotation, and progresses with depth or load, but can be less accessible due to common form challenges.
    • Single-leg Romanian deadlift: combines hamstring lengthening with strength through your full hinge range, is accessible at any flexibility level, and progresses easily with load, but ranks lower because it mainly targets a single mobility area.
    • Squat: develops quad strength and stretches your quads and hip flexors on descent, is broadly accessible and scalable with depth, blocks, or bands, but offers lower overall value because it lacks hip rotation and minimal posterior-chain involvement.
    • Shin box: builds strength and flexibility through internal and external hip rotation, strengthens your glutes on the lift, stretches your hip flexors and adductors at the top, and is easily progressed with load, but loses points for accessibility due to required internal rotation and starting-position demands.

    For more on all of this, plus visual demonstrations, enjoy:

    Click Here If The Embedded Video Doesnโ€™t Load Automatically!

    Want to learn more?

    You might also like:

    The Most Underrated Hip Mobility Exercise (Not Stretching)

    Take care!

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  • When And Why Do We Pick Up Our Phones?

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    The School of Life’s Alain de Botton makes the argument thatโ€”if we pay attention, if we keep trackโ€”there’s an understory to why we pick up our phones:

    It’s not about information

    Yes, our phones (or rather, the apps therein) are designed to addict us, to draw us back, to keep us scrolling and never let us go. We indeed seek out information like our ancestors once sought out berries; searching, encouraged by a small discovery, looking for more. The neurochemistry is similar.

    But when we look at the “when” of picking up our phones, de Botton says, it tells a different story:

    We pick them up not to find out what’s going on with the world, but rather specifically to not find out what’s going with ourselves. We pick them up to white out some anxiety we don’t want to examine, a line of thought we don’t want to go down, memories we don’t want to consider, futures we do not want to have to worry about.

    And of course, phones do have a great educational potential, are an immensely powerful tool for accessing knowledge of many kindsโ€”if only we can remain truly conscious while using them, and not take them as the new “opiate of the masses”.

    De Botton bids us, when next we pick up our phone. ask a brave question:

    “If I weren’t allowed to consult my phone right now, what might I need to think about?”

    As for where from there? There’s more in the video:

    Click Here If The Embedded Video Doesnโ€™t Load Automatically!

    Further reading

    Making Social Media Work For Your Mental Health

    Take care!

    Don’t Forget…

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  • If Your Knee Feels Unstable, Do These 3 Things Before It Gets Worse

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    Dr. Alyssa Kuhn, arthritis specialist, shows us how:

    Strength, support, & control

    Knee stability depends on three components working together:

    1. strength (your muscles being strong enough to do hold you up)
    2. support (weight-bearing confidence)
    3. control (balance and movement coordination)

    Weakness in any one area can make your knee feel as though it may give outโ€”or indeed, it may actually give out!

    So, to ensure you have those three things:

    • Chair stand: sit at the edge of a chair, stand up tall, then sit down with control, progressing by lowering yourself slowly over a three-second count (without* using your hands!)
      • *If you need to use your hands at first in order to have good form, then so be it; do prioritize good form. However, if you must use your hands, use as light a touch as possible, and try to work up to not using your hands (including: not using swinging momentum, either)
    • Stand-and-march: stand up from a chair, march one knee up, march with the other leg while balancing on one leg at a time, then sit back down with control.
    • Weight-shift stepping: place most of your weight through the leg you’re training while lightly stepping the other leg forwards, sideways, and backwards, returning to the middle after each step. You can progress this one by passing a small weight around you in a circle. How small a weight? It should be very manageable to you, just enough that the balance is the hard part, not holding the weight up.
    • Balance-beam stance with arm swings: stand with one foot directly in front of the other, shift most of your weight onto the back leg, then add controlled arm swings while maintaining your balance. Again you can progress this by adding weight to your hands.

    Throughout, the main idea is to build strength, support, and control separately first, then progress to the combined exercises once the individual movements feel comfortable and controlled.

    For more on all of this plus visual demonstrations, enjoy:

    Click Here If The Embedded Video Doesnโ€™t Load Automatically!

    Want to learn more?

    You might also like:

    The Best Exercise to Stop Your Legs From Giving Out โ† a different approach, with a single exercise, and this one has to do with correcting the golgi tendon reflex that can sometimes cause knees to just collapse for no obvious reason

    Take care!

    Don’t Forget…

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