Dr. Greger’s Daily Dozen

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Give Us This Day Our Daily Dozen

This is Dr. Michael Greger. He’s a physician-turned-author-educator, and we’ve featured him and his work occasionally over the past year or so:

But what we’ve not covered, astonishingly, is one of the things for which he’s most famous, which is…

Dr. Greger’s Daily Dozen

Based on the research in the very information-dense tome that his his magnum opus How Not To Die (while it doesn’t confer immortality, it does help avoid the most common causes of death), Dr. Greger recommends that we take care to enjoy each of the following things per day:

Beans

  • Servings: 3 per day
  • Examples: ½ cup cooked beans, ¼ cup hummus

Greens

  • Servings: 2 per day
  • Examples: 1 cup raw, ½ cup cooked

Cruciferous vegetables

  • Servings: 1 per day
  • Examples: ½ cup chopped, 1 tablespoon horseradish

Other vegetables

  • Servings: 2 per day
  • Examples: ½ cup non-leafy vegetables

Whole grains

  • Servings: 3 per day
  • Examples: ½ cup hot cereal, 1 slice of bread

Berries

  • Servings: 1 per day
  • Examples: ½ cup fresh or frozen, ¼ cup dried

Other fruits

  • Servings: 3 per day
  • Examples: 1 medium fruit, ¼ cup dried fruit

Flaxseed

  • Servings: 1 per day
  • Examples: 1 tablespoon ground

Nuts & (other) seeds

  • Servings: 1 per day
  • Examples: ¼ cup nuts, 2 tablespoons nut butter

Herbs & spices

  • Servings: 1 per day
  • Examples: ¼ teaspoon turmeric

Hydrating drinks

  • Servings: 60 oz per day
  • Examples: Water, green tea, hibiscus tea

Exercise

  • Servings: Once per day
  • Examples: 90 minutes moderate or 40 minutes vigorous

Superficially it seems an interesting choice to, after listing 11 foods and drinks, have the 12th item as exercise but not add a 13th one of sleep—but perhaps he quite reasonably expects that people get a dose of sleep with more consistency than people get a dose of exercise. After all, exercise is mostly optional, whereas if we try to skip sleep for too long, our body will force the matter for us.

Further 10almonds notes:

Enjoy!

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  • Revealed: The Soviet Secret Recipe For Success That The CIA Admits Put The US To Shame

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    Today’s edition of 10almonds brings you a blast from the past with a modern twist: an ancient Russian peasant food that became a Soviet staple, and today, is almost unknown in the West.

    Before we get to that, let’s take a sneaky look at this declassified CIA memorandum from near the end of the Cold War:

    (Click here to see a bigger version)

    The take-away here is:

    • Americans were eating 2–3 times more meat than Soviets
    • Soviets were eating nearly double the amount of grain products and potatoes

    …and both of these statistics meant that nutritionally speaking, the Soviets were doing better.

    Americans also consumed more sugar and fats, which again, wasn’t the best dietary option.

    But was the American diet tastier? Depends on whom you ask.

    Which brings us to a literal recipe we’re going to be sharing with you today:

    It’s not well-known in the West, but in Russia, it’s a famous national comfort food, a bastion of health and nutrition, and it rose to popularity because it was not only cheap and nutritious, but also, you could eat it for days without getting sick of it. And it could be easily frozen for reheating later without losing any of its appeal—it’d still be just as good.

    In Russia there are sayings about it:

    Щи да каша — пища наша (Shchi da kasha — pishcha nasha)

    Shchi and buckwheat are what we eat

    Top tip: buckwheat makes an excellent (and naturally sweet) alternative to porridge oats if prepared the same way!

    Где щи, там и нас ищи (Gdye shchi, tam i nas ishchi)

    Where there’s shchi, us you’ll see

    Голь голью, а луковка во щах есть (Gol’ gol’yu, a lukovka vo shchakh yest’)

    I’m stark naked, but there’s shchi with onions

    There’s a very strong sentiment in Russia that really, all you need is shchi (shchi, shchi… shchi is all you need )

    But what, you may ask, is shchi?

    Our culinary cultural ambassador Nastja is here to offer her tried-and-tested recipe for…

    …Russian cabbage soup (yes, really—bear with us now, and you can thank us later)

    There are a lot of recipes for shchi (see for yourself what the Russian version of Lifehacker recommends), and we’ll be offering our favorite…

    Nastja’s Nutritious and Delicious Homemade Shchi

    Hi, Nastja here! I’m going to share with you my shchi recipe that is:

    • Cheap
    • So tasty
    • Super nutritious*
    • Vegan
    • Gluten Free

    You will also need:

    • A cabbage (I use sweetheart, but any white cabbage will do)
    • 1 cup (250g) red lentils (other kinds of lentils will work too)
    • ½ lb or so (250–300g) tomatoes (I use baby plum tomatoes, but any kind will do)
    • ½ lb or so (250–300g) mushrooms (the edible kind)
    • An onion (I use a brown onion; any kind will do)
    • Salt, pepper, rosemary, thyme, parsley, cumin
    • Marmite or similar yeast extract (do you hate it? Me too. Trust me, it’ll be fine, you’ll love it. Omit if you’re a coward.)
    • A little oil for sautéing (I use sunflower, but canola is fine, as is soy oil. Do not use olive oil or coconut oil, because the taste is too strong and the flashpoint too low)

    First, what the French call mise-en-place, the prep work:

    1. Chop the cabbage into small strips, ⅛–¼ inch x 1 inch is a good guideline, but you can’t really go wrong unless you go to extremes
    2. Chop the tomatoes. If you’re using baby plum tomatoes (or cherry tomatoes), cut them in half. If using larger tomatoes, cut them into eighths (halve them, halve the halves, then halve the quarters)
    3. Chop the mushrooms. If using button mushrooms, half them. If using larger mushrooms, quarter them.
    4. Chop the onion finely.
    5. Gather the following kitchenware: A big pan (stock pot or similar), a sauté pan (a big wok or frying pan will do), a small frying pan (here a wok will not do), and a saucepan (a rice cook will also do)

    Now, for actual cooking:

    1. Cook the red lentils until soft (I use a rice cooker, but a saucepan is fine) and set aside
    2. Sauté the cabbage, put it in the big pot (not yet on the heat!)
    3. Fry the mushrooms, put them in the big pot (still not yet on the heat!)

    When you’ve done this a few times and/or if you’re feeling confident, you can do the above simultaneously to save time

    1. Blend the lentils into the water you cooked them in, and then add to the big pot.
    2. Turn the heat on low, and if necessary, add more water to make it into a rich soup
    3. Add the seasonings to taste, except the parsley. Go easy on the cumin, be generous with the rosemary and thyme, let your heart guide you with the salt and pepper.
    4. When it comes to the yeast extract: add about one teaspoon and stir it into the pot. Even if you don’t like Marmite, it barely changes the flavour (makes it slightly richer) and adds a healthy dose of vitamin B12.

    We did not forget the tomatoes and the onion:

    1. Caramelize the onion (keep an eye on the big pot) and set it aside
    2. Fry the tomatoes and add them to the big pot

    Last but definitely not least:

    1. Serve!
    2. The caramelized onion is a garnish, so put a little on top of each bowl of shchi
    3. The parsley is also a garnish, just add a little

    Any shchi you don’t eat today will keep in the fridge for several days, or in the freezer for much longer.

    *That nutritious goodness I talked about? Check it out:

    • Lentils are high in protein and iron
    • Cabbage is high in vitamin C and calcium
    • Mushrooms are high in magnesium
    • Tomatoes are good against inflammation
    • Black pepper has a host of health benefits
    • Yeast extract contains vitamin B12

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  • Grapefruit vs Orange – Which is Healthier?

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    Our Verdict

    When comparing grapefruit to orange, we picked the orange.

    Why?

    It’s easy, when guessing which is the healthier out of two things, to guess that the more expensive or perhaps less universally available one is the healthier. But it’s not always so, and today is one of those cases!

    In terms of macros, they are very similar fruits, with almost identical levels of carbohydrates, proteins, and fats, as well as water. Looking more carefully, we find that grapefruit’s sugars contain a slightly high proportion of fructose; not enough to make it unhealthy by any means (indeed, no whole unprocessed fruit is unhealthy unless it’s literally poisonous), but it is a thing to note if we’re micro-analysing the macronutrients. Also, oranges have slightly more fiber, which is always a plus.

    When it comes to vitamins, oranges stand out with more of vitamins B1, B2, B3, B6, B9, C, and E, while grapefruit boasts more vitamin A (hence its color). Still, we’re calling this category another win for oranges.

    In the category of minerals, oranges again sweep with more calcium, copper, iron, magnesium, manganese, potassium, and selenium, while grapefruit has just a little more phosphorus. So, another easy win for oranges.

    One final consideration that’s not shown in the nutritional values, is that grapefruit contains furanocoumarin, which can inhibit cytochrome P-450 3A4 isoenzyme and P-glycoptrotein transporters in the intestine and liver—slowing down their drug metabolism capabilities, thus effectively increasing the bioavailability of many drugs manifold. It can also be found in lower quantities in Seville (sour) oranges, and it’s not present (or at least, if it is, it’s in truly tiny quantities) in most oranges.

    This may sound superficially like a good thing (improving bioavailability of things we want), but in practice it means that in the case of many drugs, if you take them with (or near in time to) grapefruit or grapefruit juice, then congratulations, you just took an overdose. This happens with a lot of meds for blood pressure, cholesterol (including statins), calcium channel-blockers, anti-depressants, benzo-family drugs, beta-blockers, and more. Oh, and Viagra, too. Which latter might sound funny, but remember, Viagra’s mechanism of action is blood pressure modulation, and that is not something you want to mess around with unduly. So, do check with your pharmacist to know if you’re on any meds that would be affected by grapefruit or grapefruit juice!

    All in all, today’s sections add up to an overwhelming win for oranges!

    Want to learn more?

    You might like to read:

    Take care!

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  • Peace Is Every Step – by Thích Nhất Hạnh

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    Mindfulness is one of the few practices to make its way from religion (in this case, Buddhism) into hard science. We’ve written before about its many evidence-based benefits, and many national health information outlets recommend it. So, what does this book have to add?

    Thích Nhất Hạnh spent most of his 95 years devoted to the practice and teaching of mindfulness and compassion. In this book, the focus is on bringing mindfulness off the meditation mat and into general life.

    After all, what if we could extend that “unflappability” into situations that pressure and antagonize us? That would be some superpower!

    The author offers techniques to do just that, simple exercises to transform negative emotions, and to make us more likely to remember to do so.

    After all, “in the heat of the moment” is rarely when many of us are at our best, this book gives way to allow those moments themselves to serve as immediate triggers to be our best.

    The title “Peace Is Every Step” is not a random collection of words; the goal of this book is to enable to reader to indeed carry peace with us as we go.

    Not just “peace is always available to us”, but if we do it right: “we have now arranged for our own peace to automatically step in and help us when we need it most”.

    Bottom line: if you’d like to practice mindfulness, or practice it more consistently, this book offers some powerful tools.

    Click here to check out Peace Is Every Step, and carry yours with you!

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  • Stick with It – by Dr. Sean Young

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    Most of us know the theory when it comes to building new habits and/or replacing old ones, and maybe we even implement those ideas. So why is our success rate still not as high as we think it should be?

    Dr. Sean Young is here to do science to it!

    This book comes with advice and explanations that rely a lot less on “that sounds reasonable” and a lot more on “in this recent high-quality study, researchers found…”

    And, at 10almonds, we love that. We’re all for trying new things that sound reasonable in general… but we definitely prefer when there’s a stack of solid science to point to, and that’s the kind of thing we recommend!

    Dr. Young is big on using that science to find ways to trick our brains and get them working the way we want.

    Each chapter has lots of science, lots of explanations, and lots of actionable step-by-step advice.

    Bottom line: if you’re all over “Atomic Habits”, this one’s the science-based heavy-artillery for your practical neurohacking.

    Click here to check out “Stick With It” on Amazon today, and start enjoying the much easier (and more lasting) rewards!

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  • Women take more antidepressants after divorce than men but that doesn’t mean they’re more depressed

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    Research out today from Finland suggests women may find it harder to adjust to later-life divorce and break-ups than men.

    The study used population data from 229,000 Finns aged 50 to 70 who had undergone divorce, relationship break-up or bereavement and tracked their use of antidepressants before and after their relationship ended.

    They found antidepressant use increased in the four years leading to the relationship dissolution in both genders, with women experiencing a more significant increase.

    But it’s too simplistic to say women experience poorer mental health or tend to be less happy after divorce than men.

    Remind me, how common is divorce?

    Just under 50,000 divorces are granted each year in Australia. This has slowly declined since the 1990s.

    More couple are choosing to co-habitate, instead of marry, and the majority of couples live together prior to marriage. Divorce statistics don’t include separations of cohabiting couples, even though they are more likely than married couples to separate.

    Those who divorce are doing so later in life, often after their children grow up. The median age of divorce increased from 45.9 in 2021 to 46.7 in 2022 for men and from 43.0 to 43.7 for women.

    The trend of late divorces also reflects people deciding to marry later in life. The median duration from marriage to divorce in 2022 was around 12.8 years and has remained fairly constant over the past decade.

    Why do couples get divorced?

    Changes in social attitudes towards marriage and relationships mean divorce is now more accepted. People are opting not to be in unhappy marriages, even if there are children involved.

    Instead, they’re turning the focus on marriage quality. This is particularly true for women who have established a career and are financially autonomous.

    Similarly, my research shows it’s particularly important for people to feel their relationship expectations can be fulfilled long term. In addition to relationship quality, participants reported needing trust, open communication, safety and acceptance from their partners.

    Grey divorce” (divorce at age 50 and older) is becoming increasingly common in Western countries, particularly among high-income populations. While factors such as an empty nest, retirement, or poor health are commonly cited predictors of later-in-life divorce, research shows older couples divorce for the same reasons as younger couples.

    What did the new study find?

    The study tracked antidepressant use in Finns aged 50 to 70 for four years before their relationship breakdown and four years after.

    They found antidepressant use increased in the four years leading to the relationship break-up in both genders. The proportion of women taking antidepressants in the lead up to divorce increased by 7%, compared with 5% for men. For de facto separation antidepressant use increased by 6% for women and 3.2% for men.

    Within a year of the break-up, antidepressant use fell back to the level it was 12 months before the break-up. It subsequently remained at that level among the men.

    But it was a different story for women. Their use tailed off only slightly immediately after the relationship breakdown but increased again from the first year onwards.

    Woman sits at the beach
    Women’s antidepressant use increased again.
    sk/Unsplash

    The researchers also looked at antidepressant use after re-partnering. There was a decline in the use of antidepressants for men and women after starting a new relationship. But this decline was short-lived for women.

    But there’s more to the story

    Although this data alone suggest women may find it harder to adjust to later-life divorce and break-ups than men, it’s important to note some nuances in the interpretation of this data.

    For instance, data suggesting women experience depression more often than men is generally based on the rate of diagnoses and antidepressant use, which does not account for undiagnosed and unmedicated people.

    Women are generally more likely to access medical services and thus receive treatment. This is also the case in Australia, where in 2020–2022, 21.6% of women saw a health professional for their mental health, compared with only 12.9% of men.

    Why women might struggle more after separating

    Nevertheless, relationship dissolution can have a significant impact on people’s mental health. This is particularly the case for women with young children and older women.

    So what factors might explain why women might experience greater difficulties after divorce later in life?

    Research investigating the financial consequences of grey divorce in men and women showed women experienced a 45% decline in their standard of living (measured by an income-to-needs ratio), whereas men’s dropped by just 21%. These declines persisted over time for men, and only reversed for women following re-partnering.

    Another qualitative study investigating the lived experiences of heterosexual couples post-grey divorce identified financial worries as a common theme between female participants.

    A female research participant (age 68) said:

    [I am most worried about] the money, [and] what I’m going to do when the little bit of money I have runs out […] I have just enough money to live. And, that’s it, [and if] anything happens I’m up a creek. And Medicare is incredibly expensive […] My biggest expense is medicine.

    Another factor was loneliness. One male research participant (age 54) described he preferred living with his ex-wife, despite not getting along with her, than being by himself:

    It was still [good] knowing that [the] person was there, and now that’s gone.

    Other major complications of later-life divorce are possible issues with inheritance rights and next-of-kin relationships for medical decision-making.

    Separation can be positive

    For some people, divorce or separation can lead to increased happiness and feeling more independent.

    And the mental health impact and emotional distress of a relationship dissolution is something that can be counterattacked with resilience. Resilience to dramatic events built from life experience means older adults often do respond better to emotional distress and might be able to adjust better to divorce than their younger counterparts.The Conversation

    Raquel Peel, Adjunct Senior Lecturer, University of Southern Queensland and Senior Lecturer, RMIT University

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • Burned Out By Tuesday?

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    Avoiding Burnout, The Active Way

    This is Dr. Claudine Holt. She’s double board-certified, in Occupational & Environmental Medicine, and Lifestyle Medicine.

    In short: preventative medicine in all parts of our life.

    Hopefully, you are reading this bright-eyed and bushy-tailed and ready to take on another exciting day in this wonderful, beautiful world!

    On the other hand, it’s possible that you’re reading this semi-focussed, looking for a crumb of dopamine as much as you are looking for information.

    If you’ve ever had the “What a week!” / “It’s only Tuesday” moment, this one’s for you.

    What does Dr. Holt want us to know?

    You can recover from burnout without guilt

    Sometimes, we overreach ourselves. Sometimes, life overreaches us! Sometimes it’s not that we overcommitted—it’s just that we were taking each day as it comes, but sometimes several days gang up on us at once.

    Sometimes, even, we can feel exhausted when it seems like we haven’t done anything.

    Note: if you feel exhausted and it seems like you haven’t done anything, then be aware: you are exhausted for a reason!

    What that reason might be may vary, but contrary to popular belief, energy does not just vanish. It went somewhere.

    This goes double if you have any chronic illness(es), even if you’re not aware of having had a flare-up, chances are you were just exceptionally busy (on a cellular level).

    And it’s easy to think that “mere” cellular activity shouldn’t be exhausting, but that is 100% of where our energy transactions happen—whether or not we are consciously aware of them!

    See also: Eat To Beat Chronic Fatigue ← yes, this also covers when you are too exhausted to shop and cook like a TV chef

    Dr. Holt specializes in working with burned out medical professionals (and also specifically specializes in working with women), but there are lessons for everyone in her advice. For example:

    Fiction: ”Medicine is my calling–it’s who I am.”

    Fact: You are more than medicine! Remember that your career is just one aspect of your life. Don’t forget to create your big-picture vision and tend the garden of the other areas of your life too.

    ~ Dr. Claudine Holt

    Read more: Dr. Claudine Holt | Burnout: Fact vs Fiction

    This same thing can go for whatever part of your identity frequently follows “I’m a…”, and is somewhere that you put a lot of your energy; it could equally be a non-professional job like “homemaker”, or a relational status like “husband”, or a cultural identifier like “Christian”, or a hobby like “gardener” (assuming that is not also your profession, in which case, same item, different category).

    Indeed, a lot of women especially get hit by “the triple burden” of professional work, housework, and childcare. And it’s not even necessarily that we resent any of those things or feel like they’re a burden; we (hopefully) love our professions, homes, children. But, here’s the thing:

    No amount of love will add extra hours to the day.

    So what does she recommend doing about it, when sometimes we’re juggling things that can’t be dropped?

    Start simple, but start!

    Dr. Holt recommends to start with a smile (yes even if, and sometimes especially when, the circumstances do not feel like they merit it), and deploy some CBT tools:

    Two Hacks to Quickly Rise Above Burnout (Or Any Circumstance)

    We’ve expanded on this topic here:

    How To Manage Chronic Stress

    With a more level head on, it becomes easier to take on the next step, which creating healthy boundariesand that doesn’t just mean with other people!

    It also means slaying our own perfectionism and imposter syndrome—both things that will have us chasing our tails 36 hours per day if we let them.

    See also:

    ❝Burnout is the culture of our times. A culture that expects us to do more and think our way out of everything. A culture that asks for more than the body can bear. Unfortunately, even though the situation might not be of our creation, burnout culture is our inheritance.

    An inheritance we can either perpetuate—or change—depending on what we embody.❞

    Source: The Embodied MD on Burnout with Dr Claudine Holt

    That “embodiment” is partly our choices and actions that we bring and own just as we bring and own our body—and it’s partly our relationship with our body itself, and learning to love it, and work with it to achieve wonderful things, instead of just getting through the day.

    Which yes, does also mean making space for good diet, exercise, sleep and so forth, per:

    These Top Five Things Make The Biggest Difference To Health

    Want to know more?

    You might like to check out Dr. Holt’s website:

    The Embodied M.D. | Burnout Coach

    …where she also offers resources such as a blog and a podcast.

    Enjoy!

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