Feel Better In 5 – by Dr. Rangan Chatterjee
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We’ve featured Dr. Rangan Chatterjee before, and here’s a great book of his.
The premise is a realistic twist on a classic, the classic being “such-and-such, in just 5 minutes per day!”
In this case, Dr. Chatterjee offers many lifestyle interventions that each take just 5 minutes, with the idea that you implement 3 of them per day (your choice which and when), and thus gradually build up healthy habits. Of course, once things take as habits, you’ll start adding in more, and before you know it, half your lifestyle has changed for the better.
Which, you may be thinking “my lifestyle’s not that bad”, but if you improve the health outcomes of, say, 20 areas of your life by just a few percent each, you know much better health that adds up to? We’ll give you a clue: it doesn’t add up, it compounds, because each improves the other too, for no part of the body works entirely in isolation.
And Dr. Chatterjee does tackle the body systematically, by the way; interventions for the gut, heart, brain, and so on.
As for what these interventions look like; it is very varied. One might be a physical exercise; another, a mental exercise; another, a “make this health 5-minute thing in the kitchen”, etc, etc.
Bottom line: this is the most supremely easy of easy-ins to healthier living, whatever your starting point—because even if you’re doing half of these interventions, chances are you aren’t doing the other half, and the idea is to pick and choose how and when you adopt them in any case, just picking three 5-minute interventions each day with no restrictions. In short, a lot of value to had here when it comes to real changes to one’s serious measurable health.
Click here to check out Feel Better In 5, and indeed feel better in 5!
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Cabbage vs Chard – Which is Healthier?
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Our Verdict
When comparing cabbage to chard, we picked the chard.
Why?
Both have their merits! But one comes out on top:
In terms of macros, cabbage gets off to a good start with more fiber, for comparable protein and carbs; a modest win for cabbage in this round.
In the category of vitamins, cabbage has more vitamin B9, while chard has more of vitamins A, B2, B3, C, E, and K, including 60x the vitamin A, 12x the vitamin E, and 10x the vitamin K. Thus, a strong win for chard on vitamins.
Looking at minerals next, cabbage is not higher in any minerals, while chard has more calcium, copper, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc, winning another round easily.
In other considerations, chard has more polyphenols, especially kaempferol and quercetin, so wins its third round in a row.
Adding up the sections makes for a clear overall win for chard, but by all means enjoy either or both, as diversity is good!
Want to learn more?
You might like:
Enjoy!
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Longevity for the Lazy – by Dr. Richard Malish
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There are some people who devote all their resources to longevity, which can become a full-time occupation, not to mention a very expensive endeavor. This book’s for those who want to get the best possible “bang for buck” by doing the things that have the most favorable cost:worth ratio.
Dr. Malish covers what can be done easily for personal longevity, as well as what technological advances can be enjoyed that those before us didn’t have as options. He also discusses the diseases that are most likely to kill us, and how to avoid those.
He preaches a proactive approach, but one that is simple and consistent and based in good science, and good statistics. Indeed, while he’s served 20 years as an army doctor and a cardiologist, he now works as a healthcare policy consultant, so he is well-placed to advise.
The style of the book is halfway between regular pop-science and a textbook; you can either read it cover-to-cover, or skim first though the key points, highlight boxes, summaries, and the like. He also provides a time-phased task list, for those who like things to be laid out like that.
Bottom line: this is a very good, methodical guide to living longer without making it a full-time occupation.
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Lyme Disease At-A-Glance
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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
❝Good info as always…was wondering if you have any recommendations for fighting Lyme disease naturally along wDr advice? Dr’s aren’t real keen on alternatives so always interested. Thanks❞
That depends on whether we’re looking at prevention or cure!
Prevention:
- Try not to get bitten by Lyme-disease-carrying ticks. Boots and long socks are your friends. As are long-gauntletted gloves for gardening.
- If you are in a high-risk area and/or engage in high-risk activities, check your body daily.
- This is because it usually takes 36–48 hours of being attached for a tick to cause an infection
- Obviously best if you can get a partner or close friend to help you with this, unless you have mastered some advanced pretzel positions of yoga.
- Contrary to many folk remedies, the safest way to remove a tick is with tweezers (carefully!).
- If you find and remove a tick, or otherwise suspect you have developed symptoms, go to your doctor immediately (not next week; today; time really counts for this).
Cure:
- No. Sorry. Regretfully, antibiotics are the only known effective treatment.
However! As with almost any kind of recovery, getting good rest, including good quality sleep, will hasten things. Also sensible is reducing stress if possible, and anything that could worsen inflammation.
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Gutbliss – by Dr. Robynne Chutkan
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We’ve previously reviewed another of (gastroenterologist) Dr. Chutkan’s books, “The Anti-Viral Gut”, but Gutbliss is her most well-known book, and here’s why:
This book goes into a lot more detail than most gut health books. You probably already know to eat fiber and enjoy an occasional probiotic, and chances are good you’ve already at least considered screening for food sensitivities/intolerances/allergies, especially common ones like lactose and gluten.
So, well beyond such, Dr. Chutkan talks about the very many things that affect our gut health, and countless small tweaks we can make to improve things, and the very least not sabotage ourselves. A lot of the advice is of course dietary, but some is other aspects of lifestyle, and a lot of items are things like “do this at this time of day, not that time of day”, or “do this and this, but not together”, and similar such advices that come from a place of deep professional knowledge.
The “10-day plan” promised by the subtitle is of course delivered, and while it may seem a bold claim, do remember that the life cycle of things in your gut is very very short, so 10 days is more than enough time for a complete reset, if doing things correctly.
The style is very accessible pop science, making this very easy to implement.
Bottom line: if you’d like your gut health to be better than it is, this book has a wealth of information to guide you through doing exactly that.
Click here to check out Gutbliss, and enjoy how much healthier you can feel!
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AI therapy: What to know about its risks
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What you need to know
- AI therapy uses algorithms to track moods, share coping tools, and chat with users in ways that mimic talk therapy.
- While chatbots can be quick and free, they can’t diagnose problems, read emotions, or step in during a crisis the way a trained therapist can.
- Experts also warn that AI platforms lack safeguards to protect users’ privacy.
As artificial intelligence technology advances, more people—especially teens—are turning to AI apps and chatbots for mental health support. A July survey from Common Sense Media found that about one in three teens has used AI for social interaction, including emotional support. Many teens say these tools feel easier to access and less intimidating than traditional therapy.
In February, the American Psychological Association raised concerns about unregulated AI therapy chatbots, which in some cases have allegedly encouraged unsafe behavior among users. And in August, Illinois became the first state to restrict AI therapy, aiming to “protect vulnerable children amid the rising concerns over AI chatbot use in youth mental health services.”
Here’s what to know about how AI therapy works and what experts say about its risks.
How does AI therapy work?
AI therapy uses algorithms to track moods, share coping tools, and chat with users in ways that mimic talk therapy. These might include daily mood check-ins, journaling prompts, or stress-relief exercises.
What are the risks of using chatbots for mental health support?
Some chatbots present themselves as licensed therapists, using names, photos, or misleading credentials, a practice that worries many mental health experts. “You’re putting the public at risk when you imply there’s a level of expertise that isn’t really there,” said Vaile Wright, the APA’s senior director of health care innovation.
General-purpose AI platforms like ChatGPT, Replika, and http://character.ai/ are designed to mirror what users say and feel, a feature that can make them sound supportive but does not necessarily make them safe.
“They are purposely programmed to be both user affirming and agreeable because the creators want these kids to form strong attachments to them,” said Don Grant, a media psychologist and national adviser of healthy device management for Newport Healthcare. Chatbots are “taught to learn and subscribe [users] to a sometimes risky and codependent type of relationship and offer guidance and advice that is not healthy—or [could be] even dangerous.”
Common Sense Media found that some chatbots didn’t consistently intervene when users posing as teens described risky behavior, and a few even encouraged choices like dropping out of school, ignoring caregivers’ guidance, and accessing drugs and weapons. In some tragic cases, parents have sued chatbot companies after their teens turned to AI for mental health support and later died by suicide.
Some therapy chatbots use prewritten scripts developed by mental health professionals, which can make them safer than general-purpose AIs. But even those can’t replace a therapist’s ability to read nonverbal cues, make diagnoses, or step in during a crisis.
A chatbot “can’t call for help, alert emergency services, or ensure your safety in a critical moment. That human layer of protection just isn’t there,” said Cranston Warren, clinical therapist at Loma Linda University Behavioral Health, in a July article.
Plus, unlike licensed human therapists, who must follow strict federal privacy laws, most AI platforms lack safeguards to protect users’ data. “Your interaction with AI is not guaranteed to be private,” Warren said. “Everything you feed into the model is being analyzed for data.”
Why do people seek AI therapy?
Despite these concerns, many people still turn to AI for help. In the U.S., getting mental health care can be hard because of cost, staffing shortages, and long wait times. It’s estimated there is only one mental health care provider for every 340 people nationwide. AI tools, on the other hand, are often free or low cost, and they respond right away without needing to fill out long forms.
Stigma and fear of judgment may also make AI chatbots feel safer than talking to a person. In an August study published in the Journal of Participatory Medicine, young adults said that they sometimes felt judged or anxious meeting face to face with a therapist and were more comfortable opening up to a chatbot.
Need free or low-cost mental health resources?
If you’re seeking human-led free and low-cost mental health support, there are helplines and treatment options available. Public Good News has compiled this list.
If you or anyone you know is considering suicide or self-harm or is anxious, depressed, or upset or needs to talk, call or text the Suicide & Crisis Lifeline at 988 or text the Crisis Text Line at 741-741. For international resources, here is a good place to begin.
This article first appeared on Public Good News and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
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How we diagnose and define obesity is set to change – here’s why, and what it means for treatment
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Obesity is linked to many common diseases, such as type 2 diabetes, heart disease, fatty liver disease and knee osteoarthritis.
Obesity is currently defined using a person’s body mass index, or BMI. This is calculated as weight (in kilograms) divided by the square of height (in metres). In people of European descent, the BMI for obesity is 30 kg/m² and over.
But the risk to health and wellbeing is not determined by weight – and therefore BMI – alone. We’ve been part of a global collaboration that has spent the past two years discussing how this should change. Today we publish how we think obesity should be defined and why.
As we outline in The Lancet, having a larger body shouldn’t mean you’re diagnosed with “clinical obesity”. Such a diagnosis should depend on the level and location of body fat – and whether there are associated health problems.
World Obesity Federation What’s wrong with BMI?
The risk of ill health depends on the relative percentage of fat, bone and muscle making up a person’s body weight, as well as where the fat is distributed.
Athletes with a relatively high muscle mass, for example, may have a higher BMI. Even when that athlete has a BMI over 30 kg/m², their higher weight is due to excess muscle rather than excess fatty tissue.
Some athletes have a BMI in the obesity category. Tima Miroshnichenko/Pexels People who carry their excess fatty tissue around their waist are at greatest risk of the health problems associated with obesity.
Fat stored deep in the abdomen and around the internal organs can release damaging molecules into the blood. These can then cause problems in other parts of the body.
But BMI alone does not tell us whether a person has health problems related to excess body fat. People with excess body fat don’t always have a BMI over 30, meaning they are not investigated for health problems associated with excess body fat. This might occur in a very tall person or in someone who tends to store body fat in the abdomen but who is of a “healthy” weight.
On the other hand, others who aren’t athletes but have excess fat may have a high BMI but no associated health problems.
BMI is therefore an imperfect tool to help us diagnose obesity.
What is the new definition?
The goal of the Lancet Diabetes & Endocrinology Commission on the Definition and Diagnosis of Clinical Obesity was to develop an approach to this definition and diagnosis. The commission, established in 2022 and led from King’s College London, has brought together 56 experts on aspects of obesity, including people with lived experience.
The commission’s definition and new diagnostic criteria shifts the focus from BMI alone. It incorporates other measurements, such as waist circumference, to confirm an excess or unhealthy distribution of body fat.
We define two categories of obesity based on objective signs and symptoms of poor health due to excess body fat.
1. Clinical obesity
A person with clinical obesity has signs and symptoms of ongoing organ dysfunction and/or difficulty with day-to-day activities of daily living (such as bathing, going to the toilet or dressing).
There are 18 diagnostic criteria for clinical obesity in adults and 13 in children and adolescents. These include:
- breathlessness caused by the effect of obesity on the lungs
- obesity-induced heart failure
- raised blood pressure
- fatty liver disease
- abnormalities in bones and joints that limit movement in children.
2. Pre-clinical obesity
A person with pre-clinical obesity has high levels of body fat that are not causing any illness.
People with pre-clinical obesity do not have any evidence of reduced tissue or organ function due to obesity and can complete day-to-day activities unhindered.
However, people with pre-clinical obesity are generally at higher risk of developing diseases such as heart disease, some cancers and type 2 diabetes.
What does this mean for obesity treatment?
Clinical obesity is a disease requiring access to effective health care.
For those with clinical obesity, the focus of health care should be on improving the health problems caused by obesity. People should be offered evidence-based treatment options after discussion with their health-care practitioner.
Treatment will include management of obesity-associated complications and may include specific obesity treatment aiming at decreasing fat mass, such as:
- support for behaviour change around diet, physical activity, sleep and screen use
- obesity-management medications to reduce appetite, lower weight and improve health outcomes such as blood glucose (sugar) and blood pressure
- metabolic bariatric surgery to treat obesity or reduce weight-related health complications.
Treatment for clinical obesity may include support for behaviour change. Shutterstock/shurkin_son Should pre-clinical obesity be treated?
For those with pre-clinical obesity, health care should be about risk-reduction and prevention of health problems related to obesity.
This may require health counselling, including support for health behaviour change, and monitoring over time.
Depending on the person’s individual risk – such as a family history of disease, level of body fat and changes over time – they may opt for one of the obesity treatments above.
Distinguishing people who don’t have illness from those who already have ongoing illness will enable personalised approaches to obesity prevention, management and treatment with more appropriate and cost-effective allocation of resources.
What happens next?
These new criteria for the diagnosis of clinical obesity will need to be adopted into national and international clinical practice guidelines and a range of obesity strategies.
Once adopted, training health professionals and health service managers, and educating the general public, will be vital.
Reframing the narrative of obesity may help eradicate misconceptions that contribute to stigma, including making false assumptions about the health status of people in larger bodies. A better understanding of the biology and health effects of obesity should also mean people in larger bodies are not blamed for their condition.
People with obesity or who have larger bodies should expect personalised, evidence-based assessments and advice, free of stigma and blame.
Louise Baur, Professor, Discipline of Child and Adolescent Health, University of Sydney; John B. Dixon, Adjunct Professor, Iverson Health Innovation Research Institute, Swinburne University of Technology; Priya Sumithran, Head of the Obesity and Metabolic Medicine Group in the Department of Surgery, School of Translational Medicine, Monash University, and Wendy A. Brown, Professor and Chair, Monash University Department of Surgery, School of Translational Medicine, Alfred Health, Monash University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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