Healthy Homemade Flatbreads
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Our recipes sometimes call for the use of flatbreads, or suggest serving with flatbreads. But we want you to be able to have healthy homemade ones! So here’s a very quick and easy recipe. You’ll probably need to order some of the ingredients in, but it’s worth it, and then if you keep a stock of the ingredients, you can whip these up in minutes anytime you want them.
You will need
- 1 cup garbanzo bean flour, plus more for dusting
- 1 cup quinoa flour
- 2 tbsp ground/milled flaxseed
- 1 tbsp baking powder
- 1 tbsp extra virgin olive oil, plus more for the pan
- ½ tsp MSG, or 1 tsp low-sodium salt, with MSG being the healthier and preferable option
- ½ tsp onion powder
- ½ tsp garlic powder
- ½ tsp dried cumin
- ½ tsp dried thyme
Method
(we suggest you read everything at least once before doing anything)
1) Mix the flaxseed with ⅓ cup of water and set aside for at least 5 minutes.
2) Combine the rest of the ingredients in a big bowl, plus the flax mixtures we just made, and an extra ½ cup of water. Knead this into a dough, adding a touch more water if it becomes necessary, but be sparing with it.
3) Divide the dough into 6 equal portions, shaping each into a ball. Dust a clean surface with the extra garbanzo bean flour, and roll each dough ball into in a thin 6″ circle.
4) Heat a skillet and add some olive oil for frying; when hot enough, place a dough disk in the pan and cook for a few minutes on each side until golden brown. Repeat with the other 5.
5) Serve! If you’re looking for a perfect accompaniment to these, try our Hero Homemade Hummus
Enjoy!
Want to learn more?
For those interested in some of the science of what we have going on today:
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What’s the difference between freckles, sunspots and moles?
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You’ve got a new brown spot on your face, but is it a freckle or a sunspot? Or perhaps you’ve found a spot on your back that looks like a mole but is flatter than your other ones – is it a mole or a dark freckle?
Here’s how to tell the difference between freckles, sunspots and moles – and when you need to get a spot checked to see if it’s skin cancer.
Cottonbro Studio/Pexels Freckles
Freckles, known as ephelides, are small, flat, light brown spots that appear on people with fair skin, or red or light-coloured hair.
These people are more likely to have the MC1R gene, which leads to freckles forming.
Freckles are caused by sun exposure and are more noticeable in summer. When sunlight hits the skin, cells called melanocytes produce melanin, the pigment that gives skin its colour.
In people prone to freckles, the melanin doesn’t spread evenly. Instead, it clumps together, creating freckles.
Melanin doesn’t spread evenly in people prone to freckles. Chermiti Mohamed/Unsplash Freckles generally appear in childhood and may fade with age, especially if sun exposure reduces. As we age we produce less melanin, or it can break down or disperse, resulting in lighter or fewer freckles.
Using sunscreen and wearing protective clothing can help prevent new freckles from developing, especially on the face and arms.
While freckles are completely harmless, they are a sign that someone is genetically at higher risk of developing skin cancer.
Sunspots
Sunspots are also called age spots or solar lentigos (or liver spots, but they have nothing to do with the liver). They are larger than freckles: sometimes the size of a small coin, and appear as flat brown spots.
Sunspots develop over time due to long-term sun exposure, which leads to excessive melanin production. They tend to appear on skin with greater sun exposure, such as the face, hands, shoulders and arms.
Sunspots develop after years of sun exposure. Zay Nyi Nyi/Shutterstock Unlike freckles, which tend to get lighter with less sun exposure, sunspots will not fade with time, and may further darken with continued sun exposure.
However, some people try to remove their sunspots for cosmetic reasons using either a laser, chemical peel or a prescription topical cream.
While sunspots are not dangerous, they do increase your risk of other skin cancers in that area.
It’s also important to monitor them, as slow-growing melanomas may initially look like sunspots. If you see the spot changes in size, shape or colour, see your doctor to rule out skin cancer.
Moles
Moles are often dark, raised or flat skin growths that can appear anywhere on your body.
Although moles can exist from birth, they typically grow during childhood, adolescence and early adulthood (including during pregnancy, when hormones are changing), until around the age of around 40. Moles can increase in size, and new ones can also appear.
Most adults have between ten and 40 moles on their body. A person with a high mole count has 50 or more, while someone with a very high mole count has 100 or more.
Some moles are raised while others are flat. Pixel-Shot/Shutterstock Moles form when melanocytes grow in clusters instead of spreading evenly throughout the skin.
Moles can either be raised or flat, depending upon their type, depth and age.
Raised moles, referred to as compound nevi, have both flat and raised portions and typically have pigment that is deeper in the skin.
Dermal nevi are skin-coloured or light brown moles that are also raised.
Most moles are harmless. Some may have hair growing from them and some may disappear, whereas other moles may darken or alter with age or hormonal changes.
However, some moles can develop into melanoma, a dangerous form of skin cancer.
When to see your doctor
While freckles and sunspots are completely harmless, moles do require more attention, especially if they change in size, shape, colour or texture.
If a mole shows any of the following warning signs, see your doctor, who will use the ABCDE rule to detect if a lesion is a skin cancer:
- asymmetry: if one half of the mole looks different from the other half
- border: if your mole is shaped irregularly, jagged or has poorly defined edges
- colour: varied shades or sudden changes in colour of the mole
- diameter: if it is larger than 6 millimeters (about the size of a pencil eraser)
- evolving: if your mole has any changes in its size, shape, colour, or sensation such as itching or bleeding for more than a few weeks.
Our research shows only 21.7% of people can correctly identify melanoma on their own, so professional checks are essential.
How to prevent skin damage
Since freckles, sunspots and some moles are influenced by exposure to the sun, you can protect your skin by:
- avoiding the sun when ultraviolet rays are strongest
- wearing sunscreen with SPF 50 every day, even when it’s cloudy. Apply it 20 minutes before going outside and reapply every two hours
- wearing protective clothing, including a wide-brimmed hat to cover your face, neck and ears, and long-sleeved shirts and pants to protect your arms and legs.
Correction: this article originally referred to sun sports as actinic keratoses rather than solar lentigos.
Mike Climstein, Associate Professor, Faculty of Health, Southern Cross University; Jeremy Hudson, Adjunct Associate Professor, Faculty of Health, Southern Cross University; Michael Stapelberg, Adjunct Associate Professor, Faculty of Health, Southern Cross University, and Nedeljka Rosic, Senior Lecturer, Faculty of Health, Southern Cross University
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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What Harm Can One Sleepless Night Do?
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We’ll not bury the lede: a study found that just one night of 24-hour sleep deprivation can alter immune cell profiles in young, lean, healthy people to resemble those of people with obesity and chronic inflammation.
Chronic inflammation, in turn, causes very many other chronic diseases, and worsens most of the ones it doesn’t outright cause.
The reason this happens is because in principle, inflammation is supposed to be good for us—it’s our body’s defenses coming to the rescue. However, if we imagine our immune cells as firefighters, then compare:
- A team of firefighters who are in great shape and ready to deploy at a moment’s notice, are mostly allowed to rest, sometimes get training, and get called out to a fire from time time, just enough to keep them on their toes. Today, something in your house caught fire, and they showed up in 5 minutes and put it out safely.
- A team of firefighters who have been pulling 24-hour shifts every day for the past 20 years, getting called out constantly for lost cats, burned toast, wrong numbers, the neighbor’s music, a broken fridge, and even the occasional fire. Today, your printer got jammed so they broke down your door and also your windows just for good measure, and blasted your general desk area with a fire hose, which did not resolve the problem but now your computer itself is broken.
Which team would you rather have?
The former team is a healthy immune system; the latter is the immune system of someone with chronic inflammation.
But if it’s one night, it’s not chronic, right?
Contingently true. However, the problem is that because the immune profile was made to be like the bad team we described (imagine that chaos in your house, now remember that for this metaphor, it’s your body that that’s happening to), the immediate strong negative health impact will already have knock-on effects, which in turn make it more likely that you’ll struggle to get your sleep back on track quickly.
For example, the next night you may oversleep “to compensate”, but then the following day your sleep schedule is now slid back considerably; one thing leads to another, and a month later you’re thinking “I really must sort my sleep out”.
See also: How Regularity Of Sleep Can Be Even More Important Than Duration ← A recent, large (n=72,269) 8-year prospective* observational study of adults aged 40-79 found a strong association between irregular sleep and major cardiovascular events, to such an extent that it was worse than undersleeping.
*this means they started the study at a given point, and measured what happened for the next eight years—as opposed to a retrospective study, which would look at what had happened during the previous 8 years.
What about sleep fragmentation?
In other words: getting sleep, but heavily disrupted sleep.
The answer is: basically the same deal as with missed sleep.
Specifically, elevated proinflammatory cytokines (in this context, that’s bad) and an increase in nonclassical monocytes—as are typically seen in people with obesity and chronic inflammation.
Remember: these were young, lean, healthy participants going into the study, who signed up for a controlled sleep deprivation experiment.
This is important, because the unhealthy inflammatory profile means that people with such are a lot more likely to develop diabetes, heart disease, Alzheimer’s, and many more things besides. And, famously, most people in the industrialized world are not sleeping that well.
Even amongst 10almonds readers, a health-conscious demographic by nature, 62% of 10almonds readers do not regularly get the prescribed 7–9 hours sleep (i.e. they get under 7 hours).
You can see the data on this one, here: Why You Probably Need More Sleep ← yes, including if you are in the older age range; we bust that myth in the article too!*
*Unless you have a (rare!) mutated ADRB1 gene, which reduces that. But we also cover that in the article, and how to know whether you have it.
With regard to “most people in the industrialized world are not sleeping that well”, this means that most people in the industrialized world are subject to an unseen epidemic of sleep-deprivation-induced inflammation that is creating vulnerability to many other diseases. In short, the lifestyle of the industrialized world (especially: having to work certain hours) is making most of the working population sick.
Dr. Fatema Al-Rashed, lead researcher, concluded:
❝In the long term, we aim for this research to drive policies and strategies that recognize the critical role of sleep in public health.
We envision workplace reforms and educational campaigns promoting better sleep practices, particularly for populations at risk of sleep disruption due to technological and occupational demands.
Ultimately, this could help mitigate the burden of inflammatory diseases like obesity, diabetes, and cardiovascular diseases.❞
You can read the paper in full here: Impact of sleep deprivation on monocyte subclasses and function
What can we do about it?
With regard to sleep, we’ve written so much about this, but here are three key articles that contain a lot of valuable information:
- Get Better Sleep: Beyond The Basics
- Calculate (And Enjoy) The Perfect Night’s Sleep
- Safe Effective Sleep Aids For Seniors
…and with regard to inflammation, a good concise overview of how to dial it down is:
How To Prevent Or Reduce Inflammation
Take care!
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Plant-Based Healthy Cream Cheese
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Cream cheese is a delicious food, and having a plant-based diet isn’t a reason to miss out. Here we have a protein-forward nuts-based cream cheese that we’re sure you’ll love (unless you’re allergic to nuts, in which case, maybe skip this one).
You will need
- 1½ cups raw cashews, soaked in warm water and then drained
- ½ cup water
- ½ cup coconut cream
- Juice of ½ lemon
- 3 tbsp nutritional yeast
- ½ tsp onion powder
- ½ tsp garlic powder
- ½ tsp black pepper
- ½ tsp cayenne pepper
- ¼ tsp MSG, or ½ tsp low-sodium salt
- Optional: ⅓ cup fresh basil
Method
(we suggest you read everything at least once before doing anything)
1) Blend all of the ingredients until creamy.
2) Optional: leave on the countertop, covered, for 1–2 hours, if you want a more fermented (effectively: cheesy) taste.
3) Refrigerate, ideally overnight, before serving. Serving on bagels is a classic, but you can also enjoy with the Healthy Homemade Flatbreads we made yesterday
Enjoy!
Want to learn more?
For those interested in some of the science of what we have going on today:
- Pistachios vs Cashews – Which is Healthier? ← Pistachios actually won here, but cashews are also great and are better (from a culinary perspective) for making cream cheese
- Why You Should Diversify Your Nuts!
- Our Top 5 Spices: How Much Is Enough For Benefits?
Take care!
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Wondering how to spot the signs of postpartum depression?
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Postpartum depression, or PPD, is a debilitating, potentially life-threatening mental health condition that impacts about one in eight people who give birth in the U.S. While it’s normal to feel worried or stressed after becoming a parent, PPD can cause feelings of extreme sadness or anxiety that may lead to suicidal thoughts.
Read on to learn what PPD is, what causes it, how it’s treated, and more.
What is the difference between the baby blues and postpartum depression?
Postpartum blues, or the “baby blues,” impact up to 80 percent of new parents. The baby blues may cause bouts of crying, mood swings, anxiety, sadness, reduced concentration, irritability, changes in appetite, and trouble sleeping, but symptoms are fleeting.
“Baby blues are a transient period—hours to a few days—of emotionality that does not impair one’s functioning or cause severe symptoms like suicidality,” says Dr. Jennifer L. Payne, a professor of psychiatry and neurobehavioral sciences at the University of Virginia. “[Postpartum depression] can cause severe symptoms, including suicidality.”
In addition to causing more debilitating symptoms, PPD can last for months.
Some new parents also experience postpartum psychosis, which can cause hallucinations and delusions. However, unlike PPD, postpartum psychosis is rare.
What are the symptoms of postpartum depression?
PPD symptoms may include:
- Feeling depressed, irritable, angry, or hopeless
- Severe mood swings
- Difficulty bonding with your baby
- Withdrawing from family and friends
- Changes in appetite or sleeping patterns
- Extreme fatigue
- Difficulty concentrating
- Anxiety and panic attacks
- Thoughts of harming yourself or your baby
- Thoughts of death or suicide
If you are experiencing symptoms of PPD, Payne recommends seeking help from a primary care provider or obstetrician right away.
“It’s really important—not just for you, but for your baby,” Payne explains. “Babies exposed to significant PPD have slower language development, lower IQs, and more behavioral problems.”
Your health care provider will ask you a series of screening questions to determine if you are experiencing PPD.
What causes postpartum depression?
Research suggests that the drop in hormones that occurs after birth, genetics, and sleep deprivation may contribute to PPD.
You may be at higher risk of developing PPD if you have a history of mental health conditions like depression or bipolar disorder, have relatives who’ve experienced PPD, or experienced stressful events during or after pregnancy.
How is postpartum depression treated?
“PPD is usually treated with antidepressant medications—typically SSRIs and now with the new FDA-approved medication, zuranolone,” says Payne. Therapy has also been shown to help people manage PPD.
Your health care provider can help determine the best treatment options for you and can outline the risks and benefits of taking certain medications while breastfeeding.
For referrals to care, information about local support groups, and other mental health resources for new parents, call the National Maternal Mental Health Hotline or Postpartum Support International. If you are experiencing a mental health emergency, call or text the 988 Suicide & Crisis Lifeline.
Can non-birthing parents have postpartum depression?
New parents who did not give birth, including cisgender men, may experience anxiety, depression, irritability, fatigue, and changes in appetite or sleeping patterns after a partner gives birth.
“Everyone knows that mothers’ hormones change a lot during and after pregnancy,” psychologist Scott Bea said in a 2019 Cleveland Clinic article. “But there’s evidence that fathers also experience real changes in their hormone levels after a baby is born.”
Adoptive parents may also show similar symptoms.
If you or anyone you know is considering suicide or self-harm or is anxious, depressed, upset, or needs to talk, call 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 license.
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The Link Between Introversion & Sensory Processing
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We’ve talked before about how to beat loneliness and isolation, and how that’s important for all of us, including those of us on the less social end of the scale.
However, while we all need at least the option of social contact in order to be at our best, there’s a large portion of the population who also need to be able to retreat to somewhere quiet to recover from too much social goings-on.
Clinically speaking, this sometimes gets called introversion, or at least a negative score for extroversion on the “Big Five Inventory”, the only personality-typing system that actually gets used in science. Today we’re going to be focusing on a term that typically gets applied to those generally considered introverts:
The “highly sensitive person”
This makes it sound like a very rare snowflake condition, when in fact the diagnostic criteria yield a population bell curve of 30:40:30, whereupon 30% are in the band of “high sensitivity”, 40% “normal sensitivity” and the remaining 30% “low sensitivity”.
You may note that “high” and “low” together outnumber “normal”, but statistics is like that. It is interesting to note, though, that this statistical spread renders it not a disorder, so much as simply a description.
You can read more about it here:
Sensory-processing sensitivity and its relation to introversion and emotionality
What it means in practical terms
Such a person will generally seek solitude more frequently during the day than others will, and it’s not because of misanthropy (at least, statistically speaking it’s not; can’t speak for individuals!), but rather, it’s about needing downtime after what has felt like too much sensory processing resulting:
If this need for solitude is not met (sometimes it’s simply not practicable), then it can lead to overwhelm.
Sidenote about overwhelm: pick your battles! No, pick fewer than that. Put some back. That’s still too many 😜
Back to seriousness: if you’re the sort of person to walk into a room and immediately do the Sherlock Holmes thing of noticing everything about everyone, who is doing what, what has changed about the room since last time you were there, etc… Then that’s great; it’s a sign of a sharp mind, but it’s also a lot of information to process and you’re probably going to need a little decompression afterwards:
This is the biological equivalent of needing to let an overworked computer or phone cool down after excessive high-intensity use of its CPU.
The same goes if you’re the sort of person who goes into “performance mode” when in company, is “the life and soul of the party” etc, and/or perhaps “the elegant hostess”, but needs to then collapse afterwards because it’s more of a role you play than your natural inclination.
Take care of your battery
To continue the technological metaphor from earlier, if you repeatedly overuse a device without allowing it cooldown periods, it will break down (and if it’s a certain generation of iPhone, it might explode).
Similarly, if you repeatedly overuse your own highly sensitive senses (such as being often in social environment where there’s a lot going on) without allowing yourself adequate cooldown periods, you will break down (or indeed, explode: not literally, but some people are prone to emotional outbursts after bottling things up).
None of this is good for the health, not in the short term and not in the long term, either:
With that in mind, take care to take care of yourself, meeting your actual needs instead of just those that get socially assumed.
Want to take the test?
Here’s a two-minute test (results available immediately right there on-screen; no need to give your email or anything) 😎
Want to know more?
We reviewed this book about playing to one’s strengths in the context of sensitivity, a while back, and highly recommend it:
Sensitive – by Jenn Granneman and Andre Sólo
Enjoy!
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Taking a GLP-1? Doctors Say Not To Forget About Movement and Mental Health
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LISTEN: Taking a GLP-1? Doctors say don’t forget to move your body and tend to your mental health, too.
Severe ankle pain drove Jelon Smart to start taking a weight loss injection a year and a half ago.
Smart was 285 pounds and worked as a caterer in Savannah, Georgia. After she’d been standing on her feet for long hours, her ankles would be “as swollen as a football,” she said. She was walking with a limp. An orthopedic doctor diagnosed her with Achilles tendinitis and recommended losing weight to mitigate the symptoms. Smart began taking the brand-name GLP-1 Ozempic.
The appetite suppression resulted in her shedding pounds quickly, at first.
“I lost 30 pounds initially without changing anything,” said Smart, 48. But then she found herself unable to shed additional pounds.
GLP-1s have quickly become one of the most popular types of weight loss drug in America. Nearly 1 in 5 people have taken them at some point, according to research from KFF, a health information nonprofit that includes KFF Health News. But doctors say it takes more than a regular shot for patients to achieve their weight goals in the long run.
Here’s what to know.
GLP-1s are taken primarily through injections and generally must be refrigerated before use. (Moriah Farmer) The Old-School Rules of Weight Loss and Health Still Apply
Regular exercise, smart food choices, plenty of sleep — those basic, healthy lifestyle choices are not only going to help you lose weight on a weight loss drug but also help you keep it off, said Dafina Allen, an obesity medicine physician who runs a clinic in Saginaw, Michigan. For example, some people find that they eat less on a GLP-1, “but they’re not improving their health because they’re not exercising. They’re not improving the quality of the food they’re eating,” Allen said. The path to weight loss is also guided by hormones, metabolism, and genetics.
After her weight loss on Ozempic plateaued, Smart realized she needed to start moving her body, too. “I’m in the gym now six days a week,” she said. “I went from 285 to 175” pounds. The swelling and pain in her ankle went away as well.
Jelon Smart, from Savannah, Georgia, lost 110 pounds after starting on Ozempic — but only after starting an intensive workout regimen, too. (Christopher Smart, Jennifer Davis) Mental Health Matters, Too
The mind and body are deeply connected. Food and body image can be especially emotional, Allen said. “I can tell you about the patients that I helped lose 50 pounds, that I helped lose 100 pounds, and they still look in the mirror and are not happy.”
The key is seeking help for mental health along the way, said Gerald Onuoha, who practices internal medicine in Nashville, Tennessee. “Making sure that you’re talking to people about your problems, whether it’s a family member or a licensed professional, I think goes a long way,” he said.
Work With a Doctor To Closely Monitor Your Dosage
Onuoha said people can run into serious problems if they increase their GLP-1 dosage too quickly or don’t follow the recommended schedule. He’s seen patients come to the hospital with pancreatitis, gallstones, or acute kidney injury. “I always ask patients that are on GLP-1s: How long have they been on them?” he said. “Are they adhering to the directions? Because those things determine whether or not you’re going to have those complications.”
Part of the issue, Allen said, is that GLP-1s are relatively easy to access — and often much cheaper — through online pharmacies or websites, but those providers may not educate patients about their dosage or side effects. “So they might just go online, find a random company that will ship it to their house, where they don’t even know what dose of the medication they’re taking, or even if the medicine is safe for them as the patient with the medical conditions they have,” she said.
People and Policy
GLP-1 drugs can be costly, and most insurance programs — public or private — don’t cover the medications for weight loss. Medicaid, the government program that covers 69 million Americans, covers GLP-1s for medically accepted conditions like diabetes, but only about a dozen state Medicaid programs cover GLP-1s for obesity treatment, according to KFF. For older Americans with Medicare, the federal government is planning to allow temporary coverage of GLP-1s for weight loss starting in July.
Katherine Ruppelt at Nashville Public Radio contributed to this report.
HealthQ is a health series from reporters Cara Anthony and Blake Farmer, approachable guides to an unapproachable health care system. It’s a collaboration between Nashville Public Radio and KFF Health News.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
This article first appeared on KFF Health News and is republished here under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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