
How To Beat “Appetite Amnesia”
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It’s Q&A Day at 10almonds!
Have a question or a request? We love to hear from you!
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 😎
❝My only problem is that I start a meal eating mindfully but quickly I forget and before I know it I’ve eaten everything and am serving myself more, ending up eating more than I planned to. This isn’t a huge problem, but it can’t be ideal, any suggestions?❞
Firstly: a lot may depend on your environment. Is there something to distract you from your food? Even if it’s just another person (which is not an inherently bad thing—eating as a social activity has been important for our species for as long as we’ve been cooking food, if not earlier), one cannot be truly mindful of food if one’s mind is full of things other than food.
Secondly: it only takes a brief lapse to “lose” the mindfulness. A less extreme version of how when a person decides “I will only drink two glasses of [preferred drink] tonight” but by the time they’re getting the second one, that has gone out of the window because of the effect of the first one.
In the case of food, it’s not so much that it has the same kind of chemical effect on the brain, but it does still have an indirect chemical effect on the brain, namely, dopamine response. We take the first bite; it tastes so good, and countless millennia of evolution stack up to prompt a “feeding frenzy” response that, while not being quite like sharks or such, nevertheless tells us “yes yes that was good, that was right, keep doing that, quickly now, eat it all before something interrupts our chance to eat!”
Now, this does not mean that dopamine is the enemy. See also: The Dopamine Myth
But it does mean that in that moment we are vulnerable to the instincts that have got us to where we are today, but that don’t always serve so well in the comfort of our well-stocked homes as they did in the Savannah of old.
There is a step concurrent with the dopamine response, though, and that’s our insulin response. This will be most exaggerated in people with diabetes or prediabetes, but it affects us all to a greater or lesser degree. We reviewed an interesting book on this topic not long back:
Stop Overeating During Low Blood Sugars With Diabetes – by Ginger Vieira
If we are not diabetic, then we can still bear this factor in mind; it’ll just be easier for us than if we were diabetic. And, beyond mental discipline of various kinds, the trick is to avoid insulin spikes, which in most cases means avoiding blood glucose spikes.
For that, see: 10 Ways To Balance Blood Sugars
If you only implement one of those 10 tips, we recommend:
❝Eat foods in the right order
The order is:
- Fiber first
- Protein and fat second
- Starches / sugars last
What happens here is… the fiber perks up the gut bacteria, the protein and fat will then be better-digested next, and the starches and sugars will try to jump the line, but they can’t because the fiber is a physical speedbump and the proteins and fats are taking the prime place for being digested. So instead, the starches and sugars—usually responsible for blood sugar spikes—get processed much more gradually, resulting in a nice even curve.❞
The next tip in that list is “add a green starter”, and is a very good way of ensuring getting a good bed of fiber down in advance of your meal itself.
And that means your mindfulness will be less likely disrupted/derailed/defenestrated by the “oh wow, glucose, my favorite!” physiological response.
Finally, about that “Appetite amnesia”
Sharp-memoried readers may have been wondering when we’re getting to “appetite amnesia”.
Well, we partly did when we covered the idea that a brief lapse in mindfulness is enough to lose it, because then one forgets what one’s intentions were (much like with the second drink of the evening).
And this is about memory! Specifically it’s about working memory, also called executive function. That’s the brain faculty that, when it fails sometimes, you will find yourself in a room thinking “what did I come in here for?”.
So, part of the way to address this issue (with regard to its effect on mindful eating) is to improve working memory generally.
Here’s how: Get Past Executive Dysfunction
The other part is about how short-term memory gets encoded, and it’s why people with dementia often forget that they’ve just eaten something and then set about getting something to eat, resulting in overeating.
We covered the encoding of memories in our article How To Boost Your Memory Immediately (Without Supplements), which was mostly about getting things into long-term memory, and/but this requires first getting them into short-term memory.
When it comes to eating, this means that if we eat non-mindfully (say, while watching the TV), the meal will go into our stomach without going into our memory. From context clues we’ll know what meal we had, but we’ll have very little actual memory of eating it, compared to, for example, memory of what was happening on TV.
And this in turn makes further mindful eating more difficult, because the brain still thinks we haven’t eaten yet, so is still at the “consume all things!” stage.
For example:
❝Encoding and remembering critical information surrounding food consumption is advantageous to efficiently guide future eating behaviors. Foraging, for example, is facilitated by the retrieval of previously stored spatial information about the location of food sources.
Even in the modern environment where food is easily accessible, meal-related memories play an important role in the regulation of eating behaviors.
For instance, the ability to recall a recent meal robustly influences subsequent hunger and satiety ratings, as well as the amount of food consumed during the next meal.❞
Read in full: Ventral hippocampus neurons encode meal-related memory
In short:
- If you’re struggling with mindful eating, see if there are any distractions you can pare back
- Give your brain an indirect helping hand, by flattening your initial blood sugar curve with a green salad to start
- Treat the meal as an experience that you want to remember every moment of, and savor it accordingly
Enjoy!
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Cucumber Canapés-Crudités
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It’s time to party with these delicious snacks, which are great as an hors d’œuvre, amuse-bouche, or part of a buffet. And like all our offerings, they’re very healthy too—in this case, especially for the gut and heart!
You will need
- 1 cucumber, sliced
- 1 cup pitted Kalamata olives (or other black olives)
- 1 cup sun-dried tomatoes
- 2 oz feta cheese (or vegan equivalent, or pine nuts)
- 2 tbsp extra virgin olive oil
- 1 tbsp fresh basil, chopped
- 2 tsp black pepper, coarse ground
Method
(we suggest you read everything at least once before doing anything)
1) Make the first topping by combining the olives, half the olive oil, and half the black pepper, into a food processor and blending until it is a coarse pâté.
2) Make the second topping by doing the same with the tomatoes, basil, feta cheese (or substitution), and the other half of the olive oil and black pepper, again until it is a coarse pâté.
3) Assemble the canapés-crudités by topping the cucumber slices alternately with the two toppings, and serve:
Enjoy!
Want to learn more?
For those interested in some of the science of what we have going on today:
- Making Friends With Your Gut (You Can Thank Us Later)
- Cucumber Extract Beats Glucosamine & Chondroitin… At 1/135th Of The Dose?! ← yes, you can get this benefit by eating cucumber
- Black Olives vs Green Olives – Which is Healthier? ← have a guess!
- Lycopene’s Benefits For The Gut, Heart, Brain, & More ← tomatoes are very rich in lycopene
- Herbs for Evidence-Based Health & Healing ←Basil features here
- Black Pepper’s Impressive Anti-Cancer Arsenal (And More)
Take care!
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The Joy of Saying No – by Natalie Lue
10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.
Superficially, this seems an odd topic for an entire book. “Just say no”, after all, surely! But it’s not so simple as that, is it?
Lue looks into what underpins people-pleasing, first. Then, she breaks it down into five distinct styles of people-pleasing that each come from slightly different motivations and ways of perceiving how we interact with those around us.
Lest this seem overly complicated, those five styles are what she calls: gooding, efforting, avoiding, saving, suffering.
She then looks out how to have a healthier relationship with our yes/no decisions; first by observing, then by creating healthy boundaries. “Healthy” is key here; this isn’t about being a jerk to everyone! Quite the contrary, it involves being honest about what we can and cannot reasonably take on.
The last section is about improving and troubleshooting this process, and constitutes a lot of the greatest value of the book, since this is where people tend to err the most.
Bottom line: this book is informative, clear, and helpful. And far from disappointing everyone with “no”, we can learn to really de-stress our relationships with others—and ourselves.
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Which Osteoporosis Medication, If Any, Is Right For You?
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Which Osteoporosis Medication, If Any, Is Right For You?
We’ve written about osteoporosis before, so here’s a quick recap first in case you missed these:
- The Bare-bones Truth About Osteoporosis
- Exercises To Do (And Exercises To Avoid) If You Have Osteoporosis
- We Are Such Stuff As Fish Are Made Of
- Vit D + Calcium: Too Much Of A Good Thing?
All of those look and diet and/or exercise, with “diet” including supplementation. But what of medications?
So many choices (not all of them right for everyone)
The UK’s Royal Osteoporosis Society says of the very many osteoporosis meds available:
❝In terms of effectiveness, they all reduce your risk of broken bones by roughly the same amount.
Which treatment is right for you will depend on a number of things.❞
…before then going on to list a pageful of things it will depend on, and giving no specific information about what prescriptions or proscriptions may be made based on those factors.
Source: Royal Osteoporosis Society | Which medication should I take?
We’ll try to do better than that here, though we have less space. So let’s get down to it…
First line drug offerings
After diet/supplementation and (if applicable) hormones, the first line of actual drug offerings are generally biphosphates.
Biphosphonates work by slowing down your osteoclasts—the cells that break down your bones. They may sound like terrible things to have in the body at all, but remember, your body is always rebuilding itself and destruction is a necessary act to facilitate creation. However, sometimes things can get out of balance, and biphosphonates help tip things back into balance.
Common biphosphonates include Alendronate/Fosamax, Risedronate/Actonel, Ibandronate/Boniva, and Zolendronic acid/Reclast.
A common downside is that they aren’t absorbed well by the stomach (despite being mostly oral administration, though IV versions exist too) and can cause heartburn / general stomach upset.
An uncommon downside is that messing with the body’s ability to break down bones can cause bones to be rebuilt-in-place slightly incorrectly, which can—paradoxically—cause fractures. But that’s rare and is more common if the drugs are taken in much higher doses (as for bone cancer rather than osteoporosis).
Bone-builders
If you already have low bone density (so you’re fighting to rebuild your bones, not just slow deterioration), then you may need more of a boost.
Bone-building medications include Teriparatide/Forteo, Abaloparatide/Tymlos, and Romosozumab/Evenity.
These are usually given by injection, usually for a course of one or two years.
Once the bone has been built up, it’ll probably be recommended that you switch to a biphosphate or other bone-stabilizing medication.
Estrogen-like effects, without estrogen
If your osteoporosis (or osteoporosis risk) comes from being post-menopausal, estrogen is a very common (and effective!) prescription. However, some people may wish to avoid it, if for example you have a heightened breast cancer risk, which estrogen can exacerbate.
So, medications that have estrogen-like effects post-menopause, but without actually increasing estrogen levels, include: Raloxifene/Evista, and also all the meds we mentioned in the bone-building category above.
Raloxifene/Evista specifically mimics the action of estrogen on bones, while at the same time blocking the effect of estrogen on other tissues.
Learn more…
Want a more thorough grounding than we have room for here? You might find the following resource useful:
List of 82 Osteoporosis Medications Compared (this has a big table which is sortable by various variables)
Take care!
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The Fastest Way To Get Strong At Home After 50
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It doesn’t take much:
No gym? No problem!
Four ways to do it:
- Sit to stand with a heavy bag: sit on the edge of a chair with your feet pulled back and your back straight, holding a heavy backpack tight to your chest. Lean slightly forwards, stand up, then slowly lower back down for about four seconds. Use a load that lets you do 10–20 reps; go heavier if it feels easy, lighter if too hard.
- Heel raise on a step with weight: stand on the bottom step with just the balls of your feet supported, wearing or holding your backpack for resistance. Let your heels drop to feel a stretch in your calves, then rise onto your tiptoes and lower yourself back down slowly. Adjust the weight so you can do 10–20 reps.
- Chair press-up: place a chair against a wall, backrest facing you. Stand facing it, hands on the back of the chair at shoulder width, and walk your feet back until your body forms a straight line from heels to head. Keeping that line, bend your elbows to lower your chest towards the chair, then push away. It targets your chest, triceps, shoulders, and core.
- Farmer’s carry: hold a heavy object in each hand—like two filled watering cans or buckets—keeping your posture upright and shoulders back. Walk 10 paces forwards, turn, and walk 10 paces back, continuing for one minute. Rest for one minute, then repeat. It builds strength in your legs, back, grip, and overall stability.
For more on each of these plus visual demonstrations, enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like:
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Elon Musk says ‘disc replacement’ worked for him. But evidence this surgery helps chronic pain is lacking
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Last week in a post on X, owner of the platform Elon Musk recommended people look into disc replacement if they’re experiencing severe neck or back pain.
According to a biography of the billionaire, he’s had chronic back and neck pain since he tried to “judo throw” a 350-pound sumo wrestler in 2013 at a Japanese-themed party for his 42nd birthday, and blew out a disc at the base of his neck.
In comments following the post, Musk said the surgery was a “gamechanger” and reduced his pain significantly.
Musk’s original post has so far had more than 50 million views and generated controversy. So what is disc replacement surgery and what does the evidence tells us about its benefits and harms?
What’s involved in a disc replacement?
Disc replacement is a type of surgery in which one or more spinal discs (a cushion between the spine bones, also known as vertebrae) are removed and replaced with an artificial disc to retain movement between the vertebrae. Artificial discs are made of metal or a combination of metal and plastic.
Disc replacement may be performed for a number of reasons, including slipped discs in the neck, as appears to be the case for Musk.
Disc replacement is major surgery. It requires general anaesthesia and the operation usually takes 2–4 hours. Most people stay in hospital for 2–7 days. After surgery patients can walk but need to avoid things like strenuous exercise and driving for 3–6 weeks. People may be required to wear a neck collar (following neck surgery) or a back brace (following back surgery) for about 6 weeks.
Costs vary depending on whether you have surgery in the public or private health system, if you have private health insurance, and your level of coverage if you do. In Australia, even if you have health insurance, a disc replacement surgery may leave you more than A$12,000 out of pocket.
Disc replacement surgery is not performed as much as other spinal surgeries (for example, spinal fusion) but its use is increasing.
In New South Wales for example, rates of privately-funded disc replacement increased six-fold from 6.2 per million people in 2010–11 to 38.4 per million in 2019–20.
What are the benefits and harms?
People considering surgery will typically weigh that option against not having surgery. But there has been very little research comparing disc replacement surgery with non-surgical treatments.
Clinical trials are the best way to determine if a treatment is effective. You first want to show that a new treatment is better than doing nothing before you start comparisons with other treatments. For surgical procedures, the next step might be to compare the procedure to non-surgical alternatives.
Unfortunately, these crucial first research steps have largely been skipped for disc replacement surgery for both neck and back pain. As a result, there’s a great deal of uncertainty about the treatment.
There are no clinical trials we know of investigating whether disc replacement is effective for neck pain compared to nothing or compared to non-surgical treatments.
For low back pain, the only clinical trial that has been conducted to our knowledge comparing disc replacement to a non-surgical alternative found disc replacement surgery was slightly more effective than an intensive rehabilitation program after two years and eight years.
Many people experience chronic pain. Yan Krukau/Pexels Complications are not uncommon, and can include disclocation of the artificial disc, fracture (break) of the artificial disc, and infection.
In the clinical trial mentioned above, 26 of the 77 surgical patients had a complication within two years of follow up, including one person who underwent revision surgery that damaged an artery leading to a leg needing to be amputated. Revision surgery means a re-do to the primary surgery if something needs fixing.
Are there effective alternatives?
The first thing to consider is whether you need surgery. Seeking a second opinion may help you feel more informed about your options.
Many surgeons see disc replacement as an alternative to spinal fusion, and this choice is often presented to patients. Indeed, the research evidence used to support disc replacement mainly comes from studies that compare disc replacement to spinal fusion. These studies show people with neck pain may recover and return to work faster after disc replacement compared to spinal fusion and that people with back pain may get slightly better pain relief with disc replacement than with spinal fusion.
However, spinal fusion is similarly not well supported by evidence comparing it to non-surgical alternatives and, like disc replacement, it’s also expensive and associated with considerable risks of harm.
Fortunately for patients, there are new, non-surgical treatments for neck and back pain that evidence is showing are effective – and are far cheaper than surgery. These include treatments that address both physical and psychological factors that contribute to a person’s pain, such as cognitive functional therapy.
While Musk reported a good immediate outcome with disc replacement surgery, given the evidence – or lack thereof – we advise caution when considering this surgery. And if you’re presented with the choice between disc replacement and spinal fusion, you might want to consider a third alternative: not having surgery at all.
Giovanni E Ferreira, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, University of Sydney; Christine Lin, Professor, Institute for Musculoskeletal Health, University of Sydney; Christopher Maher, Professor, Sydney School of Public Health, University of Sydney; Ian Harris, Professor of Orthopaedic Surgery, UNSW Sydney, and Joshua Zadro, NHMRC Emerging Leader Research Fellow, University of Sydney
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Beetroot vs Eggplant – Which is Healthier?
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Our Verdict
When comparing beetroot to eggplant, we picked the beetroot.
Why?
It’s close!
In terms of macros, they’re equal on fiber, while beetroot has slightly more protein and carbs. In both cases, despite being quite firm vegetables when raw, they are nevertheless both mostly water. We’re calling this category a tie.
In the category of vitamins, beetroot has more of vitamins A, B2, B9, and C, while eggplant has more of vitamins B3, B5, B6, E, and K. That’s a marginal victory for eggplant.
When it comes to minerals, however, beetroot has more calcium, copper, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc, while eggplant is not higher in any minerals. A clear and easy win for beetroot this time.
In terms of polyphenols, both have good-but-different health-giving polyphenols to share, including the quercetin in beetroot and caffeic acid in eggplant—nothing that would tip one ahead of the other, though.
All in all, the categories added up are balanced, but beetroot won the minerals category much more convincingly than eggplant won the vitamins category, so we’re giving this one to beetroot, even if only on tie-breakers!
Of course, enjoy either or both; diversity is good 😎
Want to learn more?
You might like to read:
Beetroot For More Than Just Your Blood Pressure ← more beetroot benefits
Take care!
Don’t Forget…
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