
Psychedelics: Yes Even Once?
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We’ve broadly covered psychedelics before, in one of our mythbusting editions, which was necessarily a little broad and non-specific, because as we noted:
There are some moderately-well established [usually moderate] clinical benefits from some psychedelics for some people.
If that sounds like a very guarded statement, it is. Part of this is because “psychedelics” is an umbrella term.
Read in full: Taking A Trip Through The Evidence On Psychedelics
And to give some examples of those benefits being evidenced:
- Psilocybin as a New Approach to Treat Depression and Anxiety in the Context of Life-Threatening Diseases—A Systematic Review and Meta-Analysis of Clinical Trials
- Therapeutic Use of LSD in Psychiatry: A Systematic Review of Randomized-Controlled Clinical Trials
- Efficacy of Psychoactive Drugs for the Treatment of Posttraumatic Stress Disorder: A Systematic Review of MDMA, Ketamine, LSD and Psilocybin
- Changes in self-rumination and self-compassion mediate the effect of psychedelic experiences on decreases in depression, anxiety, and stress.
- Psychedelic Treatments for Psychiatric Disorders: A Systematic Review and Thematic Synthesis of Patient Experiences in Qualitative Studies
- Repeated lysergic acid diethylamide (LSD) reverses stress-induced anxiety-like behavior, cortical synaptogenesis deficits and serotonergic neurotransmission decline
Today we’re going to talk about the potential of psychedelics to improve…
*drumroll please*
Cognitive flexibility
So first we’ll mention what that actually is: cognitive flexibility is the ability of the brain to adapt to changing circumstances—which is not only a potential measure of general intelligence, but also, cognitive inflexibility is commonly seen as a harbinger of age-related cognitive decline.
In short, that scenario of an older person who “can’t be doing with all these new-fangled things” but the new-fangled things have been the norm for a long time now.
Fun fact: first-generation iPhones are now old enough to vote, having been initially released in January 2007, making them a little over 18 years old now.
Chances are quite high that you’re reading this on on iPhone or similar device, but chances alos are that there are other more recent changes in the world that baffle you. And maybe sometimes it really is the world (there sure are things that baffle this writer, too); sometimes, however, it would be good to at least have the option of jumping on the latest bandwagon, rather than always trying to live in decades past.
That’s where cognitive flexibility comes in; the ability to say “you know what, I can roll with this”, or the ability to switch tracks if new information comes to light contradicting some previously-held belief, things like that.
And as for where psychedelics come in?
A recent study by Dr. Elizabeth Brouns et al. has shown that a single dose of a psychedelic compound can significantly enhance cognitive flexibility in mice for weeks after treatment.
Yes, it’s just a mouse study so far, but generally squeaking, mammalian brains are mammalian brains, so we can expect this to carry over to humans when human trials are conducted next.
They (the researchers, not the mice) found that the psychedelic compound 25CN-NBOH, a selective serotonin 2A receptor agonist that honestly does not have a snappier name than that or else we’d use it, led to improved performance in tasks that required mice to rapidly adapt to changing rules, and that these benefits persisted for 20 days* after administration. This suggests long-lasting changes in brain function, with potential implications for treating conditions like depression, PTSD, and neurodegenerative diseases.
*About that “20 days”, though…
Do you remember the whole “the brain doesn’t finishing maturing until the age of 25” debacle? If not: the short version is that researchers measured brain development at various ages, from childhood until the age of 25, and found that it didn’t stop developing. Importantly, the age of 25 was simply the cut-off for the experiment, because at some point they have to publish results. It wasn’t that the brains stopped developing at 25, but when the popular press got hold of the headlines, they reported it as though that were the case, and 25 is the great landmark age at which the brain is finished developing. Now, we know from other more recent studies that the brain continues changing throughout life, and indeed even neurogenesis continues into old age, with no known stopping point (during life, anyway).
We did a mythbusting edition about that, by the way: The Brain As A Work-In-Progress
And for further reading about that neurogenesis in old age, see: How To Grow New Brain Cells (At Any Age)
The reason we’re mentioning this because in this experiment with the psychedelics, the claim of “the benefits persisted for 20 days after administration” can make it sound a lot like “and on day 21, the benefits vanished”.
The reality is, there was no day 21; the experiment ran for 20 days and that was that. It is not known how long the benefits would have persisted, only that in the first 20 days, they showed no signs of disappearing.
You can read the paper in full (and see graphs!) here:
Nevertheless, the most well-researched popular psychedelic recently isn’t 25CN-NBOH, but rather, psilocybin, the psychedelic compound that gives “magic mushrooms” their psychoactive properties.
And when we say “popular”: Psilocybin use surges across all age groups since 2019
Not a fan of drugs?
If for whatever reason, psychedelics aren’t your cup of tea, there are other ways to improve cognitive flexibility.
See for example: How (And Why) To Train Your Pre-Frontal Cortex
Take care!
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Hope Not Nope – by Dr. Dillon Caswell
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The author, a Doctor of Physical Therapy, writes from both professional expertise and personal experience, when it comes to the treatment of long term injury / disability / chronic illness.
His position here is that while suffering is unavoidable, we don’t have to suffer as much or as long as many might tell us. We can do things to crawl and claw our way to a better position, and we do not have to settle for any outcome we don’t want. That doesn’t mean there’s always a miracle cure—we don’t get to decide that—but we do get to decide whether we keep trying.
Dr. Caswell’s advice is based mostly in psychology—a lot of it in sports psychology, which is no surprise given his long history as an athlete as well as his medical career.
The style is very easy-reading, and a combination of explanation, illustrative (often funny) anecdotes, and a backbone of actual research to keep everything within the realms of science rather than mere wishful thinking—he strikes a good balance.
Bottom line: if your current health outlook is more of an uphill marathon, then this book can give you the tools to carry yourself through the healthcare system that’s been made for numbers, not people.
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Pajama Pilates – by Maria Mankin
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If The Science Of Pilates was a bit more information than you wanted to get up and running with Pilates at home, then this book offers a much easier way in.
As the name suggests, it’s all about convenience, and making things as easy as possible while enjoying the gradual cumulative gains that come when one practises even just a little every day instead of thinking “well I would, but I have to read all this technical stuff and get changed and clear a space and…”, and thus results in meaningful improvements to mobility and strength over time.
The 40 exercises promised by the subtitle are demonstrate via cute illustrations, of which the cover art is a good representative example. There’s nothing unduly technical here, and yet everything is quite clear. There are also simple practical explanations for each, as well as an initial overview of Pilates as a whole, its principles and necessary knowledge and so forth.
Bottom line: if you’d like to get into Pilates but it has seemed sufficiently taxing that you’ve never quite got started, or if you did then it didn’t stick, then this book can make things easier.
Click here to check out Pajama Pilates, and get ready to pajama Pilates party!
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Fast Like A Girl – by Dr. Mindy Pelz
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A lot of information out there when it comes to intermittent fasting is very much centered on men in the 25–35 years age range. What about the rest of us?
Our physiological needs are not the same, and it’d be foolhardy to ignore that. But what things do still stand the same, and what things would benefit from a different approach in our cases?
Dr. Pelz has our back with this book packed with information based on the best science currently out there. She gives a general overview of fasting with full consideration to the fact that we the reader may well be female or over a certain age or both. In addition, the book offers:
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- Building a fasting lifestyle (that works with your actual life, not just on paper)
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The Blue Zones Kitchen – by Dan Buettner
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We’ve previously reviewed Buettner’s other book, The Blue Zones: 9 Lessons For Living Longer From The People Who’ve Lived The Longest, and with this one, it’s now time to focus on the dietary aspect.
As the title and subtitle promises, we get 100 recipes, inspired by Blue Zone cuisines. The recipes themselves have been tweaked a little for maximum healthiness, eliminating some ingredients that do crop up in the Blue Zones but are exceptions to their higher average healthiness rather than the rule.
The recipes are arranged by geographic zone rather than by meal type, so it might take a full read-through before knowing where to find everything, but it makes it a very enjoyable “coffee-table book” to browse, as well as being practical in the kitchen. The ingredients are mostly easy to find globally, and most can be acquired at a large supermarket and/or health food store. In the case of substitutions, most are obvious, e.g. if you don’t have wild fennel where you are, use cultivated, for example.
In the category of criticism, it appears that Buettner is very unfamiliar with spices, and so has skipped them almost entirely. We at 10almonds could never skip them, and heartily recommend adding your own spices, for their health benefits and flavors. It may take a little experimentation to know what will work with what recipes, but if you’re accustomed to cooking with spices normally, it’s unlikely that you’ll err by going with your heart here.
Bottom line: we’d give this book a once-over for spice additions, but aside from that, it’s a fine book of cuisine-by-location cooking.
Click here to check out The Blue Zones Kitchen, and get cooking into your own three digits!
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How Are You, Really?
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How Are You, Really? The Free NHS Health Test
We took this surprisingly incisive 10-minute test from the UK’s famous National Health Service—the test is part of the “Better Health” programme, a free-to-all (yes, even those from/in other countries) initiative aimed at keeping people healthy enough to have less need of medical attention.
As one person who took the test wrote:
❝I didn’t expect that a government initiative would have me talking about how I need to keep myself going to be there for the people I love, let alone that a rapid-pace multiple-choice test would elicit these responses and give personalized replies in turn, but here we are❞
It goes beyond covering the usual bases, in that it also looks at what’s most important to you, and why, and what might keep you from doing the things you want/need to do for your health, AND how those obstacles can be overcome.
Pretty impressive for a 10-minute test!
Is Your Health Above Average Already? Take the Free 10-minute NHS test now!
How old are you, in your heart?
Poetic answers notwithstanding (this writer sometimes feels so old, and yet also much younger than she is), there’s a biological answer here, too.
Again free for the use of all*, here’s a heart age calculator.
*It is suitable for you if you are aged 30–95, and do not have a known complicating cardiovascular disease.
It will ask you your (UK) postcode; just leave that field blank if you’re not in the UK; it’ll be fine.
How Old Are You, In Your Heart? Take the Free 10-minute NHS test now!
(Neither test requires logging into anything, and they do not ask for your email address. The tests are right there on the page, and they give the answers right there on the page, immediately)
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Reflexology: What The Science Says
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How Does Reflexology Work, Really?
We asked you for your opinion of reflexology, and got the above-depicted, below-described set of responses:
- About 63% said “It works by specific nerves connecting the feet and hands to various specific organs, triggering healing remotely”
- About 26% said “It works by realigning the body’s energies (e.g. qi, ki, prana, etc), removing blockages and improving health“
- About 11% said “It works by placebo, at best, and has no evidence for any efficacy beyond that”
So, what does the science say?
It works by realigning the body’s energies (e.g. qi, ki, prana, etc), removing blockages and improving health: True or False?
False, or since we can’t prove a negative: there is no reliable scientific evidence for this.
Further, there is no reliable scientific evidence for the existence of qi, ki, prana, soma, mana, or whatever we want to call it.
To save doubling up, we did discuss this in some more detail, exploring the notion of qi as bioelectrical energy, including a look at some unreliable clinical evidence for it (a study that used shoddy methodology, but it’s important to understand what they did wrong, to watch out for such), when we looked at [the legitimately very healthful practice of] qigong, a couple of weeks ago:
Qigong: A Breath Of Fresh Air?
As for reflexology specifically: in terms of blockages of qi causing disease (and thus being a putative therapeutic mechanism of action for attenuating disease), it’s an interesting hypothesis but in terms of scientific merit, it was pre-emptively supplanted by germ theory and other similarly observable-and-measurable phenomena.
We say “pre-emptively”, because despite orientalist marketing, unless we want to count some ancient pictures of people getting a foot massage and say it is reflexology, there is no record of reflexology being a thing before 1913 (and that was in the US, by a laryngologist working with a spiritualist to produce a book that they published in 1917).
It works by specific nerves connecting the feet and hands to various specific organs, triggering healing remotely: True or False?
False, or since we can’t prove a negative: there is no reliable scientific evidence for this.
A very large independent review of available scientific literature found the current medical consensus on reflexology is that:
- Reflexology is effective for: anxiety (but short lasting), edema, mild insomnia, quality of sleep, and relieving pain (short term: 2–3 hours)
- Reflexology is not effective for: inflammatory bowel disease, fertility treatment, neuropathy and polyneuropathy, acute low back pain, sub acute low back pain, chronic low back pain, radicular pain syndromes (including sciatica), post-operative low back pain, spinal stenosis, spinal fractures, sacroiliitis, spondylolisthesis, complex regional pain syndrome, trigger points / myofascial pain, chronic persistent pain, chronic low back pain, depression, work related injuries of the hip and pelvis
Source: Reflexology – a scientific literary review compilation
(the above is a fascinating read, by the way, and its 50 pages go into a lot more detail than we have room to here)
Now, those items that they found it effective for, looks suspiciously like a short list of things that placebo is often good for, and/or any relaxing activity.
Another review was not so generous:
❝The best evidence available to date does not demonstrate convincingly that reflexology is an effective treatment for any medical condition❞
~ Dr. Edzard Ernst (MD, PhD, FMedSci)
Source: Is reflexology an effective intervention? A systematic review of randomised controlled trials
In short, from the available scientific literature, we can surmise:
- Some researchers have found it to have some usefulness against chiefly psychosomatic conditions
- Other researchers have found the evidence for even that much to be uncompelling
It works by placebo, at best, and has no evidence for any efficacy beyond that: True or False?
Mostly True; of course reflexology runs into similar problems as acupuncture when it comes to testing against placebo:
How Does One Test Acupuncture Against Placebo Anyway?
…but not quite as bad, since it is easier to give a random foot massage while pretending it is a clinical treatment, than to fake putting needles into key locations.
However, as the paper we cited just above (in answer to the previous True/False question) shows, reflexology does not appear to meaningfully outperform placebo—which points to the possibility that it does work by placebo, and is just a placebo treatment on the high end of placebo (because the placebo effect is real, does work, isn’t “nothing”, and some placebos work better than others).
For more on the fascinating science and useful (applicable in daily life!) practicalities of how placebo does work, check out:
How To Leverage Placebo Effect For Yourself
Take care!
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