Early Bird Or Night Owl? Genes vs Environment

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A Sliding Slope?

In Tuesdayโ€™s newsletter, we asked you how much control you believe we have over our sleep schedule, and got the above-depicted, below-described, set of responses:

  • 45% said โ€œmost people can control it; some people with sleep disorders cannot
  • 35% said โ€œour genes predispose us to early/late, but we can slide it a bit
  • 15% said: โ€œgoing against our hardwired sleep schedules is a road to ruinโ€
  • 5% said โ€œanyone can adjust their sleep schedule with enough willpowerโ€

You may be wondering: whatโ€™s with those single-digit numbers in the graph there? And the answer is: Tuesdayโ€™s email didnโ€™t go out at the usual time due to a scheduling mistake (sorry!), which is probably what affected the number of responses (poll response levels vary, but are usually a lot higher than this).

Note: yes, this does mean most people who read our newsletter donโ€™t vote. So, not to sound like a politician on the campaign trail, butโ€ฆ Your vote counts! We always love reading your comments when you add those, tooโ€”often they provide context that allow us to tailor what we focus on in our articles

However, those are the responses we got, so here we are!

What does the science say?

Anyone can adjust their sleep with enough willpower: True or False?

False, simply. Itโ€™s difficult for most people, but for many people with sleep disorders, it is outright impossible.

In a battle of narcolepsy vs willpower, for example, no amount of willpower will stop the brain from switching to sleep mode when it thinks itโ€™s time to sleep:

โNarcolepsy is the most common neurological cause of chronic sleepiness. The discovery about 20 years ago that narcolepsy is caused by selective loss of the neurons producing orexins sparked great advances in the field

[There is also] developing evidence that narcolepsy is an autoimmune disorder that may be caused by a T cell-mediated attack on the orexin neurons and explain how these new perspectives can inform better therapeutic approaches.โž

~ Dr. Carrie Mahoney et al. (lightly edited for brevity)

Source: The neurobiological basis of narcolepsy

For further reading, especially if this applies to you or a loved one:

Living with Narcolepsy: Current Management Strategies, Future Prospects, and Overlooked Real-Life Concerns

Our genes predispose us to early/late, but we can slide it a bit: True or False?

True! First, about our genes predisposing us:

Genome-wide association analysis of 89,283 individuals identifies genetic variants associated with self-reporting of being a morning person

โ€ฆand also:

Gene distinguishes early birds from night owls and helps predict time of death

Now, as for the โ€œcan slide it a bitโ€, this is really just a function of the general categories of โ€œearly birdโ€ and โ€œnight owlโ€ spanning periods of time that allow for a few hoursโ€™ wiggle-room at either side.

However, it is recommended to make any actual changes more gradually, with the Sleep Foundation going so far as to recommend 30 minutes, or even just 15 minutes, of change per day:

Sleep Foundation | How to Fix Your Sleep Schedule

Going against our hardwired sleep schedule is a road to ruin: True or False?

False, contextually. By this we mean: our โ€œhardwiredโ€ sleep schedule is (for most of us), genetically predisposed but not predetermined.

Also, genetic predispositions are not necessarily always good for us; one would not argue, for example, for avoiding going against a genetic predisposition to addiction.

Some genetic predispositions are just plain bad for us, and genes can be a bit of a lottery.

That said, we do recommend getting some insider knowledge (literally), by getting personal genomics tests done, if thatโ€™s a viable option for you, so you know whatโ€™s really a genetic trait (and what to do with that information) and whatโ€™s probably caused by something else (and what to do with that information):

Genetic Testing: Health Benefits & Methods

Take care!

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  • Sugar, Hazelnuts, Books & Brains

    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.

    Itโ€™s Q&A Day!

    Each Thursday, we respond to subscriber questions and requests! If itโ€™s something small, weโ€™ll answer it directly; if itโ€™s something bigger, weโ€™ll do a main feature in a follow-up day instead!

    So, no question/request to big or small; theyโ€™ll just get sorted accordingly

    Remember, you can always hit reply to any of our emails, or use the handy feedback widget at the bottom. We always look forward to hearing from you!

    Q: Interesting info, however, I drink hazelnut milk LOL so would have liked a review of that. But now I want to give hemp and pea milks a try. Thanks

    Aww! Here then just for you, is a quick rundownโ€ฆ

    • Pros: high in proteinยน, vitamin B, and vitamin E
    • Cons: high in fatยฒ, low in calcium

    ยนCompared head-to-head with almond milk for example, it has double the protein (but also double the calories)

    ยฒHowever, is also has been found to lower LDL (bad) cholesterol (and incidentally, also reduce inflammation), and in a later systematic review, it was found to not correlate to weight gain, despite its high calorie-content.

    If you donโ€™t already, and would like to try making your ownโ€ฆ

    Click here for step-by-step instructions to make your own hazelnut milk! (very simple)

    Q: Wondering if you can evaluate CLA and using it to assist with weight loss. Thanks

    Will do! (Watch this space)

    Q: Whatโ€™s the process behind the books you recommend? You seem to have a limitless stream of recommendations

    We do our best!

    The books we recommend are books thatโ€ฆ

    • are on Amazonโ€”it makes things tidy, consistent, and accessible. And if you end up buying one of the books, we get a small affiliate commission*.
    • we have readโ€”we would say โ€œobviouslyโ€, but you might be surprised how many people write about books without having read them.
    • pertain in at least large part to health and/or productivity.
    • are written by humansโ€”bookish people (and especially Kindle Unlimited users) may have noticed lately that there are a lot of low quality AI-written books flooding the market, sometimes with paid 5-star reviews to bolster them. Itโ€™s frustrating, but we can tell the difference and screen those out.
    • are of a certain level of quality. They donโ€™t have to be โ€œtop 5 desert-island booksโ€, because well, thereโ€™s one every day and the days keep coming. But they do have to genuinely deliver the value that we describe, and merit a sincere recommendation.
    • are variedโ€”we try to not give a run of โ€œsameyโ€ books one after another. We will sometimes review a book that covers a topic another previously-reviewed book did, but it must have something about it that makes it different. It may be a different angle or a different writing style, but it needs something to set it apart.

    *this is from Amazon and isnโ€™t product-specific, so this is not affecting our choice of what books to review at allโ€”just that they will be books that are available on Amazon.

    Q: Great video on dopamine. Thumbs up on the book recommendation. Would you please consider doing a piece or two on inflammation? I live with Lupus and it is a constant struggle. Thanks for the awesome work you do. Have an excellent day.

    Great suggestion! We will do that, and thank you for the kind words!

    Q: Why is your newsletter called 10almonds? Maybe I missed it in the intro email, but my curiosity wants to know the significance. Thanks!โ€

    It’s a reference to a viral Facebook hoax! There was a post going around that claimed:

    โHEADACHE REMEDY. Eat 10โ€“12 almonds, the equivalent of two aspirins, next time you have a headacheโž โ† not true!

    It made us think about how much health-related disinformation there was online… So, calling ourselves 10almonds was a bit of a tongue-in-cheek reference to that story… but also a reminder to ourselves:

    We must always publish information with good scientific evidence behind it!

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  • Stop Self-Sabotage โ€“ by Dr. Judy Ho

    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.

    A lot of books of this genre identify one particular kind of self-sabotage, for example, they might pick one out of:

    • Bad habits
    • Limiting self-beliefs
    • Poor goal-setting
    • Procrastination

    …etc, slap a quick fix on whatever they chose to focus on, and call it a day. Not so with Dr. Ho!

    Here we have a much more comprehensive approach to tackling the problem of unintentional self-sabotage. With a multi-vector method, of which all angles can be improved simultaneously, it becomes much less like “whack-a-mole”… And much more like everything actually getting into order and staying that way.

    The main approach here is CBT, but far beyond what most pop-psychology CBT books go for, with more techniques and resources.

    On which note…

    There are many great exercises that Dr. Ho recommends we do while reading… So you might want to get a nice notebook alongside this book if you don’t already have one! And what is more inspiring of optimism than a new notebook?

    Bottom line: this is a great, well-organized guide to pruning the “why am I still doing this to myself?” aspects out of your life for a much more intentional, purposeful, effective way of living.

    Click here to check it out on Amazon today, and stop sabotaging yourself!

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  • 5 ways climate change is making us all sick

    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.

    What you need to know

    • Climate change impacts health in many ways, including by making weather more extreme and creating better conditions for disease-carrying organisms.
    • The health effects of climate change can harm everything from our heart and immune system to our mental health and ability to sleep.ย 
    • Vulnerable and marginalized communities, like older adults and low-income populations, are at the highest risk of climate-related health effects.

    Our environment influences our healthโ€”especially the climate. Climate change fuels extreme temperatures, severe weather, poor air and water quality, and carriers of infectious diseases, all of which have negative impacts on our overall health.

    Here are some of the many ways that climate change is making us sick. 

    Cardiovascular health

    The cardiovascular system includes your heart and the blood vessels that carry blood (and oxygen) to every part of your body. Decades of research have shown that certain climate-related โ€œstressors,โ€ such as heatwaves and tropical storms, are bad for cardiovascular health.

    A 2024 review of nearly 500 studies published between 1970 and 2023 found that climate hazards are associated with an increase in cardiovascular events, like heart attacks and strokes. The article emphasized that older adults, low-income communities, and racial and ethnic minorities are particularly vulnerable to these climate-related health effects.

    Meanwhile, a 2023 study projected that cardiovascular deaths from extreme heat in the U.S. are on track to increase dramatically by the middle of the century.

    โ€œIn the United States, an estimated 1,600 deaths due to cardiovascular disease

    occurred annually [from 2008 to 2019] due to extreme heat exposure,โ€ said Dr. Sameed Khatana, a cardiologist at Penn Medicine and the studyโ€™s lead author, in a University of Pennsylvania video

    Khatana found that the number of deaths could double or even triple in the coming decades if greenhouse gas emissions increase.

    Mental health

    In 2022, the World Health Organization published a brief concluding that climate change โ€œcan lead to emotional distress, the development of new mental health conditions and a worsening situation for people already living with these conditions.โ€ 

    Many people experience stress and anxiety about the global climate crisis. A May American Psychiatric Association poll revealed that more than half of adults in the U.S. report climate anxiety, a persistent fear or stress about the climate. This anxiety is often worse for individuals with existing mental health conditions, about one in five U.S. adults.

    The mental health impact is even greater for people who have survived extreme climate events, which are increasingly common.

    โ€œAfter [Hurricane] Katrina, we sawโ€ฆrises in conditions like trauma-related disorders, anxiety, or depression,โ€ said Dr. Jacob Lee, a psychiatrist and the chair of APAโ€™s Committee on Climate Change and Mental Health, in an August interview.

    He added, โ€œThatโ€™s kind of a pattern we see across a variety of other disasters that are becoming more frequent.โ€

    Additionally, people with existing mental health conditions are especially vulnerable to extreme heat, which can worsen symptoms. Difficulty regulating body heat is also a side effect of certain anti-psychotic and anti-depressant medications, making people taking them more susceptible to heat exhaustion and heat stroke. 

    Immune disease

    Climate change also takes a toll on the immune system, our bodyโ€™s primary defense against disease. A 2024 review reported that climate stressors can damage the immune system. This leads to an increase in immune conditions, including allergies, asthma, and autoimmune diseases, which occur when the immune system mistakenly attacks healthy cells. 

    โ€œClimate change derails the human immune system in two [key] ways: it breaks down the bodyโ€™s defenses and also prevents the body from rebuilding them,โ€ wrote Dr. Kari Nadeau, one of the studyโ€™s authors and professor of climate and population studies at Harvard University, in a STAT News opinion piece.

    โ€œAll these exposures damage the structures that have evolved to protect humans from infection, including the skin and the mucous membranes of the gut and lungs.โ€

    Similarly, a 2023 report suggests that a climate-related rise in pollutants, allergens, and disease-carrying organisms could lead to allergic and autoimmune conditions. Like previous studies, the paper emphasized that lower-income and marginalized communities โ€œbear a disproportionate burden of climate change.โ€

    Sleep 

    Sleep is one of the most importantโ€”and most frequently neglectedโ€”components of health. Consistently getting enough sleep is linked to better overall health and lower risks of a host of chronic diseases. Unfortunately, climate change is also diminishing our ability to get a good nightโ€™s sleep.

    A June study found that warming temperatures increased rates of sleep apnea, a condition in which breathing pauses during sleep. The condition, which affects around 1 billion people worldwide, can lead to poor sleep quality, chronic sleepiness, and headaches during waking hours. 

    โ€œIf temperature keeps rising the way they project it to, the burden and prevalence of sleep apnea may double,โ€ said Bastien Lechat, the studyโ€™s lead author and a senior research fellow at Flinders University in Australia, in an ABC News interview.

    An earlier study projected that rising global temperatures could result in people losing up to 58 hoursโ€”seven to eight nightsโ€”of sleep per year by the end of the century. The researchers emphasized that women, older adults, and individuals living in lower-income countries are most affected by climate-related sleep loss. 

    Infectious disease

    Climate change also creates ideal environments for organisms that cause and carry human diseases. Research suggests that climate change is accelerating the spread of a staggering number of infectious diseases. 

    Disease vectors like mosquitoes and ticks carry harmful viruses and bacteria that they pass to humans. Warming temperatures and changes in precipitation patterns have allowed these organisms to expand their population and spread to new areas. For example, in recent years, mosquitoes carrying dengue and other deadly viruses have spread to previously unaffected regions. 

    Similarly, this year the U.S. has seen an โ€œexplosive increaseโ€ of ticks, including a species that triggers a severe allergic reaction. Historically, these ticks were primarily found in warm climates such as the southeastern United States. Now, theyโ€™re increasingly spreading to northern regions as rising temperatures allow them to thrive in places once too cold for their survival.

    โ€œThe reality is that with the changes weโ€™re seeing in climate, we have to be more prepared and more aware of the infections and the pathogens that we can be exposed to by being outside,โ€ Dr. Manisha Juthani, the Connecticut Department of Public Health commissioner, told NBC News.

    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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  • Is Unnoticed Environmental Mold Harming Your Health?

    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.

    Environmental mold can be a lot more than just the famously toxic black mold that sometimes makes the headlines, and many kinds you might not notice, but it can colonizes your sinuses and gut just the same:

    Breaking the mold

    Around 25% of homes in North America are estimated to have mold, though the actual number is likely to be higher, affecting both older and new homes. For that matter, mold can grow in unexpected areas, like inside air conditioning units, even in dry regions.

    If mold just sat where it is minding its own business, it might not be so bad, but instead they release their spores, which are de facto airborne mycotoxins, which can colonize places like the sinuses or gut, causing significant health issues.

    Not everyone in the same household is affected the same way by mold due to genetic differences and varying pre-existing health conditions. But as a general rule of thumb, mold inflames the brain, nerves, gut, and skin, and can negatively impact the vagal nerve, which is linked to the gut-brain connection. Mycotoxins also damage mitochondria, leading to symptoms like fatigue, brain fog, and cognitive issues. To complicate matters further, mold illness can mimic other conditions like anxiety, chronic fatigue, fibromyalgia, IBS, and more, making it difficult to diagnose.

    Testing is possible, though they all have limitations, e.g:

    • Home testing: testing the home for mold spores and mycotoxins is crucial for effective treatment; professional mold remediation companies are a good idea (to do a thorough job of cleaning, without also breathing in half the mold while cleaning it).
    • Mold allergy testing: mold allergy testing (IgE testing or skin tests) is often used, but it doesn’t diagnose mold-related illnesses linked to severe symptoms like fatigue or neurodegeneration.
    • Serum antibody testing: tests for immune reactions (IgG) to mycotoxins may not always show positive results if the immune system is weakened by long-term exposure.
    • Urine mycotoxin testing: urine tests can detect mycotoxins in the body, though are likely to be more expensive, being probably not covered by public health in Canada or insurance in the US.
    • Organic acid testing: this urine test can indicate mold colonization in areas like the sinuses or gut. Again, cost/availability may vary, though.

    For more information on all of this, enjoy:

    Click Here If The Embedded Video Doesnโ€™t Load Automatically!

    Want to learn more?

    You might also like to read:

    Mythbusting Moldy Food

    Take care!

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  • Humid heat may increase the risk of premature birth. But aspirin couldย help

    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.

    Pregnancy can be a time of joy and anticipation. But it can also be a nerve-wracking experience, with many factors affecting when and how a baby arrives.

    A new study, published today, suggests when pregnant women are exposed to high levels of humid heat during pregnancy, they are more likely to have a preterm birth.

    However, this study also found taking aspirin at low doses during pregnancy could help reduce this risk. But pregnant women should speak to a doctor before taking aspirin or other medications.

    Felipe Salgado/Unsplash

    What is a preterm birth?

    Preterm birth is when a baby is born prematurely, before 37 weeks of pregnancy. Globally, roughly 10% of babies โ€“ or about 13 million infants โ€“ are born preterm each year.

    Tragically, about one million of these babies do not survive. That makes preterm birth the leading cause of death in children under five.

    There are three different types of preterm births:

    • extremely preterm, referring to a live birth before 28 weeks
    • very preterm, when a baby is born between 28 and 32 weeks
    • moderate to late preterm, meaning delivery between 32 and 37 weeks.

    What causes it?

    Itโ€™s unclear what exactly causes preterm birth. And many cases happen spontaneously, meaning there are no signs a baby will be born early.

    However, certain factors may increase a womanโ€™s risk of giving birth prematurely. These include genetics, various infections and chronic conditions such as diabetes and high blood pressure. These risk factors all cause inflammation in the body, which current evidence suggests significantly increases preterm birth risk.

    Pregnant women who are exposed to environmental pollutants โ€“ such as bushfire smoke and pesticides โ€“ may also be more likely to give birth prematurely. This is because these pollutants can contribute to inflammation.

    The effect of humidity

    A growing body of evidence suggests exposure to extreme heat may be another environmental factor that increases preterm birth risk.

    Extreme heat can increase levels of specific proteins โ€“ known as shock proteins โ€“ in the blood of pregnant women. These proteins can trigger inflammation by activating the bodyโ€™s immune response.

    High temperatures may also reduce blood flow to the placenta, limiting the oxygen and nutrients the baby receives.

    Humidity adds to this risk. When the air is humid, sweat doesnโ€™t evaporate as easily, making it harder for the body to cool down. This can place extra strain on pregnant women and has been linked to a higher risk of preterm birth.

    This may help to explain the high rates of preterm birth in regions that are also most affected by climate change, such as South Asia and sub-Saharan Africa. In these places, where temperatures are high and heatwaves are common, even small increases in heat can impact the health of mothers and newborns.

    What this new study involved

    A newly published study examined how humid heat exposure during pregnancy affects the risk of preterm birth. It also investigated whether low-dose aspirin might help reduce this risk, possibly because aspirin can improve blood flow and reduce inflammation.

    This research was carried out across several countries with hot climates, including the Democratic Republic of Congo, Zambia, Kenya, Guatemala, Pakistan and parts of India.

    More than 11,500 pregnant women participated in this trial. About half of them were given a low daily dose of aspirin (81mg) from when they joined the study through to when they were 36 weeks pregnant. The other half received a placebo โ€“ a pill with no active ingredients โ€“ over the same period. The researchers then compared the birth outcomes of the two groups, and came up with three main findings.

    1. Overall, the rate of preterm birth was lower in women who took low-dose aspirin (11.6%) compared with those who took a placebo (13.1%).
    2. Among women who were not taking aspirin, each 1ยฐC increase in temperature translated to a noticeable increase (5%) in the risk of preterm birth. This pattern was not seen in women taking low-dose aspirin.
    3. Exposure to more heat later in pregnancy was linked to a greater chance of preterm birth in the placebo group, but not in the low-dose aspirin group.

    Limitations of this study

    This study has two main limitations.

    First, it generalised data about temperatures in different cities that may not fully reflect what each woman experienced day-to-day โ€“ for example, if their house was hotter or cooler than average. It may also underestimate the length and/or severity of heatwaves. This is because scientists measure temperature in various ways, and may not have access to accurate data from certain locations.

    Second, the researchers were not able to determine the exact reasons why some women gave birth early, or whether these differed between the low-dose aspirin and placebo groups.

    Overall, this study adds to growing evidence that high temperatures and humidity may increase the risk of preterm birth. It also suggests low-dose aspirin, taken early in pregnancy, may help reduce the risk of heat-related preterm birth.

    However, more and larger studies are needed to replicate these findings. And if youโ€™re a pregnant woman who is concerned about preterm birth risk, visit your doctor before taking any aspirin or other medications.

    Where to next?

    Unfortunately, heatwaves will only become more frequent and intense. So future work should focus on identifying which population groups are most at risk, and how heat affects different stages of pregnancy. Researchers must also test other simple, low-cost strategies that could protect pregnant women from the effects of heat.

    Stacey Savin, Postdoctoral researcher, Vascular Immunology of Pregnancy Group, University of Adelaide, University of Adelaide

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

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  • Ketogenic Diet: Burning Fat Or Burning Out?

    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.

    In Wednesdayโ€™s newsletter, we asked you for your opinion of the keto diet, and got the above-depicted, below-described set of responses:

    • About 45% said โ€œIt has its benefits, but they donโ€™t outweigh the risksโ€
    • About 31% said โ€œIt is a good, evidence-based way to lose weight, be energized, and live healthilyโ€
    • About 24% said โ€œIt is a woeful fad diet and a fast-track to ruining oneโ€™s overall healthโ€

    So what does the science say?

    First, what is the ketogenic diet?

    There are two different stories here:

    • Per science, itโ€™s a medical diet designed to help treat refractory epilepsy in children.
    • Per popular lore, itโ€™s an energizing weight loss diet for Instagrammers and YouTubers.

    Can it be both? The answer is: yes, but with some serious caveats, which weโ€™ll cover over the course of todayโ€™s feature.

    The ketogenic diet works by forcing the body to burn fat for energy: True or False?

    True! This is why it helps for children with refractory epilepsy. By starving the body (including the brain) of glucose, the liver must convert fat into fatty acids and ketones, which latter the brain (and indeed the rest of the body) can now use for energy instead of glucose, thus avoiding one of the the main triggers of refractory epilepsy in children.

    See: The Ketogenic Diet: One Decade Later | Pediatrics

    Even the pediatric epilepsy studies, however, conclude it does have unwanted side effects, such as kidney stones, constipation, high cholesterol, and acidosis:

    Source: Dietary Therapies for Epilepsy

    The ketogenic diet is good for weight loss: True or False?

    True! Insofar as it does cause weight loss, often rapidly. Of course, so do diarrhea and vomiting, but these are not usually held to be healthy methods of weight loss. As for keto, a team of researchers recently concluded:

    โAs obesity rates in the populace keep rising, dietary fads such as the ketogenic diet are gaining traction.

    Although they could help with weight loss, this study had a notable observation of severe hypercholesterolemia and increased risk of atherosclerotic cardiovascular disease among the ketogenic diet participants.โž

    ~ Dr. Shadan Khdher et al.

    Read in full: The Significant Impact of High-Fat, Low-Carbohydrate Ketogenic Diet on Serum Lipid Profile and Atherosclerotic Cardiovascular Disease Risk in Overweight and Obese Adults

    On which noteโ€ฆ

    The ketogenic diet is bad for the heart: True or False?

    True! As Dr. Joanna Popiolek-Kalisz concluded recently:

    โIn terms of cardiovascular mortality, the low-carb pattern is more beneficial than very low-carbohydrate (including the ketogenic diet). There is still scarce evidence comparing ketogenic to the Mediterranean diet.

    Other safety concerns in cardiovascular patients such as adverse events related to ketosis, fat-free mass loss, or potential pharmacological interactions should be also taken into consideration in future research.โž

    ~ Dr. Joanna Popiolek-Kalisz

    Read in full: Ketogenic diet and cardiovascular risk: state of the art review

    The ketogenic diet is good for short-term weight loss, but not long-term maintenance: True or False?

    True! Again, insofar as it works in the short term. Itโ€™s not the healthiest way to lose weight and we donโ€™t recommend it, but it did does indeed precipitate short-term weight loss. Those benefits are not typically observed for longer than a short time, though, as the above-linked paper mentions:

    โThe ketogenic diet does not fulfill the criteria of a healthy diet. It presents the potential for rapid short-term reduction of body mass, triglycerides level, Hb1Ac, and blood pressure.

    Its efficacy for weight loss and the above-mentioned metabolic changes is not significant in long-term observations.โž

    ~ Ibid.

    The ketogenic diet is a good, evidence-based way to lose weight, be energized, and live healthily: True or False?

    False, simply, as you may have gathered from the above, but weโ€™ve barely scratched the surface in terms of the risks.

    That said, as mentioned, it will induce short-term weight loss, and as for being energized, typically there is a slump-spike-slump in energy:

    1. At first, the body is running out of glucose, and so naturally feels weak and tired.
    2. Next, the body enters ketosis, and so feels energized and enlivened โ† this is the part where the popular enthusiastic reviews come from
    3. Then, the body starts experiencing all the longer-term problems associated with lacking carbohydrates and having an overabundance of fat, so becomes gradually more sick and tired.

    Because of this, the signs of symptoms of being in ketosis (aside from: measurably increased ketones in blood, breath, and urine) are listed as:

    • Bad breath
    • Weight loss
    • Appetite loss
    • Increased focus and energy
    • Increased fatigue and irritability
    • Digestive issues
    • Insomnia

    The slump-spike-slump we mentioned is the reason for the seemingly contradictory symptoms of increased energy and increased fatigueโ€”you get one and then the other.

    Hereโ€™s a small but illustrative study, made clearer by its participants being a demographic whose energy levels are most strongly affected by dietary factors:

    The glycaemic benefits of a very-low-carbohydrate ketogenic diet in adults with Type 1 diabetes mellitus may be opposed by increased hypoglycaemia risk and dyslipidaemia

    The ketogenic diet is a woeful fad diet and a fast-track to ruining oneโ€™s overall health: True or False?

    True, subjectively in the first part, as itโ€™s a little harsher than we usually go for in tone, though it has been called a fad diet in scientific literature. The latter part (ruining oneโ€™s overall health) is observably true.

    One major problem is incidental-but-serious, which is that a low-carb diet is typically a de facto low-fiber diet, which is naturally bad for the gut and heart.

    Other things are more specific to the keto diet, such as the problems with the kidneys:

    The Relationship between Modern Fad Diets and Kidney Stone Disease: A Systematic Review of Literature

    However, kidney stones arenโ€™t the worst of the problems:

    Is Losing Weight Worth Losing Your Kidney: Keto Diet Resulting in Renal Failure

    Weโ€™re running out of space and the risks associated with the keto diet are many, but for example even in the short term, it already increases osteoporosis risk:

    โMarkers of bone modeling/remodeling were impaired after short-term low-carbohydrate high-fat diet, and only one marker of resorption recovered after acute carbohydrate restorationโž

    ~ Dr. Ida Heikura et al.

    A Short-Term Ketogenic Diet Impairs Markers of Bone Health in Response to Exercise

    Want a healthier diet?

    We recommend the Mediterranean diet.

    See also: Four Ways To Upgrade The Mediterranean

    (the above is about keeping to the Mediterranean diet, while tweaking oneโ€™s choices within it for a specific extra health focus such as an anti-inflammatory upgrade, a heart-healthy upgrade, a gut-healthy upgrade, and a brain-healthy upgrade)

    Enjoy!

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