The Fiber Fueled Cookbook – by Dr. Will Bulsiewicz
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We’ve previously reviewed Dr. Bulsiewicz’s book “Fiber Fuelled” (which is great), but this one is more than just a cookbook with the previous book in mind. Indeed, this is even a great stand-alone book by itself, since it explains the core principles well enough already, and then adds to it.
It’s also about a lot more than just “please eat more fiber”, though. It looks at FODMAPs, purine, histamine intolerance, celiac disease, altered gallbladder function, acid reflux, and more.
He offers a five-part strategy:
Genesis (what is the etiology of your problem)
- Restrict (cut things out to address that first)
- Observe (keep a food/symptom diary)
- Work things back in (re-add potential triggers one by one, see how it goes)
- Train your gut (your microbiome does not exist in a vacuum, and communication is two-way)
- Holistic healing (beyond the gut itself, looking at other relevant factors and aiming for synergistic support)
As for the recipes themselves, there are more than a hundred of them and they are good, so no more “how can I possibly cook [favorite dish] without [removed ingredient]?”
Bottom line: if you’d like better gut health, this book is a top-tier option for fixing existing complaints, and enjoying plain-sailing henceforth.
Click here to check out The Fiber Fueled Cookbook; your gut will thank you later!
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Atomic Habits – by James Clear
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James Clear’s Atomic Habits has become “the” go-to book about the power of habit-forming. And, there’s no shortage of competition out there, so that’s quite a statement. What makes this book stand out?
A lot of books start by assuming you want to build habits. That can seem a fair assumption; after all, we picked up the book! But an introductory chapter really hammers home the idea in a way that makes it a lot more motivational:
- Habits are the compound interest of productivity
- This means that progress is not linear, but exponential
- Habits can also be stacked, and thus become synergistic
- The more positive habits you add incrementally, the easier they become because each thing is making your life easier/better
For example:
- It’s easier to save money if you’re in good health
- It’s easier to sleep better if you do not have financial worries
- It’s easier to build your relationship with your loved ones if you’re not tired
…and so on.
For many people this presents a Catch-22 problem! Clear instead presents it as an opportunity… Start wherever you like, but just start small, with some two-minute thing, and build from there.
A lot of the book is given over to:
- how to form effective habits (using his “Four Laws”)
- how to build them into your life
- how to handle mishaps
- how to make sure your habits are working for you
- how to see habits as part of your identity, and not just a goal to be checked off
The last one is perhaps key—goals cease to be motivating once accomplished. Habits, on the other hand, keep spiralling upwards (if you guide them appropriately).
There’s lots more we could say, but it’s a one-minute book review, so we’ll just close by saying:
This book can help you to become the kind of person who genuinely gets a little better each day, and reaps the benefits over time.
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Foods Linked To Urinary Incontinence In Middle-Age (& Foods That Avert It)
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Incontinence is an inconvenience associated with aging, especially for women. Indeed, as the study we’re going to talk about today noted:
❝Estrogen deficiency during menopause, aging, reproductive history, and factors increasing intra-abdominal pressure may lead to structural and functional failure in the pelvic floor.❞
However, that was just the “background”, before they got the study going, because…
❝Lifestyle choices, such as eating behavior, may contribute to pelvic floor disorders. The objective of the study was to investigate associations of eating behavior with symptoms of pelvic floor disorders, that is, stress urinary incontinence, urgency urinary incontinence, fecal incontinence, and constipation or defecation difficulties among middle-aged women.❞
~ Ibid.
How the study went
The researchers examined 1,098 Finnish women aged 47–55. It was a cross-sectional observational study, so no intervention was made, just: gathering data and analysing it. They examined:
- Eating behavior (i.e. what one’s diet is like; their questionnaire was quite comprehensive and the simplified conclusion doesn’t do that justice)
- Food consumption frequency (i.e. temporal patterns of eating)
- Demographic variables (e.g. age, education, etc)
- Gynecological variables (e.g. menopause status, hysterectomy, etc)
- Physical activity variables (e.g. light, moderate, heavy, previous history of no exercise, regular, competitive sport, etc)
With those things taken into account, the researchers crunched the numbers to assess the associations of dietary factors with pelvic floor disorders.
What they found
Adjusting for possible confounding variables…
- those with disordered eating patterns (e.g. overeating, restrictive eating, swinging between the two behaviors) were 50% higher chance of developing urinary incontinence than the norm
- those who more frequently consumed ready-made foods got 50% higher chance of developing urinary incontinence than the norm
- those who ate fruits daily enjoyed a 20% lower chance of urinary incontinence than the norm
So, in practical terms:
- practice mindful eating
- avoid ready-made foods
- enjoy fruit
You can read the paper in full here (it obviously goes into a lot more detail, and also covers other things beyond the scope of this article, such as fecal incontinence or, conversely, constipation—needless to say, the same advice stands in any case):
As for why this works the way it does: the study focused on the association and only hypothesized the question of “how”, but they did write a bit about that too, and it is almost certainly mostly a matter of gut health vs inflammation.
We really only have room for that kind of one-line summary here, but do read the paper if you’re interested, as it also talks about other dietary factors that had an impact, with the above-listed items being the topmost impactful factors, but for example (to take just one snippet of many possible ones):
❝In particular, saturated fatty acids (SFA) and cholesterol increased the risk for symptoms❞
~ Ibid. ← so do read it, for many more snippets like this!
What else does and doesn’t work
We covered a little while back the question of whether it is strengthening to hold one’s pee, or better to go whenever one feels the urge, and the answer is clear:
Meanwhile, supplements on the other hand are a mixed bag; there are some that probably help, and others, not so much:
What’s in the supplements that claim to help you cut down on bathroom breaks? And do they work?
Want to do more?
Check out these previous articles of ours:
Pelvic Floor Exercises (Not Kegels!) To Prevent Urinary Incontinence
and
Keeping Your Kidneys Happy: It’s About More Than Just Hydration! ← important at all ages, but especially relevant after 60
Take care!
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The Kitchen Doctor
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Dr. Rupy Aujla: The Kitchen Doctor
This is Dr. Rupy Aujla, and he’s a medical doctor. He didn’t set out to become a “health influencer”.
But then, a significant heart condition changed his life. Having a stronger motivation to learn more about nutritional medicine, he did a deep dive into the scientific literature, because that’s what you do when your life is on the line, especially if you’re a doctor!
Using what he learned, he was able to reverse his condition using a food and lifestyle approach. Now, he devotes himself to sharing what he learned—and what he continues to learn as he goes along.
One important thing he learned because of what happened to him, was that he hadn’t been paying enough attention to what his body was trying to tell him.
He wants us to know about interoception—which isn’t a Chris Nolan movie. Rather, interoception is the sense of what is going on inside one’s own body.
The counterpart of this is exteroception: our ability to perceive the outside world by means of our various senses.
Interoception is still using the senses, but is sensing internal body sensations. Effectively, the brain interprets and integrates what happens in our organs.
When interoception goes wrong, researchers found, it can lead to a greater likelihood of mental health problems. Having an anxiety disorder, depression, mood disorder, or an eating disorder often comes with difficulties in sensing what is going on inside the body.
Improving our awareness of body cues
Those same researchers suggested therapies and strategies aimed at improving awareness of mind-body connections. For example, mindfulness-based stress reduction, yoga, meditation and movement-based treatments. They could improve awareness of body cues by attending to sensations of breathing, cognitions and other body states.
But where Dr. Aujla puts his focus is “the heart of the home”, the kitchen.
The pleasure of food
❝Eating is not simply ingesting a mixture of nutrients. Otherwise, we would all be eating astronaut food. But food is not only a tool for health. It’s also an important pleasure in life, allowing us to connect to others, the present moment and nature.❞
Dr. Rupy Aujla
Dr. Aujla wants to help shift any idea of a separation between health and pleasure, because he believes in food as a positive route to well-being, joy and health. For him, it starts with self-awareness and acceptance of the sensory pleasures of eating and nourishing our bodies, instead of focusing externally on avoiding perceived temptations.
Most importantly:
We can use the pleasure of food as an ally to healthy eating.
Instead of spending our time and energy fighting the urge to eat unhealthy things that may present a “quick fix” to some cravings but aren’t what our body actually wants, needs, Dr. Aujla advises us to pay just a little more attention, to make sure the body’s real needs are met.
His top tips for such are:
- Create an enjoyable relaxing eating environment
To help cultivate positive emotions around food and signal to the nervous system a shift to food-processing time. Try setting the table with nothing else on it beyond what’s relevant to the dinner, putting away distractions, using your favorite plates, tablecloth, etc.
- Take 3 deep abdominal breaths before eating
To help you relax and ground yourself in the present moment, which in turn is to prepare your digestive system to receive and digest food.
- Pay attention to the way you sit
Take some time to sit comfortably with your feet grounded on the floor, not slouching, to give your stomach space to digest the food.
- Appreciate what it took to bring this food to your plate
Who was involved in the growing process and production, the weather and soil it took to grow the food, and where in the world it came from.
- Enjoy the sensations
When you’re cooking, serving, and eating your food, be attentive to color, texture, aroma and even sound. Taste the individual ingredients and seasonings along the way, when safe and convenient to do so.
- Journal
If you like journaling, you can try adding a mindful eating section to that. Ask questions such as: “how did I feel before, during, and after the meal?”
In closing…
Remember that this is a process, not only on an individual level but as a society too.
Oftentimes it’s hard to eat healthily… We can be given to wonder even “what is healthy, after all?”, and we can be limited by what is available, what is affordable, and what we have time to prepare.
But if we make a conscious commitment to make the best choices we reasonably can as we go along, then small changes can soon add up.
Interested in what kind of recipes Dr. Aujla goes for?
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Fatty Acids For The Eyes & Brain: The Good And The Bad
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Good For The Eyes; Good For The Brain
We’ve written before about omega-3 fatty acids, covering the basics and some lesser-known things:
What Omega-3 Fatty Acids Really Do For Us
…and while we discussed its well-established benefits against cognitive decline (which is to be expected, because omega-3 is good against inflammation, and a large part of age-related neurodegeneration is heavily related to neuroinflammation), there’s a part of the brain we didn’t talk about in that article: the eyes.
We did, however, talk in another article about supplements that benefit the eyes and [the rest of the] brain, and the important links between the two, to the point that an examination of the levels of lutein in the retina can inform clinicians about the levels of lutein in the brain as a whole, and strongly predict Alzheimer’s disease (because Alzheimer’s patients have significantly less lutein), here:
Now, let’s tie these two ideas together
In a recent (June 2024) meta-analysis of high-quality observational studies from the US and around the world, involving nearly a quarter of a million people over 40 (n=241,151), researchers found that a higher intake of omega-3 is significantly linked to a lower risk of macular degeneration.
To put it in numbers, the highest intake of omega-3s was associated with an 18% reduced risk of early stage macular degeneration.
They also looked at a breakdown of what kinds of omega-3, and found that taking a blend DHA and EPA worked best of all, although of people who only took one kind, DHA was the best “single type” option.
You can read the paper in full, here:
Association between fatty acid intake and age-related macular degeneration: a meta-analysis
A word about trans-fatty acids (TFAs)
It was another feature of the same study that, while looking at fatty acids in general, they also found that higher consumption of trans-fatty acids was associated with a higher risk of advanced age-related macular degeneration.
Specifically, the highest intake of TFAs was associated with a more than 2x increased risk.
There are two main dietary sources of trans-fatty acids:
- Processed foods that were made with TFAs; these have now been banned in a lot of places, but only quite recently, and the ban is on the processing, not the sale, so if you buy processed foods that contain ingredients that were processed before 2021 (not uncommon, given the long life of many processed foods), the chances of them having TFAs is higher.
- Most animal products. Most notably from mammals and their milk, so beef, pork, lamb, milk, cheese, and yes even yogurt. Poultry and fish technically do also contain TFAs in most cases, but the levels are much lower.
Back to the omega-3 fatty acids…
If you’re wondering where to get good quality omega-3, well, we listed some of the best dietary sources in our main omega-3 article (linked at the top of today’s).
However, if you want to supplement, here’s an example product on Amazon that’s high in DHA and EPA, following the science of what we shared today 😎
Take care!
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3 Day Juice Fasting? Not So Fast!
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Juice fasts are trending… Again. They have been before, and this will probably not be the last time either.
The rationale is that by having nothing but fruit and/or vegetable juice for a few days, the body can clear itself of toxins while it’s not being preoccupied by dealing with what you’re eating on a daily basis.
This is not bad in theory, and in fact is a sort of parallel to the actually good advice to help the liver regenerate—by abstaining from things that the liver has to do hard work about, it has more internal resources to devote to taking care of itself.
Learn more about this: How To Unfatty A Fatty Liver
Just one problem
By having only juice for a few days, you are doing the opposite of what the liver needs.
In fact, by giving it what’s basically straight sugars in water with no fiber and not even any fats to slow it down, you are making your liver work overtime to deal with the flood of sugars, and it will not cope well.
Indeed, processed carbs without sufficient fiber are one of the main drivers of non-alcoholic fatty liver disease.
And yes, that’s what juice is: processed carbs without fiber
(juicing is a process!)
You can read more about the science of that, here:
From Apples to Bees, and High-Fructose Cs: Which Sugars Are Healthier, And Which Are Just The Same? ← we get into quite some detail about how, exactly, such a harmless-seeming thing as fruit juice messes up the liver so badly
Here be (more) science
A three-day interventional study was performed on juicing and microbiome health, with three groups:
- Juice only
- Juice with whole foods
- Only whole plant-based foods
The results?
- Juice only: biggest growth in bacteria that cause inflammation and gut permeability (that’s bad; very bad)
- Juice with whole foods: the same bad effects, but much less pronounced than the juice-only group
- Only whole plant-based food: notable improvements in the microbiome
That’s what the changes were immediately post-intervention; what’s interesting to note is that the bad effects of the juice-only group also lingered longer, whereas the juice+food group enjoyed a relatively quicker recovery in the two weeks after the intervention.
Here’s the paper itself; be warned, you’ll be reading a lot about feces and saliva alongside eating and drinking:
Effects of Vegetable and Fruit Juicing on Gut and Oral Microbiome Composition
Ok, what can I do to detox?
Well, the advice we gave up top in the linked article about liver health is very sound, and also you might like to check out:
Detox: What’s Real, What’s Not, What’s Useful, What’s Dangerous?
Want to learn more?
Here’s a video explainer from the ever-charming French biochemist Jessie Inchauspé (and our own text overview, for those who prefer reading):
Fruit Is Healthy; Juice Isn’t (Here’s Why)
Take care!
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Everything You Need To Know About The Menopause – by Kate Muir
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Kate Muir has made a career out of fighting for peri-menopausal health to be taken seriously. Because… it’s actually far more serious than most people know.
What people usually know:
- No more periods
- Hot flushes
- “I dunno, some annoying facial hairs maybe”
The reality encompasses a lot more, and Muir covers topics including:
- Workplace struggles (completely unnecessary ones)
- Changes to our sex life (not usually good ones, by default!)
- Relationship between menopause and breast cancer
- Relationship between menopause and Alzheimer’s
“Wait”, you say, “correlation is not causation, that last one’s just an age thing”, and that’d be true if it weren’t for the fact that receiving Hormone Replacement Therapy (HRT) or not is strongly correlated with avoiding Alzheimer’s or not.
The breast cancer thing is not to be downplayed either. Taking estrogen comes with a stated risk of breast cancer… But what they don’t tell you, is that for many people, not taking it comes with a higher risk of breast cancer (but that’s not the doctor’s problem, in that case). It’s one of those situations where fear of litigation can easily overrule good science.
This kind of thing, and much more, makes up a lot of the meat of this book.
Hormonal treatment for the menopause is often framed in the wider world as a whimsical luxury, not a serious matter of health…. If you’ve ever wondered whether you might want something different, something better, as part of your general menopause plan (you have a plan for this important stage of your life, right?), this is a powerful handbook for you.
Additionally, if (like many!) you justifiably fear your doctor may brush you off (or in the case of mood disorders, may try to satisfy you with antidepressants to treat the symptom, rather than HRT to treat the cause), this book will arm you as necessary to help you get what you need.
Grab your copy of “Everything You Need To Know About The Menopause” from Amazon today!
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