The Pegan Diet – by Dr. Mark Hyman

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First things first: the title of the book is a little misleading. “Pegan” is a portmanteau of “paleo” and “vegan”, making it sound like it will be appropriate for both of those dietary practices. Instead:

  • Dr. Hyman offers advice about eating the right grains and legumes (inappropriate for a paleo diet)
  • He also offers such advice as “be picky about poultry, eggs, and fish”, and “avoid dairy—mostly” (inappropriate for a vegan diet).

So, since his paleo vegan diet is neither paleo nor vegan, what actually is it?

It’s a whole foods diet that encourages the enjoyment of a lot of plants, and discretion with regard to the quality of animal products.

It’s a very respectable approach to eating, even if it didn’t live up to the title.

The style is somewhat sensationalist, while nevertheless including plenty of actual science in there too—so the content is good, even if the presentation isn’t what this reviewer would prefer.

He has recipes; they can be a little fancy (e.g. “matcha poppy bread with rose water glaze”) which may not be to everyone’s taste, but they are healthy.

Bottom line: the content is good; the style you may love or hate, and again, don’t be misled by the title.

Click here to check out The Pegan Diet, if you want to be healthy and/but eat neither paleo nor vegan!

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  • The Worst Way to Wake Up (and What to Do Instead)

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    Not everyone is naturally inclined to be a morning person, but there are things we can do to make things go more easily for our brains!

    Cause for alarm?

    Dr. Tracey Marks, psychiatrist, explains the impact of our first moments upon awakening, and what that can do to/for us in terms of sleep inertia (i.e. grogginess).

    Sleep inertia is worse when waking from deep sleep—and notably, we don’t naturally wake directly from deep sleep unless we are externally aroused (e.g. by an alarm clock).

    Dr. Marks suggests the use of more gradual alarms, including those with soft melodies, perhaps birdsong or other similarly gentle things (artificial sunlight alarms are also good), to ease our transition from sleeping to waking. It might take us a few minutes longer to be woken from sleep, but we’re not going to spend the next hour in a bleary-eyed stupor.

    For more details on these things and more (including why not to hit “snooze”), enjoy:

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  • Strength training has a range of benefits for women. Here are 4 ways to get into weights

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    Picture a gym ten years ago: the weights room was largely a male-dominated space, with women mostly doing cardio exercise. Fast-forward to today and you’re likely to see women of all ages and backgrounds confidently navigating weights equipment.

    This is more than just anecdotal. According to data from the Australian Sports Commission, the number of women participating in weightlifting (either competitively or not) grew nearly five-fold between 2016 and 2022.

    Women are discovering what research has long shown: strength training offers benefits beyond sculpted muscles.

    John Arano/Unsplash

    Health benefits

    Osteoporosis, a disease in which the bones become weak and brittle, affects more women than men. Strength training increases bone density, a crucial factor for preventing osteoporosis, especially for women negotiating menopause.

    Strength training also improves insulin sensitivity, which means your body gets better at using insulin to manage blood sugar levels, reducing the risk of type 2 diabetes. Regular strength training contributes to better heart health too.

    There’s a mental health boost as well. Strength training has been linked to reduced symptoms of depression and anxiety.

    A woman lifting a weight in a gym.
    Strength training can have a variety of health benefits. Ground Picture/Shutterstock

    Improved confidence and body image

    Unlike some forms of exercise where progress can feel elusive, strength training offers clear and tangible measures of success. Each time you add more weight to a bar, you are reminded of your ability to meet your goals and conquer challenges.

    This sense of achievement doesn’t just stay in the gym – it can change how women see themselves. A recent study found women who regularly lift weights often feel more empowered to make positive changes in their lives and feel ready to face life’s challenges outside the gym.

    Strength training also has the potential to positively impact body image. In a world where women are often judged on appearance, lifting weights can shift the focus to function.

    Instead of worrying about the number on the scale or fitting into a certain dress size, women often come to appreciate their bodies for what they can do. “Am I lifting more than I could last month?” and “can I carry all my groceries in a single trip?” may become new measures of physical success.

    A young woman smiling in a gym change room.
    Strength training can have positive effects on women’s body image. Drazen Zigic/Shutterstock

    Lifting weights can also be about challenging outdated ideas of how women “should” be. Qualitative research I conducted with colleagues found that, for many women, strength training becomes a powerful form of rebellion against unrealistic beauty standards. As one participant told us:

    I wanted something that would allow me to train that just didn’t have anything to do with how I looked.

    Society has long told women to be small, quiet and not take up space. But when a woman steps up to a barbell, she’s pushing back against these outdated rules. One woman in our study said:

    We don’t have to […] look a certain way, or […] be scared that we can lift heavier weights than some men. Why should we?

    This shift in mindset helps women see themselves differently. Instead of worrying about being objects for others to look at, they begin to see their bodies as capable and strong. Another participant explained:

    Powerlifting changed my life. It made me see myself, or my body. My body wasn’t my value, it was the vehicle that I was in to execute whatever it was that I was executing in life.

    This newfound confidence often spills over into other areas of life. As one woman said:

    I love being a strong woman. It’s like going against the grain, and it empowers me. When I’m physically strong, everything in the world seems lighter.

    Feeling inspired? Here’s how to get started

    1. Take things slow

    Begin with bodyweight exercises like squats, lunges and push-ups to build a foundation of strength. Once you’re comfortable, add external weights, but keep them light at first. Focus on mastering compound movements, such as deadlifts, squats and overhead presses. These exercises engage multiple joints and muscle groups simultaneously, making your workouts more efficient.

    2. Prioritise proper form

    Always prioritise proper form over lifting heavier weights. Poor technique can lead to injuries, so learning the correct way to perform each exercise is crucial. To help with this, consider working with an exercise professional who can provide personalised guidance and ensure you’re performing exercises correctly, at least initially.

    A woman doing a lunge outdoors.
    Bodyweight exercises, such as lunges, are a good way to get started before lifting weights. antoniodiaz/Shutterstock

    3. Consistency is key

    Like any fitness regimen, consistency is key. Two to three sessions a week are plenty for most women to see benefits. And don’t be afraid to occupy space in the weights room – remember you belong there just as much as anyone else.

    4. Find a community

    Finally, join a community. There’s nothing like being surrounded by a group of strong women to inspire and motivate you. Engaging with a supportive community can make your strength-training journey more enjoyable and rewarding, whether it’s an in-person class or an online forum.

    Are there any downsides?

    Gym memberships can be expensive, especially for specialist weightlifting gyms. Home equipment is an option, but quality barbells and weightlifting equipment can come with a hefty price tag.

    Also, for women juggling work and family responsibilities, finding time to get to the gym two to three times per week can be challenging.

    If you’re concerned about getting too “bulky”, it’s very difficult for women to bulk up like male bodybuilders without pharmaceutical assistance.

    The main risks come from poor technique or trying to lift too much too soon – issues that can be easily avoided with some guidance.

    Erin Kelly, Lecturer and PhD Candidate, Discipline of Sport and Exercise Science, University of Canberra

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

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  • What is air hunger, and can it be treated?

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    Can you hold your breath until you’re almost bursting to take another breath in? This urgent feeling that you need to get more air is called “air hunger”.

    You may feel this sensation when you exercise intensely and push to your limit. Your breath will usually return to normal quickly once you’ve stopped exerting yourself.

    But some people – such as those living with lung conditions or severe anxiety – experience air hunger frequently in their day-to-day lives. Air hunger, which is sometimes described as “drowning” or “suffocating” from a lack of air, can be incredibly distressing.

    And it can be hard not to panic.

    So, what helps if you experience air hunger? And when should you get help?

    Olga Pankova/Getty

    What is air hunger?

    Many conditions can cause shortness of breath (also called dyspnoea). These commonly include heart diseases and lung conditions such as asthma, chronic obstructive pulmonary disease or long COVID.

    Although the terms are sometimes used interchangeably, air hunger is not the same as shortness of breath.

    Air hunger is an extreme and distinct feature of breathlessness: the feeling you can’t get enough air or take a full breath in.

    This sensation can make people take bigger breaths or breathe faster, to try and get more oxygen. But this can actually make the feeling of breathlessness worse. Some people may also find they yawn or sigh a lot as they try to get more air.

    For some people, an episode may be brief and resolve on its own. Others may pass out and need immediate medical attention to regain their breath.

    In addition to difficulty breathing, symptoms can include chest tightness, sweating, dizziness and coughing. If you experience any of these symptoms, especially for the first time, you should seek immediate medical attention by calling triple 0.

    Identifying the cause

    The key to treating air hunger is understanding what’s behind it. So a doctor will first try to identify the underlying cause.

    Air hunger may happen as part of an acute condition that causes breathlessness. For example, if you have a chest infection, you may struggle to breathe deeply and get enough oxygen. When you recover from the illness, you may no longer experience the feeling that you’re unable to fill your lungs.

    But air hunger can also be a feature of a chronic condition. Those who live with severe heart or lung conditions – such as congestive cardiac failures or interstitial lung diseases – may never feel they can breathe deeply or fully fill their lungs. This can significantly limit their ability to exercise or participate in everyday activities.

    Living with mental health conditions such as an anxiety or panic disorder can also mean frequent episodes of air hunger.

    Even when air hunger resolves by itself, you should still see your doctor for further assessment, to identify the cause and work out how to manage it.

    What a doctor will look at

    Your doctor will typically observe your breathing rate and ask about your symptoms, how often you experience air hunger, and how much distress it causes.

    They may also ask you to rate your shortness of breath using a Borg scale, which involves picking a number on the scale to best describe how short of breath you feel.

    Your doctor will also measure vital signs such as your pulse rate and oxygen saturation levels. Oxygen saturation means how much oxygen is actually making it into your bloodstream, and can be measured with a device called a pulse oximeter.

    If you’ve felt short of breath regularly over at least six weeks, you may need to do further testing. A lung function test or an exercise stress test can provide a comprehensive report on your lung capacity and how well your lungs and heart function under stress. Your doctor may also be refer you to a specialist.

    What helps?

    Depending on the cause, you may be prescribed medication, such as inhalers or oxygen for a lung condition. Opioids (morphine) or benzodiazepines (diazepam) may alleviate symptoms, but these would only be used in the short term, due to the risk of becoming dependent.

    Apart from medications, breathing and relaxation techniques may help some people manage the unpleasant sensation. These include:

    • pursed lip breathing: pucker your lips and focus on blowing the air out slowly, until you are able to take a big breath in

    https://www.youtube.com/embed/7kpJ0QlRss4?wmode=transparent&start=0 Pursed lip breathing can help you stay calm and slow the pace of your breathing.

    • mindful breathing: find a relaxed resting position where you can draw your attention to your breath and focus on regaining control of your rate of breathing

    https://www.youtube.com/embed/-YHRb2S4uvg?wmode=transparent&start=0 Videos like this may also help you regain control of your breathing.

    • timed breathing: while moving, time your breath with your body. For example, focus on breathing out when stepping with your right leg and breathing in when you step out with your left
    • the cool fan technique: blow a fan (electric or hand-held) directly onto your face. The cool air stimulates the nerves in the face to reduce the sensation of breathlessness. A cool washer on your face may help create the same effect.

    When to seek help

    To manage air hunger episodes, you should follow your health professional’s advice about how and when to take medications.

    Your doctor will also provide you with a management plan to guide you and your loved ones on what to do when you have an air hunger episode. Check in with your doctor regularly, as the plan may need updating if or when your condition changes.

    In an emergency, or if you are experiencing air hunger for the first time, always call triple 0.

    Clarice Tang, Senior Lecturer in Physiotherapy, Victoria University

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

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  • Yoga Teacher: Avoid Later Regrets—Do This One Thing Now

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    The best time to start this was decades ago. The next best time is now, or you will surely regret it later:

    Stay strong

    After 30, women usually lose about 0.5% of muscle mass per year; around menopause, that loss can jump to 3% annually.

    It’s not a guaranteed loss, but in the 4–5 years before menopause, fluctuating hormones make building muscle much harder, so starting early is big help if you’ve not already passed that point.

    As for why it matters, an overwhelming weight of evidence from countless studies links higher muscle mass and regular strength training (2–3 times a week) to longer life and lower chronic disease risk, which is no surprise, since muscle supports metabolism, weight control, blood sugar regulation, joint protection, bone density, and injury prevention.

    In short: start strength training now for future health, confidence, and resilience—prevention is better than cure.

    You may be thinking “yes, yes, I know this already”.

    But… Are you actually doing it? Knowing doesn’t help unless you actually do it! So please do:

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    Increase Your Muscle Mass Boost By 26% (No Extra Effort, No Supplements)

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  • Soap vs Sanitizer – Which is Healthier?

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    Our Verdict

    When comparing soap to sanitizer, we picked the soap.

    Why?

    Both are good at killing bacteria / inactivating viruses, but there are several things that set them apart:

    • Soap doesn’t just kill them; it slides them off and away down the drain. That means that any it failed to kill are also off and down the drain, not still on your hands. This is assuming good handwashing technique, of course!
    • Sanitizer gel kills them, but can take up to 4 minutes of contact to do so. Given that people find 20 seconds of handwashing laborious, 240 seconds of sanitizer gel use seems too much to hope for.

    Both can be dehydrating for the hands; both can have ingredients added to try to mitigate that.

    We recommend a good (separate) moisturizer in either case, but the point is, the dehydration factor doesn’t swing it far either way.

    So, we’ll go with the one that gets rid of the germs the most quickly: the soap

    10almonds tip: splash out on the extra-nice hand-soaps for your home—this will make you and others more likely to wash your hands more often! Sometimes, making something a more pleasant experience makes all the difference.

    Want to know more?

    Check out:

    Mythbusting Handwashing

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  • Testosterone levels decline with age, not menopause, despite what you’ve heard

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    Social media widely promotes testosterone as an essential part of menopausal hormone therapy (MHT, also known as hormone replacement therapy or HRT) to treat low mood, brain fog and loss of vitality.

    As a result, some women who aren’t prescribed it as part of the MHT regimen feel they are missing out.

    At menopause, when menstruation finally stops, oestrogen levels fall substantially, which can cause symptoms such as hot flushes, night sweats and vaginal dryness. Replacing this oestrogen with MHT relieves these symptoms.

    But our new research, published this week in The Lancet journal eBioMedicine, shows testosterone doesn’t change like oestrogen when women reach perimenopause or menopause.

    Rather, testosterone declines with age.

    MomentoJpeg/Getty Images

    We’ve long suspected this – but early tests weren’t reliable

    Our 2005 study of 1,400 women showed testosterone blood levels did not change at menopause but gradually declined from the age of about 20.

    This followed a smaller study of 172 women in 2000 which found no change in testosterone blood levels at menopause.

    But these older studies need to be interpreted with caution. Testosterone was measured with chemical tests that were not able to accurately measure testosterone at low levels in women.

    Since then, we have used newer, gold-standard methods that can accurately measure small amounts of testosterone.

    Using these methods in a 2019 study of 588 women, we found the average decline in testosterone between the ages of 18 to 39 years was around 25%.

    Our latest study examined the blood testosterone levels of 1,104 participants aged 40 to 69 years. The participants provided extensive menstrual cycle information, so we could determine whether each woman was pre-menopausal, perimenopausal or postmenopausal.

    We excluded women taking medications that might impact their natural hormone levels, or who had other identifiable factors that would impact their hormones from our hormone analysis. Having a higher body mass index (BMI) and being a cigarette smoker, for example, are each associated with higher testosterone.

    What our new study found

    Participants’ testosterone blood levels declined, on average, by 25% between the ages of 40 and 58–59 years.

    There were no measurable differences between women who were premenopausal, perimenopausal or postmenopausal.

    Postmenopausal women who had both ovaries surgically removed had lower blood testosterone levels than postmenopausal women with at least one ovary. This provides additional evidence that women’s ovaries continue to be the source of some testosterone after menopause.

    Interestingly, testosterone blood levels subtly increased from the age of 58–59 years. This echoes our 2005 study which found testosterone blood levels bottomed out at around the age of 62 years, and then gradually increased.

    All of these findings are changes that occur on average. Not everyone will experience the same changes we observed. Some might experience more or less change with age.

    So how does testosterone change over a woman’s lifespan?

    Combined with our past studies and other research, our latest study has enabled us to build a picture of testosterone across a woman’s lifespan.

    Testosterone levels tend to decrease by around 50% from about age 20 through to about age 60.

    Then they begin to subtly increase, with the trend for levels to increase continuing into the eight and ninth decades of life. We are yet to understand why these changes occur.

    Whether low testosterone is associated with symptoms needs further exploration. However, research to date suggests women with low testosterone aren’t more likely to have lower sexual desire, poorer muscle mass or lower mood.

    Nonetheless, the gradual increase in testosterone may partly explain the age-related hair thinning and bothersome facial hair growth many women in their sixties and older experienced.

    What does this mean for testosterone therapy?

    Researchers proposed the idea of an “testosterone deficiency syndrome” in menopausal women more than 20 years ago. This was before testosterone had been measured across women’s lifespans and before robust studies of the relationships between blood testosterone levels and specific symptoms.

    Our research refutes the belief that menopause causes testosterone deficiency, and that testosterone supplementation is an essential part of MHT.

    Multiple clinical trials have shown testosterone treatment can modestly improve sexual desire in postmenopausal women who have experienced a change in their sexual desire that bothers them.

    However there is currently no robust or consistent evidence that testosterone therapy will improve any symptoms for women other than low sexual desire after menopause.

    Therefore, the international clinical guidelines state it should only be prescribed for low sexual desire in postmenopausal women.

    We are currently evaluating the effects of testosterone on women’s muscle function and bone density and will report these findings in 2026.

    Susan Davis, Chair of Women’s Health, Monash University and YuanYuan Wang, Clinical Epidemiologist,School of Public Health and Preventive Medicine, Monash University

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

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