Watch Out For Lipedema

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Lipedema occurs mostly in women, mostly in times of hormonal change, with increasing risk as time goes by (so for example, puberty yields a lower risk than pregnancy, which yields a lower risk than menopause).

Its name literally means “fat swelling”, and can easily be mistaken for obesity or, in its earlier stages, just pain old cellulite.

Cellulite, by the way, is completely harmless and is also not, per se, an indicator of bad health. But if you have it and don’t like it, you can reduce it:

Keep Cellulite At Bay

Obesity is more of a complex matter, and one that we’ve covered here:

Shedding Some Obesity Myths

Lipedema is actively harmful

Lipedema can become a big problem, because lifestyle change does not reduce lipedema fat, the fat is painful, can lead to obesity if one was not already obese, causes gait and joint abnormalities, causes fatigue, can lead to lymphedema (beyond the scope of today’s article—perhaps another time!) and very much psychosocial distress.

Like many conditions that mostly affect women, the science is… Well, here’s a recent example review that was conducted and published:

Lipedema: What we don’t know

Fun fact: in Romanian there is an expression “one eye is laughing; the other is crying”, and it seems appropriate here.

Spot the signs

Because it’s most readily mistaken for cellulite in first presentation, let’s look at the differences between them:

  • Cellulite is characterized by dimpled, bumpy, or even skin; lipedema is the same but with swelling too.
  • Cellulite is a connective tissue condition; lipedema is too (at least in part), but also involves the abnormal accumulation and deposition of fat cells, rather than just pulling some down a bit.
  • Cellulite has no additional symptoms; lipedema soon also brings swollen limbs, joint pain, and/or skin that’s “spongy” and easily bruised.

What to do about it

First, get it checked out by a doctor.

If the doctor says it is just cellulite or obesity, ask them what difference(s) they are basing that on, and ask that they confirm in writing having dismissed your concerns (having this will be handy later if it turns out to be lipedema after all).

If it is lipedema, you will want to catch it early; there is no known cure, but advanced symptoms are a lot easier to keep at bay than they are to reverse once they’ve shown up.

Weight maintenance, skin care (including good hydration), and compression therapy have all been shown to help slow the progression.

If it is allowed to progress unhindered, that’s when a lot more fat accumulation and joint pain is likely to occur. Liposuction and surgery are options, but even they are only a temporary solution, and are obviously not fun things to have to go through.

Prevention is, as ever, much better than cure treatment ← because there is no known cure

One last thing

Lipedema’s main risk factor is genetic. The bad news is, there’s not much that can be done about that for now, but the good news is, you can at least get the heads-up about whether you are at increased risk or not, and be especially vigilant if you’re in the increased risk group. See also:

One Test, Many Warnings: The Real Benefit Of Genetic Testing

Take care!

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  • What are plyometric exercises? How all that hopping and jumping builds strength, speed and power

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    If you’ve ever seen people at the gym or the park jumping, hopping or hurling weighted balls to the ground, chances are they were doing plyometric exercises.

    Examples include:

    • box jumps, where you repeatedly leap quickly on and off a box
    • lateral skater hops, where you bound from side to side like a speeding ice skater
    • rapidly throwing a heavy medicine ball against a wall, or to the ground
    • single leg hops, which may involve hopping on the spot or through an obstacle course
    • squat jumps, where you repeatedly squat and then launch yourself into the air.
    Photo by cottonbro studio/Pexels

    There are many more examples of plyometric exercises.

    What ties all these moves together is that they use what’s known as the “stretch shortening cycle”. This is where your muscles rapidly stretch and then contract.

    A runner skips over an obstacle course in a field.
    Runners routinely practise plyometric exercises to improve explosive leg strength. WoodysPhotos/Shutterstock

    Potential benefits

    Research shows incorporating plyometric exercise into your routine can help you:

    Studies have found plyometric exercises can help:

    • older people who want to retain and build muscle strength, boost bone health, improve posture and reduce the risk of falls
    • adolescent athletes who want to build the explosive strength needed to excel in sports such as athletics, tennis, soccer, basketball and football
    • female athletes who want to jump higher or change direction quickly (a useful skill in many sports)
    • endurance runners who want to boost physical fitness, run time and athletic performance.

    And when it comes to plyometric exercises, you get out what you put in.

    Research has found the benefits of plyometrics are significantly greater when every jump was performed with maximum effort.

    Women jump on and off boxes.
    Jumping can help boost bone strength. WoodysPhotos/Shutterstock

    Potential risks

    All exercise comes with risk (as does not doing enough exercise!)

    Plyometrics are high-intensity activities that require the body to absorb a lot of impact when landing on the ground or catching medicine balls.

    That means there is some risk of musculoskeletal injury, particularly if the combination of intensity, frequency and volume is too high.

    You might miss a landing and fall, land in a weird way and crunch your ankle, or get a muscle tear if you’re overdoing it.

    The National Strength and Conditioning Association, a US educational nonprofit that uses research to support coaches and athletes, recommends:

    • a maximum of one to three plyometric sessions per week
    • five to ten repetitions per set and
    • rest periods of one to three minutes between sets to ensure complete muscle recovery.
    An older person does jumps on a race track.
    With the right guidance, jumps can be safe for older people and may help reduce the risk of falls as you age. Realstock/Shutterstock

    One meta-analysis, where researchers looked at many studies, found plyometric training was feasible and safe, and could improve older people’s performance, function and health.

    Overall, with appropriate programming and supervision, plyometric exercise can be a safe and effective way to boost your health and athletic performance.

    Justin Keogh, Associate Dean of Research, Faculty of Health Sciences and Medicine, Bond University and Mandy Hagstrom, Senior Lecturer, Exercise Physiology. School of Health Sciences, UNSW Sydney

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

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  • Pomegranate’s Health Gifts Are Mostly In Its Peel

    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.

    Pomegranate Peel’s Potent Potential

    Pomegranates have been enjoying a new surge in popularity in some parts, widely touted for their health benefits. What’s not so widely touted is that most of the bioactive compounds that give these benefits are concentrated in the peel, which most people in most places throw away.

    They do exist in the fruit too! But if you’re discarding the peel, you’re missing out:

    Food Applications and Potential Health Benefits of Pomegranate and its Derivatives

    “That peel is difficult and not fun to eat though”

    Indeed. Drying the peel, especially freeze-drying it, is a good first step:

    ❝Freeze drying peels had a positive effect on the total phenolic, tannins and flavonoid than oven drying at all temperature range. Moreover, freeze drying had a positive impact on the +catechin, -epicatechin, hesperidin and rutin concentrations of fruit peel. ❞

    Source: Effect of drying on the bioactive compounds, antioxidant, antibacterial and antityrosinase activities of pomegranate peel

    Once it is freeze-dried, it is easy to grind it into a powder for use as a nutritional supplement.

    “How useful is it?”

    Studies with 500mg and 1000mg per day in people with cases of obesity and/or type 2 diabetes saw significant improvements in assorted biomarkers of cardiometabolic health, including blood pressure, blood sugar levels, cholesterol, and hemoglobin A1C:

    It also has anticancer properties:

    …and neuroprotective benefits:

    …and it may protect against osteopenia and osteoporosis, but we only have animal or in vitro studies so far, for example:

    Want to try it?

    We don’t sell it, but you can buy pomegranates at your local supermarket, or buy the peel extract ready-made from online sources; here’s an example on Amazon for your convenience

    (the marketing there is for use of the 100% pomegranate peel powder as a face mask; it also has health benefits for the skin when applied topically, but we didn’t have time to cover that today)

    Enjoy!

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  • How Exercise Rewires Your Brain for Better Mental Wellbeing

    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.

    Dr. Tracey Marks, psychiatrist, explains what happens immediately, and what happens over the long term:

    For now and for later

    First of all, a single workout can already alter brain chemistry and protect against stress. In the longer term, exercise promotes neurogenesis, primarily in the hippocampus, improving memory and reversing brain aging. It also strengthens the prefrontal cortex, which is critical for decision-making, focus, and emotional regulation.

    In more general terms, exercise boosts brain-derived neurotrophic factor (BDNF) levels, which in turn boost neuron growth and connectivity.

    Exercise also promotes angiogenesis (blood vessel construction), improving oxygen and nutrient delivery to the brain.

    Timeline of benefits:

    • Immediate: increased blood flow and temporary BDNF spike.
    • Weeks: new neurons, connections, and blood vessel growth.
    • Months: visible brain volume changes and better brain connectivity.

    Dr. Marks’ Timing Tips

    • Morning: boosts energy and helps regulate the circadian rhythm.
    • Midday: resets stress levels (specifically: to low)
    • Evening: helps process emotions (but it’s still recommended to avoid high-intensity exercise close to bedtime)

    For more on all of this, enjoy:

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    Wondering what kind of exercise is best?

    You might also like to read:

    The Neuroscientist In The Gym: Dr. Wendy Suzuki Explains The Exercise That Protects Your Brain

    Take care!

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  • Eat All You Want (But Wisely)

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    Some Surprising Truths About Hunger And Satiety

    This is Dr. Barbara Rolls. She’s Professor and Guthrie Chair in Nutritional Sciences, and Director of the Laboratory for the Study of Human Ingestive Behavior at Pennsylvania State University, after graduating herself from Oxford and Cambridge (yes, both). Her “awards and honors” take up four A4 pages, so we won’t list them all here.

    Most importantly, she’s an expert on hunger, satiety, and eating behavior in general.

    What does she want us to know?

    First and foremost: you cannot starve yourself thin, unless you literally starve yourself to death.

    What this is about: any weight lost due to malnutrition (“not eating enough” is malnutrition) will always go back on once food becomes available. So unless you die first (not a great health plan), merely restricting good will always result in “yo-yo dieting”.

    So, to avoid putting the weight back on and feeling miserable every day along the way… You need to eat as much as you feel you need.

    But, there’s a trick here (it’s about making you genuinely feel you need less)!

    Your body is an instrument—so play it

    Your body is the tool you use to accomplish pretty much anything you do. It is, in large part, at your command. Then there are other parts you can’t control directly.

    Dr. Rolls advises taking advantage of the fact that much of your body is a mindless machine that will simply follow instructions given.

    That includes instructions like “feel hungry” or “feel full”. But how to choose those?

    Volume matters

    An important part of our satiety signalling is based on a physical sensation of fullness. This, by the way, is why bariatric surgery (making a stomach a small fraction of the size it was before) works. It’s not that people can’t eat more (the stomach is stretchy and can also be filled repeatedly), it’s that they don’t want to eat more because the pressure sensors around the stomach feel full, and signal the hormone leptin to tell the brain we’re full now.

    Now consider:

    • On the one hand, 20 grapes, fresh and bursting with flavor
    • On the other hand, 20 raisins (so, dried grapes), containing the same calories

    Which do you think will get the leptin flowing sooner? Of course, the fresh grapes, because of the volume.

    So if you’ve ever seen those photos that show two foods side by side with the same number of calories but one is much larger (say, a small slice of pizza or a big salad), it’s not quite the cheap trick that it might have appeared.

    Or rather… It is a cheap trick; it’s just a cheap trick that works because your stomach is quite a simple organ.

    So, Dr. Rolls’ advice: generally speaking, go for voluminous food. Fruit is great from this, because there’s so much water. Air-popped popcorn also works great. Vegetables, too.

    Water matters, but differently than you might think

    A well-known trick is to drink water before and with a meal. That’s good, it’s good to be hydrated. However, it can be better. Dr. Rolls did an experiment:

    The design:

    ❝Subjects received 1 of 3 isoenergetic (1128 kJ) preloads 17 min before lunch on 3 d and no preload on 1 d.

    The preloads consisted of 1) chicken rice casserole, 2) chicken rice casserole served with a glass of water (356 g), and 3) chicken rice soup.

    The soup contained the same ingredients (type and amount) as the casserole that was served with water.❞

    The results:

    ❝Decreasing the energy density of and increasing the volume of the preload by adding water to it significantly increased fullness and reduced hunger and subsequent energy intake at lunch.

    The equivalent amount of water served as a beverage with a food did not affect satiety.❞

    The conclusion:

    ❝Consuming foods with a high water content more effectively reduced subsequent energy intake than did drinking water with food.❞

    You can read the study in full (it’s a worthwhile read!) here:

    Water incorporated into a food but not served with a food decreases energy intake in lean women

    Protein matters

    With all those fruits and vegetables and water, you may be wondering Dr. Rolls’ stance on proteins. It’s simple: protein is an appetite suppressant.

    However, it takes about 20 minutes to signal the brain about that, so having some protein in a starter (if like this writer, you’re the cook of the household, a great option is to enjoy a small portion of nuts while cooking!) gets that clock ticking, to signal satiety sooner.

    It may also help in other ways:

    Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss

    As for other foods that can suppress appetite, by the way, you might like;

    25 Foods That Act As Natural Appetite Suppressants

    Variety matters, and in ways other than you might think

    A wide variety of foods (especially: a wide variety of plants) in one’s diet is well recognized as a key to a good balanced diet.

    However…

    A wide variety of dishes at the table, meanwhile, promotes greater consumption of food.

    Dr. Rolls did a study on this too, a while ago now (you’ll see how old it is) but the science seems robust:

    Variety in a Meal Enhances Food Intake in Man

    Notwithstanding the title, it wasnot about a man (that was just how scientists wrote in ye ancient times of 1981). The test subjects were, in order: rats, cats, a mixed group of men and women, the same group again, and then a different group of all women.

    So, Dr. Rolls’ advice is: it’s better to have one 20-ingredient dish, than 10 dishes with 20 ingredients between them.

    Sorry! We love tapas and buffets too, but that’s the science!

    So, “one-pot” meals are king in this regard; even if you serve it with one side (reasonable), that’s still only two dishes, which is pretty good going.

    Note that the most delicious many-ingredient stir-fries and similar dishes from around the world also fall into this category!

    Want to know more?

    If you have the time (it’s an hour), you can enjoy a class of hers for free:

    !

    Want to watch it, but not right now? Bookmark it for later

    Enjoy!

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  • The End of Stress – by Don Joseph Goewey

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    So, we probably know to remember to take a deep breath once in a while, and adopt a “focus on what you can control, rather than what you can’t” attitude. In this book, Goewey covers a lot more.

    After an overview of how we have a brain wired for stress, what it does to us, and why we should rewire that, he dives straight into such topics as:

    • Letting go of fear—safely!
    • Number-crunching the real risks
    • Leading with good decisions, and trusting the process
    • Actively practicing a peaceful mindset (some very good tips here)
    • Transcending shame (and thus sidestepping the stress that it may otherwise bring)

    The book brings together a lot of ideas and factors, seamlessly. From scientific data to case studies, to “try this and see”, encouraging us to try certain exercises for ourselves and be surprised at the results.

    All in all, this is a great book on not just managing stress, but—as the title suggests—ending it in all and any cases it’s not useful to us. In other words, this book? It is useful to us.

    Click here to enjoy The End of Stress from Amazon today!

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  • Recognize The Early Symptoms Of Parkinson’s Disease

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    Parkinson’s disease is a degenerative condition with wide-reaching implications for health. While there is currently no known cure, there are treatments, so knowing about it sooner rather than later is important.

    Spot The Signs

    There are two main kinds of symptoms, motor and non-motor.

    Motor symptoms include:

    • trembling that occurs when muscles are relaxed; often especially visible in the fingers
    • handwriting changes—not just because of the above, but also often getting smaller
    • blank expression, on account of fewer instruction signals getting through to the face
    • frozen gait—especially difficulty starting walking, and a reduced arm swing

    Non-motor symptoms include:

    • loss of sense of smell—complete, or a persistent reduction of
    • sleepwalking, or sleep-talking, or generally acting out dreams while asleep
    • constipation—on an ongoing basis
    • depression/anxiety, especially if there was no prior history of these conditions

    For more detail on each of these, as well as what steps you might want to take, check out what Dr. Luis Zayas has to say:

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    Want to learn more?

    You might also like to read:

    Citicoline vs Parkinson’s (And More)

    Take care!

    Don’t Forget…

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