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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  • When Science Brings Hope

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    There’s a lot of bad news out there at present, including in the field of healthcare. So as some measure of respite from that, here’s some good news from the world of health science, including some actionable things to do:

    Run for your life! Or casually meander for your life; that’s fine too.

    Those who enjoy the equivalent of an average of 160mins slow (3mph) walking per day also enjoy the greatest healthspan. Now, there may be an element of two-way causality here (moving more means we live longer, but also, sometimes people move less because of having crippling disabilities, which are themselves not great for healthspan, as well as having the knock-on effect of reducing movement, and so such conditions yield and anti-longevity double-whammy), but for any who are able to, increasing the amount of time per day spend moving, ultimately results (on average) in a lot of extra days in life that we’ll then get to spend moving.

    Depending on how active or not you are already, every extra 1 hour walked could add two hours and 49 minutes to life expectancy:

    Read in full: Americans over 40 could live extra 5 years if they were all as active as top 25% of population, modeling study suggests

    Related: The Doctor Who Wants Us To Exercise Less & Move More

    Re-teaching your brain to heal itself

    Cancer is often difficult to treat, and brain tumors can be amongst the most difficult with which to contend. Not only is everything in there very delicate, but also it’s the hardest place in the body to get at—not just surgically, but even chemically, because of the blood-brain barrier. To make matters worse, brain tumors such as glioblastoma weaken the function of T-cells (whose job it is to eliminate the cancer) by prolonged exposure.

    Research has found a way to restore the responsiveness of these T-cells to immune checkpoint inhibitors, allowing them to go about their cancer-killing activities unimpeded:

    Read in full: New possibilities for treating intractable brain tumors unveiled

    Related: 5 Ways To Beat Cancer (And Other Diseases)

    Here’s to your good health!

    GLP-1 receptor agonists, originally developed to fight diabetes and now enjoying popularity as weight loss adjuvants, work in large part by cutting down food cravings by interfering with the chemical messaging about such.

    As a bonus, it seems that they also can reduce alcohol cravings, especially by targetting the brain’s reward center; this was based on a large review of studies looking at how GLP-1RA use affects alcohol use, alcohol-related health problems, hospital visits, and brain reactions to alcohol cues:

    Read in full: Diabetes medication may be effective in helping people drink less alcohol, research finds

    Related: How To Reduce Or Quit Alcohol

    Take care!

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  • Loaded Mocha Chocolate Parfait

    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.

    Packed with nutrients, including a healthy dose of protein and fiber, these parfait pots can be a healthy dessert, snack, or even breakfast!

    You will need (for 4 servings)

    For the mocha cream:

    • ½ cup almond milk
    • ½ cup raw cashews
    • ⅓ cup espresso
    • 2 tbsp maple syrup
    • 1 tsp vanilla extract

    For the chocolate sauce:

    • 4 tbsp coconut oil, melted
    • 2 tbsp unsweetened cocoa powder
    • 1 tbsp maple syrup
    • 1 tsp vanilla extract

    For the other layers:

    • 1 banana, sliced
    • 1 cup granola, no added sugar

    Garnish (optional): 3 coffee beans per serving

    Note about the maple syrup: since its viscosity is similar to the overall viscosity of the mocha cream and chocolate sauce, you can adjust this per your tastes, without affecting the composition of the dish much besides sweetness (and sugar content). If you don’t like sweetness, the maple syrup be reduced or even omitted entirely (your writer here is known for her enjoyment of very strong bitter flavors and rarely wants anything sweeter than a banana); if you prefer more sweetness than the recipe called for, that’s your choice too.

    Method

    (we suggest you read everything at least once before doing anything)

    1) Blend all the mocha cream ingredients. If you have time, doing this in advance and keeping it in the fridge for a few hours (or even up to a week) will make the flavor richer. But if you don’t have time, that’s fine too.

    2) Stir all the chocolate sauce ingredients together in a small bowl, and set it aside. This one should definitely not be refrigerated, or else the coconut oil will solidify and separate itself.

    3) Gently swirl the the mocha cream and chocolate sauce together. You want a marble effect, not a full mixing. Omit this step if you want clearer layers.

    4) Assemble in dessert glasses, alternating layers of banana, mocha chocolate marble mixture (or the two parts, if you didn’t swirl them together), and granola.

    5) Add the coffee-bean garnish, if using, and serve!

    Enjoy!

    Want to learn more?

    For those interested in some of the science of what we have going on today:

    Take care!

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  • Retinoids: Retinol vs Retinal vs Retinoic Acid vs..?

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    It’s Q&A Day at 10almonds!

    Have a question or a request? We love to hear from you!

    In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

    As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

    So, no question/request too big or small 😎

    ❝I’m confused about retinol, retinal, retinoin, retinoids, etc, and of course every product claims to be the best, what’s the actual science on it?❞

    Before we get into these skincare products, let’s first note that for most people, what’s best for the skin is good sleep and hydration, a plants-centric whole foods diet, and good stress management:

    See for example: Of Brains And Breakouts: The Brain Skin Doctor

    However, the world of potions and lotions can be an alluring one, and there is some merit there too. So, in a nutshell:

    • Retinoids are the overall class of chemicals, and not a specific type
      • Retinoic acid is the strongest form of this chemical and is prescription-controlled in most places
        • Retinoin” is probably tretinoin (all-trans retinoic acid) with the “t” having fallen off; we can only find it being used as a product name, not an actual substance
      • Retinal, when it’s not an adjective referring to the retina (the part of the eye that receives refocussed light) and is instead a noun, is a less potent retinoid than the prescription-only kinds, but still stronger than retinol
      • Retinol is a much less potent form, and is the most widely found in skincare products

    All of them work the same way; it is only how serious they are about it that differs.

    The mechanism of action is that they speed up the turnover (shedding cycle) of skin, so that cells are replaced sooner. As with any non-cancerous human tissue, this means that the tissue itself (in this case, your skin) will be biologically younger than if it had been replaced later.

    The downside, of course, of this is that—while trying to make your skin healthier and more beautiful—the first thing that will happen is skin shedding. Depending on the retinoid type, dose, and the health of your skin to start with, this may mean anything from needing to exfoliate in the morning, to having to go to hospital with what looks like the world’s worst sunburn. For this reason, it is recommended to start with weaker products and lower doses, and work up carefully.

    A note on doses: the recommended doses for these products are always truly tiny, like “use a pea-sized amount of this 0.05% serum on your face”. Take them seriously until you’re absolutely sure from experience that your skin can handle more.

    Also, a tip: wear gloves when you apply any of the above products. This is because your fingers are also covered in skin, and if you don’t use gloves, then half the product that you intended for your face will be absorbed into your fingers instead. On the bright side, you’ll have beautifully rejuvenated fingertips, though.

    You can learn more about the science of retinoids here, in our article about tretinoin, the usually prescription-only form of retinoic acid:

    Tretinoin: Undo The Sun’s Damage To Your Skin

    Want to try some?

    We don’t sell it, but here for your convenience is an example product of retinal (stronger than retinol) on Amazon 😎

    Take care!

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  • Kiwi vs Raspberries – Which is Healthier?

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    Our Verdict

    When comparing kiwi to raspberries, we picked the raspberries.

    Why?

    This was pretty even in most categories! But…

    In terms of macros, kiwi has slightly more carbs while raspberries have more than 2x the fiber. An easy win for raspberries.

    In the category of vitamins, kiwi has more of vitamins A, B6, B9, C, E, and K, while raspberries have more of vitamins B1, B2, B3, B5, B7, and choline; a 6:6 tie.

    When it comes to minerals, kiwi has more calcium, copper, phosphorus, and potassium, while raspberries have more iron, magnesium, manganese, and zinc; a 4:4 tie this time.

    In other considerations: kiwi has some anticancer properties that raspberries don’t, while raspberries have a lot more polyphenols; we’re calling this round another tie.

    Adding up the sections is not difficult arithmetic today; it’s an overall win for raspberries because of the fiber content, while they’re very balanced in all the other categories!

    Want to learn more?

    You might like:

    Enjoy!

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  • Synergistic Brain-Training

    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.

    Let The Games Begin (But It Matters What Kind)

    Exercise is good for brain health; we’ve written about this before, for example:

    How To Reduce Your Alzheimer’s Risk ← there are many advices here, but exercise, especially cardiovascular exercise in this case, is an important item on the list!

    Today it’s Psychology Sunday though, and we’re going to talk about looking after brain health by means of brain-training, via games.

    “Brain-training” gets a lot of hype and flak:

    • Hype: do sudoku every day and soon you will have an IQ of 200 and still have a sharp wit at the age of 120
    • Flak: brain-training is usually training only one kind of cognitive function, with limited transferability to the rest of life

    The reality is somewhere between the two. Brain training really does improve not just outwardly measurable cognitive function, but also internally measurable improvements visible on brain scans, for example:

    But what about the transferability?

    Let us play

    This is where game-based brain-training comes in. And, the more complex the game, the better the benefits, because there is more chance of applicability to life, e.g:

    • Sudoku: very limited applicability
    • Crosswords: language faculties
    • Chess: spatial reasoning, critical path analysis, planning, memory, focus (also unlike the previous two, chess tends to be social for most people, and also involve a lot of reading, if one is keen)
    • Computer games: wildly varied depending on the game. While an arcade-style “shoot-em-up” may do little for the brain, there is a lot of potential for a lot of much more relevant brain-training in other kinds of games: it could be planning, problem-solving, social dynamics, economics, things that mirror the day-to-day challenges of running a household, even, or a business.
      • It’s not that the skills are useful, by the way. Playing “Stardew Valley” will not qualify you to run a real farm, nor will playing “Civilization” qualify you to run a country. But the brain functions used and trained? Those are important.

    It becomes easily explicable, then, why these two research reviews with very similar titles got very different results:

    The first review found that game-based brain-training had negligible actual use. The “games” they looked at? BrainGymmer, BrainHQ, CogMed, CogniFit, Dakim, Lumosity, and MyBrainTrainer. In other words, made-for-purpose brain-trainers, not actual computer games per se.

    The second reviewfound that game-based training was very beneficial. The games they looked at? They didn’t name them, but based on the descriptions, they were actual multiplayer online turn-based computer games, not made-for-purpose brain-trainers.

    To summarize the above in few words: multiplayer online turn-based computer games outperform made-for-purpose brain-trainers for cognitive improvement.

    Bringing synergy

    However, before you order that expensive gaming-chair for marathon gaming sessions (research suggests a tail-off in usefulness after about an hour of continuous gaming per session, by the way), be aware that cognitive training and (physical) exercise training combined, performed close in time to each other or simultaneously, perform better than the sum of either alone:

    Comparing the effect of cognitive vs. exercise training on brain MRI outcomes in healthy older adults: A systematic review

    See also:

    Simultaneous training was the most efficacious approach for cognition, followed by sequential combinations and cognitive training alone, and significantly better than physical exercise.

    Our findings suggest that simultaneously and sequentially combined interventions are efficacious for promoting cognitive alongside physical health in older adults, and therefore should be preferred over implementation of single-domain training

    ~ Dr. Hanna Malmberg Gavelin et al.

    Source: Combined physical and cognitive training for older adults with and without cognitive impairment: A systematic review and network meta-analysis of randomized controlled trials

    Take care!

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  • PlantYou: Scrappy Cooking – by Carleigh Bodrug

    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.

    This is a book that took “whole foods plant-based diet” and ran with it.

    “Whole foods”, you say? Carleigh Bodrug has you covered in this guide to using pretty much everything.

    One of the greatest strengths of the book is its “Got this? Make that” section, for using up those odds and ends that you’d normally toss.

    You may be thinking: “ok, but if to use this unusual ingredient I have to buy four other ingredients to make this recipe, generating waste from those other ingredients, then this was a bad idea”, but fear not.

    Bodrug covers that too, and in many cases leftover “would get wasted” ingredients can get turned into stuff that can go into longer-term storage one way or another, to use at leisure.

    Which also means that on the day “there’s nothing in the house to eat” and you don’t want to go grocery-shopping, or if some global disaster causes the supply lines to fail and the stores become empty (that could never happen though, right?), you will have the mystical ability to conjure a good meal out of assorted odds and ends that you stored because of this book.

    Bottom line: if you love food and hate food waste, this is a great book for you.

    Click here to check out Scrappy Cooking, and do domestic magic!

    Don’t Forget…

    Did you arrive here from our newsletter? Don’t forget to return to the email to continue learning!

    Learn to Age Gracefully

    Join the 98k+ American women taking control of their health & aging with our 100% free (and fun!) daily emails: