You Are Not Broken – by Dr. Kelly Casperson

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Many women express “I think I’m broken down there”, and it turns out simply that neither they nor their partners had the right knowledge, that’s all. The good news is: bedroom competence is an entirely learnable skill!

Dr. Casperson is a urologist, and over the years has expanded her work into all things pelvic, including the relevant use of both systemic and topical hormones (as in, hormones to increase overall blood serum levels of that hormone, like most HRT, and also, creams and lotions to increase levels of a given hormone in one particular place).

However, this is not 200 pages to say “take hormones”. Rather, she covers many areas of female sexual health and wellbeing, including yes, simply pleasure. From the physiological to the psychological, Dr. Casperson talks the reader through avoiding blame games and “getting out of your head and into your body”.

Bottom line: if you (or a loved one) are one of the many women who have doubts about being entirely correctly set up down there, then this book is definitely for you.

Click here to check out You Are Not Broken, and indeed stop “should-ing” all over your sex life!

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  • Should You Go Light Or Heavy On Carbs?

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    Carb-Strong or Carb-Wrong?

    A bar chart showing the number of people who are interested in social media and heavy carbs.

    We asked you for your health-related view of carbs, and got the above-depicted, below-described, set of responses

    • About 48% said “Some carbs are beneficial; others are detrimental”
    • About 27% said “Carbs are a critical source of energy, and safer than fats”
    • About 18% said “A low-carb diet is best for overall health (and a carb is a carb)”
    • About 7% said “We do not need carbs to live; a carnivore diet is viable”

    But what does the science say?

    Carbs are a critical source of energy, and safer than fats: True or False?

    True and False, respectively! That is: they are a critical source of energy, and carbs and fats both have an important place in our diet.

    ❝Diets that focus too heavily on a single macronutrient, whether extreme protein, carbohydrate, or fat intake, may adversely impact health.

    ~ Dr. Russel de Souza et al.

    Source: Low carb or high carb? Everything in moderation … until further notice

    (the aforementioned lead author Dr. de Souza, by the way, served as an external advisor to the World Health Organization’s Nutrition Guidelines Advisory Committee)

    Some carbs are beneficial; others are detrimental: True or False?

    True! Glycemic index is important here. There’s a big difference between eating a raw carrot and drinking high-fructose corn syrup:

    Which Sugars Are Healthier, And Which Are Just The Same?

    While some say grains and/or starchy vegetables are bad, best current science recommends:

    • Eat some whole grains regularly, but they should not be the main bulk of your meal (non-wheat grains are generally better)
    • Starchy vegetables are not a critical food group, but in moderation they are fine.

    To this end, the Mediterranean Diet is the current gold standard of healthful eating, per general scientific consensus:

    A low-carb diet is best for overall health (and a carb is a carb): True or False?

    True-ish and False, respectively. We covered the “a carb is a carb” falsehood earlier, so we’ll look at “a low-carb diet is best”.

    Simply put: it can be. One of the biggest problems facing the low-carb diet though is that adherence tends to be poor—that is to say, people crave their carby comfort foods and eat more carbs again. As for the efficacy of a low-carb diet in the context of goals such as weight loss and glycemic control, the evidence is mixed:

    ❝There is probably little to no difference in weight reduction and changes in cardiovascular risk factors up to two years’ follow-up, when overweight and obese participants without and with T2DM are randomised to either low-carbohydrate or balanced-carbohydrate weight-reducing diets❞

    ~ Dr. Celeste Naud et al.

    Source: Low-carbohydrate versus balanced-carbohydrate diets for reducing weight and cardiovascular risk

    ❝On the basis of moderate to low certainty evidence, patients adhering to an LCD for six months may experience remission of diabetes without adverse consequences.

    Limitations include continued debate around what constitutes remission of diabetes, as well as the efficacy, safety, and dietary satisfaction of longer term LCDs❞

    ~ Dr. Joshua Goldenberg et al.

    Source: Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission

    ❝There should be no “one-size-fits-all” eating pattern for different patient´s profiles with diabetes.

    It is clinically complex to suggest an ideal percentage of calories from carbohydrates, protein and lipids recommended for all patients with diabetes.❞

    ~Dr. Adriana Sousa et al.

    Source: Current Evidence Regarding Low-carb Diets for The Metabolic Control of Type-2 Diabetes

    We do not need carbs to live; a carnivore diet is viable: True or False?

    False. For a simple explanation:

    The Carnivore Diet: Can You Have Too Much Meat?

    There isn’t a lot of science studying the effects of consuming no plant products, largely because such a study, if anything other than observational population studies, would be unethical. Observational population studies, meanwhile, are not practical because there are so few people who try this, and those who do, do not persist after their first few hospitalizations.

    Putting aside the “Carnivore Diet” as a dangerous unscientific fad, if you are inclined to meat-eating, there is some merit to the Paleo Diet, at least for short-term weight loss even if not necessarily long-term health:

    What’s The Real Deal With The Paleo Diet?

    For longer-term health, we refer you back up to the aforementioned Mediterranean Diet.

    Enjoy!

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  • Strawberries vs Raspberries – Which is Healthier?

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    Our Verdict

    When comparing strawberries to raspberries, we picked the raspberries.

    Why?

    They’re both very respectable fruits, of course! But it’s not even close, and there is a clear winner here…

    In terms of macros, the biggest difference is that raspberries have moderately more carbs, and more than 3x the fiber. Technically they also have 2x the protein, but that’s a case of “two times almost nothing is still almost nothing”. All in all, and especially for the “more than 3x the fiber” (6.5g/100g to strawberries’ 2g/100g), this one’s an easy win for raspberries.

    When it comes to vitamins, strawberries have more vitamin C, while raspberries have more of vitamins A, B1, B2, B3, B5, B6, E, K, and choline. Another clear and easy win for raspberries.

    In the category of minerals, guess what, raspberries win this hands-down, too: strawberries are higher in selenium, while raspberries have more calcium, copper, iron, magnesium, manganese, phosphorus, and zinc.

    Adding up all the individual wins (all for raspberries), it’s not hard to say that raspberries win the day. Still, of course, enjoy either or both; diversity is good!

    Want to learn more?

    You might like to read:

    From Apples to Bees, and High-Fructose Cs: Which Sugars Are Healthier, And Which Are Just The Same?

    Take care!

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  • Why Diets Make Us Fat – by Dr. Sandra Aamodt

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    It’s well-known that crash-dieting doesn’t work. Restrictive diets will achieve short-term weight loss, but it’ll come back later. In the long term, weight creeps slowly upwards. Why?

    Dr. Sandra Aamodt explores the science and sociology behind this phenomenon, and offers an evidence-based alternative.

    A lot of the book is given over to explanations of what is typically going wrong—that is the title of the book, after all. From metabolic starvation responses to genetics to the negative feedback loop of poor body image, there’s a lot to address.

    However, what alternative does she propose?

    The book takes us on a shift away from focusing on the numbers on the scale, and more on building consistent healthy habits. It might not feel like it if you desperately want to lose weight, but it’s better to have healthy habits at any weight, than to have a wreck of physical and mental health for the sake of a lower body mass.

    Dr. Aamodt lays out a plan for shifting perspectives, building health, and letting weight loss come by itself—as a side effect, not a goal.

    In fact, as she argues (in agreement with the best current science, science that we’ve covered before at 10almonds, for that matter), that over a certain age, people in the “overweight” category of BMI have a reduced mortality risk compared to those in the “healthy weight” category. It really underlines how there’s no point in making oneself miserably unhealthy with the end goal of having a lighter coffin—and getting it sooner.

    Bottom line: will this book make you hit those glossy-magazine weight goals by your next vacation? Quite possibly not, but it will set you up for actually healthier living, for life, at any weight.

    Click here to check out Why Diets Make Us Fat, and live healthier and better!

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Related Posts

  • How to Find Happiness In Yourself – by Michelle Mann
  • How To Improve Your Heart Rate Variability

    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.

    How’s your heart rate variability?

    The hallmarks of a good, strong cardiovascular system include a medium-to-low resting heart rate (for adults: under 60 beats per minute is good; under 50 is typical of athletes), and healthy blood pressure (for adults: under 120/80, while still above 90/60, is generally considered good).

    Less talked-about is heart rate variability, but it’s important too…

    What is heart rate variability?

    Heart rate variability is a measure of how quickly and easily your heart responds to changes in demands placed upon it. For example:

    • If you’re at rest and then start running your fastest (be it for leisure or survival or anything in between), your heart rate should be able to jump from its resting rate to about 180% of that as quickly as possible
    • When you stop, your heart rate should be able to shift gears back to your resting rate as quickly as possible

    The same goes, to a commensurately lesser extent, to changes in activity between low and moderate, or between moderate and high.

    • When your heart can change gears quickly, that’s called a high heart rate variability
    • When your heart is sluggish to get going and then takes a while to return to normal after exertion, that’s called a low heart rate variability.

    The rate of change (i.e., the variability) is measured in microseconds per beat, and the actual numbers will vary depending on a lot of factors, but for everyone, higher is better than lower.

    Aside from quick response to crises, why does it matter?

    If heart rate variability is low, it means the sympathetic nervous system is dominating the parasympathetic nervous system, which means, in lay terms, your fight-or-flight response is overriding your ability to relax.

    See for example: Stress and Heart Rate Variability: A Meta-Analysis and Review of the Literature

    This has a lot of knock-on effects for both physical and mental health! Your heart and brain will take the worst of this damage, so it’s good to improve things for them impossible.

    This Saturday’s Life Hacks: how to improve your HRV!

    Firstly, the Usual Five Things™:

    1. A good diet (that avoids processed foods)
    2. Good exercise (that includes daily physical activity—more often is more important than more intense!)
    3. Good sleep (7–9 hours of good quality sleep per night)
    4. Reduce or eliminate alcohol consumption (this is dose-dependent; any reduction is an improvement)
    5. Don’t smoke (just don’t)

    Additional regular habits that help a lot:

    • Breathing exercises, mindfulness, meditation
    • Therapy, especially CBT and DBT
    • Stress-avoidance strategies, for example:
      • Get (and maintain) your finances in good order
      • Get (and maintain) your relationship(s) in good order
      • Get (and maintain) your working* life in good order

    *Whatever this means to you. If you’re perhaps retired, or otherwise a home-maker, or even a student, the things you “need to do” on a daily basis are your working life, for these purposes.

    In terms of simple, quick-fix, physical tweaks to focus on if you’re already broadly leading a good life, two great ones are:

    • Exercise: get moving! Walk to the store even if you buy nothing but a snack or drink to enjoy while walking back. If you drove, make more trips with the shopping bags rather than fewer. If you like to watch TV, consider an exercise bike or treadmill to use while watching. If you have a partner, double-up and make it a thing you do together! Take the stairs instead of the elevator. Take the scenic route when walking someplace. Go to the bathroom that’s further away. Every little helps!
    • Breathe: even just a couple of times a day, practice mindful breathing. Start with even just a minute a day, to get the habit going. What breathing exercise you do isn’t so important as that you do it. Notice your breathing; count how long each breath takes. Don’t worry about “doing it right”—you’re doing great, just observe, just notice, just slowly count. We promise that regular practice of this will have you feeling amazing

    Don’t Forget…

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  • Why Some Friendships Last And Others Don’t

    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.

    Friendships matter a lot, playing a significant role in our wellbeing, physical as well as mental. They bring additional meaning to our lives, help us cope with setbacks, and hopefully will be at our side through the highs and lows of life. And yet, for something that’s in principle good for everyone involved, there can be problems:

    Friend to the end?

    Firstly, some people find it harder to make (and then further deepen) friendships with others, which can be for a whole host of reasons.

    Approaching new people can feel intimidating, but it’s a common struggle. Research shows that people often underestimate how much others enjoy their company, a phenomenon known as the “liking gap.” By reminding ourselves that others are likely to appreciate our presence and expecting to be well-received (the “acceptance prophecy”), we can approach social interactions with greater confidence.

    As relationships grow, they often deepen through companionship and closeness:

    • Companionship arises from shared hobbies, interests, or values, and it builds rapport.
    • Closeness involves sharing thoughts, feelings, and experiences, which can build intimacy together.

    An important key to these is consistency, which—whether through regular chats, honoring plans, or showing support—helps strengthen bonds, even in long-distance friendships (something often considered a barrier to closeness).

    Even the strongest friendships can face challenges, of course. Conflicts may arise from a lack of support during difficult moments, or worse, betrayal. Or it could all be a misunderstanding. These situations are best addressed through honest, non-judgmental conversations. Avoiding defensiveness or accusations, and instead focusing on sharing feelings and understanding the other person’s perspective, can turn these tough discussions into opportunities for growth and stronger connections.

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like to read:

    How To Beat Loneliness & Isolation

    Take care!

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  • Get Past Executive Dysfunction

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    In mathematics, there is a thing called the “travelling salesman problem”, and it is hard. Not just subjectively; it is classified in mathematical terms as an “NP-hard problem”, wherein NP stands for “nondeterministic polynomial”.

    The problem is: a travelling salesman must visit a certain list of cities, order undetermined, by the shortest possible route that visits them all.

    To work out what the shortest route is involves either very advanced mathematics, or else solving it by brute force, which means measuring every possible combination order (which number gets exponentially larger very quickly after the first few cities) and then selecting the shortest.

    Why are we telling you this?

    Executive dysfunction’s analysis paralysis

    Executive dysfunction is the state of knowing you have things to do, wanting to do them, intending to do them, and then simply not doing them.

    Colloquially, this can be called “analysis paralysis” and is considered a problem of planning and organizing, as much as it is a problem of initiating tasks.

    Let’s give a simple example:

    You wake up in the morning, and you need to go to the bathroom. But the bathroom will be cold, so you’ll want to get dressed first. However, it will be uncomfortable to get dressed while you still need to use the bathroom, so you contemplate doing that first. Those two items are already a closed loop now. You’re thirsty, so you want to have a drink, but the bathroom is calling to you. Sitting up, it’s colder than under the covers, so you think about getting dressed. Maybe you should have just a sip of water first. What else do you need to do today anyway? You grab your phone to check, drink untouched, clothes unselected, bathroom unvisited.

    That was a simple example; now apply that to other parts of your day that have much more complex planning possible.

    This is like the travelling salesman problem, except that now, some things are better if done before or after certain other things. Sometimes, possibly, they are outright required to be done before or after certain other things.

    So you have four options:

    • Solve the problem of your travelling-salesman-like tasklist using advanced mathematics (good luck if you don’t have advanced mathematics)
    • Solve the problem by brute force, calculating all possible variations and selecting the shortest (good luck getting that done the same day)
    • Go with a gut feeling and stick to it (people without executive dysfunction do this)
    • Go towards the nearest item, notice another item on the way, go towards that, notice a different item on the way there, and another one, get stuck for a while choosing between those two, head towards one, notice another one, and so on until you’ve done a very long scenic curly route that has narrowly missed all of your targetted items (this is the executive dysfunction approach).

    So instead, just pick one, do it, pick another one, do it, and so forth.

    That may seem “easier said than done”, but there are tools available…

    Task zero

    We’ve mentioned this before in the little section at the top of our daily newsletter that we often use for tips.

    One of the problems that leads to executive function is a shortage of “working memory”, like the RAM of a computer, so it’s easy to get overwhelmed with lists of things to do.

    So instead, hold only two items in your mind:

    • Task zero: the thing you are doing right now
    • Task one: the thing you plan to do next

    When you’ve completed task zero, move on to task one, renaming it task zero, and select a new task one.

    With this approach, you will never:

    • Think “what did I come into this room for?”
    • Get distracted by alluring side-quests

    Do not get corrupted by the cursed artefact

    In fantasy, and occasionally science fiction, there is a trope: an item that people are drawn towards, but which corrupts them, changes their motivations and behaviors for the worse, as well as making them resistant to giving the item up.

    An archetypal example of this would be the One Ring from The Lord of the Rings.

    It’s easy to read/watch and think “well I would simply not be corrupted by the cursed artefact”.

    And then pick up one’s phone to open the same three apps in a cycle for the next 40 minutes.

    This is because technology that is designed to be addictive hijacks our dopamine processing, and takes advantage of executive dysfunction, while worsening it.

    There are some ways to mitigate this:

    Rebalancing Dopamine (Without “Dopamine Fasting”)

    …but one way to avoid it entirely is to mentally narrate your choices. It’s a lot harder to make bad choices with an internal narrator going:

    • “She picked up her phone absent-mindedly, certain that this time it really would be only a few seconds”
    • “She picked up her phone for the eleventy-third time”
    • “Despite her plan to put her shoes on, she headed instead for the kitchen”

    This method also helps against other bad choices aside from those pertaining to executive dysfunction, too:

    • “Abandoning her plan to eat healthily, she lingered in the confectionary aisle, scanning the shelves for sugary treats”
    • “Monday morning will be the best time to start my new exercise regime”, she thought, for the 35th week so far this year

    Get pharmaceutical or nutraceutical help

    While it’s not for everyone, many people with executive dysfunction benefit from ADHD meds. However, they have their pros and cons (perhaps we’ll do a run-down one of these days).

    There are also gentler options that can significantly ameliorate executive dysfunction, for example:

    Bacopa Monnieri: A Well-Evidenced Cognitive Enhancer For Focus & More

    Enjoy!

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