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Category: Health/Body-hacking Page 10 of 20

Improving Gum Health — Commit to a System

About a year ago my OralB 3D electric toothbrush died. I went to the store intending to get a new electric toothbrush several times, but each time I was put off by both price and the sheer number of options available. I decided to just use a regular toothbrush for awhile and see how it went.

Well, it didn’t go well. After six months or so using a regular soft bristle toothbrush (twice a day, with reasonably good brushing technique), I got bad marks from the dental hygienist. My tooth enamel was hard and I didn’t have any cavities (previous adjustments to my home care routine were still working in this regard), but she accused me of not flossing (even though I’d been flossing daily), and noted that my gums had bled slightly during cleaning. I had some deeper pockets around some of my molars that indicated gingivitis and a risk of periodontitis. Also, the cleaning process itself was uncomfortable, which indicated some sensitivity and inflammation. I was surprised by this — I hadn’t noticed any gum bleeding when I was flossing, my gums looked healthy (at least the parts I could easily see in the mirror), and I hadn’t had any pain or discomfort. But I believed my dentist and I found the news to be alarming.

I know that sub-par gum health is bad thing. Gum inflammation and gum disease are associated with heart disease, and some studies indicate that gum disease may actually cause heart disease. I’ve probably mentioned this a dozen times on this blog.

So I knew I needed to make a change. The day after that dental visit, I bought a Sonicare toothbrush and a Waterpik, and instituted the following program:

1. Brush with Sonicare first thing in the morning, before eating or drinking anything. Mouth pH is neutral at this point so enamel is not disturbed by brushing. Also any plaque accumulated over night is not injected into bloodstream by eating.

2. Floss and use Waterpik after breakfast. Also clean tongue with copper tongue cleaner.

3. Quick brush with regular soft bristle toothbrush 20+ minutes after lunch.

4. Before bed: floss, thoroughly brush with Sonicare, and rinse with mouthwash (fluoride and/or antiseptic). Several times a week gently clean between teeth and along gum line with Stim-U-Dent plaque remover (basically a big blunt toothpick).

I found the new routine easy to stick to. It took a couple extra minutes each day, but I rationalized this easily in terms of the prospects of improved longevity. Time spent caring for your teeth and gums is similar to time spent walking; it adds at least that much time to your lifespan. Dental hygiene time is free time!

After only a week I noticed that when I cleaned my teeth with the Stim-U-Dent (toothpick) I was hardly getting any plaque. The Sonicare product seemed to be doing an excellent job of keep my teeth clean, especially along the gum line.

Last week, somewhat reluctantly, I showed up for my dental cleaning and exam. My mood improved when my hygienist noted that my gums looked great, the pockets had reduced in size (my gums had tightened up), and there was no bleeding during cleaning. There was hardly any accumulated plaque on my teeth. Also, the cleaning process itself was not uncomfortable, and at times even oddly pleasant. Four months of the new system had worked.

Commit to a System

The experience strengthened my conviction that creating and implementing systems is a key aspect of maintaining good health. Sometimes to get the same result (healthy teeth and gums) it’s necessary to step up the system. What worked before may no longer be sufficient. Unfortunately, that’s just part of aging. The good news is that a few extra minutes of the right kind of daily maintenance can restore your health to a level as good as or even superior to what you experienced in your carefree youth (and if you’re young, you can prevent health problems and save a ton of money on health and dental care by implementing good systems early in life).

Ten years ago I was asthmatic, had a 32 inch waist, was prone to severe mood swings. Today, at age 45, I breathe easily (vitamin D, fish oil, paleo-ish diet), have a 29 inch waist (lower carbs, better sleep), and feel happy and motivated on most days (exercise, turmeric, life purpose). Poor health can be reversed, and many symptoms attributed to “aging” may in fact be simply due to substandard maintenance routines.

Commit to a system that works for you, and get healthy. Don’t accept poor health. If you need help getting pointed in the right direction, or have a story to share, feel free to comment below.

How Meat-Eaters Should Relate to Vegans

Some reasonably happy looking cows.

Some reasonably happy looking cows.

As regular readers know I’m a fan of Steve Pavlina’s blog. I disagree with him on many points, but he’s an ethical, purpose-driven human being with a clear writing style, and I find many of his posts to be thought-provoking.

His most recent series of posts was inspired by the nationwide discussion of misogyny triggered by the Isla Vista shootings and the shooter’s insane manifesto. Steve wrote about how this triggered feelings for him in regards to what he calls “meat culture” (not just eating meat, but the cruelty to animals involved in factory farming processes). To Steve, misogynistic attitudes towards women are little different than the attitudes that enable us to mistreat animals. To Steve, it’s all objectification. He loves and respects women, but he also loves and respects animals, and he can’t reconcile how some people can so fiercely advocate for women’s rights yet ignore animal rights. His tweets sums it up:

https://twitter.com/stevepavlina/status/471639041067479040

My first reaction was to disagree. Because of our bigger brains and highly developed neocortex, human beings have a different degree of conscious awareness than animals; we have a wider emotional spectrum and a greater capacity for suffering. Killing (or raping or enslaving) a person is not the same as killing a sardine.

But then I immediately thought of exceptions to my own argument. Having worked with Atlantic Bottlenose dolphins, I don’t believe humans are significantly more conscious-aware than cetaceans. Yes, we have a greater capacity for abstract reasoning, but I doubt we have a wider emotional range or greater emotional sensitivity (perhaps less; dolphins are highly empathetic and altruistic). I don’t think dolphins or whales should be eaten, hunted, or kept in captivity for the purpose of entertaining us. Cetaceans are “people with fins” and should have legal rights within human societies.

Human brain on the left, dolphin brain on the right.

Human brain on the left, dolphin brain on the right.

Cows and pigs are also sensitive mammals who are capable of suffering, and should be not be mistreated. Fish — I’m not really sure how much they think or feel — but the fact remains that we should treat all ocean life and marine habitats with respect if we want to survive as a species.

With this is mind, I decided to reexamine my own ethical stance toward meat-eating. It’s something I’ve considered before, but maybe it was time to revisit the topic. I watched the video in Steve’s “meat culture” post (linked above) and found the images disturbing (even though it’s not the first time I’ve seen videos like that). Maybe it was time for my own thinking and behavior to evolve?

Like most thoughtful meat-eaters, I justify/rationalize meat-eating in the following ways:

  1. Meat-eating is traditional; there are no completely vegan traditional cultural cuisines.
  2. We are evolutionarily adapted to be omnivorous.
  3. Raising animals for food is not necessarily more environmentally destructive than mass-produced crops like corn, soy, and wheat (especially in cases where integrated polyculture is used).

These reasons still make sense to me. At the same time, reducing cruelty towards animals also makes sense. I don’t want to be part of the cruelty inflicted on animals by factory farming. I also don’t want to be part of the cruelty inflicted by animals by mass farming (millions of animals lose their natural habitats because of corn, soy, and wheat farming).

On the other hand, I’m a human being who needs to eat. I take up space in this world. Even if I eat only fruit and nuts, some animal is going to die (orchards destroy natural habitats too). There is no way to be ethically pure. Everything is on a spectrum.

So how should I relate to vegans? Especially to vegans who are critical of meat-eaters for ethical reasons?

From a place of shared compassion.

Vegans are right to be concerned with animal welfare. We should all be concerned with treating our fellow creatures humanely. If human progress exists at all, it takes the form of expanding the circle of empathy.

Even if you think vegans are misguided (in terms of their ethical stance and/or the supposed health benefits of veganism), you should still support and embrace their impulse to be kind and respectful towards other animals, and do the same yourself. Why wouldn’t you want to do this?

Meat-eaters can look to traditional cultures for an alternative to the callous disconnection that factory farming encourages. Tread lightly. Respect the animal. Eat the entire animal and don’t waste anything. Don’t eat more than you need to to thrive. Respect and protect the animal’s natural habitat and ecosystem.

At the moment, I buy cage-free eggs, pastured/grass-fed meats, and organic dairy products. Some of these foods come from small farms, others no doubt come from large factory farms. You can’t always trust the label on the package either; some terms mean nothing (like “natural”) and in other cases there is outright false labeling and fraud. Unless you visit the farm or raise the animal in your own backyard, you can’t be sure how it was treated.

Ideally I’d like to raise my own chickens (it’s legal to raise chickens in Oakland, and many of my friends and neighbors do so). I even briefly considered acquiring a goat, milking it, and trying to make cheese. Then I read an article along the lines of “The 49 Things You Need To Do To Keep Your Goats Healthy” and thought better of it. There’s something to be said for division of labor and efficiency — I’ll be buying my goat cheese at the store and leaving the goat care to the goat care experts.

Here are the concrete, non-labor intensive things that meat-eaters can do to reduce cruelty towards animals, conserve natural habitats, and ultimately protect the human food supply:

So that’s where I stand at the moment. I intend to continue to strive towards a diet and lifestyle that is both enjoyable but also has a low ecological impact and a minimum amount of cruelty towards animals. My own ideal is not veganism, but rather decentralized, distributed food production, reduced use of fossil fuels and artificial fertilizer, more intelligent and efficient land use (all forms of polyculture), and a worldview that values all forms of life.

As I’ve written before, the “diet wars” are largely a battle of straw men. For example, paleo diet advocates and vegans, both being concerned about what they eat and where their food comes from, have more in common with each other than they do with mainstream culture that embraces packaged Frankenfoods and deplorable, wasteful, cruel farming practices.

I’ll leave you with this video from Steven Pinker re: the expanding circle of empathy. What are you own thoughts? Please share below, but remember to be respectful of people who don’t share your exact beliefs. Your own beliefs might change over time!

To Protect Your Heart, You Need to Bleed

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Photo courtesy of Gordonator.com via Creative Commons license

This post is about why you should let someone stick a needle in your arm, take your blood, and sell it (in exchange for a cup of juice and some cookies).

If you’re over thirty and male, or a post-menopausal woman, you should probably be donating blood every 2-4 months. If you’re not eligible to give blood (due to a recent tattoo, international travel, illness, needle use, medication, or being a gay man) then you should take steps to reduce your iron intake and absorption.

Why? Reducing iron stores in the body (though blood donation or reducing iron intake) is probably one of the easiest things you can do to sharply reduce your chance of heart attack, cancer, and Type 2 diabetes. Those three categories of disease account for over 50% of deaths in the U.S. (link to PDF, see page 5 for chart).

People prone to anemia probably shouldn’t give blood, but it’s worth noting that anemia can also be caused by B12 or copper deficiency. Usually doctors just prescribe iron supplements when anemia is diagnosed, which can result in iron overload if the cause of anemia isn’t iron deficiency.

If you’re a premenopausal non-smoking non-diabetic woman, you have a much reduced risk of heart disease, probably due to lower iron levels (though estrogen levels may also be a factor). But after women stop menstruating, heart disease becomes the leading health risk (women are especially prone to vascular dysfunction; blood flow decreases even when the major arteries are clear).

Donating blood on a regular basis (and thus reducing the amount of stored iron in your body) improves your health in three ways:

1) Reduces chance of heart attack, reduces hardening of the arteries

High serum iron levels immediately constrict blood vessels, reduce blood flow, and in the long term lead to hardening of the arteries. “Iron loading impairs endothelial function, mostly due to oxidative stress,” says Hidehiro Matsuoka, MD, PhD (lead researcher and chief of the Kurume University School of Medicine’s hypertension program).

Donating blood, even as infrequently as once or twice a year, reduces iron levels in the body (by as much as 250mg per donation), and markedly reduces the chance of heart attack.

 2) Reducing iron stores improves insulin sensitivity, thus reducing the chance of Type 2 diabetes

This post from Stephen Guyenet discusses the relationship between iron and insulin sensitivity in some detail.

This study looked at insulin resistance in Type 2 non-alcoholic fatty liver disease, and found that iron reduction via phlebotomies (removing blood from the body) significantly improved insulin sensitivity.

This article from the American Diabetes Association discusses the glucose-iron relationship in depth, and reaches a similar conclusion. From the article:

Phlebotomy was followed by decreases in serum glucose, cholesterol, triglycerides and apoprotein B (14), and by improvement in both β-cell secretion and peripheral insulin action in patients with type 2 diabetes (15). A significant impact of tissue iron excess on systemic effects of diabetes is suggested by recent reports in which iron appears to influence the development of diabetic nephropathy and vascular dysfunction.

Excess iron is a killer — get rid of it!

3) Reducing iron stores decreases cancer risk

This study followed up, years later, with patients who had undergone iron reduction therapy in order to improve vascular health, and found that the iron reduction group had significantly lower cancer risk and mortality.

This older but quite large study found an inverse relationship between iron levels and cancer risk, especially in men.

This study found that high iron stores are associated with a higher risk of death from cancer in postmenopausal women.

Hemochromatosis

I recently learned through 23andMe that I am heterozygous for the gene that causes hemochromatosis. If I had both copies of the mutated gene, I would have a very high chance of absorbing and retaining too much iron, resulting in serious health problems. According to this study, heterozygous carriers of this gene also tend to accumulate iron in the body as they age at a faster rate than the normal population (especially when the gene is inherited from the father). I inherited this particular gene from my mother (she also did the 23andMe test, so we can compare), but I am cautious with iron intake nonetheless.

Modulating Iron Levels Via Diet

Iron is an essential nutrient, and many people don’t get enough. If you are a growing child, a menstruating woman, or have digestive issues that reduce iron absorption, you might need to boost your iron levels in order to feel energetic. You can do this by:

  • eating iron-rich animal foods like beef, chicken liver, oysters, clams, and mussels (all very good sources of heme iron which is easily absorbed and utilized)
  • eat iron-rich plant foods like beans, tofu, and pumpkin seeds (all good sources of non-heme iron)
  • eat iron-rich foods with vitamin-C rich foods, or a vitamin C supplement, which increases iron absorption (taking vitamin C with each meal can triple total iron absorption)
  • taking iron supplements (non-heme iron), which most includes multivitamin-mineral supplements and many breakfast cereals
  • cooking with cast iron, especially if the recipe includes an acidic ingredient (like tomato sauce, wine, or lemon juice)
  • consume beverages high in tannins (like coffee and tea) in between meals instead of with meals; tannins reduce iron absorption
  • don’t consume calcium supplements or calcium-rich foods (like dairy products) with iron-rich foods; calcium also reduces iron absorption
  • don’t consume foods rich in phytates (most grains and legumes, especially oats) with iron-rich foods

If you want to reduce iron absorption, follow the opposite advice. Avoiding iron supplementation is especially important. I wouldn’t recommend drinking coffee and tea with every meal, or trying to eat a lot of phytate-rich foods, as you could end up reducing absorption of other nutrients that you do need.

Heart Health Summary

I’ve written before about how to prevent heart disease, highlighting the importance of sunlight and not smoking.

But what’s most important, in terms of lifestyle changes? The idea that saturated fat and cholesterol intake lead to heart disease has been largely discredited, but that doesn’t mean diet isn’t important.

Genetics may protect some individuals against specific risks factors (everyone knows someone with a grandmother who smoked like a chimney and live to be 100). But it may be possible to group lifestyle factors into “very important” and “somewhat important” (in terms of protecting against heart disease). Here’s my attempt:

Very Important Lifestyle Factors to Reduce Risk of Heart Disease

  • don’t smoke, avoid extreme air pollution
  • prevent iron overload (oxidation) and sodium overload (high blood pressure)
  • get regular sunshine (convert nitrates in skin to nitric oxide)
  • avoid too much sitting, move around every day
  • control weight (especially abdominal and visceral fat) by limiting total carbohydrate (especially refined and high glycemic foods)

Somewhat Important Lifestyle Factors to Reduce Risk of Heart Disease

  • exercise vigorously several times a week
  • reduce chronic stress (acute/brief stress is not harmful)
  • eat well (low processed/refined foods, high nutrient, fresh food)
  • take helpful supplements (vitamin K2, magnesium, fish oil, coenzyme Q10)

I could be wrong, but that’s my best guess. A multi-vitamin and jogging a few times a week isn’t going to protect your heart if you’re overweight, you sit a lot, you smoke, and you don’t get sunlight on your skin on a regular basis.

On the other hand, simple lifestyle changes like getting more sun exposure, converting to a standing desk, giving blood regularly, or losing a spare tire might mitigate other risk factors. If you do all of those things, you’re probably in good shape even if you don’t exercise vigorously and eat perfectly.

Another benefit of giving blood is that it feels pretty good. You’re probably saving a life every time you donate! And it’s weird, but kind of amazing, to think of your blood circulating in another person’s body. We are all connected, but the blood donor and receiver more than others.

Good health to you — may you live long and prosper!

 

Intermittent Fasting Update

Breakfast and lunch, some days.

Breakfast and lunch, once a week.

One of the more popular articles on this blog is about intermittent fasting. I still practice intermittent fasting (I.F.) about once a week, so here’s a quick update.

How

About once a week I don’t consume any calories (or artificial sweeteners) until 2pm or later. I drink water, black coffee, and sometimes tea (black or herbal). Sometimes I fast until dinner (I did so last Thursday, as Kia was observing the Fast of Esther and I tagged along).

Why

I do it mainly for health reasons. There is some evidence that intermittent fasting can help protect against diabetes, dementia, cancer, and other diseases of aging. Since I only practice I.F. once a week, the measurable effects probably aren’t large. But the subjective effects keep me coming back to this simple practice. On fasting days and for a few days after, I consistently notice the following positive effects:

  • seasonal allergies (if I have any) go away
  • mood improves
  • waistline tightens (some fat loss, some retained water loss)
  • general motivation and creativity increase
  • steady energy

My once-a-week partial fast feels like I’m giving my body a chance to “clean house” through autophagy. For more on the health effects of autophagy, here’s my original post on the topic.

Fasting and Comfort

The first few times I practiced I.F. were a little rough. I was probably experiencing some minor detox. I felt slightly irritable, a little achy, and my eyes got a little bloodshot.

Now I don’t experience any negative effects. I’m not hungry after 11am or so, my energy is steady, and my concentration is very good.

I do notice that my body temperature drops a few degrees in the afternoon on I.F. days. On really cold days I usually choose not to fast.

I prefer “quiet days” when I’m fasting. I don’t feel as social, and my senses and emotions are heightened (so I need less stimulation). I like to take long walks on I.F. days but I usually don’t lift weights or do anything physically intense.

Psychological Effects

Food can take up a lot of mental space. Not just in terms of thinking about “what’s for lunch,” but as a reward system. Do you “deserve” a treat today? Or a shot of Jameson? (It is St. Patrick’s Day, after all.) Taking a short break from food helps me recalibrate my rewards system. What other things do I look forward to in the place of food? Sometimes I read fiction when I would otherwise be eating lunch (for me, good fiction is comforting and reassuring and enjoyable, like good food).

Precautions

I don’t think skipping a meal or two once a week is risky. A simple precaution if you are just starting out would be to try I.F. on a “light” day where you don’t have much on your schedule. If you feel really terrible, you can always have something to eat. If you have health issues, check in with your doctor first. Some sensible precautions:

  • If you are addicted to caffeine (like I am), remember to drink black coffee or tea. Don’t try I.F. and caffeine withdrawal at the same time.
  • Drink enough water (so that you piss clear or light yellow).
  • Dress more warmly than you would otherwise.

The Next Level

For me, there is no next level. This is as far as I’m going with intermittent fasting. I enjoy eating with my family and friends too much to want to miss out on more than a few meals a week.

Reading articles like this one have persuaded me to stick with three meals a day in general. Restricting the “eating window” on a daily basis may have some benefits, but there are risks of cortisol dysregulation and other hormonal balance issues. My own “once a week” system is the opposite of hardcore, but I still notice clear benefits (without any side effects).

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You Are Responsible For Your Own Brain Chemistry

Even cats like yogurt.

Even cats like yogurt.

Recently Kia was stressed out, and griping about some first-world-problem (I forget what it was; something along the lines of “my clients want me to do stuff,” or “the internet is too slow”). I gripe equally as much about such faux-problems, but at that moment I was feeling impatient. So I said “Go drink some kefir.”

Now why would I say that?

Most kefir contains live active cultures of lactobacillus rhamnosus, a strain of probiotic bacteria shown to reduce anxiety and increase resilient behavior in mice (and people too). Somehow, this particular bacterium communicates with the brain via the vagus nerve, stimulating GABA neurotransmitter receptors, and blunting the effects of chronic cortisol release. Which can bring a person down a notch.

Kia, who has a particular genius for neatly encapsulating complex ideas into catch phrases, drank some kefir, and came back with the following: “We’re all responsible for our own brain chemistry, aren’t we?”

I had never thought about it that way exactly.

Insisting on responsibility, I think, is different than blaming the victim. We are not all blessed with naturally buoyant mood, high motivation, or even the ability to distinguish our own thoughts from reality. Some people are less able to cope with the stressful, sometimes horrible events that make up day to day life. One person I know is prone to realistic, terrifying hallucinations if he does not take large amounts of antipsychotic medications on a daily basis.

But still, my friend is responsible for his own brain chemistry. Because who else can be?

Friends, family, and society should provide assistance and support for the mentally ill (the Mental Health Parity Act is a huge step in the right direction, and will protect thousands of middle-class families from medical bankruptcy). But in terms of personal responsibility, there is only one person involved. The person who owns the brain.

The principle is the same for serious mental illness or garden-variety blues and anxiety. The workings of the brain, factors that influence mood and motivation, are no longer mysterious. What works for most people?

  • reasonable amounts of exercise
  • adequate, regular undisturbed sleep
  • turmeric (yellow curry) [anti-inflammatory, increase BDNF]
  • probiotics that stimulate GABA
  • adequate dietary omega-3 (fish oil, wild salmon)
  • avoiding foods that wreak havoc with blood sugar, or disrupt/mimic neurotransmitter function (artificial colors, MSG, etc.)
  • limiting (or abstaining from) alcohol and recreational drug use
  • freedom from tyrants/oppressive personalities, or any situation that causes constant, chronic stress (periodic acute stress isn’t a problem)
  • slightly more social contact than you think you need
  • membership in a group that meets regularly
  • spiritual factors (clear conscience, clear life purpose, etc.)

On the other hand an austere life of strict discipline is probably unnecessary for most people (in terms of maximizing mental health). Exercising to exhaustion every day won’t make me happy if I’m socially isolated. A good night’s sleep won’t help if I have to get up and work for an evil sociopath boss (luckily I’ve never had to, but I hear they’re out there).

Chasing happiness and running away from suffering isn’t the point. But I do want to be firing on cylinders, awake and aware and relatively comfortable in my own skin, so that I can attempt to live a rich and meaningful life, with moments of joy and love and passion.

I’m sure I missed something … but you get the point. At this point we should all know what works (if not from clinical research, then from trial and error in our own lives). The trick is doing it day to day; turning knowledge into habits.

So here’s to better living through chemistry (in the healthful sense).

Update Oct. 2015:
Previously on this blog I’ve mentioned the importance of vitamin D in terms of reducing asthma symptoms and improving sleep, but I should also include it on the list of mood regulators in light of Rhonda Patrick’s research.

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