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In the past month's series on nutrition, I explained how the manner in which we eat can affect us as much as our food choices can. We looked at the vital roles that cooking and chewing play in digestion, and the importance of eating slowly and not too much. And I described the digestive tract from the mouth to the stomach. I think it’s important that everyone understands at least the basics of how their organs work, so let's look at the rest of the digestive tract this time.
Although we may have teeth and reality TV, we’re more like worms than we like to think. We’re all just a bunch of cylinders, with a tube of the outside world running through us. Worms put dirt in theirs, we put marshmallows in ours.
After the mouth, esophagus, and stomach, food enters the small intestine, which is about 23 feet long. It's where most nutrient absorption takes place, and all the value of good nutrition hinges on good absorption. At the beginning of the small intestine, a bunch of gastric juice is injected from the pancreas and gallbladder, which neutralizes the acidic food coming from the stomach, and makes the nutrients more absorbable. The pancreas produces a blend of digestive enzymes that break down the different components of food - fat, carbohydrates, and protein. The gallbladder squirts out bile (which is produced in the liver) to make fats absorbable.
The lining of the small intestine is composed of many folds, covered with tiny hair-like protrusions called villi (which are further covered with tinier hairs called microvilli). These greatly increase the surface area of the small intestine to maximize nutrient absorption. Some inflammatory conditions, such as celiac disease (gluten intolerance) and bacterial overgrowth of the small intestine (SIBO) can damage this membrane, leading to malnutrition.
The small intestine is followed by the much shorter but wider large intestine (most of which is called the colon). Food spends a very long time in the large intestine, where water and some remaining nutrients are absorbed, and stool is compacted and waits to be liberated. Finally, the stuff we can’t digest, along with waste products from throughout the body, leaves the rectum as stool. About 60 percent of its dry weight is bacteria.
Where does it come from? Riding along with us in our intestines are about 100 trillion microorganism passengers. There are about 500 different kinds, most of which are bacteria. They’re known as our “gut flora,” and they do all sorts of useful things for us, such as helping us digest things, protecting us from harmful microbes, synthesizing some vitamins, stimulating growth of intestinal cells, and assisting the immune system. We acquire these microscopic pals by eating food that’s contaminated with them or deliberately cultured with them (like yogurt and sauerkraut), and by taking them in supplements known as probiotics.
So, as we’ve seen, our environment (what we select from it based on taste) literally passes through us. We make the outside world into ourselves. It’s a practice worth taking seriously. Besides the healthy eating practices I discussed previously, some of the main factors in good absorption are having enough gastric juice, having healthy gastric membranes, having a strong and healthy population of gut flora, and having a relaxed nervous system.
Cultivating a relaxed nervous system has many additional benefits, so spend time in nature, eat in a calm environment, get massages, meditate, do whatever works for you to become peaceful. As for gastric juice, insufficient enzyme secretion is pretty common. Consider a good digestive enzyme complex, taken at the beginning of a meal. I’ve had at least a hundred patients who have overcome longstanding digestive problems just by supplementing for a while with digestive enzymes. Some people who have trouble digesting fat do well to take a product that also contains ox bile. Finally, promote healthy gut flora by eating live, fermented/cultured foods on a regular basis, and occasionally taking a course of probiotics (especially after using antibiotics).
If you’re interested in learning more about the big picture of eating and nutrition, check out the four week course I developed for The Dragontree, called How to Eat.
Be well,
Dr. Peter Borten
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About 25 years ago I worked for a company that made high end sports goggles. Though the front of the building was covered with posters of pro swimmers and skiers and often felt like a party, my days were spent in a back office, sorting and filing paperwork. It was disappointing, but I met a nice guy there and our conversations helped break up the monotony.
Then he started missing work. A day here and a day there. Then a few days at a time. Then he was absent more than he showed up. I knew something was wrong, but I didn’t want to pry. Finally, on one of his rare appearances at work he told me he had been having severe migraine headaches. They were so crippling he was considering quitting his job.
This was just before I started grad school in Chinese Medicine and I didn’t have anything useful to say. I just remember feeling bad for him and being surprised that migraines could be that debilitating. I wish I knew then what I know now. I believe most cases are completely treatable with natural medicine. Here are some of the key treatments that can make a huge difference:
-
- Acupuncture. I’d estimate I can control 80% of migraine cases with acupuncture alone. Other acupuncturists may fare better or worse than that. (You might ask if this is an area of focus for an acupuncturist you’re considering.) Migraines can result from several underlying patterns, but there is always a condition of stagnation in the head (and sometimes neck and upper torso) – which acupuncture is excellent at releasing.
- Massage. Get regular deep tissue massages. Have them focus on your head overall (including your face, jaw, and the base of your skull), the sides and back of your neck, your upper back and chest, your hands, feet, lower back, and abdomen. Between massages do self-massage with a lacrosse ball. Lie on your back on a carpeted floor with bent knees, and place the ball under you, against the inside edge of your shoulder blade. Moving the ball inch by inch, find every single tender spot, and relax into the ball for a minute or two before moving onto the next one.
- Hydrate. Divide the number of pounds you weigh in half and drink that many ounces of water each day, evenly over the course of the day. (For instance, if you weigh 200 pounds, drink 100 ounces of water a day.)
- Avoid Caffeine. Even though caffeine is an ingredient in some headache medications (because it constricts the blood vessels in the head, making them smaller) it’s also a known trigger of migraines for some people. Many migraine cases improve when caffeine is cut out altogether.
- Figure Out What Foods You’re Sensitive to and Avoid Them. The most reliable way to figure out your food sensitivities is by doing an elimination diet (there are numerous books and websites that explain the process) and then systematically reintroducing foods, one at a time, to see what your reaction is. It’s a good idea to reintroduce foods at least 2 days apart, since the migraine may be delayed by a day. Figuring out your sensitivities and eliminating those foods is often a total cure for migraines. It’s worth the work.
- Clean Up Your Diet. Cut out processed foods and eat more live, fresh, healthy, chemical-free foods, prepared by you or someone with a good heart.
- Avoid Aspartame (Nutrasweet / Equal). Some migraines are triggered by this artificial sweetener. I recommend avoiding it even if it doesn’t give you headaches.
- Consider Avoiding MSG. Although it’s been demonized for decades, most people have no trouble at all with MSG. That said, some find they have fewer headaches when they avoid it. You might see it listed in the ingredients as monosodium glutamate, hydrolyzed vegetable protein or soy, or yeast extract. Analogs of MSG also occur naturally in many foods, including hard cheeses, tomatoes, soy sauce, and even breast milk.
- Avoid Getting Hypoglycemic. Many migraines are triggered by a drop in blood sugar. This is common a few hours after eating a meal with lots of simple carbs or sugar. In some folks, the blood sugar goes way up and then comes crashing down, in what is known as “reactive hypoglycemia.” Besides potentially triggering migraines, reactive hypoglycemia can be an early precursor to diabetes, so there are multiple reasons to get this under control. Eat protein with every meal, and eliminate juice and sweets.
- Reduce Your Stress Level. Exercise, breathe, meditate, do yoga, have fun, get counseling, take breaks, get acupuncture and massage . . . just do whatever you have to do to reduce the impact of your stress.
- Try Magnesium. Many migraine sufferers have low levels of magnesium. Try taking 600 mg (you can gradually go up to 1000 mg) in divided doses over the course of each day. The easiest form for most people to take is dissolvable powder such as Natural Calm brand and others. (Watch out for bowel loosening. If it gives you loose bowels, reduce the dose, spread it out more evenly over the course of the day, or try the form known as magnesium glycinate, which is easier on the digestion.)
- Try Direct Pressure on Your Head. One study had participants with migraines wrap an elastic band (with Velcro at the ends so that it could be secured tightly) around their head, covering the most tender spots. They would then place soft rubber discs under the head band at the places of greatest discomfort to apply extra pressure to these spots. 80% of the people reported a major improvement.
- Take a Good B Vitamin Complex. Several of the B vitamins have been shown to be useful for migraines. Just take all of them in one capsule, once or twice a day.
- Try a Chinese Herbal Formula. A practitioner who specializes in Chinese herbal medicine can write you a personalized formula (usually consisting of 8-12 herbs) to resolve the specific underlying pattern(s) implicated in your migraines. I’ve had many patients report great relief or total resolution of their migraines with a good, customized herbal formula.
- Take Frequent Breaks When Looking at Screens. Eyestrain and overexposure to bright light, especially in the blue range, is a common trigger of migraines. Sometimes blue-blocking glasses can help.
- Improve Your Posture. The mechanical stress of poor posture can cause tension in the head and neck that contributes to migraines. This is especially common when looking down for hours at a phone, laptop, tablet, or book. Tuck your chin slightly, drop your shoulders and bring them back, relax your chest, and imagine you’re being lifted by a string from the very top of your head (in line with the tops of your ears).
If you get migraines, I hope these tips are helpful. They aren’t the only useful approaches, of course. I had a patient who used to stick Q-tips up her nose – the whole way up – and felt that made a huge difference. Others like essential oils, cold compresses, or decapitation. I encourage you to give my suggestions a try. Then let me know what happens, or share your own favorite remedies in the comments section below.
Be well,
Dr. Peter Borten
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Here's a favorite from the Best of The Dragontree archives! We'd love your input about what works for your skin in the comments below!
When you think about people, chances are you think about skin. Most of what we see that isn’t covered up by clothing is skin, after all. Humans are skin bags. Sorry, did that make you feel kind of gross? Anyway, like it or not, the quality of our skin can have a big influence on how others perceive us. It’s why we get so distressed by things like acne, wrinkles, birthmarks, warts, and scars, even though they don’t actually compromise our function or health.
When people come to me for help with a cosmetic skin issue, they often act a bit sheepish about it, as if they believe I’ll consider them shallow for caring about their appearance. But I recognize how much our feelings about our appearance affect our happiness and the way we relate to others. I think that as long as we’re not obsessive about it, we should do whatever we need to do to feel pretty or handsome.
Skin health is an expression of overall health. This doesn’t mean you won’t get wrinkles if you’re healthy, but even a wrinkly face can look vibrant if it’s part of a vibrant body and spirit. Last month I discussed some basics of vehicle maintenance – i.e., taking care of your body – with regard to nutrition and digestion. Now I’m going to cover basic mechanics and maintenance of your skin.
There are a number of factors that affect skin quality, including genetics, climate (wind, dryness, sun, chlorine, smoke, pollution, etc.), and our internal environment, to name just a few. We have more control over certain factors than others. Obviously, your skin will need different things in a dry, windy place than in a hot, damp place. But regardless of your particulars, there are two main things worth focusing on for healthy skin: good nutrition and good detoxification.
This week I’ll focus on detoxification. Most naturopathic physicians see dull skin and chronic skin problems as an expression of internal toxicity, which often results from digestive imbalance and/or a sluggish liver, plus a history of exposure to chemicals and/or problematic foods. When we cleanse the liver and gut (and support the lungs and kidneys while we’re at it) skin problems frequently clear up. Even without rashes or other obvious problems, our skin tends to be flat, dry, or irritated when our detoxification mechanisms aren’t at their best.
Here are five basic starting points for supporting internal and external detoxification:
- Drink plenty of water. The body functions better when well hydrated, and this includes our detoxification mechanisms. I recommend drinking half the number of pounds you weigh as ounces of water per day (thus, a 100 pound person would drink 50 ounces of water). And this should be consumed evenly over the course of the say, and should not be ice cold.
- Make sure your bowels are moving regularly. Constipated people are retaining toxins in the colon for longer than is healthy. If you’re not having at least one big, complete feeling bowel movement a day, here are some measures you can take. Try drinking a glass of hot water first thing in the morning. Adding some honey may help. Consider prune juice if necessary. As I mentioned above, be sure to get enough water throughout the day. Eat plenty of good fats for lubrication (olive oil, walnuts, chia seed, flax seed, oily fish, coconut and coconut oil, avocado, etc.) and plenty of fiber to scrub your colon. Get exercise that engages your abdominal muscles. Stop tensing your abdomen throughout the day if this is a habit of yours. If you need more help, get some powdered magnesium (such as Natural Calm) and gradually increase the dose until your bowels start moving more freely.
- Practice dry skin brushing. Get a natural fiber skin brush and brush over all of your skin, always working toward the heart. Start at your toes, brushing firmly up your feet and legs, going over the same area a few times, and gradually coming up the legs to the torso. Work from the fingers to the torso next. Then cover the torso itself. Be gentle over delicate areas, and don’t brush so hard that it hurts. When done, jump in the shower, finish with cool water, and then give yourself a quick massage with a high quality oil, like jojoba, coconut, or sesame.
- Sweat. You can induce sweating through exercise (a great option) or through heat (sauna). Take a cool shower afterwards. Sweat carries toxins, including heavy metals, out of our bodies. Spending a long time in a medium hot sauna, just to the point of glistening skin, is more sustainable than going into a very hot sauna and dripping sweat.
- As a basic cleanse, consider abstaining from all grains, meat, dairy products, nightshade family vegetables (tomatoes, eggplant, potatoes, peppers), and anything processed. The bulk of your diet should be vegetables, including some raw greens (bitter ones are good), and basic homemade soups. Some fruit is ok, but veggies are best. If you need something starchy, bake a sweet potato in foil at 400 degrees for 90 minutes. Try it for one to seven days. You’ll feel great, and your skin will become more clear. On an ongoing basis, try a low dose liver cleansing formula such as silymarin (milk thistle), artichoke, and turmeric (you can get this as a premade formula called S.A.T. made by Thorne), or just take plain milk thistle or dandelion.
Give these strategies a try and report in the comments section on your results. Stay tuned for more on nutrition for healthy skin next week.
Be well,
Dr. Peter Borten
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In the past month's series on nutrition, I explained how the manner in which we eat can affect us as much as our food choices can. We looked at the vital roles that cooking and chewing play in digestion, and the importance of eating slowly and not too much. And I described the digestive tract from the mouth to the stomach. I think it’s important that everyone understands at least the basics of how their organs work, so let's look at the rest of the digestive tract this time.
Although we may have teeth and reality TV, we’re more like worms than we like to think. We’re all just a bunch of cylinders, with a tube of the outside world running through us. Worms put dirt in theirs, we put marshmallows in ours.
After the mouth, esophagus, and stomach, food enters the small intestine, which is about 23 feet long. It's where most nutrient absorption takes place, and all the value of good nutrition hinges on good absorption. At the beginning of the small intestine, a bunch of gastric juice is injected from the pancreas and gallbladder, which neutralizes the acidic food coming from the stomach, and makes the nutrients more absorbable. The pancreas produces a blend of digestive enzymes that break down the different components of food - fat, carbohydrates, and protein. The gallbladder squirts out bile (which is produced in the liver) to make fats absorbable.
The lining of the small intestine is composed of many folds, covered with tiny hair-like protrusions called villi (which are further covered with tinier hairs called microvilli). These greatly increase the surface area of the small intestine to maximize nutrient absorption. Some inflammatory conditions, such as celiac disease (gluten intolerance) and bacterial overgrowth of the small intestine (SIBO) can damage this membrane, leading to malnutrition.
The small intestine is followed by the much shorter but wider large intestine (most of which is called the colon). Food spends a very long time in the large intestine, where water and some remaining nutrients are absorbed, and stool is compacted and waits to be liberated. Finally, the stuff we can’t digest, along with waste products from throughout the body, leaves the rectum as stool. About 60 percent of its dry weight is bacteria.
Where does it come from? Riding along with us in our intestines are about 100 trillion microorganism passengers. There are about 500 different kinds, most of which are bacteria. They’re known as our “gut flora,” and they do all sorts of useful things for us, such as helping us digest things, protecting us from harmful microbes, synthesizing some vitamins, stimulating growth of intestinal cells, and assisting the immune system. We acquire these microscopic pals by eating food that’s contaminated with them or deliberately cultured with them (like yogurt and sauerkraut), and by taking them in supplements known as probiotics.
So, as we’ve seen, our environment (what we select from it based on taste) literally passes through us. We make the outside world into ourselves. It’s a practice worth taking seriously. Besides the healthy eating practices I discussed previously, some of the main factors in good absorption are having enough gastric juice, having healthy gastric membranes, having a strong and healthy population of gut flora, and having a relaxed nervous system.
Cultivating a relaxed nervous system has many additional benefits, so spend time in nature, eat in a calm environment, get massages, meditate, do whatever works for you to become peaceful. As for gastric juice, insufficient enzyme secretion is pretty common. Consider a good digestive enzyme complex, taken at the beginning of a meal. I’ve had at least a hundred patients who have overcome longstanding digestive problems just by supplementing for a while with digestive enzymes. Some people who have trouble digesting fat do well to take a product that also contains ox bile. Finally, promote healthy gut flora by eating live, fermented/cultured foods on a regular basis, and occasionally taking a course of probiotics (especially after using antibiotics).
If you’re interested in learning more about the big picture of eating and nutrition, check out the four week course I developed for The Dragontree, called How to Eat.
Be well,
Dr. Peter Borten
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This was fascinating! Thank you very much. Question: When you prepare your jook on the thermos for overnight cooking, do you add the eggs, too? Do you refrigerate the whole thing? Do you warm it up in the morning? I like to add blueberries or strawberries to my oatmeal, and I don’t use any sweetener. What do you think of berries?
what is in the picture above? Oats with s piece dried apple? is there a recipe you can share?
Thanks for this video! I put my grains, healthy fat, a pinch of salt, spices, dates or raisins, etc. in the bowl of my rice cooker at night, then drop it in and turn it on in the morning. It cooks while I get ready for the day, then I top it with nuts, chopped apples, shredded coconut, or other fruits. Yummy and filling!
You are speaking my language!!! I am going to start this over night. The nicest aspect to visiting Vancouver had to have been the congees on the breakfast table at the hotels! These are written in a book called Healing with Whole Foods by Pritchard, but you got me to set my congee up to cook over night, with some jujube! Good Qi!
Thanks! I’ve been eating a porridge made of chia, banana, and dates or prunes. The ideas you offered are a good addition on my morning recipes. I’m especially looking forward to trying the thermos method. I think this may be a good take-along for my morning hike in the woods.
I am one of those who loves oatmeal but always feels hungry way before lunch. Thanks for the tips.