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When I sit down to write an article, I often feel like I’m having a conversation with you, the reader. Except that it’s a one-sided conversation, in which I never ask you about yourself and I just monopolize the whole exchange. So. . . how about a little more about me? I grew up building robots, programming my own video games, and distributing surveys on bizarre topics around my high school. In the enneagram system of personality analysis (remotely like Myers-Briggs), I’m what’s known as a “number five” – AKA “The Investigator” or “The Scientist.” I have spent many a night jumping from one Wikipedia article to the next, or curled up with a thousand page book on herbs.
One of the topics I like investigating the most is major historical shifts in human health, behavior, and life expectancy – i.e., big changes in small periods of time. If you were to follow the trend of human life expectancy over the course of our existence, you’d see a very, very gradual slope upward and then a sharp jump in just the tiniest, most recent slice of time. This sharp upward jump began at different times in different parts of the world, but in the United States, as recently as 1850 the life expectancy at birth for a white male was just 38. Today it’s about 76.
It’s really a profound thing. Modern humans have been around for about 200,000 years. This 150 year revolution of life expectancy has occurred in just the last 0.00075% of our existence. Incidentally, a historical graph of world population shows a similar trend. It increased very, very slowly, and took a few massive hits, especially during the fourteenth century. (As centuries go, the 1300s were pretty much the crappiest ever. They were marked by famine, plague, crime, and general idiocy.) After that, the population continued to grow again, but still rather slowly compared to what began to happen around 1800. In 1800, the world population was 1 billion. In March of 2012, it hit 7 billion.
An anthropologist from another planet looking at a graph of these trends would probably point to that last slice of time and ask, “What the hell happened there?” Well, there are two very important words I used in a sentence about life expectancy a couple paragraphs ago: “at birth.” At birth, a white baby boy in 1850 was expected to live to 38.3 on average. But if he survived to age ten, his revised life expectancy would be 58 – a huge improvement.
At birth, a white baby boy in 2011 was expected to live to 76.3. If he survived to age ten, his revised life expectancy would be 76.9. There’s barely a difference.
If that child from 1850 made it to age 50, his life expectancy would then be 72. Today’s white boy at age 50 would have a life expectancy of 79.6. Again, there’s barely a difference. So, as you can see, the narrowing of the gap has occurred almost entirely in the early years of life. And there are two important conclusions to be made from this.
First, the tremendous increase in life expectancy at birth can be attributed primarily to three things - better sanitation and cleaner living conditions, better safety standards, and better medicine, including vaccinations. Whatever issues we may have with vaccines (and there certainly are some), it’s undeniable that they’ve hugely decreased child mortality.
Second, we’ve made a much smaller dent in the maximum human lifespan. As an adult British aristocrat in the 1200s, you could expect to live to age 64. By the 1500s, if you made it to age 21, you’d probably live to be about 71. And in the past several centuries, these numbers have barely changed.
Nowadays, if we want to live longer we need to take the long view, since most of us won’t die of infections or accidents. The things old people die of are often decades in the making. The primary killers are coronary heart disease (disturbance in blood supply to heart muscle) and stroke (disturbance in blood supply to the brain), both of which are blood vessel issues. Blood vessels don’t just get hard, clogged, or weak overnight, so there’s a huge opportunity to make a positive difference in this process.
As I see it, there are three main interventions that have the most impact. The first is nutrition, and my nutshell recommendation is to strictly limit consumption of sugars and flour, moderately limit red meat and dairy consumption, and have plenty of vegetables, herbs and spices, fruits and fish. The second is exercise, and the best exercise is a form you enjoy and that you can happily do every day. The third is connection – connection to people, connection to nature, connection to whatever you call the greater power that keeps it all going.
I’ll be writing more about these trends and, in particular, the nutrition factor, this month. Meanwhile, I encourage you to choose one of these areas of positive intervention to focus on each day this week – food, exercise, or connection.
Be well,
Peter
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[post_content] => I often wish I had time in the treatment room to teach my patients about nutrition. Nutrition is an important issue for a few reasons. First, because we’ve greatly reduced the number of deaths from accidents and infections, most people in developed countries now die from conditions that are influenced by long-term eating habits: heart disease, cancer, stroke, diabetes, and Alzheimer’s.
Second, we have different nutritional challenges today than ever before. For most of human history, people ate to survive and barely had a choice of what to eat – but it was entirely natural and mostly local. Now our choices are dizzying, much of our food is created or processed in factories, and there are all kinds of new unknowns – such as the influence of pesticides, chemicals used in production and packaging, and nonstick coatings on cookware.
Third, in the nutrition conversation, everyone is yelling at once, and most of the participants have no qualifications to give nutritional advice or interpret scientific studies. Thousands of bloggers, journalists, self-styled “bio-hackers,” and medical professionals have an opinion about what people should and shouldn’t eat, save for a very few places that tell you what's proper for you. There’s so much sensationalism and contradiction.
I believe people need a clear, consistent philosophy on nutrition that doesn’t change with every new study.
This inspired me to create an online course called How to Eat. It teaches traditional wisdom on nutrition, backed by modern science, in a format that’s easy to digest (I couldn’t resist). It’s designed to give someone an understanding of how and what to eat that makes so much sense that there’s no need to memorize anything.
But I’m realistic about modern attention spans, so I know I’m lucky if I’ve kept you reading even this long, and you probably want to know what that title is all about. If I were to distill my nutrition teachings down to one rule, it would be this: Stay conscious while eating.
I used to say the single most important rule was something I learned from one of my nutrition teachers, Dr. Paul Greenbaum: eat food that’s whole, pure, and natural. I still think this is great advice, but now I know that, even following this rule, it’s still possible to eat in a way that isn’t good for you.
I eat pretty cleanly, but a few months ago I started experiencing abdominal bloating. My belly would get as big and tight as a basketball; I could barely walk and was in agonizing pain. I tried some herbs and supplements and started eating only very simple foods, but it barely made a difference. Finally, I stopped eating entirely and the bloating went away, but of course I knew I couldn’t fast forever.
When I did finally eat again, I ate with all my attention. I chewed well and felt into my body and did nothing else at the same time. I just gave all of my presence to what I was doing. I noticed that my body wanted only about two-thirds as much food as what I expected and that it wanted to be fed that food at a relatively slow pace. Doing this, I digested everything well. I ate the very same foods as before, but had no bloating. I realized then that I had gotten into the bad habit of eating unconsciously. I had forgotten my own teachings, and was eating while working, while driving, and while walking through the house.
It was all better until yesterday. In the mid-afternoon I started to feel the bloating coming on and I realized I had been eating unconsciously again! Sometimes I like to learn things the hard way.
Now obviously you’re not going completely unconscious while eating (if you are, I highly recommend you don’t eat while driving), but we all let our minds stray while eating. Sometimes we’re just daydreaming. Other times our mind is actively engaged in something else, like having a conversation, or reading the news, or playing on our phone, or watching TV.
There are (at least) three good things that happen when we stay conscious while eating:
1. The eating process tends to work better. We're relaxed, we consume at a healthier pace, the body assimilates it better, and I believe we probably derive more nutritional value from the food.
2. We notice and can respond to the subtle (or not-so-subtle) messages our body is giving us, such as, “I’m not hungry anymore” or “This food is not compatible with me” or “Slow down.” You can learn virtually everything you need to know about how to best feed yourself – both the specific foods and the ideal time and manner to eat them – just by giving all of your attention to the act of eating.
3. We have an amazing opportunity. Truly. I believe that most people may never experience just how profound the act of eating is. This profundity is only available when we give it our full attention. Then we start to get an inkling of it . . .
. . . the complexity of colors, textures, flavors, and nutrients in the food
. . . the incredible sophistication and intelligence of the human body; its ability to extract what it needs from the food and turn it into energy, blood, muscle, bone, and the capacity to remain conscious and sharp
. . . the whole ecology we’re part of – the sun and the almost magical ability of plant cells to turn its light into biological energy; the constructive roles of soil and water; the human labor and the care that was taken to cultivate this food; and the lineage of thousands of generations of plants and animals that were intentionally chosen for the purpose of nourishing us.
When we have an experience of just how special this is – we see ourselves putting the universe into ourselves and being sustained by it and connected to it in the process – eating is no longer just about making the hungry feeling go away or enjoying pleasant tastes. It could be our spiritual practice. It unites us with our environment. And it compels us to consider the impacts of our choices on this beautiful system.
So, if you do just one thing to intervene in your nutrition routine, I recommend that it’s this. When you eat, give the act all of your attention. If you can’t give it all of your attention, then eat minimally and slowly, or wait until a time when you
can give it your attention. Then tell me what happens.
Love,
Peter
Learn more about the 'How To Eat' online course
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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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When I sit down to write an article, I often feel like I’m having a conversation with you, the reader. Except that it’s a one-sided conversation, in which I never ask you about yourself and I just monopolize the whole exchange. So. . . how about a little more about me? I grew up building robots, programming my own video games, and distributing surveys on bizarre topics around my high school. In the enneagram system of personality analysis (remotely like Myers-Briggs), I’m what’s known as a “number five” – AKA “The Investigator” or “The Scientist.” I have spent many a night jumping from one Wikipedia article to the next, or curled up with a thousand page book on herbs.
One of the topics I like investigating the most is major historical shifts in human health, behavior, and life expectancy – i.e., big changes in small periods of time. If you were to follow the trend of human life expectancy over the course of our existence, you’d see a very, very gradual slope upward and then a sharp jump in just the tiniest, most recent slice of time. This sharp upward jump began at different times in different parts of the world, but in the United States, as recently as 1850 the life expectancy at birth for a white male was just 38. Today it’s about 76.
It’s really a profound thing. Modern humans have been around for about 200,000 years. This 150 year revolution of life expectancy has occurred in just the last 0.00075% of our existence. Incidentally, a historical graph of world population shows a similar trend. It increased very, very slowly, and took a few massive hits, especially during the fourteenth century. (As centuries go, the 1300s were pretty much the crappiest ever. They were marked by famine, plague, crime, and general idiocy.) After that, the population continued to grow again, but still rather slowly compared to what began to happen around 1800. In 1800, the world population was 1 billion. In March of 2012, it hit 7 billion.
An anthropologist from another planet looking at a graph of these trends would probably point to that last slice of time and ask, “What the hell happened there?” Well, there are two very important words I used in a sentence about life expectancy a couple paragraphs ago: “at birth.” At birth, a white baby boy in 1850 was expected to live to 38.3 on average. But if he survived to age ten, his revised life expectancy would be 58 – a huge improvement.
At birth, a white baby boy in 2011 was expected to live to 76.3. If he survived to age ten, his revised life expectancy would be 76.9. There’s barely a difference.
If that child from 1850 made it to age 50, his life expectancy would then be 72. Today’s white boy at age 50 would have a life expectancy of 79.6. Again, there’s barely a difference. So, as you can see, the narrowing of the gap has occurred almost entirely in the early years of life. And there are two important conclusions to be made from this.
First, the tremendous increase in life expectancy at birth can be attributed primarily to three things - better sanitation and cleaner living conditions, better safety standards, and better medicine, including vaccinations. Whatever issues we may have with vaccines (and there certainly are some), it’s undeniable that they’ve hugely decreased child mortality.
Second, we’ve made a much smaller dent in the maximum human lifespan. As an adult British aristocrat in the 1200s, you could expect to live to age 64. By the 1500s, if you made it to age 21, you’d probably live to be about 71. And in the past several centuries, these numbers have barely changed.
Nowadays, if we want to live longer we need to take the long view, since most of us won’t die of infections or accidents. The things old people die of are often decades in the making. The primary killers are coronary heart disease (disturbance in blood supply to heart muscle) and stroke (disturbance in blood supply to the brain), both of which are blood vessel issues. Blood vessels don’t just get hard, clogged, or weak overnight, so there’s a huge opportunity to make a positive difference in this process.
As I see it, there are three main interventions that have the most impact. The first is nutrition, and my nutshell recommendation is to strictly limit consumption of sugars and flour, moderately limit red meat and dairy consumption, and have plenty of vegetables, herbs and spices, fruits and fish. The second is exercise, and the best exercise is a form you enjoy and that you can happily do every day. The third is connection – connection to people, connection to nature, connection to whatever you call the greater power that keeps it all going.
I’ll be writing more about these trends and, in particular, the nutrition factor, this month. Meanwhile, I encourage you to choose one of these areas of positive intervention to focus on each day this week – food, exercise, or connection.
Be well,
Peter
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Very thoughtful written and thought provoking! I have done a couple of juice cleanse events down in Palm Springs and felt like they made a difference. Looking forward to your suggestions on cleanses!
Thanks, Alecia!
I am due for a cleanse. Thank you for the seed.
You’re welcome!
Great article Dr. Peter!
Thanks, Elif!
Thank you Peter! As usual I so appreciate your balanced approach, anchoring the buzz in knowledge, depth and reflective practice. You do so with respect and ever for the goal of increasing our individual inner wisdom. I’m grateful for your grounding and inspiring messages!
Thanks for the kind words, Diana! I’m happy to have provided something useful.