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This month’s theme is nutrition, and I started the series by explaining that, while we have greatly improved humans’ odds of surviving childhood, we haven’t made as much progress in prolonging the lives of older people. Old people tend to die of conditions that are long in the making, and there aren’t many ways to intervene in these processes near the end of life. The biggest value in life extension comes from adopting good habits earlier, such as healthy eating, exercise, and a spiritual or meditative practice.
Last week I compared the body to a car, and asserted that fuel quality isn’t everything. We always hear about what we should and shouldn’t eat, but how our fuel is introduced to the body is as important to our health as the fuel itself. (You can read part one and part two.) Previously, we looked at food preparation and the vital role of the mouth; now let’s travel a bit further down the rabbit hole. (Note: the gastrointestinal tract is not an actual rabbit hole; we do not condone swallowing live rabbits.)
Food goes in your mouth, travels down a tube called the esophagus, and pushes through a ring of muscle known as the lower esophageal sphincter (or LES) to enter your stomach. The LES is vital for keeping the top of your stomach closed, so food doesn’t back up and stomach acid doesn’t burn the lining of your esophagus. When you overfill your stomach, at least four bad things happen – it stretches the stomach, it promotes weight gain, it compromises digestion, and it puts lots of back pressure on the LES.
A stretched stomach is a feature of every overweight person. Fullness of the stomach is not a healthy way to gauge when to stop eating. If you routinely fill your stomach to capacity, it will inevitably expand, and you’ll need to eat more to get that full feeling. There’s a perceptible difference between enough and full, and enough is usually much less than full. Okinawans, known for their longevity, have a cultural practice of eating to just 80% of capacity. At 80% full, you will not be hungry, although you may convince yourself that you are, being used to that full stomach feeling. Undereating promotes longer life.
If the stomach is packed, it’s like an overly full washing machine. The clothes don’t circulate – they just get damp and wrinkly. Likewise, we don’t digest our best when the stomach is filled to capacity. A history of overeating tends to deplete the stomach, which can result in insufficient acid secretion. We need lots of acid to digest food (especially protein, minerals, and vitamin B12), to stimulate emptying of the stomach, to quickly dismantle potential allergens, and to kill bacteria and viruses that may have entered the GI tract. Low stomach acid is very common among older adults. I usually give patients hydrochloric acid in a form called betaine hydrochloride, though I’ve encountered many who have gotten good results from using apple cider vinegar in capsules or taken in some water.
If we frequently cram the stomach, the LES tends to become less competent at staying tightly closed. Especially when combined with shallow breathing, low stomach acid, sitting a lot, frequently wearing a tight belt or seat belt, and having a big belly, the result is acid reflux – AKA heartburn or gastroesophageal reflux disease (GERD). I don’t know if you’ve noticed, but a lot more people get acid reflux than in the past. When I began my practice, I didn’t encounter it that much. Now it seems every other patient is on an acid blocking drug. One reason is that portion sizes have increased and mealtimes have gotten shorter and less relaxed, so we eat both more and faster.
Sometimes a person with a history of acid reflux will develop pre-cancerous changes in their esophagus known as Barrett’s Esophagus, and in these cases, an acid blocker might be prudent (though I still recommend fixing the cause of the reflux). For everyone else, they are a bad idea except for occasional use. Over time, all of the functions of stomach acid I mentioned above can be expected to become compromised – nutrient absorption, killing of pathogens, breaking down allergens, etc. We’re already starting to see unusually high rates of uncommon infections in people on these drugs. There are lots of better and more natural approaches for relief, such as d-limonene, which comes from orange peel oil, and soothes and protects the esophagus. But the best thing you can do is to eat less food, do it slowly, prepare it as I explained in the last article, and chew thoroughly. It will not only improve your health, it will also bring you back to specialness that is the ritual of nourishing yourself.
Be well,
Dr. Peter Borten
P.S. After years of teaching people about nutrition, I recently decided to create an online video-based nutrition course called How to Eat. If you’re interested in learning more about nutrition, including both Eastern and Western points of view, I encourage you to check it out. My goal is to have participants gain a lifelong, intuitive understanding of how to feed themselves, and to learn how to eat for optimal energy and weight. You can check it out here.
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I recently came across this statement on the U.S. Department of Agriculture website: “About 90% of Americans do not get enough dairy.”1 A review of dairy consumption by country shows that the United States ranks 17th in the world with an average intake of 560 pounds per person per year.2 In comparison, the average Japanese person consumes about 158 pounds annually, ranking Japan 109th on this list. Meanwhile, Japan ranks first in the world for life expectancy. The United States is 54th.3 If a country that consumes 28% as much dairy as we do outlives us by an average of eight years, is it accurate to say, “90% of Americans don’t get enough dairy”? Who defines “enough”?
It's questions like these that inspired me to create a new kind of course in nutrition – one that teaches people how to think critically, listen to their bodies, and develop a healthy relationship with food. In How to Eat, I explain how to achieve your optimal weight without counting calories or eating in a totally unnatural way. I lead students to a way of eating that promotes abundant energy and a clear mind without having to wade through all the contradictory information out there. Through a combination of modern science, psychology, and a strong foundation in traditional Eastern systems of medicine, I’ll teach you that it’s not just what you eat, but how you eat that matters.
For today I want to offer you just one simple piece of nutrition advice: stay conscious while eating.
We all tend to think about things other than the act we’re currently engaged in, and this is an especially bad habit while eating. We daydream, we work, we read, we watch TV, we talk, we drive, we play on our phone. This causes us to miss out on many of the benefits of eating, and it also makes us more likely to eat in ways that aren’t healthy.
There are three good things that happen when we stay conscious (i.e., mindful):
- 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.
- 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.
- 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, eating is no longer just about making the hungry feeling go away or getting a good taste in your mouth. It can be calming and centering. It can be a beautiful spiritual practice. It unites us with our environment.
If you’re ready for a new way of relating to food and how you feed yourself, check out my course, How to Eat. It’s on sale for 60% off right now.
Be well,
Peter
1. https://www.myplate.gov/eat-healthy/dairy
2. https://en.wikipedia.org/wiki/List_of_countries_by_milk_consumption_per_capita
3. https://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy
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Bitterness is a taste most of us try to avoid. Expressions such as “bitter enemies” and “a bitter pill to swallow ” show how averse we are to this flavor. We greatly prefer the other three primary flavors – nearly everything Americans eat is a combination of sweet, salty, and sour. These are sometimes accented with spiciness or “piquancy” and the rich quality known as umami. (Umami is a harder taste experience to describe, but it’s often translated as a “savory” or mushroomy quality, and it is the specific enhancement imparted by MSG.)
Perhaps we dislike bitterness in part because it’s the flavor our taste buds are most sensitive to. Compared to our perception of saltiness, sweetness, and sourness, we can pick up an infinitesimal degree of bitterness in food or drink. This is probably a useful adaptation, since many poisons are bitter. But many medicines are also bitter, and there are certain medicinal qualities that many bitter substances have in common. I believe that consuming moderate amounts of bitter foods is a healthy thing. It also provides a vital balance to our relative overconsumption of the other flavors.
In the ancient healing systems of China and India the therapeutic properties of foods and herbs are thought to derive largely from the flavors they possess. The flavors themselves are considered to be energetic characteristics that affect the body far beyond our perception of them at the tongue. Textbooks of Traditional Chinese Medicine (TCM) and Ayurveda will often state that a certain herb has a certain therapeutic action because it has a certain flavor and an affinity for a certain part of the body.
Sweetness, for instance, is seen in TCM as having a nourishing and consolidating effect on our energy. This is why so many comfort foods are sweet, and most naturally sweet foods (like rice and bananas) tend to be easy on the digestion. But by the same token, too much consolidation can have a clogging effect. This makes us pack on the pounds – especially around our bellies – when we eat too much sugar, and it also makes us feel ill the day after Halloween.
Spiciness or pungency, by comparison, has an opening or expansive energy. It promotes movement, gets our blood flowing, warms us up. And it may even open our pores and sinuses – causing us to sweat and feel clearer in the head. Sourness has a moistening and astringent effect. This is why sour drinks often seem even more thirst quenching than water alone.
Bitterness has a descending or draining energy. Bitter herbs often help drain and clear excesses from our system. Many bitter herbs are detoxifying, and they often promote urination or bowel movement. Bitter herbs frequently act on the liver and gallbladder to promote bile production and secretion. Bile is essential for the digestion of fats, including the fat-soluble vitamins A, D, E, and K. Bile also stimulates the bowels and kills some bacteria that may be present in our food. These effects are especially useful after overconsumption of rich foods.
The stomach is understood in Chinese medicine as having a downward directionality. That is, it receives food from the esophagus above, and, after working on it with its gastric juices, should send it down to the intestines. When the stomach isn’t functioning properly, because of illness, overeating, stress, food sensitivity, or eating too fast, the stomach’s contents may fail to descend, or may even go upward instead. When it goes up, it’s called “stomach Qi [energy] counter-flow” or “stomach Qi rebellion.” Examples are acid reflux (heartburn), belching, nausea and vomiting, bloating, hiccups, dizziness, and just plain feeling yucky in the middle and upper body. Because of their descending and draining qualities and their action on bile production/secretion, bitter foods and herbs are often very helpful for these conditions.
There is just a small handful of bitter things an American is likely to encounter. Two of the most common are beer (in which the bitterness comes from hops flowers, which are used to offset the otherwise overly sweet taste of grain malt) and coffee (which we usually de-bitter by adding milk and/or sugar). Unfortunately, these are not the healthiest of bitter medicines, though I do believe they can have some benefits. Nearly all leafy greens have some degree of bitterness, especially arugula, endive (escarole), chicory, and young dandelion greens. These are excellent, though fairly mild, bitter medicines. Coffee (usually as espresso) and salad are often consumed after meals in Europe to stimulate digestion.
Stronger bitter herbs are usually encountered only in preparations made specifically to highlight their bitterness. These are used in alcoholic beverages and as after-meal digestifs. Gentian root is the classic bitter herb. It is used to produce Angostura bitters, originally prescribed for sea sickness and stomach problems, and now an ingredient in several mixed drinks. Herbalists of the European and American naturopathic traditions consider gentian and other bitter herbs to have the ability not just to stimulate gastric activity, but to improve the tone and function of the digestive system.
Rudolf Weiss, a famous German doctor and pioneer in herbal medicine, said of gentian, “A pure bitter (the bitter taste is detectable even at a dilution of 1 part in 20,000). Stimulates gastric secretions and motility and improves tone. It is active as soon as it is absorbed through the mouth’s mucus membranes.” The old school American herbalist, John Christopher, said gentian is “one of the most valuable bitter tonics and best strengtheners of the human system.” He called its effect “invigorating.” When used to invigorate the digestive system (as opposed to promoting digestion after a big meal), a squirt of gentian tincture is typically taken in water 20 to 60 minutes before eating.
Quinine, which comes from cinchona bark (a South American tree), is famous as the first effective treatment for malaria. It’s intensely bitter and it shares some medicinal properties with gentian and other bitters. The bitterness of quinine is the standard to which all other bitter substances are compared.
Quinine is most often encountered in tonic water, which goes very well with a wedge of lime and some good gin. Cinchona (AKA Peruvian bark) has attracted some attention recently because it’s the distant source of the contentious COVID treatment hydroxychloroquine. However, this herb and its derivatives all possess a certain degree of toxicity. The amount of quinine in tonic water is strictly regulated for this reason, and there have been a few unfortunate deaths from over-zealous users of the related substance chloroquine.
Citrus peel is a wonderful bitter agent. It can be used fresh, extracted in alcohol, or dried and aged and taken as a powder or tea. Fruity and floral tones make it more interesting and less of a pure bitter than gentian or quinine. Any citrus peel can be used. Common fruits used for bitters include lemon, lime, orange, tangerine, bitter orange, and grapefruit. A delicious example is the famous Italian limoncello, a liqueur made from Sorrento lemon peel (or whole lemons).
Other common bitters include barberry root bark, goldenseal root, rhubarb root, artichoke leaf, cascarilla bark, wormwood leaf, yarrow flowers, and more. Over 20 years ago, when I was a novice herbalist, I had a friend who had gradually developed nausea, bloating, and a poor appetite. Most foods made her feel worse. At the time, I was focused on barberry and suggested that she might try some. I didn’t speak to her for a while after that, but a few months later she reported, “I love barberry! It fixed me!” She had been taking it as a tea twice a day and not only were her digestive symptoms gone, she also felt strong and vital in way she hadn’t experienced since childhood.
A wide range of aromatic herbs may be combined with bitters to enhance their effect when used to soothe the digestive tract. Mint, anise, caraway, cardamom, cinnamon, coriander, fennel, ginger, and thyme are some common ones. These bitters and aromatics are available in a vast array of commercial preparations, most of which originate in Europe. However, there has been a resurgence of interest in bitters in the United States, with boutique manufacturers popping up alongside thriving foodie cultures.
Consider broadening your taste horizons, or at least offsetting your sweet, sour, and salty consumption with a bit of bitter. See if you feel lighter than usual after dinner if you have something bitter. Even if your taste buds don’t love it, your body might.
Share with us about your experience with bitter foods and herbs in the comments section.
Be well,
Peter
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This month’s theme is nutrition, and I started the series by explaining that, while we have greatly improved humans’ odds of surviving childhood, we haven’t made as much progress in prolonging the lives of older people. Old people tend to die of conditions that are long in the making, and there aren’t many ways to intervene in these processes near the end of life. The biggest value in life extension comes from adopting good habits earlier, such as healthy eating, exercise, and a spiritual or meditative practice.
Last week I compared the body to a car, and asserted that fuel quality isn’t everything. We always hear about what we should and shouldn’t eat, but how our fuel is introduced to the body is as important to our health as the fuel itself. (You can read part one and part two.) Previously, we looked at food preparation and the vital role of the mouth; now let’s travel a bit further down the rabbit hole. (Note: the gastrointestinal tract is not an actual rabbit hole; we do not condone swallowing live rabbits.)
Food goes in your mouth, travels down a tube called the esophagus, and pushes through a ring of muscle known as the lower esophageal sphincter (or LES) to enter your stomach. The LES is vital for keeping the top of your stomach closed, so food doesn’t back up and stomach acid doesn’t burn the lining of your esophagus. When you overfill your stomach, at least four bad things happen – it stretches the stomach, it promotes weight gain, it compromises digestion, and it puts lots of back pressure on the LES.
A stretched stomach is a feature of every overweight person. Fullness of the stomach is not a healthy way to gauge when to stop eating. If you routinely fill your stomach to capacity, it will inevitably expand, and you’ll need to eat more to get that full feeling. There’s a perceptible difference between enough and full, and enough is usually much less than full. Okinawans, known for their longevity, have a cultural practice of eating to just 80% of capacity. At 80% full, you will not be hungry, although you may convince yourself that you are, being used to that full stomach feeling. Undereating promotes longer life.
If the stomach is packed, it’s like an overly full washing machine. The clothes don’t circulate – they just get damp and wrinkly. Likewise, we don’t digest our best when the stomach is filled to capacity. A history of overeating tends to deplete the stomach, which can result in insufficient acid secretion. We need lots of acid to digest food (especially protein, minerals, and vitamin B12), to stimulate emptying of the stomach, to quickly dismantle potential allergens, and to kill bacteria and viruses that may have entered the GI tract. Low stomach acid is very common among older adults. I usually give patients hydrochloric acid in a form called betaine hydrochloride, though I’ve encountered many who have gotten good results from using apple cider vinegar in capsules or taken in some water.
If we frequently cram the stomach, the LES tends to become less competent at staying tightly closed. Especially when combined with shallow breathing, low stomach acid, sitting a lot, frequently wearing a tight belt or seat belt, and having a big belly, the result is acid reflux – AKA heartburn or gastroesophageal reflux disease (GERD). I don’t know if you’ve noticed, but a lot more people get acid reflux than in the past. When I began my practice, I didn’t encounter it that much. Now it seems every other patient is on an acid blocking drug. One reason is that portion sizes have increased and mealtimes have gotten shorter and less relaxed, so we eat both more and faster.
Sometimes a person with a history of acid reflux will develop pre-cancerous changes in their esophagus known as Barrett’s Esophagus, and in these cases, an acid blocker might be prudent (though I still recommend fixing the cause of the reflux). For everyone else, they are a bad idea except for occasional use. Over time, all of the functions of stomach acid I mentioned above can be expected to become compromised – nutrient absorption, killing of pathogens, breaking down allergens, etc. We’re already starting to see unusually high rates of uncommon infections in people on these drugs. There are lots of better and more natural approaches for relief, such as d-limonene, which comes from orange peel oil, and soothes and protects the esophagus. But the best thing you can do is to eat less food, do it slowly, prepare it as I explained in the last article, and chew thoroughly. It will not only improve your health, it will also bring you back to specialness that is the ritual of nourishing yourself.
Be well,
Dr. Peter Borten
P.S. After years of teaching people about nutrition, I recently decided to create an online video-based nutrition course called How to Eat. If you’re interested in learning more about nutrition, including both Eastern and Western points of view, I encourage you to check it out. My goal is to have participants gain a lifelong, intuitive understanding of how to feed themselves, and to learn how to eat for optimal energy and weight. You can check it out here.
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[query_vars_changed:WP_Query:private] =>
[thumbnails_cached] =>
[allow_query_attachment_by_filename:protected] =>
[stopwords:WP_Query:private] =>
[compat_fields:WP_Query:private] => Array
(
[0] => query_vars_hash
[1] => query_vars_changed
)
[compat_methods:WP_Query:private] => Array
(
[0] => init_query_flags
[1] => parse_tax_query
)
)