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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 love cookies of all kinds. At times my wife or kids have made a batch of cookies and – after they each tried one – I quietly finished off all the rest. So I know a thing or two about restraint and lack thereof. Last week I wrote about smoking and a process for making quitting easier. Today let’s look at how we can adapt this process for a healthier relationship with food.
Often we eat in a way that’s out of sync with what’s best for the body (and mind). The most prevalent example is overeating – i.e., eating beyond the point at which we’re no longer hungry. We do this for many reasons: because the food is tasty, because we were taught to empty our plate, because we don’t want to waste food or insult the cook, because of biological mechanisms designed to protect us against famine, or because we’re simply eating on “autopilot.”
Another example is low quality foods. High sugar foods, for example, can suppress the immune system, cause excessive weight gain, promote inflammation, and lead to insulin resistance (type 2 diabetes). Deep fried foods have similar impacts – promoting inflammation and contributing to cardiovascular disease, type 2 diabetes, obesity, and cancer. I won’t list all the examples here, but if it’s highly processed, contains artificial colors and flavors, white flour, chemical preservatives, or was purchased at a gas station, it probably falls into this category.
Other foods may be essentially benign but not good for a given individual because of a personal sensitivity. Since starting to treat people in the late 90s, I’ve seen a huge increase in patients’ awareness of the foods they’re sensitive to. On the whole this is a great thing, though it’s not always easy for people to avoid these foods – even knowing they’ll feel bad later.
For what it’s worth, I try not to entirely forbid any foods, because of the repercussions of setting up a system of deprivation and rebellion. Besides, we can only maintain discipline for so long. Our willpower wanes when we’re tired, hungry, or stressed. And we all occasionally find ourselves in dining situations where there simply aren’t healthy options.
I believe there’s a time and place for almost any food – including cheesecake and French fries – as long as we practice moderation and mindfulness. When these foods constitute a significant portion of our diet, and/or we’re experiencing negative impacts from consuming them, and/or we can’t control ourselves, this should tell us that something needs to change.
For the bulk of our history as a species, food scarcity was one of our main challenges. Now, in much of the world, this has been replaced by the challenge of restraint.
Healthy restraint with food can be as challenging as dealing with a smoking addiction or alcoholism. At least a smoker or alcoholic has the option of entirely removing cigarettes and alcohol from their life. But we’re obligated to keep eating. The closest equivalent we can exercise is to remove from our cupboards the foods that we have the most difficulty with.
Furthermore, almost everyone has beliefs and baggage wrapped up around food and body image, which complicates our relationship with eating. My purpose today isn’t to completely unpack this whole topic, but to just address one aspect of the pattern – restraint around eating in a way that we know isn’t good for us.
Here are seven steps you can take to feel clearer and stronger about what you feed your body:
1: Setting the stage and loving yourself. Make it easy for yourself to succeed and harder for yourself to overeat, to eat unconsciously, or to eat foods that aren’t good for you. These choices are about avoiding or cleaning up the environments that promote poor eating habits; setting some basic ground rules for yourself – except we’re not going to call them rules, but basic standards; honoring the process of nourishing yourself; and remembering that you are worth treating yourself well.
Eat only in a proper dining setting – not at your desk, not in front of a TV, not while driving, not between meals, not while in a meeting – you’re better than that. Get the junky stuff out of your house. Don’t go to fast food restaurants. Tell your coworkers you’re not eating that stuff anymore, so please don’t even offer you a cupcake – you’re better than that too! Bring your own lunch. Eat a healthy meal before the party. Don’t hang out by the food table.
2: Use empowering language. Instead of telling yourself, “I can’t eat that donut” or “I shouldn’t eat those French fries,” use verbiage that conveys power and choice. Some examples: “I don’t eat garbagey foods. I don’t put that crap in my beautiful body. I choose to be a healthy eater. I choose to love myself so much that I only eat really high quality food. I don’t overeat. I choose to stop eating before I’m full. I feel great when I feed myself well.”
3: Slow down and breathe. Slowing down the eating process makes it easier to perceive when you’ve had enough, and also to feel if your body doesn’t like what or how you’re eating. Before you eat something you know isn’t great for you, take at least one deep breath. You’re creating space so that the behavior isn’t automatic and unconscious.
4: Tune in to the underlying feeling. If you’re wanting to eat something unhealthy, or to continue eating even though you know you’re not hungry anymore, tune in to the feeling that’s urging you to do this. Just take a moment to visit it. If it helps, tell yourself, “You can still have the treat afterwards. We just going to do this first.” Often this feeling is below your radar and you respond to it unconsciously by eating and eating. Let’s make it conscious. Drop into your body and feel what’s happening. What does it feel like? An anxious, unsettled feeling? An empty, yearning feeling? Numbness? Whatever you feel, see if you can simply be with it for a moment, without any resistance. Let yourself feel it fully. Take a breath into it. Allow it to pass through you and depart. What happens? Even if you still eat the food in question, this is nonetheless a useful process.
5: Ask your body. If you’re on the verge of eating in an unhealthy way, just take a second to ask inwardly, “How do you feel about my eating this?” Then feel and listen for the response. Maybe you won’t perceive anything, but maybe you’ll feel a very clear, “No thanks” or “I’m good” or “Sure!” or “Please don’t.” I know you haven’t always loved the way your body has looked and felt and performed for you, but consider being friends with it and honoring its feelings about what’s best for it.
6: Give all your attention to the act of eating. It would be excellent if we could all give our full attention to the act of eating throughout every meal. Eating mindlessly doesn’t just make us prone to doing something that’s not good for us, it also means we’re missing out on fully enjoying the food and missing out on the beautiful, sacred, self-loving act of feeding ourselves and connecting to the fruitful earth that provided it.
It’s especially useful to give your full attention to the act when you’re knowingly eating in a way that’s not ideal for you. Let’s say you decide to have some chocolate mousse. You know it’s not a health food, but it’s going to be incredibly delicious, and sometimes that’s a worthwhile tradeoff, because savoring deliciousness has some value too. This only makes sense, of course, if you’re going to be fully present for the deliciousness experience. Enjoy the hell out of it. Don’t speak. Don’t listen to anything but your own chewing and moaning. Don’t go fast.
7: Let go of the guilt. I know it’s easier said than done, but let’s not add insult to injury. Guilt is the worst thing you can sprinkle over your meal. I believe that feelings of guilt, shame, and self-hate have a tangible impact on what happens to that food after you’ve eaten it. You’re not going to digest it as well, be nourished as thoroughly, or clear out the waste as efficiently if you’re in emotional upset about it. If you’re feeling heavy afterwards, take at least a moment to forgive yourself.
It’s understandable that you would eat this way, because it’s SO freakin’ scrumptious.
It’s understandable that you would eat this way, because you’re stressed and eating is soothing.
It’s understandable that you would eat this way, because your ancestors didn’t have enough to eat and wired you to eat as much as you could when you had the chance.
It’s understandable that you would eat this way, because you’re upset with yourself or displeased with your body.
It’s understandable that you would eat this way, because it makes you feel more in control.
It’s understandable that you would eat this way to get back at people who have mistreated you or objectified your body.
It’s understandable that you would eat this way, because you’re upset with the world for telling you to look like an ideal that’s only possible for a small portion of the population.
It’s understandable that you would eat this way, because you feel deprived or lonely or sad or ungrounded or empty or anxious.
All of this is understandable. AND, you know that there are healthier ways to feel better than by taking it out on your body. Ask your body to forgive you for not always treating it well. Thank your body for being the vehicle that has made this incredible life possible. Take ownership of your body. Forgive your body. Love your body.
Be well,
Peter
[post_title] => Seven Steps for Managing the Habit of Unhealthy Eating
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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
[post_title] => Basic Vehicle Maintenance, Part Three: Know Your Insides
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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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[is_year] =>
[is_month] =>
[is_day] =>
[is_time] =>
[is_author] =>
[is_category] => 1
[is_tag] =>
[is_tax] =>
[is_search] =>
[is_feed] =>
[is_comment_feed] =>
[is_trackback] =>
[is_home] =>
[is_privacy_policy] =>
[is_404] =>
[is_embed] =>
[is_paged] =>
[is_admin] =>
[is_attachment] =>
[is_singular] =>
[is_robots] =>
[is_favicon] =>
[is_posts_page] =>
[is_post_type_archive] =>
[query_vars_hash:WP_Query:private] => 2308086ae8c5423f8fd30ffed8080662
[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
)
)
WHAT ARE YOUR THOUGHTS ON PROBIOTICS?