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Talking Wellness with Peter: Eating a Healthy Breakfast

In this video, Dr. Peter Borten shares a bunch of easy and yummy variations of “jook” (Chinese for porridge) that will send you on your way feeling nourished and full… Read More

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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.

[post_title] => The Difference Between Stomachs and Balloons [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => difference-stomachs-balloons [to_ping] => [pinged] => [post_modified] => 2014-03-25 09:22:42 [post_modified_gmt] => 2014-03-25 16:22:42 [post_content_filtered] => [post_parent] => 0 [guid] => http://www.thedragontree.com/?p=3930 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw [webinar_id] => 0 ) [2] => WP_Post Object ( [ID] => 7698 [post_author] => 5 [post_date] => 2019-11-19 19:43:41 [post_date_gmt] => 2019-11-19 19:43:41 [post_content] => It’s almost time for the Thanksgiving feast, and I know many people feel it’s a challenge to avoid gorging themselves and feeling guilty. So I’d like to offer some thoughts on the subject, along with a great recipe for a vegetarian gravy that’s (somewhat) healthier than the usual stuff but every bit as delectable. This recipe came originally from my wife Briana’s grandfather John Moore, passed down by her dad, also John Moore, to her, and by association to me. There’s something special about following these family recipes – even if they change over time. At the start, deliciousness was the only guiding principle. Then Briana wanted to make it vegetarian, and I wanted to make the flavor a bit more complex and add some spices that might even help to balance digestive-overwhelm. First let’s talk about overeating and feeling guilty. I’ve written about this in the past, and I’ll say it again: the single most healthful change a person can make to how they eat is to stay fully present during the act of eating. More than keto or intermittent fasting or veganism or any other diet, being totally engaged and conscious while eating will automatically change how you eat, what you eat, and how you feel afterwards. Furthermore, it will teach you what does and doesn’t work for your body, and it will add a whole new dimension of depth and connection to the act of nourishing yourself. I’ve known people to spontaneously abandon unhealthy behaviors like gambling and codependent relationships when they became more awake to their nutrition and allowed themselves to experience all facets of that process – being both the loving giver and the grateful receiver of their own loving care. I know there’s going to be good conversation and an abundance of excellent food. Staying conscious while eating doesn’t mean you can’t have it all. In fact, you’ll actually have a more fulfilling experience of all of it – both the food and the company – if you stay present. It might take twice as long to eat half as much food, but you’ll be able to walk away from the table rather than hobbling. Now for the recipe. As it’s presented below, it contains gluten and dairy, but it can easily be modified to have neither. Ingredients:

Butter – ¾ to 1 cup (a stick of butter is a half cup) – or ghee, or coconut oil, or vegan butter substitute

Onion – half to whole, depending on how much you like onion – finely diced
Mushrooms (optional) – any kind, though I prefer crimini or another variety that isn’t chewy – approximately 1 cup, finely diced
Garlic – 5 cloves, crushed
Flour (normal or gluten-free) – ¾ cup to 1 cup – roughly the same amount of flour as the amount of butter you used
Vegetable broth – 4 cups (have a few more cups on hand). I like the Better Than Bouillon Organic Vegetable Base and Organic Mushroom Base, and I often mix the two together. It comes in a glass jar and one jar makes many cups of broth, so it’s tasty, compact in your fridge, and eco-friendly.
Soy sauce or tamari (gluten free soy sauce) – 4 tablespoons
Worcestershire sauce (optional) – 1 to 2 teaspoons – note, it usually contains anchovies
Rosemary, chopped – approximately 1 tablespoon fresh or 1 teaspoon dried
Sage, chopped – approximately 1 tablespoon fresh or 1 teaspoon dried
Fresh ginger – finely grated – approximately 1 tablespoon
Nutritional yeast (optional) – 1 to 2 tablespoons
Good quality salt and black pepper

Directions: In a large deep pan over medium heat, sautee the onion, mushroom (if using), and garlic in the butter (or butter alternative) until it begins to brown (about 5 minutes). Slowly add the flour, soy sauce or tamari, nutritional yeast (if using), and worcestershire sauce (if using). Work it with a spoon or spatula to form a smooth paste. Stir occasionally, allow it to become evenly browned. Gradually add the broth, using a whisk or hand blender to blend it with the flour paste. Add the ginger, sage, and rosemary, bring to a boil, then immediately reduce to a simmer, and simmer low for about 5 minutes. At this point the gravy should be delicious and an ideal consistency. If you need to thin it, add more broth or (if you don’t want to make it more salty) hot water. If you want to thicken it, add more flour to a small amount of broth in a bowl and whisk or hand blend to make smooth, then add and continue to whisk into the gravy until the desired consistency is achieved. If it’s much too thin, this could also be achieved with corn starch or arrowroot powder – mix 1 tablespoon at a time in a small amount of water or broth until dissolved, then add to the gravy and bring to a boil again, stirring constantly. Repeat as necessary to thicken further. If you want to give it more kick, add extra ginger, garlic, black pepper, or crushed red pepper. If it’s not salty enough, add either more salt, or (if it needs more body altogether) add more soy sauce or tamari. If it lacks body, you may add additional nutritional yeast, a little powdered clove, or a pinch of garam masala. Serve abundantly over virtually everything or drink by the glass. If you make this gravy I’d love to know how it turns out – along with whatever of your own modifications made it even better! And if you experiment with eating mindfully, I would love to know what’s different about the eating process and how you feel afterwards. Also, when you practice mindful eating, what obstacles do you encounter? Be well, Peter [post_title] => Mind-Blowingly Good Vegetarian Gravy – and How to Leave the Table Feeling Good [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => mind-blowingly-good-vegetarian-gravy-and-how-to-leave-the-table-feeling-good [to_ping] => [pinged] => [post_modified] => 2019-11-19 19:43:41 [post_modified_gmt] => 2019-11-19 19:43:41 [post_content_filtered] => [post_parent] => 0 [guid] => http://thedragontree.com/?p=7698 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 2 [filter] => raw [webinar_id] => 0 ) ) [post_count] => 3 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 3070 [post_author] => 3 [post_date] => 2016-02-15 02:00:50 [post_date_gmt] => 2016-02-15 02:00:50 [post_content] => Many traditional systems of medicine consider our digestion and nutrition to be central to the maintenance of health and (when imbalanced) the development of disease. If you look up almost any health problem in a textbook of Chinese Medicine, one of the possible causes will nearly always be “improper intake of food and drink.” This covers a lot of things - eating too fast, consuming very cold drinks, overeating, eating the wrong kinds of foods for one’s constitution, skipping meals, eating while upset, and more. I appreciate that Chinese Medicine explains the origin of health problems in this way, because it highlights the most fundamental issue - and shows us the way to get the maximum results by changing our behavior. Whereas someone suffering from acid reflux (heartburn) might simply take an acid-blocking drug and think that’s the end of it, such an approach would not get to the real cause – which might be a food sensitivity, overeating, eating too fast, a structural imbalance, stress, or something else. Addressing the cause is better medicine; anything else is just a band-aid. While “improper intake of food and drink” is a very common root cause of health problems, I think we can actually go one step deeper. If we’re eating and drinking in a way that is damaging to our health, much of the time we know this, but there’s a mental disconnection occurring. The disconnection takes one of two forms – a split within the mind, or a split between the mind and body. When the mind is split, we allow ourselves to ignore what we know to be true. We might do this consciously, such as in telling ourselves, “I know I shouldn’t eat this whole container of ice cream, but I had a really bad day.” Eating the whole container of ice cream is harmful to us and we know it, but we justify it with a belief that having done something good or endured something bad entitles us to this indulgence. We may also do it unconsciously, by simply avoiding thinking about how our eating choices are likely to affect us. In either case, there’s a part of us that knows how to care for our body properly, and another part that pretends not to know. Playing this game never feels good. When the mind and body are disconnected, we tune out the feedback we get from our body during and after eating. It is this split that allows us to overeat, to eat too fast. All bodies give clear negative signals when we do this. When we don’t pay attention to how our body responds to different foods and ways of eating, we miss out on valuable physical information. Not only does our body tell us when we’ve eaten in a manner that it dislikes, it also tells us when we’re treating it well. Unfortunately, the concept of “listening to your body” strikes many as some kind of kooky New Age practice. I would guess that the great majority of modern humans ignore all but the most dramatic messages from their bodies. A good way to start healing these disconnections is through a practice of doing nothing but eating for one meal each day. Engaging in other activities while eating makes it easy for our consciousness to stray from the vital and enjoyable act at hand. It’s hard enough for many of us to eat consciously even when it’s the only thing we are doing. Why complicate it by trying to multitask while eating? Relax your mind: let go of worries before you start a meal. If this is hard to do, try making a deal with yourself – tell yourself you can worry all you want at a later time in the day and put it in your calendar. Turn off the TV, put away reading material, keep conversation minimal and light, and turn off any music (or keep it soft and light). Relax your body: no driving, standing, or walking while eating, and no exercise for at least half an hour after eating. Try to keep a portion of your attention (like ten percent) on how your body feels before, during, and after the meal. With practice, we can learn to perceive which foods our body likes and dislikes - often from the moment they touch our tongue. As we stay connected to our body, it becomes harder to eat more than our body wants. Think like an Okinawan. They are some of the longest lived people on the planet and they embrace a practice called Hara Hachi Bu, which means, "eat only until you're 80 percent full." You'll feel lighter and more energized as you leave the table. Emotions can strongly affect our digestion and the ability to stay focused on the act of eating. The nervous system is densely “wired” into the digestive tract. It’s why so many people experience nausea, appetite changes, diarrhea, constipation, or other forms of digestive upset when they’re stressed. The sympathetic division of the nervous system excites us, it raises our level of arousal, and it’s responsible for the “fight or flight” survival mechanism. When the sympathetic nervous system is activated – whether or not we’re in actual danger – blood is diverted away from the digestive tract (because digestion is less important to our immediate survival) and is sent instead to our lungs, heart, and sense organs. For this reason, thinking about the bills we need to pay, a recent conflict, or politics is best saved for a time other than during or just after a meal. Another reason to avoid being unsettled or engaged in other activities while eating is that it degrades something that should be a thoroughly enjoyable event. The frequency with which we do it doesn’t make eating any less special an act. When we eat, we are doing for ourselves what our mother did for us in the womb, and then while cradled in her arms. Later, she or another family member cooked meals for us and offered them with love. Eating reconnects us to these deep memories of being nourished and engaged with family. We put life-giving sustenance into our bodies and it keeps us alive; it makes us feel good; it gives us energy; it physically connects us with the earth, sun, plants and animals. So, when we eat while talking on the phone, while driving, or while working, we miss out on something important – a level of sustenance that goes beyond the food itself. Why not try this week to have one meal of just eating each day? Be well, Dr. Peter Borten

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