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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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Here's a fantastic seasonal favorite from the Best of Dr. Peter Borten articles vault! Enjoy, and please feel free to share YOUR favorite chilled summer treat recipes in the comments below!
--------------------------------------------------------------------------------------------
Ah, summer. The warm, bright sun, birds chirping, bees buzzing, and the sound of ice cream trucks in the air. We crave cold, sweet things like lemonade, ice cream, popsicles, and gelato. Somehow the specialness of summer convinces us to let ourselves and our kids indulge a bit more in the sugar. But summer treats don’t have to be full of refined sugar in order to be yummy and refreshing. Try these healthier variations on summer staples. You’ll feel in the spirit of the season, but don’t have to worry about putting on extra weight at a time of year when you may feel self-conscious of your body in skimpy summer attire.
In Chinese nutritional theory, sour foods are considered to help generate fluids in the body. When we’re hot and thirsty, the sourness of lemonade often feels even more refreshing than plain water. But the sugar just adds tons of extra calories (Minute Maid has about 12 teaspoons of sugar per 16 ounce glass) and makes you feel full if you drink too much. Your first healthier option is simply lemony water. A squirt of lemon (or lime) juice makes me much more enthusiastic about drinking enough water throughout the day. If you’re accustomed to drinking fruit juice daily, you can easily make the switch to lemony water and lose the extra sugar. If you don’t want to bring a lemon to work with you, try getting one of those lemon-shaped squeeze bottles of juice. If you have access to a juicer or juice bar, another excellent substitute for more sugary juices is cucumber juice. It’s wonderfully cooling in the summer. I like it with a squeeze of lemon and/or some fresh mint.
If you really want the sweetness of lemonade, try some stevia powder. It comes from the leaf of the stevia plant, it has no calories, and it’s much sweeter than sugar. You can also use it to sweeten your iced tea. (Bottled, sweetened iced tea, like lemonade, is full of sugar.) Also, you may wish to try a virgin mojito. Crush ice over fresh mint, add lime juice, stevia powder, and sparkling water. Very refreshing. Stevia powder varies a bit in quality. The lower quality stuff often has a bitter aftertaste. Generally, the 100% pure kind (which is also more expensive) tastes the best. A bottle will last you a very long time, because you only need minuscule amounts. You can find it at Trader Joes and natural food stores. It’s not quite as good as sugar, I’ll admit it, but you can get used to it.
Next are popsicles. The least healthy ones are made with high fructose corn syrup, artificial colors and artificial flavors. Slightly better are the fruit juice sweetened kinds, but keep in mind that they’re made with concentrated fruit juice so as to maximize the sugar content. Better still are homemade popsicles made with just plain juice, though they still have a decent amount of sugar. If you want a sugar-free version, I’ve come up with a good recipe that we make at home:
Brew several cups of fruity herbal tea. I like to use Lemon Zinger or Red Zinger (Celestial Seasonings) though there are many other options. Then add some lemon juice and stevia powder until it tastes right and freeze it using popsicle forms (or an ice cube tray with foil or plastic wrap over it and tooth picks poked through). I you really dislike stevia (first, I'd encourage you to try a few different kinds, including both a powdered one and a liquid one), a second healthier option is xylitol crystals, a plant-derived “sugar alcohol.” It tastes more like sugar than stevia, and it’s also somewhat more expensive. However, it’s not calorie-free – xylitol has about 40% fewer calories than sugar. But it doesn’t raise our blood sugar the same way that normal sugar does, so it’s a safe substitute for diabetics. Xylitol has some other interesting properties, such as helping to prevent tooth decay and treating allergies and upper respiratory infections (usually used in nasal spray or gum form for this). While it’s quite safe, consumption of very large quantities can cause gas and/or diarrhea. Another promising sugar alcohol called erythritol has fewer calories than xylitol, the same health benefits, and less potential to disrupt the digestion. You can find erythritol and even combination erythritol+stevia products (including the popular Truvia) at many grocery stores.
One other easy popsicle substitute is simply frozen berries. Blueberries are the most popsicle-like to me, and because they take longer to eat, you won’t eat a whole box at once. We always have some bags of frozen blueberries, raspberries, cherries, strawberries, and blackberries in our freezer. They are my daughter's dessert of choice.
When you really want ice cream, frozen bananas can be a surprisingly close substitute. Break them into small pieces before freezing them. Once frozen, put them in a food processor or a strong blender with a dash of vanilla extract, and puree them. You may need to open the blender a few times and push the banana back down into the blades (I recommend turning it off before doing this) in order to get all the lumps blended. In the end, you should end up with something that has the consistency of sherbet or soft serve ice cream. Kids love it. You can also add other kinds of frozen fruit to change the flavor. Another option is the addition of raw, organic cocoa powder. Usually, the sweetness of the bananas is enough to offset the bitterness of the chocolate, but if not, let the bananas get extra ripe (brown) before you freeze them, or try adding some stevia extract. If it’s not creamy (fatty) enough for you, you can add some coconut milk or pureed cashews and re-chill it for a while to help it thicken.
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Countless medical studies have shown just how dramatically our beliefs influence our health. People who believe they’re getting a new drug or treatment can experience improvements in mood or profound relief from pain – even when they’re in the placebo group. Our beliefs can alter how toxins affect us. And on the “nocebo” side of the equation (a negative placebo effect) we can even generate signs and symptoms of diseases we don’t have.
In one Japanese study, subjects known to have a strong reaction to poison ivy were told that one of their arms was being rubbed with poison ivy. Yikes! But researchers actually touched them with the leaf of a harmless plant. Every participant broke out in a poison-ivy-like rash.
The subjects were told that their other arm would be rubbed with a harmless plant. Instead, the researchers rubbed real poison ivy on them! But only two out of thirteen people had a reaction to it.
We can make ourselves sick and we can make ourselves well. The key is the incredible power of belief. It’s been thoroughly and indisputably proven, yet few people consciously exploit this magic on a regular basis. I’d like to change that.
As a start, I suggest we practice observing positive belief every time we put something into our bodies.
When you eat, try getting yourself mentally and emotionally enrolled in a positive expectation about how you’ll be affected by it. Admire the food. Tell yourself it’s going to be deeply nourishing. Your body is going to efficiently extract the nutrients and deliver them to all your tissues. It’s totally reasonable to expect that it will support clear thinking, high energy and mental calm, glowing skin, efficient digestion, optimal organ function, strong immunity, etc.
For best results I recommend building your expectations for a minute at the beginning of the meal, remembering this from time to time during the meal, and then happily anticipating the benefits after the meal.
You might even try bringing your attention inward, visualizing the nutrients being absorbed through your intestines and flowing into all of your cells, and telling yourself, “I allow myself to receive the fullest, most complete health benefit from this food” – or whatever words feel natural to you.
What happens when you say to yourself or a dining partner, “I feel really good from this food. My body thrives on good food. I can already tell that this meal is exactly what I needed”?
This should be even easier to do with supplements, herbs, and drugs, since you’re consuming them with a specific healing purpose and outcome in mind. Don’t forget it. Tell yourself as you swallow them (or apply them, if topical) that they’re going to do what they’re intended to do, that they’re perfectly compatible with your body, that the benefits are already starting (whether you can feel it or not).
If you make a practice of priming yourself to expect good things you’re significantly more likely to experience good things, to notice the good things, and to be grateful for them.
Be well,
Peter
[post_title] => Expect Good Things: A Practice for Getting the Most Out of Food, Medicines, and Supplements
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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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