Category Brain Health

Of Orifices and Zero Freedom

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As a physician, I have had the incredible honor and privilege of studying every part of the human body, to the most minute detail. I have hovered over cadavers which were fileted and displayed for they eyes of inquisitive medical students, and scrubbed in on colon resections, open heart surgery, neurosurgery, cataract removal, etc. During my first month of internship as a newly minted physician, I massaged a dying heart with my gloved hands (no, the patient didn’t survive). I have also delivered over 40 infants via vaginal and Cesarean methods, and have pronounced the demise of patients in the wards. In fact, there are many stories I have collected over the years, some incredibly sad, some disgusting, some frightening, and some infuriating, but all true, and all part of my experience as a doctor.

I knew full well that by signing up for an education in medicine, I would be subjected to disgusting, morbid, frightening things, and that I would face mortality on a regular basis. However, after several years of working in family practice, I began to notice that I wasn’t thrilled with the fact that I examined orifices of every kind on a very regular basis. Whether it was a nostril, a mouth, an ear canal, an anus, a urethral meatus (layman’s term pee-hole), or vagina I had to examine, I was never thrilled about it, and the orifices below the belt were certainly much more bothersome to address. My intense dislike of such examinations, combined with the tedium of primary care and the low insurance reimbursement for services and procedures provided, caused me to retreat from primary care and focus more on the areas I had more interest in, namely, physical medicine, cosmetic dermatology, and anti-aging medicine, all of which are much cleaner and which do not require me to conduct examinations on private parts.

Another feature of primary care which made me cringe was the intense demand on a practitioner’s time. The only time it ever seemed reasonable for me to literally lose sleep night after night as a physician was when I was in training. At this point, there is no way you could convince me that such a thing is healthy, and I refuse to sign up for that. I won’t give up weekends to take on three stacked 12-hour work shifts, and I will not give up the few holidays I celebrate (Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, and New Year’s Day) in order to work. As it is, I give up other major holidays to work, but since the work I perform on those holidays is in bodybuilding and fitness, I don’t mind it at all.

I love being a physician, and I find it incredibly rewarding to make a positive impact on my patients. However, I will not sacrifice balance in my life, or the freedom to pursue my other interests, in order to prove to society what a good physician I am. I don’t believe for a second that running oneself into the ground working as a physician ever sends a positive message to others. I don’t ever want to be the kind of doctor who is saddled with so many chart notes to write that an entire weekend is devoted to completing them. Not for me.

Lasty, I think it’s so strange that society still assumes that doctors are supposed to give their time and knowledge at a moment’s notice, on demand, yet I don’t see those same demands placed on people in other industries. I can’t tell you how many times I have been in a brief conversation with a complete stranger, who dares to ask me a medical question as soon as my profession is revealed. I swear, one of these days I am going to get a t-shirt made that says, “THE DOCTOR IS OFF-DUTY RIGHT NOW…NO MEDICAL QUESTIONS PLEASE”!

My Experience With Food Intolerance

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Before I began competing in 2009, I could pretty much eat whatever I wanted without any digestive or reactive consequence. All that changed by the time I earned my IFBB Pro Card in 2013, when I developed a number of food intolerances which forced me to change the way I ate and what I consumed. It was so bizarre for me to mount reactions to healthy foods which had never caused an issue in the past. During one particular contest prep regimen, I began to notice that every single time I ate broccoli, I would get severe abdominal cramps and a headache which persisted for an entire day (now they last for 3-5 days if I am stupid enough to eat even one small floret). I honestly believe that the extreme and repetitive meal plans which I consumed while competing were major factors in the development of my food intolerance issues.

I retired from competing in June of 2014, yet I developed even more food issues. I noticed that other foods were aggravating my gut, my skin, my head and my mood, so I decided to eliminate them. In January of 2015, I had an ALCAT food intolerance test, and discovered that broccoli on the list of offending foods for me. I also had SEVERE gluten intolerance, as well as intolerance to coconut, flaxseed, mangoes, casein, blueberries, and a number of other foods which are considered healthy. In an effort to allow my body to calm down, I eliminated every food which I had any intolerance to (there were about 30 foods) for close to a year. To this day, I am very careful about the foods which my body rejects, and keep my exposure to a minimum.

I will allow myself to have blueberries, coconut, mango, lobster, cashews, bison, and spinach on rare occasion, and have noticed no reactions. However, I mount strong reactions to other foods and food combinations. For example, within two consecutive days of eating flaxseed, I develop one or two deep, painful, cystic pimples on my face which will not resolve until I stop eating flaxseed. When I eat gluten, I become irritable and emotional, I get headaches, my belly aches, and I don’t sleep well. Of course I didn’t know that this was the case until I did an elimination diet and gradually began feeling better, then tried eating gluten after many months of avoiding it. Every time I ingest gluten containing foods, I notice symptoms which can be mild or severe depending on the food and the quantity eaten. Pizza is VERY dangerous for me now, so if I am faced with the prospect of eating the cheesy, gluten filled meal, I have to take a Glutagest (which breaks down gluten in the food eaten) if I want to avoid the ugly consequences of allowing gluten to enter my body. The combination of pizza and wine is even worse. I might as well forget about functioning like a normal person for a couple of days if I dare to consume this food and drink duo.

I agree that the whole gluten-free trend has gotten a little out of hand, but I also strongly believe that there are many people walking around with gluten intolerance and other food intolerances who have no idea that the foods they are consuming are affecting their health and well-being. I have personally benefitted from going gluten free and avoiding foods my body rejects, and have been rewarded with more luminous skin, thicker hair, better digestion, better overall mood and energy, and much better sleep.

If you suspect that you have food intolerance, try eliminating the suspect food to see if it makes a difference. Trust your body’s signals. And if you want to get a food intolerance test, check out ALCAT.com and Everlywell.com for the kits they offer.

Do You Have Food Intolerance?

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What Is Food Intolerance?

Have you ever noticed that when you eat a certain food, such as tuna, blueberries, avocado, asparagus or broccoli, that you get extremely bloated to the point that you are extremely uncomfortable? Since the foods I mentioned are celebrated for their many nutritional benefits, it might not occur to you that you most likely have an intolerance to that food. Up to 80% of the U.S. population has some form of food intolerance.

Most people are aware of food allergies, but food intolerance is a different phenomenon which can have a tremendous effect on a person’s quality of life. Food allergies appear quite suddenly, from seconds to minutes after ingestion of the offending food, and can be life-threatening, whereas food intolerance is a more gradual process (taking hours to a couple of days for symptoms to emerge), not life-threatening, and may only occur after a large amount of the food is eaten. Food allergies and food intolerance can both cause similar symptoms, such as abdominal pain, nausea, and diarrhea, but food intolerance is notorious for causing bloating, heartburn, irritability, headaches and general malaise. The most common food allergy triggers are peanuts, tree nuts, shellfish, fish, soy, wheat, milk and eggs, while the foods most commonly associated with food intolerance are dairy products, gluten-containing grains, eggs, citrus, beans, cabbage, and broccoli.

People who are allergic to certain foods know that even a small amount of the food can trigger an allergic response, and the response occurs every single time the person is exposed. The immune system reacts to the food by causing a release of IgE antibodies, which then cause a release of histamines and cytokines designed to attack the offending agent. Sometimes the entire body is affected by this response, and symptoms such as shortness of breath, hives, rash, or a sudden drop in blood pressure can occur. Food intolerance, in contrast, is more insidious, and may only occur if a large amount of the triggering food is eaten or if it is consumed frequently. Trigger foods will cause a rise in IgA, IgG, and IgM antibodies, causing the body to mount a delayed reaction which is characterized by mostly gastrointestinal symptoms, but which can cause other symptoms as well. Regardless of how the body reacts, the discomfort caused by poor digestion of the food can be enough to make the sufferer miserable.

Why does food intolerance occur? There are several explanations. One cause is enzyme deficiency. All enzymes are specific to one type of molecule, such as lipases which break down fats. Sometimes an individual can be deficient or completely lacking in a very specific enzyme which is required for digestion of a particular food. A common example is found in lactose intolerant individuals who do not have enough lactase to break down the milk sugars into their constituent parts for absorption in the intestine. The lactose cannot be broken down so it sits in the intestine, causing bloating, spasm and diarrhea when it sits in the digestive tract. Approximately 25% of the U.S. population suffers from lactose intolerance, which amounts to a lot of bloated bellies from the consumption of dairy products.

Another common type of food intolerance is to gluten. Gluten is highly resistant to digestion as it is, and in some individuals, the gluten cannot be broken down at all. The problem with gluten is that it is found in wheat, rye, barley, spelt and kamut, so avoiding gluten can be challenging to say the least. Approximately 1% of the U.S. population has celiac disease, while about 15% have gluten intolerance. Regardless of whether someone has celiac disease or gluten intolerance, ALL gluten must be avoided. However, if there are occasions in which completely avoiding gluten is impossible, digestive enzymes, specifically DPP-IV, can help individuals to digest meals containing gluten.

The list of substances which people may have an intolerance to doesn’t stop there. Some individuals cannot break down phenols, including salicylates, due to insufficient amounts of xylanase, and suffer from behavioral and learning disorders, including ADHD and autism. Some individuals are unable to break down disaccharides, an intolerance which is closely linked to irritable bowel disease, ulcerative colitis, Candida overgrowth and autism. As if all that wasn’t enough to worry about, there are chemical substances in foods which can spark intolerance, such as caffeine, aflatoxins in undercooked beans, amines in cheeses, artificial colorings and flavorings, preservatives, sweeteners, emulsifiers, nitrates, MSG, sulfites and salicylates. Salicylate intolerance can cause a susceptible individual to react to large amounts of salicylate-containing foods, particularly citrus fruits, teas, mint flavoring, berries and processed foods with flavor additives.

The digestive tract regularly takes the brunt of foods, medications, hormones, and chemical additives which can interfere with repair of the gut lining, causing increased intestinal permeability which is more commonly known as leaky gut. Leaky gut is characterized by the loosening of tight junctions between the cells which line the gut, thus allowing food molecules to pass through. These free floating food molecules are viewed by the immune system as a threat and will mount an immune response which manifests as the signs and symptoms of food intolerance. Think of all that food sitting in the gut, undigested. Pretty unnerving, huh?

How To Diagnose Food Intolerance

Diagnosing food intolerance can be extremely difficult since the signs and symptoms often mimic those of food allergy. One method of ferreting out which foods are involved in a food intolerance is keeping a food diary in which all foods eaten are recorded, along with symptoms and their time of onset. After suspected trigger foods have been determined, an exclusion diet can be implemented, in which those foods are removed from the diet for weeks to months. If the symptoms disappear during the exclusion phase, potential trigger foods can be re-introduced after this phase is completed in order to determine which substances are problematic. If the food intolerance is mild, a small amount of the food will not trigger symptoms, and in many cases may still be consumed, especially if enzymes are taken to aid in digestion. Essentially, many people can return to foods which they were mildly or even moderately intolerant of after avoiding it for a period of time.

Blood testing is considered the most reliable and comprehensive form of testing for food intolerance, but there are only a few laboratories which specialize in this type of test. ALCAT, Pinnertest.com and HEMOCODE Food Intolerance System are laboratories which offer food intolerance testing via serum analysis, with ALCAT considered the largest food intolerance testing group in the U.S. We offer ALCAT testing at the facility where I work (Urban Med) because it is considered the gold standard method for laboratory identification of non-IgG-mediated reactions to foods, chemicals, and environmental triggers. Some insurance plans will cover part or all of the expense of the testing, so it is always worth inquiring about insurance coverage, especially since these panels run from $675 to $850. Here’s the thing: though the testing is pricey, it is very specific. In addition, you get a detailed rotation diet for reintroduction of the foods which you have intolerance to after you have eliminated them for the recommended period (3 months for moderate intolerant foods, 6 months for severe intolerant foods).

L-Carnitine Tartrate For Athletic Performance

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I am personally a big fan of l-carnitine supplementation. This amino acid compound, consisting of lysine and methionine, can be found in a couple of different forms. This article discusses L-carnitine tartrate, which is the form known to benefit athletic performance and recovery.

There are a couple of important points to consider when supplementing with carnitine. First of all, insulin must be present in the body for carnitine to enter muscle. One way of taking carnitine is to ingest carnitine with carbs so that there is an insulin release, but another effective option is to ingest carnitine with omega-3 fatty acids. Omega-3 fatty acids optimize cell membrane health, thus making cells more sensitive to insulin. Carnitine serves as a delivery system for fatty acids, so if carnitine levels are high, more fatty acids will be shuttled into cells to be utilized for energy.

Conversely, when carnitine levels are low, fewer fatty acids are moved into the cells and are instead stored as fat. Supplementation with carnitine before intense exercise, especially cardio, will switch the focus on burning fat rather than utilizing glycogen stores, resulting in longer sessions before glycogen stores are depleted. In addition, the presence of carnitine inhibits production of lactic acid, so recovery from intense exercise is more rapid.

Carnitine is not only an excellent performance supplement, it also serves as an excellent means of addressing metabolic syndrome. Metabolic syndrome, characterized by diabetes, atherosclerosis and high cholesterol, can be countered by carnitine’s ability to induce fat loss, prevent atherosclerosis and minimize the development of diabetes. After several months of carnitine supplementation, carnitine levels reach a level at which energy production and performance are enhanced. For this reason, it is best to consider carnitine an essential supplement in your daily regimen rather than as something taken only periodically.

Take 500 to 2,000 milligrams of l-carnitine tartrate daily, along with omega-3 fatty acids, for best results.

Two Breaths

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Regular meditation practice has shaped my life for the past eleven years, and I honor and value all it has bestowed upon me in terms of balance, harmony, calmness and peace. When I began practicing meditation on a consistent basis, I was at a low point in my life as a result of a long-term relationship which had suddenly terminated. As fate would have it, I met a wonderful person who became my meditation teacher, my spiritual guide, and my dear friend. He invited me to become part of a local meditation group which met one to two times per week, and I gladly accepted. Within a couple of months, I began to learn how to sit in silence, let thoughts and feelings go, and focus on being completely in the moment. I quickly realized what a gift it was to fall into awareness during these sessions.

After my meditation teacher passed away in April of 2014, I went through a rough period in which I was so grief-stricken by his death that I was paralyzed, unable to meditate for several months. When I returned to meditation practice, it was alone, without the comfort of a group, but I was able to quickly fall into awareness during my sessions.

At the beginning of this year, I encountered another difficult life challenge, and instead of shying away from my meditation practice, I decided to sit daily. One tool which kept me accountable with daily meditation practice was a phone app called Insight Timer, which I still use. It is no longer a struggle for me to sit daily in meditation, and I have noticed profound changes in my demeanor and my general outlook on life.

In an effort to fortify my spiritual practice, I added kundalini yoga, and have noticed even more profound changes in my energy and my physiology, especially in my breathing. A few days ago, I had noticed that my respiratory rate had become much slower, so I decided to assess it while I practiced relaxation breathing. I was astonished when I discovered that I am now able to slow down my breathing to two respirations per minute. The breaths which I take during meditative and relaxation sessions are very slow, with a pause at the end of both the inhalation and exhalation phases.

Most people are so accustomed to shallow respirations in their daily lives that they assume that 12 to 14 respirations per minute is considered acceptable. As a physician, I regularly encounter a respiratory rate in that range, and am trained to consider that normal. However, in my spiritual practice, I know that in order to take 12 to 14 breaths per minute, the breaths tend to be quite shallow.

Modern society keeps us on the hamster wheel and fosters anxiety, but it is vital to step off the wheel, slow down, and allow the trappings of daily life to fall away so that we can truly let go. If you find yourself constantly wound up, try slowing down your breathing on a consistent basis. It has beneficial effects on your mood and blood pressure, and decreases muscle tension.

Keep That Body Running Smoothly

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I’m willing to bet that most of you who are reading this article keep up to date with scheduled maintenance on your vehicles so that they will run as smoothly as possible. I also know that many of you insist on using a certain brand or grade of gasoline to optimize your car’s performance. Do you take care of your body in the same way, putting healthy, nutritious food into your gullet every day? Do you exercise regularly? If the answer to either or both of those questions is no, then you are neglecting your body’s needs for optimal function, fitness and health. Over time, such bad habits have a cumulative effect and can manifest in countless diseases and dysfunctions, including potential killers like hypertension, heart disease, diabetes and cancer.

Just as additives in gasoline can hinder the performance of a car, processed foods will interfere with optimal body functions, and your body must deal with breaking down, eliminating, or storing the chemicals found in packaged meats and other junk foods. The preservatives and artificial colors and flavors which are added to packaged foods trigger production of free radicals in the body. Free radicals are unstable molecules which damage the cells of the body and contribute to the development of cancer, atherosclerosis, and aging in general. In contrast, foods which are rich in antioxidants offset this harmful cascade. If your meals regularly consist of fresh vegetables, fresh fruit, nuts, beans and lean meats, you will be filling your body with clean fuel, providing nutrients which will optimize your health.

Another important component of optimal daily body maintenance is regular exercise. If you can commit to a consistent exercise schedule (and you CAN), you will reap a myriad of benefits, including improved circulation, better cardiac output, improved muscle tone, better concentration, and more energy. Your body is an amazing machine, and just like any machine, will begin to malfunction if it is mishandled or neglected. Regular exercise can be compared to running the engine in your car regularly to keep the pistons and gears running smoothly.

What Are You Waiting For?

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While working at a recent bodybuilding event, I had a very interesting conversation with one of the attendees. He was a 42 year old man who revealed to me that he had a couple of health concerns, and who very clearly stated that he wanted to be healthy for his sons (one son was about 10, and the other was about 13). He had a habit of eating fast food daily, and he never exercised because he figured that he was at a normal weight and didn’t need to work out.

He told me that he was so busy with work and with taking the boys to all their practice sessions that there was no time right now to train or to clean up his eating habits. He went on to say that he figured he would wait until the boys were older before he got into an exercise program and cleaned up his diet.

I very nicely told him to make every effort to fit in 10 or 15 minutes of intense plyometric or calisthenics work each day, between work and carting the boys around for their soccer and baseball practice sessions, but deep inside I was incredibly frustrated. I even told him that if he indeed waited a few years until the boys were older, major disease processes like diabetes or high blood pressure could emerge and put him in a dangerous health situation. However, I could tell that my words fell on deaf ears, and that this man would not take any steps towards a healthier lifestyle.

I honestly and truly believe that when it comes to anything in life, where there’s a will, there’s a way. If someone truly wants to positively impact his or her health, then steps can be taken immediately to develop a consistent regimen. There have been plenty of people who have made excuses and lived in denial, who were suddenly stricken by stroke or heart attack. Once a major event like that occurs, assuming someone survives it, there’s a big wake-up call and the person is forced to make the changes he or she didn’t want to make years ago.

Why wait?

Kombucha

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Kombucha is a fermented beverage made from black tea and either sugar, honey or fruit, which has beneficial probiotic and antibiotic qualities. Once the solution is mixed, it is then fermented by a combination of bacteria and yeast better known as SCOBY (symbiotic colony of bacteria and yeast). There are numerous positive effects on the body, which are discussed here.

GUT HEALTH:

Kombucha is loaded with good bacteria (known as probiotics), as well as enzymes and yeast which assist in breaking down foods for enhanced absorption and digestion. Since the mixture is doing some of the work in digestion, your gut is better able to do its job without being overloaded. Kombucha also restores a healthy pH balance in the gut, and its consumption is highly recommended for individuals dealing with irritable bowel syndrome, Candida overgrowth, and many other digestive disorders.

The fermentation process involved in the production of kombucha also produces butyric acid, which has strong antimicrobial and anti-cancer features, protects the gut against yeast overgrowth, and destroys parasites which might be lurking in your gastrointestinal tract.

ALL THAT GOOD STUFF:

The fermentation process involved in making kombucha produces by-products such as acetic acid, which inhibits the growth of harmful bacteria, thus conferring a protective effect upon the body against infection. Kombucha also contains naturally occurring glucosamine, so chugging this fermented beverage can also aid in joint function and health. It is also chock-full of vitamin C and vitamin B, and truly helps to cleanse the liver and rid the body of free radicals.

I remember a roommate from 2008 who had begun drinking raw kombucha regularly, and he insisted that it was the most fantastic new health beverage. What I hadn’t realized then was that kombucha has actually been around for over 2,000 years, originating in China, then spreading to countries such as Korea, Japan, Russia, and India.

My roommate kept insisting that I try kombucha, even when I told him that the slimy sludge floating in the bottles made me want to gag. I finally did try a sip of kombucha in 2009, and found that I didn’t like the incredibly tart, vinegary flavor at all.

Despite my first unfavorable experience kombucha, I decided to try some of the newer brands, like Health-Ade, Synergy and Revive, last year. It turns out that kombucha has come a long way, with better flavor, and the SCOBY colonies are somehow less disgusting than what I remember from years ago. The fruitier versions are fizzy, refreshing, and quite tasty. Because of its acidity, kombucha should not be consumed in excess. My recommendation is to drink 4 ounces per day to obtain the probiotic benefits of this strange and popular beverage.

How To Keep Cool At Night

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The one part about summer which I never miss is the endless string of hot nights which keep me tossing and turning. In an effort to keep the ambient temperature as comfortable as possible while I slumber, I have tried many different methods to cool down, and some still do the trick quite nicely. Thankfully, the mercury should start dropping soon, and the blazing hot nights will abate.

Here’s what has worked nicely for me in my quest for a cool sleeping environment:

1. Central A/C is always set for a certain temperature. We have it set at 77 degrees because at 78 degrees or higher, the entire household (there are four of us) bakes like incubating baby chicks.

2. The ceiling fan in my bedroom is always on. There’s nothing I can do about the fan placement, and often lament the fact that the fan is positioned over the foot of my bed instead of over my head, but the bedroom is huge. If I owned the place I live in, I would install three ceiling fans in line so that I could stay cool in bed, sitting in front of the television, or sitting at my desk on the other side of the room.

3. I have two sleek tabletop fans on my nightstands which are wonderful on hot nights. They have a slim profile, and are relatively quiet.

4. I always use 100% Egyptian cotton sheets, which have more of a tendency to stay cool than sheets which are a lower thread count or made of synthetic materials.

5. I have a cooling mattress pad on my mattress. The brand I have, PureCare Frio 11 Inch Cooling Mattress Protector, is acceptable but not great.

Frio Cooling Mattress Pad

Several other bloggers have recommended the Slumber Cloud Nacreous Mattress Pad which is available at slumbercloud.com, and I have a sneaking suspicion that it does a better job of cooling than the Frio.

6. When I was dealing with the worst of my perimenopausal nights sweats, I would place an ice cold gel pack between my shoulder blades and sleep on my back so that I could maximize the surface area which came into contact with the pack. After two summers of using gel packs on a nightly basis, I am thrilled that I haven’t had to resort to such craziness this summer.

7. On the hottest summer nights, I will take a tepid shower before retiring. The shower ritual cools core body temperature and primes the body for more restful sleep.

8. I will often kick a foot or an entire leg out from under the covers to cool down. This has been scientifically proven to decrease core body temperature. Some researchers even recommend that people sleep with their feet completely unencumbered by socks or bedding.

What did NOT work for me was a bed fan. I had seen the BedJet Climate Comfort Cooling Fan and was intrigued by it, but the steep price ($300 and up) caused me to lose interest quickly. When I learned that there was a Brookstone version of the bed fan, and that it was $99, I quickly purchased it, only to be so disappointed by the performance that I returned it. Even with the lightweight sheets I have on the bed and a simple coverlet (no blanket, no heavy comforter), and with the fan cranked up to the maximum setting, the device spewed out just enough air power to keep the toes of one foot cool.

I am intrigued by the Breezy Buddy fan-cooled pillow and wish I had known about this product when I was in the throes of hormonal night sweats. However, I no longer need such a device.

If you are looking for ways to cool down your bedroom, you might want to try a few of the suggestions I have discussed here. Here’s to a restful and cool night’s sleep!

YouTube Review Of Spry Sugarfree Gum

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Many people who know me well know that I won’t touch any products which contain aspartame, and I am also not a huge fan of sucralose. It is such a relief to know that great natural products like Spry Sugarfree Gum are available to consumers. Spry is sweetened with xylitol and is all natural, plus the flavors are very tasty and long-lasting. You can watch my unbiased review of Spry Gum here: