Post #70 – Resources I used to rehabilitate my knee: Part III – Strength, Mobility & Flexibility Issues

18 Saturday Apr 2026

Posted by purposelyliveto120 in Uncategorized

Tags

health, arthritis, fitness, wellness, exercise

[I took almost two years of hiatus from writing my blogs posts. My knee rehab had regressed, which felt very disappointing. I did not really feel that it was yet appropriate to write about this topic yet. In any case, here it is – I still wanted to complete this topic, before moving on to something else.]

A little over now almost 4 years ago, I hurt my knee. I was doing some vigorous aerobic workout style dancing. I might have twisted my right knee, and it started to hurt really badly. I thought it would be fine in a couple of weeks by giving it the usual TLC. But it took a long time to heal it. And it turned out to be quite a journey and an interesting opportunity to learn.

Whenever I talk to my contemporaries, the topic of knee pain comes up frequently. So, I thought I would share here my journey of healing my knee pain and more importantly the resources I found useful. Trust others will find this information useful.

In Part 3 of this series of blog posts, I share different resources for the major underlying causes of knee issues including atrophied muscles, ligaments and tendons and how to rehab and strengthen those.

History and Background

You see I have been dealing with knee pain off and on for a long time. Over 30 years ago, I took up the goal of running a marathon. I had an ultra-marathon runner Stu Mittleman, who set the world record in 1,000-mile run, to create a program for me. I started training in earnest. Ran my first competitive 5K. And then my right knee started hurting when I ran. I could not figure out how to run pain free. So, that was the end of my marathon running goal.

Since that episode, over the last thirty years, I have been working on bringing my knee functionally to 100%, judging by the capacity and capability of my left knee. It is still at 100%, but it is the closest it has come to that goal in thirty years.

With the help of orthopedic doctors, I was able to diagnose one of the causes of my knee pain. I had a case of mild arthritis. Over the years and at my check-up about four years ago, I was told it was more like mild to moderate. About a year ago, I re-did X-rays and MRI. The knee cartilage showed degenerations in all three compartments and so the doctors started to characterize my knee arthritis as moderate to severe.

Additionally, I started to feel pain in my right glute, in the gluteus medius area. While skiing during the prior winter, I fell on my right side, so I thought that fall might have been the reason.

Still determined to stay fully functional and pain free, I continued my healing journey.

Physical Therapy to Rehab Atrophy of the Right Leg

For my gluteus pain, Orthopedic doctor referred me to a Physical Therapist. PT tested strengths of my legs and quickly demonstrated that my right adductors, abductors and glues were much weaker compared to the left leg. I figured, maybe underuse of my right leg due to pain, muscles, tendons and ligaments had atrophied. So, I signed up for 8 weeks, twice a week, therapy to strengthen and balance my legs.

I shared the same information with my physical trainer. So, in addition to the PT, both while working with the trainer and by myself, I started to focus on strengthening my right glutes, adductors and abductors.

All that helped. But only somewhat. I continued to have symptoms of pain in my glutes every time I squatted and feel tightness on the outside of my right knee. In addition, I would sometimes notice soreness in my right calf as well.

Stability of the Knee through Back Stabilization

Researching for my glute issue led me to Stuart McGill, Professor at McGill University in Canada who has dedicated his career to understanding and alleviating back pain. Reading his books, I found that the stability of knee can come from stability of the back. Stuart McGill has a very popular three exercise protocol, called Stuart McGill’s Big 3. I discovered that whenever I did his three exercises, prescribed, modified crunches, bird dog, and side planks, my knee felt much more stable and pain free. There are lots of YouTube videos on Big 3. For example, here is one McGill Big 3 Core Routine .

Physiatrist

I got a referral to a physiatrist, who manages pain without surgical interventions. Upon examination, the first thing he did was to get a knee X-ray and MRI of my lower back. X-ray showed moderate to severe degeneration of the knee cartilage. MRI showed degeneration of my cartilage between my L4 and L5 and S1. He recommended an epidural injection to the lumbar to “calm” any inflammation and then reassess.

Epidural made a dramatic impact on my glute pain. So, basically nerves (sciatic) existing between L4, L5 and S1 were getting irritated and so whenever I squatted. It also alleviated pain in the calf. It made tightness on the outside of my right knee.

MRI of the right knee showed some degeneration of the ACL also.

Next, he recommended injections of hyaluronic acid to alleviate lack of synovial fluids in the knee joint and a platelets rich plasm or PRP as a complementary therapy.

By now, I have already done two courses of hyaluronic acid, another course of epidural and one course of PRP.

I found both injections of hyaluronic acid and PRP to be incrementally beneficial for improved mobility and reduced pain.

Strength, Flexibility and Mobility Training

My trainer and I have continued to focus on strengthening all aspects of my legs. Doing bilateral and unilateral strengthening of glutes, quads, hamstrings, calves, and hamstrings. We have also been focusing on the joints up and down from the knees by improving end-range flexion, extension, rotation mobility of of knees, ankles, hips and pelvis.

Scott Hogans’s book, Built from Broken has been indispensable in this respect. Especially, healing tendinopathy. It is amazing how long it takes and how much patience is required to heal tendons and ligaments. Yet it can be done.

Pranic Healing

Last year, my wife and I learned Pranic Healing from Master Co. I have had healers do the healing on my knee with particular emphasis on cartilage regeneration. Yes, there are Pranic healing protocols that claim will regenerate cartilage. I don’t have any proof yet that the session of healings have actually regenerated cartilage. But it will be fascinating to see if there are signs of cartilage regeneration in future X-rays or MRI images.

Bottom Line:

With all that work, right knee is not 100% yet. However, it is very functional and continues to get better.

On my most recent ski trip, I was surprised to find that both my left and right ski turns were symmetrical. I have always felt I preferred one side of my turn more than other. Skiing this time, I could not remember which side I used to prefer!

I trust others can benefit from the research, lessons, experience and resources that I have shared here from my journey of staying close to fully functional for over thirty years in spite of degeneration in my knee due to osteoarthritis.

Here are some key takeaways.

From my research and experience, I have found that while cartilage degeneration may be the underlying cause of osteoarthritis knee pain, if caught early fixing the underlying cause such as misalignment of hip and knee joints can prevent the issue from getting worse or may even heal the knee joint.

There can also be other issues up and down the chain, including degeneration in the spine, e.g. lumbar in my case.

Also, once degeneration has occurred, it can lead to atrophy of muscles, tendons and ligaments that can accelerate pain and disability.

Focusing on alleviating the structural issues along with working on strengthening muscles and all related connective tissues not just the knee but up and down from the knee can keep one functional for a long time.

Of course, this is not medical advice, and you should check with a medical doctor about your specific situation.

What are your thoughts or experiences on this subject?

Would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #69 – Resources I used to rehabilitate my knee: Part II – Knee Misalignment Issue

05 Friday Jul 2024

Posted by purposelyliveto120 in knee-pain, Muscoskeletal alignment, Optimal Health, Uncategorized

≈ Leave a comment

Tags

arthritis, fitness, health, knee-pain, Muscoskeletal aignment, osteoarthritis, The Egoscue Method

A little over two years ago, I hurt my knee. I was doing some vigorous aerobic workout style dancing. I might have twisted my right knee and it started to hurt really badly. I thought it would be fine in a couple of weeks by giving it the usual TLC. But it took over two years to heal it. And it turned out to be quite an opportunity to learn.

In this Part 2 of this series of blog posts, I share different resources for the major underlying causes of knee issues, that is knee alignment.

History and Background

You see I have been dealing with knee pain off and on for a long time. About 30 years ago, I took up the goal of running a marathon. I started the training. Ran my first 5K and then my right knee started hurting whenever I would run. Could not figure out how to run pain free. So, that was the end of my marathon running goal.

Since that episode, over the last thirty years, I have been working on bringing my knee functionally to 100%, judging by the capacity and capability of my left knee. It is still not there 100%, but it is the closest it has come to that goal in thirty years.

Orthopedic specialist diagnosed the causes of my knee pain to be arthritis. Initially, arthritis was diagnosed as mild. At my last check up about two years ago, I was told it was more like mild to moderate.

But what caused my arthritis? And was there another reason for pain? So, could you I just everything I wanted to do in spite of my arthritis. After all, my left knee also has mild arthritis. But I never feel any pain issues in my left knee.

In Part I, I discussed structural issues of the knee that could lead to knee pain. Knee misalignment is the topic of this blog post.

Turns out if knee is not properly aligned between the hip and the ankle, that can be an issue two different ways.

First, if the weight is born disproportionately by the spot where the cartilage is missing, it will cause pain.

Second, the part of the cartilage that bears disproportionate amount of the body weight, repetitive motion, e.g., running or jumping rope, can also erode cartilage on that part of the knee.

Knee misalignment becomes a sort of a vicious negative cycle. So, fixing knee misalignment is imperative for a lasting solution.

Resource for Fixing Misalignment – The Egoscue Method

I got introduced to Pete Egoscue the creator of the Egoscue Method almost 30 years ago at Tony Robbins Life Mastery program in Hawaii. Pete Egoscue demonstrated a very unique way of correcting joint pains due to one or more body misalignment. Even more amazingly eliminating the pain through some simple exercises, he called e-Cises.

Unfortunately, when I first encountered my knee pain, Pete Egoscue was not easily accessible, since he lived and practiced on the west coast. On hindsight, I should have probably gotten on a plane and worked with him anyways. I basically relied on his first book. And, ended up helping myself and a lot of other people with some issues, including back pains. But could not really fix knee misalignment on my own.

Now his technique is accessible through Egoscue clinics around the world. You can find probably one in every major city in the US. And now therapists can also work with you over a Zoom Call.

This time around, that is what I did, since my traumatic knee pain episode occurred in the middle of COVID pandemic. I worked with the Egoscue Clinic in Arlington VA.

The therapist takes pictures and checks out the alignment to diagnose what misalignment might be causing the issue. Here is one of set of my pictures. You simply draw a straight line from hip to the ankle. If the line does not cross in the middle it indicates misalignment can can cause knee issues over time.

Also, it is important to diagnose whether your knee is overly internally rotated, i.e., pronated, or overly externally rotated, i.e., supinated. During load bearing activities, either of these situations can lead to greater stress at the knee joints and the ligaments and can lead to knees issues and knee pain.

My right knee was bow-legged and externally rotated. See the below picture before I started the Egoscue therapy.

Those conditions were causing stress on the inside of the knee joint, where cartilage had also eroded. What came first the cartilage erosion or the bow-leggedness and the external rotation? That was the question, I have always wondered, but don’t know the answer to this chicken-or-egg question.

Based on the diagnosis, the therapist then have you try a series of e-Cises. Those e-Cises become the menu that you would do over the next couple of weeks or longer.

After practicing the give menu of e-Cises, with the therapist again, to reassess and create a new menu. Often, it becomes a process of “peeling the onion” by resolving first the superficial issue and then go on to resolving the deeper issues that might be at the core. Lot of time, taking care of the superficial issues often resolve the pain. However, it is really important to get the whole body in alignment to resolve things permanently and even preventatively.

The following picture shows alignments after working with the Egoscue therapist. As you can see, alignment of the right knee is a whole lot better, but head alignment still needs work. Ideally, head should be in line with shoulder, hips, knee and ankle. And, both shoulder should also be parallel to the ground.

My experience – Working with an Egoscue therapist, I discovered bow-leggedness and the tendency for my right knee to outwardly rotate lessened significantly. While working on the knee, the therapist also pointed out issue with the curvature of both my lower back and the upper back. These curvature issues were leading to pain in my lower back. I also worked on the back issues and significantly improved the alignment. Another important outcome was that I got quite aware of my posture and how that could lead to other musculoskeletal issues.

Bottom Line:

From my research and experience, I have found that it is important to find out what is the underlying structural issue for knee pain. It is equally important to diagnose to see if knee falls outside a straight-line connecting hip and ankle and if knees is rotated inward or outward. Either of these conditions can cause wear and tear of the cartilage and/or undue stress on the other connective tissue from repeated use under load-bearing conditions. It can also be the source of knee pain.

Working with a therapist trained in the Egoscue Method can be very effective in re-aligning the knee.

Of course, this is not medical advice, and you should check with a medical doctor about your specific situation.

What are your thoughts or experience on this subject?

Have you used other therapies or methods for correcting body misalignment.

Would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #66 – Optimal Health through Optimal Breathing

03 Sunday Jan 2021

Posted by purposelyliveto120 in Aging, Biomarkers for Stress, Breathing, Living to 120, meditation, Mental Health, Optimal Health, Optimal Sleep, Reversing Chronic Diseases, Uncategorized, Vigor, Vitality, wellness, Yoga

≈ 2 Comments

There is an old joke. Question: How do you live long? Answer: Just keep breathing.

Joke aside, when was the last time you gave any thought to breathing?

Are you breathing too much? Too little? Just enough?

Are you breathing the right way?

Are you breathing optimally?

What kind of impact breath can have on your health?

Can you cure chronic diseases by breathing in a certain way?

Can you cause chronic diseases by NOT breathing in a proper way?

Being a student of yoga and meditation, I have been quite aware of breath and different ways of breathing and subjectively feeling differently when breathing certain way. And I am always curious about finding other methods of breathing.

So, when I picked up James Nestor’s book: The New Science of Lost Art, I thought I might learn a few more distinctions about breathing. I was blown away by how much I did not know about breathing and how big an impact breathing can have on our health.

Nestor describes how the ancient wisdom of breathing, has been discovered and rediscovered over time by people he calls Pulmonauts, i.e., the breath explorers. He beautiful weaves this ancient wisdom with explanations we now know through science along with his personal exploration and experiences.

The book is well worth the read. I definitely learned a lot.

Here are some nuggets that I picked up from this book:

Keep Your Mouth Shut – especially When Sleeping. As Nestor explains:

“During the deepest, most restful stages of sleep, the pituitary gland, a pea-size ball at the base of the brain, secretes hormones that control the release of adrenaline, endorphins, growth hormone, and other substances, including vasopressin, which communicates with cells to store more water. This is how animals can sleep through the night without feeling thirsty or needing to relieve themselves.

But if the body has inadequate time in deep sleep, as it does when it experiences chronic sleep apnea, vasopressin won’t be secreted normally. The kidneys will release water, which triggers the need to urinate and signals to our brains that we should consume more liquid. We get thirsty, and we need to pee more. A lack of vasopressin explains not only my own irritable bladder but the constant, seemingly unquenchable thirst I have every night.”

So, here is an interesting vicious circle: if you are not getting enough deep sleep, you would wake up more often due to inadequate vasopressin. And, if you wake up more often, you are probably not getting enough deep sleep.

Simple Solution: Tape you mouth shut when you are sleeping. Really!! It is that simple. And watch how you sleep and all biomarkers that good sleep brings improve. It may even improve or eliminate sleep apnea. From his own experience of trial and error, Nestor recommends 3M Nexcare Durapore “durable cloth” tape, to tape your mouth shut. It works great, I can vouch for it.

2. You Can Use Breathing to Activate Parasympathetic or Sympathetic nervous System: As Nestor explains:

“The right nostril is a gas pedal. When you’re inhaling primarily through this channel, circulation speeds up, your body gets hotter, and cortisol levels, blood pressure, and heart rate all increase. This happens because breathing through the right side of the nose activates the sympathetic nervous system, the “fight or flight” mechanism that puts the body in a more elevated state of alertness and readiness.

The left nostril is more deeply connected to the parasympathetic nervous system, the rest-and-relax side that lowers blood pressure, cools the body, and reduces anxiety.”

Now how cool is that!

3. Carbon Dioxide is Even More Important Than Oxygen: I am sure you are saying, ”What?!” – just like I did when I read about this. When you take a slow inhale followed by a very slow exhale or when you just slow down your breathing, if you feel calm settle over you that is due to increasing carbon content in your blood and tissues. If you are hyperventilating, it is the opposite – that is when you need to breath inside a paper bag to calm yourself down.

This is also how our bodies determine how fast and often we breathe, not by the amount of oxygen, but by the level of carbon dioxide.

Simple Tip: Take long exhales and slow down your breathing. Basically, breathe but breathe less.

4. Optimal Breath: “It turns out that the most efficient breathing rhythm occurred when both the length of respirations and total breaths per minute were locked in to a spooky symmetry: 5.5-second inhales followed by 5.5-second exhales, which works out almost exactly to 5.5 breaths a minute.” This is the pattern of chanting of Om, rosary, chanting of common Buddhist mantras and many other ancient rituals.

5. Secret to Youthful Face is Chewing: “What?!”, you say again. This was definitely new one for me. Here is verbatim from Nestor’s book:

‘Unlike other bones in the body, the bone that makes up the center of the face, called the maxilla, is made of a membrane bone that’s highly plastic. The maxilla can remodel and grow more dense into our 70s, and likely longer. “You, me, whoever—we can grow bone at any age,” Belfor told me. All we need are stem cells. And the way we produce and signal stem cells to build more maxilla bone in the face is by engaging the masseter—by clamping down on the back molars over and over.’

Simple Tip: Find excuses to chew with back molar as often as you can. There you go – 32 chews per bite that mom told us is validated by science now.

6. Hold your Breath to Eliminate Anxiety and Fear:

“…All this suggests that for the past hundred years psychologists may have been treating chronic fears, and all the anxieties that come with them, in the wrong way. Fears weren’t just a mental problem, and they couldn’t be treated by simply getting patients to think differently. Fears and anxiety had a physical manifestation, too. They could be generated from outside the amygdalae, from within a more ancient part of the reptilian brain.

Eighteen percent of Americans suffer from some form of anxiety or panic, with these numbers rising every year. Perhaps the best step in treating them, and hundreds of millions of others around the world, was by first conditioning the central chemoreceptors and the rest of the brain to become more flexible to carbon dioxide levels. By teaching anxious people the art of holding their breath.”

Simple Tip: To calm your anxiety don’t just take a deep breath, HOLD your breath.

Bottom Line: The book has a lot more to offer, but here are some nuggets in summary:

Tape you mouth shut when you are sleeping. Really!! It will improve your sleep and give you all benefits that good sleep does
You can trigger sympathetic or parasympathetic nervous systems by simply breathing through your right nose or left nose
Take long exhales and slow down your breathing. Basically, breathe but breathe less.
Optimal breath is: 5.5-second inhales followed by 5.5-second exhales, which works out almost exactly to 5.5 breaths a minute.
Find excuses to chew with back molar as often as you can.
To calm your anxiety don’t just take a deep breath, HOLD your breath.

What do you think?

Have you explored different ways of breathing?

What worked or not worked for you?

What benefits or difficulties have you faced due to proper or improper breathing?

I and the readers of this blog would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #65 – Fasting, the old new technology and panacea for Optimal Health – Part III

03 Tuesday Sep 2019

Posted by purposelyliveto120 in Autophagy, Fasting, Ideal Body Weight, Lean Mass, Living to 120, Optimal Health, Reversing Chronic Diseases, Uncategorized, wellness

≈ 1 Comment

Tags

Aging, Cholesterol, Headache, Lifespan, Mental Health

In the Posts #63 and #64, I described that all fasting methods consist of some variations of these variables:

What you eat or not eat,
How much you eat or not eat,
When you eat or not eat, and
How frequently you repeat the process.

And, with these variables you can make all kinds of combinations. For example, you may have seen or heard of the following popular combinations:

Water only Fast for, say, 1, 3, or 5 consecutive days; alternate day fasting; 5:2 fasting: fasting for 2 days and eating the other 5 days of the week.
Calories Restricted Diet: 20% fewer calories per day, e.g., 1,600 calories per day when 2,000 is your regular intake
Time-Restricted Feeding: 8:16 fasting: eating for 8 hours and fasting for 16 hours; 4:20 fasting, where you eat for 4 hours and fast for 20, etc.
Fasting-Mimicking Diet: During fasting, you still eat but with certain restrictions on carbs and protein, so your body feels as if you are fasting.

So, what option is optimal for you or me, depends on a variety of variables including: state of your health, state of your fitness, your goals, your ability to follow the process in the short term or long term, any medicines you are taking, age, BMI.

There are a couple of important principles to remember while fasting.

Our bodies have Multiple Energy Sources: a) immediate energy from the food we eat, b) Glycogen stored in liver, and c) fat stored in the body, and d) lean body mass, and e) cellular debris. In different situations, body dips into appropriate energy source.

Chronobiology or body’s circadian clock dictates metabolism. For most people, metabolism is higher in the morning until early afternoon. So, it is better to eat heavier meals in at breakfast or lunch then at dinner.

The benefits of long-term fasting are numerous, seems almost too good to be true. But all theses have been demonstrated in research and personally I have experienced these:

Lose weight
Lose body fat, especially visceral fast, while retaining lean body mass
Reverse diabetes, hypertension, lower LDL and many other health issues
Become appreciative of tastes and smells of food
Start to eat more mindfully
Learn not to panic if food is not immediately available when feeling hungry
Spend less time and money on food
Improved mental and emotional outlook
Increased lifespan and healthspan

Now for what works, what does not and how to make it work for you.

Calorie Restricted Diet is the least effective for major weight loss: An important principle is that 1 pound of body weight does not always equal to 3500 calories. If you have tried to lose weight by counting calories, you know that by eating fewer calories by the same amount, you lose less weight in the second month than the first, and you less weight in the third month than the second and so on.

In fact, per Pennigton Biomedical Research Center Predictor Calculator, if I were to reduce my daily intake by 500 calories and keep it for a year, my weight loss over 12 months would look like the following:

As you can see from the chart, it gets harder and harder to lose weight by reducing number of calories and easy to hit a plateau.

Calories restricted diet, however, does seem to offer benefits of both health span and lifespan

All other types for fasting are effective in weight loss and other benefits. What will work for you, depends upon your tolerance.

A good strategy often is to start with Time Restricted Feeding, work up to one or more days of water fasting or Fasting Mimicking Diets (FMD).

My wife Kimberly and I started with becoming conscious of how many hours we did not eat every day. And, then we tried to stretch that period to at least 12 hours every day and longer when possible.

Next, we started with water only fasting for one day a week. For us, from Friday after dinner to Saturday dinner worked.

We did one-day-a-week water only fasts for about 4 to 5 weeks. We were working ourselves up to a 3-day and then a 5-day water only fast, but then we came across fasting mimicking diet programs. One such program is in the book: Grow a New Body, by Dr. Albert Villoldo.

So, we moved to 5-day programs of fasting mimicking diet. We are doing the ProLon protocol that consists of prepackage food and supplements developed at the University of Southern California by Valter Longo and explained in his book, The Longevity Diet . We like the results.

Fasting does have side-effects that include headache, lethargy and low energy. But these tend to resolve themselves. Drinking lots of water and staying hydrated really helps. On a longer fast, first day tends to be the most difficult.

And, finally, fasting is not recommended in the following situations,. It is best to check with your doctor and work under doctor’s supervision while fasting:

For pregnant and lactating women or children
If you are on any medications, especially for diabetes and hypertension
If you are underweight
If you are over 70 years old

Summary

There are many benefits of fasting, from more mindful eating to reversing diseases and living longer.
Several variables make up a fasting protocol: what, how, when and how frequently you eat or not eat.
There are many types of fasting: water only fasts, calories restricted diet, time-restricted feeding, and fasting-mimicking diet. What is optimal for you depends on a number of factors related to your health, fitness, and goals.
Three general principles that you can use as guide to choose a protocol that may best suit you are: multiple sources of energy, autophagy and chronobiology.
Calories restricted diet is not the best for weight loss for long terms. However, you do get benefits of healthier and longer life
You can start with time-restricted feeding, extend periods of not eating and then work up to multi-day fasting.
Fasting mimicking diets are great ways to have the benefits of longer fasting.
If you have any medical issues, fast only under the care of a medical doctor.

What do you think?

Have you an experience with fasting? What worked or not worked for you? What benefits or difficulties you faced while fasting?

I and the readers of this blog would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #64 – Fasting, the old new technology and panacea for Optimal Health – Part II

04 Sunday Aug 2019

Posted by purposelyliveto120 in Autophagy, Fasting, Lean Mass, Nutrition, Optimal Health, Percent Body Fat, Uncategorized, wellness

≈ 3 Comments

Tags

Biomarkers, Cholesterol

In the last Post #63, I described that:

Lysosomes in our cells collect garbage and covert that for reuse.
Do more of autophagy and body heals itself. Less of autophagy leads to diseases.
Fasting is currently the only way to get the body into autophagy.

Concept of fasting, of course, has been around for thousands of years.

Our hunter gatherer ancestors had to live with unpredictable access to nutrition and routinely experienced periods of fasting and eating. Most religions of the world have some concept of fasting – Lent in Christianity, Ramadan in Islam, ta’anit, taanis or taʿanith in Judaism, a variety of fasting in Hinduism and Buddhism.

However, science of fasting is relatively new, though it is a popular subject for research these days. I just did a quick search on the word “fasting” on the National Library of Medicine PubMed site and it produced 3,392 citations.

Michael Greger, M.D., who publishes his research summaries on the website NutritionFact.org, recently read and has summarized 1,250 of these papers. I attended the first half of his summaries in a 3-hour webinar last week.

Since weight loss is a major topic of interest around the world, a lot of research has focused on fasting for weight loss and its impact on popular bio-markers such as cholesterol, glucose, blood pressure. There is some research also available on the impact of fasting on longevity., although not as much as for weight loss.

All fasting methods consist of some variations of these variables:

What you eat or not eat,
How much you eat or not eat,
When you eat or not eat, and
How frequently you repeat the process.

And, with these variables you can make all kinds of combinations. For example, you may have seen or heard of the following popular combinations:

Water only Fast for, say, 1, 3, or 5 consecutive days; alternate day fasting; 5:2 fasting: fasting for 2 days and eating the other 5 days of the week.
Calories Restricted Diet: 20% fewer calories per day, e.g., 1,600 calories per day when 2,000 is your regular intake
Time-Restricted Feeding: 8:16 fasting: eating for 8 hours and fasting for 16 hours; 4:20 fasting, where you eat for 4 hours and fast for 20, etc.
Fasting-Mimicking Diet: During fasting, you still eat but with certain restrictions on carbs and protein, so your body feels as if you are fasting.

So, what option is optimal for you or I? Well, in biology nothing seems that simple. Answer always seems be: It depends.

The answer as to what is best for you or I, depends on a variety of variables including: state of your health, state of your fitness, your goals, your ability to follow the process in the short term or long term, any medicines you are taking, age, BMI.

Here are some principles, I have been able to tease apart from various research summaries, pod-casts of experts and books I have read so far. In human biology, there is always more details. So, these are, of course, simplified versions.

Principle I: Multiple Energy Sources: Our bodies have three main energy sources: a) immediate energy from the food we eat, b) Glycogen stored in liver, and c) fat stored in the body.

On typical days, we are constantly eating multiple meals a day that equal to or exceed the energy requirement of our body. Body simply takes macro and micro nutrient content from the digested food, and stores excess in liver as Glycogen or as fat in fat cells.

If we eat less than what our body needs, body takes excess first from the glycogen store in the liver and converts into glucose for use by the cells.

When glycogen stores are depleted, body starts to convert store fat into energy, through a process called Ketosis and uses Ketones as source of energy.

Which of these stores are being used when, depends on all those variable I mentioned above. For example, when body will start dipping into glycogen store may depend upon how big the last meal you had and what you ate. Or, your body may go into ketosis relatively quickly if you are athletically trained to burn fat as fuel like distance runners.

Principle II: Autophagy: At some point after body is in ketosis, autophagy turns on more and more vigorously. In fact, different tissues in the body up-regulate autophagy at different times. In autophagy, the lysosomes start to convert garbage insides the cells, e.g., broken DNA strands, ill formed organelles, into sources of energy.

Body is always in autophagy at some level. Fasting just kicks it into higher gears. How long before autophagy goes into higher gears? You guessed it: it depends. Since autophagy happens insides the cells, it is not easy to measure.

In general, autophagy has been observed after 14 hours in time-restricted regimens. And, it is generally established that after three days of fasting autophagy definitely accelerates.

Principle III: Chronobiology: Body’s circadian clock dictates metabolism. So, metabolism is generally faster during the morning and slower in the evening. Studies have shown that in a 16:8 fasting, with same intake folks who ate between 6am to 2pm lost more weight than those who ate from 2pm to 8pm. Moreover, the bio-markers, e.g., LDL cholesterol, of the second group were worse than the first group.

So, the wisdom of eat breakfast like a king, lunch like a prince and dinner like a pauper holds.

Not to leave you hanging, but it does looks like that it will take at least one more post to share the benefits, downsides and my experiences of fasting so far.

Summary

Several variables make up a fasting protocol: what, how, when and how frequently you eat or not eat.
There are many types of fasting: water only fasts, calories restricted diet, time-restricted feeding, and fasting-mimicking diet. What is optimal for you depends on a number of factors related to your health, fitness, and goals.
Three general principles that you can use as guide to choose a protocol that may best suit you are: multiple sources of energy, autophagy and chronology.

What do you think?

Have you an experience with fasting? Have you learned about autophagy?

I and the readers of this blog would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #61 – How much sleep do we need for optimal health?

16 Sunday Sep 2018

Posted by purposelyliveto120 in Living to 120, Mental Health, Optimal Health, Optimal Sleep, Uncategorized, Vigor, Vitality, wellness

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Tags

Aging, Lifespan, Lifestyle, Mental Health, Supplements

In Post #59, I talked about the lifestyle choices that are important to maximizing health and lifespan:
1. Benchmarking Health
2. Nutrition
3. Exercise
4. Maintaining Musco-skelatal Integrity
5. Maintaining Mind-body Connection
6. Enhancing and Maintaining Brain
7. Stress Management
8. Adequate Sleep
9. Social Engagement
10. Purposeful Living
11. Making full-use of all modalities of medical care
12. Make use of Genetics Science

These were of course not in any particular order. For example, Adequate Sleep would rate much higher in priority, probably towards the top. After all, most of us cannot even function if deprived of sleep over even a few days.

I recently read the book, Why We Sleep by Mathew Walker, Ph.D. He is a professor at University of California Berkeley and has dedicated his career to research in sleep. This is a pretty definitive book on sleep and covers the topic from almost all angles.

Why we sleep cover

I have been generally aware that 7 to 9 hours of sleep is considered a must for optimal health. And, since I learned that I do make the effort to catch that much sleep and when I don’t I would make effort to catch up on that sleep during the weekends.

However, reading this book has been seriously eye opener for me. As a result, I am taking sleep as a lifestyle choice for living for optimal health now much more seriously than I used to.

Sleep Myths – Busted

Here are some myths about sleep that the research cited in the book has busted for me.

1. I can live quite well with 6 to 6.5 hours of sleep. Dr. Mathews is very definitive on research that the range of sleep for optimal health for healthy adults is between 7 to 9 hours. Of course, children have different needs for sleep and so do sick people to allow their body to recover.

He also makes distinction between “opportunity to sleep”, e.g., how long I kept my head on the pillow, and actual sleep. So, if I was “in bed” for 7 hours, it took me half an hour to fall sleep, I got up twice to go to the bathroom and each time it took me half hour to fall back to sleep, then I slept for 5.5 hour. There is some research that more than 9 hour sleep is not optimal, but that research is still controversial.

One test for adequate sleep is that if during the day you close your eyes and see yourself falling asleep, then you are not getting enough sleep.

2. Early morning sleep is more important that the late-night sleep. There are two broad categories of sleep: Rapid Eye Movement or REM happens when we are in deep dream state. In early sleep cycles, which generally happen before and shortly after mid night, most of the sleep is not REM or NREM. In early morning hours, sleep is mostly REM. Each REM and NREM have their very distinct function for brain and our physiology and we need both. The following figure from scielo.br illustrates how amount of REM sleep increases as the sleep progresses and NREM shown here as Stages 1 through 4 decreases.

Sleep Cycle 2

In NREM sleep, for example, our brain takes information stored in short-term memory and shuffles it over to the long-term memory regions of the brain. In REM sleep then our brain builds interconnection with pre-existing long-term elements. If we miss NREM sleep, short-term memory buffers get over-written. If we miss REM sleep, we don’t get a chance to develop ways to access and use the information on the long term.

3. If I don’t sleep enough during the week day, I can always catch up during the weekend. From the REM and NREM sleep discussion above, you can probably quickly extrapolate that if we short change sleep, certain functions are not optimal on a daily basis. Information once lost, probably is lost forever – unless of course you relearn it.

Sleep is driven by two cycles: Circadian clock and a hormone Adenosine, see the picture below (from hackyourgut.com). Circadian clock drives our urge to awake while adenosine drives our urge to sleep. Adenosine only goes up after we wake up until we clear it again during sleep. More adenosine in our body the more is our urge to fall asleep. Our body’s energy level changes with change in circadian rhythm. When energy is increasing, we have the urge to wake up.

Two-process-model-sleep-circadian-homestatic-sleep-drive

When we skip sleep, it feels that we have energy to keep going based on our circadian clock. But we may still have the urge to sleep because adenosine is still high. So, when we sleep extra during the weekend, we are clearing up any residual adenosine which clears the urge to sleep. So, we feel like we have caught up on sleep. But remember, we did not really catch up on the mental benefits of sleep for memory capture and reorganization. And, that is the missed opportunity, when we try to catch up on sleep during the weekends.

4. Alcohol and sleeping pills can make you sleep better. Alcohol makes you sleepy, so clearly it must make you sleep better. Right. Wrong. Both alcohol and sleeping pills have similar effect on the brain. They are sedatives and make you drowsy by shutting down you neo-cortex, i.e., thinking brain, activities. When monitored, your brain does not have the same physiology as if you were sleeping in either REM or NREM sleep. Hence, you find that people who take sleeping pills or night caps as sleep aids, are often groggy, lacking motor skills, lethargic, and forgetful during the next day.

5. If I am short of sleep, I will know so I can correct it. And, that is the same thing someone who is drunk would say, ”I am not drunk. I don’t feel drunk.” We just discussed above the effect of alcohol on the thinking brain, which is also the decision-making brain. Lack of sleep has exactly the same effect as being drunk. And, that is one of the reason, lack of sleep leads to car accidents.

In fact, did you know, lack of sleep causes more accidents than drunk driving. If you have slept only 4 hours or less the previous 24 hours, your chance of car crash increase by a factor of 10.

And, if you are short of sleep, it is the micro sleeps that make driving fatal. if you are sleep deprived, brain just shuts down for a second or two. And, a second or two while going at 60 miles an hour is sufficient to cause serious crashes.

6. Coffee, slapping myself, or loud music can keep me going: Turns out that research shows none of these are effective at preventing micro sleeps. The only thing that is found effective is, you pull over, stop and take a nap.

7. Caffeine is not a problem, if don’t ingest caffeinated drinks at dinner time. Half-life of caffeine is 8 hours. So, it can take up to 16 hours to purge effect of just a cup of coffee from the body. So, any caffeinated drink after lunch can probably disrupt the sleep and should be avoided to obtain highest quality of sleep.

8. Melatonin will help me sleep better. Actually this is yes and no depends upon the nuance. Melatonin does not improve the quality of sleep. It does, however, tell your brain and body when it is time to go to sleep and to start to get ready. Generally, it is released as the darkness sets in.

In our modern worlds, where darkness hardly sets in or if our body clock is messed up due to jetlag from travel, it may be helpful to have melatonin supplement to tell the body that it is time for bed. Dimming lights and shutting down screens (TV, smart phones iPads, laptops) as the bed time appraoches is an excellent way of getting your body to start producing its own melatonin.

If you do take mealtonin supplements, just be warned that melatonin pills available over the counter have great variability in the melatonin content when you compare actual vs. printed on the label. In one test, FDA found -89% to +473% variability. I recently learned that a great source of melatonin is raw pistachio. Just a few kernels of pistachio release enough melatonin that is in most pills. Check out this link from NutritionFacts.Org.

Sleep Hygiene – Best Method to Improve Quality of Sleep

Instead of taking any sleeping pills, Dr. Walker recommends the same sleep protocol that NIH recommend, see NIH published Your Guide to Healthy Sleep,
1. Stick to a sleep schedule.
2. Exercise is great, but not too late in the day.
3. Avoid caffeine and nicotine.
4. Avoid alcoholic drinks before bed.
5. Avoid large meals and beverages late at night.
6. If possible, avoid medicines that delay or disrupt your sleep.
7. Don’t take naps after 3 p.m
8. Relax before bed.
9. Take a hot bath before bed.
10. Have a good sleeping environment.
11. Have the right sunlight exposure.
12. Don’t lie in bed awake.
13. See a doctor if you continue to have trouble sleeping

Summary
Sleep is way at the top of lifestyle choices for optimal health. Statistics show again and again that most of us do not get enough sleep.

Dr. Mathew Walker’s book Why We Sleep is a great book if you want to learn about latest on every aspect of sleep. NIH published Your Guide to Healthy Sleep is also a great resource that summarizes healthful practices.

In this post, I covered several myths on sleep
1. I can live quite well with 6 to 6.5 hours of sleep
2. Early morning sleep is more important that the late-night sleep
3. If I don’t sleep enough during the week day, I can always catch up on the weekend
4. Alcohol and sleeping pills can make you sleep better
5. If I am short of sleep, I will know so I can correct it
6. Coffee, slapping myself, or loud music can keep me going
7. Caffeine is not a problem, if don’t ingest caffeinated drinks at dinner time
8. Melatonin will help me sleep better

If you want to improve the quality of your sleep, check out the 13 step Sleep Hygiene protocols that I summarized above. Dr. Walker and NIH recommend this method of improving your sleep quality and is proven to work better than sleeping pills.

NIH published Your Guide to Healthy Sleep and Dr. Walker’s book have more details on this method of improving sleep quality.

What do you think?

Have you learnt something about sleep, that you can share?

I would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #60 – 10 Books on Health and Wellness I Read Over the Last Year

06 Sunday May 2018

Posted by purposelyliveto120 in Aging, Life-Span, Living to 120, meditation, Mental Health, Nutrition, Optimal Exercise, Optimal Health, Optimal Nutrition, Puposely Living, Reversing Chronic Diseases, Stress, TM, Uncategorized, wellness, Yoga

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Aging, Biomarkers, Chronic Disease, Happiness, Lifestyle, Mental Health, Stress, Telomere

I thought I would share titles, quick summary and my takeaways of the books I recently read on the subject of health and wellness. May be one or more might intrigue you or inspire you for you to explore further. Or, even adopt some practices recommended in these books to improve you health and wellness.

How Not to Die Cook Book As I mentioned in my previous post #58, I consider Michael Greger’s website http://www.NutiritionFacts.com as the go-to site for all information related to nutrition. This cookbook is a good companion book to the website and his earlier best-selling book How Not To Die. Recipes are practical way of adapting to the latest in nutrition science. I have tried few recipes. They are very good.

The End of Heart Disease In my blog post #9 – When it comes to health, vitality and aging what is really possible?, I had discussed the book, Prevent and Reverse Hearth Disease by Caldwell B. Esselstyn, Jr. M.D. In this book, Dr. Fuhrman’s has updated research on preventing and reversing heart disease. Case studies are mind blowing. He not only gives research but actually prescription on what you should actually eat and even very specific meal plans. Dr. Furhman promises his patients to let him decide what they eat for six weeks and then based on the result they can then decide what to eat. Most of them become converts to his prescription of nutrition after seeing the results.

Super Immunity I did a series for posts #51-#54 on How to Optimize Your Immune System. In this book, Dr. Fuhrman offers a lot more research and very practical ways to build immunity so your body can fight whatever comes its way – not only flues and colds, but also other infections and even cancer. Cancer after-all is just DNA mutation that body fights all day long. Only when our immune system is NOT capable of handling the mutated DNA, it starts to take over the organs unchecked. Again, the book includes nutrition meal plans, recipes to put into practice his philosophy – not just eat food that is packed with desired micro-nutrients, but eat a lot of it.

The Telomere Effect In blog post #50, I discussed how to optimize your health by maximizing your telomeres. Elizabeth Blackburh received Nobel Prize for her research in telomeres. Telomeres are the end-caps at the ends of our DNA strands like little plastic wraps at the end of shoe laces. If the little plastic wraps are damaged shoe laces become useless, so is the case with the DNA. The length of telomeres correlate with the remaining lifespan. Dr. Blackburn shares the latest research in lay-person language and shares the different methods by which we can increase the length of our telomeres. Reading this book, it should not come as surprise to you that the lifestyle choices I discussed in my Post #59, all help increase the lengths of your telomeres.

The Science of Exercise Time did a fantastic job in summarizing the latest in science of exercise in this special Time Magazine publication. If you needed any further evidence how exercise impacts health and lifespan, I believe this publication will deliver, without having to read some big tome. The issue spans many diverse topics: cardio vs. weights, high intensity interval training, running, swimming, yoga and other exercise modalities.

The Science of Being and Art of Living In my blog post #17 – Is meditation an effective antidote to stress, I talk about Transcendental Meditation or TM as a very effective and well-researched means for combating stress. Science of Being and Art of Living is book compiled based on lectures by Maharishi Mahesh, who introduced TM to the West. He also founded the TM movement that has established TM Centers pretty much in all major cities throughout the world. While first part of the book serves as evidence and motivation for TM, the later parts are more for the practitioners and advanced students of TM and Yoga.

Heart Health Kit A few months ago, I got a chance to meet and attend a work shop by Dr. Levy, who has spent all his life building bridges between Western medicine and Eastern philosophies of yoga and meditation. Dr. Levy talks about how to prevent and reverse heart diseases by tackling the most insidious of the issues that impact heart health, i.e., Stress. This manual is accompanied by CDs on which you will find and can actually use his hypnosis techniques for relieving stress and anxiety.

In this more recent publication, The Happiness Sutra, Dr. Levy further delves into the four different types of stresses humans face and how best to deal with all four types of stresses. This book also has a CD that you can listen to to get the benefit of Dr. Levy’s hypnosis methods for relieving stress.

Lissa Rankin, M.D.’s book Mind Over Medicine is a great case study of extreme stress brought on modern living and by our current medical system. Dr. Rankin, a practicing OB GYN, quit her practice of medicine because of the numerous health and personal issues brought on by stress from her profession. She eventually found ways to heal herself and then learned to apply her new found knowledge to become a true healer, without becoming slave to the medical system.

Have you read books on health and wellness that you would like to share?

I would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #59 – What are our lifestyle choices for maximizing health and lifespan?

11 Sunday Feb 2018

Posted by purposelyliveto120 in Life-Span, Living to 120, meditation, Mental Health, Nutrition, Optimal Exercise, Optimal Health, Optimal Nutrition, Puposely Living, Quality of Life, Stress, Supplements, TM, Uncategorized, Vitality, wellness, Yoga

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Tags

Aging, Allergies, Bikram Yoga, Biomarkers, Lab Tests, Life Span, Lifespan, Lifestyle, Mental Health, optimal health, Preventative Care, purpose of life, Stress, Supplements, Telomere

Lifestyle Choices for Maximizing Health and Lifespan

Unless you have been living under a rock on an isolated island, I am sure you have heard that lifestyle choices have big impact on both your health and how long you live.

Living longer means not dying sooner. And, to not die sooner, you must take actions that eliminate the various ways one dies.

Living healthy, means taking actions to prevent all the ways one loses their abilities to enjoy day-to-day activities of life. Or, at least postpone the time as far into the future as possible before developing disabilities.

In both case, i.e., living longer and living healthy, lifestyle choices play crucial roles. But what are these life choices, besides the ones you hear all the time: Eat Better and Exercise.

When I started to systematically pursue this topic of living optimal lifespan possible (my goal being 120 years), with optimal health span (my goal being no disabilities), I started enumerating all areas of life in which one can take some action to make this impact.

Of course, not everything is in our control. We did not come to this earth with guarantees. Unforeseen, random event, or events that are not in our control can ruin all our goals and plans. But the objective is to not let the possibility of events not in our control prevent us from taking actions that are indeed in our control.

So, here are all 13 dimensions of lifestyle that I have discovered so far that impact health span and life span. Each subject is a very extensive topic by itself. I just very briefly summarize my personal take on these and may be an example of how I am attempting to address them in my lifestyle and where you can read about further in these blog posts.

1. Benchmarking Health: Knowing where you are is where I believe it has to all start. You go to doctor’s office and they take your physical measurements (height, weight), you vitals (pulse, blood pressure), order some measurements from the lab and then compare those with what should be “normal” for you. In Post #7 – Can biomarkers help in the quest for vitality and longevity?, I discuss the various measurements you can use as biomarkers for health. These days I measure:

Daily: Weight, waist, fat near navel and thigh, BP, SPO2, pulse, my over-all subjective state of my physical, emotional and mental health

Weekly: pH, Nitric Oxide, fasting glucose

Quarterly: Bloodwork through my primary physician – CBC (complete blood count), typical chemistry panel, Lipids (Cholesterol total, HDL, LDL, VLDL, Triglysrides), TSH, T3, T4 (Thyroid hormones), Male Hormones (Total and Free Testosterone, Estrogen, LH, FSH), Hydroxy-D, fasting glucose, A1c, PSA (for prostrate tumor screening), CRP, (for inflammation), Homocysteine (for heart condition)

Annually or Biennially: Telomere Measurements (DNA strands that dictate how long cells live), X-Rays of joints if I suspect arthritis etc., Ultrasound Study of Carotid and Aorta arteries, MRI’s to detect any tumors, eye-exam, hearing test, EKG.

Every 5 years: Colonoscopy, Stress-test.

2. Nutrition – That is everything that crosses our lips, what we eat or drink. I discussed the topic of nutrition in a series of eight blog posts on this subject of Optimal Nutrition, Posts #22 through #29. additionally, Post #15, #31 and #32 discuss the topic of how and when to complement the nutrition with supplements.

3. Exercise – Exercise is indispensable for building and maintaining muscle strength, flexibility, balance, endurance. There is also abundant proof that it helps with the metabolism, overall health and health of specific organs. I discussed this topic of exercise in blog post #30 – How much and what type of exercise do you need for optimal health?

4. Maintaining Musco-skelatal Integrity: Pains in the back, knees, hips, shoulder, wrists and other various joints creep up. We may think that these pains just come out of nowhere. After all, we often notice that “yesterday it did not hurt and today it hurts”. So, it got be a random event. Right?

Reality is that unless there was a trauma caused by an accident, most of these are the result of repetitive movement in un-aligned joints. The underlying cause could be neglect of the muscles, ligaments and tendons surrounding joints or prolonged asymmetrical movements, e.g., always carrying a bag on the same shoulder, or playing games such tennis or golf that inherently require asymmetrical movement.

Yoga, myofascial massages, Rolfing, rolling with foam rollers, visiting a chiropractor for body alignment, weight bearing exercises for join strengths, e-cise routines designed by Pete Egoscue are methods I have learned for maintaining musco-skeletal integrity. I discuss some of these in Post #30 – How much and what type of exercise do you need for optimal health? And Post #49 – What is the role of massage therapy in Optimal Health? Also, I discuss how you can use foam rolling for body alignment in Post #39 – Ever heard of foam rolling.

5. Maintaining Optimal Dental Health: Good dental health not only impacts quality of your life, it can also impact how long you live.

The American Heart Association published a Statement in April 2012 supporting an association between gum disease and heart disease. The article noted that current scientific data do not indicate if regular brushing and flossing or treatment of gum disease will decrease the incidence, rate or severity of the narrowing of the arteries (called atherosclerosis) that can lead to heart attacks and strokes. However, many studies show an as-yet-unexplained association between gum disease and several serious health conditions, including heart disease, even after adjusting for common risk factors.

You may also have seen health and lifestyle surveys used for estimating life-expectancy that want to know if you floss daily. If you do the models give you credit for an extra 2 to 4 years of life.

In Post #47 – What does optimal dental health look like and how to achieve it?, I discuss this topic in greater detail.

6. Maintaining Mind-body Connection: Our mind and body are inherently connected. Maintaining the connection between the two is essential for optimal health. Yoga, Tai Chi, Qigong, are some ways to develop and maintain mind-body connection. I have very limited experience with Tai Chi and Qigong. I do, however, perform Yoga as part of my lifestyle. In Post #11 – My first year of experience with Bikram Yoga, Post #12 – My second year of experience with Bikram Yoga, I describe how I incorporated Bikram Yoga into my lifestyle.

7. Enhancing and Maintaining Brain: If we lose vitality of the brain, the quality of life suffers dramatically. Alzheimer and other forms of Dementia can often be very painful way of living. Evidence is mounting that for optimal brain health, we must keep the brain stimulated with right activities. All my life, I have been very focused on left brain type of activities. As I was turning 60, I decided to do something about it and started taking piano lessons to stimulate my right brain and prevent any premature aging of the brain. I discuss the activities for maintaining optimal health in Post #57 – Optimal Mental Health – what is it and how to achieve it?

8. Stress Management: Stress is a root cause of many diseases. We have all experienced how stress can bring about disturbances in the digestive systems, back pain, high blood pressures, even heart attacks and strokes. Yoga and Meditation are two of the ways to manage stress. Perspective management is another powerful method. I got initiated in Transcendental Meditation over 30 years ago and I have been doing TM ever since with good benefits. I tackle the subject in Post #16 – What is stress really and why is it bad for longevity and health and Post #17 – Is meditation an effective antidote to stress.

9. Adequate Sleep: There is more and more evidence every day that inadequate sleep can cause all sorts of ailments. 7 to 9 hours of restful sleep is considered optimal. All my life, I thought the object of the game was to get away with as little a sleep as possible. Sleeping more than 6 hours every night is still a challenge for me. Although I am working on it to extend sleeping hours during the week and may be do some catch up sleeping during the weekends. Maybe I will tackle this topic in a future post. In Post #61 – How much sleep do we need? – I discuss the latest in sleep research.

10. Social Engagement: World-wide Study of Blue Zones, i.e., geographical areas where longest living people are clustered, showed a very surprising factor that contributed to long healthy life of people living there. Researchers found that people in Blue Zones are socially very engaged. Centenarians in these areas are engaged with tight knit groups of friends and family. So, the conclusion is that social engagement is an important factor in living longer and healthier.

11. Purposeful Living: It is well known that death rates spike after the holidays and after major life events. Researchers deduce from studies of such phenomena that people live only as long as they find life meaningful.

Of course, it needs an ongoing effort to figure out what one can derive meaning from. One may find meaning in raising kids or grand kids, contributions to society, being the best spouse one can be or from “slaying some dragon”. Some people find meaning in their faith and service to God. Others find meaning in being of service to mankind or their fellow human beings. Yet others can find meaning in their job or career.

Viktor Frankel in his book: Man’s Search for Meaning, explores this topic beautifully.

12. Make Full-use of All Modalities of Medical Care: Modern medicine has developed amazing and miraculous treatments. By making use of the modern medicine one can live much healthier and much longer. In general, the earlier you are able to catch a disease and the sooner you start treatment, better your chances are of a cure or at least minimizing the damage. Mantra for modern medicine is “early detection, early cure”

Alternative schools of medicine, such as Ayurvedic, Homeopathy, Aquapuncture, Naturopathy, offer valid means for preventative care and whole-person healing. Leveraging these modalities of medical care as appropriate can offer means for optimal healing and living. Here the rule is the age old wisdom: An ounce of prevention is better than a pound of cure.

I was even able to eliminate my severe seasonal allergies by working with doctors of Naturopathy and thus was able to totally change the vector of my health as I discuss in Post #8 – So, did I you tell you the story of my allergies. Also strengthening your immune system can have major consequences on how your body deals with diseases as I discuss in a series of Posts #51 – 54 – How to Optimize Your Immune System – Part I through Part IV

13. Making use of Genetics Science: There is of course the truth of genetics. Genes do play a role in how long we will live and what diseases we may have the tendencies to develop. Over the last few years, however, scientists are finding that inherited genes often do not determine your destiny, it is the lifestyle that can either turn those genes on or off. This is the exciting field of epigenetics.

Studies from the filed of epigenetics do give us opportunities to leverage genes. Through genome mapping, we can find out what might be our tendencies and to what aspects of our life, therefore, we should pay particular attention. Over the last few years, I have gotten my telomeres measured – these are tips at the ends of genes that are considered to act like our lifespan clocks. I discussed this in Post #50 – How to optimize your health by maximizing your telomeres. More recently, I have sent for genetic testing to be able to receive personalized genetics bases lifestyle coaching. I will share results of that experiences in a future post.

The percent of role of genes that we cannot do anything about is constantly shrinking all the time. Now it is believed that only between 5% to 15% of lifespan and health span is determined by genes that we have no control over.

Bottomline:

In summary, researchers have shown again and again that health span and life span depend upon one’s lifestyle choices. A holistic look at lifestyle choices means many different and distinct areas of life.

I shared my take on these dimension of lifestyle and some of my experience. Also, gave references to where you can find more information, whenever, I have already discussed that topic in more detail in my blog posts.

Benchmarking Health
Nutrition
Exercise
Maintaining Musco-skelatal Integrity
Maintaining Optimal Dental Health
Maintaining Mind-body Connection
Enhancing and Maintaining Brain
Stress Management
Adequate Sleep
Social Engagement
Purposeful Living
Making full-use of all modalities of medical care
Making use of Genetics Science

What do you think?

Do you think there some other dimension of lifestyle that I did not address here that is also important?

I would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post #58 – One Stop Shop to Find Information About Optimal Nutrition

14 Friday Jul 2017

Posted by purposelyliveto120 in Living to 120, Nutrition, Optimal Health, Optimal Nutrition, Reversing Chronic Diseases, Supplements, Uncategorized, wellness

≈ 1 Comment

Tags

Biomarkers, Lifestyle, Supplements

It has been a few months since I last wrote a blog post. It seemed like I ran out of material to write about.

As you know, the purpose of these posts is to share only information 1) that is based on research and is not a merely hearsay, 2) that I have personal experience with, and 3) that I feel contribute towards a goal of living the longest with optimal health.

For a while I had plenty of such information that fit the scope of this blog. And, then I hit the wall.

About a year and a half ago, I found a source that has troves of nutritional information for optimal health. This information is available in videos and text form – all for FREE.

Using this information, I have been further optimizing my own lifestyle. And, it has already showing further improvements in my bio-markers.

The source is: www.NutritionFacts.org

This site is a labor of love for Michael Greger M.D. FACLM. He seems to be on a personal crusade to share this knowledge and information. He and his staff of volunteers comb through over 20,000 research papers on nutritional studies published every year. They summarize this information in few minutes long byte-sized chunks and even as annual summaries, which last about an hour.

You can even subscribe to their site and you will receive a tip every day in your email. I actually look forward to these emails. That way I can learn over time and don’t take in more than I can digest.

I got introduced to Dr. Greger’s work by reading his book: How Not to Die.

Gregor book

Some startling things I learned from this site:

How you can reverse your diabetes by changing what you eat.
How you can shrink you prostrates by adding certain fruits to your diet.
How you can reduce blood pressure with certain plant based foods.

And, for every claim, he gives his rationale based on specific research studies and papers that you can further read up yourself, if you wish.

MY LIFE STYLE CHANGES

Here are some things I have already incorporated in my lifestyle, as a result of the research information I learned from Dr. Greger:

I am now working on replacing, whenever possible, to get as many micro-nutrients as possible using whole foods rather than supplements.
I started adding one tablespoon of freshly ground Flax Seeds and a quarter teaspoon of Turmeric in my shakes every morning. As you will see from the research, flax seeds and turmeric are effective for a whole bunch of issues, e.g., blood pressure, diabetes, inflammation.
I started adding one table spoon of Apple Cider Vinegar in my salads at lunch to lower my blood sugar resulting from food at lunch, which tends to be my heaviest meal.
I have been eating 2 to 4 pieces of Brazil Nuts as snack every night to further lower my LDL Cholesterol.
I am now more conscious of making sure that I add Cruciferous Vegetables in my salads to boost my anti-oxidants.
I have started sprinkling pomegranates seeds on my oat meal for my prostrate health.

RESULTS SO FAR

I have been quite pleased with the results of these changes so far. Here are a few:

My most recent blood-work on 7/7/2017 shows, an Hemoglobin A1C of 5.4%! It was 5.5% three months ago. My A1C was stuck at or above 5.8% for the last three years, ever since I have been measuring it. Ever since then, I have been working on getting it out of the pre-diabetes range, considered to be over 5.6%.
All my inflammation markers, CRP, Homocysteine, WBC are all trending down.
LDL and Triglycerides are 86 and 57 in the latest blood-work – without any meds. These are on the low end of where they ever been.
My blood pressure measured on my last doctor’s visit was 108/70! As I have mentioned in previous posts, I have working on reducing my BP.

Bottom Line:

I highly recommend that you checkout www.NutrtionFacts.org. An evidence-based nutrition advice that is labor of love of Dr. Michael Greger. You can search for a specific topic, browse the site in general for useful information and/or subscribe to the daily email.

This site has become a go-to site for me for all things nutritional for Optimal Health. I have found the information is research-based, concise, well-presented and at-times with profound implications.

Most of the time, information is very actionable.

What are your thoughts on this subject?

Would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

Post # 56 – What is Optimal Blood Pressure and How to Achieve it?

14 Sunday Aug 2016

Posted by purposelyliveto120 in Aging, Causes of Death, Living to 120, Nutrition, Optimal Health, Optimal Nutrition, Reversing Chronic Diseases, Uncategorized

≈ 3 Comments

Tags

Aging, Biomarkers, optimal health, Optimal Nutrition, Preventative Care, Reversing Chronic Diseases, Vitality

First, a quick story and my own experience over the last six months.

For a number of years, I have had my blood pressure in tens (between 110 and 119) for Systolic and in the seventy’s for the Diastolic. So, my typical BP measurement might be 112/74.

For the last couple of years, however, every time I visited a doctor or clinic, I noticed that it was in the high twenty’s or low thirty’s for Systolic (125 to 135 range) and low eighty’s for the Diastolic pressure. For example, I might see my as BP 128/82. Doctors always called it out as “normal” and I ignored it assuming that those were spurious readings.

About six months ago, I decided to get a BP monitor and started measuring my blood pressure frequently – like every day and even multiple times during a day. I noticed that the higher readings I had seen during the last couple of years were actually true. I wanted to know if it was inevitable that my BP would be creeping up as I get older. Or, could I do something about it?

And, so I decided to take a deeper dive into this topic of BP.

First, I asked my wellness doc if he had any ideas. He told me that it was nothing to worry about. When I insisted on understanding why my BP not stay in the tens for Systolic and seventy’s for diastolic, he told me that I was already eating a pretty clean vegetarian diet. He suggested I could experiment with vegan diet and also suggested a couple of books to read.

Well after about six months of eating vegan (only plant based whole food, no eggs, no dairy, no meat) and daily monitoring my BP, it looks like my BP is nicely settling in the tens range for systolic and in the seventy’s range for diastolic and times even lower.

And, here is a quick synopsis of what I learned along the way about what is optimal BP and how to achieve it. You might find surprising some of what I learned and am sharing here.

What is Optimal BP?

We have all heard that BP is the “silent killer”. That uncontrolled high BP can injure or kill you. According to American Heart Association website, possible health consequence can happen over time, if left untreated include:

Coronoary Heart Disease or CHD, i.e., damage to the heart and coronary arteries, including heart attack, heart disease, congestive heart failure, aortic dissection and atherosclerosis (fatty buildups in the arteries that cause them to harden)
Stroke
Kidney damage
Vision loss
Erectile dysfunction
Memory loss
Fluid in the lungs
Angina
Peripheral artery disease

I am sure you have also heard that BP less than 120/80 is considered “normal”. 120 – 139 for systolic or 80 to 89 for diastolic is considered pre-hypertension. And, anything above those numbers is considered hypertension and your doc will say that you must do something to bring it in the lower ranges. NIH National, Heart, Lung, and Blood Institute website publishes this guidance:

Stages of High Blood Pressure in Adults

Stages	Systolic (top number)		Diastolic (bottom number)
Prehypertension	120–139	OR	80–89
High blood pressure Stage 1	140–159	OR	90–99
High blood pressure Stage 2	160 or higher	OR	100 or higher

Well, where do these numbers come from?

As you may already know, if you have been reading these blog posts, that I am always suspect of the word “normal”. I prefer talking about “optimal”.

Updated Research on BP

In BMJ 2009, M R Law et al, published a very extensive meta-analysis study of 143 previously completed clinical trials on the use of BP lowering drugs. A meta-analysis study is a study of already published studies to assemble an overall conclusion. A key conclusion of this meta-analysis study was:

“The relative risk estimates of CHD events and stroke in the blood pressure difference trials were similar across all levels of blood pressure before treatment down to 110 mm Hg systolic and 70 mm Hg diastolic, below which there were too few data.”

Basically, from all previous studies they analyzed that the risk of all coronary heart disease and stoke continued to decrease as the BP were lowered to 110/70. They could not tell if the trend would continue below 110/70, since there was not enough data available for cases below 110/70.

So, 110/70 is definitely better than 120/80 in reducing the risk of CHD and strokes. Is 105/65 or other lower numbers better than 110/70, they could not prove it due to insufficient data.

Here is another conclusion:

“This, the largest meta-analysis of randomised trials of blood pressure reduction to date, shows that lowering systolic blood pressure by 10 mm Hg or diastolic blood pressure by 5 mm Hg using any of the main classes of blood pressure lowering drugs, reduces CHD events (fatal and non-fatal) by about a quarter and stroke by about a third, regardless of the presence or absence of vascular disease and of blood pressure before treatment, with no increase in non-vascular mortality. Heart failure is also reduced by about a quarter. Proportional disease reduction for a given blood pressure reduction independent of pretreatment blood pressure.”

Translated it means the risk of CHD and strokes decreases at the same rate no matter what the starting point is. So, when you lower your systolic BP from 140 to 130, or 130 to 120 or from 120 to 110, you decrease you risk by the same amount, of CHD by 25% and strokes by 33%.

The following example from the research paper illustrate this calculations.

“At age 60-69, the relative risk of stroke is 0.43 (57% decrease) for a 20 mm Hg decrease in systolic blood pressure. For a blood pressure decrease twice as great (40 mm Hg), the relative risk of 0.43 effectively applies twice (0.43×0.43, or 0.43²), which is 0.18 (an 82% decrease).”

That is quite amazing, isn’t it?

Do you have to take meds to lower your blood pressure?

Short answer is: of course, not.

Michael Gregor, M.D. in his book, “How not to Die”, Chapter 7: How Not to Die from High Blood Pressure, very succinctly lays out who the villains and heroes are in the epic story of BP.

Gregor book

Villains are Sodium and all the foods that sneak sodium in the form of salt into our diet. Mechanism seems simple enough. Sodium causes water retention and body raises blood pressure to try to expel the excess retained water from the body.

There is a plethora of research that shows that if you lower your sodium intake to less than 500 mg a day, you can achieve a 110/70 BP.

Heroes are anti-oxidant, potassium and nitrate rich foods that provide antidote to sodium and the damage it does to the cardiovascular system. Adding the following foods to your diet will further lower or make it easier to bring it in the right range:

Rhubarb
Leafy green vegetables;, arugula, cilantro, butter leaf lettuce, Mesclun greens, beet greens, basil, oak leaf lettuce Swiss chard
Beets
Ground flaxseed
Whole Grains
Hibiscus Tea

Does the BP have to go up as we age?

Short answer is: NO.

Yes, the phenomenon of BP going up with age is what has been observed in “normal” situations. However, citing lots of existing research, Dr. Gregor demonstrates that the idea that BP has to go up as we age is a myth. With proper food intakes we can have a healthy BP for life.

Bottom line

There is extensive research available to establish that high Blood Pressure is indeed the silent killer it is made out to be. Consequences of high BP if left unchecked for extended period of time can cause many health issues beyond coronary heart disease and strokes.

120/80 may be considered “normal”, but is not actually optimal. Clear evidence exists that by lowering BP to 110/70, you can further reduce risks of CHD and stroke. Further, benefits of lowering BP to less than 120/80 are significant. There is not enough evidence at this time that numbers lower numbers than 110/70 further reduce the risks.

Meds are not the only means to lower BP. You can use lifestyle changes to lower BP to 110/70 or lower.

Reducing sodium intake dramatically, lower than 500 mg per day, can lower the BP to 110/70.

Anti-oxidant, potassium and nitrate rich foods provide antidote to sodium and the damage it does to the cardiovascular system. Adding the following foods to your diet will further lower or make it easier to bring it in the right range:

Rhubarb
Leafy green vegetables;, arugula, cilantro, butter leaf lettuce, Mesclun greens, beet greens, basil, oak leaf lettuce Swiss chard
Beets
Ground flaxseed
Whole Grains
Hibiscus Tea

AHA’s website offers a neat little tool for you to see how much BP you can expect to lower with different recommended lifestyle changes.

So there you have it, results of my experience and deep dive into this topic so far!

What are your thoughts on this subject?

Would love to hear from you and learn from you.

Please click on Comment to leave your comments or question so others can benefit from your input.

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Post # 56 – What is Optimal Blood Pressure and How to Achieve it?

Stages of High Blood Pressure in Adults

Updated Research on BP