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

11 Sunday Feb 2018

Posted by 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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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 the 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 12 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 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.

 6. 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?

 7. 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.

8. 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.

 9. 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.

 10. 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 is 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. Yet others can find meaning in their job or career.

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

11. 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 of a cure or at least minimum 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 for Naturopathy and 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

12. Make 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 don’t 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 opportunites 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.

  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

What do you think?

Do you think there is another dimension of lifestyle that I did not care 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. 

 

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Post #46 – What is Arthritis and what can you do about it?

16 Monday Nov 2015

Posted by in Aging, Bikram Yoga, Optimal Exercise, Optimal Health, Reversing Chronic Diseases, Vitality

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I often hear my contemporaries talk about pain in the knees, hands, shoulder, back. When I ask them what is going on, a common response is: “It is just arthritis.”  When I probe further about what kind of arthritis or what are they doing about it, I may get answers like:

  • No idea, have not talked to a doctor yet
  • Just have to live with it, I guess
  • Managing with pain meds
  • I could have surgery, but it is not that bad yet.

So, I thought I will go ahead and share what I have experienced and learned over the years on this topic

My ambition to run a marathon thwarted

Almost twenty years ago, I met Stu Mittleman, an ultra-distance running champion. He won the 1,000 Mile World Championship and set a new world record by running the distance (1 609.344 kilometers) in 11 days, 2 hours, 6 min. 6 sec. (Yes, that is right one thousand mile!). After winning that race, he got himself admitted to a graduate school to figure out how he did what he did.

With that knowledge and experience, he started teaching mere mortals how to run marathons.  When I met, I was so inspired, I signed up.

So, with his coaching program, I started building up my endurance. I ran my first 5K. And, then, my knees started hurting. He had no ideas on how to fix my knees.  So, I quit running.

Knees got worse over the next few years. I went to a Sports Medicine guy. He took a quick look at the X-ray of my knees and said, “Looks like arthritis. Do some physical therapy. When they are not good enough to do what you want to do, we can always go in and clean them up.”

So, what the heck is this Arthritis?

There are two excellent, very accessible resources for arthritis:  Arthritis Foundation and NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases.  Per the Arthritis Foundation website:

Arthritis is very common but is not well understood. Actually, “arthritis” is not a single disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 different types of arthritis and related conditions. People of all ages, sexes and races can and do have arthritis, and it is the leading cause of disability in America. More than 50 million adults and 300,000 children have some type of arthritis. It is most common among women and occurs more frequently as people get older.

Common arthritis joint symptoms include swelling, pain, stiffness and decreased range of motion. Symptoms may come and go. They can be mild, moderate or severe. They may stay about the same for years, but may progress or get worse over time. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs. Arthritis can cause permanent joint changes. These changes may be visible, such as knobby finger joints, but often the damage can only be seen on X-ray. Some types of arthritis also affect the heart, eyes, lungs, kidneys and skin as well as the joints.

There can be many underlying causes for swelling, inflammation, stiffness and pain in the joints. For example, Rheumatoid Arthritis, Lupus, Infectious Arthritis and Osteoarthritis can all cause these symptoms, but they are all very different diseases. It is very important to figure out with the help of a doctor what you are dealing with.

Osteo-arthritis is the most common type of arthritis. Per NIH website on Osteoarthritis:

Osteoarthritis (AH-stee-oh-ar-THREYE-tis) is the most common type of arthritis and is seen especially among older people. Sometimes it is called degenerative joint disease. Osteoarthritis mostly affects cartilage (KAR-til-uj), the hard but slippery tissue that covers the ends of bones where they meet to form a joint. Healthy cartilage allows bones to glide over one another. It also absorbs energy from the shock of physical movement. In osteoarthritis, the surface layer of cartilage breaks and wears away. This allows bones under the cartilage to rub together, causing pain, swelling, and loss of motion of the joint. Over time, the joint may lose its normal shape. Also, small deposits of bone—called osteophytes or bone spurs—may grow on the edges of the joint. Bits of bone or cartilage can break off and float inside the joint space. This causes more pain and damage.

Figure Showing a Healthy Knee

Knee without damage

Figure Showing Knee with Severe Osteoarthritis

Knee with damage

A doctor friend of mine told me that when doctors don’t know what the disease is, they call it osteoarthritis.  And, that is not far from the truth. If you eliminate, other diseases that might be causing inflammation, e.g., auto-immune diseases, it is osteo-arthritis.  Underlying disease causing damage to cartilage is not known at this point – if it is not one of the other specific diseases.

So, what can you do?

Well treatment can be quite different based on the type of arthritis or the condition that might be causing the joint issues.

However, in case of osteoarthritis, which is often the most common and age related, here are the treatment options, according to NIH:

  • Exercise
  • Weight control
  • Rest and relief from stress on joints
  • Nondrug pain relief techniques and alternative therapies
  • Medications to control pain
  • Surgery

Notice that exercise is on the top of the list. As soon as most people start to feel pain in the joints, guess what do they give up? Yep, exercise.  And, what do they need most to keep ostearthritis in check? Yep, exercise.

And, that is an interesting paradox I have seen played out again and again – including with my own mother.

Back to My Knee

Having learned the theory, I took on three things aggressively:

  1. Strength training to strengthen everything involved in functioning of my knee: quads, calves, hamstrings, and stabilizers muscles and ligaments.
  2. e-cises by Pete Egoscue to realign my knee since my knees were a little pronated and that was probably the reason why running aggravated my knees.
  3. Doing Bikram Yoga to help flush out any bone spurs or lose particles
  4. Started on supplement of Glucosamine Sulfate with Chondroitin and MSM that help rebuild the cartilage. See http://www.lifeextension.com/vitamins-supplements/item03157/glucosamine–chondroitin–msm#panelSupplements.

My goal was to be pain-free when I doing lunges with free weight, squats and single leg jump ropes. And, I am happy to say that I have been able to get there.

In my last X-ray, I still noticed some bone spur and what radiologist called “mild arthritis”.   I would really like to reverse that without any surgery. So, the chase is still on.

Bottomline

  1. If you have any stiffness, swelling, inflammation, or pain in the joints, it is important to get it checked out with the primary physician and if necessary with a Rheumatologist to first figure out what are you dealing with.
  2. If it is osteoarthritis, the following is a good list in order of priority:
    1. Exercise
    2. Weight control
    3. Rest and relief from stress on joints
    4. Nondrug pain relief techniques and alternative therapies
    5. Medications to control pain
    6. Surgery
  3. If it is other than osteoarthritis, use Arthritis Foundation and NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases  to study up and pursue your options.

I would love to hear your perspective on this topic.

What is your experience and knowledge from which I and others could learn?

Post #44 – How to protect from the down-side of strength training?

05 Monday Oct 2015

Posted by in Bikram Yoga, Lean Mass, Optimal Exercise, Optimal Health

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We have all heard about the benefits of strength training or weight training:

  1. It helps keep the fat weight lost off for good
  2. It protects bone health and helps build muscle mass
  3. It makes you stronger and fitter
  4. It helps build better body mechanics improving balance
  5. It plays a key role in disease prevention, e. g. improving insulin sensitivity and HDL cholesterol
  6. It boost your energy level and your mood
  7. It improves your metabolism so your burn more calories even when not working out

With so many benefits, it seems no brainer that strength training must be part of life style of anyone pursuing Optimal Health.  

If you search on Amazon.com, you will find hundreds of books on strength and weight training.  These books elaborate on the benefits and various techniques of strength training.  Here are two that use scientific basis in their approach.

Thes slow burn fitness revolution41B2S96EXYL

Is there any downside to the strength training?  What could possibly go wrong?

If you do a quick Google search on this topic, you will find that Injuries is what most people caution about as the downside of weight training.

That makes sense. Major types of injuries during weight training are hairline fractures, pulled muscles and damaged joints.  The causes of these injuries often are:

  • Using Impropriate weights
  • Not using proper form
  • Carelessness
  • Accidents

Making sure that you take precautions to avoid such injuries is very important. Even when you are very careful and conscientious, avoiding wrong form while strength training can require a lot of vigilance. That’s where it is important to learn from a trainer the basics of using weight, machines and even your weight.

However, in my experience, there is something even more subtle and insidious that can potentially creep in and that is easily preventable, if you are vigilant. And, no one seems to talk about this topic.

So, let me tell you my story to illustrate what this insidious issue is and lessons I learned on how to prevent it.

MY STORY

Many years ago, I used to do a simple yoga routine few days a week. I found that over time, my body became quite flexible. I felt energetic.  I did have spring in my feet. However, I found that my strength was continuing to decline. I was even surprised how few pushups I could do at a time. Abdominal fat around my belly was slowly getting worse.  I was becoming what we now call “skinny fat”.

So, I figured, instead of yoga, I would switch to exercise routine that involved working with light weights and body weight. As I started this new strength training routine, I found that I was getting stronger every week. I could do more and more pushups at a time. After several months, I even achieved my stretch goal of doing one hundred pushups in a single rep!

Then after about a year, I went back and tried my yoga routine. I immediately discovered that my flexibility had significantly decreased.  I was quite discouraged that within a year while I had made so much progress in my strength, I had lost the flexibility and even some balance.

At that point in time, I ran into my trainer Saleem, who I still work out with over 13 years later. I told him my dilemma and he showed me how to stretch my muscle after EACH weight training exercise.  So, if I had just done curls, I would stretch my biceps. If I had done squats and I would stretch my quads and so on. Doing these stretches routinely as part of my workouts, I noticed that it helped me retain flexibility in muscles while building strength. Training with him, I would also start my workout always with proper warmups and finish the workout with some cool down stretches.

Then Saleem started to add stretch workout days in between strength training workout days. So, after 4 or 5 sessions of weight training, he might add a stretch workout day. On the Stretch Workout day, we would simply do all stretching exercises – stretching back, hamstrings, quads, front, all big muscles and small muscles. With this new regimen I noticed that I was retaining my flexibility as I was developing strength.

In spite of all these precautions, about four years ago, I hurt my right shoulder from the workouts.  I was able to fix most of it by doing the various stretches etc. However, as I would lift my right arm, I would feel resistance and even pain in my shoulder- may be at a level of 1 to 3 on a scale of 10. That led me to start doing Bikram Yoga, about 3 ½ years ago.  As the shoulder got more and more limber with Bikram Yoga, resistance or pain at a level of 1 out of 10 still remained.  And this resistance/pain would get worse, whenever I did bench presses or some other exercises that put strain on my shoulder.

At that point, I really got curious. I wanted to figure out what exactly would it take for my shoulder to be 100% recovered and normal.

I found various methods of making my shoulders further limber.  Using foam rollers, such as below, was a big help.

Blue Foam RollerRumble Roller

Then I found massage balls (lacrosse balls), shown below. With these massage balls, I would find muscles around neck and shoulders that were tight and then use the ball to relieve pressure and loosen those tight muscles.

massage balls

Finally, I decided to engage a massage therapist to work those muscles.  And, she immediately found tight muscles and worked on those to loosen them up.  And, finally, my right shoulder got to a point of 100% recovered and normal.

MORAL OF MY STORY

So, what is the moral of this story? Here is the insidious process that I discovered:

  • Weight training induces tightness in muscles since strength training by design involves contracting of muscles
  • It requires active work to dissipate tightness in the muscles by stretching, foam rolling and/or massaging
  • If not properly loosened, during the following workouts your form may change subconsciously to compensate for the tight muscles, which may in-turn cause some other functional issues
  • Over time these compounding issues, like the layers of an onion, may give rise to issues whose root cause may be buried deep and not be readily visible.
  • Truly fixing such issues requires series of actions to fix one issue at a time, like peeling the onions, until you get to the root cause.Otherwise all fixes will be temporary.

BOTTOMLINE

If you are engaged in strength training, it is important to be hyper-aware of the tightness in muscles.

Incorporate yoga, stretching, foam rolling and massaging into your routines to immediately dissipate any tightness.  

Chronic musco-skeletal issues can be cured by working on muscles as peeling the layers of an onion. However, it may require a lot of patience.

What do you think of this topic?

Have you had similar experiences?

What has been your approach to stay limber while developing strength?

I would love to hear from you.  Please leave comments and questions to share your knowledge and wisdom.

Post #12 – My SECOND Year of Experience with Bikram Yoga

20 Tuesday May 2014

Posted by in Bikram Yoga, Living to 120, Vigor, Vitality, Yoga

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Here is my SECOND year of experience with Bikram Yoga that I wrote down in February 2014. This makes a nice sequel to my last week’s blog post, where I shared the first year of experience.

Today is Presidents Day 2014, two years after I started the Bikram Yoga. It seems like a good time to reflect on my progress with Bikram Yoga.

Experimenting for Regaining Control of Breath

At the beginning of my second year, I started experimenting and also talked to various teachers about my desire to keep control of my breath and conserve energy to perfect my poses. Most of the teachers discouraged skipping an asana, emphasizing that that asana are designed with certain flow in mind. Best suggestion, I thought, came from Rosa. She advised to do the first sets as easy as I needed to and then give my all in the second sets.

I started this technique with almost skipping the first sets. Then slowly I started to do the firsts sets lightly to build endurance and maintain form. I would then give my all in the second set, reminding myself that I could always skip the first set of the following asana if I needed to regain control of my breath. I felt better and better with this method.

Reintroducing Strength Training

One downside I found for doing Bikram only was that after a year I started to feel that my strength was waning. I did not feel as confident in simple things like lifting my laptop brief case, which is about 30lbs. In April 2013, Kimberly and I restarted working out with our trainer Saleem for one day every week. Initially, I would do three times Bikram and one time Saleem every week. For the last few months, I have settled into twice Bikram and one time Saleem. With Saleem’s workouts, my strength is definitely back. With Birkram twice a week, I am able to maintain the flexibility and balance.

Visit to the Egoscue Clinic – Crooked Body Fixers

Another thing I was quite encouraged by was improvements in my knee pain through Bikram. So, I decided to see if I could really get them to be 100% cured. For that I decided to visit with the local Egoscue Clinic. Kristen Thor, the therapist there, showed me that my knees were misaligned in that they were pronated, i.e., faced outwards. Although, knees were my major concern why I went to her, she also showed me that the reason my right shoulders kept getting stiff whenever I worked out with heavy weights is that my upper body was misaligned in that my right shoulder was rotated forward. That, she said, was also the reason why my right wrist would hurt when I would put weight on it, for example, when I did pushups. She was clearly able to demonstrate these issues.

As she worked through those issues, I also told her about my awkwardness with the Awkward Pose (Utkat Aasna) or even weighted squats. For that she showed me that my upper back lacked flexibility and did not have the proper curvature. This made it difficult for me to balance when I did the Awkward Pose or the squats. For years, Saleem and my sons have been telling me to stick my butt out while squatting, which was hard to do, according to Kristen, if my upper back did not provide me the counter balance when I was sticking my butt out.

Finally, I talked to her about how it felt difficult and my back used to get really tired when I was doing the Standing Head to Knee Pose (Dandyamana Janusheer Aasna). For that, she told me that my hips were not open and flexible enough.

So, over a period of about seven months, I worked with her. I started to feel improvements with my posture in general, my Saleem workouts, and the Bikram poses. Knees got even better. Finally, she gave me routines to do before doing my Saleem and Bikram sessions. Pre-Saleem exercises are to warm up my shoulders before the workout. Pre-Bikram e-cises are to open my hips and upper body before the class.

My knees pain is mostly gone. I can comfortably do weighted lunges, weighted squats, and single leg jump ropes. I have not really felt any significant pain in months. Although, based on memories, I still often hesitate before I do knee straining exercises, as I have been conscious of the knees for years now.

The Joe Dillon Difference

Oh yeah another thing. During our May 2013 Vistage meeting, I met our Vistage speaker Joe Dillon. He was a 69 year old in-your-face kind of guy, who has coached Olympic swimmers and thousands of other people. He got me thinking that it was possible to change my body composition, with the right nutrition. You mean I could dramatically reduce my body fat percent by simply changing what I eat? With the information I got from him and his book and videos, I dramatically changed my eating habits. With Joe Dillon’s protein shakes and Full Strength protein shakes, I added about my body weight equivalent in grams of proteins every day to my intake. I eliminated most raw sugar and flour based products from my meals and started to do a better job for sugar management. I also added to my diet fish oil (Omega-3 Ultra from X-tendlife.com), Flax Seed Oil and a better quality of daily vitamins and supplements (from Premium Daily vitamins from X-tendlife.com).

Since June 2013, when I started the program my weight has decreased only by about four to six pounds, but body fat percent has decreased from 25% to 18%. That means I have added about 7 lbs of muscles and lost about 12 lbs of fat. And, my belly fat is down by 3 inches! I like the trend.

Wow, I Can Touch My Head to My Knee and Hold!

With all these factors and as my endurance built up at Bikram, I started to do the first set more and more deeply. And, I made significant progress on some harder poses. While all of the poses can be done better and at a deeper level, by now, I can reach closer to the final expression of most poses. In the Standing Head to Knee pose, I can now touch head to knee as the final expression for the three counts, though not very gracefully. My knees get a little wobbly. I can almost do Toe Stands with hands in prayer position, but not always for the complete time. My awkward poses are fairly deep and decent, and am able to rise much more slowly in the third part. I can see my complete foot over my head in the Standing Bow. I am able to touch my head against knees in the rabbit pose. My Triangle pose is nice and deep and stable.

And, at times, if the room is not too hot, or my body is feeling up to it, I even attempt the first sets with all I got.

No More Lipitor

Oh yeah. I did two blood works to test my Cholesterol over the last seven months, WITHOUT taking Lipitor. In August, my LDL was 135, so I added Red Rice Yeast to my supplements and in January it was 124. My primary care physician said that with these types of results I can safely stay off Lipitor. Yeah! That is another big goal accomplished. Check.

So, today on Presidents Day, February 17, 2014, on my second anniversary of Bikram Yoga, where to from here:

  1. All the poses can of course be done better. I would like to keep working on improving the poses and my teachers to keep critiquing me for the finer points of my postures. Twice a week seems like good maintenance discipline. At some point, I may want to do another 30-day challenge to see if I can get another step improvement. At this time, I am doing too much other stuff to do any more than twice a week.
  2. I have already raised my goal for body composition – Six Pack at Sixty! For that I would need to get to 12% body fat percent by my birthday. I have another six months until my 60th birthday. I may need to add another couple of days’ worth of workout a week, even just aerobics or walks with weights to create the needed caloric deficit, to get to the body fat target. And, I have to make sure I am providing my body enough protein to build the needed lean mass.   Saleem has also recommended for me to do some Abs and Core workout during the week on my own.
  3. I would like to get an X-ray done of my knees to see if there is any cartilage that is worn out and not yet rebuilt. Then I could more precisely focus on getting that to 100%.
  4. Continue to do Egoscue a couple of times a week in addition to the pre-Saleem and pre-Bikram sessions. Also, work in at least one set of Egoscue Tower e-cises a week for alignment. Getting Tower in has been the hardest part for last couple of months.
  5. Ringing in my ear has not abated. I only feel it when I focus on it. I need a solution for that. Don’t have any solution yet, other than getting a hearing aid, which the Audiologist said, sometimes fixes it.

Post #11 – My first year of experience with Bikram Yoga

12 Monday May 2014

Posted by in Bikram Yoga, Reversing Chronic Diseases, Uncategorized, Vigor, Vitality, Yoga

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There are few topics on which if you get me started, it is usually very hard for me to stop.  You may even be sorry, you asked me a question.

I have already shared a couple of these in my blog posts – reversing allergies and fixing headache without meds. Here is another of my favorite subject these days – Bikram Yoga.  I have been practicing Bikram Yoga now for over two years.

Here is my first year of experience with Bikram Yoga that I wrote down in February 2013.

If this invokes any thoughts or questions, I would love to hear about it.

Our Thursday Night Date

“How about we go check out this place that does Bikram Yoga in Columbia and then we will go out to dinner somewhere there?” I asked Kimberly suggesting this as an activity for our Thursday night date.

“Ok,” She said very agreeably.

On the way there, I told her that for several weeks I had been feeling stiffness in my shoulders and at times in my neck also.  I had heard that Bikram Yoga is done in a hot room. I was thinking that may be over the upcoming long weekend for President’s day, it would help limber up my shoulders and neck.

When we got there, the woman at the front desk, Rachel, introduced herself as a Bikram Yoga teacher and gave us a tour of the facility.  She told us that we should come in with a yoga mat and three different towels, one for the mat, one for shower and a hand towel. I made up my mind right there and then, and asked Kimberly for her support and company in doing the yoga over the long weekend.

So, How Was the Class?

The next day, Kimberly said that she was not feeling very well, but went with me anyways for moral support. So, I got to experience the first class by myself, while she sat out in the lobby with a book.

As I returned from the class, she looked up from her book and asked, “So, how was the class?”

I blurted out the first thing that came to my mind, “There is a lot of growth opportunity here.”

You see, I had been working out quite regularly, for over 10 year with my trainer, Saleem Udqa.  I started with him as I was approaching 50. In fact, both Kimberly and I and even our sons Daniel and Justin have been working out under his guidance at our home.  Saleem advocates a very holistic type of regime, strength training, free weights, cardio conditioning, reaction training, TRAX, lot of conditioning, balance, stretching for flexibility and a lot of skills for everyday life. So, I thought I was in a pretty good shape. But it was not easy being in the heated yoga room and doing the poses for full 90 minutes.  I had to stop several times, either being out of breath or just too hot and feeling dizzy.  I was not even close to getting into many postures. I definitely felt very challenged.  So, I told Kimberly I was going to do the yoga every day for one week, taking full advantage of the one week subscription that I had purchased.

On the second or third day, I decided to pick up the two books by Bikram: Bikram’s Beginning Yoga Class and Bikram Yoga – The Guru Behind Hot Yoga.  The first one is about the postures and the other about his life story and has details about concepts yoga.  As I read those two books I was even more intrigued about the Bikram Yoga routine. In the books, Bikram Chaudhary lays out the rationale for his routine. He described how the routine works out every part of the body, both inside and out.  And, he described the principle of extension and contraction, to flush out all organs in the body with oxygen rich blood flow and how that is a key to healing.  In his books, he also challenges readers to do the routine every day for 60 days and promises that after 60 days, they will be able to do 80% of the postures 80% right.

So, I announced to Kimberly that I was going to put our workout with Saleem on a hold and to do Bikram Yoga every day for 60 days.

Why am I Having Such a Hard Time Simply Bending Backwards?

It took about a week to get used to the heat and a few more days before I started to get through the whole routine without having to take breaks.  After a couple of weeks, I could tell what posture was coming next and see in my mind the whole routine.  About then I also started having breakthroughs in different postures.

Well into the third week, I still could not even bend backwards for the Camel pose without getting dizzy.  Finally, I asked yoga teacher Kat, “Why am I having such a hard time simply bending backwards? It does not seem the Camel pose by itself is such big a deal.”  She told me that that experience was very common and I simply needed to push through it. And, lo and behold, that day I “pushed through it” and was able to bend backwards without getting dizzy.

For the Firm Fixed pose, in the beginning I had excruciating pain in my knees. I could not even fully sit between my feet with my butt on the ground. When knees got better, ankles hurt. When ankles got better, quads were too tight and hurt. Each day my body got more and more limber until few days later, I was able to push through and do the full pose.

Learning the Nuances

Starting with the fourth week, Kimberly joined in. By that time, having accompanied me so many times, she had become, according to one teacher, “the most well-known non-yoga student in the studio”. So, now I had someone to talk to in detail about different postures.  I had read through the technical details of poses in Bikram’s book.  We started comparing where we were with respect to the final expression of the poses.  I would also talk to other guys in the locker room to get hints and tips. I noticed that because of me showing up every day I was progressing quite fast and was soon beyond where a lot of guys were who had been doing Bikram Yoga for much longer but not as regularly.

We would also discuss what we would hear from different teachers in their dialogue. Kimberly and I would always talk about and share any nuance we would learn. Heidi would always emphasize breathing. So, we learned how to breathe properly from her. Kat started us off on the fully relaxation during the last Shava asana. So, I started developing a routine to fully take advantage of Shava asana at the end. I started setting my mat right next to the teachers, so it would be easier for them to see me doing things wrong and correct me. I would always take time to thank them for correcting me, so they would feel even more comfortable correcting me. When Bikram Chaudhary was in the area, we went to hear his talk to pick up any further motivation and nuances.

In those beginning months, my yoga practice also seemed very susceptible to who was teaching the class. I would come home, discouraged, wiped out, elated, encouraged or feeling that room was all over the place based on who was teaching. That was in spite of the fact that I found I could always learn something new from every teacher. I even requested a couple of teachers if they could enunciate verbs a little louder. As the time passed, I learned to focus more and more on myself and it became easier to hear and stay in sync with the teachers.

60-day Obsession

It turned out to be not that easy to do yoga every single day.  I was quite busy at the office and was also traveling quite a bit. Once I had a dinner meeting in Crystal City. So, I found a studio in Falls Church for an afternoon class before the meeting. While traveling to Peachtree City, I found a studio in Decatur, GA outside Emory University.  I found a hotel room near the studio, did a session from 7:30 to 9pm and then another session starting at 5:30am the next morning.

One day I flew myself back from Fayetteville, NC, did an afternoon conference call, ate a piece of cold Mediterranean pizza while on the call and then ran off to do yoga. With the very first set of postures, as I bent down for Head to Feet pose, I felt like I was going to throw up.  After completing the yoga session with great difficulty, I did a forced throw up to purge my stomach. I came home and got sick anyways. I realized that I had been pushing myself way too hard and had probably compromised my immune system – before I even talk about eating pizza right before yoga. I still had one week to go before my 60 days were up.  It took me 5 days to heal, after which I did do the last week to complete my 60 day personal challenge.

The Rewards, Proselytizing and Bikram Yoga Lifestyle

After 60 days, it did seem that I was doing about 80% of the postures about 80% right. Right after completing 60 days, I went in for my blood work for cholesterol.  That came out really well. LDL was lowest it had been for a while. HDL was highest it had been for a while. My weight was in ideal range, between 162 and 164 lbs. My knee pain had mostly abated.  I had started prancing on my toes down the stairs. My sinuses had become very clear.  I had lost an inch of my height over the last few years; I got most of that back.  My meditation felt deeper and quieter.   I noticed that Kimberly’s skin was much more moist and softer than before. She has had very dry skin in the past. She noticed that her varicose veins were disappearing.

After that initial period, Kimberly and I decided that we will just do Bikram as the main form of our physical exercise and discontinue Saleem.  I decided that may be this was the way to take my health to the next level and achieve my goal that I set a couple of years ago, “Better health at 60 than at 50.” So, we settled into our routine of yoga 3 times a week.

6 months later, in August, I went in for a complete physical. Everything was still great.

When Boys came home during the summer, we introduced them both to Bikram Yoga.  Both seemed to enjoy it and benefited from it. Excited about our new find, we also introduced Bikram friends and family. We personally introduced about half-a-dozen people to Bikram. Out of all those folks, two have taken this up as a regular part of their life.

We took almost 3-week break from Yoga in October when we did Pancha Karma program at the Ayurveda Institute in Albuquerque, NM. During the PK program, while on Kitchuri, i.e., Rice and Lentils, diet, body was too weak to handle the full Bikram routine.  In fact, we learned a very gentle form of Yoga at the Institute, they called Ayuer Yoga.

At the beginning of 2013, I decided to do another 30 day challenge and may be even turn that into 60 day challenge, if I was feeling good.  After 11 days, I got sick.  I think, again, I had been pushing myself hard, both at work and otherwise.  So, I backed off for a few days.  Another time, my lower back was hurting a little.  But against my better judgment, I chose to push through all the postures, including sit ups, which teachers always remind us to skip if there are any issues with the back.  That night my whole back froze.  It took me four five days to limber it up to get back to normal.

One Year Later

So, on President’s day 2013, a year later, as I write this, where am I?

  1. Bikram Yoga continues to offer significant potential for growth, in conditioning, balance, flexibility and general health.
  2. I can do most of the postures quite well. All of these postures can always be done better. Progress happens every time, but mostly in inches and centimeters
  3. For certain postures, I have yet to achieve anywhere close to full final expression, notably, for Standing Head to Knee and Toe Stand poses.
  4. I always feel like pushing myself, but lately I have been more conscious of keeping control of my breath.  It seems appropriate to back off, if I am losing control of my breath. So, I skip one or both sets of a pose to regain control of my breath and then jump back in.
  5. Based on above observations, I am thinking of an experiment: just to do only every other pose, so I will have enough energy available to perfect the postures, while maintaining control of my breath.  In one session, I will do poses 1, 3, 5… and then next time 2, 4, 6 etc. Once perfected I would start doing all 26 postures together again.
  6. Although I have much more flexibility and balance than I had a year ago, I don’t feel quite as strong as I used to feel. I have been wondering about experimenting with strength training to supplement yoga.

About 2 to 3 months into Bikram Yoga, I started experiencing ringing in my ears.  I don’t know if that was a coincidence.  I got the ears checked without any definitive diagnostic or cure. Ayuervedic Institute folks thought it was correlated with high Vata. I would like to heal this.