August 2008 PDF
Feeling sluggish? Time for an adrenal recharge
You drag through your days, feeling depleted of every ounce of your normal energy level, and now you’re scraping the bottom of your reserves. Even your sleep fails to bring you relief from this persistent tiredness.
At some point, this will lead you to your doctor’s office with a complaint sure to strike terror into his heart: “I’m tired all the time.” He’s not so much afraid that you’re suffering from some lethal disease —he’s afraid you’re not.
It’s a tough dilemma for most doctors, because unless they can find something to treat with a drug, your non-specific complaint demands an investment in time—a luxury most mainstream docs can’t (or won’t) afford. Not every illness can be packaged into a neat little pill, so you may find yourself getting the gentle—or not so gentle— brush-off.
Or worse, your doctor may suggest that your tiredness is all in your head and hand you a script for some pills to calm you or an antidepressant that will further immobilize you.
So here you are, exhausted and now fighting an uphill battle to get the respect—and treatment—you deserve. I’m going to help you understand what’s going on in your body so you can get your energy back without further delay.
Most of us are not designed to break down permanently in middle age. Your body is a phenomenal design that cycles through an ongoing process of breakdown and rebuilding. That’s how the regeneration of your cells occurs.
But running your engine at 100 mph around the clock is a one-way ticket to a permanent breakdown. It can lead you to a state that goes beyond the regular “tired” feeling and into the realm of complete and utter exhaustion. For most of us, being tired can be remedied through a simple treatment program that includes the basics of good old-fashioned TLC: adequate sleep, nutritious food, and a generous serving of downtime.
It’s when your tiredness does not respond to these simple remedies that your quality of life begins to degrade, leaving you with an inability to handle your normal functions. That’s when the time is right to look closely at the HPAT axis, which includes your hypothalamus, pituitary, adrenal and thyroid glands.
These glands are interconnected, designed to protect you from the ravages of too much stress. The first two are located in your brain, the thyroid is located a little lower at the base of your neck, and the adrenal glands are perched atop your kidneys.
Your HPAT axis is like a factory that never closes. The glands in your brain direct traffic while the thyroid and adrenals let them know what’s needed. And if you’re running on overdrive, they’re screaming for help around the clock. That scream translates into the extreme fatigue you’re feeling in your body.
What’s criminal is that your hardworking adrenal glands will get less attention from your doctor than would a stubbed big toe. The only time your adrenal glands get any attention at all is if you develop Addison’s disease, the dire, end-of-the-road autoimmune disease that basically shuts them down.
It shouldn’t have to come to that. Your doctor needs to take notice of your adrenal glands as soon as you say “tired,” especially in light of the fact that they serve as your body’s first line of defense for handling stress. For some reason that I can’t begin to fathom, most doctors don’t believe that an adrenal gland, pushed to the limit 24/7 in our modern pedal-to-the-metal lifestyle, might be losing its efficiency in handling all of the stressors sent its way.
But you’d better believe it, because running your motor like this will cause your adrenals to spew out large amounts of stress hormones on a nonstop basis—exactly what you don’t need.
When you’re pushing your body to the limit, your adrenals sense a threat. They don’t know whether an angry tiger is snarling at your heels or if you’re worrying about your gas and food bills—it’s all the same to them. So they’ll release the stress-hormone twins, cortisol and adrenalin (a.k.a. epinephrine). These two will send your blood sugar surging for quick-burning energy and push blood into your arms and legs so you can flee from the danger. (It’s that old tried-and-true survival response known as “fight or flight.”)
If you’re on 24/7 alert-mode and your body can’t shut off the alarm, it only stands to reason that your repair systems can’t keep up the pace forever. Short term, this stress response can be lifesaving. Long term? It can kill you.
Next comes a classic example of how everything in your body is interwoven. A prolonged stress response forces your body into a state of chronic breakdown, leaving the door wide open for a whole host of degenerative diseases. The list includes heart disease, diabetes, arthritis, dementia, cancer––and hypothyroidism.
Because where there’s an overworked pair of adrenals, a sluggish thyroid is sure to be lurking somewhere in the background. The thyroid works hand in hand with your adrenal glands. Think of your thyroid as the speed moderator. When it senses you’re on overdrive, it slows itself down and makes less thyroid hormone.
When you show up in your doctor’s office complaining of fatigue, your doctor may start by checking your thyroid-stimulating-hormone (TSH) level. Your success in receiving treatment depends on a bit of a numbers game. If your TSH level is over 5.0, it means the thyroid has slowed down (resulting in hypothyroidism) and you’ll be handed a prescription for thyroid hormone.
I wrote extensively about the thyroid and its relation to fatigue in the March 2007 issue of Health Revelations. You can access it in the arch-ives at www.healthrevelations.com using this month’s password (located on page 8).
Meanwhile, you can see how easily your adrenal glands just got overlooked in this insta-diagnosis. They continue to sputter along—giving a subpar performance even though they’re working their glandular tails off.
Don’t give up yet, because there are some additional numbers that should be checked. More than likely, you’ll now need to take matters into your own hands and ask your doctor to give those adrenals a closer look. He should give you an adrenocortex stress profile. That test evaluates four salivary-cortisol levels over a 24-hour period, as well as your DHEA level. A high level of cortisol is often accompanied by low levels of DHEA, a hormone secreted by the adrenal gland that already begins to make its grand drop-off in your mid-30s as it is.
The test can help your doctor analyze how your adrenals are functioning—but only if he’s familiar with it. It’s available to him through Metametrix (www.metametrix.com) and Genova Diagnostics (www.genovadiagnostics.com). Or if you prefer, you can go to a practitioner in your area who is already familiar with it. Find one at www.functionalmedicine.org.
Results in hand, it’s now time for you to give your adrenals the TLC they so desperately need.
When it comes to adaptogens, experiencing their power for yourself is believing. Russian researchers were studying Siberian ginseng, which is one plant in the adaptogen class, and found that it helped the body deal with stress. But Native Americans have known this for centuries, using our local version, American ginseng, as a preventative.
Adaptogens are root plants that can balance hormones as well as protect against chemical, physical, psychological and biological stress. That’s quite a tall order, if you think about it. (I wonder how many pills that would equate to if Big Pharma were trying to accomplish the same thing?)
These remarkable plants have the unique ability to switch from being stimulants to being calmatives, depending on your body’s need—as if they could read you! And the Creator didn’t stint on making sure that every culture around the globe has access to one variety or another of these plants. Again, here in our country we have American Ginseng. There are also Ashwagandha from India, Rhodiola from Russia, and Maca from the Peruvian Andes. Each of these adaptogens works on the HPAT axis to support its crucial protective role in health, restoring balance and vitality to your system.
Rhodiola rosea is probably the best-studied adaptogen of all. While it does have a balancing effect, it may also be more activating and energizing than the others. I prescribe it for my patients who have adrenal fatigue and mild to moderate hypothyroidism. I work primarily with Rhodiolaforce 100™ from New Chapter. There are clear instructions on the bottle for increasing the dose to allow for your individual response.
Just like everything else in your body, the adrenal glands need nutrients to run themselves. The vitamins most important to your adrenal health include plenty of vitamin C and B-complex vitamins, preferably from natural food sources. Round up the usual citrus suspects for vitamin C: Pineapples, oranges and grapefruit. However, consider these foods that pack a vitamin C wallop (even higher than the citrus fruits): papaya, red bell peppers, broccoli and Brussels sprouts.
For your B-complex vitamins, good sources include oats, barley (see more about this wonder-grain on page 6), wheat bran, bananas, avocados, walnuts, tuna and salmon.
There are some excellent general-stress formulas on the market. You can check out Adrenotone Plus by Designs for Health (plug the name in at www.google.com to locate sources) or Megafood Un-Stress (www.megafood.com). The combination adrenal support products I most prefer are from New Chapter—Stress Take Care™ and Stress Support Multi™. Their Diet & Energy™ is also a good stress formula, especially for people who need to lose a little weight.
Last but not least, developing good stress-handling skills—whether by avoiding stress in the first place or by learning how to defuse your reaction to it—plays a major role in HPAT health.
One of the best ways for controlling your reaction to stress is through biofeedback. Many of my patients have found success with the emWave Personal Stress Reliever, which teaches you how to recognize the way you’re reacting to perceived stressful situations. As I’m sure you know—you may not be able to eliminate stressful situations in your life, but you can certainly learn how to react to them so they won’t affect your health negatively. Go to www.emwave.com to learn more or if you’d like to purchase this biofeedback system. They run about $200—a bargain, when you consider how much cortisol will cost your health in terms of stress damage.
By incorporating each of these recommendations into a plan to replenish your adrenals, you should begin to feel better in a matter of weeks. But remember, it may have taken you years to wear out your adrenal glands to the point you’re at now. Some folks need to give themselves a good 6 to 12 months to return to a normal state of healthy functioning, so patience can pay off.
10 habits of people beating the aging game
The vast majority of us don’t have some sort of built-in design flaw where we just fall apart at a certain age. The truth is that we’re not meant to get sick and break down just because we’re growing older.
I know plenty of folks (and I’ll bet you do too) in their 70s and 80s who are enjoying life to the fullest. They spend their time doing the things they love to do, such as enjoying more time with family members and friends, volunteering in their communities, committing to a deeper level of involvement with their church groups, traveling, and exploring new hobbies.
How do they do all those things? Here are 10 traits that many of these people have in common:
The biggest risk for suffering a broken hip or other bone is not having thin bones, as the mainstream-medicine crowd would lead you to believe—it’s the risk of falling. Needless to say, it’s hard to stay independent and enjoy life after you take a disastrous tumble.
Maintaining strong muscles may be the #1 factor in guaranteeing a high level of functioning as you age. Systematic strength training is the way to go—and you can individualize it according to your taste. Your options run the gamut, from pumping iron at your local fitness center, using elastic bands at home, practicing yoga, chopping wood every day, or engaging in a combination of all of them!
You should also pay attention to what you’re feeding your muscles. No, I don’t mean that you should ingest protein bars and shakes. Rather, your muscles work best when you get enough vitamin D. That means taking 1,000 to 2,000 IUs of D3 daily and making sure your 25-hydroxy vitamin D level is above 50 nanograms per milliliter—you can get this information from a simple blood test your doctor can give you.
Research repeatedly proves that folks who keep their minds busy hold onto their cognitive abilities as they age. There’s no need to limit yourself to the daily crossword and Sudoku puzzles. Your reading material alone can provide a wide variety of brain food. Are you used to reading romance novels? Try a biography. Are you a history buff? Mix it up with a mystery.
And don’t think that education is solely for the younger crowd. Did you know that there are many universities and community colleges that offer discounts to seniors? Go to www.seniordiscounts.com for a sampling and then check into the schools in your area. Now you can learn what you want to learn —not what you have to.
There are some folks who keep their minds active by going back to work. A lot of people find they miss the social camaraderie that comes with working (not to mention the extra income), so they don’t mind a return to the work force.
As many folks age, they tend to eat less. The notorious “tea-and-toast” diet hardly gives your body the nutrients it needs to run itself. Some people find it’s just easier to skip meals—especially if they’re only cooking for one.
Don’t do it. Otherwise, a vicious cycle sets in: The less you eat, the less you feel like eating. But if you find that you’re starting to lose weight and spending more of your time sitting around the house, please talk with your doctor—you may be suffering from depression.
Here’s an easy way to get more nutrition: Buy a blender and mix up a smoothie for yourself every day. My personal favorite is pouring in about 8 to 12 ounces of rice milk and a handful of berries —either fresh or frozen works just fine––a heaping tablespoon of almond or peanut butter, and a scoop of vanilla whey protein.
To kick it up another nutritional notch, throw in a tablespoon of your favorite green drink mix. I prefer New Chapter’s Berry Green (www.newchapter.com). This makes a great breakfast, lunch or late afternoon (“teatime”) snack.
No offense, guys, but this one is especially for us. It’s great to be independent, but there’s a possibility you won’t be at some point. Then what?
Whether it’s asking for a neighbor’s help with some heavy lifting around the house or calling a community agency for assistance when you’re struggling to take care of your spouse, you need to know when to wave the white flag.
Another thing: If you find yourself having more trouble getting around for any reason, let your doctor know. He can refer you to a physical therapist or physical trainer who can put you on an individualized exercise program—it will help keep you more active. The sooner you get back in shape once you’ve taken notice of that slowdown, the easier it will be to maintain a healthy level of activity.
Pay attention to any new symptoms that pop up. The key word here is “new.” It’s worth a call to your doctor if a symptom is something you haven’t experienced before. And do it today—not next week or next month or when you have “time.” Here are some symptoms to take notice of:
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Visual disturbance
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Hearing change (usually just a buildup of earwax)
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Lightheadedness or dizziness
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New-onset headaches—especially when they wake you from sleep
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Bleeding gums
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Heart palpitations
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Difficulty in swallowing
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Chest pain or pressure
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A dry or moist cough
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New abdominal symptoms
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New moles/freckles or old ones that change size or color
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Shoulder, arm or neck pain
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Recent loss of appetite or body weight
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New muscle or joint aches and pains
Mrs. Campion, a widow I know, lives up the hill from me. Every evening after dinner in good weather, she takes a brisk stroll for at least an hour around the neighborhood. With all of that walking, she also occasionally gets in plenty of talking—depending on who’s working out in the yard or sitting on their front porch. Now, I can tell you from personal experience that a 45- to 60-minute vigorous walk is real exercise—enough to help keep the pounds off and everything in good working order. The visiting and socializing are a bonus that makes her evening stroll much more than an exercise session.
Start a walking group and enlist neighbors to join you. Or join a hiking club, go ballroom, swing, or square dancing, or take a yoga class. Experiment—and mix it up. There’s no need to stick with only one type of exercise when you can have more fun enjoying several forms.
Experts once studied a small steel-mill town in Pennsylvania. The residents all smoked, drank, and ate too much. Lots of heart disease and cancer were to be found, right? Quite surprisingly, that wasn’t the case. It turned out to be one of the healthiest communities in the country.
The reason is the strong social networks that had been developed. These folks were apparently too busy enjoying each other’s company (and maybe minding each other’s business, too, while they were at it) to get sick. It’s not only common sense but also scientific fact that maintaining your social contacts pays big dividends when it comes to your health. And the last time I checked, sharing your life with your friends and neighbors is more fun than doing a couch-bound zombie impersonation in front of the TV set.
You don’t need to have family nearby. There are many people out there who would love some company, whether it’s traveling on a bus tour or exploring a new hobby. (Side note: I don’t recommend you follow those folks to the letter and start up a smoking and drinking habit. Stick to the socializing.)
Can’t remember the last time you had a good laugh? Believe it or not, you can make laughing your new, healthy habit. Here’s the plan: Starting today, you’re going to take a mini-laugh break every two hours. That should give you about six such breaks per day—though more would be even better.
So how should you do it? Because everyone’s sense of humor can be different, that’s up to you. You have it in your power to conjure up a joke, an amusing story or memory, a recent bit of pet buffoonery, or an old Cary Grant movie or I Love Lucy rerun. Stick with this for a few weeks and see if it doesn’t help you lighten up. You may be surprised to feel some of your aches and pains evaporate—as you literally loosen up. The healing power of laughter is well understood by modern medicine––and you don’t have to worry about insurance covering it.
While this one may seem like common sense, it’s probably not something you think about unless reminded. Put a plan in place in case you need to spend time in the hospital, because, needless to say, the world will keep revolving and the bills will continue to arrive in the mailbox. This is easier to take care of if you have family or friends nearby. By discussing the details of your plan with them in advance, you won’t have to spend recuperation time worrying about your mail and newspapers piling up, bills accumulating, an overgrown lawn, or under-watered houseplants.
Another possibility to consider is finding out if your community has an elder-service agency that offers aid to you when you’re in need. Most communities have one—check with your local Department of Health and Human Services, which oversees the Administration on Aging (www.aoa.gov), and explore its services. Such agencies are able to step in with a minimum of fuss and look after your home in your absence.
Today’s homework: Take your list of medications—I hope it’s a short one—and read up on them. What I especially want you to do is to learn their side effects and interactions, if any. You can go to Google and type in “drug interaction checker,” where you’ll find several easy-to-use tools that will quickly uncover any potential problems.
Despite all of your doctor’s good intentions and best wishes, he’s actually practicing medicine-of-the-moment. This means that when he places you on two or more drugs, there’s no way he can know how they will interact over the course of several years. Everyone can react differently to just one medication, so you can imagine what happens when you add one or two more to that mix.
Another thing you should be aware of is that most docs have neither the time nor the intricate drug knowledge to check (or manage) all possible drug interactions for all their patients. Sounds dangerous to me—which is why it’s always a good idea to play your own advocate in matters of health.
Forgotten cures
I keep a pretty hectic schedule, between my work with patients, traveling to medical and natural-health conferences, writing my newsletter, and making sure I get my rowing in for exercise. Needless to say, I need something in my belly in the morning to give me a good day’s start.
One of my favorite breakfasts has always been a mixture of whole oat groats and hulled barley. I let it soak overnight and then cook it very slowly over low heat for an hour or more. I like to add some nuts and raspberries, sometimes a pat of butter, and then I’ll sprinkle cinnamon on top. A big bowl of this keeps me clearheaded and energized until lunch without the least chance of hunger pangs. A breakfast like this may take a little time to prepare, but it’s worth it when you consider how great you’ll feel the rest of the day and the amount of work you’ll be able to get done.
Of all the whole grains, barley is the true cornucopia of health-promoting benefits. It has been cultivated around the world for over 10,000 years and was recognized by the Greeks and Romans as an important food for giving their athletes strength. Ancient China revered it as a symbol of male virility.
A careful analysis shows that barley is an exceptional source of fiber and the all-important mineral selenium, plus meaningful amounts of niacin, copper and magnesium. A cup of barley has 13.8 grams of fiber—by comparison, rye and raspberries contain about 8 grams and a cup of oatmeal contains 4 grams. As you can see, a breakfast of barley, raspberries, and almonds gets you close to the 25-gram daily fiber goal—right out of the gate. I recommend this breakfast as a great remedy for constipation, especially if you include a few extra prunes! It far outweighs some foul-tasting laxative off the drugstore shelf—and gives you nutrients to boot.
The insoluble fiber found in barley also feeds the friendly bacteria in your gut. This in turn creates a fatty acid called butyrate, which nourishes the cells of the large intestine and helps support colon health. By increasing the population of good bacteria in your gut, you crowd out the bad. This provides support for your immune system and reduces inflammation throughout your body.
Barley sports four times the amount of soluble fiber found in oats and is rich in the antioxidants known as tocotrienols. This helps barley normalize your blood-cholesterol levels and may promote the formation of healthier large, buoyant LDL particles, which are less likely to insinuate themselves into your artery walls. Barley also prevents oxidation by free radicals into their more artery-damaging, heart-disease-causing form.
Whole barley is an extremely low glycemic-index food, which means it has a very gentle effect on blood-sugar and insulin levels. This makes it ideal if you’re concerned about diabetes. (And who isn’t?) It also has meaningful amounts of magnesium, a trace mineral in short supply in the diets of nearly half of all Americans. Magnesium is a cofactor in over 300 enzyme reactions in the body, playing a major role in insulin and glucose metabolism.
Postmenopausal women consuming over 30 grams of fiber per day reduced their risk of breast cancer by up to 50 percent, according to one study. Barley is especially high in plant lignans, a phytonutrient that’s converted by the friendly bacteria in your intestines into a form your body can use to help protect against cancer.
Barley also provides an impressive 66 micrograms of selenium per 3.5-ounce portion. (That’s a little less than a ½ cup of barley.) Selenium can help reduce the risk of cancer because it supports DNA repair.
I recommend sprouting your whole grains, which supplies even more nutrients than the unsprouted form. To learn more about sprouting, go to www.chetday.com/sprouts.html. In the meantime, you can use hulled barley, which retains the majority of the nutritional goodness of the intact whole grain. With pearled barley, you lose up to half of the nutritional value due to the processing.
Make barley a regular part of your diet. For breakfast, few foods can get your day off to a better start. Add it to stews, soups and salads. You can also enjoy it as a regular side dish to accompany your meals—a healthier choice than white rice.
Your Questions Answered
A natural, proven cure for post-shingles pain
Q. I just turned 70 and am generally quite healthy. But over the winter, I suffered a terrible head cold and next thing you know, I came down with a case of the shingles. The blisters all healed, but I still have a sharp pain that just won’t go away. My doctor wants to put me on medication, but when I got a load of the side effects, I was scared off. Am I stuck with this, or is there anything else I can do? ––Gladys P., Paris, TX
A.Shingles can be the scourge of the golden years. It’s brought on by the same virus (varicella zoster) that causes chickenpox. Sudden, painful blisters form on one side of the body, usually on the trunk or face, along a nerve. Most sufferers feel tired and generally ill. It can be provoked by stress or illness, both of which challenge the immune system. Nerve pain that continues after the blisters and other symptoms have cleared up is given the fancy name postherpetic neuralgia (PHN).
PHN clears up within three to four months for most folks. But in about 20 percent of cases, it can persist for years, and, as you can attest to, make life quite miserable.
PHN can be such a persistent condition that I’ve seen doctors try everything under the sun to try to deal with it. Some docs will try lidocaine skin patches, but they only supply temporary relief for milder cases that last only a few months.
Sometimes, doctors will prescribe powerful prescription painkillers like Tramadol and Oxycontin, anti-seizure drugs like Neurontin and Lyrica, or antidepressants like Elavil and Cymbalta. Imagine just wanting your pain to go away, and then having to deal with the side effects from an anti-seizure drug or antidepressant. And here’s the kicker—they don’t always work too well for PHN.
Pain specialists have other tricks, such as steroid injections and something called transcutaneous electrical nerve stimulation (TENS), which forces you to wear a small box the size of a cell phone—and the flip side is, it doesn’t always work.
The message here—as I’m sure you’re getting—is that mainstream docs might not have the answer for your pain.
I recommend you try homeopathy, because I’ve seen dramatic results from it that I’ll never forget. Gloria was an 89-year-old woman, still fixing her own meals, living in her own home, and enjoying her favorite activities. That is, until she was struck by shingles and the inevitable PHN. A year later, she still couldn’t comb her own hair on the right side because the pain was so great.
I had the opportunity to ask the famous Scottish homeopath Dr. Robert Leckridge for advice. Here’s what he recommended: Hypericum Perforatum (an herb) in 30C, 200C and 1M potencies (these are homeopathic potencies). Day one, take 30C beneath the tongue three times per day at least two hours before meals. On day two, follow the same procedure with 200C. On the third day, again follow the same procedure but using the 1M level of potency.
Simple enough, and that’s what we did. Two days after the last dose, Gloria complained bitterly of fatigue. According to Dr. Leckridge, this was a sign of the remedy’s taking hold. A week later, the pain improved 90 percent and stayed that way. It was a near cure, in fact. Gloria was back to combing her hair, and apart from a slight, sensitive patch of skin in the same area—she was pain free. I wouldn’t have believed it if I hadn’t witnessed the whole process for myself.
I’ve since learned that, according to experienced homeopaths, results like this are not unusual. I recommend you try this safer and cheaper homeopathic cure first, before any other remedy or drug. See www.homeopathiclaboratories.com. Be sure to give it a few weeks to work.