Sunday 30 August 2020

Free online Forums re Integrative Health; starting with Gut Health

The first Forum
I've been working a few hours a week with Wigwam - 'a cancer support group with a difference'.  We have just launched an exciting programme of fortnightly Forums and monthly Webinars with expert speakers on a wide range of topics including what you need to know before chemo and radiotherapy treatment, sugar, fatigue, vocal toning, human connection, dance, mindfulness and looking in more detail at integrative approaches. 

All the events will be on Zoom and have plenty of time for questions. They are all bookable free via the Wigwam website on our Forums and Webinar page.

Our first Forum will be looking at one of the most important aspects of our health; our gut. The role of gut health is critical in our immunity, recovery, stress and nutrient absorption. What can we do to maximise gut health? There are now so many studies on our gut microbiota - the tens of trillions of microorganisms that coexist in our gastrointestinal system. We can see, for example, that imbalances in our gut microbiome, or dysbiosis, can cause less microbial diversity in favour of disease-promoting microbes. Indeed between 15-20 percent of human cancers may be attributable to microbial infection (Lancet Oncol 2012;13(6):607-615). So improving our gut health can be critical in our approach to preventing and managing cancer. Find out more in this talk with time for questions.
 
This first session will be with Leyla El Moudden, who regularly contributes to a range of health publications, works for The Really Healthy Company and has previously been President of Association of Naturopathic Practitioners and Short Courses Director of the College of Naturopathic Medicine. Leyla will also be leading our monthly Webinars on a Thursday on a range of topics.

Book at: https://www.wigwam.org.uk/event-details/the-impact-of-gut-health


You can see more on our website about how to join our Wigwam Cancer Support Groups or our regular group sessions like mindfulness.
Also our biggest event is coming up - the incredible “Your Life and Cancer” weekends, 26-28th Sept and 10-12th October. To get a sneak preview and early bird tickets go to: https://www.yourlifeandcancer.com/

Saturday 15 August 2020

Finding Happiness After Covid-19

A friend, Peter Keevil, has just given me a copy of his book 'Finding Happiness After Covid-19’ that he wrote with his wife, Pam Keevil (i). There are quite a number of such books - Amazon lists over 80,000 in a search for ‘happiness' - so a tall order to bring something new to the table. What Peter and Pam do bring is NLP, coaching experience, involvement with the Action for Happiness project and the impact of Covid-19. The book contains a blend of tools and techniques to help us make positive changes happen, in our own lives and in the world around us - a Happiness Toolkit - a toolkit that is so timely following Covid-19. We so don’t need to return to the way we were pre-Covid-19. The pandemic offers us a chance to catalyse some of the individual changes that Peter and Pam are proposing.

In a previous blog I looked at some courses that were being offered while many of us were in lockdown (iii). One of those was Yale University's 'The Science of Well-Being’; more than 2.6 million people signed up by June. It was also in June when a survey showed that only 13% of UK working parents want to go back to ‘the old normal’ (iv). Many of us want change! For me part of my unease at the loosening of lockdown is that may be we’ve not yet learnt the lessons of C-19.

We have for too long been misled into chasing possessions, physical attractiveness, relationships and more money. A string of studies quoted by Santos who organised the Yale course, explain that, after a certain point money doesn’t increase happiness and emotional wellbeing (v). Similarly research shows weight loss and cosmetic surgery may not lead to increases in happiness, as well as research showing how salary goals keep rising as we earn more money. We may never feel we are making enough. We compare ourselves to others, and always are wanting more.

Indeed it seems our whole society measures the wrong things;  narrow economic indicators which don’t take account of factors affecting the quality of life for all people like personal freedom, social equity, health, happiness and human fulfilment. As a former Green Party councillor I’ve long liked the Green Party’s approach calling into question the value of GDP as a measure of national wellbeing - and most recently calling for it to be replaced with an index showing how much free time people have to enjoy - arguing that leisure can contribute more to overall happiness than wealth (vi).

Image from book
One thing that is very clear to me, is that having cancer doesn’t mean an end to happiness. Do I even need to write that?! Indeed many have described cancer as a catalyst for more happiness - not least perhaps because it teaches us gratitude. I also know many with cancer who would not feel like this! In my case, cancer has enabled me to reflect more deeply on what sometimes I’ve taken for granted in the past. And Peter and Pam’s book in their first tool in their Happiness Toolkit talk about Purpose, Compassion and Gratitude. Gratitude is big and I am indeed hugely grateful for so many things. The other two are also big ones - I have covered both purpose and compassion in a previous blog - see here (vii). If we get these three right I reckon we are well on the way!

Last week I was sent the Tedx talk that I hadn’t seen before - it was by Martin Inderbitzin who was 32 years old, with a fresh PhD degree, a new job and about to start a new life when he was suddenly diagnosed with pancreatic cancer; part of that life was to be more conscious of living and to collect stories to show how cancer isn’t the end of life (viii). I don’t seem to tire of hearing these inspiring stories! So many of them have similar messages around learning to live - or as the wonderful Fi Munro, who sadly died earlier this year, said: "Choosing to live like you are dying is about embracing the fact that we all have only one life and deciding to make the choice to start truly living for today.” 
 

Happiness is 50% genetically predetermined

Image from book
Peter and Pam’s book notes the research that found 50 percent of happiness is genetically predetermined, while 40 percent is determined by how we relate to setbacks. Only 10 percent was related to the environment around us. Interestingly this 10% confirms what the research was saying earlier in this blog about new jobs, homes, partners etc not leading to more happiness. As Peter and Pam note, "it clearly makes sense to work on the forty percent that is in our control; our thoughts and actions.” It is this area the book concentrates on.

However the 50% troubles me somewhat. In a previous blog here I talked about the science of epigenetics (x). We are learning that genetics are influenced by factors like diet - and genetic damage occurs from a host of factors like pesticides, radiation, stress and more. We now know that certain foods, for example, can help to protect and repair genes from that damage. We can change the destiny of our genetic health. For me, this would be a great area to explore more, but I guess the things Peter and Pam are talking about will still impact on epigenetics.


The Toolkit

Well it seems having your heart set on happiness is not the right way to go. A study, carried out among students living in the UK, found those who said they valued happiness extremely highly tended to show greater signs of depression (xi). The researcher suggests that it maybe because such people focus on goals such as promotions, rather than helping others or spending time with family and friends; in other words focusing on the wrong way to pursue happiness.

In contrast the Happiness Toolkit is perhaps the ‘right way’ to pursue happiness - a wonderful look at so many of the things we can all do - with some exercises to complete and help us think more. One quote I particularly liked: “A lapse of any kind is just that - not a collapse and certainly not a relapse”. 

Image from book
Peter and Pam acknowledge there are more aspects than those covered in their eight tools but I guess with more it could become overwhelming. I also can see that to get the balance right in the eight tools for everyone would rarely be possible! One area that perhaps could have more focus for me is Self-Compassion - it is so key as so many of us are so self critical. In an article I like from Action For Happiness, the authors talked about three ‘components’ of self-compassion; Mindfulness, Kindness and Connecting with others (xii). They all get a mention in the book but I would have loved more on this topic.

Another area that has fascinated me is the link between health and happiness - we hear often that "laughter is the best medicine” and research does show that happiness does indeed impact on our health. We also know that there is evidence that unhappiness, anxiety, stress and depression, for example, are linked to poorer health outcomes. However according to the U.N.'s World Happiness Report 2015 good health does not appear to lead to happiness. 

I’m not sure this is entirely true….I mentioned above diet….and there is increasing evidence is linking the development of depression with poor health of our gut microbiota (xiii). For example a meta-analysis published in Molecular Psychiatry in 2018 concludes anti-inflammatory diets high in plant foods such as the Mediterranean diet are effective in protecting against the development of depression. The Alliance for Natural Health has an article with a DIY dietary approach to tackling some mental health challenges (xiv). So it would seem diet is a key factor in our mental health - and happiness?

I want to explore lots more - what do others think? Big thanks to Peter and Pam - there is much food for thought in their book and you can also sign up to their Facebook page: https://www.facebook.com/Finding-Happiness-after-Covid-19-103335108060770/
 
Update: this Tex talk was sent by a friend: Emily Esfahani Smith with 'There's more to life than being happy' - and yes this makes loads of sense:
https://www.ted.com/talks/emily_esfahani_smith_there_s_more_to_life_than_being_happy
 
Notes
 
(viii) https://youtu.be/M5QBH3wDrQY and more on the website ‘My Survival Story’: https://www.mysurvivalstory.org/ 

Thursday 13 August 2020

Intermittent fasting, time restricted eating and more

Fasting has been part of pretty well every culture in the past but features much less so nowadays. I’ve heard about the possible benefits to cancer but because of my low body weight I’ve not investigated further. Indeed my naturopath has advised against it in the past. A couple of years ago I read Chris Woollams who shared research that shows little or no benefit from ’Intermittent Fasting’, where people extend their overnight fast to miss an evening meal or breakfast (i). The study he quotes found; "mild caloric restriction and weight loss, without calorie counting. It may also offer clinical benefits by reducing blood pressure."(ii).

Chris went on to argue that the benefits from fasting come after about 24 hours without food. As I wasn’t ready to fast longer I dismissed the idea of shorter fasts. It is certainly true there is lots and growing evidence about longer fasting. I’ll come to that in a mo but I am also not so dismissive of the shorter 12-16 hour fasts. Although as with so many aspects of health it is hard to unpick what folks are staying - not least as there are so many versions of ‘intermittent fasting’ and of course we are all so different.

A 2016 study looked at over 2,000 women with early stage breast cancer and looked at the role prolonged night time fasting might play in breast cancer recurrence (iii). Women who had a short duration of nightly fasting (less than 13 hours between the evening meal and breakfast) were 36% more likely to experience a breast cancer recurrence than those who had a nighttime fasting duration of more than 13 hours. However the increased risk of recurrence was not associated with increased mortality from breast cancer or overall mortality. The researchers suggest that longer periods of follow-up might reveal an association. But hey this is just one piece of research….


Fasting and nutrition

A lot of the Intermittent fasting research does not seem to say much about our choices of food. Yet we know what we eat is critical. Dr. Valter Longo, Professor of the USC School of Gerontology has done loads of work in this area and written the ground-breaking book, ”The Longevity Diet”. He describes in the book his everyday diet, based in part on research including studies of centenarians and long-lived populations around the world. It is mainly plant-based, low in protein and rich in unsaturated fats and complex carbohydrates. Some fish is allowed once or twice a week - see more at: https://www.createcures.org/cancer/ Interestingly for over 65s there is some relaxation of the diet: https://www.createcures.org/longevity-diet-for-adults/

And of course following any diet should be done with the knowledge of your doctors. This is even more so when we talk below about fasting as it can have many unforeseen consequences and indeed can be very dangerous.

Longo is clear that we need to look for quality in food and not demonise any particular food group. He says in an interview in an article (Feb 2019) (iv): "The truth is fats are good and bad. Carbs are good and bad. Proteins are good and bad. Fats like olive oil, nuts, salmon are actually associated with positive effects. It is saturated fats and trans fats that are associated with a lot of problems. You hear a lot about low-carb or no-carb diets, but the right carbohydrates, including legumes, vegetables and whole grains, are very good for you. In fact, all the populations who have record longevity have a high carbohydrate diet. All of them. No exceptions. It may seem easier to label foods as good or bad, but in the long run this leads to problems”.


So yes to intermittent fasting?

In his book he clearly recommends a form of intermittent fasting - time-restricted eating - and this is in addition to his ’Longevity Diet' and the periodic five day Fasting-Mimicking Diet. In the article where Longo is quoted above, he is asked specifically about the timing of when we eat. His response is: "It turns out that it is important is to stick very close to 12 hours of feeding and 12 hours of fasting. If you eat 15 hours a day or more, that starts to be associated with metabolic problems, sleep disorders, etc. This is a new habit. If you ask centenarians, it is almost unheard of in these groups. But also, if you fast for longer than 12 or 13 hours, that starts to be associated with problems like gallstone formation, and we also know that longer fasts can lead people to skip breakfast. There are a number of studies, and we have our own data supporting this, showing that skipping breakfast is associated with increased risk for overall mortality and cardiovascular disease. So not only is it not good, it is bad for you”.

So daily 12 hours fasting looks good - or as Longo calls it “time-restricted eating” - and he also recommends not eating 3-4 hours before bed. 


Ayurveda and a Nobel prize

This leads me onto a workshop that Dr Sam Watts, a leading Ayurvedic Consultant, ran on Facebook this week on Intermittent Fasting. In that excellent session he shared that in 2016 the Nobel Prize was won by Japanese cell biologist Yoshinori Ohsumi (v). This confirmed what the Ayurvedic tradition has been saying for many hundreds of years. Fasting can be very good for us. Indeed fasting for more than 12 or 24 hours hours triggers autophagy - this is when cells destroy viruses and bacteria and get rid of damaged structures (see film here to explain autophagy) (vi). The word autophagy comes from the Greek for "self" and "phagein", which means "to eat” - and it’s key for the health of our cells and indeed our survival. This links to the reasons that fasting is associated with longevity. 

Granddaughter pic of me rebounding
There is research that that shows benefits to fasting like better blood sugar balance, reduced inflammation, loss of weight loss, and better brain function. Oshumi has now provided some of the understanding about how this happens. What I found very interesting was that exercise also does this - it can cause autophagy so that cells repair and renew (vii). I’ve already noted many times the importance of exercise but this understanding helps me ensure I still exercise when perhaps I don’t feel so like it!

So from this research it would seem the wonderful process of autophagy starts to kick in between 12 and 16 hours which maybe why the research noted above saw some benefits? And why Sam Watts recommends once or twice a week doing a 16 hour fast. This would perhaps then avoid the concerns Longo had around gallstones?


The five day Fasting-Mimicking Diet

Evidence is certainly mounting for the impact of fasting; reduced blood sugar and blood growth hormone (IGF-1), very low triglyceride and insulin levels, immune system regeneration and stopping cancer progression. And wow there are so many ways to fast - the internet is full of them from the 5:2 Diet (viii) to the Vedic way of 24 hour fasts on the 11th and 22nd days of the lunar cycle (ix). I started looking at possibilities ahead of my radiotherapy as it can help with that (x).

I can’t vouch for any of those fasting techniques but I do like the rigorous science behind the work of Dr Longo - in his book he gives a couple of weeks of food suggestions for his ’Longevity Diet’ and covers loads of the research to back his five day Fasting-Mimicking Diet - indeed it has been clinically demonstrated to provide huge beneficial effects on aging and disease risk factors. Of course as mentioned already don’t embark on this without doctor being involved - is is potentially dangerous for some conditions.

Longo has also shown that it looks like fasting significantly improves the performance of chemotherapy while reducing side-effects greatly. However fasting is not always possible on chemo which is why he has developed the Fasting-Mimicking Diet. Sadly this 5 day diet is only covered very briefly in his book - indeed to proceed safely it looks like you need to purchase food boxes at around $250 a time(xi)? And I don’t think these products are even organic or fresh? 

Interestingly new research from Longo is around using fasting as a groundbreaking method to avoid hormone therapy resistance in breast cancer - and I guess other cancers like prostate? I have had hormones twice in the past as part of my treatment so was very interested to hear about this (xii). You can listen to Longo being interviewed by Chris Wark here (xiii)
 
See also Longo's TedX talk: https://youtu.be/dVArDzYynYc
 
There is also an amazing opportunity to hear Longo and ask questions in the second 'Your LIfe and Cancer ' weekend: https://www.yourlifeandcancer.com/expanding-your-knowledge.


So where does that leave me?

1. Time-restricted eating.
 Eating in a 12 hour window where possible seems to make sense; this is possible but do have tottery and stop the need for nuts or something later in evening.

2.  16 hour fast. Try once or twice a week to go for a 16 hour fast; have done this a couple of times missing breakfast and surprisingly hard for me - I will persist and try missing dinner next time. I am also learning to fit it with the rhythm I mentioned in a recent blog - see here (xiv).

3. A longer Fast? I feel I still need to do some more research; just liquids carry there own challenges particularly when I am just on the bottom end of ideal weight - FMD also doesn’t feel the right place to start with a box sent from the states. Is there anyone who does that in this country?
 
Update 30th Sept 2020; just seen this blog on intermittent fasting by the wonderful Nasha Winters: https://www.drnasha.com/2020/09/14/intermittent-fasting-for-beginners-everything-you-need-to-know-to-get-started
and here's a useful Tedx talk on intermittent fasting: https://youtu.be/A6Dkt7zyImk 


Update 2.10.22: Must get around to a blog on chemo and fasting but in meantime see: https://nutritionfacts.org/video/fasting-mimicking-diet-before-and-after-chemotherapy/


Notes

(i) https://www.canceractive.com/article/Intermittent-fasting-is-basically-a-waste-of-time
(ii) https://pubmed.ncbi.nlm.nih.gov/29951594/
(iii) https://jamanetwork.com/journals/jamaoncology/fullarticle/2506710
(iv) https://news.usc.edu/135551/fasting-aging-dieting-and-when-you-should-eat-valter-longo/
(v) https://www.nature.com/articles/543S19a
(vi) https://www.bluezones.com/2018/10/fasting-for-health-and-longevity-nobel-prize-winning-research-on-cell-aging/
(vii) https://pubmed.ncbi.nlm.nih.gov/22258505/
(viii) https://thefastdiet.co.uk/
(ix) https://www.learnreligions.com/ekadasi-hindu-lunar-calendar-1770178
(x) https://myunexpectedguide.blogspot.com/2019/11/increasing-effectiveness-of.html
(xi) https://prolonfmd.com/
(xii) https://www.nature.com/articles/s41586-020-2502-7
(xiii) https://www.chrisbeatcancer.com/dr-valter-longo-fasting-mimicking-diet-improves-breast-cancer-treatment/ Also see more re Longo at: https://valterlongo.com/cancer/
(xiv) https://myunexpectedguide.blogspot.com/2020/07/getting-in-rhythm.html

Thursday 6 August 2020

Getting the basics right

I have been prompted to write this blog by doing Sam and Holly Watts' week-long Ayurvedic Challenge. They concentrated on several key practices that don’t seem to get a mention often enough - maybe they are seen as too mundane by some? Anyway I so appreciated the opportunity to get back to these basics - and realise that by putting my attention on them it can lead to me doing more of them more intentionally. So what am I talking about? 


Well there were five aspects to their Challenge and two of them are new but make lots of sense. Interestingly a healer I see regularly says this week that she senses that my energy is better; could it be these practices - I think they have had a big part to play. The practices also came with a meal plan that was very wonderful to compliment the week; you will need to sign up to Sam’s Mentor programme if you want access to that - or get access if he does another Ayurvedic Challenge.

One of the aspects I’ve appreciated most in Sam’s work is his vision to bring healing to many more people by raising awareness of practices, herbs, nutrition and more; in effect restoring our long lost knowledge to heal ourselves. Anyway to the five practices:

1. Rhythm.
First is getting the rhythm right in terms of getting up and meal times and I’m already into that - see my recent blog here (i) - I have lapsed a couple of times with the going to bed by 10pm bit of the rhythm and sometimes the meal times have gone astray. However the rhythm makes sense and I have sort of intuitively known that I should be going to bed earlier - in the past I’ve usually got up 6.30 or 6.45 on work days but now that is every day - the extra time in the morning has been a real gift.


Sesame oil
2. Self-massage.
Or in Ayurvedic talk, ‘Abhyanga’. This is a simple 3-5 minute oil massage on ourselves. The oil can be sesame (not toasted), olive oil or coconut, or there are specific Ayurvedic medicated herbal oils you can use. Oil is best warmed before use. In the Challenge Sam took us through how to massage our whole body, one limb at a time, feet first then working up each leg, then abdomen (only ever in a clockwise direction), then both hands and arms and finishing with shoulders, neck and face. Always work the strokes towards the heart - and apparently deep “pulling” stokes that stretch the skin of the face can help clear wrinkles. In terms of benefits this is what Sam says:

"You want to try and make your massage strokes rhythmic and to perform the massage as mindfully as possible; really try to connect with it rather than viewing it as 'just another thing to tick off.' Five minutes is all you need, but trust me the physical, aesthetical and emotional benefits this practice can induce are profound, and I have seen my patients benefit from this ritual time and time again. Some of the benefits include:
• Stimulating immunity (very topical at the moment)
• Reducing stress hormones
• Flooding the body with our feel-good endorphins
• Increasing circulation
• Mobilising the lymphatics
• Reducing the visual signs of ageing by increasing skin elasticity
• Increasing energy and vitality
• Inducing a sense of calmness"

This can be done anytime of day but I’ve slotted it in after my shower very easily.


I'm helping publicise this and will join on Tuesday
3. Me-Time. This is Sam's version of meditation or mindfulness. In Ayurveda meditation is a key daily practice that has lots of clinically proven benefits like improved mood, enhanced immunity, reduced inflammation that causes disease and protection against stress. I will no doubt be doing a separate blog on this as it is something I have struggled with but continue to do regularly. 

What I liked about Sam’s approach is, that by calling it Me-Time, he is hoping to open the door to those who find practicing meditation difficult. Indeed he says while doing a research project with cancer patients even the word meditation had a strange effect on people’s adherence, whereas Me-Time is about focusing on the end result. So can we find 10-15 minutes of “Me Time” every day? Sam suggests this could be sitting quietly in the garden listening to the wind in the trees, sitting on a park bench, looking at a view or perhaps a silent walk? Does that make it easier?


I joined this last week - it was brilliant - still places for Monday

4. Movement.
We need to do something to get the heart racing and to stretch us. Brisk walking, rebounding, cycling and more are all good but it is yoga that ticks lots of boxes as you can combine the Me-Time with it, but also the benefits are huge. Again this is another blog but you can see various other blogs about the power of exercise here (ii).

One site to help with exercise that Sam recommenced was 'Yoga with Adriene’ (iii) - she has over 7 million viewers but I hadn’t come cross her. In the past I have done a fair bit of yoga but not managed recently  in my weekly routines. I’ve tried a few of Adrienes’ YouTube and have enjoyed so maybe I will see how that might fit into my week.


5. Rest.
Quality sleep is critical to sustain optimal health. Too many of us forget this and live lives that burn candles at both ends and ignore the huge value of restorative sleep. Sleep is the way we repair and rejuvenate our minds and bodies. Indeed without good sleep we are at risk of various chronic diseases including cancer, more likely to be involved in road traffic accidents, less able to think straight, less sex drive….you get the picture….but if not here is an article (iv).

Sleep is key in Ayurveda and is considered to be as important as nutrition in terms of maintaining health and wellbeing. When there are ‘sleep imbalances’ this is linked to the doshas - or constitutions of vata, pitta and kappa - and when balanced they maintain the systems of the body. It is interesting to see how different types of sleep disturbances are linked to different causes (v). But hey that is a whole another book. I was also interested to read you can't catch up on sleep at the weekends - see here (vi). There are also dozens of approaches to getting good sleep which I won’t cover here. 


Notes

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