Dr. Nastasia Irons, ND, is a fellow naturopathic doctor and CCNM class of 2014 graduate. She also completed a 2-year residency program, furthering her training in acupuncture and Traditional Chinese Medicine, cosmetic acupuncture, and herbal medicine. She has a special interest in hormones, skin, and digestion, but has a passion for fitness and movement and is a prominent fitness advocate within our naturopathic community. She is a spin instructor and inspires everyone (particularly women) to build mental, emotional, and physical resilience by lifting weights and building muscle.
Dr. Nastasia Irons discusses her transformative journey into fitness and its integration with her work as a naturopathic doctor. She shares how fitness helped her during a challenging breakup and highlights the importance of mental health and strength training, particularly for women. Dr. Irons offers practical advice for beginners, emphasizing consistency, accountability, and addressing misconceptions about strength training. She underscores its long-term health benefits, especially for women, and shares her personal experiences with resilience through fitness. The conversation concludes with an invitation for listeners to engage and find joy in their movement.
Speaker1: [0:02] Hey welcome staz dr nastasia irons yes either one’s fine we look so similar i know i think an ex of yours like thought i was you there was like a drama do you remember there was something about this i don’t know i
Speaker0: [0:24] Don’t remember Dory from Finding Nemo so yeah but I think yeah there is that
Speaker0: [0:30] in this world people have told me that before too.
Speaker1: [0:32] Yeah it’s good it’s like
Speaker0: [0:34] On the same in the same neighborhood.
Speaker1: [0:36] Yeah that’s true yeah you work like near High Park right which is where I um I live kind of the opposite end of the park but in the same area yeah wow yeah so we’re here I wanted to talk to you guys I was just saying for a while um because you’ve been posting a lot of really cool stuff on your Instagram very inspiring about, I don’t know what you would call it, like a fitness journey.
Speaker0: [0:59] Yeah.
Speaker1: [1:00] Yeah.
Speaker0: [1:01] Just like I got into the fitness world a little bit after I became a naturopathic doctor. And the combination of the two for me has been really nice. Like from a personal journey, it was something that helped me get through some darker emotional times. Like when I was going through a really bad breakup, I actually found a spin class, tried it for the first time. And it just allowed me to feel like me again, almost. And then I did that for years. And I still teach spin. But then I got into strength training a year ago more seriously. And that’s when I realized that this is a huge part of women’s health that we’re not taught a lot about.
Speaker0: [1:42] And it’s probably one of the best things you can do for your body long term. And so I want of focus a lot of my practice now, which is a lot of my patients are actually women, not all of them, but just teaching people how to incorporate nutrition and strength training into their everyday life.
Speaker1: [1:59] Yeah, this is so cool. It’s such a big thing now. I don’t know what you would say, maybe in the last, it seems like five years, maybe 10, where now women are interested in and building muscle and strength training. And how did you find your way into it? Like, so it was for your mental health and then.
Speaker0: [2:19] Yeah, fitness was, I used to be a dancer. So before I became a naturopath, I was a competitive dancer. And then when I moved to Toronto, I didn’t have a community anymore to, that felt like the same as my dance team. So I started going to the gym, I joined a few gyms here and there, but I still also felt like I was just walking around by myself. And I was really lost in terms of what to do. So I stopped working out. And then when we became students at CCNM, I think that just took over my life. And I lost like, that other side of me that I think was part of my life since I was a kid. And it wasn’t until I became an ND that I decided to explore fitness again, I think, because we finally had time. But spin was one of those moments that it was life-changing for me from my first class till even now. I just taught a class this morning. I had this moment in the room where I felt like myself or part of my personality came back. And it’s like when you go through a lot in life, you sometimes lose yourself a little bit in that. And when you’re in a job where you give energy out to people all day, you, again, don’t have a lot of time to hear your inner voice or really connect with who you are. For some reason in the spin room, I did. I had that moment where I was like, oh, this is missing in my life and I feel better. So I want to be able to do that for other people.
Speaker0: [3:41] And so I did that for years. But then last year I was noticing, OK, like I’m in my late 30s now. So why is that not working for me? Like my fitness seems like it’s getting thrown off, even though I’m doing so much. And I think I hear this story all the time from my patients where they’re like, I’ve been doing the same thing my whole life, but all of a sudden now it’s not working. And so I started to really explore, okay, like what’s going on with our hormones? What’s going on with our body composition as we age? And why is cardio not enough
Speaker0: [4:12] for people and like maintaining body composition? And that’s when I looked into strength training and started incorporating it for myself as like an experiment to see, okay, if I do this, what happens? And then it started to work. I was feeling better, stronger, noticing that my muscles were growing. And then I realized, oh, I’m going to teach women how to do this. And so that for a year now, I’ve been strength training a few times a week and learning how to teach others. And I might become a personal trainer too. I’m just trying to find time. That’s cool.
Speaker1: [4:44] That’s good. Yeah. Because personal trainers are great people to refer to because like how did you maybe you can explain kind of your journey and getting into it because I feel like it’s daunting for people to know where to start how to begin like you know what exercises do I do how do I put a plan together like you know specifically
Speaker0: [5:02] Yeah I think that um, Obviously, nowadays, we have a lot of resources online. So if you have internal motivation to get yourself to the gym or if you have a gym in your condo or weights at home, you can start on your own. But I find that the biggest hurdle for people is just the day one. Like, when do you start? What does that look like? And if you walk into a gym and you feel kind of like you don’t know what you’re doing, it doesn’t feel very fulfilling. And strength training is different than going in and doing a cardio class because it might not feel like as sweaty or as intense, but the reality is, is what’s happening in your body is really beneficial. So it’s about the long game and learning how to stay committed and keep yourself consistently going for about six months. Then you start to really feel different. But the best way to get started is to either get yourself set up with a personal trainer. So if you have money to pay someone just to watch you work out and help you a couple sessions at a local gym would be really helpful. If that’s not in your budget, then I would say the next best thing to do would be if you have a naturopath or someone you work with on your health team who could design a plan for you, they could design a plan that has like, okay, let’s start with two times a week, upper body and lower body, four workouts each time. And here’s a link to a YouTube video on how you could do it. So I do that for people.
Speaker0: [6:30] Then you can actually in the visit, go over like the workouts with them, make sure they understand. If that’s still not in your budget, that’s okay too. You can honestly just go online and like type in what you’re looking for. There’s a lot of apps that exist now that you can use to design your own plan or you can pay for like a yearly membership, which is usually pretty affordable to something like the sweat app or Marcus Philly has a bodybuilding app and they go through whether you’re a beginner intermediate or advanced they’ll design a plan for you and then videos and everything to take you through it so how to do it is actually getting easier and easier these days the the getting yourself there and starting I would say has to come from within so there has to be some desire to do it and then it’s all about whether you can get yourself there or if you maybe set a plan with a friend or someone you do it with and go with them. That’s another way I help, you know, get people to motivate themselves or stay motivated. Um.
Speaker0: [7:29] Oftentimes I find like booking yourself in with a trainer or a class or getting started by like putting it in your calendar and making yourself like Tuesday at 7 a.m. This is what I’m doing. And that it’s like booking a class like the morning of if you canceled, you would have to pay $30. So maybe incentivize yourself somehow to like take $30 out of your bank account and put it somewhere else if you don’t do the workout. I mean, I don’t know. You have to find little ways. But I think once you get started, then it’s much easier to keep going. It’s just about that, like, first couple weeks.
Speaker1: [8:03] Yeah, you find, like, you’re, yeah, the scheduling it in, like, I recently started doing that because I was doing a whole course on insulin resistance, and a huge part of that is, like, strength training. And I was like, I don’t, I’m, like, preaching how to support your insulin levels. I’m like, I don’t think I do strength training twice a week. I randomly sprinkle it in. So I started actually scheduling it like, okay, Tuesdays, Thursdays, lift a kettlebell, like, you know,
Speaker0: [8:29] Even if you have to.
Speaker1: [8:30] Yeah.
Speaker0: [8:31] I have a lot of patients who just have their own dumbbells at home and just have to do a couple different workouts. That’s getting started. And people are always like, oh, well, if I don’t go to the gym and put an hour in, then I’m not going to go. But honestly, 15 minutes is great. Like wherever you can start. And there’s a lot of free videos on YouTube that you can use to just watch and learn. Um and we can link them after if people want some idea yeah yeah yeah and i think um, we can we’ll talk about this later but like with strength training there’s a lot of options even if you only have um like a couple dumbbells you can do more than uh just use heavy weights you can use like slower movements to help gain muscle for example um and like do a couple tricks so that you’re slowly building muscle and not staying the same, even from what you have access to at home.
Speaker1: [9:24] Yeah, that’s a good point. There’s somebody I follow I’m thinking of who taught me a lot just from kind of following her. She’s just an Instagram influencer built by Becky.
Speaker0: [9:34] Oh, cool.
Speaker1: [9:35] Yeah. Have you heard of her? Yeah. So she, one of the things I learned from her is just like how long it takes to, for the body recomposition. Like she’s like, I’ve been doing this consistently for four years. So we think we’ve been kind of coached or taught to think that it’s like, 10 weeks or two weeks or lose 10 pounds in half a day.
Speaker0: [9:59] Honestly, I think that’s my biggest problem with like some fitness influencers online right now. They’re selling products like here’s my eight week total body shred program. Okay. If you look at my Instagram, you can see from a year ago, I started this journey and I said on end, I was like, okay, it was like July 8th. So I’m coming up on almost a year. And I told everybody, I’m going to do this like 10K a day walk, 10K steps a day walk. I’m going to do strength training. And in eight weeks, I’m going to check back in and show you what happened. And obviously we’re all different and like everybody’s story is different. And I did start with a bit of an active background already, but you can see like in those eight weeks, your body composition can change a tiny little bit. Within 12 weeks, you can see some muscles start to show. Like there obviously is change. People always want to know like how long will it take. I mean, within 12 weeks, body composition will change, but noticeable long-term changes to things like your measurements, stepping on the scale, seeing a change there, which we can talk about later, but like that’s kind of a useless one. But measurements and muscle growth, really we’re looking at six months and then check back in in a year. You will be shocked at how your body looks. It will be different. I suggest that people take a picture of like one picture of in their underwear, keep it for themselves, but do it every four weeks.
Speaker0: [11:21] If that triggers you maybe only every like once every four months like every quarter but, it should help you see that maybe what you feel on the inside is like you’re not changing at all or the scale is going up or like all these things that people are afraid of like or they’re going to get bulky what you’ll actually see is the the what you see it first of all in your own picture is probably better than what you think it’s going to be even from that first one and then as you go along you’ll see the change to your body more than what like if I just asked you if you feel different that’s a harder thing but when you look in the pictures you’ll start to see the definition and the muscle growth and it’s pretty amazing yeah.
Speaker1: [11:59] That’s cool and to like think of it as like a long game like a long game
Speaker0: [12:02] Yeah like every year every year if you stay consistent and it seems really it seems like so much when you’re just starting I get that it’s like looking up at a mountain thinking oh my god I have to hike that whole thing but one day you get to the top and you’re like, okay, I did that. Right. And then if you look back, it doesn’t feel that long. So it’s just getting started.
Speaker1: [12:22] Yeah. It’s like four years goes by anyway. So you might as well look shredded at the end of it.
Speaker0: [12:27] And then honestly, like the benefits are incredible. So it’s worth it. Even if, um, if you’re doing it for a purely just look changing the way you look, that’s one thing, but the benefits to gaining more muscle on your body go way beyond how you look.
Speaker1: [12:42] And we’ll talk about that too but I also want to say just to acknowledge what you said before about you can do kind of slower more intentional movements not necessarily using like huge weights and that’s another thing i learned from the build by becky like her whole style was just to do like pulsing like very intentional very slow very mindful um movement using like dumbbells basically at home and that was the whole plan so yeah that’s a good point that it doesn’t have to be like you know huge barbells where you’re squatting like your body weight or more you know
Speaker0: [13:18] Like definitely if the weights are heavy you’re going to see more change especially as you get into like perimenopause um when your estrogen levels start to change a little bit we have less of that tissue response to build muscle that anabolic response so you are going to get more results the heavier you can lift but that’s not necessarily like humongous humongous um barbells it’s just that your um the two ways to stimulate muscle that are really going to help you are one time under tension. So what we talked about, like going a lot slower and with the purposeful movement, focusing on your form. So for example, if it’s like a bench press or something and you’re pushing the dumbbells out, you’re going to push out for one and then you’re going to pull in for three long seconds. And so that time that your muscles are under all that tension is longer than if it was just like one, one, one, one, and that’s going to build muscle. So you can, a lot of times when you do it slower, the weight feels way heavier. So it’s okay to use lighter weights. And then you also want to use progressive overload technique. So over time, those weights are going to feel a little easier and you should be stimulating the muscle a little more by going up a couple pounds, go up a couple pounds. It doesn’t have to be huge jumps, but if you’re training properly and eating enough protein, your body should be feeling like it can handle a little more. And that progressive overload is going to get you bigger muscles too.
Speaker1: [14:44] That’s good. That’s really good tips. Yeah. So yeah, the longer, it’s not about like maybe as many reps as like, yeah. And then, um, and then yeah, like slowly adding more weight, which if you’re just starting, you could maybe start with body weight or resistance bands and work your way up. Yeah.
Speaker0: [15:02] And the other thing too, is that, um, what feels like a nine out of 10 when you’re just starting is going to be different than one year in. And one thing I think, especially women, um, what holds us back a lot is our feeling of confidence when we go to the gym or when we’re going to lift a weight. It’s like, oh, I don’t think I can do that. I’m going to push, use 10. I see women all the time. They’ll choose 10 for themselves, but by the time they’ve worked with me once, they’ll take 30s when they’re doing a chest press because you actually can lift a lot more than you think. It’s your head that keeps you back. So your true nine out of 10 feeling means like we talked about this in the gym a lot. It’s like nine RP. So what does that mean? It means that you probably could do one or two more probably only one if I asked you to but you couldn’t do three so if if you can still do more reps and you’re not getting to that eight or nine out of ten and like you could do another six it’s not heavy enough for you uh-huh.
Speaker1: [15:56] Yeah so you’re like you should be able to kind of like really
Speaker0: [15:59] Yeah I guess with.
Speaker1: [16:00] Good form get one more in yeah
Speaker0: [16:02] Yeah yeah so keep your form good right because if you have to totally change your form to try to get that rep in probably it’s too heavy but but if you can keep good form and and do three more then maybe you can go up in your weights a bit so that that feeling of a little bit of a struggle when you’re getting that last couple of set reps should be there for if we’re looking at true strength training that’s.
Speaker1: [16:24] I think like the beauty of having a trainer is having somebody kind of like helping you get out of your head and like no i know you can do it like let’s give me one more And then that extra rep is probably making a huge difference in progress.
Speaker0: [16:39] And that’s what you learn. So when I started the journey last year in June, July, I was doing it on my own using an app and just going to the gym and trying it. And that was fun. It felt really like empowering. And I was getting stronger. But then I started working with a trainer a little at this gym called Strong. His name is Callum. He’s amazing. And he was like, pick a heavier weight, Jazz. And every time he made me go heavier and heavier. And I thought like, is this what it’s supposed to feel like? It’s trembling. I thought it was going to throw up a little, but it’s just calmly like, you know, pushing me beyond where I would normally keep myself. And then I got stronger way faster. I learned to have confidence in my own ability at the gym and I learned what a true nine out of 10 is. So now I can push myself on my own to that limit. You still will always work out a little harder with a trainer, but that experience having someone just look at you and help you do a little more and give you the right confidence and form recommendations at first is.
Speaker1: [17:39] Really valuable that’s a good yeah that’s i love that like oh is this what it’s supposed to feel like and then you’re basically gonna puke but i don’t okay and then yeah then then also like this part about like one thing i don’t do at the gym enough i think is like resting between sets and yeah okay
Speaker0: [18:00] The thing this is a really cool fact okay so because typically uh women do a lot more cardio than men at first. Yeah. When you go to the gym and you start doing strength training, your cardiovascular ability is usually pretty high. So when you’re lifting weights and they’re not maybe as heavy yet, you might feel like you don’t really need to take breaks. Like, you know, when you see people at the gym and they’re like, and like, they’re kind of making weird noises and they’re taking time and you know, a minute goes by and then they go back. I always used to think to myself, that’s taking so much longer. Why don’t you just push the reps So like, let’s go get in, get out.
Speaker1: [18:37] Phone, get out, get back on it.
Speaker0: [18:40] When I talked to my trainer about this and he was like, you know, I think women at first don’t feel like they need the break because their cardio is better than their strength. Once your strength starts to get there and you’re doing that split squat and you’re like, you have, you do eight and then you like, I need the break in between. I almost feel like if not, I’m not going to feel well. Like you should be feeling a little bit like, like your heart rate’s picking up enough that you actually need to take a minute to breathe. The other purpose is just allowing your muscles to refill with blood and get like rested enough so that you can push again and get a true 9 out of 10 experience again. So you’re not just like failing at five because then your body just needs a little bit of time in between each one to recover, to get the most out of the workout.
Speaker1: [19:24] Yeah. And I’m also just thinking too, the nervous system, like when you’re at that point where you’re pushing so far beyond kind of like what feels like a limit or I mean you’re really at your limit I guess like you’re nine out of ten it takes some time to kind of like recalibrate that all like with your nerves even you know
Speaker0: [19:41] And like normally feel like a tiny bit dizzy you know pushing it really hard and that’s the goal uh and then you take a minute everything kind of settles and you try again and then a couple of those and you know on to the next workout or call it a day like whatever that workout time is for you make make the most out of it but definitely do it heavy enough that you need to take a little bit of like I would say like a 60 second to 90 second break between each one yeah.
Speaker1: [20:10] So all this sounds unpleasant
Speaker0: [20:13] Yeah I know it’s selling it am I you’re.
Speaker1: [20:20] Just like yeah you should be like vomiting and like you’re dizzy and you want to died but and i guess you know there’s like we can get into like the mental health benefits of even that repeatedly like entering into that experience where you’re like pushing yourself into an uncomfortable place then you’re overcoming that like repeatedly like you’re doing that multiple times in a set in a workout and then you’re doing that a few times a week and like you know the effects on your mind and body of just being able to push yourself feel uncomfortable and survive it and get stronger from it
Speaker0: [20:57] Yeah oh it’s such an amazing thing to learn I feel like that probably was the reason for why I loved spin so much and it got through a lot of um let’s say like challenging times in my life one being like the grief I experienced right before finding the spin class and then feeling like I could yeah push myself through the times that were challenging I also experienced five years into my teaching spin journey and being an ND I was riding my bike home one night.
Speaker0: [21:28] And I got hit by an Uber while I was riding my bike. And so I had a fully broken femur inside the hip joint. So like broke my hip. I had to spend time in the hospital. They obviously had to like put the titanium rods in my hip to hold it all back together. I was in a wheelchair for a while and had to learn kind of the basic things like walking again and balancing. Thing my legs turned into like spaghetti noodles like oh I lost all my muscle and this was the day after I had auditioned for a really big spin job in Los Angeles so my life would have taken a very big turn and then it didn’t and it seems kind of sad but in that moment I mean I actually felt really loved because I could all my friends came to the hospital and like I really saw you know, this you have this feeling of feeling really loved and supported once you’re going through something but then as time goes on you’re you still feel alone again in that journey it can get dark again because um you’re still going through it but maybe like the the shock of what happened to you fades for everybody else around you yeah.
Speaker1: [22:36] So it’s in
Speaker0: [22:36] Yeah those are the moments where your own self-resilience needs to come back up so a lot of times I explain this to people like it’s like a feeling of darkness inside of you or maybe there’s like a little light like a little tiny like flame from a match whereas before maybe it was a big bright light so you feel lost you have to try to find that and then it will grow inside you again so like that light can become bigger it’s just about you know going through what you have to go through and then also finding resilience so knowing that the light is there is a big thing and I talk about this in a workout too so like when you’re having a moment where you want to give up or you find it very challenging it’s the same as when you’re going through grief and you just kind of want to lay in bed all day. We’ve been there. It’s very hard. There’s times where you have to be okay with that and let it happen. And then there’s moments where you’re like, okay, I’m going to get out of bed now. I’m going to take some steps. I’m going to have a piece of bread. And then that’s like, you know, in the gym, you make choices to continue to push, even though you’re uncomfortable. That’s the same thing that you can take out into your real life. And that’s for me, like the mental health strength that we gain through feeling
Speaker0: [23:44] uncomfortable in a workout yeah.
Speaker1: [23:46] Thanks for sharing that that’s cool yeah it’s like that finding that flame it’s not completely out it’s just a lot dimmer than it might have been before the accident before the grief whatever you’re going through and then you’re trying to like okay what is it telling me to do is it you know I just rest today and don’t get out of bed or is that spark kind of asking me to push a little bit whatever that means you know yeah
Speaker0: [24:14] Sometimes hard to hear and then there’s times like I when I went through a really bad breakup during COVID this was after the accident so like six months later I actually had tried out for the spin studio again I got the job after everything and then everything shut down in the world and like it all got taken away from me again is what it felt like and then I went through a big like huge breakup there was a lot of infidelity and like emotional abuse I was probably in the darkest place I’ve ever been in my entire life and I was all alone um in Canada at the time like my family wasn’t there so I had no one to really help me through it and so I had to my family would facetime me to try to get me out of bed to like walk to the kitchen and eat but it was hard I spent two or three weeks just in my bed under the covers. Like it was a dark time.
Speaker0: [25:04] And I remember just feeling like you use what you can. So like the little FaceTime calls or like going for a walk maybe and trying to be listening to podcasts to make me feel better, trying to read a book, like little things, but like that flame was basically dead. And then one day I started going for a bit of a longer walk, which turned into like a little baby jog. And that turned into like a 2K run. And then it was a 5K run. And then all of a sudden I was running 13K in the winter and like feeling like myself again. And it was, it was that feeling of, okay, like wherever you’re at in your life, if you can come back to maybe, maybe fitness or any kind of movement, then maybe that’s the way to like bring that light back if you feel like you’ve lost it. So I feel like throughout the past decade in different part times that I’ve had, my journey with fitness has always helped me through. So that’s what I want to try to help people learn so that they can do that too.
Speaker1: [26:00] Yeah that’s beautiful yeah I mean and it’s I think really important because if we were like to pull up your Instagram right now it’s like it’s probably like you’re at the gym like you’re really fit you’re healthy you’re happy it’s like oh wow like Staz has something like one might think like Staz is something I don’t have like that’s a different person it’s a fit person so for someone who’s looking at that not just you Like anyone who’s kind of in the fitness world or the health world, somebody who’s like, I’m currently like, can’t get out of bed and I don’t even have the strength to like eat anymore. You can like kind of disidentify or feel alienated from that. But to know that it’s like you’ve been there and and maybe a background in fitness gave you that connection where you’re like, I know that this helps or I know that this is part of my identity. Um but it is possible to like build up from like like starting over completely physically but also mentally emotionally like coming back from heartbreak just being in like a total rock bottom and like building yourself up from there you know so and that’s i
Speaker0: [27:10] Think that that’s a really important thing that you brought up and i want people to know that i just want people to know that I know what it’s like to start over and to really bad place and to try again. And I, and multiple times it’s been very hard. And I would say that, yeah, looking at my Instagram now, if you don’t know that about me, or when you come to a spin class and you don’t know that you might just think, Ooh, that’s an unattainable level of spin. Like I can’t do that. Or I can never get there. Like it’s annoying that she’s doing pull-ups. Like I’m here. But I just, yeah, and it’s okay if it’s triggering because that like the fitness wellness world can be but i i want people to know that wherever you’re at in your journey whether it’s like you’re considering strength training or you don’t even know what what that would look like for you there is a space for you and there’s someone who can help you get there and i would be one of those people totally.
Speaker1: [28:05] Yeah because it’s like i you know i know what that’s like or you know yeah you’ve been there and the bleakness of like I’m sure that in those moments when your family is like okay go get something to eat you’re not thinking about you know, like a few years later when you’re going to be like, yeah, doing pull-ups or something like you’re, you’re just taking it one moment at a time, not even a day at a time, probably.
Speaker0: [28:31] Yeah. It was more like every, maybe if I could fill every hour, try to get through the hour, then maybe the next hour would feel better. I, there was a time back then that I would try to sleep in as late as I could so that the day wouldn’t be long. And then I would go to bed as early as I could so that I wouldn’t have to be awake for a lot. Like that was the worst time. So I’d probably try to wake up around lunchtime and go back to bed around six. And within that six hours, I’d go for a couple walks, cry to my family on the phone and like try really hard to eat something, but mostly couldn’t. Like it was bad. yeah um but like anything in life it doesn’t last even though it feels like it will you know like sometimes you can feel like whatever situation you’re in right now is going to be like that forever but it it doesn’t last and time does keep moving so if you can learn to just like yeah take one step in front of the other whether it’s going for a walk again or doing something that makes you feel good. That’s always a way to get through stuff. Fitness doesn’t have to mean going to the gym and lifting weights. It can just be moving your body in a way that feels good.
Speaker1: [29:45] Yeah. My life is like walking in the park. Just go outside.
Speaker0: [29:50] Yeah. I love that. I know. Just that. And then the gym doesn’t have to feel like this big scary place. You can learn so much. Just pair yourself with someone who knows or have either a mentor, an Instagram account, a health provider, anyone, a trainer, and then you can start and then that confidence will come.
Speaker1: [30:10] Yeah. It’s also making me think too of like, you know, coping mechanisms. Like we all have a variety of ways that we cope and that we can like, in a dark place, you start kind of reaching for it. So it’s like… In your psyche, in your identity, you have fitness. And so there are probably people out there, maybe listening who have not like, don’t identify at all with fitness. Like they’ve never really been athletic. They’ve never really gone to the gym. Maybe they did like cardio machines or something. So in that case, it can be something like you’re starting like a totally new thing, you know, not just kind of starting over, but it’s, this is like completely foreign thing that you’re even contemplating so um but I think the spirit is is similar where it’s like okay like then in that case maybe it’s helpful to reach out to a guide or someone that can introduce you to the world you know
Speaker0: [31:04] Or take a class where you know that um maybe like an instructor if this is something you want to try like through class pass or something or they can help motivate you and like you can become part of a family so for me it was like the community building of being at a spin studio or something like that really helped me make friends as an adult and then love fitness again and then from there you can start to get more confidence to go to the other gyms yeah so maybe it’s that that helped me yeah.
Speaker1: [31:33] That’s actually yeah that’s cool that’s a cool thing about spin that there’s like it’s it has it’s more than just a workout it has like kind of a spiritual like mental health components like a therapy session like a motivational thing you know
Speaker0: [31:46] Yeah and that’s there’s really cool research on that which you’re probably really already aware of but uh like different parts of your brain that light up when you’re doing physical activity versus just talking and where we store trauma is different parts of our brain but definitely in the posterior section versus like the frontal lobe and when we’re just talking the frontal lobe will light up and we’re definitely talking about you know our experiences and our traumas but then And when you’re actually activating the back of your brain through working out and then you’re having maybe a positive message come in or you’re processing some things, I think that’s where you can start to target some deeper information. Stored thoughts, maybe memories, maybe, you know, any kind of PTSD that they’re the same thing. Like there’s research, I think, on like different types of hallucinogens and the ways that that can activate your brain. Exercise has a similar effect. So in a spin room, you’ve got someone saying maybe some motivational things as you’re struggling on the bike, but it’s not just about that moment. Maybe it’s helping you through other things that you have processed in your brain.
Speaker1: [32:51] It’s like rewiring stuff. And actually, that’s a good point that I didn’t really put together because you have EMDR, right, where you incorporate like very basic movements, just bilateral movements, like whether it’s eye or you’re tapping bilaterally. But if you’re spinning or walking like you’re doing this bilateral kind of rhythmic thing that yeah you’re like liberating or like kind of moving stuff from other regions of the brain to like allow it to be processed and then your brain’s rewiring because it’s intense exercise and you have all this blood flow and so it’s like yeah you’re putting your body in this different physiological state you’re also like activating your nervous system in a way that like you’re you’re comfortable in kind of that fight or flight space you know yeah and
Speaker0: [33:37] That’s that’s really a very important thing for especially the type of like world we’re living in now to be able to notice when maybe your nervous system’s coming up and you’re feeling like a higher heightened feeling of stress and being able to notice that and still like stay grounded in that experience.
Speaker1: [33:54] Yeah yeah that’s one thing definitely like higher intensity exercise or like strength based exercise like can do it’s like yeah you’re comfortable like your nervous system expands to hold more of that stimulation and more of that stress and tension and then it almost like lowers your baseline activation you’re like okay like you know I brought it up to a nine out of ten and now it’s back to like a three whereas maybe I was living at a six all the time you know
Speaker0: [34:24] Yeah, totally. And that’s actually one really cool thing about saunas too. So you can incorporate heat after a workout. And for women, that’s been shown to be really beneficial for like improving blood flow, increasing our stress tolerance and increasing our temperature tolerance too. So helping with things like dehydrating the muscle more and getting more results at the gym, but also reducing your experience of hot flashes if that happens to you as we get older and your tolerability to hot environments. So like the summertime and not feeling as like heated, saunas help with that.
Speaker1: [34:58] Yeah, I’m a huge sauna lover, especially in Canada. It’s kind of like, you know, a necessity. I think everyone needs one.
Speaker0: [35:08] I agree. I’m like, just need to save up some money and get myself. Yeah. A lot of gyms have saunas. So that’s a benefit.
Speaker1: [35:15] Yeah. We need more communal saunas and cold places. Maybe. Yeah. Like we need more of these spaces, I think. And, and so let’s talk about some more of the benefits of like muscle building and, you know, for somebody who’s like, I don’t know, I don’t want to get, you know, I hear this less and less, I think, but I’ve still, I’ve heard it in the last year, let’s say like patients being like, I don’t want to get bigger. Yeah. I want to be smaller.
Speaker0: [35:41] And people are afraid that it’s going to cause them to like look bulky, that word. It’s definitely something we have to coach people through because it’s scary at first when you’re coming to see someone for body composition goals. Let’s say that patients are like, I want to lose weight. What should I do? And then I start talking about strength training. And then everybody’s like, oh my God, is that going to make me bigger? So one, no. Two, muscle is called lean tissue for a reason. So it’s definitely going to cause a change in your body size that will most likely look smaller, even though you’re building muscle, because muscle is an expensive tissue to keep on your body. So it costs a lot of energy for your body to hold it there, which means the more muscle you have, the more calories you actually need to eat to stay that way. So it’s kind of like if you want to talk about building your metabolism or increasing the fuel you’re burning, more muscle equals more calories you can consume just and just be a human living on this earth and have a higher metabolic rate. So more muscle equals more calories, more metabolic activity.
Speaker0: [36:45] In addition to that, it helps with your cholesterol levels, your blood sugar levels, blood flow to the brain, your mood. But from purely just building muscle and having that change your body, what’s going to happen is you’ll most likely, because you need to all of a sudden eat more calories to keep it there, your body starts to actually lose fat the more muscle you burn. So that’s a way to actually change your body by still eating a lot, still loving your life, build more muscle, and then your metabolism comes up. So it’s slower because you’re not going to just be cutting and cutting and cutting, which by the way, doesn’t work. You just lose all your muscle.
Speaker0: [37:21] By the same way that I explained like if your muscle is expensive and you have to eat a lot to keep it there if you’re not eating enough it’s the first thing you lose so if you’re losing weight by not eating enough you’re actually losing muscle first which you don’t want because of all the things I said about like your insulin and your cholesterol and all those things that need muscles you don’t want to lose all that so anyways building muscle will actually cause your body to one day like work more efficiently a little bit slow but that eventually tips over you build and then your body starts to shed the fat. So as fat like comes off the muscle tissue around your body, then you actually look a lot leaner. And I always tell people who are afraid of looking like huge after a workout, like if you do a strength training workout, you’ll see your muscles look bigger in the mirror after, right? Like your body has more veins, a little bit more like blood flow to everything. So if you look in the mirror right after that workout, that’s the extent of how big you’re going to get. Like your muscles fill, that’s what they look like. Then a day later, all that’s gone. And then you’re still like, you know, looking the exact same until your body starts to change. So there’s no bulk effect.
Speaker1: [38:26] Yeah, like, it’s pretty hard to get that like huge. Like you probably take testosterone.
Speaker0: [38:35] And we would have to so like bodybuilders will take creatine, but they’ll take like 18 times the amount we recommend on a daily basis for people. And then they will work out constantly and eat a lot and then do things to change right at the end so that all their muscles show. But we can only gain a couple pounds of muscle every year with consistent working out. So think of how long it would take to change.
Speaker1: [38:59] Yeah, that’s actually a good frame, right? Where like, yeah, I heard that like, like one pound a month is like massive. Like that’s like really crazy. Yeah. Okay. Yeah. So one or two pounds a year that I didn’t even know that.
Speaker0: [39:13] I would say like five pounds a year would be pretty amazing. Yeah. And that’s the thing too. So when your body at first, when you’re working out and eating and like people are chopping on a scale, like, and they’re not seeing it come down, there’s, there’s a lot of changes going on in your body though. Even though you haven’t seen and movement in the scale, like water retention, water flux in and out of the body, your progesterone levels change throughout the month, which can affect like carbohydrate intake and how your body processes water again. And then also over time, you might see the scale like go down a little and come up a little as you’re building muscle. That’s not really a marker of your progress. And I think people should just use the scale as a way to just, I guess, like look at consistency, but then you should do it pretty much every day and take an average of the whole year. So like, it’s not really that important. Even if you only dropped a couple pounds in the year, what you might notice is your circumference. So your measurements around your arms, your waist, your legs, that will change way more. Even if the scale goes up, that’s a better marker for your body size changes. And then pictures. So like photographic evidence is your best friend.
Speaker1: [40:23] Yeah, and those things are slower to change than we expect the scale to change. But yeah, I agree, because I think this like really hit home for me. One time I weighed myself. And then I was like, Oh, I don’t like that number. Then I weighed myself the next day, seven pounds difference from who knows what, seven pounds.
Speaker0: [40:44] I’ve had that after like a night of going out for like Vietnamese soup and having rice noodles. And then I think I ate like an entire loaf of sourdough that week. Think of all the water you’re bringing in. Yeah. And I stepped on the scale and I was like, what? And it is, it had changed again. Or with Callum at the gym, we were doing my measurements and the scale kind of went down a little at first, then it went back up and I was really mad because it always gets to us. Yeah it’s like we’re human but measurements have consistently dropped so it’s just like if you use the scale and it stops you from reaching your goals because you feel like you’re not meeting them um and it’s it can be just discouraging when in reality your body is actually changing a lot and the scale is a really bad tool yeah.
Speaker1: [41:32] It’s yeah it’s funny too like i think i just had a conversation with um the person who filmed my course he was like really into fitness and he He was like on this fitness journey and he was, he was like, He’s like, you know, I’m not losing weight on the scale. And he’s like, but my measurements are going down. And I just like pause to see if he would like. But even in his brain, like he just needed someone to be like, OK, no, it’s fine. Like you’re losing fat.
Speaker0: [42:00] Yeah. But we all need it. I step on the scale all the time at work because there is one at my clinic and for measuring like people’s height and weight. And I’ll randomly be like, you know, I’m curious. It does not move ever. But I’ve been on this journey for now, I think, yeah, eight months, nine months, my body has changed a lot. The scale has barely budged. So I’ll talk about that when I do a, I’m going to do like a one year post and I’ll talk, I’ll show all the measurements just so people can get an idea of like in a year, body weight stays the same, but look at the changes. There are some, but even if, even if they’re minuscule, it’s still a very positive experience overall. And learning how to lift weights is so important and for women as we age and our bone mass can get like it can decrease because our estrogens decrease bone mass gets preserved the more muscle you have and the more you strength train and increase resistance on that body so like you want your bones to get stimulated to keep growing throughout life they start to decline a lot in our 60s and 70s so our muscle mass drops a lot then too so you want to try to hit
Speaker0: [43:09] a peak in your 40s and 50s if you can strength training is really for everyone but yeah.
Speaker1: [43:16] Yeah I’m happy that there’s a lot more attention like for women especially in like perimenopause menopause for strength training and it’s not just about being as tiny and like you know and
Speaker0: [43:29] You know.
Speaker1: [43:30] The the scale also reflects like how much how heavy your bones are so seeing weight go down is a good thing
Speaker0: [43:37] And then with muscle yeah like losing lean mass like your like your muscles and your bone mass is dangerous and we don’t want that and we also that’s something that goes down a lot with the popular medications that have been coming out now for weight loss they have really good benefits for your insulin levels and body fat but you’re also going to lose a lot of lean tissue and over time that’s dangerous for your body. So if you are doing anything like that, you want to also make sure you’re strength training to try to preserve your lean mass as much as you can.
Speaker1: [44:09] And smoking back protein because you’re not, they work by reducing your hunger. And so it’s hard to eat chicken breast when you’re not hungry or don’t want food.
Speaker0: [44:19] Exactly. So I know that’s the other thing too. And that’s one important piece is like making sure no matter who we are, no matter what medications we take and our journey with our body, we do need to focus more on protein and fiber and carbs and stop villainizing carbs. Like carbs are important for muscle recovery and for our mood. And as women, like if we have a menstrual cycle, then our lining of the uterus needs carbs to get nice and nourished every single month. So from like ovulation onwards, your body’s going to crave more carbs because progesterone is telling you to put more nutrients into your uterus. So you need it. That’s why we can be meaner during that time, especially if you’re eating low carbs. Don’t ever do that.
Speaker1: [45:06] Until I’ve had my sourdough,
Speaker0: [45:08] Yeah, sourdough toast. But then also, yeah, protein is another like important target when you’re strength training and just making sure you’re kind of getting close ish to your body weight and then you’ll be okay.
Speaker1: [45:19] Yeah. In grams.
Speaker0: [45:21] Grams. Yeah. So if you weigh 150 pounds and try to eat like 130 to 150 grams of protein every day and use things, if you’re not that hungry, protein powders can help. Otherwise just finding ways to add protein, like greek yogurt is really good um lean meats can be really good um and then um i like egg whites i add that sometimes to things and, I use protein patties, though, too. I have to. Or else how do you eat? I couldn’t eat it all.
Speaker1: [45:50] Yeah. Yeah. Like, I think, yeah, it’s interesting that it’s become kind of controversial. It’s gone both ways. It’s gone like I, you know, as an ND, like there’s different like trends or things that we talk about, then everyone talks about them. And I like to think the NDs kind of lead the charge on things. And then then, you know, but so it like starts off with like, oh, you know, people are not eating enough protein. And that’s what you keep coaching patients to do. And now it’s like everybody knows about protein. And now there’s this whole marketing thing around protein where people are like, okay, you know, you want me to have protein pasta, so I’m going to eat protein cereal and protein bread.
Speaker0: [46:26] And then it’s gone. They’re like, I’m so constipated. Yeah. Cause you don’t eat any fiber. Yeah. It is about keeping a balance for sure. And trying to get your food from whole foods and, and get your protein from real sources first. And then you need to, you can supplement like with anything.
Speaker1: [46:45] Yeah and i think i just interviewed so in this topic of kind of insulin resistance and what we should be eating for that and even the the idea of carbs like one thing that i don’t yeah one thing i think maybe was missed in uh so if anyone’s listening and listen to the conversation on the low insulin lifestyle where it’s more about like you know having foods that don’t spike insulin, when you’re strength training, you do want there to be insulin because insulin is anabolic and it tells you to store fat, but it’s also important for muscle synthesis. So, you know, this idea of like, there’s different contexts in which we find ourselves with our health and that our nutrition supports. So, you know, there’s You know, you can kind of reduce your insulin resistance a number of ways. Like you can do it purely through diet. You can do it through resistance training, adding more muscle. You can do it ideally with a combination of both of those things, you know.
Speaker0: [47:51] Yeah. And going too much to one extreme can then obviously butterfly effect. It then hurts your body in other ways. So you definitely, that’s a really good point. So we don’t want to have no insulin or no cortisol because obviously that’s not, We’re not going to feel like we can grow any muscle and we won’t have a feeling of being alert throughout the day, right? So like there’s times for these things to come up and times for the hormones to come back down. And for some people, it’s that they’re never coming back down or our body stops responding well to the signals that are there. And it’s about just improving that. That is one thing that muscles, having more muscle on your body will help with. So that’s something I tell my patients a lot. Like our insulin receptors are on muscle cells. The more cells you have, the more receptors that come to the surface and help us with that. So we definitely want to keep that issue alive.
Speaker1: [48:44] Yeah, basically, yeah, the more muscle, like the more you soak up your carbs, like you can absorb.
Speaker0: [48:51] We love carbs.
Speaker1: [48:54] I had a glorious like foray into just eating bread again for a while. It didn’t work ultimately, but it was fun while it lasted.
Speaker0: [49:01] I convinced myself that sourdough, I mean, it is, it is like, it’s better for you less like, you know, the ingredients are pretty minimal. The gluten levels are lower. And I was like, I’m just going to eat this and I’m going to be fine. And then I was like, well, I have an itchy rash all over my body. Oh yeah. I can’t really have gluten. But if you’re going to, it should be a beautiful piece of sourdough or like an off-roissant.
Speaker1: [49:21] Yeah. Or just, yeah. and just yeah it’s all this it’s balance you know it’s all about how do we just how do we make it last forever like for the next 30 years 40 years like if you’re not gonna do this for the next 40 years then don’t make it like a plan because it’s you know you’re it’s not gonna be I mean it it by definition is not sustainable then um yeah yeah so yeah like what else about motivation I’m thinking just about like like you mentioned having people to inspire you having friends having kind of that accountability the the family like having um you know classes that you go to where and i think that’s huge actually if i think of patients who have really gotten into strength training they’ve joined gyms where it’s like whether it’s all female and there’s this like community people that check in like you know it’s okay if you’re not coming in but just wanted to make sure you’re okay like that’s so powerful yeah the
Speaker0: [50:20] Biggest thing is just making friends as an adult is so hard and so when you’re in a group like a like a fitness class or a strength training class or um class pass like studio hopping but you see you go with people or you meet people there it’s a really fun way to just build your community back um when you’re not school anymore but the the motivation i would say for me like a huge motivator is honestly if you book yourself into of these things ahead of time, then even day of, if you don’t feel like it, canceling, you lose money. So then you just go. It helps keep you consistent. When I was first starting, the best way for me was I had a friend who also started to like spin. So she would sign us up in the morning and I would wake up that morning and be like, oh, no, like, no, it’s way too early. And she was already on her way there. So it’s not like I could cancel and be that one person who didn’t show. So I started just dragging my body there because we had already signed up and I had a friend doing it with me. I think with the trainer too, like they book you in and you’re paying for it. So you’re motivated to see change. When it’s on your own, I do see a lot of patients who life gets busy and stuff happens. And then the first thing that a patient will drop usually is their self-care and their gym time because other things get in the way.
Speaker0: [51:39] So really being consistent with finding a to schedule it as if it’s a class like as if it’s something you can’t get out of and uh, I would say like sticking with that as much as you can and start to build a community within your friend group. So if you’re telling people, oh, I’m going to start working out, do you guys want to do this with me? Anyone want to do like a class here or a sauna session here? Or just talking about it out loud is also a way to get other people on board and to support you.
Speaker1: [52:09] Yeah, that’s good. It’s like almost like capitalize on your people-pleasing obligation like book it in and and that’ll hold you kind of accountable like an appointment that you don’t want to disappoint people but in the end it’s serving you and your self-care it’s a good idea yeah we
Speaker0: [52:28] Have these things in our life that we know are non-negotiables like brushing our teeth um like drinking water otherwise you start to feel bad i think the the the working out thing feels like a a negotiable for a lot of people because they’re like, well, I don’t have time or I just, but over the span of your life, being active and having muscle and moving is so important, especially for the later years where we’re going to try to still maintain everything, but we need to be mobile and healthy to do that. So if you can turn it into a non-negotiable, like just like all the other tasks that we know we have to do for our health, I really think that movement is one of those, but we don’t see it that way enough. So instead of thinking, okay, how do I motivate myself? Like, do we need that much motivation to brush our teeth? A little, but it starts to feel weird if you don’t, right? If you’re like, oh, like you forgot your toothbrush and you’re camping, you’re like, oh God, my teeth.
Speaker1: [53:23] Can’t wait to get my toothbrush back.
Speaker0: [53:26] Yeah. Like we’re disassociated with what it feels like to not move when we haven’t done it in a long time, if we didn’t grow up doing it. But I think once you get into that pattern, it does start to feel weird when you don’t whether it’s like going for a swim surfing in lake ontario like going for a walk anything if your body can move and finding something you like to do starts to become a habit because your body likes it and then it’ll feel weird when you don’t.
Speaker1: [53:51] Yeah it starts to like set like a new base like i’m thinking just about surfing i haven’t surfed for like for forever it just hasn’t been and you feel like this it’s like a depression kind of feeling like if you’re like a withdrawal of something and then you kind of forget you misplace it and then you’re you surf again you’re like oh wow oh right okay now I feel corrected like something kind of switched back on but it’s yeah if you don’t have that you’re just like yeah life is just kind of you know so you can get it through like other forms of activity but yeah like it it feels like something’s missing or something there’s like a baseline thing that’s not there you know yeah
Speaker0: [54:34] And I think like being in tune with ourselves and knowing um once you start moving and seeing the results and like seeing how good you feel maybe seeing a little bit of like a muscle start to show that gets addictive and that becomes a pattern too like, way you feel, how you feel good about yourself or whatever that feeling is for you starts to feel good enough that I think it becomes a pattern we like. And just like how when you have, you know, you go to bed at a certain time and like your body gets used to that certain time. It’s the same thing where if you stopped doing that or you went to bed really late for like a month, it would be hard to go to bed early. It’s like we, if we stop working out for like five years, it’s hard to get back into it but once you start it starts to feel good again it’s like this self-perpetuating thing so it’s all about just starting even if you really don’t want to and then allow yourself to like it again because it’ll happen.
Speaker1: [55:27] Getting through that yeah I like too what you said because we talk about motivation but it seems like it’s it’s like booking in whether it’s like booking it in or like being accountable or declaring something with a friend or like having a community that’s kind of yeah like encouraging you to do it it’s like transcending motivation it’s actually maybe not even about relying on our like how do I feel today do I feel like working out and vomiting no obviously so it’s more about just it’s scheduled it’s happening and then over time you build those neural connections where you like it but you probably still don’t like the vomiting part you like what how you feel after you like that the accomplishment that you did it or like the overall feelings you get,
Speaker0: [56:13] You know, or like, if you like feeling strong, cause you’re going to feel stronger, like whatever it is that you start to like helps you get over that hurdle of like the part where you’re like, man, I’d rather sit and not do that. Or I have so many things I can’t do that. It’s just that initial like barrier. That’s the hardest part. And I think that’s why working with someone like an ND or your trainer or just having someone keep you accountable, whether it’s your partner or your friends,
Speaker0: [56:40] that gets you through that initial phase. And then the rest is a lot easier for anyone.
Speaker1: [56:47] Yeah, that’s, yeah, it’s a good point. Because it’s interesting, like this top, like this idea of motivation where there’s almost like a like it’s almost like an either or when it comes to like self-compassion and just like it’s okay to lie on the couch and eat ice cream and like don’t feel bad about yourself for that or this like how much should we push or kind of encourage and how could that still be compassionate and you know I think maybe the maybe the topic is like the shame that comes in when we feel that sense of obligation, or we feel like, oh, I should be doing this, or I didn’t go to the gym again, you know, so yeah,
Speaker0: [57:31] Yeah, there’s a lot of that there, too. And like, if you’ve got that feeling of, oh, I didn’t do it. And I know I should, or is this person going to judge me because I still haven’t done what they said, or the internal shame that comes with maybe knowing it’s good for you. Like I said, it’s like should be something like brushing your teeth, but then you just still don’t do it. I think a lot of people struggle with that. And it’s maybe a bit more of a silent struggle for them. And I think that there’s a lot of room there to explore that and to just talk about it and be open with that experience too. And there’s nothing wrong with that. It’s just that working out and strength building is not easy and it’s not something that everyone loves to do. It is good for your body. So there’s just got to be a way to find something that feels fun first and see what happens if you try to add maybe some strength to it. Or if that’s the thing that’s fun, then see what happens if you just start. I think a lot of that shame will start to go away and the joy will come and then we can build from there.
Speaker1: [58:34] Yeah. Then you start to feel better about yourself and what you can do. And even having the experience of having pushed through something uncomfortable, like builds that feeling of, okay, like I can do that maybe I can even apply that to not wanting to work out like I can kind of yeah through that feeling too
Speaker0: [58:51] And to take a whole like the body composition side of it all and just think of it as like moving for medicine like moving to help your body feel good that’s the initial step just to have more blood flow to change your mood a little bit to help everything feel better in your body digestion even your skin health and then from there we can look at what to do next but like take away the shame and the body stuff and focus more on moving so that your body can feel a sense of calm and happiness that comes with it and then move up from there yeah.
Speaker1: [59:27] That’s good that’s good advice yeah What about supplements like creatine? I know you’ve talked about that before. I’ve talked about that. I was scared of creatine, but yeah, I started taking it for like the cognitive benefits more. Yeah.
Speaker0: [59:43] So if the body has storage forms of creatine and like our brain tissue loves it and stores it, our gut health, so our gut lining, and then also our muscles are areas where creatine can build up. And it’s something you get from eating meat.
Speaker0: [59:58] But you can take it as a supplement because it’s going to give you more than like eating like six beef livers that day. And the dosage is around three to five grams for most people. And that’s way, way, way below the like bodybuilding dosage of creatine. So this is just like general maintenance, really important for women because women store less of it than men. So they’re going to get a bigger response from taking a little bit extra.
Speaker0: [1:00:23] It helps your brain. So there’s a lot of research coming out on creatine and depression and helping with mood, helping with preventing memory changes as we get older and memory loss. Um and really cool research on ibd so like Crohn’s colitis and celiac and and having some intestinal health improvements from taking it because it’s stored in the gut too and then yeah for your muscle specifically so it’s going to help prevent that like, fatigue sensation from coming in too quickly. So creatine is a way that our body makes energy, just it uses this creatine phosphate pathway. So instead of making ATP, make this, and that’s a way to substitute when your body runs out of ATP. So like set eight, you might be like, okay, I’m done. My muscles are done. My body is shaking. You need to sit down. With creatine, your body might have like two more reps in that set. And then that means your muscles are going to get a bit stronger because you’re able to push a little more and your sensation of exhaustion is a little less. So over time, you just recover better, you feel better. And then one other cool thing it does is it brings water into the muscle, which can actually cause the scale to go up a little. So you would see like weight gain traditionally on the scale, but it’s not fat gain or anything like that. It’s like muscles will look juicier in the mirror. So you’ll have like a little bit more definition, which is really nice.
Speaker1: [1:01:41] Yeah. And it’s hydrating to your muscles too. Yeah.
Speaker0: [1:01:44] Can cause a little bit of dehydration though. I find some people get like dry lips and headache a headache at first usually within the first month it’s just a bit of like your body’s taking more creatine in and then it will get full and so then you just have to maintain so you just have to get used to that first little bit and obviously like because it gets broken down into creatinine that marker in your blood work will look a little different so your body might should be showing signs of the kidneys changing it’s not actual kidney damage or any problems there. It’s just that you have a bit more creatinine breakdown in the tissues.
Speaker1: [1:02:18] Yeah. So that, yeah, that number can go up if you’re like well-muscled, if you just had a heavy workout, you’re taking creatine. So yeah, people ask about that a lot.
Speaker0: [1:02:27] It’s not damaging your kidneys. And if you stopped that, it would come back down.
Speaker1: [1:02:32] And people ask about hair loss too, but I believe there was just one I don’t even know if it was like a full study, but there was some connection with it and increasing testosterone or DHEA. Yeah.
Speaker0: [1:02:45] I haven’t really seen any research on it anymore. Like there’s, creatine has been studied so much in probably more than most supplements. Actually, it has tons of research on it. I don’t really think, I think if you have a high, high sensitivity to androgens and you’re experiencing hair loss from that, creatine theoretically could worsen it, but I don’t think they ever have ever seen that really in research so I wouldn’t be too worried about that everybody is different though so there are some people who just really don’t tolerate they’ll take it they don’t feel good and then they stop but I would say that that is definitely like very much the.
Speaker1: [1:03:21] Minority yeah it happens like with any supplement that’s like we’re like everyone should take this like magnesium like there’s handfuls of people throughout the years who are like magnesium does this for me or I got like a pain in my wrist from it or whatever and all of that I guess is possible but yeah I think generally it’s a safe supplement like it’s like been proven over years that it’s you know well tolerated and and I did not know that about the gut health like the IBD connection that’s really cool really
Speaker0: [1:03:51] Awesome I think like it’s been life-changing for a lot of people in my community and so I feel like it’s worth a shot.
Speaker1: [1:03:59] Talk to talk
Speaker0: [1:04:00] To your naturopath about.
Speaker1: [1:04:01] It yeah ask yeah ask your naturopath everyone book an appointment use your benefits of let’s yeah yeah and the thing with the the car i saw a study um of it improving iq in people age 65 and older like seniors essentially so i i bought some for my parents and i’m like take your creatine like are you you have to load for a month like take a scoop every day like prevent your routine
Speaker0: [1:04:29] Too i have her on i need to talk to my dad about that.
Speaker1: [1:04:32] And then there’s another uh i think it was a study um that if you’re sleep deprived so not to necessarily encourage that but if you take like even uh double or quadruple the dose of like something like 10 to 20 grams like a high dose of creatine after sleep deprivation it like mitigates the cognitive dysfunction from being sleep deprived. So that’s interesting. Yeah. So I was doing that when I needed to like function and I didn’t feel rested or I didn’t really feel like my brain was on. I just took a high dose of creatine and I think it helped. I, you know, it’s hard to say, but I didn’t feel like dumb.
Speaker1: [1:05:12] So it’s really cool because everyone’s looking for like nootropic or like what can I take for brain health or cognitive health so you just use your creatine that you already have yeah
Speaker0: [1:05:23] I’d say try to go back to the basics like what feeds your brain before you start doing the herbs and everything else yeah.
Speaker1: [1:05:31] Very cool any other supplements that you tend to recommend for like muscle health or muscle building or this yeah
Speaker0: [1:05:39] Well obviously protein and creatine are like big ones I depending on the person I would say maybe some fish oil and magnesium can be helpful too for like inflammation and muscle recovery. But in like the strength world, then you have L-glutamine for muscle recovery and electrolytes. Again, same thing to replenish kind of what you’re losing in your sweat, depending on how much you’re working out and how many saunas you’re taking. So just like maybe even salt and squeeze a lemon can be really good for people. Just get some salts back in. There’s also a bit of research on beta alanine and helping with endurance and reducing that fatigue response and a bit on L-carnitine as well. I don’t do that as much. And obviously this is like patient specific because those can be harmful for some people and not for others. So the two biggest ones would probably be protein, creatine, and then electrolytes.
Speaker1: [1:06:38] Yeah, those are good. Yeah, those are good. Yeah. Electrolytes has become a big thing now. And I think like for this kind of like adrenal fatigue or that dip in the afternoon and just like hydrating a little bit more completely like
Speaker0: [1:06:53] I’ll yeah like.
Speaker1: [1:06:55] Yeah like when you’re drinking tons and tons of water and you feel like it’s just draining through like you actually
Speaker0: [1:07:01] Dehydrate yourself from from that right because your body’s like sodium system is then getting more depleted the more diluted it is so then bring a bit back then it can help you feel more alert and more hydrated.
Speaker1: [1:07:12] Yeah like i know on hikes like a couple years ago i was doing a lot of like Bruce trail hikes and everybody in that kind of community was like oh my gosh Talia’s always talking about bringing salt with you and it it like you drink your water and you’re like yeah I guess that tastes okay and then you drink your water with salt you’re like oh that’s delicious yeah like
Speaker0: [1:07:32] Your body like saves it yeah.
Speaker1: [1:07:34] Yeah just it tastes so much more it tastes smoother it tastes more watery than water you’re like oh this is the best like but then if you’re not dehydrated that and you try it you’re like oh this is horrid it’s like salt yeah yeah
Speaker0: [1:07:47] Yeah I know it’s a weird thing it’s i always tell people what their body’s really craving is often a sign of something so like you’re like i really want chips you’re actually probably dehydrated because your body’s wanting the salt.
Speaker1: [1:07:57] Or if you’re
Speaker0: [1:07:58] Craving chocolate it’s probably a magnesium.
Speaker1: [1:08:00] Thing some nutrients
Speaker0: [1:08:02] I mean it’s also just chips and chocolate are delicious but yeah like hence craving is usually a sign.
Speaker1: [1:08:07] Yeah that there’s something specific that you’re looking for that you you’ve learned over time that you can kind of get from that food yeah yeah yeah um and then And what is like the the regime that you would recommend people do or like and obviously I know it’s individual, but like how many times a week and what does that kind of look like for? Yeah.
Speaker0: [1:08:30] Well, I think like first strength training is are we talking about that specifically?
Speaker1: [1:08:35] Yeah.
Speaker0: [1:08:35] I would say like two times a week is a really great place to start. Definitely giving yourself like a day or two to recover in between. And then if you could do three, I think then you’re in a nice, like, you might start to see results a little faster. You have a day, basically like, let’s say you walk every day. The days between your strength, you’re doing a little bit more walking. And then you have like Monday, Wednesday, Friday, or Tuesday, Thursday, Saturday, or something like that, where you’re pushing heavier weights. And then you give your body a nice day to recover and then you do it again. That would be ideal. Once you get really good at it and you feel great, you could probably go up to five and honestly like still get incredible benefits and you’re not too tired but I think at first you want to find this media happy medium between allowing your body to recover and build and then also having a day where you can push hard and it’s actually true nine out of ten and not just because your body’s exhausted yeah.
Speaker1: [1:09:29] That makes sense
Speaker0: [1:09:30] Three a week would be like pretty good three to four is, perfect yeah you’re starting zero uh one two two would be a beautiful thing to do for the next couple months and then maybe try to add like.
Speaker1: [1:09:45] Maybe like i think you said like four exercises a session or you know
Speaker0: [1:09:51] So like you could in two a week you could do like a whole body both times, uh you’re doing four a week you could do like two uppers two lowers maybe and but but really what you want to do is pick like a couple movements that are going to use more of your body than just like a bicep curl. So like something like pull up, for example, which people don’t love, but a pull up is going to use your core, it’s going to use your arms, your chest and your back. So that’s a lot of muscle groups. Or something like a split squat where your one leg’s in front of the other and you’re dipping down and coming back up uses more than just, well, for one reason, and you’re doing it on both legs, you’re getting more out of that workout. And you’re using like a lot of key balancing muscles. Again, you’re using your pelvis, your glutes, your quads. So you’re getting a lot from that movement. And if you’re holding weights while you do it, you’re also doing a lot for your upper body too. So it’s like a compound movement, a deadlift. So that’s where you take weights and you bring them down in front of you. And then you use your butt and you squeeze it and you bring it back up. That’s using your lats, your arms, your legs. So there’s just so much, so, so workouts like that, instead of just like, um, one muscle group are going to give you a little bit more for that movement. And then if you pick a couple of those and do them each session, then yeah, that’s good enough.
Speaker1: [1:11:11] Yeah. That’s it. What, um, you know, I forget which trainer talks about this, but he’s like, he’s like, yeah, you’ll, you’ll follow workouts and there’ll be like these kinds of interesting things people do. And he’s like, but like most of it is going to be split squats, squats, deadlifts, pull up, like the basics, you know, it’s going to be those same exercises over and over again and heavier weight yeah
Speaker0: [1:11:32] Yes press pull up split squat and then a deadlift just do those yeah.
Speaker1: [1:11:38] That’s yeah that’s great yeah because sometimes that’s where i stumble sometimes i’m like what am i doing today like am i doing you know i want to do something interesting and then yeah but it’s easier to just yeah just go back
Speaker0: [1:11:52] Kind of walk around and be like what should i do today but then i started just following up okay for these four weeks or five weeks i’m gonna do this this day and this this day and my partner always talks about this but like weightlifting like the traditional just like showing up at the gym and doing your workouts is kind of boring because it’s very similar it’s the consistency that makes the change in your body and and you don’t need to always change it up I mean you obviously want to increase the weight so little and um you can do like every four to five weeks a slightly different movement to not create injuries but it’s very just consistently like pushing pulling use weights do a little bit party at the end and go home yeah.
Speaker1: [1:12:34] Like lifting pushing yeah
Speaker0: [1:12:37] But it it is for what it’s doing in your body yeah.
Speaker1: [1:12:41] And it’s just yeah it is just kind of those movements over and over in the same muscles and yeah um yeah and then what else did I want to ask you Yeah. So a couple of times a week, up to four times. Yeah. I mean, I think too, I noticed like when you’re just starting out, you do a workout and then you’re sore for like a few days after. So it just makes sense to not do another workout the next day. But then you’re saying, yeah, as you get better at it, as your body gets used to it, your recovery time is probably faster. Faster.
Speaker0: [1:13:15] And you might feel like a little sore, like a little bit like, oh, that muscle got worked. But you actually shouldn’t feel like, you know, and you roll around in bed and you’re like, ow, ow, everything hurts. It can barely walk. That happened when you first get started because it’s new. And that is a discouraging moment for people because they’ll be like, this is horrible, but it will not last. Now you want to feel a tiny, maybe a little bit sore, maybe, but it’s actually normal if you don’t. And it doesn’t mean you didn’t work hard enough. It’s just your body has gotten really used to this type of thing where if you’re eating well, you’re rebuilding your muscle and then you’re breaking tissue down again and then you’re building. So that feeling will not last. It is just the initial phase. I used to get this every year as a, as a dancer, when you take this, you kind of take the summers off after a competitive season. And then in the end of the summer, you go back to your intensive training before the year starts. And like that first week, I’d always be like, Oh, all the little baby muscles in my legs and everything. It’s like, I could barely walk yeah so if you’re new to the fitness journey this happen just drink a lot of water and know that it will pass and get dense you know work with your again your naturopath or acupuncturist or RMT and then you eventually will that will go away even with spin like that feeling of like your pelvis hurting because you’re sitting on the bike that goes away yeah that’s.
Speaker1: [1:14:38] Good to yeah that’s good to to remind people i remember i like i walk into like a body pump class at good life years ago and somebody was like just don’t pick as heavy as his body pump style it’s like you’ll do one muscle group for an entire song so it’s like a lot like a like high rep you know and um they’re like just go lighter than you think especially on your first try like here I could barely go up this down the stairs afterwards yeah
Speaker0: [1:15:06] Yeah those few I remember that I’ve been there and like those days are how we were like oh these muscles like hello there they are like you feel them that feeling is intense um but it it that’s only like at first then your muscles get very used to it yeah.
Speaker1: [1:15:24] And it’s also good to know like to not rely on that as a sign of the quality of your workout either like i think
Speaker0: [1:15:30] I never get that.
Speaker1: [1:15:32] Anymore yeah you’re like yeah
Speaker0: [1:15:34] If i did a really hard workout i might i might have like a like some sensation of a soreness for the day in one muscle group maybe or two but it’s much milder um if i’m starting a whole new set maybe of of stuff where i haven’t worked that muscle group in a while i might get that like, it hurts to go down the stairs feeling. But again, it’s very, very, very uncommon once you get to a place where your body’s in, it’s conditioned. It’s just at first. So that’s why being motivated, having friends, having a plan set in place for when you start will help you with your consistency because it’s always in that first. People will feel really motivated. They’ll get started and something causes them to stop. So having a plan B for when that happens and to help keep you there is going to be good yeah.
Speaker1: [1:16:20] How do you kind of get back on to it yeah I think that’s the thing I’ve seen a lot over the years too whether it’s whatever health plan it is whether it’s dry supplements whatever people are doing they’re like I went I went on a cruise and then I you know I then I took a few months off and it’s more about just kind of how do you get yourself back you know like if you drift into the ditch when you’re driving like you don’t just like spiral off you know like you know gently coax yourself back on the path and like it’s okay and avoiding that all or nothing thinking
Speaker0: [1:16:55] Yes there’s so those videos now on tiktok or like instagram people are like what you know this same mentality would be like if you dropped one sock in your pot in your laundry and then you’re like oh and you throw it all in that one you spill some water then you’re like well then you dump all the rats yeah that doesn’t need to happen just because you missed a couple weeks doesn’t mean you’re off the gym schedule now or you know like you’ve fallen off track because you ate whatever it is like that just
Speaker0: [1:17:21] enjoy your life and then join again go back to what it is like pick up the sock and move on yeah.
Speaker1: [1:17:27] And yeah what were the tools that got you on it and try and reach for those again and yeah
Speaker0: [1:17:33] One thing that really helped me when I was first starting was outside of taking a class and going there, that was helpful. But the other thing was when I would go outside on like my runs, or walks, having a specific podcast or specific playlist I made for myself just so that I could with the songs I loved. And I would only let myself listen to it when I went to do the workout or whatever it was. So I would actually wake up and be like, I want to hear all I want to hear my playlist. I love that song that like set of songs. So I would go outside just to put the playlist on. And it kind of tricked me into like doing this little jog around the block.
Speaker1: [1:18:12] I actually, I think I remember you just talking about that in school. And I remember being like, that’s genius. And I’ve told patients about that. I’m like, you know, I have a colleague and she.
Speaker0: [1:18:22] I actually did talk about that in school. I think that’s when I started this because I really didn’t want to work out back then. And I think I wrote like an article on a website once about it or something. But I used that. And I think I have days too where you would, again, wouldn’t know if you just saw my Instagram. But like there’s days where I don’t want to do anything. And that’s okay. those are just those days and then other days where I loved it and I want to go and I’m motivated but I wasn’t always like.
Speaker1: [1:18:47] This yeah I think it’s I think it’s actually like a like even for people the other way who are like I don’t know how I’m gonna listen to like I want to listen to this podcast on something that’s important for me but I don’t have time it’s like well just listen while you’re doing something else that you don’t want to do like pair two things together yeah but I love the yeah I love the like okay like I want to hear my song well I only listen to my song on whatever it is the spin bike or when I’m walking or when I’m running or when I’m working out and so then you’re like you’re kind of pairing this exciting thing with something that you maybe aren’t as excited about yet yeah like the gateway to doing the thing yeah it was my
Speaker0: [1:19:27] Playlist was the gateway for me.
Speaker1: [1:19:28] That’s a good yeah that’s great you’re like and and then you associate that song with working out and so you’re like you kind of like working out or you have positive associations with it i
Speaker0: [1:19:40] Have there’s one playlist i mean for myself it was called like 5k run during covid when i had like the big grief episode and then was just taking myself for walks and i remember i’d get to the end of the like little jog or eventually like the 13k run or whatever and i would get that song and it was like i think i would start to yell at and scream it in the streets and like i just remember doing this and just feeling free and like my mood i could feel my mood finally like waking up and that playlist is it’s still here there’s so much power when you combine music with your mental health and the movement you’re doing.
Speaker1: [1:20:16] Yeah that’s really great because it’s also like you know how songs can get tired and you’re like oh it doesn’t have the same meaning but because you’re like kind of containing the experience of it to be paired with like all those positive endorphins from your workout and like this all
Speaker0: [1:20:32] Together if i hear that song now i remember there’s two songs there’s green light by lord.
Speaker1: [1:20:38] And or
Speaker0: [1:20:39] Is all saints like if those to come on it’s the start of that run in the end and i and it’s that feeling of like oh i’m gonna be okay me again like it was powerful and i still have it and that was from four or five years ago now.
Speaker1: [1:20:54] That’s cool yeah that’s cool it’s like when you smell fragrances from a certain time era and you’re yeah but music yeah that’s cool that’s really that’s a good tip for anyone listening like think about yeah how can you make it a
Speaker0: [1:21:10] Good tip so yeah and all the way to.
Speaker1: [1:21:14] The end yeah i remember andrew huberman saying something about how it will like lower the dopamine of so if you if you like working out and then you pair your workout with something else that you really like it like you kind of lower the dopamine you get from the workout but what we’re talking about is like you already don’t really want it or you need encouragement you want to get a dopamine rise so you’re like pairing something that gives you dopamine yeah yeah and
Speaker0: [1:21:43] Then you learn and I wouldn’t say that like now I can like turn music off and just go for a run I still want the playlist but it allows me to get excited for that.
Speaker1: [1:21:52] Yeah totally yeah and yeah it’s like there’s no harm in listening to music every time you work out I mean and I’m sure that if your thing was broken you would still do it it’s just you know yeah exactly but because you’ve built that habit and you there’s enough of a reward from exercise whether it’s just even finishing in the workout um yeah you’ll still do it yeah that’s great yeah anything else does like anything you’re up to that you want people to know about or me I
Speaker0: [1:22:25] Mean I yeah like I’m I talk a lot about fitness but I am still seeing patients regularly as a naturopath and this is like my biggest passion in life but using fitness maybe as a combination and just teaching people if they’re interested in that aspect of their health and lifestyle is another little like adventure I’m taking now and in my clinic time but I also teach spin outside of all of this and that can be really fun if you ever want if you’re looking for a class to join you can just come take mine I can guest people I can teach you the like, you know how to do it on the bike and feel like make it make cardio fun again yeah but where.
Speaker1: [1:23:06] You work where’s the it’s
Speaker0: [1:23:08] Sweat and tonic i teach for swim sweat and tonic cool yeah um yeah you can come anytime i find i just taught a dance hall class this morning yeah that’s.
Speaker1: [1:23:20] Cool it’s like pairs the love of dance and like fitness and like you can yeah
Speaker0: [1:23:24] Totally yeah sweaty and feel good i feel like it’s really an important journey for your mental health more than anything else in there. And then, yeah. And you can find me just like working out of the gym. So if anyone wants to go to a gym and like have someone to work out with, I’m there too.
Speaker1: [1:23:39] Cool. Yeah. And then you’re working at?
Speaker0: [1:23:42] Dallas Park Medical. Yeah. So High Park. Yeah. And I work there pretty much every day. My patient population is really varied because it’s a medical clinic that’s integrated. So we work all together with chiros and psychotherapists and medical doctors. But probably the patient population I see the most often will be people who have PCOS or some fertility goals or who are reaching perimenopause, menopause, and they’re wanting to learn about how to optimize their health. Those would be my main areas of focus. I do a lot of acupuncture too. So I find that that’s a really beautiful thing to kind of pair eastern and western medicine all together.
Speaker1: [1:24:26] Yeah that’s cool yeah all right everybody check out stress where there’s a spin class an antropathic my back puncture session or workout that’s
Speaker0: [1:24:37] Like i do i guess i do a lot if i say it all out loud like that.
Speaker1: [1:24:40] That’s good though all
Speaker0: [1:24:42] In the same world.
Speaker1: [1:24:43] You know on the health space it’s good to kind of yeah like bring in more modalities and like expand beyond our like naturopathic education which is pretty comprehensive but there’s always like more tools that you find you need to accumulate as you work with people so it’s cool
Speaker0: [1:24:58] Yeah and sometimes somehow it all just kind of comes to you you know like I’ve found all of this because I of what I was going through and this is how it helped me and I want to share it that’s usually that’s my passion when it comes to anything related to our bodies is just to like educate and eliminate fear and to help make it an empowered, joyful experience.
Speaker1: [1:25:22] Yeah, it’s fun to get healthy.
Speaker0: [1:25:25] Yeah.
Speaker1: [1:25:26] I tell people, it’s like a meaningful pursuit in life because so much aligns when you’re pursuing health, like, you know, because it encompasses your relationships and your life purpose and creativity, like all the things that are important to you. Like on a health journey, those things kind of align, you know. so and what
Speaker0: [1:25:45] Better thing to learn about than how our body works like we’re living in it we should learn how it works and how to what it means like what a menstrual cycle is and like what happens during it or like what our digestion system is meant to do and I think we should all learn that from a young age when I don’t think taught that enough so that’s probably my favorite rule.
Speaker1: [1:26:05] Yeah I love that yeah it’s so true it’s like you know there’s yeah something extremely empowering about just understanding your body from that kind of knowledge level but like how you kind how you interpret that to interpret the signals of your body what it’s like to live in your body and you know cravings like we were talking about or that desire to work out or even identifying that flame that you were talking about too like that burning flame of motivation or that spark like you know yeah yeah thanks dad this is great this
Speaker0: [1:26:41] Was so fun thanks for inviting me.
Speaker1: [1:26:43] Yeah thanks for thanks for taking the time and for talking to me and we’ll put links and where people can find you in the show notes and yeah
Speaker0: [1:26:52] Yeah yeah if anyone has any questions just reach out to me and then we can talk about anything that you learned today.
Speaker1: [1:26:58] Yeah if anyone has questions let me know and i can we can send them to staz or contact her directly we’ll put your instagram and everything up, too.
I, like most of my colleagues became a naturopathic doctor because of my own extremely disempowering experiences with the healthcare system.
In my late teens and early 20s I was suffering from what I now know were a series of metabolic and hormonal issues and I, like almost all of my patients and colleagues experienced confusion, gaslighting, frustration and a complete lack of answers for what I was dealing with. I tell my story more in depth in other places, but I was told to “stop eating so much”. I was told everything was normal in bloodwork (or simply not called back). I was weighed incessantly. I was chastised for doing my own research (I had to–no one would tell me anything). I was interrupted, cut off and dismissed.
And so, I did what most of my colleagues do–I got educated. I went to school. First for biomedical sciences and then, when that degree left me with more knowledge gaps than answers (and no one who would indulge, let alone answer, my questions), I became a naturopathic doctor.
Throughout my 8 years as a practicing ND, I have encountered thousands of similar stories of disempowerment and confusion and frustration. We patients are trained to see our doctors when we feel depressed, fatigued, or debilitated by PMS, menstrual pain, headaches, and mood issues. Most of us don’t care what answer we get–fine, if it’s a medication I need, I’ll take it! But if we experience lack of benefit from the solutions and a lack of answers, then what? I’ve heard this story over and over.
And so, like many of my colleagues I use the privilege of my education to help me navigate the system. I ice a sore foot for 2 days and then get an x-ray (picking a non-busy time to visit the ER). I take the orthopaedic surgeon’s advice with a grain of salt and implement my own strategies for bone healing. I ask for the bloodwork I need (and know my doctor will agree that I need) and pay for the rest out of pocket. I know my doctor’s training and I understand her point of view and I don’t get frustrated when diet and nutrition or lifestyle are never mentioned. I don’t get upset if my doctor doesn’t have an explanation for symptoms that I now know are related to functioning and not disease, and that it is disease which she is trained to diagnose and prescribe for.
And thankfully, my experience with the healthcare system has been quite limited as I’m able to treat most things I experience at home and practice prevention.
My good friend, who is a naturopath as well, and who has given me permission to share her story, had the same experience up until this summer. She too used the healthcare system quite judiciously and limitedly until a series of stressors and traumas landed her in in-patient psychiatric care (i.e.: a psychiatric hospital) for a psychotic episode–her first.
…And until she started experiencing debilitating gastroesophageal symptoms that were beyond what one might consider “normal.”
And in both cases she sought help from the medical system. She told me recently that her experience was quite different from the ones she’d had in her 20s when her long-standing parasite was misdiagnosed as IBS and she was repeatedly dismissed by doctors. She told me “I’ve been having great experiences with the healthcare system. It’s not like it was before. My doctors have listened to me. They’ve been helpful. Yes, they’ve recommended drugs but when I tell them that I don’t want to take the medications because I know what they do and how they work and don’t think I need them, they respect that. They treat me like I’m a real person. They’re all our age, too. The procedures are more state-of-the-art. The facilities are pleasant. Something has changed in healthcare.”
I know that my friend’s experience might be different from yours. I’m not saying her experience is universal. In fact, if I reflect on my interactions with the fracture clinic in St. Joe’s hospital in Toronto, I had a fairly good experience as well (except for long wait times and booking errors). Sometimes medical trauma can blind us to reality–sometimes we aren’t willing to re-evaluate our assumptions until someone points out a piece of reality that is hard to deny. I actually haven’t had a direct negative experience with healthcare in years– and yet I had chalked that up to the fact I rarely need to use it.
But my friend had had two quite intense experiences and came away from them feeling positive about the care she received. I wondered what was different. Here are my thoughts.
Medical care has evolved. It is inevitable that this happens. Sometimes we might have just had a bad doctor, or someone who was having a bad day or maybe was triggered by our experience. I sometimes think not knowing how to help triggers doctors—I think this might have been the case with the doc who told me to eat less. She might have felt helpless and incompetent at not being able to help me and projected those feelings onto me as a “difficult patient”.
Ultimately health professionals got into their field to “help people”. If you’re not helping people you might feel triggered. But then, if you’re a competent professional, and I believe most are, you look for new ways to help. You open your mind to other practitioners, like NDs. You might not understand why or how what they do works, but “whatever works.”
Healthcare is constantly evolving, and so is the way we communicate its advancements. My friend’s experience highlights how much has changed—not just in medical technology and treatment approaches, but also in how healthcare professionals engage with patients. As understanding deepens and patient-centered care becomes the norm, it’s crucial to share these stories in ways that foster trust and transparency.
Doctors are increasingly open to new studies on nutrition. They recognize treatment gaps in their care and in medical knowledge and guidelines. Nutrition and alternative practices are entering mainstream and are dismissed as “woo woo” less and less, particularly by doctors who embrace science and research.
With the evolving landscape of medical care, doctors and health professionals are adapting to new perspectives and approaches to help their patients effectively. Acknowledging that some past encounters might have been influenced by various factors, professionals are increasingly open to alternative practices and unconventional methods. They are embracing the significance of research and scientific advancements, often exploring innovative solutions such as the MAS Test to bridge treatment gaps and enhance patient care. By incorporating cutting-edge tools like the MAS Test, doctors are demonstrating a commitment to understanding diverse approaches, ensuring they provide comprehensive and personalized healthcare solutions to their patients. This openness to holistic methods and ongoing research not only enriches medical knowledge but also fosters a more inclusive and effective healthcare system for everyone.
I always say, when picking a doctor pick one that listens, that is curious and that is humble. I strive to be these things, although it’s not easy. Practicing medicine is as much an art as it is a science–we need to be able to not only admit but carry with us the absolute truth that we do not know everything. It is literally impossible to know everything. The body and nature will constantly present us with mysteries on a daily basis, but the gift of being a clinician is that we are constantly learning.
“I don’t know, but I will try to find out” should be every doctor’s mantra (along with Do No Harm).
In a busy and overloaded system we need to help healthcare workers help us. This means being informed. My friend is highly informed and educated in healthcare. I believe her healthcare providers could sense this. She was respectful in denying medications and wasn’t pushed (because she had informed reasons that the healthcare practitioners ultimately agreed with, “no, you shouldn’t go on a PPI long-term, that’s right” “yes, anti-psychotics do have a lot of side effects, and taking them is a personal choice”).
A significant element of my medical trauma was the feeling of disempowerment. I was completely in someone else’s hands and they were not communicating with or educating me. I was left feeling lost and hopeless. Empowerment is everything. It allows you to communicate and make decisions and weigh options. You know what healthcare can offer you and what it can’t.
Of course we can’t always be empowered, especially when we’re very sick and when we’re suffering. In this case, having advocates in your corner are essential. Perhaps it’s having an ND who can help you navigate the system, think clearly and help you weigh your options.
I also recognize that it is hard to be empowered in emergencies. Fortunately, modern medicine handles emergencies exceptionally well. Still, in this case, having an advocate: friend, practitioner or family member, is an incredible asset.
Physicians are burned out. Patients are burned out. I believe this is because of responsibility. Neither the medical system nor the individual can possibly be solely responsible for your health. I believe that responsibility is better when shared. We need help. We can’t do things alone: we need someone’s 8+ years of education, diagnostic testing, clinical experience and compassion. We also need our own sense of empowerment so that doctor’s don’t succumb to the immense pressure of having to fix everyone and everything.
My sister in law is an ER nurse and once remarked (when asked if the ER was busy and chaotic) “people need to learn self-care”. She didn’t mean self-care as in bubble baths. She meant: learning how to manage a fever at home, when a cut needs stitches or how to determine if a sore ankle is a sprain, strain or break. A lot of people were coming in with colds—self-limiting, non-serious infections that could easily be treated at home. This was burning her out. Of course, she meant, go to the ER if you’re not sure. But, there are many non-grey areas in which we can feel empowered to manage self-limiting, non-serious health conditions as long as we know how to identify them or who to go to for answers.
Education is power. In a past life (before becoming an ND and while studying to become one) I was a teacher. I am still a teacher and in fact the Latin root of the word doctor, docere, means “to teach.” Healthcare is teaching. No doctor should say “just take this and call me in the morning” and no patient should accept this as an answer. We have the right to ask, “what will this pill do? When can I stop taking it? How does it work?” This is called Informed consent: the right to know the risks and benefits of every single treatment you’re taking and the right to respectfully refuse any treatment on any grounds.
You have the right to a second opinion. You have the right to say, “Can I think about this? I’d like to read more about it.” You have every right. You have the right to bring a hard question to your doctor, like “do I really need this statin? A study in Nature found that the optimal cholesterol level for reduced all-cause mortality is around 5.2 mmol/L, which is much higher than mine. Do I really need to be on something that lowers my cholesterol?”
If we can’t speak to our doctors, we turn to Google. Being a good researcher is a skill. This is what I was trained to do at naturopathic medical school and in undergrad. How can you tell if a study is a good study? Does the conclusion match the results? What does this piece of research mean for me and my body? Your doctor should be able to look at you and answer your questions to your satisfaction. This is basic respect.
You deserve to access the results of your blood tests and be walked through the results, even if everything is “normal”. Even a normal test result tells a story. We deserve transparency.
I was once told in a business training for healthcare practitioners (NDs, actually) that “people don’t want all the information. They don’t want to know how something works. They just want you to tell them what to do.”
Now, I sincerely disagree with this. In my experience, patients listen vividly when I walk them through bloodwork, explain what I think is happening to them and try to describe my thought process for the recommendations I’m making. I’m sure a lot of what I say is overwhelming–and then I try to put it differently, and open the conversation up to questions to ensure I’m being understood. Again, doctor as teacher, is a mantra we should all live by. There are few things more interesting than learning how our bodies work. In my experience, patients want to know!
When our bodies occur as a mystery, we are bound to live in fear. We are bound to feel coerced and pressured into taking things that our intuition is telling us to wait on, or seek a second opinion for. When we are scared to ask our doctors questions or take up their time, we end up having to deal with our concerns on our own. When we are dismissed we end up confused and doubting ourselves. We end up disconnected from our bodies. We are anxious. We catastrophise. We give away our power to strangers.
Empowerment is everything. It helps us connect to our bodies. It strengthens our intuition. We know where to go or who to go to for answers (or at least a second or third, opinion). We can move ahead with decisions. (i.e.: “I’m going to take this for 8 weeks and if I don’t like the side effects, I will tell my doctor that I want to wean off or ask for another solution”). We are aware of the effects and side effects of medications. We are aware of our options. We know if something isn’t right for us. We can make food and life style choices in an informed and empowered way. We can feel in our bodies who is trustworthy. We can trust ourselves and our bodies.
When patients are empowered, I believe doctors experience less burnout. The responsibility is shared evenly among patients, friends, family and a circle of care of helpers. No one faces the entirety of the weight of their health alone. No one should.
Empowerment and health don’t mean that you’ll be completely free of disease, or that your body will never get sick, or that you will be pain and suffering free. We all get sick. However, empowerment can help you notice something is off. Increased awareness helps you advocate for yourself to get the care you need in a timely fashion. It helps you take necessary steps, even if you’re afraid. You might be less afraid when you have more information. You might have more hope when you know all your options.
Empowerment in healthcare is everything. And here’s the thing: your doctor wants you to be empowered. Empowered patients are fun to work with. They ask good questions. They are respectful. They are open. They give us practitioners an opportunity to learn. My friend experienced this. I’m sure she was a joy of a patient to work with because she was knowledgeable, alert and present. She maintained her own power. She asked questions when she was unsure. She knew what questions to ask. She knew where to go for answers on her own time. She knew which information was relevant for her practitioners to know. She knew how to ask for time and space before making a decision. She knew how to maintain her sense of autonomy. Most of all, empowerment gives us the strength to find a new practitioner if the therapeutic relationship we’re in isn’t respectful or supportive.
I believe we get into the helping professions to help–to heal, to learn and to alleviate suffering. We all swore an oath to “do no harm”.
What do you think? How has health empowerment helped you navigate your own healthcare?
From Thursday to Tuesday (yesterday) I was camping on Canada’s East Coast in Lawrencetown, Nova Scotia (near Halifax, Cole Harbour, etc.)
I was nervous about the trip. I’ve never winter camped before (in a tent, no less). I’ve winter surfed, but never without warm water or a wood-burning stove or central heating to come home to. Would I freeze? Starve? Feel wet and cold all weekend long?
No, no and no, but I learned a lot in the process. Particularly about our metabolism and circadian rhythms and how to best adjust to the winter season with its shorter days and cold temperatures for the winter months.
What I learned:
Our body is intelligent and wise.
We are able to cold adapt if we listen to our bodies’ needs. Mine was telling me to move, to stay dry, to expose myself to the sun, to eat enough calories (meat, eggs, trailmix and granola). I slept early and a lot. As long as I ate and conserved my energy, put on more layers once I felt a chill, and moved my body to improve my body’s circulation and metabolism, I felt warm and cozy and energized.
I realized that our bodies are equipped for anything, as long as we listen to their attempts to adapt. A friend who was travelling with us seemed disconnected from his body. Despite being an outdoorsman, I observed that he didn’t eat enough, consumed too much alcohol and chose to nap during the day despite the fact that we only had access to 8 hours of precious sunlight.
He fell in the river and rather than moving to warm his body up, he lay down and napped, which failed to keep him warm. I observed that his mood dropped throughout the trip and he had a hard time adjusting to the lack of warmth and light from the planet. This contrast emphasized the importance of respecting our bodies, nourishing them properly, moving them and caring for them, while adapting to the circumstances of nature and light-dark rhythms.
It made me think of how so many of us need to work inside during the few and precious daylight hours. How we access screens late at night after the sun has long gone down. How we avoid going outside because of the cold, even though outside is where the sun is.
It made me think how our appetite naturally increases in the winter as our bodies burn more energy to keep us warm and stoke out metabolisms and yet many of us rally against this, trying to eat less and go on diets to decrease our waistlines.
Our bodies are wise. What gifts will we derive from listening to them?
Adapt to the waves of light and dark.
The sun rose every morning around 7 am and set around 5pm. This gave us 10 hours of sunlight a day. As a result I rose with the sun (usually my bladder woke me up) and went to bed soon after the sun set.
I spent the day working (clearing an area for a driveway, making paths in the forest), surfing and hiking. We relied on the fire at night for warmth and food. The blankets we huddled under were hot and inviting and so it wasn’t long after the sun set and the fire died when we went to bed. There wasn’t much to do in the dark and the energy it took to keep warm didn’t feel worth it. The cold would cause sleepiness to overtake me.
We’d eat outside when we could, bundled in wool, plates balanced on knees, steam rising from our food like prayer. There was no rush. The night didn’t demand anything from us but stillness and gratitude. Sometimes we’d talk, sometimes we’d just listen to the crackle of embers and the sound of wind threading through the trees. The grill’s warmth, like the fire before it, held us together in a soft circle of light—another small sun to guide us through the dark.
I downloaded my Oura ring data when I got back and found that some nights I slept for 10 hours or more!
It struck me that we often try to fight this need for more sleep in the winter. We don’t get outside as much, so we don’t expose our eyes to sunlight. We use artificial lighting at night and so override our natural circadian rhythms. We might feel more tired and depressed during the winter months because we aren’t adapting to the light-dark cycles the way our ancestors were forced to–we try to maintain productivity despite the fact that the sun is delivering less light-giving energy.
When I got back from my trip, I went to sleep at 8:30pm, true to form. I woke up feeling fantastic and went for a morning walk to watch the sunrise.
Here are some important considerations for adjusting to winter:
1) Get sunlight as much as possible.
It can be tricky to have to spend 8 hours of the day in an office at work when there are only 8 hours of daylight to go around. If you can, spend time near a window, fit in a morning walk, or walk right after work, or a walk a lunchtime, prioritize this as much as possible.
If natural light is impossible, light lamps might help. They won’t be a full solution, though. Fire places provide infrared light, which can be helpful for healing red light in the evening hours.
Get sun exposure where it’s available. Avoid wearing sunglasses if possible and expose as much of your skin as your feel comfortable.
2) Vitamin D.
Take Cod live oil for the right ratio of vitamin A to D, along with magnesium for D activation. Talk to your ND about getting on the right supplement regime.
3) Go to bed earlier, if possible.
During the darker months, we might end up feeling sleepier than normal. If you can let go of your perfectionism and accept less productivity, priotizing sleep and rest during this Yin time, it may improve mood and energy levels throughout these months.
I definitely feel I need more sleep during this time. Keep in mind most mammals are hibernating. Birds have flown south. Our ancestors likely conserved fuel, lamp oil and heat by going to bed earlier, snuggling under the covers with family members and pets to stay warm. Sleep is part of nature’s demands for us at this this time of year. As the Earth slows down, so should we.
Perhaps lowering the temp in your house can help support this need for sleep, the way that the dropping night temperatures encouraged me to hibernate beneath the covers around 7-8pm. Turning off bright lights will also help with this.
Notice how, when you lower light and temp in the evenings, sleepiness overtakes you.
4) Move your body.
Movement improves circulation and muscle health, stoking metabolism, which supports cold tolerance and adaptation. It might feel too cold to go outside, but once your body gets moving you will notice how fast you warm up and how much tolerable the cold can be.
Movement outside, especially during daylight hours is essential for mental health at this time of year.
5) Honour your cravings.
Starchy vegetables, meat stew, soups, apples, granola, nuts. Notice if you crave different foods at this time. Notice when you’re overeating sugar and refined carbs and if this may be your body compensating for not getting enough whole-food calories.
Our bodies don’t work the same way in the winter that they do in the summer. In the summer you might feel great on salads, smoothies and low carb dinners like barbecued chicken and vegetables.
During the winter you might need more potatoes or rice, root veggies and warming spices. You might eat more meat as a way to get micronutrients. You’ll likely need more protein to preserve and build warmth and muscle. You might turn to canned foods, frozen vegetables, less tropical fruit and more starchy veggies.
Your mitochondria are working harder during these months to keep you warm (if you get outside and get the appropriate amount of cold exposure, which has tons of anti-inflammatory and mood-stimulating benefits). We need to respect them by consuming enough calories, protein, micronutrients (B vitamins, magnesium and other minerals, etc.) and healthy saturated fats from butter, tallow and eggs. We need salt.
It is good for our digestion to eat cooked and warming foods during this time of year. Pumpkin spices. Cinnamon, ginger, warm teas for liquids.
Warm foods and drinks warm up the body and help stoke our metabolic fire that supports cold adaptation. Hunger and a strong digestive system are a gift during these months.
Honour your appetite. Don’t fight your body. Eat salt. Don’t compare how you look right now to how you look in the summer months (or to that tanned, shredded health influencer posting from Costa Rica). You’re not them. You’re a winter bear. You need nutrients.
While winter is a hard time of year with its lack of light and warmth, it can be a beautiful time of year. It can be an opportunity for more stillness, quiet and nourishmment. It can be an opportunity for connection and coziness (what the Danish call Hygge). Warm socks, fires. Skating and hiking in the snow. Snow angels. Beautiful long sunsets and long shadows on the sparkling white snow.
There is a quote I’m reminded of at this time of year:
“If you choose not to find joy in the snow, you will have less joy in your life but still the same amount of snow.”
Remember that the season is not the problem–our ancestors have adapted to the cold over thousands of years. What is different it our societal habits and attitudes–our addiction to productivity and image. If we lean into nature’s rhythms, we might learn to find joy in the snow and get through the winter better in touch with our bodies and a deeper respect for this time of rest and adventure that the Earth provides.
What I learn from surfing is to roll with, harness and absorb the waves of life. Don’t fight them. A year comes in seasons. Breathe into change rather than resisting it. Let your body do its thing to keep you warm, safe, energized and happy.
Hippocrates once said “all disease begins in the gut” and, even though as a naturopathic doctor I have internalized this to the utmost degree, I still forget from time to time.
So, when I was having an increase in histamine symptoms (itchy eyes, runny nose, inflammation, congestion, itchy skin, immune issues), dental issues (bad breath, swollen tongue, increase in plaque and bleeding gums), gut issues (bloating, constipation, sugar cravings) and mood issues (PMS, low motivation, fatigue, brain fog, lower mood, fatigue) as well as other random symptoms such as decreased stamina, cold intolerance and otherwise just feeling “blah”, it took me an embarrassingly long amount of time to connect all these symptoms to being caused by a gut microbial imbalance.
Our gut bacteria outnumber the cells of our body by 10 to 1. These little guys influence our digestion, mood and immune system. They affect our brain function. A recent study in Frontiers in Psychiatry (Nguyen et al., 2021) even connects the diversity of our microbiome with loneliness and wisdom.
Interestingly, loneliness and wisdom have been found to occur in inverse relationship with one another. In other words, the wiser you are, the less lonely. It’s important to note here that loneliness is not the same thing with isolation or being alone–sometimes alone time is necessary for the type of self-reflection that imbues wisdom.
Wisdom is a complex phenomenon that is made up of traits like compassion towards self and others, self-awareness and reflective thinking and deep knowledge about the world and the meaning of life events. From this description we can imagine how protective wisdom might be against mental illness and how it may lend to mental, emotional and physical wellness.
The wiser you are, the better able you may be to make meaning of and persevere through life’s difficulties and connect with others. Wisdom lends itself to an overarching view of self, life and humanity that may allow us to respond to life’s challenges with resilience.
Perhaps a wise person who is alone may also be aware that they are also part of an interconnected ecosystem that includes self and others. They may be aware of their place within the fabric of existence. In this way, they are never really alone.
Further, the meaning they may derive from states of aloneness may protect them against the feelings of social isolation that are characterized by loneliness. Imagine a wise figure. Perhaps they are alone, but would you say they are lonely?
Our gut is sometimes called “the second brain” and forms part of the microbiota-gut-brain axis in which our gut bugs influence the health of our intestines and thus influence our nervous system, immune system and brain (Cryan & Dinan, 2012). Our gut microbiome can even influence personality traits such as agreeableness, openness and even neuroticisim (Kim et al,m 2018). Interestingly, unhealthy gut bacteria like proteobacteria (associated with SIBO) were associated with low conscientiousness and high neuroticisim (Kim et al., 2018).
Does this mean that diet can influence our tendency to hand things in on time and keep our rooms clean? hmm…
But what if we are less in control of our behaviour and even personality than we think? The truth is the bacteria in our gut produce chemicals that influence our behaviour: what we crave and eat and even how we act and think. In turn, this influences the composition of our gut.
Prosocial behaviour is associated with more gut biodiversity, and people who are more social tend to have microbiomes that are more diverse (Johnson, 2020). This makes sense if you think about it. If you’re exposed to a variety of people and environments, you’re likely exposed to a variety of bacteria and viruses as well. These microbes are ingested and incorporate themselves into our bodies.
When we visit different environments we consume foods in those environments. When we socialize with various people, we often share food. This increase in food diversity will also influence gut microbial diversity.
As I write this, I wonder about the effects of social isolation of the past 2-3 years. During Covid, our social circles decreased. Currently we are seeing a rise in infections: colds, flus and other illnesses (RSV, hand food and mouth disease, pink eye and so on), particularly in children. I wonder if this lack of socialization has affected our microbiomes and thus our individual and collective immunity. A hypothesis worth exploring, perhaps…
Further, the hypersanitization may also have contributed to shifting the health of our microbiome. It still remains to be seen.
We know that a lack of gut diversity can affect our immune system and is associated with obesity, inflammatory bowel disease and major depressive disorder (Jiang et al., 2015). In mice, the health of the microbiome is essential for their social development (Desbonnet et al., 2014)!
So, what does this mean practically and clinically?
Throughout my studies and years practicing as a naturopathic doctor, a clear-cut path towards improving microbiobial health of the gut is still unclear to me. We know that increasing the amounts of plants and fibre in the diet can support gut diversity. But we also know that fibre can cause constipation and bloating in some individuals and aggravate their digestion and that there are many indiviudals who at least anecdotally seem to thrive on diets that reduce fibre, such as the Carnivore Diet or an Animal-Based Diet (which, by the way, I’m not necessarily recommending here).
For me, gut health has largely been about paying attention and noticing when things have gone astray and then (and this part is harder than it sounds) correctly attributing what has gone astray to a shift in the health of my microbiome.
This has been years in the making. Our gut produces pain in response to stretch (i.e.: from gases in the intestines). We don’t necessarily feel pain in our gut if we’re experiencing intestinal permeabilty (leaky gut) or dysbiosis. This means that there is not a lot of feedback from our body that tells us about the state of our gut. Our gut doesn’t always hurt if it’s inflamed or imbalanced in the way your shoulder might. We need to look for other signs and symptoms that alert us to the state of health of our guts.
For me symptoms of gut imbalance often correlate with symptoms of candida overgrowth (something I, like many, am prone to). Candida, a species of yeast, tends to flourish in my body if my overall gut ecosystem is failing to keep it in check. Sometimes this can occur due to stress, and increase of sugar in my diet and other factors.
Symptoms I notice are:
– A change in oral health: more plaque on my teeth, bad breath, tongue coating, bleeding gums, and so on. – A change in mood and mental functioning: symptoms of depression or dysthymia such as apathy, low motivation and lethargy. Brain fog, difficulty concentration, poorer executive function (particularly initiating tasks or increased procrastination). – A change in digestion: persistent bloating, more constipation (involving not just frequency but stool quality. They might be stickier or harder to pass). – A change in immune function: more mucus production and congestion. Allergy symptoms. Trouble breathing,. – A change in energy and metabolism: reduced stamina despite exercising. Weight gain. Water retention. Fatigue. Feeling cold. – A change in cravings: wanting more sugar, binge-eating and overeating. Obsessing about food. Cravings for sugar after meals. Feeling “hangry” more often. Difficulty feeling full. Mental hunger (hunger despite feeling the presence of food in the stomach). – A change in hormonal health: changes to libido, vaginal flora. heavier periods, irregular periods. Increased PMS.
And so on. If this seems like virtually every system in the body is affected, I remind us all that Hippocrates said it first (or at least most famously): “all disease begins in the gut”.
What is the solution? Like recognizing the cause, the solution is often subtle. For me it was focusing attention to gut health and slowly steering the ship back to healthier habits.
The problem with dysbiosis is it often maintains itself. Low energy leads to less socialization and less motivation to cook healthy meals. More cravings lends to poorer food choices. These are just some examples of what you can imagine to be a variety of maintenance processes that are caused by and serve to perpetuate dysbiosis.
Therefore for me, the solution is not to make drastic changes but to identify and shift these patterns in support my microbiome.
1) I took sugar out of my diet. For me this involved shifting away from my 3 fruits a day to starchy vegetables (like squashes, etc.) I thrive on a Paleo-like diet (a whole foods diet that emphasizes fruit, vegetables and animal protein) and subtly shifted back to one.
I didn’t completely eliminate fruit sugar as I don’t believe there is a need. However, I recognized that I was likely overconsuming sweet foods as a response to dysbiosis and this wasn’t serving me.
2) I got on a comprehensive and broad-spectrum probiotic. I often tell my patients that probiotic prescribing is more of an art than a science and involves some trial-and-error. I typically look for one that has 8+ strains and a high CFU (colony forming unit) count. I took Colon Care 90 Billion by New Roots. This is certainly not the only good one and it might not be the right one for you, but it’s one I selected for myself based on a variety of factors I was looking for that supported my individualized assessment of my gut health.
For me probiotics can be highly effective, but they take time to work. They often can aggravate symptoms initially. The first symptoms I notice that indicate improvement are an improvement in oral health.
3) I supported my digestion in general. This involves for me supporting the liver and gallbladder, which influence gut motility, bile flow (which helps keep the small bowel free of bacteria) and fat digestion (which prevents growth of more pathogenic microbes and stabilizes blood sugar).
4) I consumed anti-candida, antimicrobial foods that work for me (again, this is after much trial and error). Raw garlic, coconut oil, apple cider vinegar and oregano oil. I also started on a candida herbal supplement that incorporates cloves, black walnut and other anti-microbial herbs that selectively kill pathogenic microbes while typically preserving healthy ones.
5) I supported my microbiome by integrated back into nature: getting outside more, reducing chemical exposure (soaps, fragrances, plastics, pesticides, etc.) and getting more sunlight. Camping outside in the cold, sleeping on the ground and brushing my teeth in a natural brook in Nova Scotia also likely contributed to shifting the diversity of my microbiome through encouraging the exchange of my microbes with those of the earth.
6) I supported the body’s stress response by getting more sleep. When I’m awake I try to get as much sun exposure as possible. Our microbiome and our Circadian Rhythms are intricately connected. Supporting one can support the health of the other (Bishehsari et al., 2020). Regarding this, I wonder if Daylight Savings Time made some of us more susceptible for microbial imbalances in our guts? Hm…
Getting off track is a holistic multi-facted process. We all know our own vices and susceptibilities if we look deep enough.
Therefore, getting on track is an equally holisitic and comprehensive process. It involves wisdom (which, conveniently, increases as your microbial health increases). I can help you figure things out if you’re new to this process.
After implementing these strategies and paying a bit more attention for a few weeks I slowly and surely notice myself feeling more like myself. Getting back on track: more energy, better mood, better cold tolerance (this is a big one!) and better gut health. My appetite has regulated incredibly. I feel like a different person. But the shifts have been slow and sometimes subtle (as is often the case with shifting an entire ecosystem) and paying attention to them is a very important part of the process.
Wisdom.
It’s not just diet. It’s not just supplements. It involves looking at the relevant factors and gently moving back in the right direction with patience and persistence. Maybe your main point of focus needs to be eating regular meals and meal planning. Maybe you need more strength-training. Maybe you need to start socializing more, getting out in public (knitting circle, anyone? I’ve been hearing so much about knitting circles these days, haha–a sign from the universe?).
Maybe it’s time to look at emotional eating with a pair of fresh eyes (perhaps through the lens of your microbiota). Maybe you need to take a walk outside today. Everyday. Breathe fresh air. Take a probiotic.
Contact me if you need support! I’m here for you.
What else do you do for your gut microbiome?
References:
Bishehsari, F., Voigt, R. M., & Keshavarzian, A. (2020). Circadian rhythms and the gut microbiota: From the metabolic syndrome to cancer. Nature Reviews Endocrinology, 16(12), 731–739. https://doi.org/10.1038/s41574-020-00427-4
Cryan, J. F., & Dinan, T. G. (2012). Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nature reviews. Neuroscience, 13(10), 701–712. https://doi.org/10.1038/nrn3346
Desbonnet, L., Clarke, G., Shanahan, F., Dinan, T. G., & Cryan, J. F. (2014). Microbiota is essential for social development in the mouse. Molecular psychiatry, 19(2), 146–148. https://doi.org/10.1038/mp.2013.65
Jiang, H., Ling, Z., Zhang, Y., Mao, H., Ma, Z., Yin, Y., Wang, W., Tang, W., Tan, Z., Shi, J., Li, L., & Ruan, B. (2015). Altered fecal microbiota composition in patients with major depressive disorder. Brain, behavior, and immunity, 48, 186–194. https://doi.org/10.1016/j.bbi.2015.03.016
Johnson, K. V. A. (2020). Gut microbiome composition and diversity are related to human personality traits. Human Microbiome Journal, 15, 100069.
Kim, H. N., Yun, Y., Ryu, S., Chang, Y., Kwon, M. J., Cho, J., Shin, H., & Kim, H. L. (2018). Correlation between gut microbiota and personality in adults: A cross-sectional study. Brain, behavior, and immunity, 69, 374–385. https://doi.org/10.1016/j.bbi.2017.12.012
Nguyen, T. T., Zhang, X., Wu, T.-C., Liu, J., Le, C., Tu, X. M., Knight, R., & Jeste, D. V. (2021). Association of loneliness and wisdom with gut microbial diversity and composition: An exploratory study. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.648475
Brett Weinstein and Heather Heying have a t-shirt that says “Welcome to Complex Systems” on it.
Indeed.
Many patients and biological reductionism want to know what caused my anxiety, depression, hormonal issues, and autoimmune disease? What did I do wrong, or that went wrong for me? What was the food I failed to eat, the ingredient I was missing or the thing that caused the house of cards that represented my health to topple?
I think it’s appropriate to answer, “welcome to complex systems.”
Like everything else in nature, your body, your mental health is a complex system. This means that it consists of many factors, many of which have yet to be identified, virtually all that have yet to be correctly understood, that drive its function—even seeing health as an absence of disease, which is essentially how our medical system is organized, is a product of biological reductionism. Biological (or rather mechanical reductionism), the attempt to identify the loose screw or the spring that’s out of place, works for your car, but it doesn’t work for your brain, body, mental or physical health.
Understanding health might be better done using the Biopsychosocial Model, a framework for understanding where we sit today in terms of our health from the context of our biology, psychology, and social environment. Further, the biology part of the biopsychosocial factors that drive our health can be considered triggers and drivers rather than cause and effect.
This understanding is crucial when setting health goals. Because health is more than just the absence of disease, goals should extend beyond simply treating symptoms. They should encompass improvements in all aspects of our lives. While a balanced diet and exercise are foundational, some people may find that ideal supplements can address specific nutritional deficiencies or provide additional support for their unique needs. Whether it’s managing stress, improving sleep, or boosting energy levels, a personalized approach that considers the interplay of biological, psychological, and social factors will ultimately lead to a more sustainable and fulfilling path towards a healthier you.
Say you are feeling terrible. You’re feeling exhausted and agitated, and you’re constipated, and your hair is falling out. You see your doctor, and they tell you everything is great. You push for some bloodwork. Your doctor says your thyroid is slightly off, but it’s likely nothing.
So you take the bloodwork to your naturopathic doctor, who tells you your stimulating thyroid hormone, or TSH, is out of range, indicating that your thyroid seems to be under-functioning. They order more testing to understand what else lies under the hood and find your anti-thyroid antibodies are sky-high. It turns out you might have Hashimoto’s thyroiditis or a condition of under-functioning thyroid driven by autoimmunity.
You also have celiac and a family history of multiple sclerosis, thyroid issues, and other autoimmune diseases. How did this happen?
For months you were dealing with a ton of stress. You also haven’t been eating the greatest. But you haven’t been sleeping well either, and it’s hard to eat well when you’re so darn tired. You’ve been working a lot, dealing with a global pandemic and all, and things haven’t been great. But this is compounded by the fact that you’re not feeling great, which makes it harder to deal with the stress, making the condition worse–a vicious cycle.
At least now you know that something is going on, and it’s not all in your head, but what caused this?
We want to know the exact cause of something to find the specific treatment. This is biological reductionism. Something is missing; we’ve identified the thing, so here’s the magic bullet that will target the exact issue and either replace it or weed it out.
The problem with complex systems is that when we pull one thread on this ball of yarn that is your health, a knot gets tightened somewhere else. Like the post on Chesterton’s fence, complex systems are difficult to understand. So we must assume we don’t fully understand them, and therefore I believe we should exercise humility when it comes to tugging on pieces of yarn that comprise the whole operation.
For example, the side effects of drugs aren’t side effects; they’re effects. Some of these effects are wanted. But all the other effects that happen, such as weight gain, agitation, or migraines from anti-anxiety medication, are unwanted. And they are still effects of the drug. Side effects of drugs are indications that we have failed to understand the implications of messing with complex systems entirely.
Sometimes this might be warranted. The system might be so far out of bounds that it could kill you unless we intervene. Sometimes the drug is more specific–if you don’t have a thyroid, you need thyroid hormone. However, does the thyroid have a role beyond simply producing T4 (thyroid medication)? While thyroid hormone medication might be indicated or necessary, is it fully completing the thyroid’s function in the complex system? What about T3? (or T1 and T2)? What about iodine? What about the driver contributing to thyroid dysfunction? Is it still driving disease? Might it start to create other symptoms elsewhere in the body?
In other words, have we entirely dealt with the problem when we reduce thyroid dysfunction down to deficiency of a single hormone?
So, I explain to my patient; there isn’t a cause of autoimmune disease or a thyroid condition. There are drivers, such as chronic inflammation (which might be triggered by a specific food your immune system doesn’t like). There might be a driver like chronic stress triggered by a more stressful event. Genes can be drivers or susceptibilities triggered by environmental factors, such as nutrient deficiencies. So, it’s not gluten that caused your thyroid issue, but it might start or driveimmune system overactivation and chronic inflammation, contributing to the problem.
So what does this mean for treatment? It means we need to look at the ball of yarn respectfully. We need to appreciate how many symptoms are a healthy response and compensation by the body. If we randomly attack a symptom like fatigue with a stimulant, we might further drive the inflammation, nutrient deficiencies, or stress that underly that symptom. We need to understand what the body lacks (what’s it deficient in?) and when it might have too many environmental toxins, allergens, chronic stress, blue light, etc.
We need to look at the system and help it re-establish its equilibrium. Cleaning up garbage in a pond is likely a good idea–it probably shouldn’t be there in the first place. The pond didn’t create the trash. But what about something else we don’t want, like an algae overgrowth? But if we throw an algaecide in the water, what unseen harm might we be doing to the pond’s ecosystem if we mess with it? Has the pond created algae for the reason that currently escapes us, but wouldn’t if we looked a little deeper?
Why doesn’t our modern medical model treat our bodies as complex systems? I’m not sure. A few guesses, though. Complex systems are complicated, if not impossible, to understand. They require time to unravel. They need patience and education. They require effort on the part of the patient to try to shift their environment to eliminate or adjust possible triggers. They are impossibly hard to market and profit from.
Getting our concept of a complex system “right” can take time. It might take trial and error, collecting information, curiosity, and a willingness to try. It might take admitting that our culture has many aspects to it that are inherently unhealthy.
We might have to find a mini culture where people get sun, eat well, move, and sleep early to support our health. We might have to be “stricter” than the people around us. These people may have similar drivers working below the surface, but their symptoms may look different. They do not display symptoms like fatigue or anxiety until their systems have completely shifted beyond balance.
We are all a manifestation of complex systems. Laini Taylor says, “Inside each of us, there is a world that no one else can ever know or see or visit.”
“There exists in such a case a certain institution or law; let us say, for the sake of simplicity, a fence or gate erected across a road. The more modern type of reformer goes gaily up to it and says, “I don’t see the use of this; let us clear it away.” To which the more intelligent type of reformer will do well to answer: “If you don’t see the use of it, I certainly won’t let you clear it away. Go away and think. Then, when you can come back and tell me that you do see the use of it, I may allow you to destroy it.”
In other words, beware of tearing down structures until you fully understand their benefit.
Chesterton’s Fence can also be thought of as the Precautionary Principle. Not following this principle led to scientific practices like frontal lobotomies or removing the entire large intestine because doctors didn’t understand the benefits of these structures or the consequences of removing them.
A narrow range of focus, i.e., this organ is causing a problem, or we don’t know why it’s here, led to drastic action that resulted in unforeseen, disastrous consequences.
I believe that such is the case with our stomach acid.
The stomach is essentially a lined bag filled with acid. Stomach pH is from 1.5 to 3.5, acidic enough to burn a hole in your shoe. However, the mucus layer of the stomach protects it from being destroyed by the acid. The acid in the stomach helps dissolve and digest the food chewed up by the teeth and swallowed.
Stomach pH is needed for breaking down proteins. Stomach acid also plays a role in absorbing minerals such as calcium, zinc, manganese, magnesium, copper, phosphorus and iron. It activates intrinsic factor, which is needed for B12 absorption in the small intestine.
Stomach acid regulates the rate of gastric emptying, preventing acid reflux.
Fast-forward to a condition called gastric esophageal reflux disease, or GERD. GERD affects about 20% of Western countries, characterized by high esophageal pH and reflux of the stomach acid and stomach contents into the esophagus. While the stomach is designed to handle a shallow pH environment, the esophagus is not. A doorway called the lower esophageal sphincter, or LES, keeps stomach contents where they should be–in the stomach.
In GERD, the tone of the LES is weak, resulting in a backflow of stomach contents. This can damage the esophagus, causing heartburn, pain, bad breath, coughing and even problems like ear pain, sore throat, and mucus in the throat. Silent reflux occurs when these symptoms occur without burning.
The symptoms occur from the stomach’s acidic contents irritating the more delicate tissues of the esophagus. So, rather than treat the root problem, i.e., the reflux, drugs like proton pump inhibitors (PPIs), H2 blockers, and buffers like Tums are recommended to reduce the stomach’s acidity.
Essentially, with GERD, we are tearing down Chesterton’s Fence to pave a road without taking even a moment to consider why the fence might be there in the first place.
About 12% of people are prescribed PPIs. They are given for GERD, gastritis, and IBS symptoms like bloating and stomach pain. Most of my patients are prescribed them for virtually any stomach complaint. PPIs, it seems, are the hammers wielded by many GPs, and so every digestive concern must look like a nail. Most people are put on them inevitably, without a plan to end the use and address the root cause of symptoms, which in most GERD cases are low LES tone.
PPIs raise stomach pH, disrupting stomach function. This causes issues with mineral absorption and protein digestion. Their use results in B12, vitamin C, calcium, iron, and magnesium deficiencies. Many of these deficiencies, like magnesium deficiency, can’t be tested and therefore might show up sub-clinically in tight muscles, headaches, painful periods, disrupted sleep and anxiety, and constipation. Therefore they fly under the radar of most primary care doctors.
No one connects someone’s heartburn medication with their recent onset of muscle tightness and anxiety.
Many of my patients report difficulties digesting meat and feeling bloated and tired after eating, particularly when consuming a protein-rich meal. They conclude that the meat isn’t good for them. The problem, however, is not meat but that stomach acid that is too diluted to break down the protein in their meal, leading to gas and bloating as the larger protein fragments enter the small intestine.
Many digestive problems result from this malabsorption and deficiency in stomach acid, not too much. Zinc is required for stomach acid production, and one of the best sources of zinc is red meat (zinc is notoriously lacking from plant foods). I have recently been prescribing lots of digestive enzymes and zinc to work my patients’ digestive gears.
Therefore, beware of tearing down a fence without understanding why it’s there. Stomach acid is essential for digesting our food, and regulating blood sugar and building muscle mass through protein digestion.
It is necessary for mineral absorption and B12 digestion. Our stomachs were designed to contain an extremely low pH. They evolved over millennia to do this. Stomach acid is low for a reason. It’s highly unlikely that our bodies made a mistake when it comes to stomach acid.
Therefore, beware of messing with it.
Consider that our bodies know what they’re doing. Consider the importance of finding and treating the actual root cause, not one factor that, if mitigated, can suppress symptoms while causing a host of other problems.
Don’t block your stomach acid.
As Hippocrates said, “All disease begins in the gut.”
It is the boundary between us and the outside world, the border where our body carefully navigates what can come in and nourish us and what should stay outside of us: our fence. Beware of tearing it down.
References:
Antunes C, Aleem A, Curtis SA. Gastroesophageal Reflux Disease. [Updated 2021 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441938/
Daniels B, Pearson SA, Buckley NA, Bruno C, Zoega H. Long-term use of proton-pump inhibitors: whole-of-population patterns in Australia 2013-2016. Therap Adv Gastroenterol. 2020;13:1756284820913743. Published 2020 Mar 19. doi:10.1177/1756284820913743
Heidelbaugh JJ. Proton pump inhibitors and risk of vitamin and mineral deficiency: evidence and clinical implications. Ther Adv Drug Saf. 2013;4(3):125-133. doi:10.1177/2042098613482484
In the winter of 2019 I took a surfing lesson in Costa Rica. I fell in love–the sun and salt water on my skin, the beautiful view of the beach, the spray off the back of the waves, the loud crashing of translucent turquoise, and the feeling of power, ease, flow and grace as I stood on a board, using the energy of the earth to fly across water.
The problem was, however, I would be going home in a week to a landlocked part of the world that spends a lot of its months covered in ice.
It was depressing.
Then I met a girl from Toronto, a psychotherapist who worked at a clinic just down the street from my old one.
“You can surf in Toronto, you know”, she informed me.
Where? I thought, astounded.
“On the lakes!” She exclaimed.
I was flabbergasted–perhaps I could be a surfer after all. The beach bum lifestyle, the rock hard abs, the zinc oxide cheek bones, the chronically wet hair, watching the winds and tides and slipping out for a sun-soaked hour during a work break. Could this be true–could you surf the Great Lakes?
“The thing is,” she continued, “the surf season is from October to March”.
Oh.
Winter surfing.
It was still interested, though.
Back in Toronto, I waited for the next strong February East wind and headed to a surf spot I’d heard about on Lake Ontario. I was met with a crowd of black neoprene-clad surfers, soaked by water, wind and sleet. The elements were harsh. The stoke, however, was infectious.
Ok, I could do this, I thought.
My next stop was the surf shop. I purchased gear and the rest is history.
Not a lot of us are built to slip into near-freezing water during the frigid winter months to catch a few waves. Lake waves are harder to catch, the currents are strong, ice chunks are a thing to watch out for, and… it’s friggin’ cold! But, surfing is surfing. The lakes provide beautiful landscapes, just like the ocean, and the feeling of catching a wave and riding it is the same.
There’s also the benefit of body hardening.
We modern humans are very different from our hunter-gatherer ancestors. Our genes may be the same, but our lifestyles couldn’t be further apart. Down-filled jackets and central heating protect us from the discomfort of the elements. In a sense, our lives are temperature controlled.
However, our incidence of chronic degenerative disease has never been higher.
Body hardening practices involves exposure against natural stimuli, such as intense cold, that results in increased resilience–resistance to disease and improved health.
A 1998 study in QJM: an international journal of medicine looked at antioxidant production in German winter swimmers.
Winter swimming, just like winter surfing, is a thing. As of the 90s, there were 3000 Germans who participated in winter swimming clubs. They were known to experience a 40% reduction in respiratory diseases compared to the rest of the population, debunking the notion that if you exposure yourself to cold you’ll “catch a cold”.
The study looked at 23 male and 13 female who had been members of a Berlin winter swimming club for more than two years. On average they swam for 5 to 10 minutes on a weekly basis in water between 1 and 5 degrees celsius. Their blood levels of glutathione were compared with that of 28 healthy men and 12 healthy women who had never participated in cold-exposure body hardening therapies such as winter swimming.
Glutathione is our body’s main antioxidant. It protects us from free radicals (reactive oxygen and reactive nitrogen species, ROS and RNS, respectively) that are harmful to our cells. It is produced from three amino acids: glycine, cysteine, and glutamine.
Glutathione reduces oxidative stress produced by these free radicals that occur in cells as a result of their energy production, as well as toxins, pollutants and other stressors. A deficiency of glutathione is associated with an increased risk of cancer, accelerated aging, and other diseases, such as metabolic disease like diabetes and cognitive diseases like Parkinson’s. It decreases as a result of aging, chronic disease, toxin exposure, and chronic stress.
Elevating glutathione status has been shown to improve conditions like insulin resistance, autoimmune diseases, cognitive and mental health conditions, fatty liver and cirrhosis, autism, and respiratory diseases.
It was found that after cold water exposure, blood levels of antioxidants like glutathione decreases, indicating that cold water exposure induces oxidative stress on the body. However, after a period of time, glutathione levels rose higher than that of baseline.
Baseline blood levels of glutathione were higher in cold water swimmers, indicating that their bodies were more efficient at producing glutathione in response to the temporary oxidative stress imposed on them by the cold exposure.
In essence, “what doesn’t kill you makes you stronger”.
This is called hormesis: when temporary stress is imposed on our bodies, we respond with adaptive measures, such as increased glutathione production to combat that stress. However, our bodies are smart. They figure that if we’re exposed to some cold stress, there might be more coming. Therefore, it might be a good idea to invest energy into hardening, preparing for more of that same stress in the future and, in essence, becoming more resilient. And so, when exposed to a stressor, we often produce more antioxidant than is needed to simply overcome that stressor, and this results in an overall net benefit to our health and well-being.
Just like lifting weights makes us stronger for the next time we lift weights, we become stronger and more resilient at our baseline as we prepare for the next hit of cold, heat, exercise, or stress.
The 1998 study also revealed that cold water swimmers had more enzymes that combat free radicals such as superoxide dismutase, glutathione peroxidase, and catalase, meaning that their cells were better prepared to ramp up antioxidant production quickly and neutralize free radicals at a moment’s notice, if needed.
Cold water swimmers also produced four times more norepinephrine after their cold exposure. Norepinephrine is part of our fight or flight response, but is also associated with increased energy, mood, motivation and well-being. Imagine a hit of caffeine–that’s a bit what cold burst can do to you via norepinephrine. Heart race increases, and we’re filled with an excited euphoria.
Norepinephrine is part of the reason why cold therapy has been touted as a remedy for depression. Cold exposure provides a much-needed burst of mobilizing chemicals to kickstart feelings of well-being and motivation for people who are struggling with low mood and arousal.
Cold therapy also increases dopamine by 250%, according to a 2000 study in the European Journal of Applied Physiology. Dopamine gives us the sense of motivation and meaning in pursuing a goal. It fills us with purpose and drive. So many of us are starved of dopamine and therefore so much of our culture involves trying to increase dopamine: scrolling social media, consuming sugar, playing video games, and so on.
The problem with many of these attempts to boost dopamine is that they come with a cost. We get a hit of pleasure from consuming sugar, for example, followed by a dip in our baseline levels of dopamine. Overall, we’re left feeling empty, foggy, purposeless, and addicted. We experience cravings that need to be filled.
Even supplements like Macuna pruriens and l-tyrosine, designed to boost dopamine levels, result in crashes 30 to 45 minutes after they peak.
Cold exposure, however, gives us a hit of dopamine that remains elevated for hours without a resulting crash. This provides an intense boost to mood, motivation, cognitive function, concentration, focus, purpose and drive. Like norepinephrine this can also contribute to cold therapy’s anti-depressive effect.
It seems that if we engage in something hard and uncomfortable, something that requires effort–like cold exposure–our body rewards us with an increase in mood, motivation and drive through the enhancement of dopamine production in our brains.
Winter surfing has been an immense gift to my health and well-being. It’s given me purpose, community, exposure to nature, and a wonderful outlet for body hardening. If I go more than a week without a surf session I start to feel a bit of withdrawal. There is nothing more therapeutic than hours spent checking the forecast, and driving to chase waves in order to end up floating in the middle of a beautiful lake, surrounded by nature and friends.
With regular winter surfing I feel invigorated, energized and fit–the mood-lifting effects of the cold exposure is comparable to nothing else.
This winter my message to everyone is: get outside. Exposure yourself to cold. Expose yourself to nature. Use the elements and the changing seasons as tools to enhance your health.
There are incredible mood-elevating, immune system-boosting and anti-aging benefits to becoming more resilient. While it may be uncomfortable, cold adaptation is a sign of your improved vitality and disease resistance.
Nature’s harshness evolved us. Temperature extremes helped to shape our DNA. Our genes contain codes for amazing mental, emotional, and physical resilience. They are waiting to be turned on at a moment’s notice, if only they’re given a reason.
Cold exposure flips the on-switch to your body’s incredible superpowers. Let’s explore the potential of this beautiful vessel in which we all live.
References:
Šrámek, P., Šimečková, M., Janský, L. et al. Human physiological responses to immersion into water of different temperatures. Eur J Appl Physiol81, 436–442 (2000). https://doi.org/10.1007/s004210050065
W.G. Siems, R. Brenke, O. Sommerburg, T. Grune, Improved antioxidative protection in winter swimmers, QJM: An International Journal of Medicine, Volume 92, Issue 4, April 1999, Pages 193–198, https://doi.org/10.1093/qjmed/92.4.193
“There’s a sunrise and a sunset every day and you can choose to be there or not. “You can put yourself in the way of beauty.” – Cheryl Strayed, Wild Yellow and orange hues stimulate melatonin production, aiding sleep. Melatonin is not just our sleep hormone, it’s an antioxidant and has been studied for its positive mood, hormonal, immune, anti-cancer, and digestive system effects. Our bodies have adjusted to respond to the light from 3 billion sunsets. While we can take melatonin in supplement form, use blue light blocking glasses, or use red hued light filters and, while tech can certainly help us live more healthfully, it’s important to remember that the best bio-hack is simply to remember your heritage and put yourself back in nature’s way. The best tech of all is in the natural rhythms of the planet and encoded in your beautiful DNA. Optimal health is about re-wilding. Optimal health is about remembering who you are and coming back to your true nature. You have the code within in you to live your best, healthiest life. I believe healing is about tapping into that code, supporting our nature, and allowing the light of our optimal health template to shine through.
The proximity to water can improve focus, creativity, health and professional success according to marine biologist and surfer Wallace J. Nichols in his book, Blue Mind. A “blue mind” describes a neurological state of of calm centredness. Being around water heightens involuntary attention, where external stimuli capture our attention, generating a mind that is open, and expansive, and neurochemicals like dopamine and serotonin are released. He says, “This is flow state, where we lose track of time, nothing else seems to matter, and we truly seem alive and at our best”. Contrast a blue mind to a red mind, where neurons release stress chemicals like norepinephrine, cortisol in response to stress, anxiety and fear. From the book Mindfulness and Surfing:
“Surfing is not just about riding a wave, but immersion in nature: the aching silence of a calm sea is punctuated by a cluster of blue lines. The point is to spend a little more time looking and listening than doing.
“Maybe this is not just about being but about what the philosopher Heidegger called “becoming”–a being in time, an unfolding sense of what he further called ‘dwelling’.
“When we dwell, we inhabit.”
Jungian Psychoanalyst, Frances Weller posed the question, “What calls you so fully into the world other than beauty?” In other words, “Without beauty what is it that attracts us into life?” Our human affinity for beauty is perhaps the greatest pull of all into aliveness. And yet so many of us feel purposeless, or that life is meaningless. In our world we are suffering from a “Meaning Crisis”, which perhaps partially explains the epidemic of mental health issues that plague us. We spend so much time bogged down in the business of being alive: bills, chores, work–“dotting Ts and crossing Is” as I like say 😂 This is part of the reason why 1/6th of my 6-week Mental Health Foundations program (Good Mood Foundations) involves getting into nature. For there is nothing more beautiful than the gorgeous imperfection of the natural world. We are called by it. There are myriad scientific studies on the power of “Forest Bathing” for de-stressing, for mental health, for supporting our mood, hormonal health, immune systems, social relationships, and so on. And yet so often when we say words like “beauty” we call on images of “perfection”: symmetrical youthful faces, bodies with zero fat on them, etc.
We are focused on the missing parts instead of how the effect of nature’s imperfect beauty has on us–and thus we rob ourselves of the pleasure of being in the presence of beauty. For what is pleasure but beauty personified? And what is depression other than a lack of deep, embodied soulful pleasure? I find being in nature brings me closer, not so much to beauty as a concept of commercial idealism, but a sense of pleasure. It pulls me into my body.
I feel my feet on the ground, my breath timing my steps, the birdsong and wind in my ears, and I feel calmed, and centred, called into the experience of being fully alive.
If you’re struggling to find meaning, practice showing up to your sunsets for a few evenings in a row.
Put yourself in the way of beauty. When the sunsets show up everyday, will you show up too?
It was a crappy week and I was chatting with a friend online. He said something that triggered me… it just hit some sort of nerve. I backed away from my computer, feeling heavy. I went to the kitchen to pour myself a glass of water and collapsed, elbows on the counter, head in my hands, my body shaking and wracking with deep, guttural sobs.
A few seconds later, I’m not sure how long exactly, I stood up. Tears and snot streaming down my face, I wiped them off with a tissue. I felt lighter, clearer. I was still heavy and sad, but there was a part of me that had opened. I went back to my computer and relayed some of this to my friend, “what you said triggered me, but it’s ok, it just hit a personal nerve. I’m ok now though, I know you didn’t mean any harm”. I typed to him.
Joan Rosenberg, PhD in her book 90 Seconds to a Life You Love, would have said that, in that moment, I had been open to feeling the moment-to-moment experience of my emotions and bodily sensations. I felt the waves of emotions run through my body, and let them flow for a total of up to 90 seconds. And, in so welcoming that experience and allowing it to happen rather than blocking it, fighting it, projecting it (onto my friend or others), I was able to release it and let it go.
For many of us, avoidance is our number one strategy when it comes to our emotions. We don’t like to feel uncomfortable. We don’t like unpleasant sensations, thoughts and feelings and, most of all, we don’t like feeling out of control. Emotions can be painful. In order to avoid these unpleasant experiences, we distract ourselves. We try to numb our bodies and minds to prevent these waves of emotion and bodily sensation from welling up inside of us. We cut ourselves off.
The problem, however is that we can’t just cut off one half of our emotional experience. When we cut off from the negative emotions, we dampen the positive ones as well.
This can result in something that Dr. Rosenberg titles, “soulful depression”, the result of being disconnected from your own personal experience, which includes your thoughts, emotions and body sensations.
Soulful depression is characterized by an internal numbness, or a feeling of emptiness. Over time it can transform into isolation, alienation and hopelessness–perhaps true depression.
Anxiety in many ways is a result of cutting ourselves off from emotional experience as well. It is a coping mechanism: a way that we distract ourselves from the unpleasant emotions we try to disconnect from.
When we worry or feel anxious our experience is often very mental. We might articulate that we are worried about a specific outcome. However, it’s not so much the outcome we are worried about but a fear and desire to avoid the unpleasant emotions that might result from the undesired outcome–the thing we are worrying about. In a sense, anxiety is a way that we distract from the experience of our emotions, and transmute them into more superficial thoughts or worries.
When you are feeling anxious, what are you really feeling?
Dr. Rosenberg writes that there are eight unpleasant feelings:
sadness
shame
helplessness
anger
embarrassment
disappointment
frustration
vulnerability
Often when we are feeling anxious we are actually feeling vulnerable, which is an awareness that we can get hurt (and often requires a willingness to put ourselves out there, despite this very real possibility).
When we are able to stay open to, identify and allow these emotions to come through us, Dr. Rosenberg assures us that we will be able to develop confidence, resilience, and a feeling of emotional strength. We will be more likely to speak to our truth, combat procrastination, and bypass negative self-talk.
She writes, “Your sense of feeling capable in the world is directly tied to your ability to experience and move through the eight difficult feelings”.
Like surfing a big wave, when we ride the waves of the eight difficult emotions we realize that we can handle anything, as the rivers of life are more able to flow through us and we feel more present to our experience: both negative and positive.
One of the important skills involved in “riding the waves” of difficult feelings is to learn to tolerate the body sensations that they produce. For many people, these sensations will feel very intense–especially if you haven’t practice turning towards them, but the important thing to remember is that they will eventually subside, in the majority of cases in under 90 seconds.
Therefore, the key is to stay open to the flow of the energy from these emotions and body sensations, breathe through them and watch them crescendo and dissipate.
This idea reminds me of the poem by Rumi, The Guest House:
This being human is a guest house. Every morning a new arrival.
A joy, a depression, a meanness, some momentary awareness comes as an unexpected visitor.
Welcome and entertain them all! Even if they’re a crowd of sorrows, who violently sweep your house empty of its furniture, still, treat each guest honorably. He may be clearing you out for some new delight.
The dark thought, the shame, the malice, meet them at the door laughing, and invite them in.
Be grateful for whoever comes, because each has been sent as a guide from beyond.
One of the reasons I was so drawn to Dr. Rosenberg’s book is this idea of the emotional waves lasting no more than 90 seconds. We are so daunted by these waves because they require our surrender. It is very difficult however, if you suffer from anxiety to let go of control. To gives these emotional waves a timeframe can help us stick it out. 90 seconds is the length of a short song! We can tolerate almost anything for 90 seconds. I found this knowledge provided me with a sense of freedom.
The 90 seconds thing comes from Dr. Jill Bolt Taylor who wrote the famous book My Stroke of Insight (watch her amazing Ted Talk by the same name). When an emotion is triggered, she states, chemicals from the brain are released into the bloodstream and surge through the body, causing body sensations.
Much like a wave washing through us, the initial sensation is a rush of the chemicals that flood our tissues, followed by a flush as they leave. The rush can occur as blushing, heat, heaviness, tingling, is over within 90 seconds after which the chemicals have completely been flushed out of the bloodstream.
Dr. Rosenberg created a method she calls the “Rosenberg Reset”, which involves three steps:
Stay aware of your moment-to-moment experience. Fully feel your feelings, thoughts, bodily sensations. Choose to be aware of and not avoid your experience.
Experience and move through the eight difficult feelings when they occur. These are: sadness, shame, helplessness, anger, embarrassment, disappointment, frustration, vulnerability.
Ride one or more 90 second waves of bodily sensations that these emotions produce.
Many therapeutic techniques such as mindfulness, Dialectical Behaviour Therapy, somatic therapy, and so on utilize these principles. When we expand our window of tolerance and remain open to our physical and emotional experience we allow energy to move through us more gracefully. We move through our stuckness.
Oftentimes though, we can get stuck underwater, or hung up on the crest of a wave. Rumination and high levels of cortisol, our stress hormone can prolong the waves of unpleasant emotion. We may be more susceptible to this if we have a narrow window of tolerance due to trauma.
However, many of us can get stuck in the mind, and when we ruminate on an emotionally triggering memory over and over again, perhaps in an effort to solve it or to make sense of it, we continue to activate the chemicals in our body that produce the emotional sensation.
Therefore, it’s the mind that can keep us stuck, not the emotions themselves. Harsh self-criticism can also cause feelings to linger.
I have found that stories and memories, grief, terror and rage can become stuck in our bodies. Books like The Body Keeps the Score speak to this–when we block the waves, or when the waves are too big we can build up walls around them. We compartmentalize them, we shut them away and these little 90 second waves start to build up, creating energetic and emotional blockages.
In Vipassana they were referred to as sankharas, heaps of clinging from mental activity and formations that eventually solidify and get lodged in the physical body, but can be transformed and healed.
Perhaps this is why a lot of trauma work involves large emotional purges. Breathwork, plant medicines such as Ayahuasca, and other energetic healing modalities often encourage a type of purging to clear this “sludge” that tends to accumulate in our bodies.
My friend was commenting on the idea that her daughter, about two years old, rarely gets sick. “She’ll have random vomiting spells,” my friend remarked, “and then, when she’s finished, she recovers and plays again”.
“It reminds me of a mini Ayahuasca ceremony”, I remarked, jokingly, “maybe babies are always in some sort of Ayahuasca ceremony.”
This ability to cry, to purge, to excrete from the body is likely key to emotional healing. I was listening to a guest on the Aubrey Marcus podcast, Blu, describe this: when a story gets stuck in a person it often requires love and a permission to move it, so that it may be purged and released.
Fevers, food poisoning, deep fitful spells of sobbing may all be important for clearing up the backlog of old emotional baggage and sludge so that we can free up our bodies to ride these 90 second emotional waves in our moment-to-moment experience.
Grief is one of these primary sources of sludge in my opinion. Perhaps because we live in a culture that doesn’t quite know how to handle grief–that time-stamps it, limits it, compartmentalizes it, commercializes it, and medicates it–many of us suffer from an accumulation of suppressed grief sankharas that has become lodged in our bodies.
Frances Weller puts it this way,
“Depression isn’t depression, it’s oppression–the accumulated weight of decades of untouched losses that have turned into sediment, an oppressive weight on the soul. Processing loss is how the majority of therapies work, by touching sorrow upon sorry that was never honoured or given it’s rightful attention.”
Like a suppressed bowel movement, feelings can be covered up, distracted from. However, when we start to turn our attention to them we might find ourselves running to the nearest restroom. Perhaps in these moments it’s important to get in touch with someone to work with, a shaman of sorts, or a spiritual doula, someone who can help you process these large surges of energy that your body is asking you to purge.
However, it is possible to set our dial to physiological neutral to, with courage turn towards our experience, our emotions and body sensations. And to know that we can surf them, and even if we wipe out from time to time, we might end up coming out the other side, kicking out, as Rumi says, “laughing”.
The only way out is through.
As Jon Kabat Zinn says, “you can’t stop the waves, but you can learn to surf”.
It’s day one of my period and I’ve been healing a broken foot for 6 weeks. The weather is overcast, thick, humid and rainy.
My body feels thick and heavy. Clothing leaves an imprint on my skin–socks leave deep indentations in my ankles. My face and foot is swollen. My tongue feels heavy. My mind feels dull, achey, and foggy. It’s hard to put coherent words together.
I feel cloudy and sleepy. Small frustrations magnify. It’s hard to maintain perspective.
My muscles ache. My joints throb slightly. They feel stiffer and creakier.
This feeling is transient. The first few days of the menstrual cycle are characterized by an increase in prostaglandins that stimulate menstrual flow and so many women experience an aggravation of inflammatory symptoms like depression, arthritis, or autoimmune conditions around this time. You might get. a cold sore outbreak, or a migraine headache around this time of month. The phenomenon can be exaggerated with heavy, humid weather, and chronic inflammation–such as the prolonged healing process of mending a broken bone.
Inflammation.
It’s our body’s beautiful healing response, bringing water, nutrients, and immune cells to an area of injury or attack. The area involved swells, heats up, becomes red, and might radiate pain. And then, within a matter of days, weeks, or months, the pathogen is neutralized, the wound heals and the inflammatory process turns off, like a switch.
However, inflammation can be low-grade and chronic. Many chronic health conditions such as diabetes, arthritis, PMS or PMDD, depression, anxiety, migraines, even bowel and digestive issues, have an inflammatory component.
As I tell my patients. Inflammation is “everything that makes you feel bad”. Therefore anti-inflammatory practices make you feel good.
Many of us don’t realize how good we can feel because low-grade inflammation is our norm.
We just know that things could be better: we could feel more energy, more lightness of being and body, more uplifted, optimistic mood, clearer thinking and cognitive functioning, better focus, less stiffness and less swelling.
Obesity and weight gain are likely inflammatory processes. Insulin resistance and metabolic syndrome are inflammatory in nature. It’s hard to distinguish between chronic swelling and water retention due to underlying low-grade chronic inflammation and actual fat gain, and the two can be closely intertwined.
It’s unfortunate then, that weight loss is often prescribed as a treatment plan for things like hormonal imbalances, or other conditions caused by metabolic imbalance. Not only has the individual probably already made several attempts to lose weight, the unwanted weight gain is most likely a symptom, rather than a cause, of their chronic health complaint. (Learn how to get to the root of this with my course You Weigh Less on the Moon).
Both the main complaint (the migraines, the PMS, the endometriosis, the depression, the arthritis, etc.) and the weight gain, are likely due to an inflammatory process occurring in the body.
To simply try to cut calories, or eat less, or exercise more (which can be helpful for inflammation or aggravate it, depending on the level of stress someone is under), can only exacerbate the process by creating more stress and inflammation and do nothing to relieve the root cause of the issues at hand.
Even anti-inflammatory over the counter medications like Advil, prescription ones like naproxen, or natural supplements like turmeric (curcumin) have limiting effects. They work wonderfully if the inflammation is self-limiting: a day or two of terrible period cramps, or a migraine headache. However, they do little to resolve chronic low-grade inflammation. If anything they only succeed at temporarily suppressing it only to have it come back with a vengeance.
The issue then, is to uncover the root of the inflammation, and if the specific root can’t be found (like the piece of glass in your foot causing foot pain), then applying a general anti-inflammatory lifestyle is key.
The first place to start is with the gut and nutrition.
Nutrition is at once a complex, confusing, contradictory science and a very simple endeavour. Nutrition was the simplest thing for hundreds of thousands of years: we simply ate what tasted good. We ate meat, fish and all the parts of animals. We ate ripe fruit and vegetables and other plant matter that could be broken down with minimal processing.
That’s it.
We didn’t eat red dye #3, and artificial sweeteners, and heavily modified grains sprayed with glyphosate, and heavily processed flours, and seed oils that require several steps of solvent extraction. We didn’t eat modified corn products, or high fructose corn syrup, or carbonated drinks that are artificially coloured and taste like chemicals.
We knew our food—we knew it intimately because it was grown, raised, or hunted by us or someone we knew—and we knew where it came from.
Now we have no clue. And this onslaught of random food stuffs can wreck havoc on our systems over time. Our bodies are resilient and you probably know someone who apparently thrives on a diet full of random edible food-like products, who’s never touched a vegetable and eats waffles for lunch.
However, our capacity to heal and live without optimal nutrition, regular meals that nourish us and heal us rather than impose another adversity to overcome, can diminish when we start adding in environmental chemicals and toxins, mental and emotional stress, a lack of sleep, and invasion of blue light at all hours of the day, bodies that are prevented from experiencing their full range of motion, and so on.
And so to reduce inflammation, we have to start living more naturally. We need to reduce the inflammation in our environments. We need to put ourselves against a natural backdrop–go for a soothing walk in nature at least once a week.
We need to eat natural foods. Eat meats, natural sustainably raised and regeneratively farmed animal products, fruits and vegetables. Cook your own grains and legumes (i.e.: process your food yourself). Avoid random ingredients (take a look at your oat and almond milk–what’s in the ingredients list? Can you pronounce all the ingredients in those foods? Can you guess what plant or animal each of those ingredients came from? Have you ever seen a carageenan tree?).
Moving to a more natural diet can be hard. Sometimes results are felt immediately. Sometimes our partners notice a change in us before we notice in ourselves (“Hon, every time you have gluten and sugar, don’t you notice you’re snappier the next day, or are more likely to have a meltdown?”).
It often takes making a plan–grocery shopping, making a list of foods you’re going to eat and maybe foods you’re not going to eat, coming up with some recipes, developing a few systems for rushed nights and take-out and snacks–and patience.
Often we don’t feel better right away–it takes inflammation a while to resolve and it takes the gut time to heal. I notice that a lot of my patients are addicted to certain chemicals or ingredients in processed foods and, particularly if they’re suffering from the pain of gut inflammation, it can tempting to go back to the chemicals before that helped numb the pain and delivered the dopamine hit of pleasure that comes from dealing with an addiction. It might help to remember your why. Stick it on the fridge beside your smoothie recipe.
We need to sleep, and experience darkness. If you can’t get your bedroom 100%-can’t see you hand in front of your face-dark, then use an eye mask when sleeping. Give your body enough time for sleep. Less than 7 hours isn’t enough.
We need to move in all sorts of ways. Dance. Walk. Swim. Move in 3D. Do yoga to experience the full range of motion of your joints. Practice a sport that requires your body and mind, that challenges your skills and coordination. Learn balance both in your body and in your mind.
We need to manage our emotional life. Feeling our emotions, paying attention to the body sensations that arise in our bodies—what does hunger feel like? What does the need for a bowel movement feel like? How does thirst arise in your body? Can you recognize those feelings? What about your emotions? What sensations does anger produce? Can you feel anxiety building? What do you do with these emotions once they arise? Are you afraid of them? Do you try to push them back down? Do you let them arise and “meet them at the door laughing” as Rumi says in his poem The Guest House?
Journalling, meditation, mindfulness, hypnosis, breath-work, art, therapy, etc. can all be helpful tools for understanding the emotional life and understanding the role chronic stress (and how it arises, builds, and falls in the body) and toxic thoughts play in perpetuating inflammation.
Detox. No, I don’t mean go on some weird cleanse or drinks teas that keep you on the toilet all day. What I mean is: remove the gunk and clutter from your physical, mental, spiritual, and emotional plumbing. This might look like taking a tech break. Or going off into the woods for a weekend. Eating animals and plants for a couple of months, cutting out alcohol, or coffee or processed foods for a time.
It might involve cleaning your house with vinegar and detergents that are mostly natural ingredients, dumping the fragrances from your cosmetics and cleaning products, storing food in steel and glass, rather than plastic. It might mean a beach clean-up. Or a purging of your closet–sometimes cleaning up the chaos in our living environments is the needed thing for reducing inflammation. It’s likely why Marie Kondo-ing and the Minimalist Movement gained so much popularity–our stuff can add extra gunk to our mental, emotional, and spiritual lives.
Finally, connect with your community. Loneliness is inflammatory. And this past year and a half have been very difficult, particularly for those of you who live alone, who are in transition, who aren’t in the place you’d like to be, or with the person or people you’d like to be–your soul family.
It takes work to find a soul family. I think the first steps are to connect and attune to oneself, to truly understand who you are and move toward that and in that way people can slowly trickle in.
We often need to take care of ourselves first, thereby establishing the boundaries and self-awareness needed to call in the people who will respect and inspire us the most. It’s about self-worth. How do you treat yourself as someone worthy of love and belonging?
Perhaps it first comes with removing the sources of inflammation from our lives, so we can address the deeper layers of our feelings and body sensations and relieve the foggy heaviness and depression and toxic thoughts that might keep us feeling stuck.
Once we clear up our minds and bodies, and cool the fires of inflammation, we start to see better—the fog lifts. We start to think more clearly. We know who we are. Our cravings subside. We can begin to process our shame, anger and sadness.
We start to crave nourishing things: the walk in nature, the quiet afternoon writing poetry, the phone call with a friend, the stewed apples with cinnamon (real sweetness). We free up our dopamine receptors for wholesome endeavours. We start to move in the direction of our own authenticity. I think this process naturally attracts people to us. And naturally attracts us to the people who have the capacity to love and accept us the way we deserve.
Once we start to build community, especially an anti-inflammatory community—you know, a non-toxic, nourishing, wholesome group of people who make your soul sing, the path becomes easier.
You see, when you are surrounded by people who live life the way you do–with a respect for nature, of which our bodies are apart–who prioritize sleep, natural nutrition, mental health, movement, emotional expression, and self-exploration, it becomes more natural to do these things. It no longer becomes a program or a plan, or a process you’re in. It becomes a way of life–why would anyone do it any other way?
The best way to overcome the toxicity of a sick society is to create a parallel one.
When you’re surrounded by people who share your values. You no longer need to spend as much energy fighting cravings, going against the grain, or succumbing to self-sabotage, feeling isolated if your stray from the herb and eat vegetables and go to sleep early.
You are part of a culture now. A culture in which caring for yourself and living according to your nature is, well… normal and natural.
There’s nothing to push against or detox from. You can simply rest in healing, because healing is the most natural thing there is.
