Welcome to the Doctor's Corner

Our practical thoughts on health and other things that will make your life better.

Please note: Caring Sunshine is unique in that we provide expert health help to our customers. If you have specific questions about your situation, we invite you to book a free consultation with Dr. Shannyn Fowl.

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Beans, beans, beans: Love for your gut

When we think of caring for our gut, expensive probiotics or intestinal support formulas may come to mind. These can be helpful in restoring digestive capability and reinoculating an intestinal lining that has been damaged. However, I often talk to my patients about a simple yet effective way to help the probiotics you already have dwelling in your gut: beans.

Yes, I recommend a variety of beans. Interestingly enough, you don’t need many. A tablespoon is enough to help a family of microbiota healthy. Variety is important because each bean has a different fiber type that helps different microbiota thrive. This creates the balancing act we are trying to achieve in the gut.

Achieving a healthy gut is hugely important. Studies show that people who live a long time tend to have a huge variety in the microbiome world in their bodies. And, in fact, those studies show that centenarians tend to eat beans!

As a side note, another common trait among long-living people is their tendency to have regular doctor screenings, which can detect and correct intestinal imbalances that lead to bigger issues. Many studies are starting to show that the lack of diversity in the intestinal world can contribute to opportunistic infections and even diseases like rheumatoid arthritis. Prevention is everything.

Now, how can beans help? One particular study investigated the effect of 1 cup of navy beans daily on a population with a previous history of colorectal cancer.  The study did baseline testing and considered the typical diet of the individual.  Stool and blood were assessed every four weeks.  Within eight weeks, the microbial diversity had expanded in those eating beans by 20% compared to the control sample of participants.

The study also found increased fibroblast activity (connective tissue repair in the muscles, tendons, and other soft tissues), and many markers showed immune-balancing effects.

If you need more reasons to eat beans, try these: Beans are a fabulous form of fiber, protein, and some hidden gems such as lysine, which has anti-viral properties.

Take home message: Small amounts of beans added to your diet can greatly impact your future health! I like yellow-eyed beans, but I also love morado beans.

Don’t lose weight if you are already skinny!

Speaking of clinical health studies, one came out this week that I thought I would mention. If you are already lean, don’t lose weight. Don’t diet just to pursue some Instagram ideal with your body.

Why? There are three reasons. First, as we have discussed here many times, dieting reduces muscle mass, and muscle mass burns calories. If you are losing muscle, you are losing your ability to burn calories down the road. In other words, the weight will come back even faster if you stop dieting.

Second, it is important to understand that your body adjusts to a lower calorie count when you are dieting. Specifically, it tends to slow down the metabolism. While not necessarily permanent, that slower metabolism may not speed up down the road when you stop dieting, leading to fewer calories being burned, and thus, faster weight gain.

And last, the study found a slight increase in diabetes risk for those that diet while already lean.

There was another interesting but predictable takeaway from the study. Those that diet with exercise and healthy eating have a better chance of keeping weight off than those that use other methods such as diet pills and fad diets. That is why you do not hear us talking much about diet products that we sell. Those products can be helpful but should be only one piece of the solution. Exercise and diet are far more important.

Dieting should not be extreme. Don’t take shortcuts. Just make healthy eating and exercise part of your life and you should be just fine. We really did not need another study to tell us that 🙂

How to read clinical studies about health

If you get confused by the deluge of clinical trials and studies that hit your Google or Facebook feed, you are not alone. Those studies seem to contradict each other constantly. One says that eggs are good for you while another says they aren’t. Some take aim at supplements and classify them as useless while others show clear benefits.

So how should you view clinical studies? Here are a few tips:

1) Understand that the actual takeaways will be very limited.

Clinical trials are designed to answer one specific question in a fairly limited way. For example, they are generally not going to answer questions like “Are eggs good for you?” Rather, they will answer questions like “What is the impact on blood sugar levels when men between 20 and 30 years old eat two eggs a day?”

In other words, from 10,000 feet, contradictions seem obvious, but when you really dig in, contradictions may not exist at all. That leads us to the second point.

2) Pretty much ignore the headlines/stories in popular online sources. Read credible summaries or the study results themselves.

Imagine the headline on a popular news site if a study did find that men between 20-30 saw a slight increase in blood sugar levels when eating eggs. There would be little nuance, and you would see something like this: “Study shows that men should not eat eggs.”

If you want to actually know the results of a study, you have to get into the weeds and read the study, or at least, a solid, unbiased summary of the study results.

3) Look at the funding.

This is obvious. Companies fund studies to support their products. Often, these studies are fairly credible but still slanted. Furthermore, it is reasonable to believe that unfavorable studies will be quashed while favorable studies will be elevated in the media.

4) Watch your bias.

If you love coffee, it might be easy to discount studies that show negative results about coffee while eagerly posting studies that tout coffee benefits on your Facebook profile. We humans are wired that way.

Be careful about letting your bias control what you will accept as truth. Be willing to change your mind.

5) Trust legitimate studies, but accept that they may be wrong.

Unless you are a medical professional that specializes in the area that a study is focused on, you probably do not have the capacity to prove that study results are wrong. Armchair quarterbacks are not real quarterbacks.

That is not to say you cannot head to the internet and find people that agree with you that the study is wrong; of course you can! But why should you accept those opinions any more than the study results themselves? “Trust but verify” is a very flawed concept in general in 2022 because the sources you use to verify have to be verified too. It is a very tangled web indeed.

Our modernist society puts trust in science for a reason; when done correctly, science follows a rigorous process for deriving truth. Therefore, if a legitimate study is done by a legitimate group, it is reasonable to trust the results.

On the flip side, those legitimate results may be wrong and often will be. That is just the way it works; truth is hard to ascertain sometimes.

However, just because clinical studies are sometimes wrong does not mean that they are not the best way we know of in 2022 to try to answer questions about health. Clinical studies are a great tool that we have all benefited from.

So, feel free to accept the results of studies while understanding that you may have to change your mind down the road. Hold that knowledge loosely, but pay attention to it. Our life expectancy has almost doubled over the past few centuries, largely because of the scientific process.

Air Fryers: Do they live up the hype?

Air fryers are the rage right now, and in our opinion, justifiably so. We bought one in early 2021 when several of us were on a diet. We were eating a lot of raw vegetables and getting tired of it. So, bought an air fryer mostly for the purpose of quickly cooking great-tasting vegetables.

Today, we are still fans.

If you live in the south (as we do), you know that the south loves fried foods in spite of the health risks. While the idea of making foods with a “fried” taste without frying them in cooking oil seems almost too good to be true, an air fryer pulls off this feat. How? I am not exactly sure, but try it if you don’t believe me.

If you think about it, it is very rare to find situations where you can make a particular food healthier without giving up taste. That is where the air fryer shines; the most obvious example is french fries, which taste just as good when made in an air fryer and contain a fraction of the calories and fat.

If you are looking for a brand/model recommendation, this is ours. (Your family size or other variables may lead you in a different direction; check out legitimate review sites for more help.)

Financial Health: Protect yourself

Please pay attention to what I am going to say here: very smart people are conspiring to take steal from you. Furthermore, you are not immune, regardless of your age or level of technical/financial sophistication. These crooks are very smart.

In recent months, I have heard numerous stories from friends and acquaintances that have been hacked. Amazingly, many of these stories are coming from peer e-commerce business owners. These are people who understand security issues and take them seriously. And yet, they are still getting fooled and in some cases, losing a lot of money.

Here are some important tips you need to know:

1) If a bank calls you and asks you for a security code that has been texted/emailed to you, you should not assume it is actually your bank. Scammers often use a victim’s identity to do a password reset on the victim’s bank website, which in term generates a code being texted to the victim’s cell phone. They then call the victim pretending to be their bank and asking for the code.

Always be suspicious if someone calls and claims to be your bank and never give them information, even if they pressure you or scare you. Simply hang up and call your bank directly.

2) Take passwords seriously and use two-factor authorization for any banking accounts. Apps like LastPass make it very easy to use complicated passwords without having to remember them or write them down. I strongly recommend you use LastPass or something similar so that you can use unique, strong passwords on all of the important websites you use.

Two-factor authorization (getting a text/code sent to your phone when you log in) is critical these days for important accounts, and that is especially true for your email account. Remember: if a crook gets access to your email, he can reset passwords very easily on all your accounts, essentially locking you out of them.

3) Be careful of search engine results. Crooks often buy ads at the top of search engines offering deals to try to get access to your other accounts. For example, you might see an advertisement for a bank offering a great savings account rate. It is conceivable that you could end up setting up a fake bank account at a fake bank and transferring money that you will never see again. (Read this article for more information.)

4) Consider extreme steps to protect yourself. As uncool as it may sound, disabling online access to your accounts entirely and going back to phone/mail access may not be a bad idea. At a minimum, look for banking solutions that offer protection. For example, I often recommend Fidelity as a place to hold money because it has a money lockdown feature that keeps any money from leaving your account without your express permission.

5) When you shop online, use credit/debit cards rather than EFT, money orders, or checks. Shopping online is actually quite safe with credit/debit cards because your bank gives you 100% protection if something goes wrong and will quickly shut down the compromised card and give you a new one.

Over time, more and more solutions will become available to alleviate the current risk. However, at this particular point and time, you have to be extra careful with your finances if you are managing them online.

The myth of 10,000 steps a day

Up front, I should say that the concept of getting 10,000 steps a day is not entirely a myth. It is just a bit of an oversimplification. Read on to learn more about how to maximize the health benefits of walking.

1) 10,000 steps is not always feasible.

If you are wondering, 10,000 steps is roughly five miles. Don’t beat yourself up too much if you simply can’t get in 10,000 steps/per day. Even if you are in good shape, it takes 1.5 hours to walk 10,000 steps. I don’t always have that long to walk either.

2) Any amount of steps is helpful.

If you can’t get in 10,000 steps/day, try for 5,000. Recent studies show that you get health benefits (including reduced cancer, heart disease, and dementia risk) from as little as a few thousand steps/day.

For example, one study showed that you lower your risk of dementia by 50% if you walk 10,000 steps/day but can still lower your risk by 25% with just 3,800 steps/day.

3) The speed at which you walk is important.

You would probably be better off walking fewer steps at a faster pace rather than ambling a lot of steps at a slow pace. Studies show that you get a far greater benefit if you walk faster. If you want to measure yourself, try to be in the range of 80-120 steps/minute.

4) There is nothing magical about steps at all really.

If you want to maximize your time, forget about steps and just find a way to get a bit breathless for thirty minutes each day. By that, I mean you should be exercising at a level where you would have some difficulty having a conversation.

5) You do not have to get all the steps at once.

If you are moving constantly throughout the day, it can be hard to keep track of your steps, but those steps count too. In fact, there is no real evidence that they are not just as beneficial as the benefit you would get from doing all your walking at once.

6) Remember that none of this is a magic bullet.

I recently overheard a conversation where someone claimed that she walked 30,000 steps per day because of her job. Yet, she clearly was not in great physical shape.

I don’t really doubt her because here is something I know to be true: you can’t overcome other bad health habits and a bad diet with some magical number of steps. It does not work that way.

Even so, tracking steps is a great way to get started on the road to better health. You can get free apps for your phone that will do this for you quite easily and record your progress over time. It can be fun to watch the miles add up. According to my app, I have walked enough to almost cross the Saraha Desert in the past year (1200 miles)!

Traeger Smokers Review (and a chicken recipe)

One of the weapons in our arsenal for healthy eating is a Traeger smoker, which uses wood pellets to cook/smoke food. They are unbelievably easy to use and the food tastes incredible. There are other similar brands of wood pellet smokers on the market and I am sure some of them are just as good.

Let’s talk price. I will tell you upfront that Traeger smokers are not cheap. In general, eating well is not cheap. But on the flip side, a Traeger allows you to quite easily cook better-tasting food than you can get in almost any restaurant. And once you figure that out and start replacing dining out with food you cook at home, a Traeger will pay for itself quickly.

The Traeger almost magically simplifies and demystifies the whole smoking experience. Suddenly, with almost no effort, you can make foods that are unbelievably good. For example, over the weekend, we smoked chicken, and it was probably the best smoked chicken any of us had ever eaten. Here is what all we did:

* Brined (soaked in salt water) the chicken overnight.

* Lightly coated with Meat Church Gospel and Meat Church Honey Hog seasonings (you can buy these online).

* Smoked at 350 degrees for about 30 minutes to an internal temperature of 162 degrees. (You should cook chicken at a relatively high heat so it does not dry out.)

You don’t need a Traeger to eat healthy of course. It is just a thought for those of you that like to eat as much as we do. You can buy Traegers about anywhere online or in your local hardware store. There are many websites where you can research the various models as well. We don’t really think the high-end ones are necessary, but we do recommend you consider one that has the WIFI app capability. It is nice to be able to control your cooking without having to walk out to the smoker so much.

To Have or To Be

In To Have or To Be, Erich Fromm suggests that people fall into two categories: those that need “to have” and those that need “to be.”

* Those that need “to have” are chasing profits, power, and possessions. (I would add attention to his list.) He states that most current culture has a consumerist mindset that leads them in this direction.

* Those that need “to be” understand the importance of experience and can be fulfilled by the experience itself.

I am not recommending the book. It is technical and honestly, I think overreacts to a contemporary problem by promoting an extreme position on the other side. But there is value in the big concepts. As I read, I was inspired to improve my life in two specific areas: social media and politics.

Fromm wrote many decades before social media, but he would be appalled today. Far too much social media is about “having” attention, and very often, we generate social media at the expense of experience. How often do you see people focused on recording an experience such as a sunset for the purpose of posting it on social media? Why do we choose to live great experiences through a 5″ smartphone screen?

The current state of politics is even worse. Rather than focusing on the experience we actually live in with our small circles of friends/family/neighbors, we choose to focus on a game of duplicity many miles away. In that case, we are not even substituting one reality for another. We are rather substituting reality for a warped, fictional view of reality.

In those two areas, we are choosing to swap authentic experience for a very poor substitute. If you stop and think about it, it is obvious that the trade is a poor one.

We live in a great time in history and we can’t change our time. But on the other hand, it is prudent to see how technology and information overload have changed us, sometimes for the worse. Sometimes, we need to remind ourselves to find beauty in the mundane and meaning in simple things.

I am resolved to do better. I hope you will join me.

Emotional Health: Beware of noise

As we wrote in our weight loss series, weighing yourself regularly is an important part of your weight loss journey. However, you need to be careful because if you weigh yourself too often, your emotional health will suffer.

Here’s why: there are going to be normal fluctuations in your weight throughout the day. If you are weighing yourself all day long, you are going to be watching your weight go “up” a high percentage of the time even if you are dropping weight week by week.

Those fluctuations are “noise” because they are irrelevant to the big picture. Who cares if you are apparently gaining weight during some hours of the day if you are losing a few pounds each week?

That noise however will cause your emotions to jump around all during the day. Every time you see the weight rise, you will start to feel like a failure. This is not healthy and may even lead you to give up on losing weight.

Here is a big tip: When you are measuring something, be careful to measure it at proper intervals or you will just end up measuring meaningless noise.

You do not want random noise to affect your mood. For example, most experts recommend that you weigh on a weekly basis to protect your emotions from random ups and downs.

You can apply this principle to other parts of your life as well. Worried about the stock market and your retirement fund? Don’t watch the market every day. Watch it only as often as you need to in order to make the decisions you might need to make.

Or, do you own a business? Be careful about watching your sales constantly. Doing so will wreck your emotions during a slow morning even if you end up with a great sales day overall.

Did your child get a bad grade on a quiz? Before you get too worried, stop to look at their overall grades.

Here is the principle again: if you are experiencing stress in your life, take some time to evaluate what life metrics are giving you stress and whether you are measuring them too often.

Weight Loss: A marathon and not a sprint

n college, I had a roommate who was a wrestler. He was always shifting weight classes, and typically, he was told his weight class just a few days before an event.

What that meant was that he might have to gain or lose ten pounds in less than a week. And strangely enough, he almost always hit his weight target.

He did not do it in a healthy way though. One week, he was eating three Big Macs for breakfast to jump to the next weight class, and the next week, he was starving himself to drop to another weight class.

Obviously, this kind of extreme weight management is unhealthy. Binging on fast food is obviously unhealthy. But starving yourself is unhealthy too and counterproductive because it results in a loss of muscle mass and energy.

Remember: if your weight loss regimen is causing you to lose muscle mass, you are doing it wrong. If you don’t have enough energy, you are doing it wrong.

This is why you want to pace yourself so that you are losing 1-2 pounds/week. If you try to be more extreme than that, you might see great short-term results, but you are setting yourself up to fail long-term.

Here is why that is true. Muscles burn calories, even when at rest. So, if you lose muscle mass, you are actually losing the ability to burn calories down the road. When you stop dieting, you will find that you will gain the weight back even faster.

The same is true for your metabolism. If you give your body fewer calories to work with, your metabolism will slow down as your body adjusts. People with slower metabolisms are going to burn fewer calories. You want to be careful not to retrain your body’s metabolism because again, after you quit dieting, you may end up gaining weight even faster.

When you create a calorie deficiency, you need to be looking for about 500-600 calories/day. In other words, if you calculate that you burn about 2,000 calories a day, you should be trying to consume around 1,500. This will keep you on a healthy weight loss pace where you are losing a pound or two a week.

The moral of the story? Take it easy and take your time. Don’t go too crazy. This is a marathon and not a sprint.

Just to remind you what a healthy weight loss pattern looks like, here again is mine from last year.