Are your medications impacting your ability to age outrageously well?

Are your medications impacting your ability to age outrageously well?

Supplements

Many people over fifty are on a range of medications to manage chronic health problems. According to the Australian Institute of Health and Welfare 47% of the population is managing chronic health conditions which include arthritis, asthma, back pain, cancer, cardiovascular disease, chronic obstructive pulmonary disease, chronic kidney disease, diabetes, mental health conditions and osteoporosis. Whilst these medications are often essential the side effects of some of these common medications can have negative impacts on your overall health.

What can you do to manage these risks? First up make sure that your GP is aware of all the medications you are taking and that they are still appropriate. Secondly if you are having noticeable side effects with a medication see if your GP can recommend an alternative. The next step, if the medication is creating side effects, is then to consider looking at supporting yourself nutritionally to minimise the impact. Below are five common medications that may have side effects that impact your brain or physical health (1) and some strategies for managing them.

  1. Statins. A common problem for people on statins (cholesterol lowering medication) is that they start feeling less energetic as the statins deplete the levels of Co Q 10. Some people can also suffer from muscle aches and pains and develop memory problems. CoQ10 is important for energy production within the cell. Dosage is a little dependent on weight however generally 150-300 mcg is useful and its recommended that you start at a lower dose and build up slowly.
  2. Metformin which is often given for Diabetes can reduce levels of both B6 and B12. Low B12 may lead to peripheral neuropathy which can cause loss of sensation in the feet or tingling or burning sensations. Again a Multi vitamin with adequate B12 is essential . Depending on your other medications and any possible interactions you may need to use individual supplements rather than a multi-vitamin. Balancing your blood sugar is also essential when you are on these medications so have a look at the dietary recommendations in my blog Are you missing out on ways that you can start ageing outrageously well ?
  3. Anti-depressants need B vitamins for optimal effect and whilst they may not reduce levels specifically they may be less effective if you are not taking a multi vitamin at the same time. In addition your mood may be helped by considering an anti-inflammatory diet and according to the Mayo clinic, walking at least 30 minutes daily (2).
  4. Antibiotics Antibiotics can disrupt the natural bacteria flora in the digestive system, reducing beneficial bacteria, including Lactobacillus acidophilus and Bifidobacterium bifidum , this may result in symptoms like persistent diarrhoea or constipation. Use a good quality brand of probiotics such as Inner Health with at least 5 billion live organisms for effective management. Nutritionally make sure you are having at least 3 cups of vegetables a day to feed beneficial bacteria and consider a range of prebiotic fibres as well. There is a lot more information on the best options in my recent blog What are the best vegetables for feeding your gut ?
  5. Hormone Replacement Therapy impacts on folic acid (B9), B6 and B12 as well as magnesium levels. A good multi vitamin plus between 400-800mg of magnesium can be useful in managing the side effects. HRT can be useful to manage significant symptoms post menopause and it is adviseable to ensure that if you are using it long term you look at liver support, such as St Mary’s Thistle, to minimise adverse effects longer term.

Food sources for some of these key nutrients such as Co Q10 can be a little challenging. CoQ10 is found in organ meats like kidney, heart and liver. Whilst you could look at including a nice pate on a regular basis, to include liver for example, it is hard to get sufficient levels without a supplement if you are vegetarian or can’t stomach organ meats. There are some organ supplements on the market which could be a good option, just make sure they are organic wherever possible.

Magnesium is found in a wide range of foods, but inadequate intake is common and is associated with a greater risk of osteoporosis. Food sources of magnesium include nuts and seeds, dark leafy greens, legumes, quinoa, dark chocolate, brown rice and other unrefined whole grains (3). People who benefit from a magnesium supplement are prone to headaches and cramping and have difficulty staying asleep. They usually find that magnesium reduces cramping with supplementation. Ideally look for a form of magnesium that is combined with a citrate or an amino acid chelate as magnesium combined with oxide is usually only helpful for constipation as it has laxative qualities.

For more information on maintaining or improving Brain Health have a look at my program Ageing Outrageously which covers six key areas for ensuring that you age well. These include improving brain health, balancing blood sugar, appropriate movement, gut and digestion as well as strategies for assessing and monitoring your health. The program has been designed for people who may not have the time or resources to work with me directly but would like to invest in improving their health. The program cost of $249 is similar to the cost of my initial appointment but you can run through the program under your own pace at home and it covers content from a series of 6-8 appointments .

Key sources

(1) https://www.drugs.com/drug_information.html

(2) https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression-and-exercise/art-20046495

(3) https://www.medicalnewstoday.com/articles/318595

Heat and cold, stressors which boost energy and slow ageing

Looking for a way to improve your energy levels ? Turns out we can certainly benefit from some of the strategies from Nordic countries particularly in regards to saunas and cold plunging. Mild hormetic stressors such as heat and cold can be really beneficial (and enjoyable).

What is a hormetic stressor ? It’s a mild stress to the body which actually generates a low level of free radicals. In the presence of a low level of free radicals we produce more mitochondria. Mitochondria are the energy producing part of a cell and as we age we tend to start losing them. The major hormetic stressor which we are all familiar with is exercise and the reason this is beneficial is it encourages the body to make more mitochondria which in turn means we can produce more energy. Stimulating these processes gives us improvement in both our short term and long term health.

Often we talk about stress as being negative for our health however it really comes down to the type of stress and the dose. Prolonged stress of any type can have negative implications for our health in the same way that prolonged exposure to cold water can result in hypothermia. A few minutes in the cold water is beneficial, too long an exposure is a problem.

What are some other types of hormetic stress ? The top 10 include the following;

  1. Intermittent Fasting
  2. Cold
  3. Heat
  4. Hypoxia
  5. Red and near infrared light
  6. Exercise
  7. Dietary Phytochemicals
  8. UV light
  9. Xenobiotics
  10. Intermittent Nutrient Cycling

In this blog we are going to focus on the benefit of Heat and infrared light however there is more information on some of these options in my blogs such as Is Fasting for me ? and Six ways to increase your energy If you are interested in looking at cold hormetic stressors the latest blog on my clinic page is also useful Is it good to have a cold shower every day

Infra red light such at that from an infra red sauna penetrates soft tissue up to 3 centimetres warming the body and opening blood vessels in a process called “vasodilation.” The blood vessels on the surface expand and as the body heats it encourages sweating. Spending 30 minutes in a sauna is believed to increase heart rate and improve your exercise tolerance. A small study in 2005 showed that a month of sauna bathing in a group with Chronic Heart Failure saw improvements in 13 of 15 participants. In addition to a reduction in blood pressure and improved exercise tolerance they also say reduced levels of stress hormones. (1)

Recently my husband decided to see if a month of infra red sauna was beneficial and he found after a few weeks that his heat tolerance had improved, he felt his stress levels had reduced and he was noticing less muscle pain. He is a much smaller study group but still interesting to see the benefits over a short period of time. He is also quite keen to continue so expect an update on his progress in a couple of months.

A recent article in The Conversation “Can’t face running try a hot bath or sauna” looks at some of the benefits of hot bathing and also the advantages of using sauna to build up your tolerance when you are unable to exercise. In this way it could be useful for those people suffering from Chronic Fatigue for slowly improving resilience and assisting in recovery so that they can start to exercise. It is important if you suffer from Chronic Fatigue that you build up very slowly and gently with any new routine.

Need more assistance with improving your energy levels ? Book in with Christine Pope at Elemental Health at St Ives on Tuesday or Wednesdays. Bookings online at http://www.elementalhealth.net.au or by phone on (02) 8084 0081 .

(1) https://www.onlinejcf.com/article/S1071-9164(05)00108-9/fulltext

Six ways to increase your energy

One of the most common reasons for people to see a naturopath is that they are really tired and lack energy. If you are feeling like this at the moment its important to understand why your energy is low but there are also several things you can introduce which may help improve your energy levels on a permanent basis.

The area of the body that produces energy is a component of each cell called a mitochondria, think of them like little factories. As we get older the number of mitochondria in the body can reduce, typically we see a halving of the levels between 20-40 and then again by the time we reach 70. These mitochondria can also be damaged by a range of environmental factors which means they don’t work as effectively and produce less energy.

There are a number of “hacks” which can improve both the number of these little factories and also the quality. Most people are aware of the benefits of regular exercise however they may not be aware that muscle cells will build more mitochondria as a result and they will operate more effectively. However often when people are really fatigued they are not in a position to exercise so these are my top six strategies for improving cellular energy. There are other strategies however this list focuses on those with minimal costs.

  1. Thirty minutes of daylight as close to waking as possible. This is an invaluable reset for your body’s circadian rhythms and helps you produce a reasonable amount of melatonin. Melatonin is important to generate sleep but turns out it also helps with cell repair and can improve energy. Literally one week of eating my breakfast outside followed by a short walk saw a significant improvement in my energy levels.
  2. Mild stressors for the body such as cold can improve energy quality. Its really important with this strategy to start with a very modest amount and slowly increase. A cold swim in a mountain stream might be the goal but start by having a minute or two of your shower with cold water. If you are very temperature sensitive start with it on your arms and legs and then gradually move to the trunk.
  3. Eat in a 11-12 hour window. Allow the bodies waste systems to function effectively by giving them a reasonable window to operate with. This is particularly important if you suffer from brain fog as a result of tiredness. This is really fairly straightforward and may just see you have breakfast at 8am and dinner at 7pm.
  4. Reduce your exposure to blue light from computers and devices. This could involve using blue light blocking glasses however a lower cost solution is as simple as switching off all devices at least one hour before your bedtime. Blue light blocks the production of melatonin and results in more difficulty in getting to sleep. Low melatonin will also reduce the ability of the mitochondria to repair themselves and result in a worsening of fatigue.
  5. Sleep in complete darkness using blockout curtains and turning off all lights and devices. Good quality sleep is essential for energy as cell repair happens during our deep REM cycles. Typically if you aim for 7-8 hours of sleep you will have between 3-5 REM cycles. Each cycle tends to be longer with the first being about 90 minutes. For more information on improving your sleep quality read my blogs on Can you build up sleep Pressure and Six Sleep Myths Debunked
  6. Reduce inflammation in your diet as much as possible. Chronic inflammation reduces your ability to produce energy in your cells. The first step could be avoiding any known allergens or intolerances and the second to try and ensure that you are having at least three cups of vegetables a day. For more information on reducing inflammation my blog on Post Viral Fatigue has some useful resources. More generally to understand which vegetables are most useful for your health What are the best vegetables for feeding your gut ?

There are also a range of strategies to improve energy using tailored diet plans and supplements however these need to be prepared in consultation with a practitioner to ensure that underlying triggers are identified and addressed.

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives. You can make appointments on 02 8084 0081 on online at Elemental Health .