How does chronic inflammation affect your skin?

A key factor in accelerating ageing is long term inflammation and it can be damaging both to our bodies and in particular to our skin. Inflammation is a complex defence mechanism in which white blood cells move from from the circulation into damaged tissues to destroy the agents that potentially may cause tissue injury. Acute inflammation is a helpful response, particularly during an infection, whereas chronic inflammation is persistent and can lead to tissue damage. 

What are the usual indicators of chronic inflammation? Markers such as C Reactive Protein or Erythrocyte Sedimentation Rate (EDR) are often used as indicators and will commonly be checked on blood tests. CRP is often raised in the acute stages of inflammation and may continue to be elevated in the chronic stages as well. It is often used to monitor how people respond to a particular treatment.

Common sources of inflammation include the following;

  • Chronic infections
  • Lack of exercise
  • Diet
  • Isolation and chronic stress
  • Disturbed sleep
  • Obesity
  • Environmental exposures and toxins
  • Injuries

The body reacts to these triggers by increasing the flow of nutrients to the area to enable it to resolve however in some cases the trigger persists and you develop chronic inflammation. In the skin the chronic inflammation results in a layer of the skin thickening and may cause the lymphatic vessels in the area to increase in size and number.

Skin inflammation longer term can also result in senescent cells. Senescent skin cells, which accumulate over time, play a crucial role in the response to chronic inflammation.

Chronic inflammation arises when the immune system responds to persistent or recurring stimuli, such as infections, environmental factors, or cellular damage. In the case of skin, chronic inflammation can also be triggered by factors like UV radiation, pollution, or even chronic skin conditions. When the skin is subjected to such insults, it activates an immune response that recruits immune cells, including macrophages and T cells, to the affected area.

The Effects of Chronic Inflammation on Aging Skin:

  1. Inflammatory Molecules: Aging skin cells, known as senescent cells, release various substances like pro-inflammatory cytokines, chemokines, growth factors, and enzymes that break down the skin’s structure. These molecules attract immune cells and contribute to more inflammation in the affected area. This ongoing inflammatory environment can worsen skin damage and disrupt the natural healing processes.
  2. Impaired Function: Senescent skin cells have reduced functionality and struggle to perform essential tasks like wound healing and tissue regeneration. This impairment occurs due to changes in the way genes are activated and signaling pathways operate. Consequently, the skin’s ability to repair itself becomes compromised, leading to slower healing and an increased risk of chronic wounds.
  3. DNA Damage: Chronic inflammation generates oxidative stress, which can cause DNA damage in aging skin cells. This damage can result in genetic mutations that further contribute to the cells’ dysfunctional behavior. Over time, the accumulation of these genetic abnormalities can potentially raise the risk of skin diseases, including cancer.

Chronic inflammation poses a significant challenge to the health and appearance of aging skin. The release of inflammatory molecules by senescent cells, their impaired functionality, and the accumulation of DNA damage can lead to a decline in skin health and an increased risk of skin diseases. Understanding the impact of chronic inflammation on aging skin cells is crucial for developing strategies to mitigate its harmful effects and promote healthier skin aging. By adopting lifestyle practices that reduce inflammation, such as maintaining a balanced diet, engaging in regular exercise and managing stress levels you can assist in maintaining healthier skin.

For more assistance in managing lifestyle factors and making the changes that will support healthier skin (and a healthier you) have a look at my resources including my free webinar 6 Tips for Ageing Outrageously .

Do you really understand how to use Probiotics and do strains matter ?

Do you think you have been fed a few misstatements about probiotics ? If you have been you probably aren’t the only one! There were a few myths busted at a recent conference that I have also been guilty of believing in recent years. So what were those myths and what’s the real story ?

Have you ever been told that your probiotics need to be kept in the fridge ? (Was it me?) Turns out that many strains are heat resistant and don’t need to be kept in the fridge including the range from Activated Probiotics. Probiotics are living organisms and so are sensitive to heat, moisture and oxygen, however if appropriately treated and packaged the product is heat stable. Activated Probiotics freeze dry the probiotic and use specific packaging technology to encapsulate it so that it survives stomach acid and is effective in the gut. The best advice generally is to follow the advice on the packaging, however when travelling a heat stable option is usually better as its less likely to be left behind (in the mini bar fridge!).

The other common myth is that you should take probiotics separately from antibiotics or even after you have finished the antibiotics. Actually since antibiotics are designed to be absorbed into the bloodstream and probiotics into the gut then it really doesn’t matter. For the best result with probiotics ideally they are taken with food and that food contains a little fat.

For many people they may be a little concerned about taking medications with probiotics so it might be a good idea to review the strategies in my recent blog Are your medications impacting your ability to age outrageously well? . When you do have specific side effects from your medications probiotics can be of use in managing those symptoms where they is specific research to support use for those conditions.

One of the big ones is that probiotics replace “lost bacteria” but it turns out that whilst probiotics have a therapeutic effect they do not stay permanently in the gut. Estimates of how long the probiotics will last are usually between 1-3 weeks. The point is that whilst the strain is there it is having a therapeutic effect, for example a lactobacillus plantarum strain which is anti-inflammatory and has been shown to reduce the symptoms of IBS. Therapeutically we might use this strain whilst making dietary changes to reduce systemic inflammation, so that you do not need to be on a probiotic permanently.

This probably brings us to the biggest myth – isn’t a mix of strains better ? Really it is a bit like spraying buckshot you might get lucky but the reality is a specific strain or strains based on the research and your signs and symptoms will result in better outcomes for you.

So what about prebiotics should I just take those instead ? A prebiotic is different to a probiotic, the easiest analogy is that its a bit like fertiliser in the garden. It doesn’t create a broader range of plants but it does feed the useful ones. If you want to improve the diversity of your gut flora you really need to look at supporting it with a wide range of vegetables as well as nuts and seeds. What are the best vegetables for feeding your gut ? covers this topic in more depth but in addition to variety of vegetables it is also useful to add in organic sources as much as possible.

For more information on maintaining or improving your 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, improving 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 .

Are you missing out on ways that you can start ageing outrageously well ?

Are you missing out on ways that you can start ageing outrageously well ?

70 may be the new 50 but its possible that it won’t be that enjoyable if you haven’t looked after your physical health. Over the last decade through global challenges, like the Covid pandemic and personal challenges like three rounds of surgery I have been researching how to age well and there are some common themes.

In 2016 I was able to do the training on the Recode protocol, which was developed by Dr Dale Bredesen. The training was run in San Francisco (which was a very good reason for enrolling as well as the content) and involved looking at thirty six points of intervention based on the five major triggers for Alzheimers. Dr Bredesen has subsequently completed two case study series and more recently a clinical trials for his protocol and it is showing improvement in over 80% of cases who had been classified as having mild cognitive impairment (1). For more information on the protocol have a look at the blog on Delaying Alzheimer’s .

In Melbourne in 2018 Dr Terry Wahl’s presented her strategies for managing Multiple Sclerosis and neurodegenerative diseases and I have followed her work extensively after that symposium. Her focus in clinical practice is on using food rather than supplements primarily as well as looking at specific types of exercise that can support recovery. Dr Wahl is a neurologist who was in a tilt wheelchair with her advanced MS and is now back to riding her bike. Her programs have been implemented at the Iowa City Veteran’s Affairs Hospital and she has conducted four clinical trials on the program. To date the trials are showing significant improvements in fatigue scores and quality of life. Key features of her program involve balancing blood sugar and flooding the body with nutrients from whole foods, in particular up to 9 cups of vegetables and fruit a day plus good quality protein. Her program really encourages the use of organ meats, like liver, for good levels of key nutrients which are quite expensive as supplements. In particular CoQ10 which is essential for energy production in your cells.

There are six key areas that you need to consider in order to age outrageously well.

  1. Eat your vegetables! Flooding your body with nutrients in a form that you are best designed to absorb. Make sure you are eating the rainbow with vegetables and including at least one cup of green leafy vegetables, one cup of brassica vegetables and one cup of brightly coloured vegetables daily. If you are trying to add more vegetables to your diet it is always helpful to increase gradually and to look at adding them to snacks, soups and smoothies as well. It can also be a good idea to prepare extra vegetables with dinner and have them ready to add to lunches or soups the next day. Roast vegetables are a particularly tasty way to improve the vegetable content of your lunch and you can add them to spinach leaves in a salad or blend them with bone broth for an easy and quick soup.
  2. Balance your Blood Sugar ideally by including protein with every meal and minimising your intake of sugary foods and simple carbohydrates like bread and cereal. You do not need to be eating large quantities of protein but rather a palm size amount at each meal over the day. Adequate protein for most people would involve 2 eggs at breakfast, a small can of tuna with lunch and a chicken breast fillet at dinner. At the same time it’s important to include some carbohydrate in the diet as well but optimally it’s from whole foods and provides a slow release of glucose and a good serve of fibre as well. If you struggle to add enough protein then adding a protein shake or smoothie can be a good way to up it daily. Usually I do recommend clean brands, whey protein if you can tolerate it or plant protein for those who like variety. The plant protein options that I find useful at the moment are Nuut, Amazonia and Vital Protein. Nuut is offering sampler packs which is a good way to try a few different flavours. The other two brands are usually available in health food stores and the fermented split pea protein from Vital Protein is one of the better vegan options as its not grainy.
  3. Exercise regularly and mix it up. Ideally including both strength based training as well as cardio will really assist in maintaining good bone health as well as improving balance and energy levels. Start low and build exercise levels slowly to minimise the risk of injury and setbacks. The simplest and easiest way to start exercising is to walk regularly, starting with a five minute lap of the block and then building up over weeks by adding five minutes each week and then multiple walks per day. On e of my favourite quotes about exercise is from JIm Rohn “Take care of your body its the only place you have to live in”.
  4. Identify the sources of inflammation and manage them as well as possible. Key areas to consider are a history of infections, such as recurring sinusitis, food intolerances and allergies, heavy metal toxicity, sedentary lifestyle and chronic pain from old injuries. There are a wide number of sources of inflammation in the body and dealing with those assaults can be challenging. That’s why quite a number of “anti-ageing” programs remove common allergens like gluten and dairy as anyone with gut problems will have challenges digesting and absorbing nutrients from them. Lactose intolerance is increasingly common as we age as we were really designed to have milk in our diets only as babies and small children. Generally we should be able to absorb small amounts if our digestion is working well. Removing allergenic foods can really assist you in feeling better however test first to make sure its the right foods. For ten years I removed dairy from my diet and whilst it helped a little removing gluten was the game changer for my brain and energy levels.

5. Meditate like a Buddhist monk! Research is showing that twenty minutes of meditation can reduce levels of anxiety, depression and pain (2). Meditation is a relatively inexpensive tool with many apps which can be helpful like Gaia and Calm. Recent research undertaken at a VA hospital in the States showed that twenty minutes of meditation twice a day reduced PTSD symptoms (3). The Wellness experience provide a free thirty day meditation series in either ten minute or twenty minute increments which you can do through the website themeaningoflife.tv . One of the most essential attributes of meditation is its ability to increase grey matter in the brain and assist with clarity and focus.

6. Add appropriate supplements as needed. Look at the key symptoms and determine what is needed for you. For those who are experiencing significant inflammation for example it can be useful to look at supplementing with Tumeric and good quality essential fatty acids. If your issues are more around cramping and low energy then consider adding a magnesium supplement (preferably a powder for better absorption) and a multi vitamin. Just make sure that you do check the use of any supplements with your medications. Your pharmacist or practitioner can advise you on the right dosing and minimise the risk of any interactions.

Interested in more information on Healthy Ageing ? Click on this link https://www.christinepopenutritionist.com/ageing-outrageously for more information on my eight week program.

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives and is available for consultations online and in clinic.

1. https://content.iospress.com/articles/journal-of-alzheimers-disease/jad215707

2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287297/

3. https://pubmed.ncbi.nlm.nih.gov/29921143/

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 www.elementalhealth.net.au or by phone on (02) 8084 0081 .

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

Balancing Blood Sugar

Did you join me for my Natural Medicine Week Webinar? If you missed it or want a review of the highlights then click through to the youtube recording or scroll through the powerpoint which is attached below.

In the webinar we cover the following topics;

  • Blood Glucose and insulin how does this work and what does this mean for you?
  • What are the risks from a health perspective of poorly managed blood sugar?
  • Which diet is best able to assist you to manage blood sugar
  • A simple meal plan to help you put it altogether

The webinar recording is linked below.

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If you have any other queries please pop them in the comments below or book in with Christine on 02 8084 0081. Christine Pope is an accredited naturopath and nutritionist based at Elemental Health at St Ives and is offering both in person and online consultations.

Natural Medicine First Aid 2022

Did you miss my latest webinar for Natural Medicine Week ? If you want an overview of how to treat coughs, colds and stomach upsets as well as common injuries please review the powerpoint links below or click through to the youtube recording further down.

The recordings are linked to my youtube site and can be accessed by clicking on the link below, but please feel free to subscribe to the channel for updates.

Thanks to all those who attended the workshop and please consider following my blog for future updates on all things natural medicine. If you are interested in treating common illnesses and injuries have a look at these recent blogs;

  1. Treating Colds and Flu at home
  2. Natural medicine first aid – bruises, sprains and strains
  3. Stomach Aches and Pains
  4. Post Viral Fatigue (and other symptoms)

Christine is a naturopath and nutritionist based at Elemental Health St Ives. Appointment can be made on 02 8084 0081 or online at the website.