What’s the Matter With Your Gray Matter? More Than Just Brain Strain.

Image result for age memoryIt’s 50 shades of gray for the matter of your gray matter. As you age, little by little you start dropping threads. Then you have to retrace your steps, physically and mentally to force yourself to remember the things you forgot. This is as inevitable as it is normal.

But as in any normal distribution bell curve, there is a range of age-related dysfunction: some people seem to start forgetful, others develop it over time, and others seem to just keep going like an EverReady Bunny.

What makes the difference between those who lose it early, and those who lose it late? Probably 32 factors, only a few of which are even known at this point. Oh great, right? That said, there are things we can do to tilt the needle away from this steep senility Slip-n-Slide. Most people would think I’m going to say brain exercises, crosswords, Sudoku, and other forms of brain strain.

And those are fine, but something else you can do is far simpler. Here’s some data:

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exercise breaks promote attention and improve your ability to learn (STUDY),

they can improve memory and executive function (STUDY),

and “exercise training may be a promising approach to improve [blood flow in the brain], as increases may contribute to the beneficial effects on cognitive functioning observed following increased physical activity levels (STUDY).

Bottom line? Bend the curve in your favor! Hold back the decline as long as you can! And to do that, remember to active every day in every way. Otherwise, you’ll slip faster down that slope. And no one climbs back up a Slip-n-Slide.

Enough Is Enough, But How Much Is That?

Image result for enough exerciseI was going to write a big long post about overdoing exercise, it’s potential bad effects on your heart, and just the impossibility of keeping up with that unless you’re already Joe Athlete. So in stead, I just thought I’d answer the basic questions.

If you’re not running marathons, completing triathlons, or Iron Man competitions do you need to step it up and do more?


If you’re doing some activity, anything really, with only moderate intensity for 21 minutes per day, are you getting the recommended amount of activity?


The bottom line is that the “right amount” of exercise will be different for every person. You need to move while doing something you enjoy. But whether you should do 30 minutes of badminton or 30 minutes high octane spinning turns out to be more about your preference than anything else.

Don’t over-complicate, overthink, and certainly don’t feel like you have to overdo your exercise.  21 minutes per day, moderate activity. Get that in, and you win.


Never Chew On A Tree

Image result for do what you love

“Do what you love, love what you do?”

Even as I write this, it sounds like a cartload of kum bay ya ya sisterhood of the traveling meaningless aphorisms. It just needs Sarah McLaughlin warbling in the background to tie-dyed retro hippies dancing in some field.

That said, and as much as it elicits my mental gag reflex, as far as exercise goes it actually makes sense.

We are coached to think of exercise as a way to crank out the calories you need to balance that forklift sized Portion of Texas fajitas that could feed Rwanda. Calories in, out. It doesn’t matter if you like it or not. Think of it like the bitter pill you have to take for those 2 margaritas you tacked on to your “working” lunch.

So exercise is presented almost like an atonement you deserve, and definitely not something you should love necessarily. But except for hard core athletes, most people really don’t like this kind of perfunctory, no pain no gain mentality.

In fact, one very Southern woman once looked at me and said, [when you read this, it’s totally better if you do it with a drawl] “Dr. Clower I would rather chew on a TREE than git on that treadmill and bounce my big blobby body here and there for 30 minutes in the gym in front of God and everybody!”


We have to get over that way of thinking, because doing something you don’t like or love is the exact wrong strategy. When you are exercising and hate it, you can create cortisol stress hormones that work against the very beneficial effect of the exercise that you’re trying to achieve. In other words, you’ll get less out of it if you hate it, not to mention the fact that you’ll only do it until your full-sleeve-thin-mint guilt wears off.

But if you find what you love to do and do that, whatever that activity is will happen longer, you won’t create the stress response that works against you, and you’ll more efficiently burn calories. Think about how fun it is to ride a bike, play on a sports team, hike a trail with your family, walk with your friends. WHICH activity matters far less than how you feel about it.

Bottom line? For your activity, find what you love. Do that.

Obesity Link To Rheumatoid Arthritis

Excess weight creates inflammation inside your body.  Rheumatoid arthritis is an immune disorder that leads to inflammatory swelling and pain in the joints. You know how they market Reese’s Peanut Butter Cups as “two great tastes that taste great together”? This is exactly the opposite of that.  Each of these feed the inflammatory fire of the other.
Bottom line? Even though they may seem to have little to do with each other, the common denominator between these two conditions is inflammation. And weight control may help ease joint pain caused by this form of arthritis.
Nice article in full, below by Lisa Rapaport @ Reuters Health
People with rheumatoid arthritis and obesity may be more likely to become disabled than their counterparts who maintain a healthier weight, a U.S. study suggests.

Researchers examined data more than 25,000 patients with rheumatoid arthritis. Most were overweight or obese when they joined the study. Those who were severely obese were more likely to report some disability to start with.

Over the course of the study, for up to about 15 years, obesity was associated with more progression of disability.

Their worsening disability “was not explained by worse disease activity,” said lead study author Dr. Joshua Baker of the University of Pennsylvania and the Philadelphia VA Medical Center. “This suggests that obesity causes disability in patients with rheumatoid arthritis and provides yet another reason for patients to try to take off a few pounds.”

In contrast to the more common osteoarthritis, which happens when cartilage on the ends of bones wears down over time, rheumatoid arthritis is an immune system disorder that causes debilitating swelling and pain in the joints.

In the current study, weight loss was also associated with disability, but it’s possible this is because people lost weight due to poor health or frailty as they aged, and not because of a conscious effort to eat right, exercise more and get in shape, researchers speculate in Arthritis Care and Research.

“I would say to my patients that they should aim for a slow, progressive weight loss, associated with increased physical activity, rather then aiming for unrealistic aims such as reaching normal weight,” Finckh said by email.

While obesity may lead to worsening disability for rheumatoid arthritis patients, it’s also possible that some people with the immune system disorder might become obese as a result of this disease, noted Dr. Predrag Ostojic, a researcher at the University of Belgrade in Serbia who wasn’t involved in the study.

“Due to disability and chronic pain, patients with rheumatoid arthritis are less active, and inactivity may contribute in gaining weight,” Ostojic said by email. “On the other hand, obesity may cause joint damage independently of rheumatoid arthritis, by excessive joint loading and accelerated degeneration of the joint cartilage (osteoarthritis), especially on lower limbs and spine.”

“Any weight reduction will have positive effect on functional ability,” Ostojic added. “Healthy weight is ideal, but overweight is also an acceptable target, especially in rheumatoid arthritis patients who are severely obese.”

SOURCE: bit.ly/2HEQD7K Arthritis Care and Research, online April 29, 2018.

A Geenie Grants Your Wish You Don’t Want

Okay, bear with me. Let’s just say you’re a normal person leading a normal life with the normal litany of gripes: my KID wanted this dog, but now I have to walk them every day?; if I have to mow this grass one more time I’m just going to pave it and paint it green; AND OMG Philadelphia airport(!!), why do you have to put  every single terminal 5000 miles away in its own zip code??

Then rummaging through your attic one day, you lift up a board to uncover a lamp that had been there probably since the invention of attics. Being dusty, you rubbed at it with some old nasty sham wow in the corner to clean it up a bit, and it starts smoking. You’re like, whaaat it’s a bomb!, spike it, turn to get out of there when you hear a deep sonorous voice.

“Whoa there cowboy. I’m not a bomb. Just a Geenie.”

A Geenie?? Shut up!

“I don’t think you actually want that.”

Right! Sorry, there Aladdin. Can I call you Al?

“No. Not even a little bit.”

[big pause as the nameless Gennie just stares with his big brown droopy eyes]

Alrighty then, I get 3 wishes right?

“Whoa again, you get 1 wish, and I already have it picked out for you.”

One? What a ripoff! What happened to three??

“Geenie’s Union.”

That’s not a thing.

“Oh, it’s totally a thing. We’d gone thousands of years giving 3 wishes until Millennials came along.”


“Yeah, they starting wishing for infinite wishes. They found a loophole. And we were putting in SO much overtime granting silly wishes like job security without actually DOING anything, participation trophies without actually DOING anything, living in their parent’s basement without DOING anything, that we created the new contract. One wish. I pick.”

Damn Millennials.


Wait, so how do you know what my wish is?

“Um, Geenie! I know what you’ve been thinking this whole time. Sooooo …”

At that moment, a cloud of smoke poofed and a sound like Rice Crispies crinkled in the air.

“I’m going to write into my official log that I gave you 30 seconds to get down stairs and onto the couch, because you’re going to need it, and I’m just a nice guy like that.”

My couch?

“Tick tock, brother!”

Giddy with possibilities, this was like Christmas morning. Quickly you settled in and waited the 30 seconds. Nothing. HEY GEENIE, you yell up to the attic, WHAT THE …

“You don’t have to yell. I’ll keep my voice in your head for a bit. And because I like you, I have granted you many of your wishes all in one. You no longer have to mow the yard. You no longer have to walk the dog. And you no longer have to suffer through the endless bad planning decisions of the Philadelphia Airport Authority. Congrats, man.”

You feel awesome! Then, when you try to get up to get the phone to call your wife and try to explain this little X files dream sequence, you realize you can’t move. It just doesn’t work. None of it. You’re paralyzed.

Geenie, wait! Put it back, you plead like George Bailey calling out to Clarence, I want to move. I want to mow and walk the stupid dog and I know zero people want to be in Philly’s airport, but I’d even go there!

“Nope. One and done. Plus, now I gotta go. Union rules.”

But Geenie, I can’t play with my kids any more. Can’t go where I want when I want to. I’ll have to be waited on by others for the rest of my immobile life, I hate this!


Here’s why we need to change how we think about movement. It is a gift and a miracle that, if some tragic magic befell us and we suddenly lost it, we would long for the inconvenience of movement.

Here’s how to start thinking about movement. You move because you GET to, not because you HAVE to. Hold on to that blessing with both hands, because the more you move, the more you will be able to move through your life.

Joni Mitchell sang, “Don’t it always seem to go, that you don’t know what you’ve got til it’s gone. They paved paradise, put up a parking lot.” Just seemed an appropriate wrap up to this article.

Stress May Be A Nightmare, But You Can “Find The Good” Solution

Let’s say you have a nightmare. King Kong is chasing you through New York City, and you may hide under some random desk in a random building that your brain conjured up for this little dream sequence, but no matter where you go, the giant bloodshot eyeball tracks across the window looking for you because this giant ape has nothing better to do in his day than relentlessly hunt you down.

You wake up sweating, heart pounding, eyes dilated. And you instantly recognize — even as you nervously glance out your window — that King Kong is a fiction, but that does not make your body’s physiological reaction any less.

You had a very real stress response to a very obviously unreal mountainous ape. But because your brain interpreted those images as real at the time, the physiological stress response took over. The same thing happens, eyes opened, every day when people see things, they are interpreted by your brain as good or bad.

So. If the very same event is interpreted as bad, it can elicit a very real stress response inside your body. If the same bad driver, rude teenager, or disfunctional Alexa is not taken as a bad thing — once it gets inside your brain — then it will NOT elicit a stress response.

One solution to act as your shield is to “find the good”, where you can, when you can, how you can. Practice this. Make it a habit, and it will help control whether your observations turn into a positive outcome for your body, or whether they turn into a stress-induced physiological nightmare.

Good Stress Gone Bad … it is a bit like Darth Vader

When I grew up, Darth Vader was marauding the galaxy, just being 50 shades of evil. And that was great to know. Vader = bad. Luke = good.

But that simple little equation didn’t hold for long, because later we learned that dear old Darth was actually daddy Darth for little Luke and had a soft spot somewhere in the pit of his black mechanical heart.

Awww. He’s not all bad, he’s just misunderstood!

In today’s nutritional world the same thing happened. All cholesterol was all bad all the time. Cholesterol = bad. Simple. But now we learn, like daddy Darth, that there is good cholesterol and bad cholesterol, and 75% of your cholesterol is made by your own liver because it’s vital for your health to have it on board. You need that good cholesterol!

Awww. It’s not all bad, it was just misunderstood!

Let me stress that stress is the same way. When you hear people talk, they’ll speak about stress like it’s something they need to avoid. But your body is set up to respond to stress by making you focused, routing blood to your brain, to your muscles and lungs. Your physiology create the internal conditions that gives you an advantage during stress.

Awww … just misunderstood, again!

What turns stress from a good thing into a bad thing is the same thing that turns any food from good-for-you to bad-for-you. And that is volume. Too much water = hyponatremia, which is bad. Too much wine = bad; too much chocolate = bad; too much food = bad; and on and on. When stress goes from being a short term occurrence to a chronic burden, then your body’s long term exposure to stress hormones can create a raft of unhealthy effects downstream.

So, remember that short term stress is not bad at all, until it becomes chronic stress.

Top 10 Probiotic Foods

(Excellent article from Alexandra Sifferlin at Time/Health)

One of the most crucial parts of our body when it comes to health is our microbiome—the trillions of bacteria that live in our gut. Scientists are learning that the bacterial communities we live with are linked to everything from body weight to asthma to acne. Having the right balance of bugs may keep us well in the long term. Some bacteria in the gut are good for our health, while other strains raise our risk for disease.

 We shape our microbiome makeup through our everyday diet. Many of the foods listed below are high in nutrients like fiber, which feeds healthy gut microbes. Those microbes produce short-chain fatty acids that get absorbed into the bloodstream and reduce inflammation while strengthening the immune system. These gut-friendly foods also contain pro- or prebiotics, which help gut-bacteria diversity. Probiotics are bacteria that are very similar to or the same as good-bacteria colonies already in our gut. They’re in many foods on this list, including yogurt and sauerkraut. Prebiotics, on the other hand, are a type of plant fiber often found in vegetables that nourishes good bacteria. (Good sources of prebiotics include chickpeas, bananas and artichokes.)

Both are important for keeping you regular and building a better microbiome. Here are some probiotic-filled foods to consider adding to your diet.

Cottage cheese

Lucas Zarebinski

How to eat it: This throwback cheese makes a great base for both sweet and savory snacks. Mix it with fruit and walnuts, or add olive oil, cucumber slices and a pinch of salt and pepper.

Why it’s good for you: Cheese lovers, rejoice: cottage cheese is a great pick for your gut. As with other fermented foods, cottage cheese often delivers probiotics (check the package labels for live and active cultures), and it’s high in calcium, which is important for strong bones.


Lucas Zarebinski

How to eat it: This Korean fermented- cabbage dish can add a flavor kick to nearly any food. Mix kimchi with brown rice or simply enjoy on its own.

Why it’s good for you: A probiotic made with cruciferous vegetables like cabbage and garlic, kimchi not only is gut-friendly but also may help reduce cancer risk.


Lucas Zarebinski

How to eat it: A small helping of sauerkraut paired with lean meat adds up to a tasty and nutritious meal.

Why it’s good for you: The cabbage in sauerkraut, a food that dates to the 4th century B.C., is fermented with lactic-acid bacteria, which means it’s good for keeping your digestive system in balance. You also get fiber and compounds that boost the immune system.


Lucas Zarebinski

How to eat it: Add fresh fruit, seeds and a little granola to a bowl of plain yogurt for a filling breakfast or afternoon snack.

Why it’s good for you: A fermented food, yogurt naturally contains lots of probiotic cultures that strengthen the digestive tract. Some Greek yogurt also boasts added probiotics like Lactobacillus acidophilus and Lactobacillus casei that may help increase the good bacteria in your gut.


Lucas Zarebinski

How to eat it: Add a dollop of miso—a fermented soybean-based paste used in Japanese cooking—to soups. For a tasty salmon marinade, mix miso with ingredients like mirin, vinegar, soy sauce and sesame oil.

Why it’s good for you: Yes, miso can be high in sodium, but this gut-healthy pick delivers good amounts of protein, calcium, iron and magnesium.


Lucas Zarebinski

How to eat them: Add chopped pickles to your potato salad or use in your lunch wrap in place of high-fat spreads. To get that healthy bacteria, buy pickles brined in salt water, not vinegar.

Why they’re good for you: Cucumber pickles are brined in salt water and fermented, giving you that beneficial bacteria. Each spear offers vitamins A and K, important for blood and cell health, and potassium, vital for healthy heart function. Just keep in mind that pickles tend to be high in sodium.


Lucas Zarebinski

How to drink it: Enjoy kombucha straight from the bottle. You may need to sample a few varieties to find the one you like best.

Why it’s good for you: Kombucha is a fermented tea that also contains some gases and a small amount of alcohol, which gives it carbonation. It’s full of probiotics and antioxidants that support the immune system. Sip in moderation, though: it contains lactic acid, which in large amounts can build up in the bloodstream and harm your health.

Apple-cider vinegar

Lucas Zarebinski

How to eat it: This vinegar—made from fermented apple sugars—is delicious in salad dressings.

Why it’s good for you: The acetic acid in vinegar aids digestion. One 2009 study even linked regular apple- cider-vinegar consumption with weight loss. The acid may turn on fat metabolism and help keep blood sugar levels normal. Experts recommend keeping total intake per day at or below four tablespoons.


Lucas Zarebinski

How to eat it: Tempeh is a protein made from soybeans that you can use instead of meat. Add it to stir-fries with vegetables and healthy grains like brown rice.

Why it’s good for you: Compounds in this good gut food may have anti-inflammatory and even anti- tumor effects. Tempeh also serves up a helping of healthy monounsaturated and polyunsaturated fats.

Parmesan cheese

Lucas Zarebinski

How to eat it: Sprinkle parmesan cheese on air- popped popcorn for a healthy and filling snack.

Why it’s good for you: Some fermented cheeses, like parmesan, contain lactic-acid bacteria that can create gut-healthy probiotics. Cheese also contains important nutrients like protein and calcium.