About this subject I do write with trepidation – as the right answers are still not known – medicine and science have not advanced far enough to let us make rational decisions. In actuality, regarding mammograms, we are living in something like medieval times.
Do mammograms help prevent cancer? No, they don’t. They do find some cancers. But they also “find” an unacceptably high number of “cancers” that aren’t cancers - false positives. For which women then undergo unnecessary treatment.
Do mammograms prevent deaths from cancer? The answer is amazingly unclear: For the longest time – basically for the entire twentieth century - namely since the advent of radical mastectomy, breast cancer death numbers didn’t budge. In the last few years, we seem to make a little dent. But it is not clear to me if it comes from therapies, or from better lifestyles that women have adopted - similar to the improvement of cardio-vascular health that happened mostly in the kitchen and the gym, not in the doctor’s office.
For thirteen years now I have not done a mammogram. Not because I try to be reckless, but because I have my doubts. In a way, I am sticking my head in the sand (breast cancer runs in my family). On the other hand, I have a history of heavy radiation as a child, and mammogram certainly is adding to my risk to develop breast cancer. You could say that I made a decision rather to die of breast cancer than from breast cancer treatment. You don’t have to follow me here – or rather, I don’t want you to follow me here because I shudder of the responsibility I would take on if I talked you out of mammograms. In reality, I always encourage my patients to have their yearly mammograms – regardless of the personal doubts I am harboring.
Because of my childhood radiation history – I had bad tuberculosis as a child with tons of fluoroscopy - my decision not to add any more radiation (I also have myself padded down at airports rather than going through the screening machines) is not applicable to everyone. In addition, I had mammograms since age eighteen every year because of lumps (and twice had lumps removed that turned out to be benign. So, I had an unusual number of mammograms - enough for a lifetime, I think. My doctors, because of my history, are basically waiting for me to develop breast or thyroid cancer. But over the years I came to realize that the real causes for breast cancer - diet, exercise and environmental pollution, including radiation - are not addressed by physicians and authorities. But I want to encourage every woman to come to her own decision. Every case has different variables.
Lately I am also changing my thinking about cancer generally - not that one person has it, and the other person doesn't have it. Truth is, at a certain age, we probably are all always having cancerous cells in us, and keeping them at bay as best as we can we good lifestyle habits seems to be much more important. - I also have a body that would react badly to any kind of treatment - so I rather am putting my energy into a good lifestyle. And cancers in later years are often less aggressive than cancer in children and young adults.
And a last thought: Medicine is yet is unable to differ between "bad" cancer and "good" cancer - we don't know which one will explode and kill a patient. So we are working with big guns on all cancers. It seems to me that surviving cancer has more to do with which type your cancer is and how good your immune system works than with any treatment. This argument is also very applicable to prostate cancer in men.
If I would find a lump, I certainly would have it removed surgically. If I get "exploding" cancer, I hope I will die gracefully. Not knowing if I already have such a time bomb inside me, I make sure I walk every day during daylight to get my daily dose of vitamin D and exercise, I eat my veggies and drink my green smoothie, I keep my animal flesh consumption low (but I don’t advocate vegetarian or vegan lifestyles), I take a daily cold shower or cold sitzbath to strengthen my immune system, and I make sure I sleep long before midnight so that my body can catch bad cells and repair what is broken – before it explodes.
The rest is not in my hands.
Alexa Fleckenstein M.D.
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Blog: On Health. On Writing. On Life. On Everything.Bone HealthJanuary 26, 2012
We have talked about bone health before. But is comes up all the time. Here my thoughts:
• Light: A daily walk, sun or clouds for making vitamin under the skin. How high is your vitamin D level (blood test)? Should be over 40. • Greens and other vegetables build bones. All plant material gives calcium plus all the other minerals needed for bone health. Fruit, nuts, herbs, legumes and whole grains are good, too – in moderate amounts. • Avoid dairy and too much meat because their acidity leaches calcium out of the bones. • Daily movement is important. Walking is probably the best. But anything helps – like cleaning out the garage or the attic, working in the garden. • Sufficient sleep before midnight. Repair time in the body, according to Chinese Medicine, is between 11 pm and 1 am. If you are not asleep, repair can’t take place. • Is your thyroid working normally? Over-activity leads to bone loss. • Similar with the parathyroid glands: Make sure your PTH is in range. Is relatively rare – but an often overlooked problem. • Unrecognized gluten problems can lead to osteoporosis. It turns out that half of all celiac patients have NO gastro0intestinal symptoms. So, it can unrecognized forever. Unrecognized gluten sensitivity is the most common cause of unexplained osteoporosis. Unfortunately, the tests are not 100% reliable – but a test is a beginning. 龙年快乐Happy Dragon Year 2012!January 23, 2012
The Chinese New Year begins today – time for miscellaneous thoughts and new resolutions!
龙年快乐 read character by character, means “dragon year happy happy” – pronounced long nian kuai le. What I find fascinating is that both “happy” terms are spoken with a down tone. In my ear that double happy-happy sounds less than a Western easygoing, lucky-feeling happy but grimly determined: You better be happy – or else! I might be over-stating it, but to me the Chinese kuai! le! shows perfectly the difference in the Chinese approach to ours: We expect happiness, well, to “happen”, for instance in a relationship. The Chinese know it is hard work … Just finished the Scripps Conference on Natural Supplements here in San Diego – taking advantage to me being right here in California (for only another week now!). Here are some thoughts I am carrying home from that wonderful conference: • Listening to the results of modern science (the conference was for physicians and health practitioners and the talks were evidence-based – using modern science; no touchy-feely mumbo-jumbo). It seems, my thoughts on health have well held up during those many years I am thinking about what our bodies and souls need. The only point where I am more radical is in fat consumption: Most health practitioners are still fat-phobic. I am not talking bacon dripping fat, ice cream and cream puffs here – I am talking olive oil, coconut oil, fish oil, and never say no! if somebody puts foie gras on your plate – it doesn’t happen that often! - George Bernard Shaw (1856 to 1950) had this to say: “No diet will remove all the fat from your body because the brain is entirely fat. Without a brain, you might look good, but all you could do is run for public office“. • Let’s correct that touchy-feely part: Turns out, we alternative practitioners know that body and soul belong together, and at the conference there was a healthy amount of hugging, laughter and tears going on. Because if one thing has become clear – through our old failings and brand-new science: One can’t go it alone. As a physician, I need like-minded colleagues; as a fat person, you need friends, family, community around you to make a dent in your weight – or whatever health problem you are tackling in the moment. • Obesity is a good guess of mine because, firstly, now more than a quarter of Americans are grossly overweight – half are only overweight - and all conditions that physicians usually label as single diseases are coming together: heart disease, diabetes, depression, arthritis, obesity (Mark Hyman called it aptly “diabesity”), cancer – they are ALL ONE, namely a wrong lifestyle. Wrong food, heavily subsidized and advertised by your own government, with your own tax dollars. Time to take matters into your hands and “own your health”! “Own Your Health”, of course, is the title of Roanne Weisman’s book about alternative medicine. She wrote it after overcoming a stroke with the help of many different alternatives, after mainstream medicine had told her she would stay disabled and had to adjust to it. Boy, were they wrong! • The old excuse that it is “all in the genes” cannot be used anymore. Yes, a lot of your weight might be determined by your genes – but only if you allow it to be so. The new science of epigenetics teaches us that genes can be switched on and be switched on – and guess, who does the switching? Your food does it, and you moving your butt around, that does it. Isn’t it marvelous? • It takes a village to raise a child – you have heard it. It also takes a village, or a tribe, or your church group to change your health habits. Line up with a friend to start walking during lunch hour – five minutes in one direction, five minutes back. And be part of the solution, not the problem: Whenever you bring cookies or brownies or a potluck – don’t go to the old recipes! Explore new options without sugar, dairy, white starches. I always see that deviled eggs are the favorite of everybody – and they is nothing wrong with eggs, especially if the are organic, from free-walking hens. Bring cooked greens with olive oil and garlic, pepper and salt – they are delicious cold or hot! Educate your friends – don’t give in to their sugar-icing cravings! They will thank you. • If we would not eat alone and always at a table (not in the car, not in front of TV, not in bed), we likely would be slimmer. In olden times, if you grabbed the biggest piece of meat, your mom would slap you and say: “Don’t be greedy!” If you asked for your fifth pancake, your grandma would say sharply: “Now is enough, dear!” And since nobody catered to their little hurt feelings, children found home less congenial than the outside and their friends. We always asked if we could go “outside” – whatever it was, it was not inside with the parents (your parents made you uncomfortable because they always wanted to prepared you for life), and it was not in front of TV, computer or game boy. When I was a child, our first TV came with a key – whatever happened to THAT technology?? - and we children could not even turn it on when the grown-ups were out working. Of course, we children soon figured out that the key was kept in the bar, behind the bottles. But it was a high-risk gamble – and TV was never half as exciting as our friends outside. We had one fat girl in class, in all of my thirteen years of school. And that poor girl, we all pitied her – but we wouldn’t play with her. • “This body is not a home but an inn, and that only briefly.” Seneca (4 BC to 65 AD) said that. I think we have to start talking about what is needed: That people take their own health in their hands. Your doctors can only assist you – not do the work for you. So let’s start by calling fat “fat” – no more pussyfooting around it; physicians have long enough colluded with patients and avoided the “F” word: “I won’t call you fat, if you stay my patient”. The health care system is falling apart under the burden of health care costs brought about by overweight people (don’t forget – I still am for a national health care system!), the Earth is brought down under the burden of too many people who consume too much, and all our wealth so far has brought us very little real happiness it seems – if we judge by how many people are on anti-depressants. • Bad news: Before you die of being overweight, the Earth might have died of pollution. Definitely, future generations – they are your kids, my kids, our kids and grandkids! – are in danger. Newborn babies have been found to have more than 200 industrial chemicals in their umbilical cord blood, right when they are born. The womb has not protected them. We are finding out the hard way that you can’t dump dirt there, and assume you are safe here. We all have only this one Earth – and do you want to be responsible for babies born with birth defects? Global warming is real – so is overpopulation and increasing environmental diseases. • And what do they mean by “natural supplements”? I am glad to report that they do not mean artificially manufactured vitamins or new-fangled molecules, but they promote (mostly – no industry is perfect!) clean, whole, fresh herbs preserved in a bottle of tincture or capsule as well as possible. And if you are waiting for that miracle pill that might do the work for you – dream on! Real health is work. And didn’t you know it: Being sick sucks much worse. Real health takes very little: A bit clean water, a few simple, fresh foods, a good night’s sleep – every night, a few herbs to treat little things early, abundance and walking and dancing and laughter with friends. Music, art, books. Ask more of this life just than a heavily mortgaged house, a car and a career! A happy, hard-working New Year to you! Those Delicious YogurtsJanuary 5, 2012
A whole fifteen minutes I must have stood in front of the yogurt section in the refrigerated part of the natural food store, reading labels and deciding what to buy. My natural inclination is the one with cream on top – they are so unspeakably yummy!
Which means that all the “skim milk” and “low fat” varieties are out for me. I also don’t like anything added – no fillers, no flavors, no fruit, not even simple honey. I want the real thing. Already, I have few items to look at. What I found out from the labels: • Greek yogurt does not come from Greece • Bulgarian yogurt does not come from Bulgaria • Middle-eastern yogurt does not come from Syria, Israel or Jordan • Goat yogurt always seems to have tapioca in it • Sheep yogurt has the highest fat contents (good for my brain that craves fat all the time!) – but I could not find one any without fruit or honey. I will look around for a plain one. Of course, I’d always choose organic since I don’t want added bovine growth hormones in my yogurt – it’s bad enough that milk (cow, sheep, goat, mother’s – whatever) already comes with a wallop of natural growth hormones. Why? Because milk was invented to let tiny babies (calves, lamb, kids, human infants) grow very fast in the first few months of their lives. I don’t need to grow anymore – in neither direction – and I rather don’t have sleepy cancer cells in my body wake up and indulge in a growth spurt. This thought actually made the whole yogurt idea rather unappetizing. Especially, if one considers that they also provide tons of inflammatory milk proteins, which give us arthritis, depression, diabetes, heart disease, cravings, and so on. You already know that I don’t buy into the myth that dairy gives us needed calcium. Those, and all the other minerals to build strong bones come from the plant kingdom: vegetables, legumes, herbs, nuts, fruit. It doesn’t mean that I am not still dreaming of creamy yogurt. Not to mention that they contain probiotics – healthy bowel bacteria. Finally, I came across coconut yogurt, which I had never seen before. Again, that one contained fruit and chicory root extract. But it gave me an idea: I can make my own! Years ago, traveling in Turkey, a chef (God bless him!) showed me how to make yogurt: Bring a pot of milk to nearly a boil (to kill bacteria) – 90 C, or around 190 F – and keep it there for about twenty minutes, let it cool down so that you can touch it, add a spoonful of yogurt that provides starter bacteria, wrap the pot into a towel and cover it in your bed. Hours later, the pot of milk has turned into wonderful yogurt. Starter bacteria can also be gotten from those probiotic capsules: I have some with those Bulgarian lactobacilli; they can be whipped into the milk. Two secrets for making yogurt: • Keep every item you use very clean (preferably by heat treatment in boiling water) to keep out “bad” bacteria • The desirable temperature in your bed (or in a “cooler”, or in a rice cooker) is between 37 C (ca 100F) and 55 C (ca 135). Higher, and the “good” bacteria will die; lower, and they will not multiply. Coconut milk contains no milk sugar – lactose. So, in the production one has to add a spoonful of table sugar for the processing, as the bacteria need food to thrive and divide. Make a small batch – full-fat yogurt contains a heap of calories (even that I never count calories!). Unfortunately, I have to wait a month, until we will be back at the East Coast. There I have a crockpot, which I will try. And I will use the thermometer I bought here to measure the temperatures in my Californian pool … I will report! New Year’s ResolutionsJanuary 2, 2012
Most of us have probably resolved to move more, eat better and – perhaps – lose a few pounds in the new year. All very commendable. But as I am worrying about the nation’s expanding waists, I worry more about the state of the world generally. People are not only fat, but they are sad, too, and lonely. There might be a relation between being overweight and being depressed (eating fresher foods and exercising more will increase endorphins in the body and make people happier).
But a person is not an island, and I think building a better world needs the effort of many people combined. Emphasis on “combined” – as we do not amount to much alone. But together with friends, loved ones, family, community we can tackle everything. Fad diets won’t work in the long run – but smiles and friendliness and lending a helping hand here and there will go a long way. Six-pack abs are a fantasy - a body that is healthy must not necessarily look like an advertisement - it just has to function well. And too much exercise can will ruin joints and muscles. And in the end, all beauty will end up on the compost heap anyway. A beautiful smile and a helping gesture, however, might never be forgotten. Let’s dream of better things than weight loss – things like ending war, poverty, ignorance, bigotry, loneliness. And by distributing cheer and much-needed help all year long we might, accidentally, run around a bit and shed the pounds … unthinkingly. I want the world not lean and mean, I want it friendly and livable and caring. A Happy New Year to you! Care Of Unsightly FingernailsDecember 19, 2011
A physician can tell much when she looks at your nails – if she was trained well. The nails can show fungus and other specific nail diseases. But many internal diseases show also at your fingers and nails – and other than the tongue, which in Traditional Chinese Medicine is used to diagnose diseases, the fingers are usually not hidden, and I don’t have to ask a patient to show me his tongue.
By the way, Sebastian Kneipp used to gauge the health of a person by ear diagnosis – also freely to be inspected. One anecdote goes that he gave Pope Leo XIII another nine years, when the Pope already was at the ripe age of eighty-eight. Sure enough, the Pope died at ninety-seven – and had a chance to implement some of his social-minded reforms. Leo XIII was one of the most progressive of popes. Of course, fingers, tongue, ears – there’s no hocus-pocus involved: Any part of your body is affected by the same age, the same experiences, the same nutrition and, usually, by the same disease. No wonder then that an experienced observer can tell much from them. Some of the diseases I recognize by nails: Liver disease, iron deficiency, chronic autoimmune inflammation, arthritis, psoriasis, gout, a bad infection or severe stress that happened months ago, circulatory diseases, Kawasaki disease, a sluggish or overactive thyroid, certain heavy metal poisonings, skin diseases (even sometimes a melanoma under the nail – so-called subungual melanoma), vitamin B12 and C deficiencies, lung and heart disease, impaired kidney function, folate deficiency, malnutrition (protein deficiency), nail injuries, use of certain antibiotics, and so on. Having said this it is obvious that we doctors don’t encourage artificial nails and nail polish – it takes an important diagnostic tool away from us! This list also alarms you that changes in your nails should be examined by your doctor. But sometimes one has only “ugly” nails, with now apparent reason – perhaps brought simply on by the aging process or dirty work. Here is a nice simple method to make your nail beautiful again: • Keep fingernails short by filing with an emery board, never by cutting (toenails should be cut straight). • Wash and brush hands and nails with a soft brush and a non-harsh soap. I prefer olive oil soap. • Apply tea tree oil to the nails thinly; rub it in. • Apply olive oil with rosemary essential oil (other essential oils like oregano, lavender, myrrh work the same way) to hands and nails. • If your hands are rough, apply coconut oil (the same organic grade that you use for cooking) regularly. Season’s BlissDecember 10, 2011
• Give your spare coins freely to homeless people
• Buy hat and mittens for a poor child • Give to Amnesty International or another worthy charity; the one that gives most money to its clients and least to its CEOs is the Salvation Army) • Visit a homeless shelter • Knit socks for a soldier • Take a child to a museum or a zoo – don’t buy anything to eat since the event is what you are showing the child • Visit a nursing home, caroling • Collect money and donate it to an, preferably not to the rich city organizations, but to a rural needy one • Find inexpensive unusual gifts, preferably from Third-World places • Wrap your presents in newspaper – or don’t wrap at all • Cook a healthy meal for a neighbor who is house-bound • Read a Christmas/Hanukkah/Kwanza story for the children in • For people who have everything already: Make named gifts to charities • Bring toys to a collection place that serves underprivileged children; stick to old-fashioned wooden toys, dolls and board games • Bake some gluten-free low-sugar cookies and serve them to every visitor this time of the year, including the mailman • Come up with at least three more ideas than I did – and tell us! Offerings And GluttonyDecember 7, 2011
Bad news: The holidays are terrible for your health. Good news: The original thought behind the present shopping frenzy was divine: Be grateful for the offerings life hands you out all the time.
This season always overwhelms me, and to survive it seems to get harder each year. This is what helps me – it can be done anytime, anywhere: Sit or stand with your palms turned up. Breathe in, breathe out. Notice how the Universe is there for you with all its plenty. Take the air into your lungs as a present. Take the water from your faucet as a present. Take your family and your friends as a present (as exasperating they might feel at times). If there are no family, no friends in your life, open your eyes: There are bound to be some – at least one – among the ten billion people on Earth who is destined for you (but you might have to go searching for them – the magi didn’t wait for the Star of Bethlehem to come to them). There are always people who are needier than you, as dire as you might see your situation now. Be grateful for the tiniest thing: That is the message of the holiday season. Take the offerings, and share them. AND the other problem linked to the season: gluttony. For this one high feats in the year, allow yourself gluttony. Enjoy it! It was invented for that: so that the rest you the year you can endure the drab and being reasonable. In olden times, naturally, starvation set, with scarce resources, and set the balance right. Nowadays, we have to use our brains because starvation is not likely to come to our help. Here a few survival rules: 1. Don’t start a new diet big time around this time of the year! Instead celebrate with all your heart, and with all your friends and the whole bunch of your family. You don’t want to stand around munching on a lettuce leaf while everyone else is having a ball. 2. Don’t do second helpings – just DON’T. NEVER. Sample every variety, but don’t go back. 3. If you overeat, overeat on meat and fat – not on simple starches. Cut down on cookies, candy, cake, ice cream, and so on. Listen: I said: Cut down! Not: Avoid them altogether. After all, this is a wonderful season. 4. If you overeat meat: Drink lots of hot water or tea because the protein might otherwise hurt your kidneys. 5. If you eat fatty things, make sure that the fat is healthy: Nothing fried, nothing processed, nothing hydrogenated. Olive oil and coconut oil are actually good for you. Best, of course, is you cook your holiday meals from scratch – then you know what went in. 6. If you want to be extra goodie-good: Overeat on vegetables: Green beans, red cabbage, colored peppers, purple kale, red tomatoes, orange carrots. They will help you to get through the holidays. By the way: There are no restrictions on vegetables – you can have as many helpings as you want! 7. And after each heavy meal, take friends and family for a walk. 8. And against the gifting stress: It is always good to keep it simple: self-made jam, if you still have some. The old stand-byes: Books, music, flowers. The new stand-byes: charities and gift cards.And if you have no money, offer your time: a voucher for a back rub, baby-sitting, dog-walking, garden work is always appreciated. Minimal Exercise ProgramDecember 5, 2011
Reasons why I keep my exercise program as minimal as possible:
1. Exercise is boring. 2. Too much exercise may easily lead to injuries: We now have a medical specialty called “sports medicine”. If we didn’t overdo exercises, we would not need sports medicine. Using those modern gym machines while watching TV is a mindless enterprise. And as things go around, they come around – you could end up hurting yourself. 3. Definitely, there are more interesting things to do – playing cello, writing a book, reading tons of books, dabble with colors and brushes, being with family and friends, learning Chinese – to name a few. On the other hand, I do have bad posture – inborn (many years of unrecognized gluten intolerance that weakened my muscles), and from years of being bedridden as a young person. Movement creates fire and warmth inside, without which we would not be alive. We need to move yes, but nowhere is it written that we need to jog or overexert ourselves in bad ways. My exercise program changes all the time – I am always on the lookout for something faster and better. You might remember how much I liked the Five Tibetans – until I developed lower back pain. Recently I had to abandon my laps in the unheated Californian pool; the temperature got too low. I still jump in from time to time, just to get the immune-stimulating jolt of the cold water. But I can’t get my exercise that way anymore - danger of hypothermia and ruptured muscles. Of course, back in Boston, I work in the garden and go to yoga classes, and have a house to tend to. Here, in this tiny apartment, I had nothing comparable – so far. Until last week , when I joined tai chi classes – or as it is called in proper pinyin Chinese: tai ji. In German, tai chi is called “shadow boxing” – and that describes well those flowing, artful movements I now try to learn. Emphasis on “try”: This is not my first time; in the past, I always had trouble remembering the sequence of movements. This time around, I will not even try to learn the sequence; I will just mimic my teacher and lose myself in the flow of gestures. Because, in the two more months we will stay in San Diego, how much can I really learn? Not much. But in the first lesson, I already learned an important movement, which I now practice every time I pass by a mirror and notice how bent I have gotten up from my studies. Which makes two little exercises which I do in en-passant, not putting in extra time: 1. This squeezing of my shoulder blades that immediately makes me more upright. Firstly, it is a simple reminder; secondly, the squeezing loosens the muscles of the upper back and prevents that my head slowly vanishes between my shoulders like the head of a turtle in its shell. 2. Standing on one leg – especially while brushing my teeth, or waiting and whiling time away. This is good for balance, and for strengthening leg and pelvic muscles. Imbalance is what kills the elderly: Imbalance – fall – hip fracture – pneumonia – death; we physicians see it all the time. This exercise also increases bone mass in legs and spine, thus counteracting osteopenia and osteoporosis, thus preventing those nasty hip fractures. Standing on one leg is far more interesting and effective than Kegel exercises! Keeps your sex alive! Not everything can be done on the go. So, I have this daily program – and don’t hold your breath! - each of these exercises takes less than a minute, and presently, I am doing six of them, each of them repeated 21 times. Twenty-one: That is the number of repetitions I have kept from the Five Tibetans. You can’t overdo much in twenty-one times, and twenty-one brings me just to the border of utter boredom. 1. Knee bends: Done wrongly, knee bends can hurt your knees. Therefore make sure that you are doing them right: Keep feet and knees together, keep knee caps over your toes, and don’t go deeper than you can easily do, but challenge yourself to go deeper with time. 21 times. Or, in the beginning, you might want to do this by holding on to something stable. 2. Arm exercise: Done with a small heavy ball. I have one of those weighted exercise balls – six pounds. When traveling, I am using my whale of a laptop – has nearly six pounds, too. Fill a plastic bottle with water (this is lighter), or find a heavy book. Slowly lift the ball (or whatever) with both hands and arms out-stretched, and bring it up above your head. Then bend your arms backward and down. Bring up your arms again, over your head and then down in front. Repeat this 21 times. It is good against arm flab, and strengthens the muscles of your upper back. 3. Back exercise: Stand tall. Take the ball in both hands behind you back and lift it upward 21 times. That will squeeze your shoulder blades and improves posture. 4. Swimming on dry: I started this after I had to leave the pool, because I missed the exercise that built up my upper back muscles. Come down on the floor on your belly, lift arms and legs slightly from the ground, and make swimming movements 21 times. A boon is that you are massaging your bowels in this position, which is good against constipation. Getting down on the floor daily acts also anti-aging. 5. Neck strengthening: This I do mornings and evenings in bed: Dig your heels and the lower part of your back head into the mattress. It feels like you arch your back in this position. Breathe in and out. It strengthens all back muscles, especially the upper back. It also works like a charm against a double chin. 6. Tongue exercise: This also helps to eliminate a double chin. Stretch out your tongue, 21 times. One would think that a program this trifling would do nothing for the health of your body. On the contrary – I was never as toned and nimble as I am now, on this program. If however you are already doing triathlons or marathons: Stick with it, don’t listen to me … at least not until you come home injured. Then turn to my gentler method. A big part of why this works is the mindfulness you practice all day: You stand on one leg while waiting for the bus. You get up from the computer and squeeze your shoulder blades. You are in the bathroom and stick out your tongue a few extra times. This program keeps you aware that you have a body, and your body needs attention and pampering, too. Moving your body gently pampers it. Lying down and doing nothing pampers your soul. There needs to be a balance between the two! The other activity we do as often as we can, is walking. Here in San Diego, we have the beautiful Black Beach. If one removes shoes and socks and walks at the water line, in and out of the waves, it is great fun, and another great provocation to the immune system! And by walking and talking we keep our marriage afresh and alive. |
Iguazu Falls, by Xin Liu
Alexa Fleckenstein M.D.
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