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Tired of Pain or Fatigue? The Biochemistry of Feeling Good PDF Print E-mail


by Jacob E. Teitelbaum, M.D.


It’s time to discuss the physical factors that can powerfully contribute to your feeling great. Even though they may seem obvious, it doesn’t hurt to start with the basics:

Fresh air and exercise—We sometimes forget how important these are to our wellbeing. Research has shown that exercise is as effective in elevating mood and treating depression as Prozac. Remember—“No pain, no gain” is stupid.

Get enough water—dehydration is a serious and commonly overlooked problem which can be increased by stress. Take a moment to notice if your mouth or lips are dry. Most of you will find that they are. If so, you are dehydrated and need to drink more water. Although it is not unusual for those of us under stress to need a gallon a day, I do not recommend counting the number of glasses of water a day that you drink since this can get old fairly quickly. Simply notice if your mouth or lips are dry and drink water when they are. Water tastes good and can be a major energy booster when you are dragging.

Unfortunately, I do not believe that the American water supply is in very good shape— despite governmental claims to the contrary. Sadly, much bottled water is not necessarily better than tap water. Water filters can be pretty iffy as well. The filter that I have found to be most effective is the one made by Multipure.

Make time for yourself and your loved ones. Sometimes we take these people for granted. Spend less time with people whose company you don’t enjoy and more with those who it feels good to be with.

One of the most important people for you to be with is yourself. Hundreds of years ago, before light bulbs were developed, sleep often lasted 12 hours a day, beginning when it became dark. People would usually fall asleep for a few hours and then wake up for two hours before going back to sleep. This time was spent in lovemaking or for being with oneself. It was a time to explore dreams, feelings and generally reconnect with one’s self. This self time is very precious. When it comes to “self-time,” be sure you “pay yourself first.”

Sleep. To many of you, the idea of 12 hours of sleep a day may seem absurd and decadent. Even 100 years ago, when we began to become industrialized, the average American was getting nine hours of sleep a night. And then light bulbs were developed. We are now down to six or seven hours of sleep a night on average and this is not adequate for most people. In addition, the quality of our sleep has suffered.

Insomnia and inadequate sleep have become epidemic. Inadequate sleep then causes fatigue, “brain fog,” immune suppression and general irritability. In addition to the insomnia caused by stress, we are seeing an increase in sleep disorders such as sleep apnea and restless leg syndrome (RLS). Natural remedies can also help many people with RLS and insomnia in general.

I do recommend that you limit the amount of sugar you eat. This does not mean giving up chocolate or treats. It means keeping those things that give you the most pleasure. Simply get a small portion of your favorite sweets, walk away from the serving dish and savor and enjoy it thoroughly—with no guilt. If you feel guilty about eating something, you’ll likely ‘inhale’ the whole portion before you ever really taste it. I would avoid things like sodas, however, that have large amounts of sugar (~10 teaspoons/12 ounces) and potential toxicity without much benefit. Natural sweeteners such as stevia can be substituted and appear to be quite safe and healthy.

Besides avoiding excess sugar and caffeine, recognize that it is normally healthier to eat foods that are less processed and still contain the original vitamins, minerals and enzymes. Also remember that eating food which is fun and leaves you feeling good (from a centered place) is also a very healthy thing to do. There’s no one diet that is best for everybody, so listen to your body—it will tell you what it likes and doesn’t like. Simply remember to check in with your body a few hours later so you can tell if the food really made you feel good or if it was simply a craving or addiction.

There are over 50 different nutrients that are critical to your well-being and many of these are low in the Standard American Diet (appropriately abbreviated S.A.D.). It frustrated me that people often needed to take over 20 tablets of supplements a day to optimize their basic nutritional status. Because of this, I have developed an excellent powdered formula which, along with a single tablet daily, replaces over 25 tablets of supplements and supplies most of the nutrients you need for optimum functioning in a convenient and economical way.

The most critical functions of these nutrients for energy and pain control include:

Fueling your energy system. The B vitamins make up the backbone of energy production and transport. In addition, magnesium is a key player in hundreds of critical reactions in the body and is markedly suboptimal in most Western diets. Many other nutrients, including malic acid (which comes from apples), folate and several amino acids are also critical for your energy systems to work well.

Supporting a happy and healthy mind. “Brain fog” is becoming an increasing problem in our society. The B vitamins, especially B1 and B12 are critical for mental clarity. Inositol also helps promote being calm and can be especially helpful for those who are anxious. Many amino acids (proteins) are critical for adequate neurotransmitter levels (e.g., serotonin, dopamine and epinephrine). Deficiencies of these amino acids and neurotransmitters, as well as many vitamins and minerals, can commonly cause depression. I suspect you’ll be amazed at how much happier you feel when you get adequate nutritional support.

Proper tissue repair and function. Being in chronic pain will not help you feel good. Any of a number of nutritional deficiencies will trigger chronic muscle shortening and pain. Many of you will find that chronic pain problems go away when you get eight hours of deep sleep a night and take the nutritional support needed for your muscles to heal and relax. The same nutrients may dramatically improve your hair, nail and skin quality. Treating infections and hormonal deficiencies is also critical if one wants to eliminate chronic pain. Infection and cancer fighting. Many nutrients are critical for proper immune function. Chronic low-grade infections are very common in Americans these days. If you have a diagnosis of spastic colon or chronic sinusitis, you probably have a fungal infection that your doctor does not know how to look for.

As you can see, adequate nutritional support is critical to feeling good. Adequate protein (eggs, beans, rice, nuts and corn are good sources) and essential fatty acids from fish (at least three servings a week of tuna, salmon, herring or sardines, or flaxseed oil, if you are worried about mercury) are also important. Dry eyes, mouth and skin often reflect essential fatty acid deficiency.

Treat hormonal deficiencies. If you’re tired, achy, have weight gain, and/or cold intolerance, you probably have an underactive thyroid gland and can feel better if treated with natural prescription thyroid (I prefer Armour thyroid). Fatigue associated with hypoglycemia (sudden anxiety relieved with eating chromium 250 mcg/day can help after six weeks) and low blood pressure often respond to supporting your adrenal (stress) glands. Vitamin B5 (pantothenic acid) 1000mg twice a day, Panax ginseng 100mg twice a day, plus vitamin C can help your adrenals heal, as can natural hormone treatments.

If you have hot flashes and decreased vaginal lubrication, a trial of natural estrogen and progesterone may be warranted. Low libido and depression are also common with testosterone deficiency in both men and women.

It is important to be aware that many blood tests will miss most cases of hormonal deficiency. There’s an old saying—“treat the patient—not the blood test.”

Tired, achy, have brain fog and can’t sleep? If so, you probably have a process related to Chronic Fatigue Syndrome and/or fibromyalgia. These are now very treatable. For those of you who would like more information on effective treatment of these syndromes, see my Web site at www.endfatigue.com. The site includes a sophisticated computer program which can analyze your medical history and blood tests to tailor a treatment program to your specific case. My book, From Fatigued to Fantastic, also has much more information on effective treatment of these problems.

Great sex—This approach can help increase your libido and get you back in touch with your natural passion—which is pretty powerful (that’s why there are so many rules trying to rein it in). Sex is fun. In addition, a study by scientists at Scotland’s Royal Edinburgh Hospital found that an active sex life contributes to both looking and feeling young. Researchers studied over 3500 women and found that those who had sex at least three times a week appeared 10 years younger than their actual age. The chief researcher, David Weeks, feels that this is because sex increases production of growth hormone. Isn’t science wonderful?

To summarize, the following physical factors can help improve mood, increase energy and decrease pain:

  • Get eight hours of sleep a night. Natural remedies can help. An excellent one is the “Fatigued to Fantastic! Revitalizing Sleep Formula.”
  • Get plenty of good quality water. If your mouth or lips are dry, you’re dehydrated.
  • Eat what makes you feel good. This usually means avoiding sugar and getting food that is not overly processed. The American diet is awful. An excellent once daily nutritional supplement can be very helpful. I recommend the “Fatigued to Fantastic Daily Energy Enfusion Powder and B-complex.”
  • Exercise and fresh air. If it makes you feel worse the next day, do not push to pain or exhaustion.
  • Have a full and satisfying sex life. Remember. That which makes you feel good (from a centered place) is usually good for you.
Best wishes on a full and joyful life.
 
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