Effective Strategies to Connect with Others

Effective Strategies to Connect with Others

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Effective Strategies to Connect with Others

You are really going to enjoy my guest today.

Today I have Amberly Neese on the podcast. She is a featured speaker, emcee, and comedian. She lives in Prescott, Arizona. And she is the author of several books, Untangling Faith, Friendship Initiative, Common Ground, and Belonging Project. 

And I can tell you from personal experience that she doesn’t just talk about connection, she lives it.

 I’m Dr.Vickie Petz Kasper. If you’re ready to take control of your health, you’re in the right  place. Whether you’re focused on prevention or you’re trying to manage a condition. I’ll give you practical steps to start your own journey toward better health because healthy looks great on you.

This is episode 157. Effective strategies to connect with others.  

Dr. Vickie: Welcome, Amberly. I am so happy to have you on the show today. Now, I always like to start by talking about how we met. And I met you back in the fall in a very remote spot in the woods in California. We spent a week together and you made me laugh and you inspired me and you gave me hope that there are very practical ways that people can learn to connect with each other. So tell us a little bit about your ministry and what you’re doing.

 Amberly: Yeah. So I am an author and speaker and comedian and actually speaker coach as well. , but my, , my heart’s passion is connecting people to God, connecting people to others and connecting people to who God has created them to be.

And so connection is my jam. So I’m very excited about that.  I am connected to a really cute guy of 32 years, my husband, Scott, and we have two adult children who one lives across the country, which is not working for me and a son, an adult son who is going to school and living with us. But, I am so thankful to say that I have done pretty extensive research  on not only the benefits of community, but actually how to get into community.

And so. If in any way I could be an encouragement to somebody listening about how to how to find their tribe and learn to thrive I would love it. I have bible studies on it. I have , all sorts of resources on it because for me, this is really a pivotal part of a thriving christian life for sure.

 Dr. Vickie: You know, I talk a lot about the impact of loneliness on your health, and adults experience loneliness in increasing numbers since the pandemic. Anywhere from one in three to one in two. And so, if you’re speaking to that person who’s having trouble connecting, where do you even start?  

Amberly: That’s such a good question. And I think, in full disclosure,  That you would like connection is the first thing loneliness to say. I need a friend. I want connection is so vulnerable. And I, so I think it’s so courageous for somebody to get to a place where they say,  I can’t do this on my own. It is not good for me to be alone.

It’s not good for people to live in isolation. And so I think the first step is just admitting. I mean, it sounds like I’m leading an AA meeting and I’m okay with that. But the first thing is to admit you have a problem to admit that loneliness is a factor. The second thing is to kind of, it’s almost like a dating profile. Now, I have, I’ve never, praise the lord, I’ve never had to do the swiping left swiping right. I don’t even know what those things mean. But if I had to re enter that world, I would be very clear about what I was looking for, what I offer  and what I’m looking for. And, I think that the same thing happens in friendship.

You have to figure out, what is it that you’re looking for? Do you want somebody to sit with you while you knit every day? Okay, I mean, good luck with that, but it’s possible that that’s what you want. Do you want somebody to take walks with you? Do you want somebody to be able to share your secrets with?

Do you want somebody who you can go country line dancing on Tuesday nights? I mean, you have to figure out what it is that you want, but also you have to figure out what it is, what is it that you have to offer.  And for me, and I know Vickie for you as well, this is very possible. I had to be honest with the fact that I don’t have a plethora of extra time.

I just can’t lunch all the time. Like so many of the people in my life where they have this incredible margin of time. I don’t. So I have a limited amount of time. So I had to be honest that in a friendship, that’s part of what I bring to the table, but I also bring encouragement because that’s something I’d love to do.

I’d love to encourage people. I. I bring honesty.  Some people can’t handle the truth, so I’m looking for friends who can handle the truth. And not only that, I’m looking for friends who are what I call love and shove friends, which are people who love me where I’m at, but shove me to greater things and want the best for me.

And when I’m not doing what’s best for me, that they love me enough to say, girl,  cut it out.  I love you. And I would love to help you be part of getting better at this. So you have to figure out what do you bring to the table. So admit you need a tribe, figure out what it is that you bring and what it is that you need.

And then this sounds like such an old school kind of sage thing, but go to the need, which means figure out something you’re passionate about, something that makes your teeth itch when you think about it. It’s something that , makes you passionate, good or bad, and then be part of the solution. And in doing so, you will find people with equal,  passion for the things you’re passionate about.

If it’s hiking, if it’s women’s rights, if it’s whatever it happens to be, if it’s feeding the homeless, find the need and go there.  And, I promise you, you will find people who are like minded, maybe not perfect runoff into the sunset best friends, but you’ll find people who are like minded and you’ll be reminded of the power of community.

Dr. Vickie: You are spot on with vulnerability because like you, I’m an extrovert. I think we’ve established that. But during the years of the pandemic, I experienced the most loneliness that I have ever felt in my entire life. And it was extremely painful. And it was good to admit it. And I remember I wrote in a blog post one time and I said, I’m lonely. And it felt shameful almost.  

Amberly: 100%. I mean, the word lonely has one in it. To say  I’m by myself feels so difficult. However, I love that in many translations of the Bible, it said that Jesus went to lonely places, meaning he felt like, man, he had perfect connection with the Father and yet he felt like, man, nobody kind of understands my plight right now. 

And , I think we all have those, we all have those seasons where you’re like, wow, I am knee high and whatever it is I’m going through and I don’t feel like anybody understands this, but, you’re not alone. That’s the first thing I’m going to say. , you’re not alone. But the other thing is, I truly believe, the brilliant doctor in you, I’m sure is going to talk about this later on.

Your intro is going to talk about this particular thing, but I truly believe all the brain research, all of the physiological research says we are wired to connect with others. We are, we are literally fashioned to be stronger in number. And, no matter what your ideology is, as far as where we came from and how we got here, community was a vital part of all of that.

And so I think,  to recognize that you need other people, it means you, you get to a place of humility that you’re probably better to be with anyway, if you didn’t feel like you needed people, it’s probably why you don’t have people because nobody wants to be with you.  But if you get to a place where you say, I could use some help in this area.  What a beautiful invitation for others to get there. And as you said, the statistics are staggering. Before COVID January of 2020, more than half of Americans admitted to being lonely and 61 percent or something like that said they don’t have anybody to tell a secret to. So sister sledge, you and I were not the only ones that were feeling lonely. During COVID, and I think it’s gotten worse. Honestly, I think COVID actually exacerbated an already difficult situation.

Dr. Vickie: I do too, but I think it, it did shine a spotlight on it. And I also wanted to tell you that I’ve never felt my teeth itch before, so I don’t really know exactly what that means, but I do think that making connections takes time. And that’s one of the frustrations.

Amberly: oh, Absolutely. It does take time, but  at the risk of sounding like I’m giving like too broad a statement – anything worth having is worth investing the time in. And so if you say, I don’t have time to exercise, but I do have time to die early, right? That’s essentially what I say when I don’t exercise.  If I want to have all the benefits and you’re going to give us all  the medical ramifications of loneliness and they’re crazy. You have to recognize, do I want to do any of those things? It’s like the commercials on television when they say you’re going to have clear skin, but side effects may include proclivity to gamble, , you want suicidal thoughts. And I think, you know what, I think I’m going to stick with my itchy skin. Thank you so much. Right, you have to weigh the consequences. And, in this case, the benefits to your health are so  profound.

It seems almost ridiculous that we would say, I don’t have time for friends. You may look at your calendar and think that, but I would like to say, I think that you need to make the time you need to prioritize it because you need to prioritize you and your health.

So I don’t have the medical degree. I just have a lot of mileage on my friendship vehicle and have made tons of mistakes and would like to say my life is richer because of the people that I’ve opened my heart to. and open my calendar to as well. 

Dr. Vickie: That is so true. And it’s not just your physical health. It’s also your mental health and your spiritual health.  And I love that you talk about what we have to give to a friendship because let’s be honest, some people can be a drain.  

Amberly: True, true, true, true. And You know, my mom used to say to me, baby girl, there are two people, the two types of people, givers and takers, which is a kind of jaded.

So can I tell you this sweet, the sweetest story? I love this so much. So for my last birthday,  I think it’s the best birthday I’ve ever had. Okay. So I, I’m 55. I just turned 55. So I’m finally the speed limit. Excited about that. And I have a group of girlfriends that we’ve worked hard to invest in one another and it’s not all rainbows and happy faces. It doesn’t look like Gilmore girls all the time. We do life together and sometimes it’s happy and sometimes it’s hard and there’s lots in between. We support each other. Months before my birthday, one of the ladies said, save this weekend, don’t make any plans. And I said, okay, what are we doing? She said, you’re letting me take care of this. I said, okay, again, for me, Vickie, you know,  I do like to know the plans, right? I I love scripture that says, I know the plans I have for you, says the Lord. But I am always like, could you let me in on the plans? And that’s not what he promises. So she says, let me take care of the plans. So  when all was said and done,  A group of ladies picked me up and we drove two hours to Phoenix and we went thrift shopping. Why? Because that’s my favorite thing to do.

Most of these ladies had never been thrift shopping. They’re in a financial echelon, they don’t have to worry about thrift shopping, but they did it because I love it. And then we had dinner and we had my favorite food and then they said, Oh, we better hurry up. We’ve got a show. I said a show and I’m thinking my husband teaches theater.

I know all the shows that are happening in Phoenix and I’m thinking I wonder what show we’re going to. Are we going to this one? Are we going to this one?  And one of them had asked me almost over a year ago, Hey, you inspire us when you speak, who inspires you? And I gave her a list of five people. She knew four of the five, but she didn’t know the fifth one.

So she looked it up and that person actually happened to be speaking in Phoenix the weekend of my birthday. And so they surprised me with one of my favorite speakers and Vickie I think it was my favorite birthday, not because I got the most amazing gifts, although I’m thankful for the gifts I got, it’s because for the first time in my life, I felt like a group of ladies  saw me and celebrated me. 

And that’s a sweet story, but I can tell you that’s 54 years of not necessarily doing community right. But they, however that happened, they felt like I see them and I celebrate them. And so that’s what they wanted to do for me  and seriously, sweetest birthday ever. And, again, long time coming.

I made a lot of friendship mistakes. I, I’ve dropped the friendship ball a lot and I’ve hurt people and I’ve had to make amends for that. So I’m thankful that there is hope. There is hope for all of us, even those. Weirdos who like thrift shopping and I’m so thankful for that. 

Dr. Vickie: That is so beautiful. And I think it demonstrates what we talked about earlier, and that is vulnerability. You have to have vulnerability to have a true relationship.

Amberly: Totally. As you know, I think you and I spend enough time, , you’re the master at this, but I’m a Padawan learner on this, the gift of questions. I can’t encourage you enough to, if you’re looking for a community to get yourself a couple of great questions  that help you get to know people better. And what’s so funny is that people are like, Amberly, you’re such a great conversationalist. And I’m like, no,  I just ask good questions. And you brought the conversation.

But at the end of the conversation, again, I had a group of ladies who wanted to  celebrate me and to help me know that I was seen. Why? Because I’ve asked questions and I’ve gotten in their world and I’ve done my best to try to remember stuff. If you tell me something, Vickie, like, this is my favorite Starbucks drink, it goes in my phone under your contact. And if I ever want to meet you, I look up your, your Starbucks order and I bring it to you on the way. And people are like, how do you do this? And I’m like, because of Jesus and Google. I just, I keep all this stuff together so that you feel like I see you. 

Dr. Vickie: That’s so intentional and I think that that’s really important in relationships to be intentional.  

Totally. Win-tentional is what I call it. You know,  it sounds like, , you know, strategy, strategery, , as they say in the office, but. The truth is it is intentional. It does take effort. There’s no doubt about there is no easy button on community. There’s no easy button on friendship.  Heck, we’re two or more gathered, there’s also conflict, right? So you have to work those things out. And last time I checked, it takes time and energy and investment and vulnerability, all those things, but worth it.  So worth it. 

Dr. Vickie:  I think that is so good and it encourages people who maybe feel like they’re on the outside looking in because I think a lot of times people think, Oh, they’re in a friend group and I just wish I could be like that. And so what advice do you have for people to just start being intentional and to start connecting?  

Amberly: So, first of all, I’ve  opened my Facebook feed and gotten my feelings hurt so many times I can’t even tell you. So I’ve been on the outside looking in. So there’s a couple of things. The first one is, I’ve also called people and said, Hey, the next time you go to that thing, let me know.

I would love to be a part of that. That looked like so much fun. So again, you’re admitting to yourself and another,  I could use this. But the second thing is start your own party.  Invite.  This sounds like such a third grade thing, but invite people that you see that were also not at said get together and think, you know what? Vickie’s not in any of those pictures. I bet Vickie would be, would be up for that. If that was your thing.

We have a new game that we love in our house called the Bible is Funny, hilarious. I get no kickbacks for saying this one of the greatest games. And guess what? It costs 0 to open up and play it in my house. 

It might cost me some chips and salsa to invite people over for a game night, but if I’m the instigator and again, sometimes you ask and people say no, and that’s hard, but what if it works out?  Well, then you’ve gotten to have chips and salsa with somebody who’s choosing to spend time with you. You get to have a great time of games and then you find out more about them. They find out more about you and you can figure it out. Again, it’s not formulaic because it’s people.  But, that would be what I would say is, again, go to the need, be part of that. Speaking of Facebook, and again, social media is such a  hotbed, but one thing about Facebook that’s fabulous, there is a group for everything.

Blonde people who love Pomeranians. There’s probably a Facebook group, hikers in the county, you know, big eyebrows who love, I don’t even know, chess. I promise you for every walk of life, there is a Facebook group. And so start maybe, on a very, easy level, which is connecting with people online with similar things.

And then once you practice that a little bit, then move on to the next thing and maybe again connect with somebody. Hey, can I meet you for coffee?  One of the best is ‘Wow, I really admire the things that you’re doing right now.’  At work or whatever it happens to be. ‘Can we meet for coffee? Can I talk to you about some of that stuff?’ News flash people love to talk about themselves and they love to talk about the stuff they’re passionate about. So why not make it about them?  And in doing so you may make a connection that you are forever thankful for.

Dr. Vickie: That is such good advice, and you know, I moved to a new town about a year ago, and so it was a big change for me. I didn’t have the group of friends around me that I had always had, and it’s not easy to make new friends. It’s not easy to connect in a new place, and I’m thankful to say that I’m kind of part of multiple groups now, and I’m very appreciative for, uh, the people that reached out to me, and it has made such a difference. But it’s hard.  

 Amberly: Absolutely it is. And, we had the same thing. That’s why I wrote my Bible study about finding your tribe, is that both my husband and I struggled terribly moving to a community we couldn’t wait to live in. I love this place, but it felt so cliquey. It really feels cliquey when you’re on the outside. But then the other thing is once you are in a group, remember that, remember the sting of feeling like an outsider and make sure there is always a chair available at the table, always.  

Because there are people that do that, where they’re like, well now that I’m in, let’s close the gates. And it’s like, wait, wait, wait, there are other people who could benefit from this.  And I’m going to say especially to older ladies, and I consider myself one of those older ladies. Please be on the lookout for those young moms who are on the struggle bus. Those young women who look like they have all the things because they’re because their Instagram page is on point.  But the truth is they are as lonely or more lonely than my generation than yours, I mean, you and I are in the same generation, but, just think that through. Don’t just look for people who look like you and who vote like you and who think like you do. Stretch out and make a difference. The Great Commission says go to Samaria, go to Judea, right? I think  the Great Commission applies to those of us in friendship and connection as well is get out of your comfort zone. It’s not just about you, right? ‘Can I bring you a meal? Can I help you baby hang out with your kids one night so that you’re not alone? Can I make killer microwave popcorn would love to bring that to you.’ Whatever the thing is, make it simple. It does not have to be difficult, but make it about connection and pour into others. And, I keep going back to the Bible because it’s such a beautiful love note of connection, but the Proverbs tells us that those who refresh others will themselves be refreshed. And I don’t know about you, but I could always use refreshment. And so, I think that that’s, that’s such an important thing when we make it about other people. I don’t know how the, how the heavenly math works, but it works out when we make it about other people that somehow we  reap the best blessings for sure. 

Dr. Vickie: Well that is so incredibly rich and I have not yet got to experience sitting in the audience with you on the stage but I hope that that is something that happens in the future.  I would love to get you booked to speak in my town and at my church and for anyone that’s interested in having you as a speaker they can visit your website and there’s a link in the show notes.  

Amberly: Absolutely. I would super love that. And if you end up booking me, those of you who are listening, if you book me, just say that Dr. Vickie sent you and I will give you the friends and family discount.   I love it.

Dr. Vickie: Do you have any last words of wisdom for our listeners?  

Amberly: My family was watching the chosen this week, and I know that there’s some people that they’re not chosen fans, and that’s okay. But, they took some creative license that I thought was so brilliant, which is when Jesus was preaching in order for all the crowds to be able to hear. He would say something and his disciples would just repeat the truth to so that everybody could hear. For those who are struggling with loneliness, I just want to encourage them. Just continue to speak truth to repeat the truth. You know, right? You don’t have to create your own truth, repeat the truth, to not only those in your that come into your sphere of influence, but also to the person in the mirror and remind yourself  you are loved. You are chosen. You are  beloved. You are fearfully and wonderfully made. And when you begin to do that, I can tell you people love to be encouraged. And when you repeat the truth that you know to those around you, I promise it will have an effect and you will make a difference. And that dissipates a lot of loneliness. So please continue to spread the truth and love people well.

Dr. Vickie:  I think my oxytocin levels just went up so high. Thank you for that. And yes, we are very much chosen fans in this family, and they do take some creative license, but they also just make it real.

Amberly: Agreed. We watched the episode with Peter walking on water and him holding onto Jesus. And I know that those are actors. I know they were reading a script, but I just found myself wrapping my arms around Jesus thinking, don’t let go, you know, so great. So I’m with you. I’m a huge fan, but, thankful for that. Again, they’re just repeating the truth that they know. And, I think it makes a difference.

So thank you so much for this. Thank you for your podcast. I’m just going to say, I know it takes time. I know it takes effort, and I know this is a passion area of yours, but you have spoken truth and echoed that. And I just want to say thank you so much from a listener who’s crazy about you.

Dr. Vickie: Well, thank you so much for sharing your expertise on connection with us. This has been just great. Love you..

Amerly: My pleasure. I love you right back. Have a great day. 

 

Dr. Vickie: Wow, this was such a great episode. It’s just gold, and I know that Amberly said I was going to share some medical information with you. But, you know what? I just want to let this sit right where it is, because I think this is an episode you’re going to want to listen to over and over again. Maybe you want to go and read the transcript, and I think you’ll want to share it with a friend.

And if you don’t have a friend, maybe this is a good way to  start a conversation. I love it when you share the podcast episodes and I know that this one in particular will give you some practical information on sharing connections with others. And I will put an episode to my previous podcast on loneliness in the show notes so that you can get that medical information.

But I think this is just powerful all by itself.

   The information contained in this podcast is for educational purposes only and is not considered to be a substitute for medical advice. You should continue to follow up with your physician or health care provider and take medication as prescribed. Though the information in this podcast is evidence based, new research may develop and recommendations may change.

 

RESOURCES:

AMBERLY NEESE

The Deadly Epidemic of Loneliness

From Loneliness to Belonging

The Bible is Funny card game

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If you’re a regular listener of this podcast and you listened closely last week, you know that I planned to talk about genetics today, but Sally, Steve and Lea, Greg, John and Sherry, and Barbara really got to me.  You don’t know them? You must not watch TV at all. Those stupid commercials air every few minutes.  In this episode, we’re going to bust some myths, but also amp up our game in the discernment category. We’re gonna discuss Prevagen, aluminum, and their relationship to dementia, as well  as some other misunderstandings. But wait, Sally is a nurse, isn’t she? Says so right on the commercial, a flight nurse.

Yeah, so she should know better. You see, she said she had a fear that she wouldn’t be able to keep up and she wanted all the boost that she could get. Okay, let’s stop right here because fear is a fantastic motivator when it comes to sales pitches.  People make purchases based on emotion. So this flight nurse who has all these medical resources available to her, heard from a friend.  Listen, friends don’t let friends take scammy supplements.  I will give her some credit because she said she read the clinical study on it and it had good reviews.  I’m not sure which study she’s referring to, but I did find a graph that has one bar going way up and the label says, In clinical trials, Prevagen has been shown to improve short term memory in people who were, and get this, normal or mildly cognitively impaired. Well, which is it? Because those two things are pretty different, aren’t they? But here’s an even better question. Compared to what? You see, the company’s own study showed that a placebo, which in this case was a flour pill instead of a sugar pill, was equally effective at improving the nine cognitive skills that they looked at, including memory.

So you can either pay 40 to 90 a month on Prevagen. Or you could just do something like, eat a peanut, and voila! Your memory will improve.

Just like Steve and Leah. They live in the North Pole, and they’re retired educators, but probably not science educators. And here’s how they got started taking Prevagen. Steve said he saw one of those incredibly annoying commercials and thought, That makes sense.  Does it though?  You tell me. The active ingredient is  aquaporin. It’s a calcium binding protein, and calcium is definitely linked to brain health and memory. Calcium is super important in communication between nerve cells in the brain. So it’s gotta work, right? Well, here’s what the announcer says. Can a protein originally found in jellyfish improve your memory? Our scientists say yes. Researchers have discovered a protein that actually supports healthier brain function. It’s the breakthrough in a supplement called Prevagen.  Their scientists say yes, but sounds fishy to me.

Specifically it’s made from jelly fish that luminesce. Now, these are some fascinating creatures, and honestly, I did not even know they existed until this summer. I went to the west coast to help my son move into a new apartment and we traveled down to Monterey Bay. There’s an aquarium there that has all these luminescent jellyfish and one of them was neon red. It was one of the most fascinating things that I’ve ever seen.

But what does that have to do with memory?  Well, you might have a bright future if you’re a Caribbean box jellyfish. Turns out they’re capable of learning even though they don’t have a brain. And what exactly can a jellyfish learn you ask? Well, they can learn to dodge obstacles, which can come in handy if you’re running an obstacle course, I guess. 

Nah.  Now, Barbara is a retired librarian from Michigan. Five years ago, she says she had a lot going on. And she saw the Prevagen commercial. And she started taking it. And she noticed that her memory was better, and people tell her that she doesn’t miss a beat.  I mean, she’s dodging obstacles like a professional jellyfish.

I guess the bottom line is, those commercials work. But look, we don’t have a lot in common with these jellyfish. They don’t even have a brain . But they do have 24 eyes and that’s pretty weird. 

But isn’t it the number one supplement for memory recommended by pharmacists?  Maybe, but I couldn’t verify that. But John is a pharmacist and he does a paid testimonial for Prevagen on the commercials. And he says he went ahead and gave it a try. And he feels like it’s really helping, so he recommends it to his customers, family, and friends as a safe product to try. 

That’s not how this works. In medicine, we don’t recommend things because we want to give it a try or because we feel like it helps. But I imagine a lot of people are listening to John because consumers have spent more than a hundred and sixty five million dollars on this product in the last ten years.

And it’s a hoax.

Maybe you noticed that their commercials changed recently. Well, that’s because a complaint was filed back in 2017 with the Federal Trade Commission. Because studies showed that this protein doesn’t even cross the blood brain barrier and it’s probably digested in your stomach and never goes anywhere else.  This was the beginning of a  seven year legal battle that ended last month. And there are two claims that got them in hot water.

One of them was that Prevagen reduces memory problems associated with aging. Because it  doesn’t.  The other one they said is that it was clinically shown to reduce memory problems associated with aging.  Now their website looks a little different since this case was settled last month, and it doesn’t even make a claim that it helps anything.

They can’t because it doesn’t work. Now, you may hate big pharma, but I can promise you that if you could milk some protein out of a jellyfish and make a medicine out of it, they’d have done it. It’s not like there’s a shortage of jellyfish.  

But on the Prevagen website, they list three studies showing that it’s safe. Not effective, safe. They’re labeled Safety Study 1, Safety Study 2, and Safety Study 3. But nothing to indicate that it does anything.  They don’t even pretend that it treats or cures anything. But, they do continue to aggressively market to an aging population who is concerned about memory loss. 

If you’re going to forget anything, forget Prevagen.  Here’s what they say now, I really feel like my memory has improved since I started taking Prevagen, or my wife thinks my memory is getting better.  

Greg is my favorite. He’s got a lot of gigs and is the most accomplished and likable paid testimonial in the game. He’s a motivational speaker so he has that edge. He noticed in his mid fifties that he was losing a bit, like walking into a room and forgetting why he came. Which, by the way, can be normal. And if you missed my episode on the difference between normal aging and early signs of dementia, I’ll put a link in the show notes.  But he’s been taking Prevagen for three years, and it’s helped him tremendously.

Now, I’m not sure what it helps him with because he admits he has a very healthy lifestyle. And people tell him that he has a memory like an elephant. Guess they didn’t know that aquaporin comes from jellyfish.  Now, maybe you’ve taken it and now you’re just feeling a little silly. I get it. People put soap under their covers to try to help with restless legs. At least that’s cheap. And desperate people do desperate things. Once I had tennis elbow really bad. I never played tennis, but I was desperate for relief. I ended up getting one of those copper bracelets and wearing it. Well, it’s kind of cute, but it didn’t work either. So I think we could all use some information.

So let’s go to mini medical school. 

Today we’re going to talk about medical research. Here’s the deal. Our bodies are incredibly complex.   So there are some experiments in nature that you could design to measure things or to prove this or that. But when it comes to the human body, we are quite varied in our responses to different things. So, a lot of times there’s not clear evidence to prove things. But you can’t just make stuff up. Well, I mean, you can, but the pharmaceutical industry is required to prove that their products are safe and effective.  It’s not a perfect system, but have you ever tried to actually read a package insert?

A lot of times it will say that a certain percentage of people had nausea or headache or even something more serious like a seizure.  But then the question becomes, would they have had the same thing even if they hadn’t taken whatever drug you’re reading about?  But they’re required to report anything that comes up during the trial. 

And if you look at the absolute numbers, it might say something like 9 percent of people had nausea, and if you look at the placebo group, well, 9 percent of them had nausea, too.  But here’s the deal, with the supplement industry, they don’t have to do all of this. The Dietary Supplement Health and Education Act was passed in 1994. And they are exempt from having to prove claims that vitamins and supplements even work.  So the best advice I can give you is listen closely to what they’re saying.  Just because somebody saw an ad and feels like something is helping, doesn’t mean it works. 

And in general, be careful when looking at medical research. It’s complicated. Traditionally, we consider the double blinded placebo controlled randomized trial to be the gold standard. It gives us the most reliable data, and That means that the person taking the medication or placebo nor the researcher who’s evaluating the data about the medication or placebo knows which one they’re taking. And that allegedly prevents what we call bias and helps us sort out the placebo effect. But even that’s not perfect.

We also have to look at the power of the study. Typically, a well designed study has lots and lots of people in it. It’s more meaningful if you look at that versus a handful of people. It’s reported as the N, which logically stands for number. So if you see a study of about 400 people in the grand scheme of things, that’s not really very big.  Often what researchers do is take a bunch of smaller studies and clump them together and try to increase the validity. We call that process a meta analysis. And it’s not perfect science either.

Listen, science is hard. Research is complicated and math is a challenge for a lot of us, even researchers. Apparently, some really smart people are not exempt from this. Recently, there was a paper published that showed toxic levels of microplastics associated with those black cooking utensils you use to protect the Teflon on your pots and pans. It set off a firestorm of TikTok videos to help people get rid of those things.  But guess what?  They made a mathematical error and missed a decimal point. So what was actually being released was nowhere near the toxic level. But it was too late for a lot of poor soup spoons.  

Another problem we encounter in studies is extrapolating data from animal studies to humans. And I see a lot of reference articles to some reputable sources, but they’re looking at things like the effect of some chemical in gigantic doses on some little animal, and that can cause misleading information. 

In the 1960s, rabbits were injected with high levels of aluminum, and they got lesions in their brain that look very similar to the lesions that people with Alzheimer’s get in their brains. So they started looking at aluminum as a cause for dementia. And I’m old enough to remember feeling a little bit of caution drinking out of an aluminum can. 

Turns out, they did find aluminum in those plaques in the Alzheimer’s brains of people. And that’s scary. But hold on. Healthy brains also contain aluminum.  And despite looking for a link, there’s no evidence that aluminum from cans or pots and pans or deodorant or antacids causes Alzheimer’s.  So now that we’ve busted the myth that a jellyfish protein doesn’t do anything besides waste your money, and that your pots and pans aren’t out to get you, Let’s talk about some more somber misinformation that people believe about dementia.

There are three falsehoods I want to address. Number one is that only older people get dementia. Number two is there’s nothing that can be done about dementia. And unfortunately, number three is that dementia is always preventable, because it’s not.  If you’ve been following this series on dementia, you know that the number one risk factor for developing dementia is age.

But that doesn’t mean it only affects people over the age of 65. Early onset Alzheimer’s can affect people in their 50s, 40s, and rarely even in their 30s. The symptoms are the same, but are often misdiagnosed. You can imagine partly that’s because it’s very rare and unexpected. It’s also even more tragic because it’s now affecting someone who may be still parenting children at home or maybe providing the family’s income.  And it can feel very isolating for the person affected and their family. And let me just pause right here and say that if you or your loved one has dementia, regardless of their age, there is so much value in support groups.  I think this is so important that if you cannot find a support group in your area, I would challenge you to start your own. I’m sure you could get some help from the Alzheimer’s Foundation or the Alzheimer’s Association. But if your life is affected by someone with dementia, I urge you right now to Google Alzheimer’s support groups in your area. 

If you’re worried about yourself or someone you love, it’s important to see a doctor. Because if anyone tells you that nothing can be done, they are falling for a myth.  The truth is that there are treatments available and lots of research is being done with new treatments in the pipeline. The earlier you get a diagnosis, the more opportunity you have to slow progression.

Not only that, there are some business aspects that you need to tend to to protect your family.  Lastly, I need to tell you that dementia is not always preventable.  I’m going to put some links in the show notes to all the episodes I’ve been doing on this series, and I stand by the fact that lifestyle matters. A lot. But even the most promising studies claim that 40 percent of dementia is preventable with lifestyle. And that means 60 percent isn’t. 

Remember, I told you you needed to listen closely when paying attention to medical research. Nevertheless, don’t you want to do all you can to protect your brain health? Lifestyle matters. The first recommendation is a healthy diet, physical fitness, social connectedness, stress management, avoiding tobacco and alcohol, and routinely getting a good night’s sleep. 

And I have some exciting news for you about sleep. I’m going to do an entire series in the month of February about restorative sleep. I have a couple of resources on my website that you’re gonna want to snag. Just go to www healthy looks great on you.com and you can find those. I’ve got an upcoming series of live webinars to help you with this as well.

Now that you know how to critically evaluate scientific medical studies, let’s take a moment to focus on a study that was released in June of 2024 by Dr. Dean Ornish, and it looked at the effects of intensive lifestyle changes on the progression of mild cognitive impairment or early dementia due to Alzheimer’s.

Now, this study was randomized and it was a clinical trial and that gives it some validity. And here’s what they did. They took people with early Alzheimer’s and randomly assigned them into two groups. One group implemented intense lifestyle changes, like the stuff I promote on this podcast. And they did it for almost six months. And the two groups were similar in their performance on standardized cognitive tests at the beginning of the study.  They also had blood work done to measure biomarkers of Alzheimer’s. Specifically, these are things in your plasma. And after 20 weeks, they compared the intervention group with the no intervention group, and they found improvement in their performance on cognitive tests, as well as these biomarkers in their bloodstream. In addition, their gut microbiome improved, and that’s super exciting.

Now, let’s think critically. There were 51 people in this study, and that’s not really very many. But still, the results showed that eating minimally processed, plant based, whole food, doing moderate aerobic exercise and resistance training, managing stress through meditation, breathing, and stretching, and attending support groups made a difference and the difference was statistically significant. 

71 percent of patients in the intervention group either improved or at least they didn’t decline and all of the patients in the control group either stayed the same or got worse. Now I don’t know about you but even though this is a small study that’s pretty encouraging. I’ll put a link to the study as well as an article about it from the American College of Lifestyle Medicine in the show notes. And I’ll send it out to my email list.

So, even though all dementia isn’t considered preventable,  let’s do what we can to be healthy. Because healthy looks great on you.    

   The information contained in this podcast is for educational purposes only and is not considered to be a substitute for medical advice. You should continue to follow up with your physician or health care provider and take medication as prescribed. Though the information in this podcast is evidence based, new research may develop and recommendations may change.

RESOURCES:

Dr. Ornish’s study on dementia

American College of Lifestyle Medicine Article on Dr. Ornish’s Study

Preventing Cognitive Decline 

Practical Tips for Caregivers of People with Dementia

Is Dementia Really Preventable?

10 Must Know Risk Factors for Dementia

Is it Normal Aging or Dementia?

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10 Must Know Risk Factors for Dementia

Do you want to be proactive about your health, or do you just shrug your shoulders and figure you play the cards you’re dealt? And the big question is, what difference does it make? Today we’re going to look at 10 things that contribute to the development of dementia and what, if anything, you can do about it.

 I’m Dr.Vickie Petz Kasper. I practiced obstetrics and gynecology for 20 years until I landed on the other side of the sheets   as a very sick patient. When my own body betrayed me, I took a handful of pills to manage my disease and another handful to counteract the side effects. My health was out of control.

Through surgery, medications, and lots of prayers, I  regained my strength only to face another  diagnosis.  My doctor challenged me to make radical changes through lifestyle medicine. Now I feel great and I want to help you make changes that make a difference. Healthy Looks Great On You podcast takes you to mini medical school so you can learn the power of lifestyle medicine.

If you’re ready to take control of your health, you’re in the right  place. Whether you’re focused on prevention or you’re trying to manage a condition. I’ll give you practical steps to start your own journey toward better health because healthy looks great on you.

This is episode 155, Ten Must Know Risk Factors for Dementia.  Which ones can you alter, and which ones you just gotta accept. Here’s the deal, dementia isn’t just one condition with one cause, it’s more like a puzzle with pieces that fit together differently for each person. And some of these pieces are fixed, but others, well, they’re more like clay that you can reshape.

And that’s exactly what we’re going to dive into today.  

What if I told you that some of the choices you’re making right now, today, could be tilting the scales either for or against your brain health. It’s never too early or too late to make changes that affect your overall health, and that includes your brain health. So, whether you’re in your 30s or in your 60s, stick around. 

We’re about to break down these 10 risk factors for dementia and what you can do about it. Number one on the list is age. Yeah, I know, there’s not a thing in the world you can do about it. This is one you have to accept. And if you’re a woman, aged 45, your chances of developing dementia during your lifetime are 1 in 5. If you’re a man, it’s one in 10. And even though I didn’t include biologic sex in this list, clearly women are at increased risk, but there may be reasons for that that you can alter.

Bottom line is age is the biggest risk factor for dementia and the older you get, the greater the risk. In fact, the chances double every five years after age 65.  To quote Andy Rooney, it’s paradoxical that the idea of living a long life appeals to everyone. But the idea of getting old doesn’t appeal to anyone.

And that’s generally true and with good reason. I mean, it’s not called over the hill for nothing.  They say you should grow old gracefully. Ha! There’s nothing graceful about some of the tolls the years take. And according to George Burns, you know you’re getting old when you stoop over to tie your shoelaces and wonder what else could you do while you’re down there. 

George Burns, remember him? He lived to be 100 years old and was pretty healthy. We’re gonna come back to that, so be sure you listen until the end. But age is just one risk factor you have to accept.  But while you’re practicing acceptance, here’s another one you can’t control. Family history. 

 If someone in your family had dementia, then you are at increased risk. And if more than one somebody in your family had dementia, you’re at even more risk. And you know what they say, you can’t change the past, but you can change the future. You can start where you are and change the ending.

And I want you to remember that quote as we talk through this, because even if you have a strong family history of dementia, your fate is not sealed, but it is at risk. So, think about your family history. You tend to inherit your lifestyle from your family. Okay, not always, but a lot of our habits are ingrained at an early age.

We sort of eat the same things and live in similar environments.  Education levels and socioeconomic advantages or disadvantages are often generational, and those things are passed down, but they’re not inherited like our genetic code. So I want to challenge you to start where you are and see if there’s anything you can do to change the ending.  

Number three is similar to family, but not exactly the same. Genetics. Pop quiz, true or false, you can alter your genes.  I want you to stay tuned next week because we are going to talk more about the genetics of Alzheimer’s.  The best way to not miss an episode is to subscribe to my newsletter. You can visit my website,  www.

healthylooksgreatonyou. com or I put a link in the show notes. I share tips, recipes, and lots of other resources. So why don’t you just push pause right now on the podcast and do it before you get busy or forget. Each week on the podcast, I take you to mini medical school And this week, we’re going to take a closer look at our  DNA.

Don’t worry. It’s a short course and it’s never boring. Do not argue with me. Science is fun if you do it right.  DNA stands for deoxyribonucleic acid. See if you can say that three times really fast. Deoxyribonucleic acid, deoxyribonucleic acid, deoxyribonucleic acid. Now you’ll remember it, even if I did annoy you a little bit.

I won’t say it again. I’ll just use the nickname, DNA. So what is it? It’s like a double stranded helix, and I’m sure you’ve seen pictures before. Looks like a twisted ladder. It’s a molecule made up of four nucleotides,

C G A T. That’s cytosine, guanine, adenosine, and thymine, and these little dudes are held together by hydrogen bonds in different combinations. And here’s the exciting part. Every cell in your body follows the code that is written into your DNA. It’s like an instruction manual. And each person’s DNA is unique.

That is why human life is so sacred. Because this coding determines your eye color. your hair color, facial features, and ultimate height, as well as whether or not you’re born a boy or a girl.  And here’s the deal, it’s all determined at the moment of conception. When the egg is fertilized, wow, we are indeed fearfully and wonderfully made.

Now, inside of each cell, there’s this little part called the nucleus, and that’s where most of the chromosome forming DNA lives.  And all of this is foundational to understand genetics but not only does your genetic code determine aspects of your health. But your environment, behavior, and lifestyle can impact genetic expression.

Meaning genes can be turned off, turned on, regulated up, regulated down, and we call that epigenetics. It can even happen in the womb before you’re born. So you really are what you eat, how you act, and what you do. DNA can also be damaged, so gene expression is affected by age, exposures, environment, and other factors that we’re going to look at.

 But since I mentioned environmental and exposure, let’s move on to number four on the list of risk factors for dementia, and that is air pollution. I bet that surprised you. Turns out that pollution causes damage to the nervous system.

Things like exhaust from cars in the city or wood burning in the country.

And you want to know what else pollutes the air? cigarette smoke. Smoking is a risk factor for dementia as well as a host of other conditions. Your mind may go straight to cancer, but it also increases the risk of heart disease, stroke, diabetes, and even macular degeneration, which can lead to blindness. 

And it turns out that number five on the list is uncorrected hearing loss.  and uncorrected vision loss. Remember when I snorted about growing old gracefully? Well, yeah, I’m over here putting in my hearing aids and groping around for my glasses and I don’t think any of that is graceful,  but I do it anyway. Now I can’t see without my glasses, so they’re not optional,

But,  uncorrected vision loss does increase the risk of dementia, and the worse the uncorrected vision loss, the worse the risk. 

 But again, this only applies to people with uncorrected vision loss, and I think most of us wouldn’t skip wearing our glasses or contacts, But, I do see a lot of people skip on wearing hearing aids. Now, my husband would argue with this, but I can hear pretty well. 

He just talks really soft.  And isn’t that what everyone with hearing loss says?  Quit mumbling! 

The deal is most people can get by with some hearing impairment. But it does increase the risk of dementia.  Why is that? Well, maybe because you’re not processing spoken words and that part of your brain isn’t getting used and it shrinks along with everything around it. Or maybe your brain is actually devoting all of its energy to try and understand those mumblers.

And it neglects keeping the rest of the brain humming along at full speed.  Experts don’t really know exactly why hearing loss is associated with dementia, but it’s felt to be responsible for 8 percent of cases. So get over it. Go to the audiologist fork over the cash and get your hearing aids.

Your brain’s worth it.  Another theory about the impact of hearing loss is interference with social activity. I mean, if you can’t hear, you can’t participate in conversations or play games or just connect as well. And that leads us to number six, social isolation.

We’re created to be connected. Isolation is associated with an increased risk of dementia as well as a whole lot of other health conditions. When I say

RESOURCES
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The Deadly Epidemic of Loneliness

From Loneliness to Belonging

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The Risky Business of Poor Sleep

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The Risky Business of Poor Sleep

The Risky Business of Poor Sleep and 7 Serious DiseasesDo you have trouble sleeping because your thoughts spin? I created this cheat sheet to help you shut off your mind and turn on restorative sleep. Hosted by: Vickie Petz Kasper, M.D. American Board of Lifestyle...

All information associated with this website is for informational and educational purposes only and is not meant to be a substitute for medical advice. Please visit the Disclaimer; Conditions, Terms of Use to learn more. 

Privacy Policy

Is it normal aging or dementia?

Is is Normal Aging or Dementia?

Follow on Social Media

Turn off your mind so you can sleep free cheat sheet

Do you have trouble sleeping because your thoughts spin? I created this cheat sheet to help you shut off your mind and turn on restorative sleep. 

Do you ever wonder if your forgetfulness is normal or an early sign of dementia? Could losing your keys be something more sinister? While memory lapses are just part of getting older, knowing the difference between normal aging and early dementia could change everything. Today, we’ll uncover the subtle warning signs that should not be ignored

 I’m Dr.Vickie Petz Kasper. I practiced obstetrics and gynecology for 20 years until I landed on the other side of the sheets   as a very sick patient. When my own body betrayed me, I took a handful of pills to manage my disease and another handful to counteract the side effects. My health was out of control.

Through surgery, medications, and lots of prayers, I  regained my strength only to face another  diagnosis.  My doctor challenged me to make radical changes through lifestyle medicine. Now I feel great and I want to help you make changes that make a difference. Healthy Looks Great On You podcast takes you to many medical schools so you can learn the power of lifestyle medicine.

If you’re ready to take control of your health, you’re in the right  place. Whether you’re focused on prevention or you’re trying to manage a condition. I’ll give you practical steps to start your own journey toward better health because healthy looks great on you.  

 This is episode 154, Is it Normal Aging or Early Signs of Dementia?   Today we resume our month long series on dementia. If you’ve ever worried about your own cognitive function, or that of a friend or a family member You’re going to learn what’s normal and what’s an indication of something more ominous.

And we’re going to start by taking a look into the complexities and wonders inside our skulls. The brain.

It’s the most complex organ in the body. When I was a medical student, over the course of gross anatomy, we dissected a cadaver. All the organs. It was a long and tedious process, separating tendons and blood vessels in the hand, examining the stomach, pancreas and liver as we removed layer after layer from the abdominal cavity.

We inspected the lungs inside and out.  But you want to know what we did not do in gross anatomy? brain.  Now, before you think we skipped something, just the opposite is true. At the end of the semester, we had to remove the brain because there was an entire course that followed on neuroanatomy.  But don’t worry, I don’t call this mini medical school for nothing, so I’ll be quick, but we are going to do a very surface overview of the anatomy of the brain.

Your brain weighs about three pounds and it contains lots of nerve cells. and an intricate network of communication.  This may surprise you, but about 40 percent of it is water, protein, carbohydrates, and salts. And guess what comprises the other 60%?  If you said fat, you get to graduate early, but I’m guessing that you didn’t.

There are three main parts of the brain and two main layers. Now, of course, this is a huge oversimplification, and there’s so much more, but we’re going to stick to the very basics. The biggest part of the brain is the cerebrum, and it takes up about 80 percent of the brain. This is your thinking, feeling, reasoning, learning, problem solving memory part of the brain.

It’s the part that makes you uniquely you. It allows you to speak, and exercise judgment, and feel, and see, and hear, and touch. It also helps regulate temperature and controls the movement of your body. But it’s the cerebellum in the back part of the head that keeps your body balanced and coordinated. And it’s about the size of your fist.

It may also play a role in thought, emotions, and social behavior, even addiction.  The third part is at the bottom of the other two parts. It’s called the brainstem, and it connects the brain to the spinal cord, and it controls basic functions, like your heart rate and breathing. 

The outer layer of the brain is called gray matter because it’s literally a darker shade. The interior of the brain is made up of white matter.  And speaking of matter, why does any of this matter? Well, you see, different parts of the brain control different functions. And wherever there is pathology, There is loss of function and like real estate, location, location, location is everything. 

The surface of the brain is convoluted with these deep folds and this creates more surface area for more connections between neurons or nerve cells.  But as we age, the brain starts to shrink and it actually starts in your 30s and 40s. Then, like crow’s feet and gray hairs, it starts to ramp up at age 60 along with saggy skin.

and accelerates even more after age 70. Hmm, aging is not for the faint at heart, but a lot of people are doing it. In fact, one in six American adults is over the age of 65. According to U. S. Census data, this age group grew nearly five times faster in the total population over the last 100 years to reach nearly 17 percent of the entire population in this country.

to To the tune of 55 million gray headed, pickleball playing, Medicare receiving, joint creaking, golden agers. And yeah, we’re concerned about living independently, driving,

retaining our mental acuity, and remaining productive members of society.  Full disclosure, I’m not quite there, but I’m also not far away.  The brain’s characteristics can actually be seen on imaging. MRI is the most sensitive, and with aging, the radiologist can see that the surface of the brain is less wrinkled and occupies less space inside the cranium or skull.  I mean, when your belt’s a little loose, that’s not a bad thing, but who wants a smaller brain? And unfortunately, this is not like Honey, I Shrunk the Kids, where you can just aim a contraption and zap it back to normal.  It’s more like the sweater you accidentally put in the dryer.

It’s not going to be the same.  And although it’s normal for the brain to lose volume as we age, it’s When it exceeds what’s expected for age, that’s not normal. When the brain no longer fits snugly inside the skull, we call that atrophy. And there are varying degrees from mild to severe, and symptoms typically match depending on which areas of the brain are affected. 

 In this episode, we’re going to focus on 10 signs that you should not ignore. And you can find this information on the AA website. Oh, not that AA, but if you need it, I’ll put a link to that in the show notes too. I’m talking about the Alzheimer’s Association website.

We’re going to discuss each one as well as when to worry and when not to, but here’s the list from their website.  Memory loss, challenges in planning or problem solving.  Difficulty completing familiar tasks. Confusion with time or place. Trouble understanding visual, imaging, and spatial relationships. New problems with words and speaking and writing.

Misplacing things and losing the ability to retrace steps. Decreased or poor judgment. Withdrawal from work or social activities. And finally, changes in mood or personality. Now let’s dive into each one. When you think of Alzheimer’s or dementia, what do you think of?  I’m not sure I heard you, but I think you said trouble remembering things.

And you know, we all have trouble remembering things, especially if we’re distracted with a million thoughts running through our mind. And it’s perfectly normal to have trouble remembering things like someone’s name.  Not someone close, like your kid, but maybe someone you just met. And you know most people say, I’m just not good with names.

Well here’s a little tip. Most people aren’t good with names because they don’t listen in the first place. When you’re at an event and you’re meeting lots of people and you’re going to be introduced to people, you’re thinking about what you’re going to say, not what they’re saying to you. So here’s a little hint.

The best way to get good with names when you’re meeting new people is repeat their name back to them. That’s It forces you to listen and it helps you remember.  It’s also normal to miss an appointment occasionally or forget a call you were supposed to make.

Or forget to pick something up that you were supposed to do. But what’s not normal is forgetting information.  Also forgetting birthdays and anniversaries of people close to you, that’s not normal.  People with early signs of dementia may start to rely more on putting everything on their calendar or taking notes or setting an alarm on their phone to remember things.

Now, some of these are just organizational skills, like set a reminder on your phone to take medication. But when people start forgetting routine things, That’s way more concerning.  I’m not sure telling the same stories over and over is necessarily a bad thing. It’s kind of part of our social fabric. But, certainly asking the same questions over and over is a red flag.

Like, when is my hair appointment? Then five minutes later, when is my hair appointment? Over and over.  

Next on the list is difficulty with what we call executive function. And this is the part of the brain that helps us follow a plan or solve a problem. It’s necessary when dealing with numbers. And this can manifest itself as the inability to do something like follow a recipe. That’s a warning sign.

But also more subtle things like just difficulty concentrating. Mentally tasking exercises just take a lot longer in people with early dementia. Now, it’s normal to slip up occasionally and forget to pay a bill, or leave out the baking soda in a recipe.  But with early dementia, things that should come easy, get more and more difficult.

 Playing games becomes more of a challenge, or navigating directions. And getting lost is a big concern for people with dementia, both driving, as well as something we call wandering.  But, it’s perfectly normal to have to ask your grandkids how to program your favorite shows on your streaming platform. 

But, it’s perfectly normal to have to ask your grandkids how to program your favorite show on Netflix. You’ve probably even seen those commercials where the grandparents are just waiting on their grandkids to come and help them with their phones.  But, if someone loses the ability to do something simple like return a text message or read an email, That’s more serious.

And back when everything was on paper, it seems like we often wrote the date. Now, sometimes I have to think about what day it is. You too? Well, that’s normal, as long as you can remember quickly. Dementia, on the other hand, causes people to not know what day, month, year, or even season it is. And what about trouble seeing?  As we get older, our eyesight tends to go kaput due to normal aging as well as things like cataracts. Recently, uncorrected vision loss has been linked to dementia just like untreated hearing loss. Good grief, I have to get up and put in my hearing aids and put on my glasses in order to function.   While declining visual acuity is normal, difficulty interpreting what you see is not.

And people with dementia start losing the ability to read and comprehend. They also have difficulty with color contrast, and this can be very dangerous because they may fall because they don’t realize there’s a step or there’s a rug and that can trip them up.  Have you ever lost your train of thought in the middle of a conversation? 

I remember a particularly stressful season of my life about 10 years ago, and I felt like I couldn’t complete a thought or a conversation, but it’s because my mind was a million miles away.  Turns out it’s normal to occasionally have trouble finding the right word you’re looking for. But in people with dementia, this is more pronounced.

They may start stories in the middle instead of a logical beginning, and they often repeat things in a loop.  But they come to a word and they can’t recall it, so they kind of make a weird substitution like calling a watch a hand clock.

What about losing things? Well, it’s okay if you have to ping your cell phone on your hand clock or search for your keys.  I’m kidding, I hope you know that. But when my kids would lose things, I always told them to look with their brain, not their eyes. And think back to when you last saw it, and then retrace your steps.

It usually works, but people with dementia can’t do that. They also may put things in weird places, like put a can of vegetables in the refrigerator.  And when they can’t find their car in the parking lot, They may jump to the conclusion that someone has stolen it.  Since the decision making part of the brain is affected by dementia, people make poor decisions.

And of course, we all have bad judgment occasionally, but in dementia, this can be a serious problem, and it can be really dangerous. Because they’re more susceptible to scams, and that can have devastating financial consequences. But it’s also physically dangerous, because they may forget to turn off the stove or the faucet, and as the disease progresses, their hygiene is affected, as well as their ability to dress appropriately. 

Now, after the holidays, you may just be ready for some peace, quiet, and solitude. Sometimes we all just want to stay home and veg out, but people with dementia struggle to participate in conversations, so they may withdraw from things that they used to enjoy. Especially if it requires more complex mental activity. 

And lastly, there can be mood swings and personality changes. In fact, and hear me on this one, Dementia can present as depression, anger, extreme irritability, and anxiousness.  Because here’s the deal, when all of this is slipping, they know, and it’s scary.  And even though it’s frightening, I don’t want you to ignore warning signs in yourself or in someone you love. 

Because if something’s wrong, there is hope. Stay tuned for more about prevention, treatment, and even some evidence about reversal. And of course, it’s all about a healthy lifestyle. And if you’re ready in this new year to make healthy lifestyle habit changes, I have a great resource for you. You can go to my website, www. healthylooksgreatonyou.  com and find kickstart to healthy habits in just seven days.

Of course, I’ll also put a link in the show notes, and there are lots of podcast episodes that will help. And when you’re on my email list, I send out lots of goodies. Recipes, sources of fiber, foods that affect your mood. So this is not something you want to miss. 

Because your physical health affects your brain health, and healthy looks great on you.

     The information contained in this podcast is for educational purposes only and is not considered to be a substitute for medical advice. You should continue to follow up with your physician or health care provider and take medication as prescribed. Though the information in this podcast is evidence based, new research may develop and recommendations may change.

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The Ultimate Guide to Avoiding Sickness: How to stay well during cold and flu season

A Special Edition

The stomach virus, COVID, cold, flu, RSV and whooping cough are going around. We’re in the thick of germ season.

Dr. Vickie Petz Kasper tells you the truth about how germs spread and how you can stay well and avoid catching them. 

Tis the season to be coughing, catching all the germs and getting sick.  Whew, there really is a lot going around right now. So how can you keep from getting sick? 

You’ve probably heard that the stomach bug is going around. The most common cause is the Norovirus. And January is typically flu and RSV season, and COVID levels are high.

All three are increasing and this is not unexpected. Why is that? Well, because of all the travel and family gatherings, the number of people you are in close contact with on a daily basis usually consists of your immediate family, friends, and co workers. But over the river and through the woods, all those germs are coming to gather at Grandmother’s house to spread like wildfire. 

 In this special edition episode, we’re going to talk about how these six infections spread and what you can do to prevent it. But first, we need to go to mini medical school and learn about viruses and bacteria.  Pop quiz! Of the six diseases I mentioned, all but one is a virus. Do you know which one is caused by a bacteria? Norovirus, the common cold, flu, RSV, whooping cough, or COVID. Not sure? Well, listen close. I’ll tell you as we review each one.

But first, some basics. What is a virus? Well, it’s a fragment of genetic information like DNA or RNA, and it’s inside this protective shell that’s called a capsid. And a lot of them look like a ball with these spiky things on it. They don’t have any cells, and they’re tiny. Their goal is to perpetuate, and they need a host to reproduce. And humans, well, we’re so hospitable. We work great. First they attach to their host, and then they enter the host, and then they start replicating inside the host. Then they assemble more viral particles and whoosh, release them. And that, my friends, is a very, very brief overview and simplistic overview of how they make you sick.  

One more thing. If you have a viral infection, an antibiotic will not do one frazzling bit of good. And that’s what it says in all the medical textbooks, “Not one frazzling bit of good.” And I know you want an antibiotic because you’ve got a lot of things to do and you want to get well fast. If you go to urgent care, you can probably snag a Z Pak pretty easily. But, if you have a viral infection, it won’t do one frazzling bit of good.

Now, why am I so passionate about that? I’ll get to it in a sec, but let’s first talk about bacteria. They’re different.

Bacteria are also tiny, but they have a single living cell. Some bacteria are actually good, and they keep you healthy.  And that’s why taking an antibiotic when you don’t need one is bad for you. Because if you kill off all the bacteria in your gut, that upsets the gut microbiome  for a long, long time. And what happens in the gut microbiome? Well, that’s where neurotransmitters are made and where the immune system is regulated. I have some links in the show notes from previous episodes if you want to learn more about how the gut actually affects your brain and your mood.  Now, on the other hand, if you do have a bacterial infection, you need an antibiotic. Okay? Got it? Antibiotics are for bacteria, not viruses.

Let’s move on, starting with the stomach bug, which really isn’t a bug at all. And I bet you already guessed that the stomach virus is caused by one of those spiky little pieces of genetic material that needs you to be its host. 

The most common cause of the stomach virus is the Norovirus, and this one spreads easily, so it’s super contagious. People with Norovirus infection can shed billions of invisible viral particles. That’s billions, but it only takes a few to make you sick. And it doesn’t really seem fair to stack the deck that way, especially since the end result is diarrhea, nausea, vomiting, and stomach cramps, and possibly headache, body aches, and fever.

You get it from sick people, contaminated food or water, and surfaces. Now that last one’s really important, and that’s the reason that I always, always use the little wipes. to wipe down the handlebar of the grocery cart and I wash my hands as soon as I can.  And once you’re exposed to the Norovirus, it takes about 12 to 48 hours to get sick. So it usually makes the runs through the household pretty quickly. You can get infected with Norovirus by ingesting little bitty tiny pieces of feces or vomit from an infected person. Yeah, mom and dad. That’s why you’re at risk when little Johnny brings this home from school. All that barehanded cleaning and caring for your sick splattering little one puts you at risk for going down for the count, too.

Your biggest defense is wash your hands. with soap and water. Wash them often, and wash them good. And keep your hands out of your mouth, eyes, and nose.  This virus grows really nicely in big Petri dishes, otherwise known as cruise ships. And that’s why they installed 974 hand sanitizer stations right in front of the food troughs. Hand sanitizer doesn’t really work that great for this particular virus. Turns out good old fashioned hand washing is much better. So, maybe that cart wiping isn’t doing much good, but it certainly won’t hurt. Anyway, be careful what you touch and keep it out of your mouth and nose, and wash your hands.

Now let’s move on to the common cold. Quick question, virus or bacteria? You got it. Virus. Specifically the rhino virus. And remember, rhino means nose  and it’s also a type of Corona virus.  That’s right. Corona virus first identified in the 1960s and effectively killed by Lysol. Says it right there on the label.  Next question. If the common cold is caused by a virus, will an antibiotic help you recover faster? Nope. Can it hurt?  I hope you said yes, and if not, go ahead and hit rewind.

The symptoms of a cold usually last less than a week, but can last up to two weeks. And they include runny, stuffy nose, headache, body aches, sore throat, fever, coughing, and sneezing. There’s a link in the show notes on how to differentiate a cold from allergies.

Different viruses are spread in different ways. The common cold is spread through droplets from an infected person and they find you when that person coughs or sneezes. You can breathe them in or you can get infected by touching a contaminated surface then touching your eyes, nose, or mouth. That’s why it’s recommended that you cough or sneeze into your elbow. Because if you cover your mouth and nose with your hands and then shake hands or touch something or a surface, then the virus uses that as an opportunity to hitch a ride onto someone else’s hands. Then, if they touch their eyes, nose, or mouth, they’re infected. So wash your hands and keep them out of your mouth, eyes, and nose.  

Another virus that spreads by droplets is influenza. These droplets are spread when people with flu cough, sneeze, or even talk. You can also get it from touching surfaces than touching your mouth, nose, or eyes, but that’s actually less common. Most of the time you catch it directly from another person. These little viral particles are within droplets that land right in your mouth or nose. And, relatively speaking, these droplets are kind of big. They’re greater than 5 microns in diameter, so they don’t really travel far because gravity just pulls them to the ground within about 3 feet.

Now, once you’re exposed, the virus goes to work pretty quickly and you typically get sick a couple of days later. Now, flu season is definitely upon us and it’s spreading. When I was young, my mom had the flu and she said, She thought she was going to die and kind of hoped she would. Now personally, I don’t ever recall having the flu. But it’s serious. It can be fatal. And there are lots of different types of flu, and some cause more severe illness than others. So far this year, there have been 9 pediatric deaths, and it’s early in the season. 3. 1 million cases of flu have been reported, resulting in 37, 000 hospitalizations and 15, 000 deaths.

According to the CDC, flu is on the rise.  How do they know? Let’s take a look at how the data is collected because it might surprise you.  They look at emergency room visits, hospitalizations, and the number of tests done for certain diseases and the percent positivity. And there are benchmarks for those. But that wouldn’t really give us a total picture, would it? Because some people don’t go to the doctor or the hospital. 

Want to know a secret?   They’re looking at your poop. No, not yours individually, but collectively. They study wastewater and test feces for these viruses. I mean, it’s kind of brilliant, albeit really gross.  They even have a poop dashboard. Of course, they have a more sanitized named for it. It’s a Wastewater data. There’s a link in the show notes if you’re interested or if you don’t believe me. And honestly, it’s pretty fascinating if you’re ready to geek out. I just wonder if they advertise on LinkedIn, looking for a CPA, a chief poop analyst. Qualifications must understand virology, statistics, and have a high tolerance for gross things. And maybe they got the idea from Teenage Mutant Ninja Turtles. Who knows?

Okay, enough of that.  Now we call influenza flu for short and moving on, we call respiratory Syntcial virus, RSV for short. And the normal RSV season is late fall to winter, though that, again was thrown out with a lot of other things during the pandemic. 

Wanna guess how it spreads? Just like the flu and the common cold, RSV spreads through droplets. You already knew it was a virus, I mean, it’s right there in the title. But, it’s the same old viral tactic. Somebody who’s infected coughs or sneezes, the droplet travels the short distance between you, and  you breathe it in.

This virus can survive on hard surfaces like door handles and tables for many hours. So, if you touch it and introduce it into your mouth, nose, or eyes, It can spread that way. It can also live on your hands or a used tissue, but not for very long. So what should you do?  That’s right. Wash your hands and don’t touch your face.

Now, this is important. RSV can infect anyone at any age and more than once in their lifetime. In fact, nearly everyone gets it before their second birthday. But here’s the deal. Babies can get really sick from it. And you can give it to them by kissing their face. So yeah, Grandma, this is one reason that new moms tell you, Don’t kiss my baby.

The other is the herpes virus, which causes fever blisters, but it can be fatal to newborns.  RSV can cause severe illness, hospitalization, pneumonia, and death in older adults too. So if you’re sick, stay at home. Seriously, don’t share your germs. When it comes to respiratory viruses, clean air also helps. That means HEPA filters for indoor air, or if you live in the South, you can probably open some windows except maybe those 13 or so days when we get bitter cold and ice. Anyway, just wash your hands and cover your mouth and nose when you cough or sneeze, spray the Lysol, keep your distance, wipe down the surfaces.

There’s just not a lot of variety in these recommendations and following them just might protect a vulnerable little baby or a precious elderly grandma. And that logically helps me segue to COVID. You knew we were going to talk about COVID, didn’t you?

Transmission rates are really high right now. And here’s a test I bet you’ll ace. Is COVID a bacteria or a virus?  Bingo. Let’s go a step further. COVID 19 is a coronavirus. And remember, there are lots of different kinds, but there is something very unique about COVID, and that is how it’s spread. And hopefully you already know this, but let me remind you that COVID 19 is not spread the same way as the common cold, RSV, or the flu.

And this is one of the things that made it so scary and dangerous. You see, COVID is airborne. Instead of hanging out in big heavy droplets that fall quickly to the floor, it floats along through the air. So you can literally get it from someone who isn’t even in the same room with you. Think about a small bathroom where someone has coughed and then you go in, breathe in the little viral demons and get sick. It even traveled through ventilation systems in heavily populated apartment complexes.

For the most part, the COVID virus spreads among people who are nearby. Basically, talking distance, coughing, sneezing, singing, and even breathing distance. And the louder you talk or sing, the further these little particles travel. We call it aerosolization.  I mean, think about hairspray in an aerosol can. You spray it, it gets on your jewelry, the mirror, your glasses, your husband comes in and starts fanning the air. Except these particles aren’t big enough to declare their presence floating in the air.  Depending on the ventilation, airborne diseases can travel more than six feet and hang around for hours floating in the air. 

Fortunately, there are not a lot of airborne diseases, but there are a few, like tuberculosis and measles. which is also on the rise and will likely continue to increase.  

Remember when we didn’t know how COVID was spread? I traveled to my daughter’s during that time to see my grandbaby and drove eight hours without stopping to eat and only once to get gas and go to the bathroom. I wore gloves and an N95.  I never got into washing my groceries but I did wear an N95 a lot plus I worked in a hospital so there’s that.

Now you can touch a contaminated surface and get COVID through your eyes, mouth, and nose. So do the drill. Wash your hands. Don’t touch your face. But it’s that airborne aspect that made it different. Besides the fact that it was a novel coronavirus and we just didn’t have any immunity.  

The pandemic highlighted the need for America to get healthy too. Obesity was associated with poorer outcomes. And now we have GLP 1 agonists, which are helping people control obesity because it’s so much more than willpower and determination. I put a link in the show notes about GLP 1 agonist and obesity, but listen, we still need to be physically active and eat whole food. 

Now, we’ve talked about five viruses, Norovirus, rhinovirus that causes the common cold, influenza, RSV, and COVID, but what about whooping cough? Virus or bacteria?  You guessed it, whooping cough is caused by Pertussis Bordetella. And this bacteria is very contagious. It spreads easily through the air when someone coughs. And boy, do they cough. Sounds like a big wheeze before this violent coughing fit and a shower of germs. It lasts a long time and people are contagious for two weeks. And that cough can linger for months.

You may be wondering, if it’s a bacteria, should you take an antibiotic? And the answer is yes. But, for this one, you’ve got to take them early.  Not everyone gets that classic whoop. that gives it its name. Some people just get a little tickle and a cough and maybe they don’t even know they’re sick or their doctor tells them they have bronchitis or a sinus infection. And those are the ones you’ve got to watch out for because they can spread it.

And like RSV in babies, it can be life threatening. Babies don’t cough, they quit breathing. And one third of infants less than one year old who get whooping cough require hospitalization. Wow, that’s serious. And that is why, when I was practicing obstetrics, I always recommended that my pregnant patients and everyone who was going to be around the newborn get a booster shot called Tdap. It stands for tetanus, diphtheria, acellular pertussis.

Now let me stop right there. And I want you to hear me.  I really wanted to do this episode because promoting health is the whole goal of this podcast. I want to give you information, motivation, inspiration. to take measures to protect and improve your health.

When it comes to seasonal illnesses, it’s important to have a good baseline health and a strong immune system. That means a healthy gut microbiome, a healthy weight, and controlling risk factors like diabetes and hypertension.  I really care about you and I have no intention of wading into controversial waters.

 So, if you have strong emotions when it comes to vaccines, Push stop on this podcast. But I really do care about you and I’m gonna keep this part really short. But if you want to have a further discussion about vaccines, I will literally schedule a call with you.

Just email me, DrVickie@healthylooksgreatonyou.com and we can talk about it. Please don’t send me hate mail, but if you do, I’ll respond with love and grace  because I don’t want this information which is rooted in solid science, evidence, research, medicine, and statistics to interfere with our relationship.  I’m not asking you to respect my opinion or anyone else’s because this is not about opinion and it’s not about respect.  But you see, that is something that changed with the pandemic. Distrust was sown  and maybe deserved. Maybe there was something nefarious, but there was also a lot we just didn’t know. And as we learned and we learned quickly, things changed.

Anyway, talk to your doctor is the best advice I can give you.  I remember when the chicken pox vaccine came out, my son was two years old and he had asthma. And I was a little leery because it was a new vaccine. I talked to my pediatrician and he advised giving it. Two years later, my son’s preschool had to shut down because every single kid had chicken pox. Except my one little vaccinated boy. They even had to cancel preschool graduation because yeah, that’s a thing.

Instead of telling you what I do or what I know or how I feel, let me preface all of this by saying I’ve been a medical doctor for three decades. I was chief medical officer of a hospital for seven years, including the pandemic years, and I know what I saw firsthand. I do a lot of research from reputable sources for each podcast episode. So if you trust me, keep listening, but again, if you have strong feelings, now is the time to stop listening and you can tune back in next week. We’ll pick up on the dementia series and talk about things we can agree on. I mean, we don’t all have to agree on everything to be friends, do we?  

Okay, I already told you that I recommended that all my pregnant patients get Get Tdap to protect their babies, and this is based on recommendations from the CDC, the American Academy of Pediatrics, and the American College of Obstetrics and Gynecology, all reputable organizations. They also recommend the flu shot.

Now, vaccine reactions are real. but they’re rare. I don’t personally know of a pediatrician who does not vaccinate their children. They see firsthand what these infectious diseases can do.  Now, I’ll admit doctors have various opinions because they have various perspectives and we call that bias. Think about it. If a doctor only works in an outpatient clinic, they may have tons of experience treating some infection and what they do supports their beliefs.  But they don’t know what goes on in the emergency room or the hospital. And the doctors that do have a different bias. And this was especially true during COVID. 

There were a lot of sayings that went around during COVID, like, what about the obesity epidemic? Why are we not talking about that? And I think we should be talking about it. Or what happened to the flu? Did it suddenly disappear? Well, it turns out that social distancing, washing your hands, wearing a mask, avoiding crowded places prevents the flu too.

It’s recommended that everyone over the age of 6 months get a flu shot.  And if you’re concerned about mercury or thimerosal, you’ll be glad to know that single use vials of the flu shot don’t contain any and haven’t in many, many years.

Now, remember I told you that I’ve never had the flu? You see, after my mom had it, she made sure we were vaccinated every year. And I continue to get the flu shot every year. I gave it to my kids every year. It is a killed virus. And you cannot get the flu from the flu shot. And yes, I know, you may have gotten the flu shot and then gotten the flu. And there’s several reasons for that. Number one, the vaccine typically is only between 40 and 50 percent effective. Number two, it takes a couple of weeks before it works, and you might have gotten exposed to the flu right before you got the vaccine or right after before your immunity kicked in. You may also get the flu right after you drink a Coke.  That doesn’t mean the aluminum can caused it, and I’m sorry if that was a little snarky, but correlation does not equal causation, and that’s super important when you’re looking at data rather than anecdotal experiences.  

I remember how excited we were at the hospital when the COVID vaccine was delivered. I even took a video on my phone. It made a huge difference in the death rate we were seeing. And as soon as it was available, I got the COVID vaccine and all the boosters until the virus mutated enough to not really cause severe disease in most healthy people. I would still get it if it prevented COVID. But unlike what we thought at first, the COVID vaccine does not prevent COVID or the spread of COVID, just the severity of the disease, hospitalization, and death.  Not that that’s not important. 

The RSV vaccine is recommended for people age 60 and over. And there is a form of it that’s available for newborns who are at risk. 

Again, Tdap is recommended for pregnant women during every pregnancy and for anyone who’s going to care for the baby.  Vaccines in pregnancy, like flu and Tdap, are given later so that those maternal antibodies can help protect the baby when they’re too young to be vaccinated.  

I know, attitudes have really shifted about vaccines. I remember when I was in the second grade, they lined us up at school and shot us in the arm with the same air gun to vaccinate us against smallpox. Remember smallpox? That disease has literally been eradicated from the face of the earth by vaccines. We all got it at school, and I’m not even sure our parents knew we were going to get it, but my mom is an ardent supporter of vaccines. Wanna know why? In a word, surely. You see, she had a cousin who was in an iron lung at the age of 17 from polio. It was a dreaded disease and the vaccine was a huge victory against this debilitating illness.  

I guess people have a reason for believing what they believe. If you’ve seen devastation from an illness or from a vaccine, you’re gonna have strong feelings and rightfully so. I’ve seen what I’ve seen and you’ve seen what you’ve seen. So, please send me an email if you want to continue the conversation. But I think we can all agree, keep your germs to yourself, wash your hands, get some fresh air, don’t touch your face, and stay healthy. Because healthy looks great on you.

 

     The information contained in this podcast is for educational purposes only and is not considered to be a substitute for medical advice. You should continue to follow up with your physician or health care provider and take medication as prescribed. Though the information in this podcast is evidence based, new research may develop and recommendations may change.

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Is dementia really preventable? The answer is more complicated than a simple yes or no. There are some things we can control and other things we cannot, but  groundbreaking research shows that up to 40 percent of dementia cases might be preventable through lifestyle changes.  That’s nearly half of all cases that could potentially be delayed or avoided.

In today’s episode, we’ll explore the science behind daily habits that can protect your brain health. We’ll separate fact from fiction about dementia and examine the latest research and most importantly, share practical tips you can take today to reduce your risk.

Whether you’re concerned about your own cognitive health or caring for a loved one, this month long series will give you lots of information, motivation, and inspiration regarding brain health. And what could be more important than saving the brains.  

But first, let’s do a quick mini medical school review about dementia and Alzheimer’s. Today’s focus will be on Alzheimer’s disease because it accounts for 60 80 percent of all cases of dementia. 

There are currently over 6 million people in the United States who are 65 or older who have Alzheimer’s disease. It is the 6th leading cause of death in this country, but it moves up to number 5 if we’re talking about older Americans.  Over the last 20 years, the incidence has increased by an alarming One hundred and forty five percent. Wow. So, what causes it? Well, that’s a good question, and there isn’t a clear answer.

One way to think about dementia is to think about the way other organs fail, like heart failure and kidney failure. Dementia is, quite simply, brain failure. Now, the brain is made up of neurons, which are nerve cells, and those are found throughout the body. In the brain, these cells are responsible for complex connections and communication, and that enables us to think, smell, talk, see, hear, remember, make decisions, plan, and move our bodies.

And with dementia, these cells start to die, and the brain begins to shrink.  But listen, brains typically begin to shrink around age 30 or 40 in perfectly healthy people. Then it ramps up around age 60, even more after age 70. We call this shrinkage atrophy, and to some degree it is normal. 

But the good news is that we have some reserve to the tune of about 100 billion nerve cells, 100 trillion synapses, which are the connections between nerve cells and a whole bunch of neurotransmitters, Which are the chemicals that go between nerve cells to make communication possible.

So, this network has some resilience even when there’s an overall loss of brain volume. However, Alzheimer’s is not normal atrophy. The brain shrinks at an accelerated rate. And no one knows for certain what happens inside the brain of people affected by Alzheimer’s disease. But the two most notable things are plaques and tangles. If you’ve never seen it up close and personal, you may envision someone who doesn’t know how to get around and can’t remember your name.

But, it’s not really like that at first, and it’s tricky. It’s not uncommon for family members and close friends to get a little concerned about someone’s mind, then see times of brilliance and you think, Oh, everything’s fine. So, This visual of tangled neurons really helps us understand that. Sometimes you’re brushing your hair and everything’s smooth and then sometimes you hit a mess and the brush gets hung up. 

These tangles interrupt the transport system in the brain. And it’s thought to be related to the Tau protein.

The other process that seems to contribute to Alzheimer’s is plaque.  Now, When I say the word plaque, you may think of the dental hygienist prying your mouth open and picking at that buildup on your teeth.

The plaques on your teeth are made of tartar, but the plaques in the brains of people with Alzheimer’s disease are made of beta amyloid. And these are just sticky pieces of protein that come from the fatty membrane around the nerve cells. And things that stick together clump together, and these form plaques.

And it blocks cellular communication.  On top of that, there’s an immune response where inflammation causes cells to just be gobbled up.  There are going to be some great resources to better understand this process.  I’m going to put all of this together for you and send it out every Friday this whole month so you have all these resources at your fingertips.

And of course, if you aren’t on my email list. You should be. You can sign up so you don’t miss it. Now that you have an overall understanding of Alzheimer’s, let’s get back to prevention. When we look at the research, we divide the risk factors into two buckets, modifiable and non modifiable. We’re going to focus on the modifiable.

Simply put, it’s things you can control versus things you cannot. And this might be a really good time to recite the serenity prayer. Lord, help me to change the things I can. And accept the things I cannot.  Today, we will focus on what we can change. And I’m going to give you a quick list of known contributing factors for dementia.

And this is not a complete list and these are not your practical steps, but I think this is good information for you to have before we really get started.

Number one, diabetes, and it’s way more prevalent than you might think.  Next is midlife, high blood pressure, high cholesterol, midlife obesity, smoking, physical inactivity, poor diet, which is the standard American diet, stress, and lack of quality social connectedness.  Notice there’s a strong correlation between things that affect heart health and things that affect brain health. 

We often don’t think of heart disease or dementia as being reversible. But what if,  what if, that’s a question that deserves an answer. What if it’s preventable and what if it’s reversible? Dr. Dean Ornish addressed that question in the 70s for heart disease. And in June of this last year, he released a small research study showing reversal of cognitive decline.  Let’s pause for a minute and let that sink in.

Not only is evidence showing that 40 percent of dementia is preventable, but now we have some evidence that at least in some people and to some degree, It’s reversible. And if that doesn’t motivate you, I don’t know what does.

Now, this study was promising, but small. We’re going to dive into the details in an upcoming episode in this series, but we’re also going to look at information published by a reputable medical journal called the Lancet Commission, as well as recommendations and facts from the World Alzheimer Report, the National Institutes of Health, or NIH, and the Alzheimer’s Association.

If you’re interested in more information. , I’m going to put together a list of helpful resources, and some of them have some really cool visual tools where you can tour the brain.

There’s a link in the show notes to sign up for my email, or just go to my website, www. healthylooksgreatonyou.com There’s some great resources for you there, and episodes on diabetes and hypertension, because those are also contributing factors.

 And if all of this does motivate you to make lifestyle changes, as a bonus, you can sign up for a free mini course that I put together to help you work through making healthy habit changes. It’s called seven day kickstart to healthy habits, but let’s jump to the bottom line to quote the World Alzheimer’s report 2024.

“There is no magic bullet for dementia, but there are tangible steps big and small that individuals can take to reduce risk. And any step is better than doing nothing.”  

So let’s look at those any steps.  There were nine risk factors that were identified to be modifiable, meaning you can change them, but they’ve added three more for a total of twelve.

I’ve divided them up into eight steps. Step one is literally a step, and that’s physical activity. Any activity is better than no activity. And I would also say, the more, the better. Aim for at least 30 minutes a day to promote blood flow to the brain, which feeds your brain by delivering oxygen and nutrients.

Most experts have focused on aerobic exercise, which is getting your heart rate up. So, while it’s great to walk three miles a day, if you aren’t huffing and puffing just a little bit, But you probably aren’t getting the maximum benefits. High intensity exercise can optimize the environment for creating new connections between neurons in the brain by releasing something called brain derived neurotropic factor or BDNF. This is a warrior in the brain that goes to battle to fight cognitive decline. 

More recently, strength training is being emphasized, especially quad strength. The muscles in the legs are some of the biggest in the body. According to “The Brain Docs”, Dr. Aisha and Dean Shirazi, research has consistently shown that leg strength correlates with enhanced cognitive function. And on top of that, strong legs means less falls as we age and falling is associated with all kinds of bad things besides bruising and breaking bones. 

Another area that is currently being studied is called combined cognitive physical interventions. I’m going to talk more about this later, but it refers to activities that force you to use your muscles and brain at the same time. Now the studies are not conclusive, but the concept is that if you challenge your brain while exercising, you get more benefit.

Some people call it exergames, but think dancing, tai chi, virtual reality games, walking and recall, such as memorizing scripture while you walk. That’s something I really enjoy because it’s also outside in nature, which is a great stress reliever. And the instructor at the gym where I go comes up with all kinds of things to make sure our brains are being challenged in our circuits class.   And speaking of moving, let’s move on to step number two. 

You probably knew this was coming, but the next step is diet. And of course, the big question is always, which diet? Let me just cut to the chase and tell you that lifestyle medicine promotes a whole food plant predominant diet. That means cutting out processed foods, especially ultra processed foods, and eating instead whole foods.

You know, the way God designed them instead of the way food manufacturing industry packages them. And yes, I know it’s expensive and confusing and I talk about that in other episodes, but if you want to protect your brain, you’ve got to nourish it and nutrients come from food. The more the food resembles the way it exists in nature, the more nutrients it contains.

And that seems simple enough, but what does research and evidence tell us exactly? Well, Dr. Ornish says, whole food, minimally processed, plant based diet is best. for preventing and reversing dementia. And listen, his program is intense. The American College of Lifestyle Medicine says we should limit the amount of sugar and saturated fats. And make sure to eat plenty of fruits, vegetables, and whole grains. The World Alzheimer’s Report tells us to diversify the food groups you consume and avoid ultra processed foods. In fact, we always say, eat the rainbow. That means different foods with different colors and that provides the different nutrients that we need.

And, by the way, when we talk about foods with different colors, we’re not really talking about Fruit Loops, regardless of whether or not they contain dyes. Listen, junk food is junk food whether it’s brightly colored or pale.  So what kind of diet? We’re talking about diets that are rich in fruits, vegetables, whole grains, and healthy fats.

Those are all associated with better brain health. The Mediterranean diet is a classic example. The Mediterranean diet is rich in fruits, vegetables, whole grains, legumes, fish, and healthy fats, and has been consistently linked to lower rates of Alzheimer’s disease. 

And the MIND diet is a combination of the Mediterranean diet and the DASH diet, which is used to treat and prevent hypertension. And it has also been shown to reduce dementia by as much as 53 percent. I have a separate episode on that. 

If you actually read the list of 12 modifiable risk factors, it doesn’t specify diet, but instead includes maintaining a healthy weight and diabetes. And both of those are directly related to diet.  

Step number three is don’t smoke. I’m not going to spend a lot of time on this one because fortunately most people don’t smoke. That’s one of the reasons that the rates of heart disease and stroke are decreasing. However, marijuana use is skyrocketing and we are starting to see evidence that it can increase the risk of heart attack by four fold. And I imagine as this trend plays out, we’ll see more and more negative effects.

On top of that, air pollution has been linked to dementia. Now, I do have an episode on smoking cessation with some helpful resources. I’ll link it in the show notes. You can find it on my website, but suffice it to say that anything that damages blood vessels damages the heart and the brain. Smoking contributes to cardiovascular disease, high blood pressure and stroke. And is clearly a risk factor for dementia. Hypertension is independently listed as one of the 12 modifiable risk factors and so is a high LDL cholesterol.  

Step 4 is meaningful social interaction. We need people in our lives.

Ideally, we could combine all these measures together. Eat your meals with people. Exercise in a class. Stimulate your brain with games that involve another person. There is strong evidence that links social connectedness to overall health in general and brain health in particular. Not only that, the one thing that is the strongest indicator for both happiness and longevity is It’s social connectedness. 

I have a couple of episodes on loneliness. The latter focuses on mood and it turns out that depression is also a risk factor for dementia.  To be honest, it’s hard to know the difference or which came first,  but it’s clear that loneliness is linked to poor health outcomes in general.

Step number five is stay mentally active. Now, people with less education to begin with have an increased risk of dementia. But that doesn’t mean that once you graduate, you can stop there. Be a lifelong learner. And this doesn’t just mean to sit around and do brain teaser puzzles, although there may be some benefit to that. But there’s clearly benefit in learning new things, especially hard things. Challenging your brain helps create new connections, and new connections help maintain reserve during the aging process. Learning a new language is probably one of the best things you can do to challenge your brain. But it’s hard. Memorizing is another good thing, and I cannot tell you how much memorizing scripture has meant to me personally. Not only for brain health, but for spiritual health.  

Number six is just protect your body. 

Pay attention to your overall health, that includes your teeth, but specifically protect your noggin. Head injuries are associated with an increased risk of dementia. I’m going skiing this month and I will be wearing a helmet, but also make sure your home is safe. Rugs can be a hazard, so can puppies and bathtubs. Remove clutter and cords so you don’t trip.  

Other things that fall under protect your noggin are hearing aids. You see, when sound enters your ears, it goes to your brain for processing. And when you can’t hear well, those parts of your brain start to shrink. Wearing hearing aids may help prevent dementia.

And more recently, research has also found an association between vision loss and dementia, likely for the same reasons. So, maximize those inputs to your brain through your eyes and ears and protect your head.  

One of the most common causes of traumatic brain injury is car accidents. Two of the biggest factors associated with motor vehicle crashes are alcohol and sleepy driving. 

So, step number seven is avoid excess alcohol. Previously, evidence indicated that one to two drinks a day was considered safe and maybe even protective. Admittedly, people who live in blue zones often consume red wine on a regular basis. And if you aren’t familiar with blue zones, I’ll have an upcoming episode, but basically, It refers to five geographic areas in the world where people routinely live to be over 100 years old with vim and vigor. 

Only one of them is in the United States. It’s in Loma Linda, California. There’s a large population of people there who belong to the seventh day Adventist faith in that part of the country. And their lifestyle is marked not only by faith, but also strong social ties, a vegetarian diet, time in nature, and no tobacco, and no alcohol.

Regardless, there is an alarming trend of increasing alcohol consumption, and excess alcohol is clearly linked to dementia. For more on alcohol, I included a previous episode link in the show notes. There is no controversy in the literature that two drinks a day is the limit. Quitting is hard, but And I’ve included some resources on my website. 

Lastly, step number eight is sleep. I know, I know I said there were 12 modifiable risk factors. Thank you so much for paying attention. I will list them out, one through 12 in my newsletter. But for this episode, I grouped them together.  

In a recent episode, I called sleep the mood mechanic. But the brain repair work that goes on during sleep is so much more than mood.

Poor sleep is associated with so many of the risk factors for dementia, like diabetes, high blood pressure, heart disease, depression, and obesity.  Poor sleep, especially in late midlife, is associated with an increased risk of dementia. And if this is an area where you struggle, you will be glad to know that I have an entire series on sleep coming up next month with lots of great resources. Some of them are already on my website so hop on over there and snag them. 

The Lancet Commission states that “Our new life course model and evidence synthesis has paramount worldwide policy implications.”  And they conclude by saying, “It is never too early and never too late in the life course for dementia prevention.” So, no matter how old you are and what your risk factors are, prioritize your physical health and your brain health because healthy looks great on you. 

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