Dr. Mercola – Page 10 – Green Lifestyle Market

Is Most Back Pain Caused by Repressed Emotions?

(Dr. Mercola) Back pain is perhaps one of the most common health complaints across the globe. Worldwide, 1 in 10 people suffers from lower back pain, and it’s the No. 1 cause of job disability. In the U.S., a whopping $90 billion is spent on back pain each year.¹ Tragically, back pain is also a leading cause of opioid use, which now kills more Americans than car crashes.²

Seventy-five to 80 percent of back pain cases do resolve within two to four weeks,³ with or without treatment, although it’s important to note that back pain can also be symptomatic of something else entirely, including an aortic aneurysm, appendicitis, gynecological issues, osteoporosis, arthritis and kidney stones,⁴ so if your back pain is not the result of an injury or strain, it’s advisable to see a doctor for an assessment.

Few people want to be told that their pain is psychological or emotional in origin, but there’s quite a bit of evidence that backs this up. As noted in a 2014 scientific review:⁵

“Specifically with regard to pain, studies pointed to the need for a model encompassing the complexity of the pain phenomenon. The biopsychosocial perspective closes this gap by confirming the existence of a dynamic relationship among biological changes, psychological status and social context.

The difficulty to accept the multidimensional nature of pain is largely linked to the widespread acceptance of Cartesian principles separating mind from body. Conversely, the biopsychosocial approach tries to consider physical, psychological, social and spiritual aspects not separately, but as an integrated whole … [S]everal studies show the major role of biopsychosocial factors in triggering chronic pain, in the process of acute pain chronicity and in patients’ incapacity.”

Back Pain — Is It All in Your Head?

The late Dr. John Sarno, a professor of rehabilitation medicine, used mind-body techniques to treat patients with severe low back pain. His specialty was those who have already had surgery for low back pain and did not get any relief. This is a tough group of patients, yet he claimed to have a greater than 80 percent success rate using techniques like the Emotional Freedom Techniques (EFT). A recent Vox article⁶ discusses Sarno’s unconventional treatment strategies for back pain, citing feedback from enthusiastic patients:

“‘Thousands of people, including myself and my husband, cured our chronic back pain using [Sarno’s] methods,’ wrote Karen Karvonen. Another Sarno devotee, Steven Schroeder, said the doctor changed his life. Schroeder’s back pain flared whenever he was stressed — a busy time at work, an illness in his family.

After he absorbed Sarno’s books, the discomfort mostly vanished. ‘I still sometimes have pain now in times of stress — but I can literally make it go away with mental focus,’ Schroeder, a lawyer in Chicago, wrote in an email. ‘It is crazy.’

Though he may not be a household name, Sarno is probably America’s most famous back pain doctor. Before his death on June 22, a day shy of his 94th birthday, he published four books and built a cult-like following of thousands of patients … Many of them claim to have been healed by Sarno, who essentially argued back pain was all in people’s heads.”

Before his death, Sarno was even the subject of a full-length documentary, “All the Rage: Saved by Sarno,” produced through Kickstarter donations. The film is expected to become available on Netflix before the end of the year. He was also featured in a “20/20” segment in 1999 (below).

As noted by Sarno in “All the Rage” — a four-minute trailer of which is included above — “I tell [my patient] what’s going on, and lo and behold, it stops hurting.” The “what” that is going on is not a physical problem at all — it’s emotions: anger; fear; frustration; rage.

The Psychological Underpinnings of Pain

One of the most controversial aspects of Sarno’s theory is that spine and disc abnormalities have no bearing on pain. In this 20/20 segment, Sarno dismisses these issues as “normal abnormalities” that are unrelated to any pain you may be experiencing. Many with back pain have no detectable abnormalities or structural problems while some that do have them suffer no pain.

According to Sarno, you unconsciously cause your own pain. In a nutshell, the pain you’re experiencing is your brain’s response to unaddressed stress, anger or fear. When these kinds of emotions are suppressed, your brain redirects the emotional impulses to restrict blood flow to certain parts of your body, such as your back, neck or shoulder, thereby triggering pain.

This pain acts as a distraction from the anger, fear or rage you don’t want to feel or think about. The pain essentially acts as a lid, keeping unwanted emotions from erupting. You may feel anger at the pain, but you won’t have to face the fact that you’re actually angry at your spouse, your children or your best friend, or that you hate your job, or the fact that you feel taken advantage of.

As noted by Sarno, working hard and constantly trying to do everything perfectly to keep everybody around you happy, “is enraging to the unconscious mind.” The term Sarno coined for this psychosomatic pain condition is “tension myoneural syndrome,”⁷ and he firmly believed most people can overcome their pain by acknowledging its psychological roots.

Even if you struggle to accept such a concept, the mere knowledge of it can have therapeutic power. In other words, by considering the idea that your problem is in fact rooted in stress factors opposed to a physical problem can allow the pain to dissipate.

Do:	Don’t:
Resume physical activity. It won’t hurt you	Repress your anger or emotions
Talk to your brain: Tell it you won’t take it anymore	Think of yourself as being injured. Psychological conditioning contributes to ongoing back pain
Stop all physical treatments for your back — they may be blocking your recovery	Be intimidated by back pain. You have the power to overcome it

Studies Support Mind-Body Connection in Painful Conditions

While many pain experts disagreed (and still disagree) with Sarno’s theories, recent research supports the idea that pain, in many cases, has psychological underpinnings. A study⁸ published last year found emotion awareness and expression therapy (EAET) reduced chronic musculoskeletal pain by at least 30 percent in two-thirds of patients; one-third of patients improved by 70 percent.

All Pain Is Regulated by Your Brain

It may be helpful to remember that while pain may be largely a product of your own mind, the pain is still “real.” As noted by Dr. Mel Pohl,¹² a clinical assistant professor in the department of psychiatry and behavioral sciences at the University of Nevada School of Medicine, “all pain is regulated by the brain — whether there is an actual nail in your thumb or an old injury that should have healed by now but inexplicably keeps hurting — in both cases it is nerve fibers that are sending messages to your brain that cause you to feel pain.”

An acute injury doesn’t have to have a psychological trigger, but if the pain persists long after the injury has healed, there may well be an emotional aspect involved. Pain can also carve figurative grooves in your brain. When pain is perceived over an extended period of time, the number of pain-causing neurotransmitters in your nervous system increase and your pain threshold tends to get lower. Essentially, you become more sensitized to pain.

Like Sarno, Hanscom and many others, Pohl also believes emotions are a primary cause of pain, triggering as much as 80 percent of all pain. This does not detract from its validity or intensity, however. Writing for Psychology Today, he says:¹³

“Based on studies conducted [in 2013] … published in the journal NatureNeuroscience, we now have conclusive evidence that the experience of chronic pain is strongly influenced by emotions. The emotional state of the brain can explain why different individuals do not respond the same way to similar injuries.

It was possible to predict with 85 percent accuracy whether an individual (out of a group of forty volunteers who each received four brain scans over the course of one year) would go on to develop chronic pain after an injury, or not.

These results echo other data and studies in the psychological and medical literature that confirm that changing one’s attitudes — one’s emotions — toward pain decreases the pain. I believe that one of the most important things people with chronic pain can do to help themselves is to notice what they are feeling.”

Physical Movement Is a Crucial Treatment Component for Most Pain

Your body needs regular activity to remain pain-free, and this applies even if you’re currently in pain. Not only does prolonged sitting restrict blood flow, which may trigger or exacerbate pain, sitting may even be the cause of the pain in the first place. For example, when you sit for long periods of time, you typically end up shortening your iliacus, psoas and quadratus lumborum muscles that connect from your lumbar region to the top of your femur and pelvis.

When these muscles are shortened, it can cause severe pain upon standing, as they will effectively pull your lower back (lumbar) forward. When there’s insufficient movement in your hip and thoracic spine, you also end up with excessive movement in your lower back. Most people tend to “baby” the pain and avoid moving about as much as possible, but in most cases, this is actually contraindicated. In fact, experts now agree that when it hurts the most, that’s when you really need to get moving.¹⁴

A scientific review of 21 studies¹⁵ confirmed that not only is exercise the most effective way to prevent back pain in the first place, it’s also the best way to prevent a relapse. Among people who had a history of back pain, those who exercised had a 25 percent to 40 percent lower risk of having another episode within a year than those who did not exercise.

Strength exercises, aerobics, flexibility training and stretching were all beneficial in lowering the risk of recurring pain. The video above, featuring Lisa Huck, demonstrates and explains the benefits of dynamic movement, and how it can help prevent and treat back pain.

New Treatment Guidelines for Back Pain Stress Nondrug Interventions

Fortunately, doctors are increasingly starting to prescribe activity in combination with a wait-and-watch approach for back pain patients.¹⁶ Dr. James Weinstein, a back-pain specialist and chief executive of Dartmouth-Hitchcock Health System, told The New York Times:¹⁷

“What we need to do is to stop medicalizing symptoms. Pills are not going to make people better … [Y]oga and tai chi, all those things are wonderful, but why not just go back to your normal activities? I know your back hurts, but go run, be active, instead of taking a pill.”

This view has now become the new norm. In fact, on February 14, 2017, the American College of Physicians issued updated treatment guidelines^18,¹⁹ for acute, subacute and chronic low back pain, now sidestepping medication as a first-line treatment and recommending nondrug therapies instead. This is a significant change, and one that could potentially save thousands of lives by avoiding opioid addiction. The new guidelines include three primary recommendations:

1.“Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat … massage, acupuncture, or spinal manipulation … If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants …

2.For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction … tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation …

3.In patients with chronic low back pain who have had an inadequate response to nonpharmacologic therapy, clinicians and patients should consider pharmacologic treatment with nonsteroidal anti-inflammatory drugs as first-line therapy, or tramadol or duloxetine as second-line therapy.

Clinicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients … “

The guidelines stress that even in the rare case when an opioid is given, it should only be prescribed in the lowest dose and for the shortest duration possible. Steroid injections and acetaminophen are also discouraged, as studies suggest neither is helpful or beneficial. Acetaminophen does not lower inflammation, and a review of the research²⁰ shows steroids are on par with placebo when it comes to treating back pain in the long term.

Nondrug Solutions for Pain Relief

I certainly believe that your emotional health and your ability to effectively address stress is an essential component of optimal health, and can have a major influence on whether or not you’re effective in eliminating your pain. And so do many other doctors and scientists from various fields of medicine.

It’s unfortunate that so many people dismiss these types of treatment strategies simply because they seem “too simple to be effective.” We’ve been indoctrinated to believe that getting well involves radical, often painful treatment, when in most cases the complete opposite is true.

It’s also important to be fully aware of the addictive potential of opioid drugs, and to seriously weigh your need for a narcotic pain killer. There are many other ways to address pain. Below is a long list of suggestions. If you are in pain that is bearable, please try these options first. If you need a pain reliever, consider an over-the-counter (OTC) option.

Research²¹ shows prescription-strength naproxen (Naprosyn, sold OTC in lower dosages as Aleve) provides the same pain relief as more dangerous narcotic painkillers. However, while naproxen may be a better alternative to narcotic painkillers, it still comes with a very long list of potential side effects,²² and the risks increase with frequency of use.

Eliminate or radically reduce most grains and sugars from your diet

Avoiding grains and sugars will lower your insulin and leptin levels and decrease insulin and leptin resistance, which is one of the most important reasons why inflammatory prostaglandins are produced. That is why stopping sugar and sweets is so important to controlling your pain and other types of chronic illnesses.

Take a high-quality, animal-based omega-3 fat

Omega-3 fats are precursors to mediators of inflammation called prostaglandins. (In fact, that is how anti-inflammatory painkillers work, by manipulating prostaglandins.) Good sources include wild-caught Alaskan salmon, sardines, and anchovies, which are all high in healthy omega-3s while being low in contaminants such as mercury. As for supplements, my favorite is krill oil, as it has a number of benefits superior to fish oil.

Optimize your sun exposure and production of vitamin D

Optimize your vitamin D by getting regular, appropriate sun exposure, which will work through a variety of different mechanisms to reduce your pain. Sun exposure also has anti-inflammatory and pain relieving effects that are unrelated to vitamin D production, and these benefits cannot be obtained from a vitamin D supplement.

Red, near-, mid- and far-infrared light therapy (photobiology) and/or infrared saunas may also be quite helpful as they promote and speed tissue healing, even deep inside the body.

Medical cannabis

Medical marijuana has a long history as a natural analgesic and is now legal in 28 states. You can learn more about the laws in your state on medicalmarijuana.procon.org.²³

Kratom

Kratom (Mitragyna speciose) is another plant remedy that has become a popular opioid substitute.²⁴ In August 2016, the U.S. Drug Enforcement Administration issued a notice saying it was planning to ban kratom, listing it as Schedule 1 controlled substance. However, following massive outrage from kratom users who say opioids are their only alternative, the agency reversed its decision.²⁵

Kratom is likely safer than an opioid for someone in serious and chronic pain. However, it’s important to recognize that it is a psychoactive substance and should not be used carelessly. There’s very little research showing how to use it safely and effectively, and it may have a very different effect from one person to the next.

Also, while it may be useful for weaning people off opioids, kratom is in itself addictive. So, while it appears to be a far safer alternative to opioids, it’s still a powerful and potentially addictive substance. So please, do your own research before trying it.

Emotional Freedom Techniques (EFT)

EFT is a drug-free approach for pain management of all kinds. EFT borrows from the principles of acupuncture in that it helps you balance out your subtle energy system. It helps resolve underlying, often subconscious, and negative emotions that may be exacerbating your physical pain. By stimulating (tapping) well-established acupuncture points with your fingertips, you rebalance your energy system, which tends to dissipate pain.

Meditation and Mindfulness Training

Among volunteers who had never meditated before, those who attended four 20-minute classes to learn a meditation technique called focused attention (a form of mindfulness meditation) experienced significant pain relief — a 40 percent reduction in pain intensity and a 57 percent reduction in pain unpleasantness.²⁶

Chiropractic

Many studies have confirmed that chiropractic management is much safer and less expensive than allopathic medical treatments, especially when used for pain such as low back pain.

Qualified chiropractic, osteopathic and naturopathic physicians are reliable, as they have received extensive training in the management of musculoskeletal disorders during their course of graduate health care training, which lasts between four to six years. These health experts have comprehensive training in musculoskeletal management.

Acupuncture

Research has discovered a “clear and robust” effect of acupuncture in the treatment of back, neck and shoulder pain, and osteoarthritis and headaches.

Physical therapy

Physical therapy has been shown to be as good as surgery for painful conditions such as torn cartilage and arthritis.

Foundation Training

Foundation training is an innovative method developed by Dr. Eric Goodman to treat his own chronic low back pain. It’s an excellent alternative to painkillers and surgery, as it actually addresses the cause of the problem.

Massage

A systematic review and meta-analysis published in the journal Pain Medicine included 60 high-quality and seven low-quality studies that looked into the use of massage for various types of pain, including muscle and bone pain, headaches, deep internal pain, fibromyalgia pain and spinal cord pain.²⁷

The review revealed massage therapy relieves pain better than getting no treatment at all. When compared to other pain treatments like acupuncture and physical therapy, massage therapy still proved beneficial and had few side effects. In addition to relieving pain, massage therapy also improved anxiety and health-related quality of life.

Astaxanthin

Astaxanthin is one of the most effective fat-soluble antioxidants known. It has very potent anti-inflammatory properties and in many cases works far more effectively than anti-inflammatory drugs. Higher doses are typically required and you may need 8 milligrams (mg) or more per day to achieve this benefit.

Ginger

This herb has potent anti-inflammatory activity and offers pain relief and stomach-settling properties. Fresh ginger works well steeped in boiling water as a tea or grated into vegetable juice.

Curcumin

In a study of osteoarthritis patients, those who added 200 mg of curcumin a day to their treatment plan had reduced pain and increased mobility. A past study also found that a turmeric extract composed of curcuminoids blocked inflammatory pathways, effectively preventing the overproduction of a protein that triggers swelling and pain.²⁸

Boswellia

Also known as boswellin or “Indian frankincense,” this herb contains specific active anti-inflammatory ingredients.

Bromelain

This enzyme, found in pineapples, is a natural anti-inflammatory. It can be taken in supplement form but eating fresh pineapple, including some of the bromelain-rich stem, may also be helpful.

Cetyl Myristoleate (CMO)

This oil, found in fish and dairy butter, acts as a joint lubricant and anti-inflammatory. I have used this for myself to relieve ganglion cysts and carpal tunnel syndrome. I used a topical preparation for this.

Evening Primrose, Black Currant and Borage Oils

These contain the essential fatty acid gamma-linolenic acid (GLA), which is particularly useful for treating arthritic pain.

Cayenne Cream

Also called capsaicin cream, this spice comes from dried hot peppers. It alleviates pain by depleting the body’s supply of substance P, a chemical component of nerve cells that transmits pain signals to your brain.

Methods such as hot and cold packs, aquatic therapy, yoga, various mind-body techniques and cognitive behavioral therapy²⁹ can also result in astonishing pain relief without drugs.

Grounding

Walking barefoot on the earth may also provide a certain measure of pain relief by combating inflammation.

Research Finds Sugar Changes Metabolism in Even the Healthiest of People

Inscription sugar made into pile of white granulated sugar

Sugar is likely one of the most dangerous products you can ingest and may trigger an addiction that is difficult to break. What is so terrifying is that you can find it in almost every processed food you purchase. It hides under a number of different names and affects your body in ways that scientists are continuing to discover. While the media and medical associations have warned about overeating fat and salt, there has been relatively little said about the overabundance of sugar in the American diet.

The sad truth is there are copious numbers of studies spanning decades that demonstrate the damage sugar does to your health, but the industry has managed to bury the evidence, and claim sugar has little to no effect on your health or your weight.

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According to one recent study, consumption of sugar is responsible for as much as 40 percent of health care dollars spent each year.¹In the U.S. more than $1 trillion is spent fighting obesity, heart disease, diabetes, and cancer. All of these diseases are related to the excessive consumption of sugar.

The foods you eat have an immense impact on your brain, gut health and cellular metabolism, all which impact your health and daily ability to be productive at home and work. Historically, sugar was a treat enjoyed only on special occasions. Today, it’s found in almost everything you eat, short of whole foods. It’s in processed foods of all kinds, snacks, drinks, sauces, breads, condiments and deli meats. Even infant formula and baby food is loaded with sugar, which triggers the brain’s reward center, increasing desire for more.

Research quite clearly shows that refined sugar in excessive amounts promotes mitochondrial dysfunction. These little powerhouses provide the energy for your cells, so when they cease to function normally, any number of functions throughout your body may be disrupted. Now, researchers have confirmed that sugar damages cellular function no matter how healthy you were before you began eating poorly.

Sugar Triggers Metabolic Changes That Damage Your Health

In a study from the University of Surrey, researchers asked two groups of men to change their eating habits for three months.² In the beginning, one group had evidence of nonalcoholic fatty liver disease (NAFLD); the other group did not. Each man went through a 12-week period when he ate 650 calories from sugar each day or no more than 140 calories from sugar each day. The researchers measured levels of fat in the participant’s blood and liver.³

What they discovered was not surprising. Those who ate 650 calories of sugar per day for 12 weeks had much higher levels of fat in their blood and liver. The research was designed as a randomized-crossover study, meaning each participant followed both diets and the order they followed the diet was randomly assigned. Lead researcher Bruce Griffin, Ph.D., professor of nutritional metabolism at the University of Surrey, commented on the results, saying:

“Our findings provide new evidence that consuming high amounts of sugar can alter your fat metabolism in ways that could increase your risk of cardiovascular disease.”

Fat metabolism is the process fats undergo to be broken down and transported in the blood to cells around your body. The results also showed that when men who began the study with low levels of liver fat ate a diet high in sugar, their blood and liver measurements and fat metabolism became similar to that of men suffering from NAFLD.⁴ This condition is tied to obesity and affects up to 25 percent of Americans.⁵

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The researchers’ goal was to determine the role sugar has on the metabolism of the liver and how it influences cardiovascular health. What they found was that both groups of men, those with and without NAFLD, showed changes in fat metabolism linked to cardiovascular disease.⁶

In the past, NAFLD occurred almost exclusively in adults. However, there is evidence to suggest it now occurs in up to 10 percent of children⁷ ages 2 to 19, and the reason for this is a high-sugar diet, starting in infancy. Sadly, these children are at a significantly increased risk of developing cardiovascular disease unless their diet is changed.

Sugar — A Driving Force Behind the Leading Causes of Death

In the video above, investigative journalist and author, Gary Taubes, discusses how the sugar industry has manipulated information and perpetrated a fraud on the public across the world. At the start of his book, “The Case Against Sugar,” he makes the comparison between the sparse number of individuals who were diagnosed with diabetes in the late 1800s when sugar was not a staple in the diet, and the rate of 1 in 3 individuals who suffer from diabetes and prediabetes today.

The sugar added to one 6-ounce soda is enough to increase your risk of obesity, Type 2 diabetes, high blood pressure and cardiovascular disease if you drink it every day.⁸ The U.S. Food and Drug Administration (FDA) estimates the average American gets 16 percent of their daily calories from sugar,⁹ or as much as 30 teaspoons a day, which is three times the recommended amount.¹⁰ This is equal to eating 35 5-pound bags of sugar every year.

Related: Healthy Sugar Alternative and More

Manufacturers have used the addictive property of sugar to drive sales of their products, and the use of high fructose corn syrup to get more bang for their buck. High fructose corn syrup (HFCS) is not only cheaper for manufacturers to use, it also gives your body a bigger sugar jolt. Dr. Yulia Johnson, family medicine physician with the Iowa Clinic, comments on the use of HFCS:¹¹

“Your body processes high fructose corn syrup differently than it does ordinary sugar. The burden falls on your liver, which is not capable of keeping up with how quickly corn syrup breaks down. As a result, blood sugar spikes quicker. It’s stored as fat, so you can become obese and develop other health problems, such as diabetes, much faster.”

The danger to growing children is even greater as their bodies cannot handle the amount of sugar they get from candy, processed foods and sugary drinks, and they have many more years of sugar consumption during which they damage their mitochondria and cellular metabolism — damage that has been linked to many of the leading causes of death, including:¹²

Heart disease	Hypertension
Atherosclerosis	Cancer
Stroke	Diabetes
Chronic liver disease	Parkinson’s and Alzheimer’s disease¹³

Sugar Associated With an Increased Risk of Depression

Sugar is also associated with an increased risk of depression. It stands to reason that as sugar adversely affects your brain, it may trigger damage that affects your mood and behavior. Several studies have found an association between rising sugar intake and an increase in depression rates.^14,^15,¹⁶

There are several ways sugar contributes to mood changes. For starters, sugar increases insulin resistance, which plays a significant role in your mental health. Over the long term, this creates a chronic inflammatory response in your body. In one cross-cultural analysis,¹⁷ the researchers concluded the dietary predictors of outcome for depression and schizophrenia are very similar to those that predict diabetes and heart disease. They all involve a chronic inflammatory response, of which sugar is a primary driver.

Researchers have also found a significant association between addiction and mood disorders, including depression. In a study¹⁸ that tracked the dietary habits and medical conditions of 8,000 people over 22 years, researchers found that men who consumed 67 grams or more of sugar per day were 23 percent more likely to be diagnosed with depression in five years than those consuming 40 grams or less.¹⁹ None of the participants had been treated for mental illness at the start of the study.

The effect of sugar on mental health appeared to be independent of socioeconomic status, physical activity, drinking, smoking or other eating habits. The findings from this study are noteworthy. Although the methodology didn’t allow researchers to find cause and effect, the results line up well with previous studies that suggest over-consumption of sugar may trigger an imbalance in neurological chemicals that affect your mood, raising your risk for depression and anxiety.

Related: Natural Remedies for Depression

Sugar impacts the function of dopamine in your brain, the neurotransmitter that triggers your reward system, in the same way narcotics affect your brain, and may trigger a strong addictive response. Since addiction and mood disorders have been linked, and sugar fuels powerful mood changes associated with addiction, researchers who have analyzed the biochemical and neurological effects of sugar concluded it may be as addictive as cocaine for some people.²⁰

Excessive Sugar Is Toxic

In the video above, Dr. Robert Lustig, professor of pediatric endocrinology at the University of California in San Francisco (USCF), discusses the role of sugar in society’s diet over past decades and how it can poison your body. Sugar stimulates the release of dopamine,²¹ a neurotransmitter that plays a role in many important pathways, most notably the mesolimbic pathway.

The way dopamine affects your brain in this area changes with addiction and spikes your perception of motivation or pleasure.²² These chemicals are what makes sugar feel so good to you, and why manufacturers use it to drive your behavior. But, just like other addictive drugs, sugar is not healthy for you. Lacking any nutritional value, added sugar is one of the most toxic ingredients in a Western diet.

Processed fructose such as HFCS is another form of added sugar in processed foods that has demonstrated greater damage than simple glucose or table sugar, which is a mixture of glucose and fructose. A study led by Kimber Stanhope, Ph.D., research nutritional biologist from the University of California Davis, demonstrated that fructose does not act like glucose in your body.²³

Individuals were randomized to consume drinks sweetened with glucose or fructose over a 10-week period. Even though the drinks contained the same number of calories, the fructose group experienced an increase in lipids associated with cardiovascular disease, increased resistance to insulin and greater visceral fat associated with metabolic disease.

The glucose group did not experience these adverse changes. According to the authors, “These data suggest that dietary fructose specifically increases DNL [hepatic de novo lipogenesis], promotes dyslipidemia, decreases insulin sensitivity, and increases visceral adiposity in overweight/obese adults.”

Related: Start Eating Like That and Start Eating Like This – Your Guide to Homeostasis Through Diet

Sugar Addiction Has Been Manipulated by the Industry

There are a significant number of studies detailing the damage sugar causes your body that spans many decades. The cost of consumption drives up insurance rates and number of hospitalizations, and is linked to eight of the leading causes of death. However, unlike tobacco products that are sold with severe cancer and respiratory warnings, the sugar industry and processed food manufacturers are free to use sugar to feed the consumer’s addiction without any warning whatsoever.

Long before a conflict of interest statement was required on research studies, the sugar industry sponsored research that promoted dietary fat as the culprit behind cardiovascular disease and weight gain.²⁴ However, there was evidence that sugar was linked to heart disease in studies dating to the 1950s. Following the deaths of organic chemist Roger Adams, University of Illinois, and nutritionist David Mark Hegsted, Harvard University, their personal correspondence and materials were gifted to their respective universities.

It was in this correspondence that Cristin Kearns, postdoctoral researcher at USCF, discovered references to research conclusions that were influenced by the sugar industry in an effort to hide the damaging effects sugar has on health.²⁵ Historical analysis has provided proof the sugar industry has guided nutritional research, impacting public policy and shifting the blame for chronic disease to saturated fat.

Recent reports show the food industry is still influencing nutritional science.²⁶ In the end, the combination of flawed science, poor governmental oversight, and the natural effects sugar has on your brain has led many into an addictive relationship with a substance that is fueling heart disease, obesity and diabetes.

As Health Insurance Rates Rise, Your Best Insurance May Be to Avoid Sugar

Research from many of the most respected institutions around the world confirms sugar is a primary factor driving the development of chronic diseases and contributes to the leading causes of death,²⁷ including cancer and heart disease. It stands to reason, if you want to reduce your health care costs, it is best to avoid sugar as much as possible, if not eliminate it from your diet completely.

While eating whole, organic foods is the best thing you can do for your health, when you do pick up packaged foods, read the labels carefully so you can make an informed decision about the amount of sugar you are adding to your diet. Keep in mind there are many different types of sugars that may go unnoticed on labels. Below is a list of some of the more common sugars, but there are more names for sugar than are listed here.

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Also, remember food labels list ingredients in order of the amount in the product. In other words, there is more of the first ingredient in the product than the second, and so forth. When looking at the amount of sugar in the product you’re considering, remember if sugar is in the fourth, sixth, ninth and 11th positions, the combined total may well put it in the first or second position. You’ll notice that some of these names end with “syrup” or “ose,” which identifies them as sugars.²⁸

Fruit juice concentrate	Evaporated cane juice	Cane juice crystals	Blackstrap molasses
Buttered syrup	Fruit juice	Honey	Carob syrup
Caramel	Brown rice syrup	Corn syrup solids	Florida crystal
Golden syrup	Maple syrup	Molasses	Refiner’s syrup
Sorghum syrup	Sucanat	Treacle	Turbinado
Barley malt	Corn syrup	Dextrin	Dextrose
Diastatic malt	Ethyl maltol	Glucose	Glucose solids
Lactose	Malt syrup	Maltose	D-ribose
Rice syrup	Galactose	Maltodextrin	Castor

Does Sickness Smell?

(Dr. Mercola) Your olfactory sense, or the ability to smell, is integral to your health. Inside your nasal passages are two patches of cells designed to detect odors. They are made up of nearly 6 million olfactory receptor cells that allow you to detect and differentiate thousands of different scents. Although impressive, other animals have an even more acute sense of smell as often their survival is dependent on being able to smell enemies or their food.¹

Your sense of smell is also intimately tied to your emotions, memories, ability to taste and even to sexual attraction. Research demonstrates that your ability to smell may peak at age 8. According to different studies, you may begin to lose sensitivity to scent between age 15 and your early 20s.² However, that loss in sensitivity to scent is not consistent from person to person as some 80-year-olds have a sense of smell as keen as that of a young adult.

Some degradation of your sense of smell, and therefore your ability to taste food, may be related to air pollution.³ A combination of solvents, pesticides, disinfectants, pharmaceuticals, and perfumes may have a negative effect over the years on your ability to discern scent and on your sensitivity to smell.⁴ Loss of this ability may affect your capacity to pull up memories from the past.

Research shows odors are an effective reminder of experience,⁵ which may be tied to the way your brain processes odors and memories. Researchers have also found your sense of smell may predict your longevity, and you may be able to smell the scent of illness. In other words, the relationship between your sense of smell and your health is a two-way street.

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Illness Has a Smell

From the early days of medical practice, doctors have used smell and taste to determine if their patients had a disease. Examples may be found from the late 1600s when English physician Thomas Willis observed the relationship between sweet-tasting urine and diabetes,⁶ to physicians today who may note a fruity scent on the breath of a diabetic whose blood sugar is too high.⁷ Over the years physicians have moved away from smell and taste to using more reliable methods of diagnosis.

However, a sensitive sense of smell may still give physicians a unique advantage. Some diseases have a particular scent. You may have even detected the scent of a sinus infection on the breath of a loved one. Researchers have described several scents related to diseases,⁸ including the smell of baked bread on someone with typhoid fever, boiled cabbage in someone unable to metabolize methionine, and the scent of a butcher’s shop on someone who suffers from yellow fever.

It appears that animals use this ability to maintain the health of the group.⁹ For instance, mice can determine through scent if another is sick, thus avoiding them. After testing this behavior, researchers concluded an inflammatory process in the body of a mouse had a profound impact on social behavior of the individual, reducing the motivation to engage in social interaction. At the same time, illness-related odor cues from a sick mouse inhibited social investigation by healthy members, thus impacting the transmission of disease.

Researchers tested this same response in human behavior and found you likely can smell if an immune response was activated.¹⁰Researchers injected participants with an endotoxin and found within a few hours they had a more aversive body odor compared to when they were exposed to a placebo. The researchers believed this chemosensory detection may represent the first experimental evidence that sickness smells.

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The researchers also noted the individuals who were sick did not sweat more. The smell from their body was not only stronger but also had a different odor.¹¹ The smell coming from your body emanates from a variety of different areas, not just sweat or your breath. The scent that is “normal” for you will depend on your age, diet, metabolism, health and gender.¹²

Mats Olsson, Ph.D., lead researcher evaluating scent change in humans after exposure to an endotoxin, continued this work and found the feelings of disgust individuals experienced after smelling unpleasant smells activated a mild immune reaction.¹³ This, in turn, may help protect you from getting sick. He also explored other sources of scent, such as breath and urine, and found an inflammatory process was indicated by these odors and was a good indicator of some diseases.

How Does Illness Affect Body Odor?

In the original research, Olsson’s participants rated the scent of body odor, or the scent your body produces after bacteria on your skin breaks down proteins from your sweat into acids.¹⁴ Your sweat alone is virtually odorless, but the bacteria on your skin that multiply rapidly in the presence of sweat, and the subsequent breakdown of sweat into acids is what triggers the odor. Your sweat is specific to the individual, which is how dogs and other animals can identify different people.

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The genes that control your immune response also influence your body odor and scent production. An activated immune response may also change your excretion of metabolic byproducts that may also change your body odor.¹⁵ For instance, during stress your cortisol levels are higher, and during an immune response your androgen excretion is lower.¹⁶

Another example of body odor changing with different levels of hormones in your body is stress sweat. You likely have experienced this phenomenon at some point in your life — your body odor becomes strikingly different and worse when you are stressed. As cortisol and adrenaline, released when you’re stressed, flood your body, they may cause an increase in sweat production.¹⁷

However, this type of sweat is released from two different types of glands under your arms. Eccrine glands secrete sweat when you’re overheated, while apocrine glands contribute sweat when you’re stressed.

The difference is that sweat secreted from your apocrine glands contain more of the nutrients bacteria on your skin require to grow and multiply. These added nutrients increase the byproduct of the bacterial metabolism and change the smell and strength of the odor coming from your sweat. In the same way that a “sick smell” triggers an immune response in others, this type of sweat changes the way you’re perceived.¹⁸

Man’s Best Friend May Help Detect Disease

Dogs have been used to help people with diabetes detect abnormally high or low blood sugar before they can feel it and predict seizures before they happen. Today, researchers are working with canines to help detect the scent of cancer. Several demonstrations of how dogs are being used to detect medical changes, including the diagnosis of cancer, are shown in this short news video.

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A dog’s ability to smell is far greater than a human’s. While you have 6 million olfactory receptor cells, dogs have 300 million, and the part of the brain that is devoted to analyzing those odors is proportionally 40 times larger than yours.¹⁹ Dogs in the study in Britain detected bladder and prostate cancer 90 percent of the time or greater. In another study, dogs could detect lung cancer with up to 85 percent accuracy.²⁰

In yet another example, a Labrador retriever was trained to detect the scent of colorectal cancer from breath and stool samples with greater than 90 percent accuracy.²¹ Using breath samples, the dog could detect colorectal cancer with 91 percent accuracy and had an amazing 97 percent accuracy with stool samples. The researchers concluded:²²

“This study shows that a specific cancer scent does indeed exist and that cancer-specific chemical compounds may be circulating throughout the body. These odor materials may become effective tools in colorectal cancer screening.”

Even without training, dogs can detect differences in their owners and warn them of impending problems. In a study of 212 dog owners with medically diagnosed Type 1 diabetes, researchers found 65 percent reported their untrained dogs had warned them of an impending hypoglycemic event by barking and growling.²³

Researchers have known that malignant tumors exude tiny amounts of alkanes and benzene derivatives that are not found in healthy tissue.²⁴ In another study using dogs to detect either lung or breast cancers, the researchers found the animals were 88 percent accurate with breast cancer and 99 percent accurate with lung cancer detection, with no false positives.²⁵ However, while the dogs provide a noninvasive way of screening for disease, many medical professionals find the practice controversial.²⁶

Not all studies demonstrate the same accuracy, although the scent may be confounded by other odors present in the area, such as hospital odors when tests are done in the hospital. Accuracy is also slightly different between individual dogs, in much the same way that behaviors between most trained animals occur. Some researchers are interested in isolating the exact compounds detected by the dogs so training may be standardized.

Next-Gen Dog Noses

Since some studies have not been able to replicate the results, and the animals do not perform the same way 100 percent of the time, scientists have been investigating the use of electronic noses. The concept is similar to the devices built to detect explosive components used in bomb making.²⁷ Early use of electronic noses was undertaken by police departments to identify and quantify alcohol use in drivers.

However, for electronic devices to function, researchers must first identify the chemical components of the disease that are causing the smell. Scientists believe this may standardize the process and improve diagnosis using noninvasive methods. Using an electronic method may also overcome skepticism of physicians who may not want dogs participating in the diagnosis of disease, but may be more comfortable with an electronic device similar to one in use since 1967 to test alcohol levels on your breath.²⁸

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While electronic devices may be more acceptable in the medical community for diagnosis, dogs continue to be an important adjunct to the management of several metabolic and neurological disorders. According to George Preti, Ph.D., organic chemist at Monell Chemical Senses Center:²⁹

“There are groups looking to fund research with dogs as detectors because dogs can pick up the odors in people, particularly children who are not properly regulating themselves, Type 1 diabetic children. They can be trained to pick up this peculiar odor on the breath at an early stage and warn people that they are having a low or going into a high of blood sugar.”

Importance of Smell to Your Health and Predicting Death

Your sense of smell may also have predictive value in determining your longevity, and changes in your sense of smell may indicate the early stages of dementia.³⁰ Smell is inextricably linked to memories formed in the limbic area of your brain. In a study of nearly 3,000 people ages 57 to 85, researchers found that nearly all the participants who could identify only one or two of five different scents had evidence of dementia five years after the test was completed.³¹

The olfactory nerve is located deep in the base of the brain. When you have problems with smell, it may indicate a higher likelihood you may develop Parkinson’s disease or other neurological disorders, such as Alzheimer’s disease. According to the U.S. Centers for Disease Control and Prevention, Alzheimer’s is the sixth leading cause of death in the U.S. and has an annual research budget of $480 million.³²

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Researchers hope that by using a simple and inexpensive smell test for early identification, patients may be saved the cost of an MRI and offered early intervention to slow the progression of the disease. In an analysis of similar data from the National Social Life, Health and Aging Project,³³ researchers found an inability to perceive odor was associated with a four times greater risk of death in the following five years, compared to those who had a healthy sense of smell.

The researchers took into account potential confounding factors, such as nutrition, smoking, cognitive function and alcohol abuse. The researchers concluded that your olfactory sense was one of the strongest predictors of five-year mortality. As reported in the Guardian:³⁴

“The olfactory nerve is the only part of the nervous system that is exposed to the open air. As such, it offers poisons and pathogens a quick route into the brain, and so losing smell could be an early warning of something that will ultimately cause death.”

The loss of sense of smell is also a symptom of zinc deficiency. You can read more about this deficiency, how to test for it and the foods that may balance your zinc levels in my previous article, “Study Warns That Losing Your Sense of Smell May Mean You May Not Live Much Longer.”

Do the Healing Benefits of Comfrey Oil Outweigh Its Toxic Effects?

(Dr. Mercola) Comfrey, while considered an important herbal medicine, is controversial due to certain toxic components in it, which led to the U.S. Food and Drug Administration (FDA) to restrict the use of oral comfrey in dietary supplements.¹

The dilemma is how to weigh the virtues of comfrey oil while considering the safety concerns that surround it. It has exhibited the potential to treat skin concerns and pain when used topically. Learn about comfrey oil, its practical applications and potential contribution to skin healing and maintenance, as well as the FDA’s concerns about it.

What Is Comfrey Oil?

Comfrey oil is extracted from comfrey (Symphytum officinale), a perennial herb of the Boraginaceae family with a black, turnip-like root and large, hairy broad leaves bearings small, bell-shaped flowers. The plant is native to Europe and grows in damp, grassy places such as ditches and riverbanks. It is typically found in Ireland and Britain on ditches and riverbanks, but it also grows in profusion in North America and western Asia.

The plant has found widespread use in folk and herbal medicine for its properties as a healing agent. Its oil, for instance, is ideal as a base for salves and has been used in folk medicine to treat wounds and skin infections.

Uses of Comfrey Oil

Many of the beneficial properties of comfrey are attributed to its high content of allantoin, a substance that, according to the University of Maryland Medical Center, helps promote new skin cell growth, along with other substances that may work in reducing inflammation and maintaining healthy skin.² Comfrey ointments have been used to help heal bruises and pulled muscles and ligaments.

Composition of Comfrey Oil

The comfrey plant contains substances thought to aid skin regrowth, primarily allantoin but also including rosmarinic acid and tannins. As already noted, it also contains pyrrolizidine alkaloids (PAs), which can be toxic to your liver.

Benefits of Comfrey Oil

Here are different comfrey oil benefits classified according to skin or health condition:⁶

•For skin rashes —– Comfrey oil can help in treating rashes. However, caution should be taken when it comes to deep wounds – the oil can help heal the skin so quickly that the new tissue may cover the wound before deep healing inside, resulting in an abscess or skin infection. Remember, too, that there are warnings against using comfrey on broken skin because its PAs can still be absorbed by your skin.

•As a poultice — A poultice is a good alternative if you have an infection but don’t want to apply comfrey oil directly. Here’s how to do it: Blend 4 cups of chopped comfrey leaves and stems with 1/4 cup of carrier oil, such as jojoba, almond or olive oil. Without straining out the herb, wrap the comfrey oil paste with a cotton cloth. Freeze this poultice before applying to help reduce pain and inflammation. Otherwise, you may apply it directly on the affected area for at least 30 minutes.

•For bone fractures — Apart from helping treat superficial wounds, comfrey oil has also been used for fractured bones or torn ligaments in areas of the body where it is not possible to place a cast, such as a rib. It can be applied directly onto your skin or in a poultice, potentially promoting faster healing. It is also said to help reconstruct torn muscles that might have been injured.

How to Make Your Own Comfrey Oil Infusion

Create an herbal oil infusion⁷ by infusing 2 cups of cut comfrey leaves in 4 cups of olive oil with a steady low heat (110 degrees) for two to three weeks. Strain and pour into a clean, dry bottle. Here is another comfrey oil infusion recipe, from Wildly Natural Skin Care.⁸

Ingredients

•8 ounces comfrey leaf (70 percent)

•4 ounces comfrey root (30 percent)

•Extra virgin olive oil, to cover, approximately 16 ounces

Procedure

The roots should already be broken down by chopping. Break up the leaves by hand. To make this using the cold infusion method, put all the herbs in a 16-ounce glass jar, cover with olive oil and cap and shake. This can steep for 28 days. To strain, use a clean old shirt lined in a strainer, pour the mix through into a bowl and squeeze the shirt with herbs in it. The strained liquid is your comfrey oil.

Notes:

•If possible, use freshly dried herbs for this purpose.

•To get fresh, dry comfrey root: Dig the root when it is dry weather. Clean by hand or use some water and a vegetable brush. Brush the root gently. Chop finely; lay out on a paper bag overnight.

•To get freshly dry leaves: Harvest, wipe the dirt off with a towel and allow to dry whole overnight.

How Does Comfrey Oil Work?

As an old European folk remedy, comfrey has many traditional and current uses, mostly focused on skin care. It is important to attribute many of these positive impacts to its high amounts of allantoin, a mucilaginous healing substance that causes cell growth.

Being mucilaginous, comfrey is commonly used for helping heal wounds, preventing scars and treating existing ones, along with decreasing dryness and flaking of skin. The oil appears to work as an anti-inflammatory, an analgesic and an aid in the healing of sprains and broken bones. It also demonstrates effectiveness in assisting treatment of atopic dermatitis, psoriasis and eczema.

Is Comfrey Oil Safe?

Comfrey oil appears to be safe when applied to unbroken skin in small amounts. Note that the poisonous chemicals present in comfrey can still pass through the skin, so they can still be absorbed if your skin is broken or if large amounts are administered. It is considered unsafe to take comfrey oil by mouth because of its PAs, which can cause liver damage, lung damage and cancer. The FDA has recommended that supplement manufacturers not sell any oral form of comfrey.

While a Garden Web community forum⁹ argues that the pyrrolizidine alkaloids (PAs) in comfrey are less toxic than those found in known poisonous plants, such as ragwort, and questions whether PAs cause cancer outside of laboratory experiments, I advise that you err on the side of caution: Stick to prudent topical use of comfrey oil and avoid ingesting any comfrey-based product. Pregnant and breastfeeding women, along with the elderly and children, are also better off avoiding the use of this oil.

Side Effects of Comfrey Oil

There are no known scientific reports of interaction between comfrey and conventional drugs.¹⁰ But some herbs that have also been known to cause liver problems — such as kava, skullcap and valerian — should not be used while using comfrey products because of the increased risk for liver damage.

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Medical Mistakes Affect 1 in 5 People

sad doctor with mask over white background

(Dr. Mercola) Medical mistakes are made in the operating room, in the emergency room and in the doctor’s office. And, unfortunately, the mistakes made by doctors, nurses and pharmaceutical companies still are the third leading cause of death in the U.S. Statistics from a study originally published in 2000¹ have not changed in the 17 years since its publication.

Authors in the Canadian Journal of Surgery believe medical errors represent a serious public health problem and a threat to patient safety.² The definition of a medical error often rests on patient outcome, or rather if there was a negative outcome from a medication or procedure.

Survey Reveals 1 in 5 Patients Has Experienced a Medical Error

In a nationwide survey of more than 2,500 people, researchers found that 1 in every 5 adults had been on the receiving end of a medical error and 1 in every 3 said someone whose care they were closely involved in had experienced a medical error.⁶ The results from this survey found most of the errors were involved with diagnosis of a medical condition and occurred in an outpatient setting. The press release begins:⁷

“The vast majority of Americans are having positive experiences with the health care system, but 21 percent of adults report having personally experienced a medical error, according to a new national survey released today by the IHI/NPSF Lucian Leape Institute and NORC at the University of Chicago.”

Other notable findings from this survey included:

What’s Acceptable Human Error?

Any time humans are involved in an equation, there is room for error. No human is error free. And, like most other human behaviors, the average rate of human error has also been picked apart, studied, analyzed and discussed. Human error rate tables confirm that the “human factor” is real and unavoidable. Human performance falters when tasks require great care, or are complicated and nonroutine, in much the same way medical care functions.

You May Be Shocked by These Medical Mistakes

In many instances, medical error is preventable as it’s often the result of human error. Patients and family members may help reduce these mistakes by staying vigilant when receiving medical care.¹⁴

•Getting the wrong treatment

Iatrogenic Infections Result in Nearly 50,000 Deaths Each Year

Iatrogenic (caused by a medical treatment, diagnostic procedure or physician) and hospital-acquired infections kill more people each year than diabetes. Each year 1.7 million are infected at the doctor’s office or hospital and 99,000 die from health care-associated (HAI) infections.¹⁶ These infections affect up to 10 percent of all patients hospitalized each year and add an estimated $20 billion in additional health care costs.

Also called nosocomial infections, the most commonly acquired in-hospital type of infection include infections in central line IV catheters, urinary tract infections from Foley catheters, surgical site infections and diarrheal illness from Clostridium difficile (C. diff). In many cases, these infections can be prevented using simple handwashing techniques required of hospital personnel when coming into contact with patients.

Unfortunately, many of these infections are triggered by superbugs or bacteria that have become antibiotic-resistant. Inappropriate use of antibiotics and overuse have contributed to the development of antibiotic-resistant superbugs, but the largest source of exposure is actually through antibiotic use in your food. Nearly 80 percent of all antibiotics sold in the U.S. are given to livestock to reduce disease and make the animals grow bigger faster.

Residue from antibiotics is then passed along to you in the meat and dairy products you eat. For example, at least 80 different antibiotics are currently allowed and may be detected in cow’s milk. The Centers for Disease Control and Prevention (CDC)¹⁷ has concluded that as much as 22 percent of antibiotic-resistant illness in humans is linked to food.

Death Certificates Hide the Real Numbers

At this point, no one knows the real number of deaths that may be attributed to medical mistakes as most death certificates do not list the trigger. For example, Dr. Barbara Starfield, author of the Journal of the American Medical Association study that documented a staggering 225,000 deaths from medical mistakes in 2000, was herself a victim. Her husband, Dr. Neil Holtzman, attributed her death to an interaction between aspirin and Plavix, which was not mentioned on her death certificate.¹⁸

Researchers from Johns Hopkins Medicine believe these shortcomings in how vital statistics are recorded hinder research and keep the issue out of the public eye. They wrote an open letter to the CDC, calling for medical errors to become a recognizable and reportable cause of death.¹⁹ The data analysis showed the coding system used to categorize death certificate data doesn’t capture information that may have led to unrecognized surgical complications, inappropriate medications, diagnostic errors or poor judgment.

The inability to capture the full picture of medical errors may stunt research and public knowledge of a problem that continues to grow inside the health care system. The researchers have recommended a number of different strategies that increase transparency following an error and communication within the health care system and with reporting agencies, such as the CDC.

Staying Safe in the Hospital

Download Interview Transcript

In this interview with Dr. Andrew Saul, who has written a book on the issue of safeguarding your health while hospitalized, we discuss the importance of being your own advocate. Once you have walked through your doctor’s office door or have been checked into a hospital, you are immediately at risk for becoming the recipient of medical mistakes. You and your family are the best safeguards against experiencing a medical error. This is particularly important for children and senior citizens.