Monday, December 9, 2013

The low down on oxygen transport(,lung disease, rehab, and training as an endurance athlete).

This might be more than you wanted to know about oxygen, but I promise to take the material out of the science textbook and into your real world. I wanted to discuss obstructive lung disease conditions and what you can do to improve airflow and therefore blood gases and bodily health. And as an extension of that I figured I would just talk about how to improve performance as an endurance athlete seeing how a large part of is related to oxygen transport and energy production.

Heres the lowdown,

COPD, brochitis, asthma, emphysema are all obstructive lung diseases. They can be diagnosed from simple lung function tests which I used to perform as well as more complicated tests imaging tests as well. Basically these conditions diminish your ability to expel carbon dioxide so the amount of carbon dioxide increases in your blood which increases acid production.  For those people who are still smoking or have environments where they breath carbon monoxide, let me say that the carbon monoxide kicks the oxygen molecule off the hemoglobin very easily so you will end up with a low oxygen content in your blood (Sao2 as measured by that little finger probe at the hospital).

Asthma isnt so bad, its just an irriatation of the lung tissue and tubes from all the crap we breath, pollen, mold, bacterial spores, 2nd hand smoke etc.. Heck I was a high level distance runner and only around age 30 did i realize i had mild obstructive lung issues due to breathing in 2nd hand smoke all my childhood. The irritants constrict the smooth muscle of the bronchioles (the tubes leading to the lungs), so you have a smaller pipe to push air through, which means you have to increase the pressure from your breathing muscles to push it through.

Bronchitis sucks cause in addition to the asthma issue, it involves mucus production which decreases airflow in addition to the smooth muscle issue.And chronic coughing can scar the bronchioles as well.(but chronic coughing does give you one hell of a good core workout). Ok that was almost funny.

Emphysema, well this is no pretty picture,  this is the death of lung tissue. and once its dead it isnt coming back, just like after a heart attack where a small area of heart tissue suffers from lack of oxygen and dies as calcium that was inside the muscle leaks out into the blood.

An extra issue with emphysema is this thing known as Blood gas matching or (VA/Q matching). It is similar to how air and gas mix in a carburator of a car. Due to destruction of healthy breathable lung tissue, and less oxygen and greater carbon dioxide in the blood, the end result is less CO2 breathed out by parts of your lungs.  You now have to resort to ingesting something similar to a carburator cleaner (gunk out). Unfortunately its easier to fix VAQ issues in an automobile than your lung.



So what can be done to improve airflow, oxygenation, cellular health and therefore energy production?

I mean really do we really want to be ingesting 5 hour energy, caffeine, or stimulant pills at the check out ailse at walgreens?


So here are some bullet points on how to improve the above categories
  • Exercise (the drug of choice). Just get out and do what you love, and if you dont love it, then hire a coach. The benefits are too numerous so dont wait till you feel like you want to exercise. I mean really does anyone who chooses to go back to school as an adult, really feel like studying all the time.
  • Learn to breathe like a baby again, let your belly move out as you begin your breath, then near the end, lift your shoulders up to pull the upper lobes of your lungs to extract extra oxygen.
  • Make sure your not anemic(see your doctor)
  • Make sure your erythropoietin levels are optimized(a hormone made in your kidneys). 
  • Increase overall cellular health by reducing inflammation and oxidation by increasing your bodys natural production of glutathione peroxidase and superoxide dismutase(some high end nutritional supplements can do this).

Monday, August 8, 2011

Ok tell me what to eat

Hmm should I really presume I know more than you do on this area. I mean were all nutritionists right, cause we all eat and watch cooking shows,  * This is kind of like my registered dietician friends writing on lung disease and rehabilitation or exercise conditioning. But the field of food, and what we eat is really not limited in knowledge to one field (dietetics), really anyone who wants to study something, can. They just need to be careful that their sharing truth, (LOL) cause every personal trainer isnt a food and nutrition expert.







Rather than give a long winded explanation of my philosophy on this topic, allow me the simplicity of spelling out some specifics.

  • Eat as much food as you can the way it came off the tree or out of the ground and choose Organic whenever possible(within your budget).  Eating the refined packaged version of the real food will cause you to end up getting far fewer micronutrients (chromium, B vitamins, enzymes, etc..) with the same or more macronutrients (fats, protein, carbs) calories.. THIS WILL MAKE YOU FAT AND POSSIBLY ADD TO ILL HEALTH.
                                                                                                  
* I worked on a study back in undergrad testing strong antioxidant/antiinflammatories on healing (Vit C, Vit E, Bromelain  and a bunch of other stuff compounds) Guess what? Bromelain is found in high concentration pineapples, especially the stem. You may just choose a bromelain pill but choosing the whole food source is always the best choice.
  • If your metabolic type suggests you would thrive on some percentage of meat products then eat animal meat that grazed on healthy food and soil (free range, grass fed, organic, chemical and hormone free etc..) Try wild meats, they tend to have less saturated fats in their tissues. Of course meatless (soy) burgers can get you substantial protein but remember that wonderful compound known as Hemeoglobin (which binds to oxygen in gas form to transport it in your blood) has heme and non heme iron forms. The heme form which is for making hemeoglobin can only be found in red meat. There I said it, some people need red meat, just healthy red meat.


  • As far as fat sources and oils are concerned (yes everyone needs to eat some healthy fats), remember that fats oxidize easily in the presence of oxygen(create free radicals and become unstable in their chemistry when heated too high.)This will hurt your cells and lead to some form of premature disease because all your cell membranes, whether its your pancreas, liver, muscle or brain tissue are surrounded by a membrane partly composed of fats(and you need to replace these regularly with healthy fats.  For a list of healthy oils check out this site. http://drbenkim.com/articles-oils.html
                                                                   
            
Coconut milk and oil contains lots of lauric, and caprylic  fatty acids(which yes are saturated, but are comprised mainly of medium chain fats.  So they dont take much effort at all to be transported into your mitochondria for burning via beta oxidation. (Hey I have to throw out a few terms to make me feel like taking biochemistry and metabolism courses was useful.                                                                                                                                                                     

  • Start drinking 3/4 gallon of water or more per day(start filtering your water and buy a insulated container to bring this fresh water with you to your work station.) Ever wonder why your workouts suck and your heart rate is soaring, cause your probably dehydrated and have less blood volume.  Not to mention the last time I checked we both have 2 kidneys which require lots of water to filter all the crap out of our bodies.

The following  is a high end shopping list of prepared very nutrient dense foods. Afterall You are what you eat


Breakfast foods:

Arrowhead Mills: Organic blue corn pancake and waffle mix
Arrowhead Mills: Organic whole grain pancake and waffle mix
Food For Life:     Ezekial cinnamon raisin bread and 4:9 cereal
Peace Cereal:      Vanilla Almond or maple pecan crisp cereal
Natures path:       Optimum Slim cereal, optimum power breakfast cereal
Natures path:       Organic instant oatmeal
Health Valley:      Organic raisin bran flakes, organic oat bran flakes
Old Wessex Ltd:  Irish Style oatmeal, 5 grain cereal
Ancient Harvest:  Organic quinoa flakes
Edensoy:              Organic Soymilk, rice and soy blend milk.
Rice Dream:         Rice milk
Silk:                     Coconut milk, almond milk
Zen bakery




                                                              AHHHHHHH Real Food


Other healthy brands of prepared meals for lunch and dinners

Amys Organic
Cascadian Farms
Dr. Praegers
Dr. Oetker Organics
Dagoba
Earth Balance
Eddies
Essential Living Foods
Fantastic Foods
Food For Life
Glorias kitchen -vegan prepared entries
Garden of Eatin
Gardein
Gardenburger
Hain Pure Foods
Health best 100% organic
Health is Wealth
Kookie Karma
Lauras Wholesome Junk Food
Lightlife
Lundberg family farms
Lifestream
Lightlife
Maranatha
Morningstar farms
Nates
Newmans Own
Now and Zen
Nasoya
Pastariso
Rising moon organics
Rudis Organic Bakery
Spectrum Naturals
Terra
Tree of Life
Tropical Source
Udo's
Uncle Eddie's
Westbrae
Whole Foods Market Brand
Yves

Now just put together meals including some of these prepared brands along with healthy meats, oils, and plenty of fresh fruits, vegetables, legumes, nuts, seeds and as long as your not an idiot stopping at Kyrstals or Burger King 2-3 x a week, you cant help but become highly healthy.


















For a more complete shopping list including healthy condiments, spices, oils etc.. and great nutrition advice, check out the following sites.


http://www.personal-nutrition-guide.com/


Heres to your health.



Eric Niles


Friday, April 15, 2011

How do I get this fat off.

Ok were not all 28 years old anymore where having a nice fit body is just rediculously easy. So here is a consise up to date holistic approach to getting the weight off.  Right off the bat Im in trouble with this topic cause I could tell you how to lose 20 -30pounds in  8 weeks or 50 + pounds in 12-16 weeks but once we talk about staying lean and fit after that, then we have to balance this little thing called LIFE.

One of the main tools that I use early on with a client is the use of the wellness wheel developed by Dr. John Travis, MD, MPH The Wellness Wheel is a graphic way of representing the Wellness Energy System:
  • I could evaluate and set goals(treatment) for every component of this pie chart. My blog is essentially a way to communicate this wellness wheel to you. I cant do that in one session or even in one year, so for now the brief topic this month is fat loss : so obviously just nutrition and moving(exercise) are not the only components effecting this any more than just your consumption of saturated fats is directly linked to your blood cholesterol levels or for that matter to increased cardiovascular disease rates.
My suggestions then to get the fat off include:

  • Go to the top of the food chain and visit your MD. Or perhaps an MD clinic specializing in antiaging medicine and bioidentical hormone replacement. Don't wait for crazy symptoms of testosterone or other reproductive hormone deficiency or adrenal fatigue to creep up on you before you decide to seek help. Go ahead and get a complete hormone panel done along with your other normal labs(complete blood count and metabolic panel). Do it now, be willing to make a body payment to prevent future premature disease.

  • Think about why you even want to change.  This reason must have emotional energy behind it to be important enough to lifestyle your way back to health. The biggest obstacle by far to you changing and restoring health is the emotional barriers stacked up like a monument in front of you. You need help outside of yourself. So hire an LPC or well qualified fitness or holistic health coach who has been through enough stuff in life to learn via formal training and life experience. Its the therapists or coaches role to serve like an enzyme in biochemistry.
Yup I'm gonna divulge a page from that 10th grade biology textbook you have all forgotten.

File:Carbonic anhydrase reaction in tissue.svg

That red upward slope is the totality of all the stuff you have to overcome to reach the top where momentum can carry you downhill and life gets substantially easier. Actually its a carbonic anhydrase reaction but dont tell anyone. I like to take science diagrams and turn them into life lessons.

I, Eric Niles holistic health coach am a force in your life to pull you up and over your barriers to change, and in fact I may just serve to actually lower the barriers. These can include things like the following:

  • Negative energy of people in your life who don't want you to succeed or keep you "stuck"
  • Bad belief systems like "I'm 50 years old and shouldn't expect to be thin and fit" or God is angry with me and is thwarting my attempts to move ahead in life. Yup I'm gonna attempt to dispel that crap out of your life.
  • Multiple medical challenges(obesity, arthritis,  GI inflammatory issues, fibromyalgia, high blood pressure, low anabolic hormone levels,).
  • Financial disaster(yup Ive been there).  Ill send you to Dave Ramsey and Financial Peace University for actual coaching on this but lets face it, when your in crisis management mode, its virtually impossible to get healthy without a coach on your side.  This crisis keeps you stuck in eating poor quality food, no cash to buy cellular health supplements, probably no time to commit to working out cause your working two or three jobs plus raising your precious children (AHHHHHHH)

  • Decide if you want to jump start your weight loss with a quick aggressive approach
Don't listen to silly health or fitness "experts" who tell you their opinion of why you should or shouldn't do such and such. They are probably just spitting back text book information they were spoon fed when they were 22 years old.  Some methods of jump starting your weight loss include:

1. HCG diet plan(includes a 26-40 day cycle of a hormone injection) along with a low calorie(500 daily plan). Talk to an anti aging or hormone replacement physician who is into wellness and lives the lifestyle.

2. Take a medicine: It sure beats surgery and spending all your cash making expensive urine by visiting Vitamin Shoppe and GNC to buy lower quality supplements. Medicines work, yes they are just a tool to use for a brief time, but when chosen correctly the right tool makes all the difference. So here are the classes of fat loss pharmaceuticals:
  • Stimulants, appetite suppressants, fat blockers, fat mobilizers, (Phentermine is the most popular stimulant /appetite suppressant combo administered in physician directed weight loss clinics along with a restricted meal plan 5 HTP is one choice of  supplement for appetite suppression.
3. Other combinations of nutraceuticals designed to increase cell energy production(fat burning), protect from oxidation, sludge buildup, inflammation, and a host of other villians sending us into an early grave.

4. Other low calorie meal replacements (like Optifast liquid drinks). I managed one of these clinics in the past, and the more I think about this approach, it really is a good one. Sure I wouldnt suggest my clients "drink" all their meals but for a short time period, just focusing on these drinks allows you to focus on other components of your wellness wheel and then you can relearn healthy eating and shopping once substantial weight has come off.

5. GI tract cleanse or detox. (special combination of herbal, nutrient, fiber blends) designed to "clean you" like liquid drano minus the poisens. Many other 'detox" or cleanses exist, fruit and vegetable cleanses, chelation therapy, Vit C flushes, etc. and many helpful remedies(separate future blog perhaps for a Naturopathic Doctor).

Once you have done the above, then follow this:


  • Balance your wellness wheel(mostly likely hire a professional coach)
  • Buy the following high quality(pharmaceutical grade) supplements if desired:  Max International or Life Vantage (2 companies) which distribute high end patented nutraceuticals to help restore cellular health and energy by allowing for more glutathione perioxidase and superoxide disumtase to be manufactured): Dont worry about it, believe me these are like superman to the rescue and can seriously help fight off cellular oxidation and rust from occuring much more than you ingesting large dosages of other antioxidants like selenium, zinc, vitamin E, vitamin C, resveretol, Dark chocolates with high cocoa content etc..I would also suggest a thermogenic heat producing weight loss aid, an essential fatty acids and omega oil blend, and a stimulant supplement (check with your Primary care provider).. You certainly dont have to do all these things, remember some clients lose significant fat simply by emotionally detoxing with a good counselor or simply eating fewer calories or cutting out simple sugars.
  • Heres a few examples(there are many more) of nutrients found in top of the line thermogenic and or stimulant supplements:
  • Conjugated linoleic acid, carnitine,(not creatine silly), yerba mate, yohimbine, forskalin, green tea extract,caffeine, synephrine(anything ending in eine or ine will jack up your cardiovascular and metabolic systems, they attach to the AV node in the right atrium of your heart to speed up impulses). This might not be a good idea if your prone to certain arrythmias, conduction problems(AV block for example) have hypertension or take another stimulant medicines like Effexor. Combine too many stimulants along with regular Starbucks visits and you too might be the next contestant on  "Fun Filled trips to the Emergency Room- excessive firing in your wiring". (Just wanted to throw out a few terms to show you that you need to see your MD, or NP, PA to assure safety).
  • Eat according to your metabolic type(fill out a questionnaire I can email you), and eat a little less than your body requires.
  • Dont eat less daily calories than is below your metabolic rate. The only exception to this would be for a brief period (no more than 10 weeks) with some of the above mentioned aggressive quick approaches.
  • Divide your calories as follows: Breakfast 25%, snack 10%, lunch 25%, snack 10%, dinner 30%  Dont be anal, just realize to keep heat production(thermogenesis) high you need to treat your body like a coal or wood furnace(stoke the fire regularly with small bits of fuel).
  • Eat the following foods: coconut oil, organic butter, heat producing spices, nuts, seeds, complex grains, plenty of fresh fruits and vegetables, lean proteins like free range chickens, turkey, game meats, very lean red meats, fish, egg whites, seafood.(Remember eating the right portions and amounts of food to lose fat is different than me discussing the topic of eating nutrient dense foods). So Im not gonna tell you right now why everyone needs to be eating asparagus, or spinach or give you all the healthy oils you should consume.. Ill save that for another blog, I just wanted to wet your appetite.
  • Stop eating the following foods: Dairy(there I said it), instead try other milk varieties, nut milks, rice milk, soy milk. Stop eating canola oil, hydrogentated oils, simple sugars, too many grains, too many boxed foods. (Go read Skinny Bitch or Skinny Bastard) by those glamor girl trainers in Los Angeles. Their written with intentional sarcasm but I really love those books, it shines a light on many useful  nutritional concerns. Sure they probably need God in their life to open their spiritual eyes, and transform their hearts, but dont all of us.
  • Eat food as much as possible the way it came off the tree or out of the ground and you cant go wrong and by all means ditch the food guide pyramid(it was developed in conjuction with the agricultural industry who is in business to make money, not to get you healthy). Sure its got some truth in it, but so does Buddhism.  Instead eat according to your metabolic type and you will know roughly the percentage of fats, proteins, and carbs your body thrives on. Once you know this, then eat a wide variety of the highest nutrient dense foods you can get your hands on.
  • Drink more water(filtered) and bring a container with you throughout the day(just do it).
  • Move regularly so you actually have to use those things called your lungs to breathe this gas we call oxygen, which burns this stuff we call fat. 
  • For those of you who just arent going to do formal exercise:at least get your ass off the desk chair at work occasionally and fit extra motion into your day with fidgeting, running up the stairs, work breaks of push ups, planks, jump roping, dips using the chair etc.. See me for complete work station exercises using elastic resistance too
  • When it comes to formal exercise: Stick with a blend of aerobic and intense weight training. Theres not much benefit to low level resistance exercise training unless your very deconditioned, or rehabilitating an injury. So whether its pilates, zumba, yoga, pure barre, cardiokickboxing, bootcamps, P90 x,  swimming, spinning, at least find something that makes you feel like a kid again when you used to engage in this thing called, "PLAY".  
  • For those wanting to really chizzle themselves, and add muscle definition the above routines will generally not work for this purpose. You have to overload the muscles over time and most group classes dont allow for this.  Sure you will burn a bunch of calories in any type of group class, but you can do the same thing playing tennis or whatever, as long as the intensity is comparable.
  • The following is an example of a plan of attack to add lean tissue to your body and raise your metabolic rate(and therefore turn your body into a metabolic machine of fat burning. Stick to a total body routine where your performing exercises using big muscles (deadlifts, squats, box step ups, lunges, pullups(chinups), back rowing motions, chest fly motions, shoulder shrugs, dips, cable high to low pulls etc..) And heres the deal, you need to challenge yourself progressively over time
  • Lift about 15 reps slow , 2-3 days a week where you add resistance in small dosages each workout. Do this over a 2 week period.  
  • The next two weeks, lift  about10 reps each workout still increasing the resistance each workout
  • The next two weeks lift 5-8 reps each workout and increase the resistance each workout.
  • Complete the last cycle again for 2 weeks or even drop your reps if you want, and maybe add in some eccentric contractions(lower the weight slowly to cause little tears in the muscles).
  • Rest for 10-12 days with no lifting of weights to allow for recovery. Listen to your body signals to determine how much rest you need(Hire me for more specifics). This gets you out of the gym setting which your spirit needs.
  • This type of routine will absolutely increase muscular size and or definition unless you have no testosterone in your system and you only eat 10% of your calories from protein.Im not saying its better than P90x or whatever else you can think of, but it will keep you injury free and get results in terms of muscle gain and increased resting metabolic rate
  • On off days between your resistance workouts just do 2-3 aerobic sessions of 30 minutes. Make one or two of those sessions near your anaerobic threshold (about 80-85% max heart rate or about a 7-8 out of 10 on a 10 point effort scale. The other 1- 2 days just keep it easy to allow your muscles to recover from the lifting(you should feel sore). Hit me up for specifics on endurance training and competetion. Would you believe I used to run 80-120 miles a week when I was in grad school in Massachusetts. Crazy isnt it.

Ok gang, if you want more details or specifics on any of  the above topics then thats where I come in. You hire me, I do the research find out what your goals, medical issues, and emotional or life obstacles are, and take general information and make it talored to you, to get results.

Let me know if I can help.

Your coach

Eric Niles, MS RCEP, CPT, LPC student

Monday, February 28, 2011

What to do with my desires

Ok folks, we all have them. DESIRES. We all live for primarily something that ignites our spirit and soul. Whether its for the ideal partner in life, working in a career that's suits you,  having the cash to afford travel, spending quantity of time with your children and actively be involved in raising and training them.  Or who knows, maybe your main desire is to just shrug off other peoples expectations of you,  negative influences, and to set yourself free to be the beautiful authentic you. These are all worthy desires.
See if this doesn't  hit  home:

1                                                             5                                                     10
Reality---------------------------------------------------------------------->Desires


Once you clearly evaluate what your desires are, your faced with a painful dilemma. What do I do with these desires. Whether its from research findings or life experience, or intuition, the consensus is the same. We have 3 options.

1. Keep your desires elevated (don't settle for selling insurance if you get headaches going into work and your soul shrivels up). Or don't just date someone to avoid loneliness.  Easier said than done though isn't it when bills have to be paid and we desire intimacy.
  • If this is your choice then your going to have to really work on yourself and get healthy so the gap between your reality and desires doesn't continue to beat you down into disillusionment
  • Some practical methods, get connected to a healthy group of people and stay connected spiritually. Develop new social habits and personal growth ventures. Go back to school, get your freaking body in shape. Stop waiting till you feel like it. The options are endless.
2. Lower your desires or expectations. (Buddhism would recommend this, but I sure wouldn't).  This at least allows you to obtain some measure of satisfaction.
  • If you choose this option, and most likely we all have along this journey toward Desires, then simply recognize what you have done so you don't blame others for not allowing you to choose number 1 above. This is probably where the majority of us live, learning to be content with what we have, yet that longing still exists to experience our true desires.

  • A few practical methods for dealing with this choice: Be honest with yourself if your compromising on something that is crucial. Small compromises like working a job that isnt that interesting but pays well, might be totally fine, if it allows you to be with family or travel where you can seek fullfillment. However being a road warrior might not be wise  if after another school year you havent even done homework with your children.  Well the deal is, you get to decide where to make the choices based on your core values(so go take a core values assessment-do it now)
3. Medicate with whatever source of pleasure you can get your hands on.

  • Just realize if you choose this option,  it puts you in control. It also can easily lead to addictive tendencies where your life now becomes a pursuit of arranging for your own satisfaction. Whether its relationship control, sex or substance addiction,  materialism, worshipping your career, intense adrenalin rush experiences, the underlying driving force is the same, to experience a form and intensity of pleasure that is missing in your current life. (Most of us have all been here in one form or another).
 So here is a treatment plan I suggest.

  • Seek God, for He alone is the only being who will satisfy you permanently. Regardless of which of the 3 options you choose, God alone is worthy of worship (not your children or spouse or good deeds)
  • If your not there, then your gonna have to seek it elsewhere. The problem with this approach is that everything else you seek is not stable or permanent. They will therefore come crashing down at some point, so just be prepared for it ahead of time.
  • Set healthy goals and boundaries in life
  • Boundaries are like those huge metal ropes on the golden gate bridge, except these boundary ropes can tighten to draw the two end points of reality and desires closer together

One method of setting up healthy goals is to take a simple assessment known as a wellness wheel. I recommend the comprehensive wheel developed by John W. Travis and Healthworld Online (2002).

Once you learn to see where your at, and how your reacting to life, then you can set some goals after having completed it. Lastly add some healthy boundaries. These will enable you to
  • Keep unhealthy toxic people or influences out of your life. You have the power to lessen these peoples influence or energy drain from your life.
  • Realize your strengths and mission in life, so you stop applying for those stupid jobs that bore you to death and ruin your level of wellness.
  • Keep you from overcommitting to too many church or social functions which leave you and your family spent.
Engaging in the above activity can serve as a form of detox. Combine this with a nutritional detox(fruit and vegetable cleanse for example, along with organ specific cleanses, deep breathing and exercise cleansing(hot yoga for example), and reconnecting with God and your about to launch off into a new level of growth and health. 

Remember our disease care system is set up with biological health as the main concern and only path of treatment. However those of us who know better, realize that spiritual and emotional health are just as important determinants in biological health. In fact they are just as crucial as exercise or taking meds or eating healthy.

If you need assistance beyond simple self care, then enlist the help of a professional on your side. This could be a holistic health coach, personal fitness trainer, spiritual mentor (who lines up with your belief system) or even a licensed professional counselor. They can help you obtain breakthroughs you never thought were possible.


So here's to becoming the authentic beautiful you.

Have a powerful day.

Your coach

Eric Niles