Exercise and Weight Loss Reduces Kidney Disease and Death
Wednesday, October 14, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
We recently found a cure for "irony deficiency disease." My near-7 foot tall husband and I were walking to a Vidocq forensic society meeting. A bake sale was set up in the building lobby - junk food, refined junk pastries, pies with artificial colorings. The sign stated "Bake Sale for Kidney Disease." I asked which items caused the most kidney disease. I was sure it was a staged joke for a commercial on nutrition awareness. The sellers were disappointed with me. Apparently, it was a real bake sale. "Bake Sale for Kidney Disease" is true, both for them and their kidneys.
Research reported in the Clinical Journal of the American Society Nephrology of pooled data from 13 studies showed found, in obese adults with kidney disease, losing weight through diet and exercise prevented additional decline in kidney function and reduced proteinuria, which is excess excretion of protein in the urine, a major characteristic of kidney damage.
Regular exercise of the recommended amount cuts risk of death in patients with chronic kidney disease by 56%, according to an analysis of National Health and Nutrition Examination Survey (NHANES) data. People who exercised, but less than recommended levels were still 42% less likely to die during follow-up than sedentary people.
1. Weight Loss Interventions in Chronic Kidney Disease: A Systematic Review and Meta-analysis. Sankar D et al. Clin. J. Am. Soc. Nephrol., September 17, 2009 as doi: 2. Physical Activity and Mortality in Chronic Kidney Disease (NHANES III). Beddhu S, et al. Clin J Am Soc Nephrol 2009; DOI: 10.2215/CJN.01970309. doi:10.2215/CJN.02250409.
Obesity is a major factor in kidney disease. A large percentage of the United States adults and children are overweight or obese, increasing their risk of kidney ailments, plus diabetes and high blood pressure, which in turn affect kidney function. More than 20 million Americans already have chronic kidney disease, with the number and severity growing.
Researchers of the Systematic Review and Meta-analysis stated,
"The health care costs that are associated with this increase are staggering. In obese adults, weight loss may offer real benefits in terms of the kidneys, in addition to the heart-related benefits of shedding excess pounds."
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Here is Fast Friday Fitness - Bend right and pull one of the highest nutrition garden items, free, even if you have not planted a garden:
Find dandelions. You can tell them by their jagged leaves. The leaves gave them their name, from the French for 'dents de lion' (tooth of the lion).
Use good bending, with squat or lunge, to pull free nutritious food. Many people will let you have theirs free.
You can eat the green, the flowers, even the roots. USDA Bulletin #8, "Composition of Foods" (Haytowitz & Matthews 1984) ranks dandelions in the top 4 green vegetables in overall nutritional value.
Dandelion has long been known as a top nutritional food and even medicine. The official name, Taraxacum officinal, comes from the Greek, 'taraxos' meaning 'disorder' and 'akos' meaning 'remedy.'
Eat the greens as salad, sautéed like other green vegetables, or make juice. Greens are best fresh and young, just before the plant flowers. Greens have bitter taste (like coffee and beer) that is said to aid digestion. People who are accustomed to junk sweets may not like them at first, then they taste better over time, and mixed with nuts, spices, and vinegar.
Dandelion flowers are pretty in salads and on vegetables, or use them to make wine (to be covered in posts to come). Dandelion root contains inulin, a soluble fiber which does not raise blood sugar or triglycerides, making it helpful to people with diabetes. Dig roots in early spring or fall. You can eat them as is, or soak them in a jar of brandy or vodka for four weeks (or more) to make a tincture.
Now you can stop using poisonous and expensive chemicals on your lawn too. Better not to add these substances to the water system, or to yours.
The good news? Even when you pull them to eat, they come back to make more free nutritious garden without work.
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Sunlight deprivation has been found in a clinical study to cause profound negative change to portions of your brain associated with depression.
Further, "neurons that produce norepinephrine, dopamine and serotonin, which are common neurotransmitters involved in emotion, pleasure and cognition, were observed in the process of dying."
Study source - Proceedings of the National Academy of Sciences March 25, 2008, vol. 105 no. 12 4898-4903
In the Northern hemisphere of the Earth, February brings deep wintertime, with short days, and greatly reduced light. For the last 30 years or so, each summer has brought warnings to stay out of the sun, practically zero tolerance for light exposure, urging hats, sunscreens, dark glasses. There also seems to be a sharp rise since then in incidence of serious diseases usually not seen in the young - soft and porous bones, depression, chronic body pain (fibromylagia and related), diabetes, and others. Sunlight seems to have several effects, one of which is helping the body produce Vitamin D. Lack of Vitamin D is now known to be directly linked to higher risk of lung cancer, Parkinsons disease, diabetes, high blood pressure. Vitamin D is available in food sources, however you can also take a prudent approach to getting the several different beneficial effects of the sun, many of which cannot not be gotten though a vitamin supplement.
Last summer Scientific American published a survey finding, "Americans are losing interest in going outdoors." As health providers, we need to see if part of that is telling people that staying out of the sun is necessary for health. We also tell kids to finish everything on their plate and sit still, two more practices, that on examination, translate into, "Practice and learn to be sedentary and overeat."
Try to get outside every day, even if cold (within reason). Bundle up, if you have to.
Get light in your eyes. This does not mean to stare at the sun and induce cataracts, but to get sunlight in healthy ways for the several different crucial mental and physical benefits.
Melanoma skin cancer is not confirmed from lack of use of sun screen - NYTimes article. For a post on balancing needed benefits of sunlight and stopping unwanted negative effects, click Junk Food Through Your Skin?
Click the label "sunlight" for posts that tell more of the benefits of sunlight.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books.
FDA Orders Suicide Risk Warning for Common Back Pain and Migraine Drugs, and Others
Tuesday, December 16, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
The FDA issued a public health alert today based on their review of 199 clinical trials. Specific drugs for epilepsy and psychiatric disorders are often prescribed to patients with migraine, back and body pain. The FDA review was released last January, and showed that patients taking those drugs had "almost twice the risk of suicidal behavior or thoughts than patients taking a placebo."
One of the drugs on the warning list is Neurontin (Gabapentin). Patients with back and various nerve and diabetic pain are commonly prescribed this drug. More drugs on the list are frequently prescribed for fibromyalgia and other pain: Lyrica (Pregabalin), Topamax (Topiramate), Celontin (Methosuximide), Felbatol (Felbamate), Zarontin (Ethosuximide) and others.
Here is a list of the medications required to add the warning:
* Carbamazepine (marketed as Carbatrol, Equetro, Tegretol, Tegretol XR) * Clonazepam (marketed as Klonopin) * Clorazepate (marketed as Tranxene) * Divalproex sodium (marketed as Depakote, Depakote ER, Depakene) * Ethosuximide (marketed as Zarontin) * Ethotoin (marketed as Peganone) * Felbamate (marketed as Felbatol) * Gabapentin (marketed as Neurontin) * Lamotrigine (marketed as Lamictal) * Lacosamide (marketed as Vimpat) * Levetiracetam (marketed as Keppra) * Mephenytoin (marketed as Mesantoin) * Methosuximide (marketed as Celontin) * Oxcarbazepine (marketed as Trileptal) * Phenytoin (marketed as Dilantin Suspension) * Pregabalin (marketed as Lyrica) * Primidone (marketed as Mysoline) * Tiagabine (marketed as Gabitril) * Topiramate (marketed as Topamax) * Trimethadione (marketed as Tridione) * Zonisamide (marketed as Zonegran) Some of these drugs are also sold generically.
I will be covering migraine and other headache in the future. Instead of drugs to mask back pain, neck pain and various musculoskeletal and nerve pain, fixing the cause is healthier than drugs. By no longer injuring the area, the pain will stop and the area can heal. It is not matter of choosing between pain and often worse problems from the treatment.
To stop common causes of pain, and the need for drugs, start with these:
Health&Fitness - How To Be Healthy Happy and Fit For The Rest of Your Life. THIRD edition.
The Ab Revolution - No More Crunches No More Back Pain THIRD edition.
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See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. For personal medical questions - Replies to Medical Questions. Read success stories of getting off pain medicine using healthy methods instead. Limited Class space for personal feedback. Certification for top students throughDrBookspan.com/Academy. More in Dr. Bookspan's Books.
We live part of each year in Asia. For a few months, I was posting articles for you from various villages. The town shower of one is pictured at right - not the hut, the outdoor green post with hose. Imagine what the Internet café was like.
On the flights over, our only bag was lost. US transportation security required us to check our sole knapsack, since it had a small gift for friends containing liquid. It never reappeared. We don't need "things" and it was just as easy to make our own soap, comb, and toothbrushes as carry them.
In Western stores, I am astonished by the number of "personal care items." Not just shelves full, but aisles. Each promising better hair, skin, nails, and other parts, but with ingredients that are not healthy for your body, produced in ways that pollute the world, and packaged in plastics that are unhealthy to produce, pollute when discarded, and which apparently leak chemicals into the product that can be absorbed through your skin - see Green Water. A study commissioned by the Organic Consumers Association found that even shampoos, body washes, and lotions labeled "natural" and "organic" can contain unhealthful, even carcinogenic compounds.
I feel high maintenance just carrying a toothbrush. Then we arrived without even that. What freedom.
We made simple hand sanitizer from coarse salt, rubbed between the palms.
For body, face, and hair, we picked aloe leaves, squeezed out the gel inside, and rubbed directly on - see Fast Fitness - Aloe Inside and Out. It dries non-sticky, and makes your hair shiny, clean, and healthy. We used the rest of the gel in food and drink for healthy digestion.
Bamboo is easily made into cooking pots (photo above left). We also visit our favorite bean sprout PadThai restaurant - an outdoor wok on wheels run by a friend. Paul is always popular when we travel (photo at right). The others are not sitting; Paul is really that tall, and has to duck those umbrellas, doorways, and ceilings.
Baking soda and salt makes clean toothpaste. Even without them, a short branch called a neem stick with one end mashed until fibrous, makes a soft, effective bristled toothbrush. Neem extract is said to be a good antiseptic, and effective against various health ills and germs.
After a long day at work and after hard training, instead of hand lotion, you can rub sesame or other light healthy cooking oil onto your hands and feet. You can scent it with mint leaves, citrus peels, spices, and flowers. More ideas in Healthy Mother's Day.
I don't use sunblock, even in the tropics. I do use something to stop some of the unwanted effects of too much sun, but I do not want to block the Vitamin D and other helpful effects of sunlight. Vitamin D deficiency can lead to osteoporosis (thin, brittle bones) and osteomalacia (rubbery, demineralized bones). Vitamin D deficiency is associated with increased risk of a few types of cancer, including lung cancer. Studies find that people with low blood levels of vitamin D were more likely to have high blood pressure, cardiovascular disease, cystic ovary, and type 2 diabetes. Another study found that a number of patients with aches and weakness were vitamin D deficient and concluded, "A lot of 'fibromyalgia' may be D deficiency."
Instead of blocking or deflecting UV rays using chemical sunblocks that may contain chemicals that I am not sure are healthy, I mix my own, that I hope stops the oxidizing effects and makes my own body better able to stop skin cancer mechanisms. I mash together fresh coconut pulp, green tea, vegetable sprouts, mashed turmeric root, and aloe gel. Here is how to get a simple fresh aloe - Fast Fitness - Aloe Inside and Out.
A study by Johns Hopkins researchers, reported in the Proceedings of the National Academy of Sciences (October 30, 2007, vol. 104, no. 44, 17500-17505) found that rubbing an extract made from broccoli sprouts on your skin may help prevent skin cancer from high levels of ultraviolet (UV) radiation. Broccoli, and the sprouts in particular, contain a chemical called sulphoraphane, which is found to activate cancer-fighting enzymes in your own cells throughout your body, not only skin cells.
Instead of chemical anti-mosquito products, we try various things. Marigold flowers rubbed on the skin seem to work for us. I don't seem to be "sweet," and mosquitoes often ignore me while going after Paul. We have heard various theories from locals. One is that he eats sweet rice while I eat more garlic. Various grasses rubbed on the skin also work well for us.
There are vines growing in Thailand with beautiful purple flowers. When you rub them on wet hair, it leaves your hair soft and shiny and sweet smelling, but the bugs do not like it. There are other vines that, when mashed with water made effective gentle soap and mosquito control combined.
In Asia, martial arts training is often more rigorous and disciplined than is common in the states. After hard evenings of training, I would sit by a candle made from oil and tightly wrapped bamboo leaves, and rub salt and oil into my, and Paul's, tired feet. Bliss.
November 1 is World Vegan Day, and all of November is celebrated as Vegan month.
Vegans are vegetarians who don't eat, and often don't wear, any products from animals. The idea is no more unusual than not wanting to hurt, wear, or eat your pets.
Vegan living can be healthier than non-vegan, and vegan diet can fuel both endurance and strength athletes.
Vegans and vegetarians have been found to have lower body fat on average than non-vegetarians, and lower risk of diabetes. A new study by The World Cancer Research Fund making big news as "a landmark study" found that keeping slim is one of the best ways of preventing cancer, and that evidence is stronger than previously realized that eating meat, and processed meats such as ham and bacon, increase risk of colorectal cancer. The report makes 10 recommendations including getting exercise every day, drinking water rather than sugary drinks, and eating fruit, vegetables, and fiber. There is no fiber in meat, dairy, or eggs. Vegan meals can provide enough calcium to prevent osteoporosis.
Vegans may promote farm sanctuaries and work for better ways than vivisection (hurtful testing on animals). The argument isn't if you prefer that a child is deprived of medicine rather than test on an animal, the quest is for neither to suffer, and to find smarter, healthier ways for all. Significant examples exist of tests based on animal physiology that were ineffective or injurious when applied to humans in need.
Vegan bodybuilder Kenneth G. Williams is pictured above and at right. His web site is www.VeganMusclePower.org.
In the tradition of fighting monks, Chris Price is a vegan Muay Thai and mixed martial arts fighter. His web site is http://www.veganfighter.com/
Healthy Martial Arts - Healthier training for all sports, featuring vegetarian and vegan athletes. Chapters on strength, endurance, speed, balance, nutrition, performance enhancement, injuries, building the spirit and the mind.
Diabetes causes such serious health problems that the risk of death is twice as high for someone with diabetes compared to someone of similar age without. More than 20 million people in the US have diabetes (colloquially called "the sugar" disease) with 2 million a year more cases diagnosed every year. Exercise has been found to be a top factor to prevent and treat diabetes.
Three main types of diabetes are type 1, type 2, and gestational.
Type 1 diabetes, where the body does not make enough insulin (in the body organ called the pancreas), is treated with injected or inhaled insulin, although nutrition and exercise changes are a fundamental part of management.
An estimated 90–95% of cases of diabetes in North American are type 2. Type 2 diabetes is also called non insulin-dependent diabetes and obesity-related diabetes. Type 2 was rare until modern sedentary habits combined with mass sales of unhealthful food.
Gestational diabetes is generally a form of type 2 during pregnancy.
In the recent past, type 2 diabetes developed only in adults as they gained weight, reduced activity, and increased packaged, commercial, unhealthful foods. An escalating phenomenon of type 2 diabetes in children is now occurring.
Approximately 85% percent of adults and children diagnosed with type 2 are overweight and less active than they could be. Type 2 is increasingly being found to be best treated with more fun movement and less bad food, a win-win situation.
Several studies have found that exercise and healthier diet are more effective than medicine for people with type 2 diabetes. A recent randomized controlled Canadian study published in the Annals of Internal Medicine found that people with type 2 diabetes who began exercising developed better blood sugar control, both from aerobic exercise and resistance training. Not exercising yielded no improvements in sugar control. People who combined aerobic exercise and also lifted weights had the biggest improvement. It is not known in this study if results occurred because of the type of exercise mattered, or because the duration of exercise was greater in the combined exercise training group. According to an editorial co-published with the study, "Doctors should prescribe exercise to all type 2 diabetes patients who are healthy enough to work out."
In the past people with diabetes and diabetes-related complications were discouraged from exercise. However, exercise has been known in the past, with recent substantiating studies, to be the top factor to prevent and reverse diabetic problems. According to William Kraus, MD, of Duke University Medical Center, "Failing to prescribe exercise to patients with diabetes is simply unacceptable practice."
Things To Help
You do not need a gym or special clothes or equipment to get aerobic or weight lifting exercise.
Go outdoors for a break every day that you can, for fresh air, sunshine, and fun movement.
For both active and resistance exercise indoors and out, remember that daily healthful movement easily accumulates from your healthy bending, balancing while dressing, taking the stairs, and other daily real life movement.
Have fun - skate, bowl, cycle, walk, go dancing, gardening, shoot hoops, take food to shut-ins and get them moving too, with improvised exercise of moving arms and legs, clapping, singing, and having fun.
For fun exercise-as-lifestyle ideas, check through lists of Fitness Fixer posts, linked at the right of each article.
My post Hyperbarics for Diabetic Foot Injury gives more information on preventing amputations from diabetic wounds, and lists some of the ways that exercise reverses the contributors and complications of diabetes.
There is great hope. Have fun making a new healthier life.
I am still getting caught up with work from the sports medicine meeting I attended in late May.
An interesting study was presented at the pulmonary and respiratory physiology session - "Effects of a High-Fat Meal on Pulmonary Function in Healthy Subjects." It is known that high fat meals negatively affect people with asthma and other pulmonary problems. It is also known that a high-fat diet increases internal inflammation, which is associated with higher risk of heart disease, diabetes, rheumatoid arthritis (possibly other forms of arthritis such as osteoarthritis), and several other chronic illnesses. What about effects on your lungs and breathing?
The study looked at the effect of a high-fat meal on airway inflammation and pulmonary function. The researchers tested subjects for total cholesterol and triglycerides, then fed them a high fat meal. Subjects were tested after the meal for cholesterol and triglycerides, various pulmonary functions, markers of airway inflammation (exhaled nitric oxide), and C-reactive protein, which is a marker of systemic inflammation. The researchers found that the high fat meal increased total cholesterol, triglycerides, and exhaled nitric oxide. They concluded that the results suggest that high-fat meals may contribute to inflammatory diseases of the airway and lung (in addition to other health consequences).
Just as smoking or taking amphetamines are not healthy, but help weight loss, popular weight loss diets "work" but have health drawbacks. Check your meals to see if you eat high fat, whether for a diet, or just from unhealthful eating habits.
A diet may help weight loss, but be unhealthy. An exercise may work a muscle but be bad for your joints. A medicine may fix a disease but harm the patient. You don't have to choose. Many fun healthy ways to exercise and control weight that don't harm the body are given throughout this Fitness Fixer blog.
Click the labels under this post for related posts that give information about breathing exercises and healthier nutrition.
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It is estimated that every 30 seconds someone in the world has their foot amputated because of a diabetic foot ulcer. Reduced blood supply to the feet and lower legs in people with diabetes delays wound healing and increases infection and chance of gangrene. Foot infection worsens the situation of inadequate blood supply by increasing the area's need for oxygen but decreasing blood supply. Poor blood supply further decreases ability to fight infection. Diabetic ulcers treated with antibiotics can become colonized with drug-resistant bugs.
I am at the annual meeting of the Undersea and Hyperbaric Medical Society (UHMS). Several interesting studies are being presented on diabetic wound healing. Enhancement of healing in selected problem wounds is one of the 13 approved indications for use of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. Hyperbaric treatments are done by putting the entire person in a small room or chamber and increasing the pressure inside so that the person breathes oxygen at higher pressure than what you are breathing now. The post Does Hyperbaric Oxygen Help Exercise Ability? explains more of how it works.
One of the studies presented here looked at 50 patients with severe diabetic foot ulcers. Half were treated with hyperbaric oxygen therapy (age and gender matched with the half who did not). Diabetic patients treated with hyperbaric oxygen had 56% chance of healing and 16% chance of amputation. Diabetic patients not receiving hyperbaric oxygen therapy had a 32% chance of healing and a 32% chance of amputation. Supplying oxygen to compromised areas, such as diabetic wounds, is important to restoring health. Hyperbaric oxygen is established to help that.
From the President's Competition came another study on hyperbaric oxygen therapy and stem cell mobilization in people with diabetes. This study was by researchers at the University of Pennsylvania's Institute for Environmental Medicine, where I did nine years of my research in diving medicine. Hyperbaric oxygen is already known to mobilize bone marrow stem cells in animals, healthy humans, and in patients with a history of radiation exposure. This study looked at diabetic patients with refractory foot ulcers or radiation necrosis who were receiving hyperbaric oxygen treatments. The study was small and results varied more than in previous trials. However, the researchers reported that overall, hyperbaric oxygen therapy increased circulating CD34+ stem cells three-fold in the patients with diabetics, and was shown to play a role in wound healing. Three patients of twelve in the study group did not increase stem cells. The researchers said that the reason for no increase should be investigated.
In the exhibit hall of the hyperbaric conference, various companies display their fun oximetry units. There are several kinds of oximeters. The most common ones painlessly assess oxygen levels through the skin. Oximetry is used to assess oxygen available to the injured and surrounding tissue, and to tell how well hyperbaric oxygen treatments are working to improve oxygenation and new blood vessel growth. I like to try them all on, on different parts of my body. I experiment with different exercises to see the different effects on oxygenating different areas. Movement makes rapid, effective increases in oxygen levels.
In the past, people with diabetes were cautioned not to exercise because it was felt that they would injure themselves. Now it's known that exercise is an important part of preventing injuries from diabetes, and preventing or curbing diabetes itself. Regular exercise:
Helps your body burn more sugar.
Increases the number of insulin receptors on your cells and increases the sensitivity of your body to insulin.
Helps your body grow new blood vessels and improve circulation.
Improves oxygen levels to areas to help them heal.
Reduces high blood fat levels (cholesterol and triglycerides) which leads to early aging of blood vessels.
Increases blood flow to the feet, which helps prevent diabetic foot problems.
Keep moving for many aspects of preventing disease, secondary effects from disease, and to improve your health.
Neolithic groups (stone age) worshiped the mother. Ancient Germans worshipped the virgin Hertha holding her child. Scandinavians worshipped virgin Disa holding her child. In ancient Egypt it was Isis with infant Osiris. In India, Devaki had Krishna (also by virgin birth). In Asia, Cybele and Deoius. Chinese holy mother Shing Moo held her child in arms. Christian missionaries to Tibet, China, and Japan found that holy mothers depicted with splendid light around their head and holding a divine child had been worshiped long before they got there.
In Rome, the goddess was Demeter, meaning Earth Mother, wearing wreathes of braided corn in her hair. In ancient Greece, Demeter was called Ceres, the great mother with baby at breast. From her name "Ceres," we get the word "cereal" (grains), "which made man different from wild animals."
In the spring in ancient Greece, celebrations were held in honor of Rhea, the Mother of the Gods. Christian Europe celebrated the spring festival of "Mother Church" who (they believed) would protect them from harm. During the 1600's, England celebrated "Mothering Sunday" on the 4th Sunday of Lent, honoring the mothers of England. All cultures worshiped the divine, the Mother, who gives life and food, compassion and love.
So. How to celebrate this Sunday on Mother's Day? I'm in favor of some goddess worship, probably involving some rocks and food and chocolates and compassion and love. Not so original, but time tested and universal:
Visit Mom (or a Mom) and give her a massage (if she wants one). Neck, hands, feet, back. Good for circulation for giver and receiver. Touch can be healthy. Ask her stories.
Make her (and you) something healthy to eat. For light teas, try cinnamon, cloves, grated orange peel, or ginger in hot water.
For a cold treat without unhealthy junk food, mash a frozen banana with crushed raw walnuts or flax seeds. Use a food grinder or get free exercise by mashing them yourself in a bowl. It will taste like creamy ice cream. Flax seeds and walnuts have been found to be effective to help bone health as vegetarian sources of omega-3 (n-3) fatty acids. Raw walnuts (as part of a general low fat and cholesterol diet) have also been found to have a beneficial effect to decrease cardiovascular disease risk, among other benefits. This treat has fiber and is non dairy, both associated with lower breast cancer risk.
Goddess worship often is helped with chocolate. The primary chemical in chocolate is theobromine. "Theo-" means God and "broma" comes from a word meaning food. The theobromine in chocolate was named for "food of the gods." Theobromine is an antioxidant, weak diuretic, stimulant, and mood booster, opens breathing airways, and relieves coughing. Dark chocolate has more theobromine than lighter chocolate, with flavonoids and phenolics, plant substances that are good for the heart. People who get a kind of vascular headache called migraine do better not to eat chocolate. For others, get plain cocoa, unsweetened, not junked up with sugar. Add the unsweetened cocoa to the frozen mashed banana and walnuts for a healthy sweet wonderful treat that tastes better than you would expect. For exotic flavor and more health benefit, add fresh grated ginger root.
Sit outside in the air and sun to have your tea and frozen banana. Warnings on the dangers of overtanning are important for preventing skin cancer for people who work outdoors, who over-tan for cosmetic purposes, and a few other populations. Another group to consider is those spending too little time outdoors. Sunlight exposure and the Vitamin D it makes your skin produce, is increasingly documented as crucial to bone density, healthy immune function, positive mood, sound sleep at night, relief of symptoms of rheumatoid arthritis, fibromyalgia, MS, Parkinsons, polycystic ovary, diabetes, and other health issues. A nice massage and tea and chocolate outside in the sunlight could be made into a wonderful Mother's Day. Nice excuse to buy a hat.
Make Mom (or a Mom) some homemade healthy skin lotion. Commercial products have preservatives, dyes, and chemicals. Try combinations of grape seed oil, tea tree oil (very small amount), vitamins C and E, ginger, honey, tea, fresh aloe, and fragrances from oils, fruit, flowers like lavender, or leaves like mint. (Don't wear citrus oils like lime out in the sun.)
Help out at a woman and child shelter. Or help at a men's shelter to help the guys get back on their feet to help their own families.
Celebrate Mother Earth - go out and pick up litter. It's good exercise. Bend right.
Make a trip to look around a home improvement center to see about some do it yourself solar projects, even if only to replace a few lights.