Author: Leaman Ralph

Really sugar is shaky because it originates from a straight stick see the play is Granny yes Grandma plus new style luv MaryJane so listen (Granny Apple last years blue ribbon production winner AKA) I, I, I ain't on the right side of my house Jane something or the other is in my room: finally after an extermination Grannie speaks once more "let my (old man) Pacman step on it". See it is home on the range so solo as it be truity speaks got a problem it is your own. But alter scenario: Z/n time; narcotics I got that candy s.p.ee..d360 Bar itch its' and Mickey Mouse for the Sultan 7 1 4er well a hem a hem, it went early in the morning like a smack chanting sugar structure 7 -one 1 +eleven and 4 do an ate 'er 8 eight 'er? Well that aint nice. NARCO says do you know them numbers change (response) Yes it is a FiX they are MF's Ope yeah Ope Douglas is it. Surrounded by Alkaloid is both Mary and Grandma in an never ending circle of membership. French mandates declare put up their dukes... ZEN Pepsi can talk half Chocolate and your ole man Pacman down in Cuba posing as the worlds one and only Coffee Wizard "back 1:1" tis Coffee time... ||

Sjogren’s Syndrome Affects the Brain and Spine

https://www.youtube.com/watch?v=ia3jGVzg3CY

Did you hear about Sjogren’s syndrome affecting your brain and your spine   today we’re gonna talk about how this syndrome sjogren will affect your central nervous system   so if you’re newly diagnosed with sjogran or if you have symptoms related to your brain or to
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your spine that you could not understand this might be the cause rheumatologist oncall.com   when we think about Sjogren’s syndrome we think about sjogren that is primary not necessarily   caused by a disease or sjogren that is secondary associated with another autoimmune disease such
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as lupus rheumatoid arthritis or Scleroderma is this syndrome frequent it is reported that about   0.1 up to 3 percent of the general population can develop primary Sjogren’s syndrome and females are   much more affected than males and the ratio that was reported is nine to one that means that nine
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female will develop shogron versus only one male and the age of onset or the age when we diagnose   this disease is between 40 and 60 years now what are the most common signs and symptoms of sugar   if you want to learn more about sjogren and about the multitude of symptoms that this disease can
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cause you can watch this video in my channel now you have to understand that children is   a systemic disease it’s not going to affect only your eyes or your mouth it can affect your skin it   can affect your teeth it can affect your stomach it can affect your vessels and it can also affect
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your lungs or your kidneys if you look at this whole list of children manifestation you’re gonna   see that patients with sjogren can develop fatigue fever weight loss can develop joint pain or muscle   pain they can develop cough because of dryness in their trachea they can develop difficulties
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to swallow food again because they lack saliva or they can have urinary tract infections vessels or   skin involvement but also neurological involvement and that’s we are going to talk about today   what are the laboratory tests that we order for patients with sugar
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we do order a a SSA SSB antibodies chromative Factor anti-centromere antibodies but not all   patients will have those antibodies present if you look at these numbers only 80 percent of patients   will have positive DNA only 60 to 80 percent of patients will have a positive SSA or SSB
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antibodies and 74 percent of patients will have a rheumatoid Factor present not only patients with   rheumatoid arthritis but also patients with sjogren have rheumatoid Factor positive there   are other tests that we do to evaluate dryness dryness of the eyes like Shimmer tests or dryness
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of the mouth where we do measure the salivary flow or we do a salivary gland biopsy how do we   diagnose Sjogren’s syndrome we use different type of criteria like subjective criteria your dryness   in the eyes or your dryness in the mouth but we also use objective criteria like measuring the
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amount of lacrimal secretion that you have or the salivary flow or we can do a salivary gland   biopsy that will tell us if you have infiltration with certain immune cells in your salivary glands   we also test you for the antibodies like Ana SSA SSB and we use both of these types of criteria
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to make the diagnosis of children now we have to consider certain situations that can also   cause dryness if you had for example lymphoma or if you had head or neck radiation if you   had hepatitis C HIV sarcoidosis if you had a transplant in your history or if you had IGG
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4 disease or if you have any treatments with anticholinergic drugs all of this   can cause dryness in your mouth and needs to be excluded before we make the diagnosis of sjogren   how can shogren affect your nervous system when we think about the nervous system we try to be more
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specific and we stratify that into the peripheral and the central nervous system the central nervous   system refers to your brain and your spine while your peripheral nervous system refers to all the   nerves that come out of your spine and they can control involuntary body function and regulate
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your gland or muscles that controls your movement how often was neurosogen reported the symptoms of   neurological involvement in sjogren were reported in primary children since 1935.   if you look at different studies between 10 to 60 percent of patients with primary sjogren will
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have some neurological complaints now peripheral nervous system involvement is much well recognized   and documented compared to central nervous system involvement which we will discuss today   as I said before central nervous system refers to your brain and refers to your spine the central
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nervous system was shown to be affected mostly in females between 40 and 50 years of age and   sometimes the disease was there for about 10 to 11 years before those symptoms would appear   but not always and the prevalence or how often it was reported was shown to be between three
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percent up to 80 percent of patients as I already mentioned the peripheral nervous system is well   documented to be affected in Shogun syndrome and patients will complain of neuropathy which could   be sensory or sensory and motor neuropathy which could involve one nerve or multiple nerves and can
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cause also autonomic neuropathy some patients can also develop myasthenia gravis the central   nervous system is affected in a diffuse way or just focal way and you can have involvement of   the brain or involvement of the spine or both there are many studies published that they show
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that the central nervous system to your brain and your spine can be involved in shogren and I just   listed a few here when the brain is affected just in certain areas you can have sensory   loss you can have motor issues but you can also have difficulties to talk difficulties to think
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you may develop seizures movement disorder you can develop Subacute transverse myelitis and   sometimes you can have involvement of the optical nerve and sometimes sjogren can look like a tumor   but is not really a tumor there when the brain is involved diffusely you you can have symptoms like
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encephalopathy or dementia you can develop psychiatric problems or you can have what it   looks like a meningo Encephalitis but it’s without any infectious cause there you can   also develop an intellectual decline you can have difficulties with your memories or difficulties
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to formulate ideas and you can have also mood changes let me introduce you to some of the   symptoms that you can encounter if you have your brain affected by chogren headaches that   looks like migraine or tension type headaches are very frequent in patients with sjogren
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spinal cord involvement are also frequent seizures motor and sensory deficits or neuromyelitis Optica   as I mentioned headaches looks to be a very frequent complaint of patients with neurosogram   this is a table with many studies that prove that headaches neuromyelitis Optical seizures are very
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frequent in patients with involvement of their brain now this is another study that shows that   headaches can be seen in 47 percent of patients cognitive dysfunction can be seen in 44 percent of   patients and mood disorders are also very frequent depression as I said is one of the mood disorders
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that can be seen very frequently in patients with sjogren shogren can involve your central nervous   system and also the peripheral nervous system at the same time but in about 40 percent of   cases we do see only involvement of the central nervous system meaning the brain and the spine
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now what are the other symptoms that can accompany the Brain and Spine involvement here is a study   that shows that neurological involvement is often associated with dryness with pain in the joints   with pain in the muscles Raynaud’s phenomenon severe fatigue autoimmune thyroiditis and less
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frequently with pulmonary involvement or lung involvement this is another study that shows that   patients will complain about dryness will complain about fatigue weight loss joint pain and Raynaud’s   phenomenon in conclusion neurological involvement is also associated with dryness in the eyes in the
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mouth reynard’s phenomenon which is a change in your hands or feet color when you expose to them   to cold weather most of the time it can associate with thyroiditis or autoimmune thyroiditis fatigue   lung issues and arthritis now what is coming first the dryness or the neurological symptoms in 46
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of patients with neurological involvement this is actually the first symptom of the disease and that   is more frequent in patients that have brain and spine involvement compared to peripheral nervous   system involvement how do we diagnose neurosogram or sjogren involving the central nervous system
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cerebrospinal fluid or the spinal fluid analysis is very important for the diagnosis of neurosogram   we can see certain changes like your lymphocytes being elevated there your IGG index being elevated   but less oligochloral bands and we’ll talk about that in a little bit and we also do blood work the
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blood work that I mentioned before we test for your Ana SSA and SSB antibody we look at your   number of white blood cells we look to see if you have more gamma globulins we look to see if   you have Rheumatic Factor complement levels all of these are important to be tested and what it
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was seen in patients that have CNS involvement or central nervous system involvement is that   not all of them they have a positive DNA and only 38 percent will will have a positive early   about 48 percent have a positive SSA and only six percent will have a positive SSB antibody
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as I just mentioned in shogron that affect your brain and your spine only 40 to 50 percent of   them will have a positive SSA antibody and only six percent will have a positive SSB antibody   and this is important because that makes the diagnosis very challenging this type
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of antibodies SSA antibodies they actually have been associated with a more aggressive disease of   the brain what does it mean it means that if you have SSA antibodies with neurological involvement   that could mean that you have a more aggressive disease towards your brain or your spine we do
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use other tests like visual evoked potential which are abnormal in 61 percent of patients we use EEG   or Electro as a pallogram which sometimes has a limited value but it can be useful to detect   subclinical signs of neurological involvement we also use MRI and I’m going to take the time to
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explain to you the value of MRI in neurological involvement of shogron MRIs are more sensitive   that CAT scans to detect anatomical abnormalities in primary CNS or primary neurological shogran   there are multiple areas of increased signal that will show inflammation specifically located in the
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subcortical and periventricular white matter and those lesions are found more frequently   in patients that have involvement of their brain let me talk to you more about brain MRI findings   in sjogren I mentioned to you about white matter lesions and I made the comment that they have to
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be located in certain areas like periventricular areas and this makes the diagnosis challenging   because some patients with multiple sclerosis they can have the lesions in the same areas we’ll talk   more about that in a little bit in some patients we do see signs of cerebral Venous Thrombosis and
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in other patients we do see two more like lesions that are actually not tumor but there is a sign of   program syndrome let’s talk about spinal MRIS spinal MRIs are ordered to evaluate the spinal   cord involvement and they can show in patients with sjogren intensities or hyperintensities in
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the cervical area most of the time 82 percent of patients will have that problem or they can have   extended lesions in cases of acute myelopathy this is an MRI of a patient with Hyper signal   in the cord that is suggestive of acute myelopathy this is also an MRI from a patient with extensive
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transverse myelitis this is also another MRI of a patient with neuromyelitis Optica a patient   that also has shogron this is another case of neuromyelitis optica where you can see involvement   of the dorsal midbrain and and the point in lesion in a patient with sjogren that develop
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neuromyelitis Optica we also use combinations of tests like MRI and a voxel-based morphometry and   this is a method commonly used to quantitate and objectively evaluate the differences in Regional   cerebral volumes this type of test was able to shown that patients with sjogren had certain
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areas of white matter hyper intensities and those areas were also associated with more atrophy these   studies show that patients with primary children that have this white matter intensities and gray   and white matter atrophy those are probably related to a sort of cerebral vasculitis or
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inflammation in the vessels of the brain there are other tests like single Photon emission CT or   pet scans that can evaluate the blood flow in the brain and it was shown that patients with children   they have reduced cerebral blood flow they have brain atrophy and decreased glucose metabolism in
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the brain in certain patients neuropsychological testing it’s also very important to evaluate   symptoms that are very subtle in affecting the brain cerebral angiography is used more rarely in   patients with primary sjogren but when it was used in 45 percent of Highly selected patients with
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children and active CNS involvement they actually shown to have small vessel vasculitis in the brain   it is important to differentiate children from other diseases and let’s talk about shogron   versus multiple sclerosis the brain involvement in sjogran can mimic multiple sclerosis and it
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is very hard to differentiate even for the most experienced clinicians Sienna shogron or brain   involvement in the sjogran can mimic a type of multiple sclerosis that we call relapsing   remitting Multiple Sclerosis but these two diseases they have features in common like they
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both tend to involve the brain they both tend to involve the spinal cord and the optical tract let   me show you some differences between neurological sjogran and multiple sclerosis shogran with brain   involvement tends to affect people over the age of 40. many of them are females and not many of them
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will have clinical criteria for multiple sclerosis when we do the spinal fluid analysis only 30   percent of them will have molecular coronal bands when we do the MRI of the brain only 40 percent   of these people will meet criteria for multiple sclerosis SSA SSB antibodies are more frequently
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seen in patients with brain involvement in sjogran compared to Multiple Sclerosis about 50 percent of   patients with sjogran and brain involvement will have these antibodies positive while only five   percent of people with multiple sclerosis will have an SSA or SSB antibody positive multiple
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sclerosis tends to appear at younger age between 20 and 40 years old and only 65 percent of these   people will be female now when we look at the spinal analysis 90 of them will have oligo coronal   bands in multiple sclerosis eighty percent of them will meet MRI criteria for multiple
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sclerosis and only five percent as I said will have an SSA or SSB antibody positive there are   some signs and symptoms that goes against multiple sclerosis and goes towards more primary children   for example when both peripheral and cranial nerve involvement are affected then that goes against
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multiple sclerosis when we see less oligroclonal bands in the spinal fluid that again goes towards   shogren unless the words multiple sclerosis when we see more Ana positive SSA and SSB and positive   motive factor that goes against multiple sclerosis and when we see zika symptoms like dryness in
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the mouth and dryness in the eyes that goes against multiple sclerosis and more towards   Sjogren’s syndrome how do we treat neurological involvement in shogran when it comes to treatment   of brain or spine involvement in sjogren there is no consensus between us we can
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use corticosteroids usually we use them in high doses when we see neurological involvement that   can put the patient in danger but sometimes corticosteroids are not effective especially   in patients with spinal cord involvement in some patients we do consider to use immunosuppressive
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therapy like cyclophosphamide or rituximal and there are also reports about using il-6 inhibitor   like tocilizumab however the results are variable and we have to adjust that to the patient needs   however that could result in partially recovery or just to stabilize the disease plasmapheresis in
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combination with prednisone was also reported to be affected in some patients especially patients   with acute transverse myelopathy in severe cases IVIG was also used successfully in a   small group of patients however the role of IVIG is more recognized towards small fiber neuropathy
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there are multiple reports that show that IVIG is helpful for patients with peripheral nervous   system involvement in conclusion neurological involvement of the spine and the brain is common   in patients with primary sjogren sometimes it can come before the dryness of the eyes or dryness
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of the mouth now how often does it happen we still don’t have very clear idea because of the   heterogeneity of these studies that I presented it could be disabling and you have to know about   this type of disease for you to call your doctor and discuss the symptoms that you have if you have
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any symptoms that I presented now we need more studies more prospective control studies with   larger number of patients to assess the treatment and the efficacy and safety of the treatment for   brain involvement in sjogren and with that I would like to thank you and wish you a very good day see

Source : Youtube

10 Signs of Sjogren’s Syndrome – a very complex autoimmune disease

https://www.youtube.com/watch?v=y7zgsJecDO0

10 signs of Sjogren’s Syndrome Sjogren’s Syndrome is one of the most common diseases in my practice, Rheumatologist Oncall.   So, today I decided to give you all the information you need   to understand this disease better. In this video, we will discuss the most common 10   manifestations of Sjogren’s Syndrome. Let’s begin! Hi, I’m Dr. Diana Girnita, a board-certified rheumatologist and the Founder of Rheumatologist   OnCall. If you are new here, welcome to my Youtube channel, where I educate people   about rheumatoid arthritis, and autoimmune diseases, like Sjogren’s Syndrome. So,   don’t forget to subscribe and never miss one of my videos. If you’ve been following   this channel for a while, I am excited to have you back and share more information with you! Sjogren syndrome is a rare disorder affecting about 1.0% of the population. Between   400,000 and 3.1 million adults have Sjögren’s Syndrome. Females are more affected than males,   and many patients with rheumatoid arthritis can also have symptoms of Sjogren. Dryness. The most common   symptom of patients suffering from SS is dryness of the eyes and mouth. Patients   mostly describe dryness of the eyes as itching, irritation, grittiness, a foreign body sensation,   and blurry/change in vision. The lacrimal glands’ secretion from your eyes will decrease   over the years, and you will start feeling these changes that can become very upsetting. Suppose you go to see an eye doctor. In that case, they can quantify your lacrimal   gland secretion using a test called Schiermer test, where they put a special type of paper   in your eyes that will tell your doctor how much lacrimal secretion you have.
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Dryness of the mouth is also common in patients with Sjogren. Your saliva keeps your mouth healthy   and prevents the onset of cavities. When your saliva secretion decreases,   you may experience frequent tooth decay, and multiple cavities. You may also experience difficulty eating and swallowing dry food,   such as crackers, without drinking liquids. You may need to drink frequent sips of water   to be able to talk. You may have changes in your taste due to a lack of saliva. Some patients can have frequent episodes of parotiditis. Dryness can affect your skin and can cause itchiness. Rarely,   the skin can develop a more complicated disease called small vessel vasculitis. Some females will describe vaginal dryness, irritations,   pain with sexual intercourse, and itchiness, which can dramatically affect their sex life. Joint and muscle pain. Patients with Sjogren frequently complain of joint and muscle pain. The joints can hurt without being   swollen. Usually, the pain is symmetric, and it may come and go. Unlike Rheumatoid arthritis,   Sjogren’s arthritis is not deforming the joints. The hands, wrists, and knees are usually affected. About 40% of patients can have a rheumatoid factor test positive,   especially in patients with joint pain. More rarely, patients could have positive anti-CCP   antibodies, these are antibodies frequently seen in patients with Rheumatoid arthritis,   and these patients could have more aggressive disease and even develop erosions in their joints.
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As I mentioned, muscle pain is also frequently seen and could cause weakness in the arms or legs.   It is essential to fully evaluate the weakness as this could also indicate inflammatory myositis, an   autoimmune disease of the muscles. Lung Disease About 20% of patients with Sjogren disease can have their lungs affected. Patients can develop   upper respiratory infections, like sinusitis or present with a dry, irritating cough.   The cough could be due to severe dryness of the airways, mucus plugs or reflux from the stomach.   Sometimes, the patients can see changes in their voices and hoarseness. In some cases, along with dry cough, patients will present to the doctor   due to severe shortness of breath that we call dyspnea. The shortness of breath can initially   affect you after walking a short distance, going up a flair of stairs, or even resting. Pulmonary function tests and a high-resolution CT scan are indicated in these cases. The CT can identify if you have lung fibrosis or interstitial lung disease. Some patients   will present with shortness of breath and cough, before developing dryness of the eyes and mouth. In these cases, the pulmonologist that found the lung fibrosis might decide to   test you for autoimmune diseases like Sjogren or Rheumatoid arthritis, to name a few possibilities. Neurologic manifestations Many neurologic manifestations may   occur in Sjogren patients, including peripheral and central nervous system abnormalities. From frequent headaches, paresthesias or tingling in the hands and feet, even tingling in the   face or other parts of the body, to complicated neurological diseases like transverse myelitis   and optic neuritis, or inflammation of the optic nerve. Some patients can even present with symptoms that look like multiple sclerosis. Rarely patients with Sjogren can present with brain inflammation that we call encephalitis. Heart disease Yes, Sjogren can affect your heart.   Chronic ongoing inflammation can increase your cardiovascular risk.   What does it mean? Heart attacks, fluid around your heart, arrhythmias like heart blocks,   strokes, hypertension, and thrombosis can be seen in patients with Sjogren. Gastrointestinal tract Patients with Sjogren can   have difficulties swallowing due to decreased saliva and develop nausea,   abdominal pain, and gastritis. Liver function changes, and sometimes PBC   or autoimmune hepatitis can sometimes happen. Celiac disease is seen in patients with Sjogren. KIDNEY Bladder dysfunction,   interstitial nephritis and kidney dysfunction, leading to acidosis, are seen in patients   suffering from Sjogren. Patients develop an increased frequency of urinating, or   they will have to urinate at night, affecting their sleep. These symptoms can be confusing as patients often think they have a urinary infection.   Still, their urinary tests do not show that. I had a patient that initially developed   kidney problems about five years before developing dryness of the eyes and mouth. Depression, fatigue and Fibromyalgia Fatigue is a debilitating symptom and can lead to depression as patients can’t   understand why they can’t complete their daily activities and can’t participate in the normal   activities of their families. Depression is most likely a response to the stress of the disease,   and some researchers believe this is a consequence of the inflammation affecting the brain. Hematologic manifestations Patients with Sjogren can develop anemia,   low white blood cells, elevated Gammaglobulins, cryoglobulinemia, and increased lymphoma risk. Anemia is most likely induced by chronic inflammation. Still, it may have other causes,   so it is crucial to have a complete evaluation done by your rheumatologist. The white blood cell counts can be low,   but most times does not increase your risk of developing infections. Elevated levels of IGG immunoglobulins are seen in up to 60% of patients. In these patients, we   also see positive rheumatoid factors and positive SSA and SSB antibodies. We will talk in another   lecture about the lab test we follow in Sjogren patients. In patients with monoclonal gammopathy,   meaning that certain abnormal proteins are in the blood, we need to carefully evaluate them as they   can be at increased risk of multiple myeloma and lymphoma. These are two types of blood cancers.
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Lymphoma -Patients with Sjogren Syndrome have an increased risk of non-Hodgkin lymphoma compared   with the general population; the prevalence of lymphoma increases with time: For example,   following diagnosis was 4 percent during the first five years, 10 percent at 15 years,   and 18 percent at 20 years. So, if you notice changes   in your skin, enlarged lymph nodes, or salivary gland enlargement, call your doctor immediately. As a rheumatologist, I educate my patients extensively about   these changes and follow their labs regularly. If you want to learn more about Sjogren and other   autoimmune diseases, please watch my channel, as I will continue to share my knowledge with you. Remember, these videos are just for educational purposes and are not supposed to offer you a   diagnosis or medical evaluation. If you like the educational content of these videos,   don’t forget to like, share, subscribe and press the notification button. Please leave your comments and questions below, as I would be happy to help you! Thank you and I will see you soon with another educational lecture!

Source : Youtube

How to Stop Waking Up in the Middle of the Night- 6 Ways to Beat Insomnia Without Medication

https://www.youtube.com/watch?v=yFVKPcdortE

Terminal insomnia, also known as sleep maintenance insomnia, aka early morning waking, aka “I wake up at 3 a.m and I can’t get back to sleep and it’s driving me crazy!” This is a pretty common experience for many people. Now, first off, it is called terminal insomnia not because it causes you to die but because it happens at the end of your night. So many people experience this. Maybe your mind starts racing; maybe you worry about everything you need to do, or not; or maybe you just can’t fall back to sleep – at least not until it’s almost time to get up, and then you’re tired and cranky and you don’t function as well as you’d like. But then the real problem with this terminal insomnia is that the next night when it starts happening over and over and over again, and then you’re just so tired, and then you start to get stressed out and angry about your inability to sleep, and that makes things worse because when you wake up and you see that it’s 3am, you get mad, and that makes it even harder to sleep. As the researchers say, this is common but aggravating. Dude, it is the worst. So if you’re here, you’re probably desperate for sleep, you haven’t slept well for a long time, you’re cranky, irritable, depressed. I feel you. I have struggled with insomnia off and on. And I come by it honestly: my dad is almost always up from 2-4 am, and so is one of my babies. There is a genetic aspect to this. And this early morning waking is also closely linked to depression, both as a cause of depression and as a symptom of depression. But don’t worry your little head; there’s also a lot you can do about it. In this video I’m going to share with you my bag of tricks – six non-medication strategies you can use to get better at sleeping through the night. And at the end of the video I’ll tell you about a great YouTube video that helps me fall back asleep.
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Hey everyone, don’t forget, we’re doing a giveaway of three therapy lamps from Carex. Now, each of these is worth about $150. And research shows that light therapy is very effective at treating seasonal affective disorder and regular non-seasonal depression. So check out my Instagram page to learn more. Oh, by the way, I do have an Instagram page. Right. I put up quotes, polls, video summaries, and the occasional dancing baby. So go follow me there too. Okay. Back to the video. Okay. Let’s talk about six causes of maintenance insomnia and what you can do about it. But first, let’s do a quick overview of the sleep cycle. The average adult needs between seven and nine hours of sleep, and your sleep rotates through a couple of different cycles: light sleep, deep sleep, and REM sleep (when you dream). Now, most of your deep sleep happens early in the night, and your lighter sleep and REM sleep happens closer to morning. So this means that little things will be more likely to wake you up and keep you up. So the first thing that can cause early morning insomnia is biological factors. So these include genes, gender, aging, and hormones. So genetically some people are lighter sleepers, and genetically some people are more likely to wake up early. I got both of these genes. I already knew this about myself, but my 23andme report verified it. Some people are night owls and sleep much better towards the morning. This is called your chronotype. And while you can’t change your genes, learning about your chronotype can help you accept it. I think it’s helpful to imagine our ancestors living in a small village, and let’s imagine the village needed some people to be on watch all night. So some people would be on watch at 9 pm, some at midnight, and I’d be the 4am crew, bright-eyed and bushy-tailed – but no way would I fall asleep on watch. I am literally no fun after 9pm, and I can do just about anything at 5am. It’s a blessing and a curse. So I go to bed early, and that’s just how I work. Now, the second factor of biology is age. As you age, it’s more difficult to sleep as well. You get tired earlier in the evening, and you sleep more lightly than when you were young. Some things that help are staying active during the day, getting exercise, and delaying going to bed can all help with terminal insomnia. Now, sleep maintenance insomnia is much more common for women than for men, especially women nearing midlife. Hormones impact your ability to sleep as you age. Even when you’re pre-menopausal, you have a slow decline in estrogen and progesterone as you age. Hot flashes, periods, night sweats, peeing a lot – yeah, it’s fun. You can work with your doctor if you want to try and manage that. Also, your body doesn’t use melatonin as well as you age. You can use a prolonged-release melatonin supplement to help with that. And melatonin really is more of a time regulator than a sleep regulator. It helps to reset your body clock to know when you should be asleep. Now, when I was writing the How to Process Emotions course, I was really struggling with stress and sleep, so I worked on both. But I did start to use some slow-release melatonin, and it worked for me. I used it about seven times over two weeks, and I was doing a lot better. But there’s a lot of factors, right? So this improvement in my insomnia could also have been in part because of a decrease in stress, but this all could have been in part because of the change in seasons too. But more on that later. Okay. The second big factor with insomnia is conditioning. So conditioning means that because sleep is something that your brain associates with a routine or an environment, we can accidentally train our brain to sleep poorly by having bad habits. The antidote to this is sleep hygiene. I made a full video about this, but basically you go to sleep at the same time each night, you don’t use your bed for anything other than sleep and sex, don’t watch screens in bed, you know, read a book instead. Basically, your goal is to associate sleepy time with your bed and not wakey time with your bed. Now, when it’s hard to stay asleep, it’s important that you do not associate early morning time with wakey time. So if you’re awake too early, don’t do anything too exciting or stressful or stimulating because that’s going to send the message to your brain that it’s supposed to be awake at that time of night. Now, I’ve set some rules for myself on this. If I’m up before five, I can read a book, I can write on paper, I can do scripture study, but I can’t work on anything too stimulating before 5 am because that basically just trains my brain to be more awake the next night at that time. So basically you want to train your brain that the bed is for sleeping and early mornings are for sleeping too. Make your bedroom a calming place. Don’t work in your bed or your bedroom. And all of these things can help condition your brain to sleep better. Okay. Number three. Let’s talk about behaviors that mess up your sleep. So as you age, you get less active during the day, and that includes social and physical activity. But a lot of us young folks are lazy Netflix watchers too, so it’s important to try to get in more physical activity, especially in the morning, and then to do other active things throughout the day. And CBTI is a treatment for insomnia that research shows to be as effective or more effective than medications, but it takes some work. The basic idea is to use good sleep hygiene and don’t go to bed quite as early, but then here’s the important part: you don’t stay in bed awake for more than 10 minutes. So if you can’t fall asleep, get out of bed and do something boring like reading a book for 10 minutes, and then try 10 minutes back in bed. And you just kind of repeat that cycle until you’re able to fall asleep. Don’t try too hard to go to sleep, but in the long run, you can retrain your brain to know when sleepy time is. And this also prevents you from accidentally training your brain to think that the bed is the place where you lay there and get angry about not being able to go to sleep. Also, some medications like antidepressants, beta blockers, corticosteroids, and allergy medicines like pseudofendrine, and also drugs like caffeine, alcohol, and nicotine, these all interfere with the ability to sleep. Also, eating late at night can interfere with sleep. Okay, number four: stress. Now, I’m not going to spend too much time on this one, but you’ll improve your sleep when you decrease your overall stress. Exercise helps with this, as does writing down all your worries at bedtime. You can check out my video about anxiety and insomnia. Exercise and gratitude are helpful too. And it can be really helpful to set better work boundaries. When I first started working from home, my sleep got all messed up. But I’ve learned to better separate work and home life. So take your work email off your phone, turn on the “do not disturb” mode, don’t read the comments on your YouTube channel before you go to bed unless you want to debate an obscure concept of therapy with a random stranger in your head all night. Now, I work from home, so I set the rule for myself that I can’t work after 7pm or before 5am. Okay, number five: your environment can impact your sleep. Your brain is queued to sleep when it’s dark outside, when it cools off, and when your core temperature drops. So let’s start with temperature. Set your room to 68 degrees Fahrenheit or lower. You can also use a cooling pillow or a cooling mat to help cool off. But also, taking a warm bath opens your capillaries, and then it triggers your core temperature to drop when you get out, so that can also help you get sleepy. Okay. Now let’s talk about light. The light that enters your eyes tells your brains whether to be sleepy or energetic. Daylight freaking savings and working in artificially lit environments can really mess with that. So start by making your room a dim or a dark environment. Limit how much light you are exposed to in the evening. When I’m trying to get my kids to bed, I always start turning off the lights in my house, and that can help kind of remind them that it’s getting close to sleepy time. It’s also helpful to get a lot of early morning light exposure, so try to get outside in the morning and see the sun. Another thing you can try is doing light therapy 12 hours opposite to when you can’t sleep. So if you can’t sleep at 3 am, try light therapy at 3 pm. Okay. And lastly, sleep oxygen can be an issue, so try not to sleep on your back. And if you’re really worried about it, you could get, you know, a sleep evaluation at a sleep clinic. Okay. Number six: if your brain is running wild, you can try all types of sleep meditations. There’s a good one out there called A Robot Shutting Down. And when all else fails, my go-to is to listen to an archaeology lecture. It’s barely interesting, but still quite boring. Or Baumgartner Restoration. So I’ll link those below. These are some channels I watch when I’m really just trying to get myself bored enough to sleep. If you’re still having trouble sleeping, check with your doctor. There are other health conditions that can cause sleep problems, like sleep apnea, hypothyroid, enlarged prostate, gastric reflux, arthritis, restless leg syndrome, neuropathy, and depression. So as you work to treat those, you might be able to help improve your sleep. Okay. I hope this bag of tricks is helpful. And if not, if you’re up in the middle of the night and you’re angry about it, know that at least you’re not alone – I’m probably right there with you.

Source : Youtube

https://www.youtube.com/watch?v=sI7m6qhGWi0

How to reduce cortisol well cortisol is a stress hormone so in order to reduce cortisol we have to reduce stress and stress has been linked to every disease condition known to man and because stress is often a result of
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a lifestyle it’s a way of life that we have adapted then in order to truly reduce stress we have to change our lifestyle so today we’re going to talk about not just what the steps are but why they work and once you understand
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that then you can turn your lifestyle into one of stress reduction and learn how to get truly healthy coming right up I’m dr. Ekberg I’m a holistic doctor and a former Olympian and if you’d like to
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truly master health by understanding how the body really works make sure that you subscribe and hit that notification bell so that you don’t miss anything stress is an enormous topic and cortisol is super important and people have
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different reasons but since so many people have issues with weight they want to lose weight and cortisol is part of that picture that’s where a lot of people start looking at cortisol that’s where they’re we get their attention but
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in order to reduce cortisol we also have to change the whole picture and that’s kind of just a side benefit that once you reduce cortisol and you understand the bigger picture you don’t just change one thing you get a trickle-down effect
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that can be tremendously beneficial some people look at cortisol because of adrenal fatigue chronic fatigue syndrome they just don’t feel right other people look at it because it’s involved with insulin resistance weight gain and also
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with type 2 diabetes and like we looked at a recent video on Cushing’s disease with which is an extreme cortisol level it can also be involved with muscle wasting so once we address the root the core issues
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we turn around all of these things all at once so what is stress well stress is a response from your sympathetic nervous system so your autonomic nervous system the part of your nervous system of your brain that manages everything about your
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body everything that you don’t have to think about is your autonomic nervous system has two branches and the sympathetic nervous system responds to things that threaten you when there’s some threat real or imagined the
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sympathetic nervous system revs you up it increases resources so that you can defend yourself so you increase your heart rate your blood pressure you you body wants more blood sugar for quick fuel so that’s where cortisol comes in
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cortisol goes up to raise the blood sugar but you also increase muscle tension you increase LDL cholesterol because LDL cholesterol is part of wound clotting and during a fight flight situation you might get situation where
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you start bleeding so all of these things are part of the stress response but there’s a balance that we have to understand that the parasympathetic that’s the other than sympathetic it handles your digestion it stimulates
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immune responses it’s responsible for reproduction function and it’s responsible for healing so the key takeaway here is that you can defend yourself you can activate the sympathetics and defend yourself or you
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can activate the parasympathetic and heal but you can’t do both at the same time you can do a little bit of one or the other but the more you do of one the less you do of the other that’s just how we are wired and we’re going to look at
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that so even though the sympathetic is a stress response that doesn’t make it a bad thing it’s not like a mistake in the way the body is created the sympathetic nervous system keeps you alive in emergency
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situations it’s just that we’re not supposed to have emergency situations all the time and it’s designed for bursts of activity so if you get chased by some some wild animal if you have an emergency you’re supposed to engage that
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sympathetic to a very high degree and then you’re supposed to be done with it but in our modern life style it doesn’t matter if it’s a real short threat or if it’s a long term imagined threat so financial pressures and bad news and
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overwhelm at work and feeling overwhelmed insufficient all of those are stresses they activate your sympathetic nervous system and we develop chronic stress so I don’t have any exact numbers but just to give you
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an idea I would guess that were designed probably for 10 or 20 percent burst sympathetic activity and the rest of the time 80 90 percent we we should be in parasympathetic but with a modern lifestyle it’s kind of the other way
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around we don’t have many of those extreme burst activities but we have a little bit of stress a little bit of sympathetic activation most of the time so it’s like this balance is reversed we’ve developed habits and we have
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become stuck in sympathetic dominance so this is why stress is so destructive this is why the things that the sympathetic develops like heart rate high heart rate high blood pressure high cortisol muscle tension cholesterol
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that’s why those are things that people take the most medication for because you’re sympathetic drives those things when they become a chronic habit that’s the stuff we end up taking drugs for they become chronic degenerative
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diseases the next thing to understand about stress is that most of the time that you have stress you’re not aware of it because stress can be many different things anytime your sympathetic nervous
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is activated you have stress could be something chemical it could be an infection it could be toxicity could be long-term low-grade toxicity or it could be something like food poisoning you could have dis glycaemia unstable
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blood sugar for which the body has to compensate with cortisol that’s a lot of stress stress can be mechanical being sedentary is a form of stress having passed trauma like slips and falls and car accidents is a form of stress having
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a spinal stiffness having a lack of spinal movement also known as subluxation in chiropractic is a form of stress and we will look at that in just a second we can also have emotional stress and that’s what people usually
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talk about when they mean stress that’s when you have an emotion that you don’t like when you feel bad when you have fear anger when you’re feeling overwhelmed when you have feelings of grief and those are obviously types of
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stress but they’re not the only types of stress they’re not the only thing that activates that sympathetic that stress response so we want to think of this as a triangle where every part is equally important we have chemical we have
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structural we have emotional stress it’s sort of like three legs on a table if you have a three-legged table you can’t balance the table on two legs you can’t balance the table on one leg you want to start addressing all sides of the
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triangle to create balance in your life and now we’re getting to the really cool stuff this is what true stress management is what is it that manages stress in your body well it is your brain and specifically it is your
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frontal lobe because stress is lifesaving stress responses are life-saving when something threatens you you’re supposed to react you have to if you don’t you’re a sitting duck and whatever threatens you gets you so
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stress responses are necessary and life-saving but the frontal lobe has the ability to determine when it’s time to turn it off if the frontal lobe doesn’t work so well then stress responses just kind of come
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and they’re acting unopposed and they go on much stronger and much longer than they’re supposed to that’s why different people have different stress tolerance that’s why they manage stress differently some people act very calm in
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stressful situations and some people completely freak out that’s depending on how well is that frontal lobe working and what is it that the frontal lobe does well the frontal lobe inhibits it turns things off it’s
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like a light bulb that the brighter it burns the better it is at turning things off it’s like turning off the darkness if you will and the way that we’re wired is that the frontal lobe can turn off the sympathetic stress response and the
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sympathetic nervous system in turn is wired to turn off the parasympathetic nervous system why is that because the body has limited resources so in a stressful situation you’re not concerned about digestion
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that’s the liability you’ll be wasting resources on digestion if there’s something threatening you so your body is wired that any time that you have a threat you turn off the parasympathetic nervous system so even though the
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parasympathetic helps you digest and defend you from immune issues and it helps you reproduce and heal it is not an asset in an emergency the frontal lobe turns off the sympathetic stress response so indirectly the frontal lobe
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turns on the parasympathetic s– it turns on digestion it turns on immune system it turns on reproduction it turns on healing so by turning off the thing that was turned on you turn it on and this is just how
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we’re wired that’s just part of the design but we can use it to our advantage because if we understand this then we can use this to control stress so let’s talk about the solutions but we’re not just going to talk about the
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solutions we want to understand why they work because if you understand what the mechanism is then you’ll start noticing in your life when you start apply you become more sensitive and that’s how you truly can turn it into a lifestyle which
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is necessary if you want long-term results so the way that you can manage stress is primarily through a few different mechanisms it’s by doing a pattern interrupt so why is that important because the reason that you
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have a stress dominance is that you’re stuck it’s become a habit the brain doesn’t quite know it’s done so much of it it just gets stuck in that habit and what we want to do is interrupt that pattern the other way we can manage
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stress is through brain stimulation just like we talked about if we increase the activity of the frontal lobe then we manage stress we can also do it with nutrients we can give it nutrients we can give the brain nutrients that help
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it function better and we can give nutrients that are innately calming to the brain and then we can have certain lifestyle modifications that are going to affect hormones and neurotransmitters such as growth hormone and cortisol
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primarily so let’s look at the list number one aerobic exercise aerobic exercise is fantastic because it is a pattern interrupt it gets you away it gets you out it gets you moving all of those are pattern interrupt it’s
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also brain stimulation because 90% of what stimulates the brain the signals they get to the brain 90% of those are from movements and you’re also increasing oxygenation which your brain loves and you are starting to
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you not getting tremendous amount of growth hormone from just walking but you’re getting just a little bit you’re also reducing insulin because your muscles become more insulin sensitive during aerobic exercise so
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it’s a fantastic way to reduce stress and reduce cortisol of course the next thing you can do is another type of exercise and this might seem counterintuitive because this is kind of the opposite of aerobic exercise this is
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extreme high intensity interval training and this will stimulate cortisol but the trick is to do it for such a short duration you do it 15 seconds at a time you do a few repetitions of 15 seconds until you get exhausted until you max
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out your heart rate and then you have increased your growth hormone by 3 to 400 percent and growth hormone opposes cortisol they work against each other so you can do things to reduce cortisol or you can do things to increase growth
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hormone and you can accomplish the same thing so even though you produce cortisol with hit the trick is to keep the duration so short that the growth hormone benefit far outweighs the cortisol downside if you’re really
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really fragile though if you have just totally burned out your system if you’re feeling sick you’re feeling bad you’re not fit then you might want to hold off on the hit or you might want to do it extremely carefully because this is a
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stress on the body and some people are just not at a point yet where intense exercise is a good idea so if you have any question marks about that then hold off on the hit number 3 recover exercise can be beneficial but just
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because it’s beneficial doesn’t mean that more is better and it’s the contrast between exercise and recovery that helps your body heal so anytime that you exercise you want to allow enough recovery and you never want to
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exercise so much that your body starts feeling fatigued or worn down number four Yoga Yoga is fantastic it is a pattern interrupt it is brain stimulation you stretch you teach your brain about paying attention to
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different things it’s a different mindset highly recommended just don’t get into the modern versions of yoga where they turn it into something intense something upbeat fast moving because that defeats
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the purpose of reducing cortisol breathing exercises number five very very powerful because your sympathetic and your parasympathetic nervous system are tied to your breath when you breathe in that’s a sympathetic activity when
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you breathe out it’s a parasympathetic activity so if you do a slow breath in and a slow long breath out then you’re balancing your sympathetics and your parasympathetic so the trick is keep your out-breath
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about five seconds or even a little bit more but at least five seconds that gives your parasympathetic nervous system five whole seconds to engage and you’re in training a pattern there number six meditation very often tied to
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breathing but meditation is more about paying attention to your mind it’s about changing your focus which increases frontal lobe activity so it’s a pattern interrupt it is brain stimulation and it’s about finding a profound place of
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peace and in doing that in reaching deeper and deeper levels of of Pia that you’re getting more and more pattern interrupts and brain stimulation and you can start undoing by finding that deep piece you can start undoing
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past stresses also number seven mindfulness often associated with meditation it’s even called mindfulness meditation which it is but mindfulness goes much much further than that it’s something that you want to turn into a
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lifestyle habit it’s something that you do all day long if you can remind yourself every minute as you get better and better it runs more an automatic remind yourself every minute to pay attention to how you feel make how you
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feel the most important thing that there is and start looking on the bright side that’s what mindfulness really is it’s a it’s a way of life eight celebrate whenever something good happens don’t just brush it off and move on to the
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next thing take some time pat yourself on the back milk it take a minute to really sort of celebrate and appreciate and and soak in why that was so good and take a moment to just feel good about it and now
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you’re building momentum number nine appreciate look around you into your wonderful life look at how beautiful nature is look at the good things in life there is few things as powerful for feeling good and undoing stress as
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appreciation you cannot appreciate and be stressed at the same time number 10 read make it a habit to read or if you’re reading challenged then listen to something get a good audio program most of the time you’re limited to your own
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mind your own thoughts but when you read or listen to something uplifting you have a third party put in good stuff in your mind it’s a pattern interrupt it helps build your momentum it helps you change perspective it helps you build a
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positive outlook over so I can’t emphasize that enough take 10 20 30 minutes every day and build yourself grow yourself number 11 positive people notice how you feel around people and give yourself the
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Liberty to avoid the people who make you feel bad the people who pull you down the people where you feel like there’s a shadow coming as soon as you get in the presence give yourself the freedom to avoid those and instead find the people
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to make you feel good find the groups of people the organizations where where positive people hang out and go there on purpose number 12 essential oils they have become extremely popular in recent years but
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how do they actually work and the thing to understand I’m not opposed to essential oils at all I think they’re great but a lot of people use them as a form of nutrition which they are not they don’t add anything that the body is
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missing what they do is they provide a pattern interrupt they smell is very very powerful it’s the most primitive is the most fundamental of all human senses and it has profound impact on the brain so when
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you smell something and you pay attention to that you’re interrupting a pattern you are stimulating the brain and you’re changing your focus you’re paying attention to something else you’re getting a timeout and it’s very
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very powerful it doesn’t have to be essential oils but anything that serves that purpose can be excellent there are also homeopathics of flower essences we use several in our office that have excellent effects in calming
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you down you can also use herbs number 14 that there are adaptogenic herbs like ashwagandha and ginseng and kava and they help your body calm down there they have safe medicinal effects number 15 smile and laugh give yourself a moment
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when you’re sitting in the car just put a big silly grin on your face and smile for no reason at all and just notice just ask yourself how good could I feel right now for no reason at all put a big smile on your face and just let that
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emotion right just let that state go for a few seconds and you’ll have a state change you’ll have a pattern interrupt and you’ll feel better if you do that on a regular basis you can have long-lasting effects you can build
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momentum allow yourself to laugh for no reason or watch a funny movie number 16 sleep sleep increases growth hormone especially if you get a couple of hours of sleep before midnight and you need to get enough sleep and you need to have
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certain regularity to your sleeping times it’s very beneficial for your recovery and for growth hormone which again opposes cortisol another way to raise growth hormone is number 17 intermittent fasting whenever you go a
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period of time without food then your increase in growth hormone so if you just go from three meals a day to two meals a day you’re just making more growth hormone you are reducing cortisol but you can’t
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get very good results with that if you’re eating a lot of carbs because if you’re creating a blood sugar rollercoaster then every time your blood sugar dips in the low end then your body makes cortisol to compensate so you need
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to be fat adapted and have stable blood sugar in order to benefit optimally from that intermittent fasting which brings us to number 18 stable blood glucose so that goes together with number 17 unstable blood sugar is a stress it
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stimulates cortisol whenever the blood sugar is low number 19 there are specific Newt that help your brain and your adrenal glands work better your adrenal glands of course are the ones who respond to
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stress your brain detects the stress it sends signals to the sympathetic nervous system and it’s the adrenal glands that carry out the orders of the sympathetic nervous system so when you have a lot of stress you’re wearing your adrenals down
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and you want to give them the optimal nutrition so vitamin d3 and number-20 B vitamins primarily b1 and b5 but don’t get the synthetic stuff you want to get it from food and you want to get it the best natural source that you can take
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sort of as an isolated source is nutritional yeast it’s taste great I love it you can put it in smoothies you can sprinkle it on things it’s got kind of a cheesy flavor excellent source number 21 we are still in the nutrition
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category those are minerals minerals not only provide necessary nutrients for the brain but they also have a calming effect on the brain magnesium especially is generally considered calming it helps the neural
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membranes regulate ions better potassium and calcium are also very important minerals number 22 DHA which is docosahexaenoic acid don’t worry about the name it is one of the two most important parts of fish oil so the EPA
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is in anti-inflammatory the DHA is a brain building nutrient that also has a calming effect an anti stress effect number 23 there are a couple of adrenal points that you can stimulate you have if you go to your belly button and you
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go one inch over on each side and one to two inches up on side then those are your adrenal reflex points these are points that have been identified in applied kinesiology as early as the 1960s and they relate to
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the adrenal gland so if you take and you rub those you put a finger on each and you rub them for a few seconds and then you just hold them while you relax you will notice pretty soon 10 20 30 seconds that you start getting a pulse right in
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the skin and as you hold it longer that pulse increases and you’re actually allowing the adrenal glands to calm down so it’s a direct treatment that you can do a couple of times a day you don’t have to rub very hard because they tend
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to get tender if you do number-25 you could get a pet they are very very calming they have a good energy about them spending time with a pet focusing on the pet interrupts your pattern and it changes your hormone balance it
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really helps you reduce cortisol levels and you could also get a hobby you could go exercise you could join a chess club you could join a choir anything that you consider fun anything that’s your idea of fun is going to help
00:28:03
you feel good it’s going to help your pattern interrupt and have tremendous benefits so even though this videos about how to reduce cortisol it’s important to understand that you never reduce one isolated thing that cortisol
00:28:20
is just one component of the stress response which has a multitude of components and once you learn how the bigger system works and you start bringing the whole system back to balance
00:28:34
then you will reduce cortisol every one of these steps will reduce cortisol but if you understand the bigger mechanism then you understand how you can turn this into a lifestyle you can reduce the bigger picture of stress and you can
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really start undoing ambass and disease if you watched a few of my videos already then you know that we have several videos on a lot of these different topics but if you feel that there’s a topic that I haven’t covered
00:29:06
as completely as you would like then please let me know in the comments below which one of these would be your number one choice to see more elaboration on and whichever I see the most comments on I’ll go ahead and do a video on that if

Source : Youtube

The #1 Sign of High Cortisol

https://www.youtube.com/watch?v=2mrp1wgW9Z4

What is the best way to know if you have high cortisol what is cortisol cortisol is the main   stress hormone and if cortisol is too high there’s a lot of problems that could happen   in your body i’ve done a lot of videos on this let me go down the list to give you some ideas
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on what happens when your cortisol is too high you get belly fat you lose protein in your thigh   muscles and your buttocks okay so you lose your butt and your thighs what what’s not going to   do your knees it’s going to make your knees very painful and weak especially when you’re climbing
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stairs your blood pressure might increase first starting with the systolic that’s the top number   and then ending up with the diastolic 2. allergies asthma acne anxiety low tolerance   to stress people start really getting on your nerves especially slow drivers inflammation
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why because cortisol is the main anti-inflammatory so if you don’t have it you fill up with   inflammation it could be anywhere back pain whatever blood sugar problems you can even   end up becoming a diabetic if there’s too much cortisol this is why when people get injected with
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prednisone for example where they use prednisone a lot sometimes they can become a diabetic cravings   for carbs and breads okay that would be one way to know that you have a problem with cortisol   decreased libido decreased potassium because potassium goes through you
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and that’s a problem because potassium is needed for so many things like energy relaxing you   balancing fluids it’s a main electrolyte etc etc you may tend to hold salts and that’s why you have   edema as well but also you will lose something that is involved with making acids okay and
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hydrochloric acid so you end up with digestive problems because you don’t have enough acid   and your blood ph can go more on the alkaline side not the acid side that a lot of times people think   more alkaline and that can give you a whole series of additional problems but in addition to
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all these symptoms one of the best ways to know you have high cortisol is the time you wake up   at night typically it’s going to be about two o’clock in the morning it could be a little bit   later like 2 30 a.m but between 2 and 2 30 a.m in the morning that’s when you become awake okay
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now i had this problem for years and i didn’t know what it was it was driving me crazy it was   torture because i would get up in the middle of night and of course i had restless leg syndrome   too but i just wake up and i would start to think and analyze and solve problems and worry
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for hours and then when i finally went to sleep that was around eight o’clock so the pattern   for high cortisol is you wake up at 2 a.m or 2 30 a.m and then you finally can get to bed right   around 8 a.m when you’re supposed to wake up right why is that because cortisol follows a circadian
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wave and cortisol normally is supposed to be the lowest at 2 a.m okay in the highest at 8 a.m in   the morning so everything is kind of backwards and so when you should be sleeping you’re most awake   when you should be awake you’re mostly asleep and then also you might have a problem with
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midday right around let’s say um two o’clock p.m or three o’clock or you just want to take a nap   so that’s the pattern of high cortisol you can also do a saliva test there’s also a hair   analysis i don’t know if they’re still doing it now but that’s a really good analysis they check
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your hair because if you test your cortisol with your blood you’re only looking at your   cortisol at one time of the day as compared to the hair which gives you an overall average of what’s   going on with cortisol or a saliva test which is good which you’re measuring like every four hours
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through a whole period of time to find out what’s happening on this pattern so the question is what   do you do about it if you have symptoms of high cortisol well you got to find out   what or who is causing your stress do something to improve that okay walking long walks in nature
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very very important physical work is a little better than exercise even exercise is really good   but physical work to the point where you’re you can get tired because it also doesn’t   just deplete you of the excess energy the nervous energy but it gets your attention off problems b1
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essential nutritional yeast is one of the best sources and lots of it vitamin d3   vital okay and another reason why vitamin d is good is because cortisol tends to block the   storage of vitamin d as well as the ability to use vitamin d people with high cortisol usually
00:04:53
are always deficient in vitamin d and vitamin d is also good for depression and vitamin d   acts like cortisol in the body with all the side effects so it’s not necessarily going to give   you more cortisol it’ll help you regulate or balance cortisol that you already have
00:05:10
potassium magnesium are the two minerals that are physiological tranquilizers they’re   key minerals that help relax the nervous system and usually if you have high cortisol you’re   going to be deficient in both of these so taking those either an electrolyte or in food is very
00:05:25
important and then apple cider vinegar why because you have alkalosis and we need to acidify the body   so then you can start absorbing the minerals and breaking down protein very very important   i have a lot more videos on cortisol i’ll put the links down below but thanks for watching

Source : Youtube

5 Signs of High Cortisol to NOT IGNORE | What Lowers Cortisol?

https://www.youtube.com/watch?v=WE_mhJ-uAXI

Cortisol is that steroid hormone that is produced by your 2 adrenal glands,   which sit on top of each kidney. When you are stressed, cortisol is released   into your bloodstream. But Having the right cortisol balance is essential for your health,   and producing too much or too little cortisol can cause health problems. In this video,   we will look at 5 signs of your body having higher than average cortisol. So without further a do, real quick before we get started,   hit the like button down below for the YouTube algorithm, and lets get started.
00:00:30
First off, Everyone has high cortisol from time to time, and levels vary throughout   the day. It’s part of your body’s natural response to threats of harm or danger. But,   if your body consistently makes too much cortisol, thats when something could potentially be off.   Because its The adrenal glands that make the hormone, but the hypothalamus-pituitary-adrenal   axis that controls how much your body releases. ANd when it does get released, Most of the cells   in your body have cortisol receptors, to take in the cortisol and do important tasks with it like:   control blood sugar, reduce inflammation, regulate your metabolism, and can even help form memories.   ANd really the only way to validate if your cortisol levels are in fact higher than normal,   is to get them checked, either with blood, urine or saliva. And yes, its normal that it peaks in   the early morning and declines throughout the day, reaching its lowest level around midnight.   Sometimes if you work a night shift and sleep at different times of the day, this can change too,   but the normal levels, lets say from 6 a.m. to 8 a.m. are about 10 to 20 micrograms per deciliter,   and around 3 to 10 mcg/dL closer to 4 pm. But there are some clues we can use to help   us determine if it is indeed high. Starting with the first being Weight gain, especially in your   face and abdomen. This is known as the moon face. Where the face becomes more round, full or puffy.   The sides of the face, you can see become so round from the buildup of fat that the ears   can’t be seen from the front. Also you get the Fat depositing over the sides of the skull which adds   to the face looking rounder. This is often but not always tied back to cushings syndrome, which comes   with an array of its own symptoms, one hallmark is the Pink or purple stretch marks on the stomach,   hips, thighs, breasts and underarms. The second symptom is: Excessive hair growth in females,   otherwise known as hirsutism. Which affects about 10% of women in the US. Having chronically high   cortisol is not the only cause of hirsutism, we know that conditions like PCOS, acromegaly,   and sometimes pregnancy can cause this to occur as well. You may have even experienced it by trying   minoxidil which does go away once you stop. The third symptom of high cortisol is whats   called the buffalo hump. This may be more of a direct association with cushings syndrome though,   where you get the fat production that often gets deposited in the neck, which is known as   lipodystrophy. Hopefully if you have experienced this, you have already discussed with your   endocrinologist a plan to treat it by that stage. A fourth symptom of high cortisol is: just having   weak bones, which can lead to osteoporosis and sometimes fractures. This is because Elevated   cortisol levels interfere with osteoblast formation and decreases bone building,   which then reduces bone density. Basically, more bone tissue is broken down than is deposited.
00:03:32
And lastly, easy bruising. Now this isnt only indicative of high cortisol. Chemotherapy,   blood thinners, and aging are also some examples where bruising easily can occur. But the way in   which Cortisol causes it, is how it breaks down some of the dermal proteins and how it weakens   the small blood vessels. In fact, sometimes the skin may become so weak it develops this shiny,   paper-thin quality which allows it to be torn easily too. This is an   issue because it increases the chances of skin infections. Which is something we dont want.
00:04:08
And remember, there can be more symptoms than just these 5, a few others can be elevated blood sugar,   high blood pressure, and mood swings. Many conditions share these similar symptoms,   which is why if you suspect any of these, its important to discuss them with your primary   care doctor to find the right treatment plan that is tailored for you and get a proper diagnosis. In the meantime, a few tips you can take to help manage cortisol,   be it that you have been diagnosed with cushings syndrome, adrenal gland tumor, on corticosteroids,   or lets say none of those, and you feel like your cortisol is always elevated. Yes,   speak to your doctor, but also Start by changing up some lifestyle measures   that you can start implementing today like getting quality sleep,   which is in fact treating conditions like sleep apnea or insomnia that affect this,   exercising regularly, combating stressful thinking patterns, practicing deep breathing exercises,   and a current favorite of mine known as shinrin yoku, which is forest bathing,   since we have some evidence that people who practice forest bathing, “salivary cortisol levels   were significantly lower in the forest groups compared with the urban groups.” and how “Overall,   forest bathing can significantly influence cortisol levels on a short term in such a way” Also, if you are in the clear to try supplements by your doctor, adaptogens can be a great starting   point. 2 of my favorites are Ashwagandha which we talked about a lot on this channel,   studies show us that a “high-concentration full-spectrum Ashwagandha root extract   safely and effectively improves an individual’s resistance towards stress and thereby improves   self-assessed quality of life.” Secondly, rhodiola rosea: which extracts shows us an “anti-fatigue   effect that increases mental performance, particularly the ability to concentrate,   and decreases cortisol response to awakening stress in burnout patients with fatigue syndrome.”   Both of which I link down below in the description that you can check   out as well as videos discussing them in more detail for you down there as well.
00:06:15
Im more curious to hear from you guys though. what are your thoughts? Let me in the comments below.   Also, hit that subscribe button too if you found value in this, and ill see you on the next one.

Source : Youtube

5 Signs of High Cortisol to NOT IGNORE | What Lowers Cortisol?

https://www.youtube.com/watch?v=WE_mhJ-uAXI

Source : Youtube

What’s Your ADHD Type ? – With Symptoms Examples 👀

https://www.youtube.com/watch?v=fBonqCwyjRA

00:00:11
What are the different types of ADHD? Did you know that people diagnosed with ADHD often experience the condition quite   differently from one another? This is because each individual’s condition is   a little varied… but also because there are different identified types of ADHD.   Each type has different symptoms and traits that stand out, impacting life in a range of ways.
00:00:38
In recent years, valuable research has shown that ADHD is much more complex than originally thought.   If you feel like you’re struggling to process your diagnosis against   what the average person believes ADHD to be, it’s okay! You’re not alone. The three different types of ADHD are hyperactive-impulsive type,   inattentive type and combination type, which feature symptoms of the first two types. Let’s take a closer look at each of these types and their related symptoms. Hyperactive-impulsive type ADHD Hyperactive and impulsive type is characterized by impulsive actions and hyperactivity.   Those diagnosed with this type of ADHD may also display inattention and a lack of focus,   but hyperactivity and impulsive behavior will be much more prominent in day-to-day activity. Some of the common symptoms of someone with this type of ADHD include constantly feeling   restless and fidgety, talking a lot and fast, having trouble engaging with quiet   and relaxing activities, general impatience, and impulse purchasing. Inappropriate comments   and speaking without considering what you are saying are also symptoms of this type.
00:01:59
These symptoms can make learning tough, particularly in a classroom setting.   Research has shown that people who identify as male are more   likely to be diagnosed with this type, particularly younger boys.   To receive a diagnosis of hyperactive-impulsive type ADHD, a child up to the age of 16 must   have at least 6 symptoms. If you are 17 or older, you must have at least 5 symptoms.   These symptoms, in both children and adults, must have been present for at least 6 months. Inattentive type ADHD Inattentive type ADHD is typified more so by symptoms of inattention,   rather than high energy levels and impulsivity. Usually, someone who   has been diagnosed with inattentive ADHD will find it more difficult to maintain attention,   struggle to remain focused and will often have trouble following detailed directions.
00:02:58
As with any type of ADHD, the symptoms of inattentive type will often vary from person to   person. Do you become bored quickly? Find it hard to follow instructions? Perhaps you are easily   distracted and at times, struggle to listen? Or maybe someone has said to you in the past that   you always look like you’re daydreaming. These are all common symptoms of inattentive type ADHD. However, while there are identifiable symptoms,   it is important to remember that there is no clear-cut divider between the different types.   That means that even though you may well have been diagnosed with inattentive type,   you could still experience impulsivity and hyperactivity at times. Interestingly,   inattentive type ADHD is statistically more common in those who identify as female than male.
00:03:49
In the past, inattentive ADHD was referred to as Attention Deficit Disorder (ADD),   without reference to hyperactivity. Now, however, inattentive type more accurately comes under the   umbrella of ADHD. To be diagnosed with this type of ADHD if you are 16 or under,   you will need to present 6 or more symptoms for at least 6 months.   If you are 17 or older, you must present at least 5 symptoms, also for 6 months or more. Combined type ADHD Combined type ADHD is exactly what it sounds like. Those diagnosed with this type of ADHD display six   or more symptoms of inattentive type, and six or more symptoms of hyperactive-impulsive type.   This means that someone diagnosed with combined type will likely experience hyperactivity and   impulsivity, while also struggling with inattention and distractibility.   It may be difficult for them to concentrate in class or at work,   and they will likely struggle with self-control.
00:04:54
According to the American Psychiatric Association, statistics show that combined   type ADHD is actually the most common ADHD diagnosis among children and adults. How do I find out which type of ADHD I have? A visit to a mental health professional is the only way to get an accurate diagnosis   for your condition. They will be able to diagnose you with ADHD if applicable   and will also be able to determine which type you have. In the end,   that makes it easier for you to understand your condition and to more effectively treat it. When you visit a mental health professional,   they will conduct certain tests and provide questionnaires that help to understand your   condition more clearly. You may also be asked for your history of past medical conditions.   With this information, your mental health professional can more accurately make a diagnosis. ADHD can be a difficult condition to live with. But no matter the type of   ADHD you have, there is help available. And remember, always be kind to yourself!

Source : Youtube

2-Minute Neuroscience: ADHD

https://www.youtube.com/watch?v=w8JnDhp83gA

00:00:04
Attention-deficit/hyperactivity disorder, or ADHD,   is a condition characterized by difficulties with attention and/or hyperactivity and impulsivity.   ADHD involves strong genetic influences, but environmental factors, and interactions between   genetics and the environment, are thought to play an important role in ADHD as well.
00:00:24
Much of the recent research into the neuroscience of ADHD has focused on understanding the brain   networks that might underlie different aspects of cognitive function in ADHD.   One example is the default mode network, which is a collection of brain regions   that is more active during mind-wandering and introspection, and less active when a person   is attempting to complete a specific task. Studies have found that people with ADHD have   atypical connectivity in the default mode network, which might be associated with distractibility. Individuals with ADHD also display lower activity in brain networks   that are involved in attention and cognitive control. Typically, activity in these networks   increases when activity in the default mode network decreases, and vice versa.   Thus, one hypothesis is that in ADHD activity in the default mode network is dysregulated   and interferes with the function of networks involved in attention and cognitive control.
00:01:17
Studies have also found that people with ADHD tend to display atypical activity in the reward system,   a group of structures that are involved in motivated behavior,   anticipation, and reinforced learning. This atypical reward system activity   might be associated with a tendency to overestimate the value of short-term rewards   in comparison to long-term rewards, which could also affect planning and decision-making.   The reward system includes some of the major dopamine pathways in the brain, and dopamine is   often implicated in ADHD because medications that are commonly used to treat the condition, such as   amphetamine and methylphenidate, cause increased transmission of dopamine and norepinephrine.

Source : Youtube

2-Minute Neuroscience: Autism

https://www.youtube.com/watch?v=tEBsTX2OVgI

00:00:04
Autism, also known as autism spectrum disorder, is characterized by symptoms that include impairments in social communication and interaction and restricted and repetitive behaviors. Although the neuroscience of autism is still poorly understood, autism is considered to be a complex developmental disorder that involves atypical brain organization starting early in development.
00:00:26
Individuals with autism often experience a period of unusually rapid brain growth in infancy and early childhood.
00:00:33
This accelerated brain growth is linked to an atypical pattern of connectivity between brain regions.
00:00:38
A number of studies report that alterations in brain circuitry involved with social interaction and attention can be detected well before the symptoms of autism begin to appear. At this point, however, it’s unclear how brain overgrowth and atypical connectivity might be linked to the occurrence of autism symptoms.
00:00:56
Research suggests that the risk of autism is strongly influenced by genetics, yet studies consistently report that environmental factors also play a large role. Although a number of potential environmental factors have been identified, the risk factors for autism are far from definitive, and it remains unclear which factors are responsible for causing an increase in autism risk, and which are associated in a non-causal way. The risk factors that are most strongly linked to autism are associated with the prenatal or perinatal period.
00:01:22
Thus, it’s possible they might be responsible for disruptions to typical neural development, leading to symptoms of autism months or years later.
00:01:30
How these risk factors might interfere with neural development is still uncertain, but hypotheses have suggested potential mechanisms such as epigenetic effects, inflammation, oxidative stress, or damage caused by oxygen deficiency. More work needs to be done, however, to fully elucidate the genetic and environmental risk factors for autism, as well as the mechanisms for the development of autism symptoms.

Source : Youtube

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