7 Japanese Techniques To Overcome Laziness

https://www.youtube.com/watch?v=PfPelzWeSvY
Are you tired of starting your to-do list and you’re paralyzed by the twin villains of procrastination and laziness? Trust me, you are not alone. Today, we’re going to be peeling back the layers of these universal struggles and will introduce you to philosophies and techniques to overcome regret and self-blame, poor performance, stagnation, your personal growth, and a decreased productivity.
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Welcome back to the Quick Brain Podcast. I am your host and your brain coach Jim Quick. Today we’re diving into Japanese Zen Secrets, as we explore seven gentle yet powerful techniques that have the potential to transform the way you approach productivity and life. Each technique carries with it a unique philosophy, a cultural way of life. The wisdom that has stood the test of time. First up is the concept of Kaizen, which stands for small improvements and how they have a big impact. Remember, little by little, a little becomes a whole lot. Imagine a life where progress isn’t measured in leaps and bounds, but in tiny, consistent steps. Kaizen at its core encourages us to focus on small improvements every day. It’s becoming 1% just 1% better each day rather than aiming for perfection right from the start. Remember, 1% compounded over the course of a year, 1.01 times 1.01 times 365 times equals a 37 multiple. Your 37 times better just improving 1% at anything over the course of one year. By setting small achievable goals and embracing small gains and celebrating those, we paved the way for lasting success and we train ourselves in becoming more productive. Number 2. The next technique is something we have already discussed before on our podcast. It’s called Shinrin Yoku, Shinrin Yoku. Otherwise known as Nature’s Healing Touch. Doesn’t sound really great. The Japanese words Shinrin means forest. Yoku means bath. And they come together to create an experience where we spend time outdoors surrounded by the healing embrace of nature. It’s not just a walk in the woods. It’s a profound connection with the environment that can rejuvenate the mind, body, and spirit by reducing our stress and anxiety levels. And who doesn’t want more of that? Number 3. Moving forward, we will explore the familiar term Ikigai, also known as the Japanese way of discovering your reason for being. That sounds pretty profound, but this concept holds the key to our reason for being. Ikigai is the driving force that gets us out of bed each morning. The four rules of Ikigai provide a roadmap. Do what you love, do what you’re good at, do what the world needs, and do what you could be paid for. Passion is the intersection of what you love and what you are good at. Mission is the intersection of what you love and what the world needs. Profession is the intersection of what you are good at and what you can be paid for. Vocation is the intersection of what you could be paid for and what the world needs. Bringing these four points together will help you discover your Ikigai and set you on your personal growth and discovery journey.
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You You You You You You You The fourth technique is Wabisabi. Wabisabi known as finding beauty and imperfections The philosophy of Wabi Sabi is where imperfection is celebrated. Instead of chasing perfection, Wabi Sabi encourages us to find beauty in the flawed and imperfect aspects of life. It’s the cracked ceramic filled with gold, symbolizing the magnificence found in life’s imperfections. In practice, you don’t need to wait for the perfect timing, just start. Many of us hold ourselves back because of where we came from and then obstacles we have already faced and will likely face in the future. When in reality, it’s our imperfections that will make you stand out and it will fuel your brilliance. The fifth technique is Shoshin. Shoshin, meaning embracing the beginner’s mindset. Remember, your mind is like a parachute, it only works when it’s open. Shoshin is a concept rooted in Zen Buddhism, calls to the approach that life with a beginner’s mindset. In the words of Shun Rin Suzuki, in the beginner’s mind, there are many possibilities, but in the expert’s mind, there are few. It’s about keeping our minds open, empty and very receptive to the endless possibilities that surround us so that creativity can flow. Being a continuous student and allowing yourself to learn with an open mind will set you ahead of the crowd. Second to last is the practical wisdom of Harahatchibu, teaching us to stop eating when we’re 80% full. By avoiding the excesses of indulgence, we aim for satisfaction without the lethargy that comes from over -consumption. It’s a mindful approach to nourishing our bodies and our brains and avoiding the pitfalls of feeling lazy or sluggish. The quick brain community already knows that maintaining a good diet is a huge factor when it comes to our physical and our mental health. The seventh and final technique is Ganbaru, the spirit of doing your best. This is a concept urging us to do our best and persevere through tough times. It’s about patience, tenacity and a commitment to excellence. In the face of challenges, Ganbaru empowers us to keep going, unlocking our full potential with unwavering perseverance. Consistency is the key to achieving your goals. Our journey today has been a reminder in the pursuit of a fulfilling life. It’s often the small, intentional steps that lead to the most profound transformations. I challenge you, embrace the wisdom that resonates with you and let it be your compass as you navigate the complexities of life. I want to thank you for joining us for this episode of the Quick Brain Podcast. If you enjoyed this episode, don’t forget to subscribe. Leave a review and share with those who might find value in these timeless philosophies. And here is one small, simple step. Go to gymquick.com forward slash more. This link is in my Instagram profile and you’ll see there a free masterclass on speed reading. Three videos on how to improve your memory. To remember names, easily remember client information, how to give a speech without notes, our brain animal quiz and so much more. Remember knowledge by itself is not power. It becomes power when we what? When we apply it, we take small, simple steps. So I challenge you right now to go to gymquick.com forward slash more. Subscribe to our newsletter. Every single week we send you my favorite brain tips. To be able to level up your life and of course your learning. I’m your brain coach, gymquick. Thanks for tuning in this episode. I look forward to seeing you in the next one. Until then, be limitless.
Source : Youtube

9 tactics to build a stronger mind | Lisa Genova

https://www.youtube.com/watch?v=Fcx3WEhodBw
– People are worried about their memory. If you’re forgetting to show up for your four o’clock meeting, or you forgot the actor who played Tony Soprano in the HBO series ‘The Sopranos.’ “Can’t remember that guy’s name, what is it?” A lot of us tend to blame ourselves.
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This absent-mindedness is a sign of mental weakness, or a failing memory, or a lack of character, but 99% of forgetting that happens to all of us, is normal.
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So there are things that we can do to be less afraid, less panicked, to have a better relationship with our memory today- because forgetting is a normal part of being human. My name is Lisa Genova.
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I am an author and neuroscientist.
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The name of my book is “Remember: The Science of Memory and the Art of Forgetting.” So how do we reinforce our memories? How do we make our memories stronger, resilient to time, so that we can recall them decades later? The first essential ingredient in creating a memory that’s going to last longer than this present moment is attention.
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If I put my glasses down and don’t give it a moment’s attention to notice where I’ve put this, I can’t remember where they are because I never formed that memory to begin with.
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Your brain will never remember what you don’t pay attention to.
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Chronic stress is really bad for our memory. Stress hormones mobilize your brain and body to respond, to fight, to flee, to react quickly- not to think.
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Stress is meant to be an acute, quick, on and off phenomenon. So what happens in your brain and body if you’re exposed to chronic, unrelenting stress, and how does that affect your memory? Under chronic stress, your body will just keep dumping adrenaline and cortisol, and it can’t shut off. This is bad for memory.
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You are actually shrinking your hippocampus- the part of your brain that’s essential for forming consciously-held memories is going to be smaller.
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You’ll be inhibiting ‘neurogenesis,’ the birth of new neurons.
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The very good news about all of this, because I’ve probably just scared everyone, is that there are things that we can do to combat stress. This is where things like yoga, meditation, mindfulness, and exercise come into play. All of these have been shown to restore the size of people’s hippocampus who have been chronically stressed.
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A quick word on meditation: A lot of people are intimidated by meditation. They sort of know that this is probably good for them in lots of ways, but maybe don’t know how to do it. Here’s a nine-second meditation to help restore your cortisol levels, and to help save your hippocampus and your ability to remember.
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Close your eyes if you can.
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Breathe in through your nose to the count of four. Hold it for a second, and then breathe out through your nose to the count of four.
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And notice how you feel.
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Here’s what’s going on: Stress response causes you to breathe like this- By breathing slowly in and out through your nose, you are telling your brain and body that you are safe. We also wanna get enough sleep.
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Sleep is not a state of doing nothing where you’re unconscious and it’s a waste of time.
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You’re very biologically busy while you sleep, and there are a number of super-important things that are going on in your brain with respect to memory.
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For example, if I got a horrible night’s sleep last night, I’m gonna wake up today and my frontal lobe is gonna have a hard time dragging itself to its day job- and one of its most important jobs is paying attention. And if I can’t pay attention to what’s going on today, what am I not gonna be able to do well today? Form new memories.
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Also, your hippocampus consolidates the information you’re learning into a lasting memory that you can consciously retrieve while you sleep. So what happens if you don’t get enough sleep? Your hippocampus might not have had enough time to do the job, and so your memories from what happened yesterday and the stuff you learned yesterday, might not be fully formed today, or they might not be formed at all.
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Caffeine is actually good for memory, because caffeine increases your attention. So anything that’s an attention booster is gonna be a memory booster.
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We know that sleep is super important for forming memories, so caffeine’s good for memory. You just wanna be careful that it’s not compromising your sleep.
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Our brains are not designed to remember people’s names. These are abstract concepts.
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They live in neurological cul-de-sacs. Ultimately, there’s only one way into that house that lives at the end of that street, and there’s no other way to get there.
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So can we supply more associations to the person’s name to give us a chance? In psychology, this is called the ‘Baker-Baker Paradox.’ If I’m trying to remember your name and your name is Mr. Baker, that’s really tough for me to remember- abstract concept.
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But if I were asked to remember the word “baker,” I can picture him wearing an apron, and he’s got flour on his face and, “Oh, I remember the bakery I used to love as a kid and we used to get danishes there on Sundays.” So now I’ve got all of these associations in my brain, attaching to that word “baker,” and gives me a chance to hook into it.
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For all of these memories, they benefit from repetition. The more we repeat, the more we practice, the more we rehearse a memory, we are strengthening those neural connections, making that neural circuit stronger, and more likely to be fully retrieved. One of the ways that we can repeat a memory is by writing it down.
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If I’ve experienced a certain number of things today, and I keep a journal- what I’ve chosen to write down will become a stronger, more reinforced memory in my brain. I will also have the opportunity to revisit that memory by reading it later.
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So many people come up to me, so worried, saying, “If I don’t write what I need to do later down, I’m gonna forget to do it.
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That’s gotta mean I’m getting Alzheimer’s.” And I tell all of them, “No, it’s your prospective memory. It’s terrible.
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It’s not cheating to write it down. It’s actually good practice.” Airline pilots do not rely on their brains and their prospective memories to remember to lower the wheels before landing the plane. They outsource the job to a to-do list, a checklist. We should all write it down, put it in your phones, put it in your calendar alerts, make to-do lists. If you wanna remember to pick up milk at the grocery store, write it down.
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Another way to better remember this information has to do with self-testing.
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If I’m trying to consolidate something into memory, and I’m only putting the information in, I’m traveling one way on the neurons. If I then try to recall the information, I’m pulling the information out- now I’m going the other way.
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Going over those circuits in both directions will help reinforce and make that memory stronger.
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Okay, having a word stuck on the tip of your tongue is a normal glitch in memory retrieval.
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It’s just a byproduct of how our brains are organized. So looking up a word, Googling a word that’s on the tip of your tongue isn’t cheating. It will not cause digital amnesia.
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It will not make your memory weaker in any way. It frees you up.
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We can Google anything that we can’t remember in a moment’s notice, and then use that information to continue thinking, to continue the conversation, to learn more.
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You have my permission to Google it and look it up. What I would love for you to take away from all of this is that your memory is amazing.
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It is limitless in what it’s capable of remembering if you supply it with the right kind of information, if you supply it with the right kind of tools and associations. And it’s wildly imperfect, and that’s just the price of owning a human brain.
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Forgetting is a normal part of being human.
Source : Youtube

How to enter ‘flow state’ on command | Steven Kotler for Big Think

https://www.youtube.com/watch?v=znwUCNrjpD4
– Flow is often described as a state of kind of ‘effortless effort.’ We feel like we’re propelled through the activity. Everything else just seems to disappear.
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Time is gonna dilate, which is a fancy of saying it’s gonna pass strangely.
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Five hours go by in like five minutes. Occasionally, it’ll slow down, you get a freeze-frame effect, I mean, anybody who’s been in a car crash for example. Intuition tends to get turned up a lot.
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This is a basketball player in the zone, seeing the hoop and suddenly it’s as big as a hula hoop. And our frown muscles tend to be paralyzed. And what that frowning is, is a sign that the brain is doing work. This is a constant issue in my marriage where my wife thinks I’m mad at her or somebody and I’m like, “No, no, I’m just thinking.
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This is just me thinking. I’m in robot mode.” My name is Steven Kotler.
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I’m a writer and a researcher, and my latest book is “The Art of Impossible.” Flow itself, actually, the term is coined by Goethe, who uses the German word “rausch,” which means overflowing with joy.
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Nietzsche actually wrote about flow.
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William James worked on the topic, but Mihaly Csikszentmihalyi is often referred to as the Godfather of Flow Psychology.
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He was very interested in sort of well-being, meaning of life, and he went around the world talking to people about the times in their lives when they felt their best, and they performed their best.
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Everywhere he went, people said the same thing. “I’m in this altered state of consciousness where every action, every decision I make, seems to flow effortlessly, perfectly, seamlessly from the last.” Flow actually feels ‘flowy.’ More specifically, it refers to any of those moments of rapt attention and total absorption. You’re so focused on the task at hand, so focused on what you’re doing, everything else just seems to disappear.
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But one of the things that athletes talk about a lot is what they call “the voice.” Often, when I’m skiing in flow, I will get directions- right, left, do this, do that, and it’s very quick.
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You either do what the voice is telling you to do or you tend to crash.
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The challenge-skills balance is often called the “golden rule to flow.” And the idea here is pretty simple.
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We pay the most attention to the task at hand when the challenge of that task slightly exceeds our skillset. So, to do this work and to get good at it, you have to get good at being comfortable with being uncomfortable.
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You wanna stretch but not snap. So there are a number of different things you can do to sort of prepare yourself and prepare the environment to drop into flow.
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The flow triggers are your toolkit.
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22 of them have been discovered.
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There are probably way, way more, but so far, researchers have identified 22. The most basic of flow triggers- complete concentration.
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You really wanna sorta start your work session if you can in relationship to your physiology.
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I like to wake up at 3:30, four o’clock in the morning. That’s when I’m most awake, most alert. I am married to a night owl.
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My wife doesn’t wake up ’til five, six, seven o’clock, eight o’clock at night.
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That’s when her brain comes alive.
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And then you wanna try to block out 90 to 120 minutes for uninterrupted concentration.
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Practice distraction management ahead of time. So you wanna turn off your phones, turn off email, Twitter, Facebook, Instagram, et cetera, all your messages, all your alerts.
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There was a study where they found that coders in flow, if they get knocked out by distraction, a knock at the door, a text alert, or whatever, it can take ’em 15 minutes to get back into flow if they can get back in at all.
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Flow only shows up when all of our attention is in the right gear, right now. One way to kind of explore flow triggers, there’s a cluster of them that are predominantly dopamine triggers. They drive focus, they drive attention, they drive alertness and excitement, and there’s a lot of different ways to get dopamine.
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Novelty produces dopamine.
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We see the same thing with unpredictability, complexity, the experience of awe.
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You look up at the night sky and you see stars everywhere and you know those stars are actually universes, and you get sorta perceptual vastness.
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If you’ve ever done a crossword puzzle or sudoku, you get an answer right, that little rush of pleasure you get, that’s dopamine. And then you usually get a couple of answers right in a row, that’s because the dopamine that is now in your system is amplifying pattern recognition.
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We get that same dopamine from risk-taking. And this could be physical risks, emotional risks, social risks, intellectual risks, possibly spiritual risks.
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We get the dopamine not as a reward for taking the risk, which is what some people used to believe, but now we know it’s to kind of drive motivation. Now, there are lots of different intrinsic motivators, but from a motivation standpoint, there are five and they’re all designed to be built into one another and work in a sort of specific order, in a specific sequence.
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The most basic human motivator is curiosity. One of the things we get from curiosity is focus for free. When we’re curious about something, we don’t have to struggle.
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We don’t have to burn a lot of calories trying to pay attention to it.
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Curiosity is designed, biologically again, to be built into passion. And think about, we’ve all fallen in love, how much attention you pay to the person you’re falling in love with.
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You can’t stop thinking about them, can’t stop staring at them.
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That’s a tremendous amount of focus for free.
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Now, passion is incredibly useful, but as a motivator, you can go one better, which is purpose.
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Everyone’s talking about, “Oh, I have a purpose,” and it’s this big altruistic thing and it’s good for the world, and all those things may be true, but from a peak performance perspective, it’s very, very selfish.
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Once you have purpose, the system demands autonomy.
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I want the freedom to pursue my purpose. And once you have that freedom, the system wants the last of the big motivators, mastery. Mastery is the skills to pursue that purpose well.
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One of the really incredible things about being human is we’re all built for peak performance. Flow is universal in humans.
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It’s actually universal in most mammals and definitely all social mammals.
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There’s a shared collective version of a flow state, a team performing at their best, a group performing at their best.
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This is called ‘group flow.’ In fact, studies have shown that the people who score off the charts for these characteristics, who score off the charts for overall well-being and life satisfaction, are the people with the most flow in their lives.
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We’re all capable of so much more than we know. That is a commonality across the board. It’s the largest lesson in 30 years of studying peak performance has taught me.
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And the way I sorta like to think about it, is motivation is what gets us into the game.
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Learning allows us to continue to play. Creativity is how we steer. And flow, which is optimal performance, is how we amplify all the results beyond all reasonable expectation.
Source : Youtube

3 Instantly Calming CBT Techniques For Anxiety

https://www.youtube.com/watch?v=JiDaTi_iQrY
Hi, I’m Mark Tyrrell of Uncommon Knowledge and welcome to 3 Instantly Calming CBT Techniques for Anxiety Now, Marcus Aurelius said, “Very little is needed to make a happy life, it is all within yourself in your way of thinking.” Now I’m a huge admirer of Aurelius and loved his ‘Reflections’, which I read many years ago, but in the interests of thinking for myself I open with the this quote from the famous stoic philosopher and Roman Emperor because in my humble opinion it’s just plain wrong, or at the very least vastly incomplete. So let me explain! People thrive in environments that help them meet their innate emotional and physical needs, so as human beings we have these innate needs, and we have an instinctual desire to fulfil them and when we don’t fulfil them we unavoidably suffer and I think it’s reassuring to let clients know sometimes that their happiness isn’t just about what they do inside their own minds it’s also to do with the extent to which their environment meets their needs it’s also about taking action to identify and meet their needs, so people who meet their needs in a balanced way are less likely to suffer anxiety.
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Just as thirst is a signal that you’re not meeting your need for hydration, anxiety is a signal that you are not meeting your needs in some way.
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you’re not meeting your needs in some way now this isn’t to say that what we do in our minds has no relevance to our happiness or lack thereof of course it does but the way we feel is not just a response to the way things really are out there in the world it’s also about how we make sense of what’s happening to us okay now in case you thought I was done ranting I have one other issue with cognitive behavioral therapy that I need to air before I give you three easy to apply CBD techniques for treating anxiety that I’ve found over the years incredibly useful when work with anxious clients so let’s look at this shaky theory first of changing thoughts to change feelings now strong emotion arises not after thoughts not because of thoughts but before them and if you see reference one you’ll know what I mean so it’s often easier and more powerful to change feelings than it is to change thoughts okay again this basic neuroscience contradicts classical CBT emotions are a fundamental human characteristic essential for immediate physical survival they’re more powerful and thoughts occurring much more quickly than cognition and sometimes with no associative thoughts at all clinical hypnosis is the best way to change feelings directly see reference to and a change in our thoughts is a natural consequence of a change in our emotional responses so for post-traumatic stress disorder and phobias for example it’s not faulty thinking that’s the problem and the chances of making significant progress through CBT alone are very remote okay but I’m not completely condemning CBT here I do believe it can be really useful for less severe anxiety conditions but only when used with skilled approaches that work directly to calm feelings right down so here are three simple techniques that focus on the thinking and behaving part of a person to help them take back control when they’ve been feeling anxious so CBT technique one is focus on how the feelings will change it’s very simple so I’ll often remind clients that feelings are fluid and inevitably change so even if after all the relaxed mental rehearsal work that we’ve done with the clients they find themselves starting to feel a little anxious in a situation I want them to be thinking about what their feelings will be once they’ve started to feel better again specifically focusing on that expected change so it might help to write down those expect changes in a few words so for example if they’re nervous about a presentation they might write down something like I’m feeling somewhat nervous which is natural when those feelings change I expect to feel calm and clear-headed again so they’ve given themselves a blueprint a template for what to expect so on top of this I’ll ask them to imagine what the very first little sign might be that those alterations in feeling are starting to happen because they will inevitably happen okay so they might tell me that they um they’ll find themselves speaking more spontaneously to their audience or it might be helpful to write those words down too okay so feelings always shift and even just remembering that is really useful having your client write or think about how they expect their feelings to improve and the very first little indications that anxiety is morphing into calm take that concept to the next level so all good psychological interventions help change expectations and this technique is no exception okay now the next technique can be applied in lots of different ways and is more behavioral than cognitive so the second CBT technique is chew it over and act normal okay so anxiety is a survival responses you know it’s not an illness but it’s a response that can go wrong sometimes to the point that it hinders rather than helps like a guard dog that feels like it’s helping even as it bites the leg of the friendly postman or mailman or the little old lady next door so your anxiety response kicks in because it senses a threat even though that perceived threat may not actually be a real threat at all so one way to train anxiety to be selective and behave itself is to give it feedback to let it know that thanks but you’re not needed right now okay because anxiety takes its lead from what clients ooh okay as well as simple emotional pattern-matching so if the client acts in ways they wouldn’t act in a real emergency the anxiety will fade away for example during an emergency we wouldn’t talk softly and calmly we wouldn’t smile we wouldn’t salivate we wouldn’t breathe deeply and we wouldn’t have open body posture okay now if we adopt purpose purposefully adopt some of these behaviors or even just one of these behaviors when we begin to feel stressed then we’re altering the feedback loop where where we’re sending the feedback back to our sympathetic nervous system the fear response that it’s not needed that all is fine good and well we send it a message see if there was a real threat I wouldn’t be salivating I wouldn’t be talking normally I wouldn’t be breathing out for longer than I breathe in so something even the most anxious client can easily do is chew gum or even just imagine they are and this is something you’d never be doing during a genuine threat because chewing gum of course produces saliva in anticipation of eating so it can very quickly switch off the cascade of anxiety we don’t tend to have the luxury of eating in life-threatening circumstances okay so we can encourage our clients to act normal during stressful times to quickly change the feedback loop and switch off anxiety fast okay so very powerful but simple approach and just knowing they can do this can give clients a huge boost in confidence and a sense of control back because anxiety tends to take away people’s sense of control anxiety is all about expectation which tends to be catastrophic so let’s bring some thought to it next so the final CBT technique is catch the underlying assumption and chase down the logical conclusions okay so if someone feels anxious about something it’s because they have a fear of some consequence but what is that consequence so for example if I fear attending a party I might ask myself what consequence do I fear and I might decide you know I fear meeting new P poor okay but what’s the consequence of that I could ask myself I might say well they might not like me but what’s the consequence of that and I’ll well that I’ll feel upset and what’s the consequence of that well I’ll feel that I’m unlikable and so on and we can go on and on with this but how will I deal with that okay I’ll remember people who do like me okay I’ll soon forget about the party it’ll be in the past I’ll remember that I can be wrong when assuming people don’t like me okay so we’re finding contradictions to the ultimate conclusion of the fear okay and I’ve done that with people who are insecure in relationships by having them describe what it is precisely they fear and begin to see that the relationship breakdown wouldn’t be in fact some kind of catastrophic end but a step along the path to something else that wouldn’t necessarily even be bad so when someone comes to feel that even if their relationship did end they would and could survive or even thrive then the fuel of the insecurity dries up okay so the takeaways here are one strong feelings shape the thoughts not the other way around although Marcus Aurelius did have some great insights we can directly help lift and calm feelings so thoughts fall into line with karma emotionality to working to reframe thoughts can be really useful and three we can help people remember that feelings always change and focus on how they expect any current unpleasant feelings to change this alone can begin to bring about the very expectation they have imagined for we can teach clients to alter their behavioral feedback so as to send the message to their sympathetic nervous system nothing to report here no emergency down and just knowing this is possible for clients can help them feel more secure and confident and five finally we can enable clients to catch underlying assumptions and follow the logical conclusions to think about how they would actually survive even thrive if the worst or the so-called worst did happen Marcus Aurelius also said we ought to do good to others as simply as a horse runs or a bee makes honey or a vine bears grapes season after season without thinking of the grapes it is born and we can’t say fairer than that so I hope you found this useful and if you did please hit like subscribe and if you want to hear where my next video is published hit the notification bell below I’m mark Tara of uncommon knowledge and I hope I’ll see you soon over at uncom slash blog
Source : Youtube

How to diagnose Sjogren’s Syndrome affecting the brain and spine?

https://www.youtube.com/watch?v=St2ftqhZN3s
How do we diagnose Neurosjogren or Sjogren  involving the central nervous system?  Cerebrospinal fluid or the spinal  fluid analysis is very important   for the diagnosis of Neurosjogren. We can see certain changes like your  
00:00:18
lymphocytes being elevated there your IGG index  being elevated but less oligoclonal bands and   we’ll talk about that in a little bit. We also do blood work the blood work   that I mentioned before we test  for your Ana SSA and SSB antibody. 
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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 chromative Factor  complement levels all of these are important to   be tested and what it was seen in patients that  have CNS involvement or central nervous system  
00:01:01
involvement is that not all of them they have a  positive n a and only 38 will have a positive DNA   about 48 percent have a positive SSA and only  six percent will have a positive SSB antibody   as I just mentioned in shogron that affects your  brain and your spine only 40 to 50 percent of them  
00:01:28
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 of antibodies SSA antibodies   they actually have been associated with a more  aggressive disease of the brain what does it  
00:01:52
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 use other tests   like visual evoked potential which are abnormal  in 61 percent of patients we use EEG or Electro  
00:02:15
asphalogram 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 explain to you   the value of MRI in neurological involvement  of shogran MRIs are more sensitive that CAT  
00:02:37
scans to detect anatomical abnormalities in  primary CNS or primary neurological chogran   there are multiple areas of increased signal  that will show inflammation specifically   located in the subcortical and periventricular  white matter and those lesions are found more  
00:03:02
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 be located in certain areas  like periventricular areas and this makes the  
00:03:23
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 in other  patients we do see two more like lesions that  
00:03:42
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  the cervical area most of the time 82 percent  
00:04:07
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 transverse myelitis this is  
00:04:35
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 neuromyelitis Optica we also use  
00:04:59
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 areas of white matter hyper  
00:05:22
intensities and those areas were also associated  with more atrophy these studies show that Patients   with Primary sjogren that have this white matter  intensities and gray and white matter atrophy   those are probably related to a sort of cerebral  vasculitis or inflammation in the vessels of the  
00:05:46
brain there are other tests like single Photon  emission CT fees 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 the brain in  
00:06:08
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 children  
Source : Youtube

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  
00:00:17
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  
00:00:38
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  
00:01:02
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  
00:01:24
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  
00:01:48
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  
00:02:08
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  
00:02:29
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  
00:02:51
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  
00:03:12
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  
00:03:36
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  
00:04:03
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  
00:04:29
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  
00:04:54
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  
00:05:18
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  
00:05:42
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  
00:06:06
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  
00:06:29
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  
00:06:52
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  
00:07:16
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  
00:07:37
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  
00:08:01
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  
00:08:23
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  
00:08:45
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  
00:09:10
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  
00:09:34
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  
00:09:57
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  
00:10:20
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  
00:10:45
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  
00:11:12
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  
00:11:37
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  
00:12:00
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  
00:12:23
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  
00:12:48
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  
00:13:10
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  
00:13:33
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  
00:13:58
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  
00:14:24
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  
00:14:45
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  
00:15:07
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  
00:15:33
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  
00:16:01
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  
00:16:24
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  
00:16:48
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  
00:17:13
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  
00:17:35
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  
00:17:58
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  
00:18:22
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  
00:18:44
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  
00:19:10
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  
00:19:33
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  
00:19:56
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  
00:20:19
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  
00:20:48
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  
00:21:13
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  
00:21:33
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  
00:21:54
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  
00:22:21
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  
00:22:44
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  
00:23:06
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  
00:23:29
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.
00:02:21
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.
00:04:35
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.
00:11:15
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.
00:02:02
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
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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  
00:00:58
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  
00:01:15
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  
00:01:33
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  
00:01:52
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  
00:02:11
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  
00:02:31
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  
00:02:46
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  
00:03:07
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  
00:03:24
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  
00:03:41
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  
00:03:55
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  
00:04:15
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  
00:04:33
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