Saturday, November 30, 2024

SMARTER AGING (Part 1)- DEFINING THE RESET LAUNCHPAD

A NAVIGATION IN AGING TERMS

Health programs like prevention and early detection are strategies that support wellness and longevity.  They are based on the desire to battle TIME and the culprits that wear down our physical, cognitive, and emotional selves. Pursuing anything 'SMARTER' is a critique on one's status quo, and an invitation to subscribers in need of an intelligent and sensible upgrade. Fresh, innovative insights and proactive measures offers an interventional plan for counter-steering towards NEW HOPE.  It centers on the need for immediate change through next-level education in how we address our current disposition that directly affects our future selves, then acting on it responsibly.

"Smarter Aging" means focusing on a parallel-action set of lifestyle plans NOW while you can still make the most difference. It starts with instilling the doctrines of a healthy diet (focusing on unprocessed foods and controlling simple carbs, sugars, and unhealthy fats), regular EXERCISE (and constant motion), and maintaining ample and consistent SLEEP. These points support cellular regeneration.  Parallel to this is the ever-important brain health and the need for challenging the MIND with stimulating activities.  Alongside this is managing STRESS into a bare minimum. All this in concert makes for a whole-body life plan that is recognized by aging experts to be THE blueprint of longevity and sustainable health.

Smarter Aging reports on the current research about how lifestyle re-programming can actually SLOW DOWN our natural degeneration to get to the end point with optimal enjoyment and the least amount of pain (or none at all). Unlike the commercialization of the term ANTI-AGING, this program pursues a critically different directive - placing paramount emphasis on "SMARTER" actionables.  Smarter Aging is AWARENESS about the land-mines and life traps caused by agents of personal decay. It is about how to MOTIVATE oneself on how to RESET into a better life plan.  

To clarify, SMARTER AGING is not the same as ANTI-AGING. The core of the anti-aging movement stems from a term has become a commercial vehicle for the production, sale and use of aesthetic products, treatments, or practices to reduce the visible signs of aging, such as wrinkles, age spots, and loss of skin firmness.  This is not to disclaim the value of aesthetics, but to promote emphasis on addressing underlying cellular function for health. Not infrequently, these two can coexist.

One area of overlap is with hair loss. There stands significant science to the study of HAIR LOSS associated with a compelling array of health issues. Hair loss (alopecia) can be an aging issue often aligned with heredity/genetic predisposition, but consequently, it can also be associated with hormonal changes, inflammation, or a set of medical conditions for both men and women.  This includes thyroid imbalances, excessive trauma/stress, infections, vitamin deficiencies and reactions to strong medication or cancer treatments. Addressing hair loss pathologically can go beyond an aesthetic or anti-aging solution to become a smarter aging directive.

Another term that needs revisiting is used by many longevity promoters and authors, emphasizing the "curse" of aging as a DISEASE.  Though it is a clever wordsmithing opportunity to lift from "DIS-EASE", this association fails in accuracy when it comes to forging solutions. Seeking the alter (counter?) measure of Dis-Ease (meaning a CURE) drives a misunderstanding from this correlation and a pathway that could prove misleading. We cannot REVERSE, HEAL, REPAIR or CURE aging nor can we actually prevent the aging process itself. 

Once we have established this base understanding, only then can we pursue SMARTER AGING, whereby setting a course for getting the best SUSTAINABLE and FUNCTIONAL existence possible.  This means navigating away from a life of multiple medications, disability and pain by proactively addressing challenges caused by health conditions, bone/muscle changes, cognitive & mental health issues.

To subscribe to SMARTER AGING means MITIGATING the impact of time-based physical wear and tear (and this includes functional, mental, spiritual and social).  It also means identifying habits that speed up aging (like too much sitting, inactivity, sugar/ processed foods, excessive screen time and stress etc).   We can study and learn from the lifestyle and performance of an 85 year old yogi or a 73 year old marathon runner and gain an understanding of what compels them to support a preventive lifestyle.  By comparison, we can recognize what our own road ahead can look like and the many ways that we can RESET or counter-steer (where needed) could make all the difference in how we rebuild our future self- starting NOW!



AGING is a natural process that is associated with biological changes that lead to a progressive decline in physiological functioning. These changes start as early as the mid-20's, and accelerate in the mid-40's and again at around age 60. While aging is inevitable, the rate at which it occurs can be faster or slower depending on multiple factors, including the interactions of genetics with diet, lifestyle, environment, and stress. It is also impacted by resilience.

Without a doubt, everyone will experience aging. It’s a biological process that begins at birth, and it is inevitable. But how we age is not. We are redefining aging, celebrating it as a time of new opportunities, deeper connections, and ongoing learning. It’s a time where we are actively engaging life with joy and purpose. 

Healthy aging is not just about keeping disease and disability at bay. While we’d all like to stay as healthy and functional as possible, we can age successfully and gracefully even with less-than-optimal  health.

WHAT IS RESILIENCE?
Resilience is the ability to “bounce back” from an adverse event or experience, large or small. This is influenced by biological factors (including genetics) as well as psychological ones, and both forms of resilience can be cultivated. As people with higher levels of biological and psychological resilience tend to experience improved health and quality of life as they age, this heightens its importance for better aging.

Health is created from physical, emotional, mental, spiritual, and energetic balance. But balance is not static. It requires constant adjustment in response to changes and challenges in your inner and outer worlds - and often changes throughout your lifetime. Resilience helps you bounce back and regain balance.  Here are 8 simple strategies to help you cultivate resilience so you can handle whatever challenges come your way in a way that helps you thrive.


8 Easy Tips for Better Aging Starts with RESILIENCE
By: Roberta Kline MD

Tip #1: EAT RIGHT
Focus on fresh whole foods, with an emphasis on colorful vegetables and low-sugar fruits, fish, poultry, nuts, non-wheat whole grains, and cold-pressed olive oil. Adding herbs and spices boosts your food power. Avoid fried foods, processed red meat, trans-fats, and saturated fats, sugars, sweets, and baked goods; swapping sugar substitutes may be worse than sugars, so avoid those too.


Tip #2: MOVE
Aim for 150 minutes a week of moderate to vigorous exercises, such as walking, swimming, biking, dancing, tennis, strength training, gardening, or yoga. House cleaning, gardening, and yard work count too! Ideally, it’s something that you enjoy. Moving throughout the day is just as important. If you have a sedentary job, make sure to get up and move at least 10 minutes every hour if you can.


Tip #3: CHALENGE YOUR BRAIN
Playing chess, solving crossword puzzles, reading books, and learning a new language or skill are examples of brain-boosting activities. Mixing up your daily routine is another great way to increase cognitive resilience. This can include: exploring new neighborhoods or trying out a new coffee shop. 


Tip #4 MANAGE STRESS
Identify stressors in your life and reduce or eliminate the ones you can control, and have strategies to manage the impact of the ones you can’t.  Tai chi, meditation, music, art, yoga and other exercise, being in nature, finding moments of awe, experiencing joy and laughter - these are just some of the ways that can help you cultivate resilience.


Tip #5: GET A GOOD NIGHT'S SLEEP
Aim for going to bed by 10 pm, and getting 7-8 hours of restful sleep nightly. Even one night of insomnia or getting inadequate sleep can have an impact on your resilience.  If you snore or don’t feel refreshed when you wake up in the morning, consider getting checked for a sleep disorder such as sleep apnea. 


Tip #6: FEEL CONNECTED
Having strong social connections - whether a few or many - along with having meaning in our lives, can be one of the most powerful strategies. This does not include social media or other virtual interactions - there is something about the brain that needs interaction with the actual person or people.


 Tip #7: MANAGE YOUR HEALTH
Heart disease, diabetes, chronic pain, and other chronic health issues can reduce your resilience. Staying proactive in managing all aspects of your health can help increase your resilience and minimize their impact.


Tip #8: CULTIVATE PURPOSE & JOY
Having a sense of purpose and connection to a greater meaning is a fundamental human need. So is joy. Identify things that bring you joy. Find something that gives you a reason to be excited about the day. Purpose doesn’t necessarily mean a grand vision - it can be big or small. Whether it’s through your work, your family, or your community, it’s important to feel you are loved and valued and are contributing to something that is meaningful to you.

Aim for incorporating at least 4-5 of these strategies. They each build on each other, so the more you of these you do, the more resilience you’ll have and the more your health will benefit. Every bit counts. As you take steps to improve your resilience, you’ll also be supporting your overall health of mind, body and spirit - feeling better and having more energy to keep doing the things you love! Start small. But you don’t have to feel overwhelmed - incorporating just one of them into your daily habits helps. Start with the change that feels the easiest first. Then build on your success to incorporate all 10 if you can!

Implementing these strategies can greatly improve your success in developing resilience for better aging. 


GO TO PART 3: ALZHEIMER’S DISEASE- A GLOBAL EPIDEMIC 

Dr. Roberta Kline reports on age-related dysfunctions of the brain that can escalate in aggressiveness and complexity over time as the victim progresses toward the end of life.  ALZHEIMER’S DISEASE (AD) is currently viewed as a progressive neurodegenerative disease that is uniformly fatal. The most common form is termed Late-Onset Alzheimer’s Disease (LOAD), which primarily impacts people over the age of 65 and is the focus of this article. In addition to its devasting impact on individuals with AD, it has a wide-reaching impact that touches every aspect of our society.  But there is hope. (Visit Dr. Kline's full report)






TRAUMA AND TOXINS: Non invasive diagnostics  Written by: Robert Bard MD

The human body is continually assaulted by harmful forces which may be obvious (trauma and burns) or subtle and dismissed as the “flu or nerves” (chronic poisoning and delayed hidden scarring). However, in the unregulated world of fillers, patients and physicians often discover unexpected findings (forgotten surgical sutures) and complication as potential medicolegal traps. One picture is worth a thousand words and one image may launch a thousand lawsuits while possibly giving birth to a new medical image guided treatment paradigm. 

TRAUMA
Soft tissue trauma causes a black and blue area but subcutaneous pathology is best imaged by ultrasound. The normal dermal layer is light gray on scans while inflammation is dark gray and fluid (blood) is black. Dermal ultrasound has been used for 30+ years to find skin cancer and guide scar treatment so the use in subacute trauma victims is a logical progression of this portable and non invasive technology. Foreign bodies such as glass and splinters are easily visible as bright white reflectors that directs the surgeon to the exact removal site under ultrasound guidance with minimal tissue “exploration” Fillers have characteristic echo pattern where HA products appear as black globules when they coalesce.  Often the HA injected aliquot disperses immediately leaving a diffuse hazy picture. Complications of fillers are well described in recent textbooks. A special case is free silicone having specific “snowstorm” pattern that is commonly seen in breast imaging of ruptured implants. The theoretical possibility of immune system compromise by free silicone is still being studied.

FIBROTIC SCARRING
Elastography shows scar tissue quantitatively in the liver parenchyma but also in traumatized muscles and tendons. The “elastic” properties of tissue are used worldwide for cancer diagnostics because malignant tumors are rock hard and “gritty” with the needle biopsy while benign lumps are soft. Ultrasound maps tissue signatures of free silicone has a mean gray (MG) value 35-40 on a black to white scale.

SKIN OF COLOR
The headline from the 2022 fall issue of PSORIASIS ADVANCES noted inflammatory disease is often misdiagnosed in skin of color. Bruises, burns and infections are detected by color-blind ultrasound as dark areas in the light gray tissues often highlighted by a “ring of fire” blood flow reaction to the local tissue reaction 




(Fig 1-L) 45 year female with collagen disease chief complaint of  fullness post filler. Sonogram at 18MHx shows a 0.2mm epidermis which expands to 9mm over the tender area. Black HA filler caps the 16x16mm light grey focus of free silicone. Under ultrasound guidance the needle depth was recalculated to avoid injecting and possibly dispersing the silicone material.




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