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October 4, 2021 By Dr Darshana Salve 2 Comments

Tired All The Time? Here’s What’s Causing It!

fatigueThe alarm is set for 6 am to go for a morning walk, filled with determination to start on a routine walk from the next morning, she went to sleep early. But, like any other day, the alarm went off, but as usual, she couldn’t get out of bed. With each passing day, it got difficult to even get up for work. This happened almost for 2-3 months when Ananya realized this was not just laziness but something beyond and decided to see a doctor. Ananya described that she had no energy to wake up in the morning and felt tired and exhausted by the end of the day. Sounds familiar? Yes! This happens to many around us or even to us. This syndrome is called Fatigue.

What is Fatigue?

Fatigue is generally defined as a feeling of lack of energy and motivation that can be physical, mental or both. Fatigue is very common. Fatigue can be caused by Physical (around 60%) as well as Mental causes (40%). Unfortunately, it can also occur in normal individuals who experience intense physical or mental activity (or both).

However, in contrast to fatigue that occurs with some diseases and syndromes, normal fatigue in healthy individuals is quickly relieved in few hours to about a day when the physical or mental activity is reduced and adequate rest is taken.

What Causes It?

  • Sleep Problems: Sleep Apnea, insomnia, working in shifts or work shift changes, pregnancy, extra night hours at “work”, gadget time, etc. can cause fatigue. For such problems, including foods like nuts or milk that are rich in tryptophan (sleep inducing hormone) can help get better sleep.
  • Dysglycemia: Skipping breakfast, long gaps between meals is known to cause irregular fluctuations in sugar levels. To avoid such irregularities one must have a healthy breakfast every day preferably within one hour of waking up. Always plan for a mid-meal snack especially when the gap exceeds 5 hours.
  • Nutritional Deficiency: Eating a healthy, balanced diet (proteins, carbohydrates, fats and fiber) is an important part of maintaining good health. It can help you feel your best. Include fruits, whole grains, and protein rich foods and avoid junk food, processed/packaged food.
  • Gut Disturbances: An acidic body doesn’t allow oxygen to be absorbed and in turn causes fatigue. Gastric issues such as bloating, constipation, food sensitivity/allergy, leaky gut (gastric reflux) all create havoc in our body resulting in physical and mental fatigue. Including adequate quantity of fiber, probiotics like curd and a good intake of water keep your gut happy and healthy.
  • Caffeine Overload: Limit tea/coffee/green tea to 2 cups/day. Avoid having it post sunset and near bed time.
  • Dehydration: When dehydrated, the fluid loss causes a drop in blood volume, which makes the heart work harder to push oxygen and nutrients through the bloodstream to the brain, skin, and muscles. Maintaining a water intake to 2.5-3 litre is adequate for the majority of the population.
  • Metabolic/Endocrine causes: Vitamin D deficiency, Hypothyroidism, Diabetes, Electrolyte abnormalities, kidney disease, Liver disease can all cause varying degrees of fatigue.
  • Anemia (Iron deficiency, Vitamin B12 deficiency): It is one of the most common reasons of fatigue or tiredness in India and especially common among women.
  • Infectious Diseases: Viral infections, Hepatitis, Tuberculosis, cytomegalovirus (CMV), HIV infection, Influenza (flu), Malaria and many other infectious diseases can cause fatigue.
  • Medications: It might come as a surprise to you but many drugs like antidepressants, anti-anxiety medications, sedatives, antihistamines, steroids and even some blood pressure medications can cause fatigue.
  • Mental Health: Stress, Depression, Anxiety, Drug abuse, Alcohol abuse, eating disorders, (for example bulimia/anorexia), Grief and Bereavement are all few of the most ignored causes of fatigue. Awareness and proactive management of mental disorders is a must for living healthy.

Depending on the above reasons, the right treatment must be decided as it is important that the root cause of fatigue be treated and not just the symptom.

In the case of Ananya, on taking a proper history and some blood tests, she was found to have nutritional and Vitamin D deficiency. Once these were corrected she felt strong and active enough to start with her healthy regime.

Fatigue is a natural part of our lives, because of which we tend to ignore it and instead learn to live with it. This causes more trouble in the long run. We must look out for tell-tale signs of things we could do earlier but can’t do anymore, unrelated aches and pains or headaches and if found positive we must seek the right help. Don’t let feeling tired today ruin your attempt to feel healthy tomorrow!

If you’re looking to relax, meditate or practice yoga to ward off fatigue, ask your GOQii Coach directly by subscribing for personalized coaching here: https://goqiiapp.page.link/bsr

#BeTheForce

November 29, 2017 By Richa Athavale 1 Comment

Know your blood/ serum Creatinine

creatinine-private-blood-tests-in-london

When it comes to blood tests, most are aware of blood sugar, cholesterol or haemoglobin levels. In the current times, we also know about Vitamin B12, D, and Calcium etc. But, have you ever come across “blood/serum creatinine levels”?

Recently, I came across somebody I know well with high levels of high blood/ serum creatinine levels. And, observed there is a lot of confusion between “Blood/serum creatinine levels” & “creatinine” that one takes as a supplement while working out in the gym. These are two different things. In this blog, I am talking about –Blood Creatinine.

What does it means when you have high blood creatinine levels?

Creatinine is produced in the body constantly. It is a by-product of creatinine phosphate in the muscle. Its value depends on the muscle mass that one has. Creatinine is carried through the bloodstream to the kidneys. It is filtered out by the kidneys and thrown out of the body through urine. The kidneys maintain the creatinine levels in the blood to a normal range. A creatinine level is an indicator of kidney function. High creatinine levels is a warning for impaired kidney function.

High level of creatinine is found during:

  1. Impaired kidney function
  2. kidney disease like glomerulonephritis, pyelonephritis
  3. Prostate disease
  4. Kidney Stones (urinary tract blockage)
  5. Heart disease
  6. Diabetes
  7. Medicines like ACE inhibitor (ACEI) or angiotensin II receptor antagonist (or angiotensin receptor blocker, ARB) taken.

creatinine-blood-test-s1-illustration

Creatinine Blood Test should be done if following symptoms are seen:

  1. fatigue and trouble sleeping
  2. loss of appetite
  3. swelling in the face, wrists, ankles, or abdomen
  4. lower back pain near the kidneys
  5. changes in urine output and frequency
  6. high blood pressure
  7. nausea
  8. vomiting

Normal Values of the Creatinine in Blood:

In male – 0.6 to 1.1 milligrams per dl of blood.

In female – 0.5 to 1.1 milligrams per dl of blood.

Infant – 0.2 milligram per dl of blood or above (due to less muscle mass).

A person with one kidney – 1.8 to 1.9 milligram per dl of the blood.

Lifestyle & Dietary modifications for high creatinine:

  1. Reduce water/fluid intake: Fluid intake needs to be monitored. Do not restrict fluids unless there is a fluid overload problem. If fluid retention is a problem, limit salt intake.
  1. Limit salt intake (Sodium): You should control the amount of salt going through the food. Add minimum salt as required. High sodium will cause water retention. Cut down on salt, cheese, pickles, instant soups, roasted and salted seeds and nuts & all types of fast foods. Specifically, avoid canned foods.
  1. Limit Potassium: Low-salt substitutes are not good either, as they contain high levels of potassium. Restricted eating high potassium containing such as tomato, potato, nuts and chocolates etc.
  1. Limit Phosphorus: Excess phosphorus can cause total kidney failure as well as bone disease and heart ailments. Reduce dairy products including milk, curd, and cheese. Cut down intake of foods like Shellfish, nuts, soya bean foods etc.
  1. Control Calcium: It is another concern for kidney patients, causing serious bone disease in later years if not controlled.
  1. Low protein diet: Low protein diet is recommended to reduce creatinine level. This avoids build-up of excess urea.
  1. Cigarettes and Alcohol: kill you anyway and, also does not help in the case of high Creatinine either.
  1. With diet control, the portion size also matters. If you eat in excess, the nutritional value changes considerably.
  1. Be active & Exercise regularly: High-intensity exercise could lead to impressive results. It may also help lower your risk for high blood pressure and diabetes which are the two main causes that lead to developing CKD (Chronic Kidney Diseases).

 Fruits and vegetables that are advised/not advised in kidney diseases:

  • It is advisable to take peaches, broccoli, onion, grapes, cabbage, pepper, cherries, cauliflower, apples, celery, berries, cucumber, pineapple, eggs, plums, green beans, tangerine, lettuce, watermelon and pears.
  • Restrict the intake of oranges and orange juice, asparagus, avocado, kiwi fruit, raisins or other dried fruits, bananas, cooked spinach, potatoes, pumpkin, prunes, etc.

September 11, 2017 By Luke Coutinho 4 Comments

Signs you need to know to support your metabolism

fast-metabolism

When we hear the term “fast metabolism,” it’s usually regarding people — often younger than us —who seem to be able to eat whatever they want and as much of it as they can: They can indulge in sweets, fried food, simple carbs and more without gaining an ounce of fat.

But just because they don’t appear to gain weight, it doesn’t necessarily mean they’re optimally healthy.

They may experience the same low energy, mood swings, brain fog, digestive upset and other effects of unhealthy dietary habits which over time can worsen.

You see, true metabolic health isn’t just about having your cake and eating it too, so to speak.
The state of your metabolism has much more to do with your overall health than simply your weight. Metabolism lies at the foundation of health. It’s a complex system that directly influences how our cells, tissues and body systems function and get the nutrients they need — while getting rid of what they don’t.

Metabolic processes are involved in our most critical areas of health, including cardiovascular, cognitive, inflammation and immunity. Essentially, good metabolism doesn’t mean you don’t gain weight, it means you feel good every day, have plenty of energy for daily activities and are in good overall health. Poor metabolism often means the opposite.

Just as metabolic health can be influenced by a variety of factors, a number of signs and symptoms can indicate that your metabolism needs support. If left unchecked, these early signs may eventually manifest into metabolic syndrome and its dangerous offspring, Type 2 Diabetes. If you experience a number of these signs regularly, it’s time to take action.

Wide Waist: What’s your waist size? Extra fat around the abdomen is the unhealthiest type of fat and one of the most common signs that you may need to support your metabolism. If you are a man with a waistline of 40 inches or greater, or a woman with a waistline of 35 inches or greater, your metabolic health may need to be examined.

Fatigue: Do you generally feel run down, like you’re “running on fumes?” Do you become exhausted after eating? Feeling sleepy once in a while after a restless night can be expected. But, if you are frequently tired with low energy throughout the day — even after a good night’s sleep — your metabolism may be to blame.

Excessive Sweating: Do you sweat for no apparent reason? Perspiring when it’s hot or you’re doing hard physical exertion is normal and healthy. But if simple, daily tasks like doing the dishes or walking up a flight of stairs make you drip, you may need to address your metabolic health.

Poor Circulation: Do you feel cold all time? Are your fingers and toes always chilled or do your hands and feet fall asleep easily? When you hurt yourself, does it take a long time to heal? Low circulation may be a sign that your metabolism could use some help.

Unhealthy Gums And Teeth: Do your gums bleed when you brush or floss? Are they painful? Do you have a propensity for cavities?
More and more research points to a relationship between gum disease and chronic health conditions such as heart disease, cancer, and metabolic issues such as diabetes and metabolic syndrome.
How regularly do you see the dentist? If your oral health is suffering, your metabolic health may be deteriorating according to research demonstrating links between metabolic dysfunction and periodontitis.

Maintain Metabolic Health: So you’ve determined that your metabolism isn’t what you want it to be. Now what? The good news is that a large part of your metabolic health can be improved using targeted diet, exercise and lifestyle adjustments.

Handle Stress: High stress is a culprit in metabolic mayhem. It fuels inflammation and metabolic-disrupting stress hormones like cortisol. Try adding 15 minutes of meditation to your daily routine. In addition, when you feel your stress levels are getting out of hand, take 20 seconds to stop whatever you’re doing and simply breathe. Take three deep breaths and exhale fully, pulling your bellybutton toward your spine to completely empty your diaphragm. A mere 20 seconds is so quick that nobody will even notice that you “checked out” for that time.
But it may be enough to bring you (and your metabolism) some peace.

Exercise: Any kind of cardio (aerobic exercise) helps to both rev up your metabolism and reduce your stress. Studies show that 1½ hours per week of moderate physical activity, like brisk walking, keeps the average person healthy (more is needed if you want to lose weight). What’s more, studies show that 10 minutes work out too work just as well as 45-minute workouts, as long as your total exercise time adds up to 90 minutes or more over the course of the week.

This is a relief for any busy person; it’s much easier to fit a 15-minute walk into your daily lunch break than it is to get up an hour early to go to the gym. Although light cardio is important, don’t forget to include some muscle-building exercises. Muscle is more active than fat, so more muscle means more efficient metabolism. Explore different ways to fit muscle training into your day. Do squats while you’re waiting for dinner to cook. Do some push-ups or sit-ups while waiting for your shower to get hot. Install an over-the-door pull-up bar and do one or two pull-ups every time you walk by. Be creative!
Healthy Diet:

Easy metabolic tip:

(i) Eat more green vegetables, fiber and protein. Eat less sugar and simple carbs.

This alone should be enough to put you well on your way to metabolic health, but it’s not hard to take your food consciousness to an even higher level for greater vitality and health.

(ii) Learn the difference between good fats and bad fats. For example: deep-fry oil, trans-fat and anything hydrogenated are all bad. Omegas, coconut, avocados, olive oil, seeds and nuts: These are good.

(iii)  Incorporate vegetables of some form into every meal: Yes, even eat these at breakfast! Try blending some spinach or kale into a fruit and yogurt smoothie and I bet you won’t even taste the greens. Vegetables should make up at least half of each meal.

Supplements

Natural supplements like curcumin, caratirm, and special teas like Green and herbal infusions can stroke the metabolism and help in the whole process of wellness.

Your metabolism defines your health from a cellular level. Take care of it. It’s never about weight loss, it’s about your metabolism and how strong it is.

 

 

 

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