Wellness Weekly 12/10/2020

Episode 50

This episode covers the following topics:

➡️Wellness Journey – The dancing man
➡️Research Article 1 – Light therapy for brain injury
➡️Research Article 2 – The microbiome influences carbohydrate metabolism
➡️Rootine Supplement – Vitamin B6

Lifestyle Medicine with Dr. Harris

5 Pillars of Great Health Wellness Program

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Episode Transcript

[00:00:00] Dr. Richard Harris: Join me, Dr. Richard Harris, as we strive to unlock the secrets of the human body. Strive for wellness. Strive for great health. Follow the show on iTunes, Spotify, Google, and Android.

Hello, and welcome to Strive for Great Health Podcast. I’m your host, Dr. Richard Harris, and a few updates. So we’re not going to be releasing videos or podcasts over Christmas. We’re going to take that time off and allow ourselves to rest to recuperate and to prevent content burnout because content burnout is real. You know, right now, we’re producing about an hour of content every single week, and that takes a toll on you.

So we preach rest here. We preach self-care, and we preach walking our talk. So we are gonna take some time off. And then we’ll be back in January, January 4th, with a great episode on the growth mindset. And I think that’ll be very timely for starting things off in January. When you know, a lot of people are wanting to make changes, but this is wellness weekly.

And so we’re going to be talking about our wellness journey called the dancing man, two articles, and then our supplement this time is vitamin B6 or pyridoxine. So let’s dive right in the dancing man, our wellness journey for today. So this is a character, a really interesting gentlemen that me and my wife met walking our dog, and he lives at the veteran’s home right across the street.

And every single morning, this guy’s out there dancing, listening to his music, just loving life, full of happiness, full of joy. And, you know, after last week’s session of be like Bain, I realized that I should also be like the dancing man. And he’s dancing like nobody’s watching LinkedIn’s in his zone, in the groove, generating his own happiness.

And I think that’s so important. A lot of us look to the outside environment to bring us happiness. Cause if you’re constantly looking for happiness, that way, you’re constantly going to be disappointed. We have to self-generate our happiness. In fact, I say that happiness is an emotion. Joy is a choice, and I choose to be joyful.

Now a lot of that is my faith, faith in Jesus Christ, faith in the joy that he instills in us. But it’s also the fact that I realized that no one else is going to make me happy. If I’m not happy, there’s zero chance that someone else can make me happy if I’m not happy. So I have to be happy in order for other people to make me happy.

And that is joy. That’s why I choose to be joyful, and dancing is one of the best ways that we can self generate happiness. You ever seen someone look sad when they’re dancing? No, it’s a thing that we have done all throughout history. Dance is always there in different societies, different depictions paintings, all of these things, there’s dance.

And I think that’s so important that we do these dances. Even if he can’t dance, just try, you know, there’s no harm in trying, there’s no harm in just getting out there. No, one’s like, Oh my God, that person is such a terrible [00:04:00] dancer. It’s just about effort. It’s about trying. It’s about just, just being your own source of happiness and joy, being your own joy battery.

You know, I don’t depend on other people to fill up my joy battery. I do that myself.

And what does the data say on dancing? It’s really interesting. It’s what we call a happiness double-Play. So dancing activates the sensory and motor circuits. It increases serotonin, you know, the happy neurotransmitter, but music activates the brain reward centers. So you get this double whammy of happiness when you’re listening to music, and you’re dancing.

In fact, one study found it lowered dementia risk in the elderly population, and multiple studies have shown that it improves outcomes in Parkinson’s disease. Other studies show it reduces stress, improves brain plasticity, which is how your brain cells rewire. It improves executive function, memory, spatial recognition.

I mean, this is all really, really good stuff; who doesn’t want that? Who doesn’t want better memory, who doesn’t want better decision-making, who doesn’t want a lower dementia risk, who doesn’t want improved coordination and balance? That’s also been shown in studies, and who doesn’t want more happiness, more joy.

I mean, if I polled all of you right now and said, Hey, do you want these things? I think all of you would say, absolutely. Yes. And it’s such a simple thing that we can do to get it. And so what I try to do is I’ll just dance in the gym. I’ll do that all the time. When I’m listening to my music, I’ll just bust out into a dance.

People kind of look at me funny, but you know, whatever, I don’t care. I do what’s best for me and what’s best for my family. I don’t do stuff that’s gonna make me look cool or, you know, cater to the opinions of other people. That’s not why I do things.

So do what is good for you? You know, if you’re at home and you’re feeling down, just put on some music and dance, you’ll see your mood improve dramatically. And it’s something so simple. It’s also like if you’re feeling stressed, put on some music and dance and watch that stress melt away; you know, this may sound a little callous, but stop waiting for things to happen to you and make things happen.

If you’re feeling stressed, stop waiting for whatever’s stressing you to go away. That’s not doing anything because there’s always going to be something that’s stressing. You make that stress go away by you doing something. Smile, make yourself laugh, make yourself dance. These are all things that have a dramatic effect on our health and a dramatic effect on how we interact with our environment.

So I’m hoping there’s at least one person who, while listening to this, started to bust out in the dance. And if you want to here…doing a little dance in my chair for, you can see on my YouTube video. Trying not to make any noise, so I don’t wreck the audio quality, but that was me doing a little dance. Go check out the YouTube channel if you want to see it. All right. That was our wellness journey. Let’s move on to our first article.

The article is entitled transcranial low light therapy vs. sham therapy; sham therapy just basically means it looks the same, but there’s no active intervention being done. Among patients with moderate traumatic brain injury. So the introduction traumatic brain injury, TBI is a major cause of death and disability is defined as [00:08:00] an external force that impairs brain functions such as memory, movement, sensation, and emotions, and the major pathophysiology, or what happens at the cellular level is you get traumatic injury to the axons. Axons are the ends of nerves. And this is where all the signal transmission happens. You know, the signal comes from the nerve cell body goes down into the axon, and it gets transmitted to another nerve. So it’s like how signals get passed between different nerve cells. And so that what happens is in when the brain accelerates in these traumatic injuries, you get a shearing of those axons.

It’s, it’s a little sheer force that damages them. And then certain other parts of the brain called the white matter tracks are also vulnerable. And so white matter tracks are the covering of those axons. So there’s a covering; it’s a fatty covering; it’s called myelin, myelin sheath is what it’s called, and that allows the signal to conduct faster.

I’m not going to go into all of the biochemistry, but it would take a lot longer for a signal to travel if we didn’t have these myelin sheaths if we didn’t have the white matter tracks.

So the low light therapy uses near-infrared light to elicit a biological response. And why we think this is, is the light is absorbed by our mitochondria, specifically part of our mitochondria and the energy generation chain, an enzyme called cytochrome C oxidase. And what this does is it increases ATP production.

ATP is how we generate energy without going too much into metabolism. Just think about ATP as energy as the simplest way to think about it. It’s also a signaling molecule, but its main purpose is for energy generation, but it also increases nitric oxide production. And we talked a lot about nitric oxide and what it does and.

Why nitric oxide is great in our nitric oxide podcast, I would refer to that, but nitric oxide is important for blood flow. It’s important for the immune system.

So this is low light therapy has been shown in previous studies to have vascular protection. So it protects our blood vessels and neuroprotective functions, meaning it’s helping to protect our brain. So this study wanted to look at the near-infrared light therapy in the setting of acute traumatic brain injury within 72 hours.

So what they did is they applied a helmet that did the low light therapy. They also did MRIs as soon as they could, then at two weeks follow up and then, about three months after the trauma. So multiple MRIs and they wanted to measure the integrity and the myelination in that white matter tracks we talked about, and they wanted to measure the integrity in the axons, the actual ends of the nerve cells.

They also used a questionnaire called the RPQ questionnaire, which is the River Mead post-concussion symptom questionnaire. And it basically measures physical, cognitive, and behavioral symptoms after a traumatic brain injury. So what’d they find? It was a small study. It was only 68 patients. They found that the low light therapy was safe and feasible.

The TBI symptom severity was comparable between the two therapies. So it didn’t seem like there was any adverse effects from it. The brain imaging found that it was the low-light therapy, improved myelin repair, but not axon repair. And in the discussion, it talked about that, you know, this wasn’t a pathophysiology study, but it appears that the process between myelin repair and axon repair are a [00:12:00] little different.

Previous studies with low light therapy showed some benefit in stroke patients. However, the third did not. The authors thought that the myelin repair and axon repair process; these were a little bit different. You know, you can’t generalize this to severe TBI. They also should have done a scan a little bit longer on because what happens after injuries as you go through cycles of demyelination and remyelination.

So that’s something that they thought that should be done in further studies. And the study really wasn’t powered to assess efficacy and improving the symptom burden because there were so few patients. So what’s the key takeaway from this study? The key takeaway here is that low light therapy in the situation seems to improve some imaging characteristics associated with traumatic brain injury. It seemed to improve the process of the myelin sheath repairing itself. And so that’s really cool. We’ll need to see some further studies in this area, but this is another reason why infrared light exposure can be beneficial, and we’re going to do an entire podcast on infrared therapy and what it does, how it affects the body because I think it’s a really cool technique and I’m really close to purchasing a portable infrared therapy device for the house.

So by the time we do that podcast, I’ll probably have one. All right. Let’s move on to study number two. This study is very, very technical. So I’m going to try to explain what the key takeaways here for you without trying to go into being overtly technical. So the name of the study, and again, if you want access to all these studies, they are in our Strive for Great Health Facebook group.

There’s a link to a Google drive that has all of the studies in there. So what was the study name? Microbiota modulating CART enteric neurons autonomously regulate blood glucose. Basically 30,000-foot overview, the microbiome influences nerve cells, which regulates our blood sugar independent of the brain.

Wow. That’s really, really cool. So let’s dive in, in the introduction. So you have a second brain in your gut. We call these enteric neurons. These are nerve cells that function to help maintain the normal functioning of the gut. So it’s mainly intestinal motility, helping things move through the gut, helping with secretion things that we need to get into the gut to help us digest or fight off invaders.

You know, they’ve received information from food. Food is a signaling molecule; it tells our body about what’s happening in the environment. That’s why you need to eat whole foods, not processed foods, whole food signal the environments great, processed foods signal the environment’s bad and leads to a whole host of chronic diseases.

But there’s also other signaling molecules. You know, how the nerve cells and bacteria in the gut cells talk to each other. Those are signaling molecules. It also receives information from immune cells and the microbiome. We talk a lot on this podcast about the microbiome. Why? Because the microbiome is so important.

So recent evidence shows that the microbiome influences the activity of many intestinal cells, including the nerve cells, immune cells, and metabolism. So this study wanted to look at how the microbiome interacts with enteric neurons to determine, is there an impact on host physiology? Is there an impact on our own processes at the [00:16:00] cellular level?

And one of the things that we know is that the density and diversity of the gut microbiome increases as you go further down the intestine. So what did they find? They found that the concentration of enteric neurons is higher as you go down. So it found that the concentration of the nerves in the gut increased in parallel.

With the gut microbiome, density, and diversity, they also found there was a significant impact of the microbiome on gene expression in a part of the intestines called the ileum and another part called the colon. They also found that some of that programming, some of that gene expression was microbiome dependent.

Some of it was microbiome independent. So, again, this is corroborating previous research that shows that our microbiome influences what we do at the cellular level. It influences what genes are expressed and what genes are turned off. So next, they treated the mice; this was a mice study with antibiotics.

And they found certain types of the nerve cells decreased with certain antibiotics. So the antibiotics killed off the microbiome, which decreased nerves in the gut. That’s a huge finding. And this is one of the problems with inappropriately prescribing antibiotics. People. If you have cold symptoms, stop asking for antibiotics, you are damaging your body.

It’s a virus, 90% of the time. It’s a virus. Those symptoms can take 7 to 10 days to go away, and going in there demanding antibiotics for a viral infection. You’re killing off your gut bacteria. You’re causing dysbiosis. It’s a major, major problem, especially in kids. You know, data shows that antibiotic use before the age of two is associated with asthma allergies and chronic disease.

So really, we need this stop using antibiotics for viral infections. Most of it is upper respiratory tract infections, and they are, for the large part, viral, and they can take 7 to 10 days for the symptoms to go away. You’re not treating your virus with antibiotics. You’re killing your gut bacteria.

We’re just having all kinds of adverse effects. So stop demanding antibiotics, please. Well, you’re also selecting for resistant bacteria. So if you do get a bacterial infection, then you’re limiting the number of antibiotics that we can use.

Okay. Back off of my rant, back on to the study.

So once they stopped the antibiotics, the enteric nerve population rebounded within two weeks of antibiotic withdrawal, and they found that the nerve cell loss was induced by depletion of the microbiome and that depletion of the microbiome activated inflammatory pathways, specifically dealing with cell death.

And one of the nerve cell types that they found was decreased was CART. And this is really interesting. So stimulation of cart results in increased blood sugar, decrease insulin levels, and a reduction in food consumption. So this seems to be a homeostatic pathway that we can regulate our blood sugar without needing to intake excess calories.

So these CART neurons have a direct connection with sympathetic nervous signaling. And stimulating the pancreas to release glucagon [00:20:00] glucagon helps raise our blood sugars and inhibit insulin signaling. It can also drive the liver to make more sugar in a process called gluconeogenesis. And then glycogenolysis, which is glycogen, is how we store sugar in our muscles and our liver.

And so you free that up to get into the bloodstream. It was interesting. We don’t really know yet what these carton neurons respond to. Is it sugar in the gut? Is it other signaling molecules? Is it movement in the intestines? And this is just theoretical, and there’s no evidence that I know of, of this, but it seems to me like these are the type of neurons that would be active in a fasting state. They’d be active when food isn’t coming through the gut because you would want to know that, you’d want to, your nervous system would want to know that there’s no food coming through because it has to regulate blood sugar. You know, we need a certain amount of sugar in our blood and a certain amount of glucose in our blood to function normally.

You know, that doesn’t mean you need to go eat a whole bunch of carbs. No, your body’s very capable and very efficient at making sugar, very efficient at it. And it’s very efficient at regulating its blood sugar if you allow it to be. So I theorized that these groups of nerves are important during fasting time periods during time periods where you’re not fed because it seems like these nerves are signaling that, hey, we need to regulate our blood glucose outside of caloric intake.

So we’ll look, be on the lookout for more research on this type of pathway. But I think it’s really interesting that our gut microbiome influences what our nerves are doing and how our  nerves are helping us maintain homeostasis, maintain balance in that normal functioning and how dysbiosis or damage to the microbiome can influence what our nerves are doing to keep us healthy.

So let’s move on to the final segment. You know, we’re still in our Rootine series. We’re talking about vitamin B6 pyridoxine. So what does it do? It’s a co-factor for enzymes involved in sugar metabolism. It’s involved in the synthesis and metabolism of neurotransmitters brain chemicals, specifically serotonin, norepinephrine, and dopamine.

It’s involved with making heme, which is the protein that carries oxygen in the blood. It’s responsible for vitamin B3 synthesis, Niacin. It’s responsible for making precursors to what goes into our DNA, for making red blood cells, for detoxification. It’s also involved in the metabolism of fat and fatty acids, and it’s involved with making antibodies for the immune system.

It also has some antioxidant and anti-inflammatory properties. So there are multiple types of pyridoxine. No, the active version is something we call P5P; however, the absorption between the different types and the different forms is the same. So sometimes, you’ll see it as pyridoxine or B6. Sometimes you’ll see it as P5P, the activated version.

Deficiencies can be caused by chronic alcohol consumption, diuretics, estrogens. You know, you’re hearing that a lot. That birth control depletes a lot of the B vitamins, and that’s why anybody I know who’s on birth control needs to take a B complex [00:24:00] period.

Some of the TB meds can cause this. And so we give it with isoniazid, one of the tuberculosis medications, one of the medications we use, if you have a positive TB skin test. Some of the Parkinson’s meds can cause this L-DOPa, digoxin, and then also, I forgot to mention that B6 is involved with thyroid function as well.

So just add that onto the list. So what are the symptoms? It can be neurological symptoms. If you’re deficient irritability, depression, seizures, you can get inflammation in the body inflammation in the mouth. It can be impaired function of the immune system. It could be elevated blood sugars, abnormal cholesterol panels, increased homocysteine.

What are the food sources? Salmon, ricotta cheese, tuna eggs, beef poultry, green beans, bananas, chickpeas, avocado, sweet potatoes, spinach carrots. Those are some of the common food sources. So because it’s in a lot of foods, deficiencies are quite rare unless you’re on medication that can cause it. Or if you have a very high processed food nutrition plan, which is a lot of people.

Testing, and see, there’s a lot of testing that you can do for B6 levels because it’s involved with so many different things in the body. I’m not going to name all of them, but you can test various amino acids. You can test the neuro-transmitter levels. You can test the B6 levels itself, something called quinolinic acid and kynurenic acid, which are involved in tryptophan metabolism.

So there’s a lot of different things that we can look at to make sure that the B6 levels doing what it needs to do. So the RDA is 1.3 to 1.7 milligrams per day for adults; depending on who you ask and where you look, supplementation doses vary dramatically. You’ll see as little as five milligrams up to sometimes 250 milligrams; usually, we don’t recommend more than a hundred milligrams for extended periods of time.

And that’s cause of, side effects. So some of the side effects can be nausea, vomiting, heartburn, diarrhea in high doses, you know, above a hundred milligrams, it can cause allergic reactions, specifically skin allergic reactions, and paresthesia, so you can get numbness and tingling from high doses.

Well, this has been wellness journey. Well, not wellness journey. This has been wellness weekly, number three, do you guys dig in the format? Let me know, but we’ll continue next week in our rootine series as well. And then we’ll have two more studies and another wellness journey. And again, we will be taking some time off around the holidays.

So we won’t have any releases for about two weeks. I think the last day I’m going to release on is the 17th, and then we’ll be off until January 4th. And we’re going to start up the new year with a podcast on the growth mindset that one’s going to be awesome. Really timely to help you guys out with your resolutions.

Don’t get me started on it. If I believe in resolutions, I don’t. There’s no time like the present. I’m not going to put off starting something to a specific time period if I think it’s going to help me, but I know that’s what a lot of people do. Thank you for listening to the Strive for Great Health podcast with your host, Dr. Richard Harris. Have a blessed day. [00:28:00] Thank you for listening to the strive for great health podcast with your host. Dr. Richard Harris. Our mission and goal at the podcast is to affect as many lives as possible, to empower individuals to take control of their health and live a life full of joy and purpose.

You may help us achieve this mission by leaving a five-star rating and review on your preferred podcast platform. And by sharing this podcast with anyone you think it may help. If you wish to support the podcast, do so by becoming an insider, insiders get take-home points, discounts on our other wellness services, links to articles and supplements mentioned in the podcast, and a discussion forum to connect with myself and other listeners of the podcast. To become an insider, head to theghwellness.com/podcast, and click on the green button that says become an insider.

Thank you again, and God bless.

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