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Can Lifestyle Changes Reverse Chronic Illness?

Posted: 04/10/11 11:35 AM ET

At a seminar that I recently spoke at, I asked this question, "How many of you either suffer from or know someone that has some type of chronic illness, whether itʼs Type 2 diabetes, dyslipidemia or hypertension?" Not surprisingly, most of the hands in the room went up.

We are in a society that is struggling to overcome these diseases and they are becoming an epidemic, not only in adults but in children as well. The National Institute of Health recommends that lifestyle intervention or lifestyle medicine should be the first line of treatment for many chronic health problems.

The Journal of American Medical Association states that "Managing diet is the key to treating all common lipid disorders. For most patients, dietary intervention should be the first line of therapy (perhaps for 6 to 12 weeks) before introducing pharmaco-therapy for hyperlipidemia." (1) The New England Journal for Medicine states that "Lifestyle changes and treatment with metformin both reduced the incidence of diabetes in persons at high risk. The lifestyle intervention was more effective than metformin." (2)

Why are patients not given this protocol from the beginning? It seems that the first line of treatment these days is some type of pill. These pills do not address the root cause of the pathology and just deal with the symptoms. I know that lifestyle therapy works because I have been successfully incorporating lifestyle medicine into my practice and I am getting amazing results. We have reversed type 2 diabetes and normalized lipid levels by lowering cholesterol, triglycerides and LDLʼs as well as raising HDL levels. This is done generally within 12 weeks by integrating a proper nutritional program, supplements, certain forms of exercise, and incorporating stress reduction techniques such as meditation and qi gong.

Most importantly, you should eat fresh, organic if possible, whole foods. Processed and boxed foods are not in any of the food groups. Second, It is important to eat every three to four hours to stabilize blood sugar levels. By eating often, this prevents blood sugar levels from spiking and therefore avoids large releases of insulin. Also, do not skip meals. If you skip meals your bodyʼs metabolism begins to slow down. The body thinks itʼs going into a "starvation mode" and can start to store fat.

Also, it is important to eat healthy, balanced meals so that your body can rebuild functional (enzymes, hormones and neurotransmitters), structural (cells, muscles and bones) and energy (fats and glycogen) biochemicals. If you skip meals, your body cannot rebuild these biochemicals. Since food is one of the triggers that release insulin from your pancreas, if you do not eat you will not secrete enough insulin. If your insulin levels fall too low, then your body will use up your biochemicals faster than you can rebuild them. This imbalance between
utilization and rebuilding will result in a damaged metabolism. (3)

Breakfast is still the most important meal, so break your fast and have breakfast! Third, just as important as it is to eat often, you must also eat with portion control. In our American society it seems that one portion size actually can feed up to four people.

Why do we eat so much at one time and overstuff our bodies? Patients that I have on a 1600 calorie food plan, get only 1 grain per day (i.e. 1/2 cup cooked brown rice or grain, 1 slice of bread, 3/4 cup of oatmeal), 3 - 4 oz of concentrated protein, 2 servings of fruit (ie. 1 apple, 1 cup of blueberries) and unlimited amounts of low glycemic vegetables. These are much smaller portions than the average individual is used to eating at one time. Drinking plenty of water, preferably 8-10 glasses per day is also important.

In addition to eating whole foods, I have patients on a basic protocol for supplementation, generally a protein based medical food, an EPA/DHA and possibly a few others depending on their manifestations.

Stress creates toxicity in our bodies and is a common cause of chronic disease. We live in a society that is moving so fast, working too hard, not sleeping enough, rushing and running until our bodies can no longer function. Making time for activities that nurture your soul and connecting with people, including family and friends who inspire you can have a profound effect on your health in a positive way.

Taking time to meditate and have quiet time is vital to maintain any sort of well-being and it is an amazing stress reducer. There have been over 1,000 research studies, most of them published in peer reviewed scientific journals that show how meditating can effectively calm the mind, improve human functioning and reduce symptomatology.

In several experimental studies, meditation has been found to reduce chronic pain, reduce anxiety, reduce high blood pressure, reduce serum cholesterol level and lower blood
cortisol levels initially brought on by stress.

Lifestyle therapy is a balance of the way we live our lives. It encompasses everything from food choices, exercising and movement, stress reduction through simple meditation, being happy and truly enjoying our lives.

"To keep the body in good health is a duty...otherwise we shall not
be able to keep our mind strong and clear."   Buddha

References:
1 JAMA. 2003: 290(4);531-533
2 N Engl J Med. 2002:346(6);393-402
3 THE SCHWARZBEIN PRINCIPLE II. 2002: 83-84;228

 
At a seminar that I recently spoke at, I asked this question, "How many of you either suffer from or know someone that has some type of chronic illness, whether itʼs Type 2 diabetes, dyslipidemia or ...
At a seminar that I recently spoke at, I asked this question, "How many of you either suffer from or know someone that has some type of chronic illness, whether itʼs Type 2 diabetes, dyslipidemia or ...
 
 
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09:35 AM on 04/13/2011
Colon cleansing is a scam. Anybody who has had a colonoscopy (like me) can tell you that. It takes a couple days of not eating to get all the fecal matter out of one's intestinal tract. Poop does not get caked on your insides. Such a belief reveals ignorance of simple biology and decomposition.
bichn
There ain't no rest for the wicked.
11:32 PM on 04/12/2011
Lifestyle changes are not the first line of defense with physicians because the only one who benefits from your wellness is you but those that benefit from your illness include doctors, hospitals, big pharma, and insurance companies. Have you ever watched the documentaries The Beautiful Truth, The Gerson Miracle, or FoodMatters? They are all every enlightening.
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Priya Advani
04:28 PM on 04/16/2011
Thank you so much for sharing those AMAZING documentaries!! Unfortunately, the medical schools are generally funded by the big pharma. However, that being said I remember when I was in medical school studying Chinese Medicine, we had groups of USC students follow us in clinic. I understand that UC Irvine offers a class on Complimentary and Alternative Medicine. This shows that there is hope that practitioners in the future will integrate lifestyle and alternative medicine into their practice or at least be aware that it exists.
12:34 PM on 04/12/2011
Priya is absolutely right. Once you make the lifestyle change to good nourishing foods and consistent exercise, you see a world of difference in your day to day life. You see a huge improvement in your health because all of the illnesses that were there no longer exist. Your body is now getting what it needs to take care of itself.
Great article!!!
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William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
08:32 AM on 04/12/2011
I am a psychotherapist and addictions counselor who had all the diseases you list when I was obese, until I lost 140 lbs. 25 years ago with a behavioral approach I discovered, Therapeutic Psychogenics. Now I am healthy and free of the obesity and all those diseases associated with it. Changing lifestyle is the cure for many diseases, but changing, as a simple act of will, is impossible for many people, as demonstrated by the long history we see with people who try to quit smoking, stop drinking, or lose weight. I now teach these methods to clients and other therapists and I have written a book about it, The Anderson Method, with forward by Mark Lupo, M.D., president of the Academy of Clinical Thyroidologists. Please see my work at www.TheAndersonMethod.com , and contact me if I can offer you any assistance.
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Priya Advani
04:37 PM on 04/16/2011
Lifestyle modifications can be tough. I completely agree with you and understand how there can be a level of resistance. I find that once my patients start the program and realize that they feel better and their body composition improves, they become more motivated to change. However, there can be an emotional and energetic component in people who have more resistance to change. Lifestyle change should address that factor as well as incorporate the other things I had mentioned. Your work is very interesting!! Thank you so much for sharing.
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William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
09:57 AM on 04/17/2011
Thank you for your work and correspondence. Please call on me if I can be helpful in any way.
02:58 AM on 04/12/2011
Priya's article is so on the money about health! i am glad to see this in general circulation because i know these techniques work for me! thank you Priya!

Krista Everage
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DrP
09:20 PM on 04/11/2011
I believe that when the role of hormones, particularly insulin, in the disease process is understood and embraced, we will have revolution in human health outcomes. Carbohydrate restriction is the life-style change that reverse heart disease, obesity and high blood sugar (which are symptoms, not diseases), ADHD and depression and many other mood disorders, prevent some cancers, and probably Alzheimers in many cases.
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Priya Advani
06:33 PM on 04/16/2011
People with chronic illness need to be more educated on portion size as well. In my plan, most patients with chronic disease are limited to 1 grain per day which is equivalent to either 1/2 cup of brown rice or 1 slice of whole grain bread or 3/4 cup of oatmeal. One portion of a category 2 vegetable is equivalent to 1/2 medium potato, 1/2 cup of cooked carrots or 1/2 cup of cooked beets. They are surprised with how limiting the portion size is since much of our society does overfill on high starchy carbohydrates. I agree with you on your follow up post that the lower income individuals are promoted this lifestyle and it is making them unhealthy.
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Chuck Bluestein
Always searching for latest health breakthrough
08:12 PM on 04/11/2011
Lifestyle has been shown to be the most important thing in avoiding disease. I read this book, Anticancer, by an MD. He got cancer and the doctors cured it. But it came back again. Elizabeth Edwards had cancer and the doctors cured it. Then it came back, worse than ever and it killed her. So the above doctor learned all that he could about cancer, diet and lifestyle. He changed his lifestyle and cured it and wrote the book 15 years after curing it for good. As far as foods, green tea and tumeric are very powerful against cancer according to him.

Also Leo Galland M.D. wrote an article about cherries being anti-inflammatory and are better against pain than aspirin! http://huff.to/fIGtjX Now someone can buy a bunch of organic dried cherries and eat them daily. Now the article tells how anti-inflammatory foods prevent heart attacks, strokes and arthritis. But in the book above, Anticancer, the M.D. learned that these anti-inflammatory foods also fight and reduce cancer! These include garlic, berries, cinnamon, dark chocolate, brussels sprouts, broccoli, scallions, onions, black pepper and grapefruit.
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Priya Advani
04:48 PM on 04/16/2011
Sounds like a very interesting book. I will have to read it. I believe that cancer has an emotional component that is tied with the disease. Of course, some people have a genetic predisposition. However, I agree with this doctor in that diet and lifestyle modification can help eliminate or avoid diseases and chronic illnesses. I always encourage my patients to be on an anti-inflammatory food plan. Thanks for sharing this valuable information.
11:01 AM on 04/11/2011
Great article. I have seen quite a few people change their "chronic" conditions around by making small health lifestyle changes. Small changes can make a huge difference over time. Check out this amazing site and blog for some unbiased, simple healthy choices you can make today to get started on your journey: http://blog.mydiscoverhealth.com/
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Priya Advani
04:49 PM on 04/16/2011
Nice blog. Thanks for the information!
08:58 AM on 04/11/2011
We the support staff at one of the top mental health rehabilitation facilities (FH) in northern new jersey made lifestyle changes for the -Clients- but from a different angle, we promoted an -Atmosphere of Kindness-? The results were outstanding after a year of this lifestyle change for people with mental illness and addictions and developmental disorders? The severity of mental illness was down twenty five percent and all kinds of -Suicides- were stopped completely? Upon trying to spread the idea of continuous kindness could eliminate or reduce many mental health disorders we the support staff were fired or laid off and were told that mental health professionals were not interested in curing anybody with mental illness? So lifestyle changes are very hard to implement when you are dealing with the medical bureaucracy?
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Priya Advani
04:55 PM on 04/16/2011
How beautiful to incorporate kindness into the rehabilitation facility! I suggest that you continue with the kindness. It horrifies me that the support staff was reprimanded so harshly. Your results prove that it works.
06:38 PM on 04/16/2011
Thankyou for the nice reply, what is really sad about the situation is that we saw the potential of continuous kindness full time being the miracle that could solve many mental disorders? Without professional credentials and a way to do clinical trials and a desire by the mental health industry to cooperate in solving many mental disorders this miracle will never happen?
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rikster
buy the ticket-take the ride
08:47 AM on 04/11/2011
I think so..and it is worth trying...that is until Big Pharma patents Lifestyle changes and you will need a prescription to do it..
03:30 AM on 04/11/2011
Abusive lifestyle is probably our biggest killer. But short of that, it also takes the life out of you while you're still alive! The flip side is what happens when you change your lifestyle for the better. As a personal trainer for over 25 years, I've led hundreds of people out of their death spiral. It comes down to motivation and discipline. Oh yeah and the one big secret is.....There is NO secret. Eat less, exercise more.Get your hand out of the bag of chips and get your ass off the couch.

Ray Salomone High Performance Athletic Trainer www.RedZoneWarriors.blog.com
01:11 AM on 04/11/2011
I know it's possible to reverse chronic illness with lifestyle changes as I have done it. I've lost 112 lbs since April 19, 2010 and my IBS is gone. I was told I'd have IBS forever and went through the gamut of GI testing for years...none of my doctors ever suggested losing weight would help my symptoms, they prescribed pills. I've created healthy habits in my life and my life is 100% different that one year ago.
12:01 PM on 04/13/2011
Good for you! I was diagnosed 10+ years ago with Colitis/Crohns disease and was told I would need medication for the rest of my life. I gave up the meds, gluten, dairy, changed my diet around. Supplemented with fish oil, probiotics, organic high protein whole food diet and frankly never looked back. I miss pizza...but am much happier.

Continued health and success to you!
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Priya Advani
05:04 PM on 04/16/2011
That's wonderful!
OverseasVet
Stationed not deployed
11:25 PM on 04/10/2011
It has been standard medical practice to treat type 2 diabetes with diet change and increased excersize for many years. Suggesting that medical doctors ignore this scientifically proven treatment is absurd.
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w84it
06:03 PM on 04/11/2011
I have to fan you for this. My wife is a nurse has told me on many, many occaisions that diet change and exercise is always discussed with the patient. It's not the doctor's fault that the patient will not make the necessary changes in diet and activity.
12:22 PM on 04/12/2011
American Doctors counsel their doctors to change diet and increase exercise. But they can't help but convey that they don't think their average client won't follow that advice unless the client proves it to them, so they prescribe the pill.
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Chas53
10:54 PM on 04/10/2011
Atherosclerosis and related conditions; CAD, intermittent claudication and ED are all reversible with a plant-based diet.
Www.heartattackproof.com
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DrP
09:29 PM on 04/11/2011
? Really? Is there real science behind this claim?
Have you read Gary Taubes?
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Beth Alexander
10:29 PM on 04/10/2011
I think all of this information seems so common sense. It's a shame doctors don't spend more time trying to promote healthy lifestyles as a method of healing and prevention. Guess some would be out of a job! No really though, this country would be better off physically, and financially (citizens, not corporations, haha) if we focused on HEALTH care as opposed to SICK care.
OverseasVet
Stationed not deployed
11:30 PM on 04/10/2011
Not only is is common sense but it is common medical practice. The only whay to promote other unproven methods is to list it with standard medical advice as if it belongs.
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