Ever wonder what causes ‘gut feelings’ and ‘butterflies’ in your stomach? Or why your stomach gets upset when you’re worried or fearful? There is an elaborate and intriguing system in our bodies that connects and communicates without any effort on our part!

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Our microscopic friends

In an earlier blog, we pointed out that your unique microbiome is so important that it is considered a hidden organ by some researchers. It started as soon as you were born, if not before, and is continually influenced by your diet, your experiences, what you’ve been exposed to and where you live. We also illustrated how vital it is to keep your microbiome healthy, and what can happen when this community of microorganisms gets tipped out of balance.

We depend on these complex social networks of microorganisms to help break down nutrients and produce important vitamins and enzymes in our digestive system, which in turn strengthens our immune system. And although it might seem strange, it has been shown that our microbiome is intricately linked to our central nervous system (CNS) through neural, hormonal, metabolic, and immunological signaling pathways.

Another brain?

Just as fascinating is that hidden in the walls of our digestive systems is our enteric nervous system (ENS), referred to as the ‘second brain,’ due to its ability to operate independently of the central nervous system. While researchers are still learning exactly how the ENS works and the full extent of its functions, we do know that the ENS plays a significant role in disease and mental health.

The main role of the ENS is to control digestion from start to finish. But because of its ability to also communicate with our brain through the central nervous system and autonomic nervous system (ANS), researchers are now finding that people with gastrointestinal symptoms may experience mood changes as a result. We outlined the ANS and its two branches, the sympathetic and parasympathetic nervous systems, in our last blog on stress.

Our communication channel

Our microbiome, central nervous system, autonomic nervous system, enteric nervous system, immunological and neuroendocrine systems all interact to comprise what’s called our gut-brain axis. An essential role of this multidirectional interaction is to help the body maintain metabolic homeostasis.

Signals are sent back and forth between the gut and the CNS, which causes the hypothalamus and brain stem to regulate how your body consumes and uses energy. In addition, since roughly 70% of our immune system is in our gut, the gut-brain axis also allows our brain to monitor the interactions taking place between our immune cells and our microbes, hormones, and neuronal cells in our gut so it can respond to changes if needed.

Our multi-tasking wonder nerve

A special and significant part of our parasympathetic nervous system, and ultimately our gut-brain axis, is the vagus nerve. On page 165 in my book, The Longevity Equation, I mention that “The vagus nerve is the longest cranial nerve in the body. It runs through the brain stem, esophagus, lungs, heart, digestive tract, and all the way down to the colon.” 

When we are not stressed, the vagus nerve serves as a communication superhighway, sending sensory information from the peripheral system to the brain so it can monitor function, and transmitting motor signals from the brain to the rest of the body.

The vagus nerve has immunomodulatory properties and therefore it “plays important roles in the relationship between the gut, the brain, and inflammation.” It stimulates muscles in the heart, almost like a natural pacemaker, where it helps to lower resting heart rate. In the gut, the vagus nerve can even let our brains know the status of our microbiome!

A healthy vagus nerve helps us to access parts of the brain responsible for creativity, higher cognition, and complex decision making. As you can see, this nerve has a critical place in our bodies, affecting our thoughts, many internal organs, and our gastrointestinal system. Some say it is the key to our well-being.

Why is all of this important?

The function of the vagus nerve can be impaired by anxiety, poor lifestyle, smoking, alcohol and overworking, as well as lack of proper nutrition, exercise, and sleep – basically whenever the body is in a state of stress.

Simply put, stress inhibits the vagus nerve and stimulates the sympathetic nervous system to initiate the ‘fight or flight’ response. Since the vagus nerve plays a role in reducing inflammation, stress can conversely cause inflammation. Therefore, repeated and increased exposure to stress can counteract the parasympathetic system’s ability to help the body recover and contributes to allostatic load, which is the wear and tear of stress on your body and brain. In the end, this could hinder the overall protective effect that the vagus nerve has on the body.

This has particular effects in the gut where an inhibited vagus nerve has harmful effects on our microbiota and contributes to gastrointestinal disorders such as leaky gut, irritable bowel syndrome, and inflammatory bowel disease. This disrupts our metabolic homeostasis and has a cascade of effects on the body. Consequently, it is imperative to do what we can to maintain a healthy and functioning vagus nerve.

Restoring the gut-brain axis

Bringing this full circle, there is an abundance of ways that we can create and bring balance to our all-important gut-brain axis, one of the most significant communication pathways in our bodies. We can monitor our vagal tone, supplement with high quality prebiotics and probiotics, meditate, practice deep breathing, and exercise.

Ways to strengthen vagal tone:

·   Gargling vigorously with water after you brush your teeth every morning can strengthen your vagus nerve. This will help improve movement in your digestive tract and can help with constipation and a sluggish bowel.

·   Chanting, humming and singing out loud help to activate the vagus nerve. Next time you’re in your car, sing as loud as you can!

·   Deep breathing helps to lower blood pressure and heart rate. Inhale for the count of five, and exhale for a count of five for one minute. This then sends a signal to the brain to stimulate vagal activation and put us in a rest and digest state, rather than fight or flight.

·   Tongue depressors stimulate a gag reflex and strengthen the vagus nerve similar to gargling. You can also use your toothbrush and brush your tongue far enough to produce a gag reflex.

·   For the busy person, there’s one simple way to stimulate the vagus nerve, and it takes just 5 seconds to do. If you find yourself feeling sleepy, stressed, or lacking focus, you can use this to retune your nervous system. Here’s how it works: take a long deep breath, filling your lungs completely with air, and then let it out slowly. It’s that simple. Try it for yourself.

How can The Institute for Human Optimization assist me?

We believe that each person is truly unique. From DNA to iris, we all possess a blueprint that is genetically inherited and environmentally influenced. By gaining a deeper appreciation for the person on a molecular level and addressing the root causes driving disease, we can help promote optimized health through our unique scientific, N of 1, approach to individualized care.

At The Institute for Human Optimization, my team and I leverage the most cutting-edge advances in genetic testing, nutritional, and functional medicine to help our patients treat the root biological imbalances that cause aging. I believe that a long healthspan – not just a long lifespan – is the most important thing you can cultivate. A long healthspan means you don’t miss out on life as you get older. It means remaining independent and having the vitality to travel and see the world.  A long healthspan means that you can be there – in full body and mind – for the people who need you the most and that every day will feel like a gift.

The Institute for Human Optimization provides the most comprehensive, data-driven, personalized approach to wellness. It is:

·   Predictive – We use genomics and advanced biomarker testing to risk stratification and empowerment.

·   Personalized – We use data-driven health information to curate actionable change for disease mitigation and prevention.

·   Preventive – We utilize highly individualized programs tailored to your unique genomic blueprint.

·   Participatory – We empower engagement in personal choices, which allows for improved outcomes and enhanced results.

Let’s work together to keep that communication open!

Stress is an everyday word that we can all relate to. Understanding what happens in our bodies when we encounter a stressful situation is the first step towards creating harmony and stability in our lives.

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In a previous blog, we used our friend, Jack, to illustrate how the body responds to stress. We discuss the mechanisms behind the central stress response system, the hypothalamic-pituitary-adrenal (HPA) axis, how it regulates the cascade of hormones that the body uses to navigate a stressful situation, and the impact that process has on the body.

Interconnected to this hormonal response process lies the autonomic nervous system (ANS), which comprises two opposite, yet complementary branches called the sympathetic and parasympathetic nervous systems. The ANS is part of the peripheral nervous system that regulates the function of your internal organs, cardiac muscle fibers, and glands, without conscious control.

The yin and yang of stress

The autonomic nervous system also plays an essential role in helping to maintain homeostasis, or internal stability and balance, in the body, where it is constantly fine-tuning bodily functions based on the signals it receives from the central nervous system. How it does this depends on which branch of the ANS is activated at any given moment. Both branches affect the same organs, but they create contrasting effects on them.

The sympathetic nervous system (SNS) is what triggers the well-known ‘fight or flight’ reaction in the body, or what is also known as the E division: exercise, excitement, emergency, embarrassment. What’s very interesting about this is that the nerve fibers of the SNS are located between your thoracic and lumbar vertebrae and lie very close to your spinal column. The name comes from the Greek words ‘feeling together’. This location means that the synapses, or communication, between nerves necessary to initiate a bodily reaction to stress can happen more quickly and affect many organs at once.

The parasympathetic nervous system (PSNS) is responsible for the ‘rest and digest’ response in the body, or what’s also called the D division: digestion, defecation, diuresis (urination). These nerve fibers are located above and below the SNS nerves, in the base of the brain and the sacrum, above your tailbone. ‘Para’ in Greek means ‘beside,’ so this system is aptly named for being ‘beside the sympathetic.’ The PSNS normalizes bodily functions when it has the time and energy to do so, thus its nerve fibers are further away from the spinal column, sometimes even in the organs themselves.

The all-important messenger

One of the 12 cranial nerves that serve motor and sensory functions is called the vagus nerve. On page 165 in my book, The Longevity Equation, I mention that “The vagus nerve is the longest cranial nerve in the body. It runs through the brain stem, esophagus, lungs, heart, digestive tract, and all the way down to the colon.” Although referred to singularly, it is a pair of nerves that emerge from the left and right side of the brain stem. It’s no surprise then that its name originates from the Latin for ‘wandering.’

The vagus nerve works hand in hand with the parasympathetic nervous system during the ‘rest and digest’ response in the body. When we are not stressed, the vagus nerve serves as a communication superhighway, sending sensory information from the peripheral system to the brain so it can monitor function, and transmitting motor signals from the brain to the rest of the body, such as:

·   Keeping the larynx open for breathing

·   Feeding oxygen into the lungs and diaphragm

·   Slowing and regulating the heartbeat

·   Stimulating the secretion of saliva, release of bile, and peristalsis (contraction) of the bowels

·   Contracting the bladder

·   Sending messages to the brain to produce/release oxytocin (feel-good/bonding hormone)

·   Reducing anxiety and depression

·   Reducing inflammation

·   Increasing immunity and longevity

The tipping point

Our stress response is important no matter what is going on in our lives. We all know it is useful when we are in danger or need a boost to get us through a workout. Hormones are released, our heart rate speeds up, our respiratory rate increases and our liver produces more glucose to give us energy. Our bodies are experts at keeping us on high alert when we need it.

However, this alert is designed to be occasional and temporary. What happens when stress becomes chronic and our bodies become overwhelmed by the constant state of vigilance? The accumulation of hormones and chemical messengers increases something called your allostatic load, or the wear and tear of stress on your body and brain. On page 73 of The Longevity Equation, I indicate that “An allostatic state is when your body is trying to deal with the fallout of stressors to try to reach a state of homeostasis. Over time, a heavy allostatic load will cause serious disruptions in the body.”

I continue with, “Keep in mind that though most stressors impose no real immediate danger, your body treats them as if they are serious life-or-death situations and prepares to fight or run away. This means that every time you encounter stress. . .your body prepares to deal with a dangerous situation. In turn, the stress hormones overpower the body and increase your allostatic load.”

Shifting the scales

There are little things we can do every day to counter the overwhelm and accumulation in our nervous systems. Here are a few suggestions:

·   Call a friend: Research shows that social support can help to mediate many factors that contribute to mental health and can help us develop coping strategies.

·   Get outside: a 2010 multi-study analysis showed, “Every green environment improved both self-esteem and mood; the presence of water generated greater effects.”

·   Listen to music: A large scale review at McGill University found that music reduces stress and even improves the immune system!

·   Read our blog on mindfulness for even more insight!

How can The Institute for Human Optimization assist me?

We believe that each person is truly unique. From DNA to iris, we all possess a blueprint that is genetically inherited and environmentally influenced. By gaining a deeper appreciation for the person on a molecular level and addressing the root causes driving disease, we can help promote optimized health through our unique scientific, N of 1, approach to individualized care.

At The Institute for Human Optimization, my team and I leverage the most cutting-edge advances in genetic testing, nutritional, and functional medicine to help our patients treat the root biological imbalances that cause aging. I believe that a long healthspan – not just a long lifespan – is the most important thing you can cultivate. A long healthspan means you don’t miss out on life as you get older. It means remaining independent and having the vitality to travel and see the world.  A long healthspan means that you can be there – in full body and mind – for the people who need you the most and that every day will feel like a gift.

The Institute for Human Optimization provides the most comprehensive, data-driven, personalized approach to wellness. It is:

·   Predictive – We use genomics and advanced biomarker testing to risk stratification and empowerment.

·   Personalized – We use data-driven health information to curate actionable change for disease mitigation and prevention.

·   Preventive – We utilize highly individualized programs tailored to your unique genomic blueprint.

·   Participatory – We empower engagement in personal choices, which allows for improved outcomes and enhanced results.

Let’s work together to find that balance!

_________________________________________________________________________

Your purpose and beliefs are a powerful source of motivation. By developing awareness and discovering what’s important in your life, it becomes easier to implement change and create wellness in our lives.

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“He who has a why to live for can bear almost any how.” ~ Friedrich Nietzsche

At The Institute for Human Optimization, a key part of our personalized approach to wellness is participation. This means that we empower and encourage you not only in your journey towards health but in connecting the dots of your life story. This gives you the opportunity to discover the areas in your life that you would like to focus on, improve or change.

The meaning behind our purpose

Research has shown that what we focus on, we get more of. Wherever we place attention, our brains will strengthen the signals of those neuronal connections, and special cells will prune away those we use less. We elaborate on this in part 3 of our Aging Brain Series. This is significant because being present to what’s important to us is how we begin to make changes in our lives.

Simon Sinek is an author, inspirational speaker, and self-described ‘unshakable optimist’ whose TED Talk, How great leaders inspire action, has over 50 million views. He is known for his concept of The Golden Circle, which illustrates the importance and significance of communicating from the inside-out – from our ’Why.’ Our Why is our purpose…our reason for being…what we believe…what inspires us.

This notion has roots in science. Our limbic system, or emotional brain, is considered the source of our language…the emotion behind our words…our ‘gut’ feelings. It’s where motivation and behavior come from. This is the part of the brain that Sinek says our Why comes from and that only roughly 16% of us operate from that ‘inside-out’ space on a regular basis.

Our neocortex, the most evolved part of our brain, gives us conscious thought, higher reasoning, and the language necessary to communicate and socialize. It is the way we bring our Why – our purpose, beliefs and inspiration – into the world. It allows us to figure out how to do it and what we need to make it happen.

Slowing down

So how do we get present when the world is swirling around us? The first step is making a conscious effort to slow down and pay a little more attention to what is happening and what we are thinking. Cultivating awareness is easier for some more than others.

In my book, The Longevity Equation, I offer a couple of methods to explore:

·   Mindfulness meditation: Mindfulness is your ability to be entirely present and aware of where you are and what you’re doing—without being overly reactive to the things happening around you or becoming overwhelmed. Over time, practicing mindfulness meditation not only increases your awareness when you’re sitting alone quietly but also while doing every-day tasks. It can bring clarity to your life and increase the “feel-good” chemicals in the brain, like serotonin. (Bajnath, p. 155)

·   Breathing: Alternate nostril breathing is an extremely simple yoga breath control practice. This technique is beneficial for reducing stress, relaxing the body, and promoting overall vitality. The best part is it only takes minutes to do. Research shows that this simple technique can help lower your blood pressure levels, improve respiratory function, support your nervous system, reduce anxiety, and relax the body and mind. Alternate nostril breathing is a fantastic way to kickstart your day with a boost of vitality. Here’s how it works:

o   Step 1: Sit comfortably on the ground with your legs crossed or in a chair

o   Step 2: Take your pointer and middle fingers and place them on your forehead right between your eyebrows

o   Step 3: Place your thumb gently on your right nostril to form a seal and breath in through your left nostril

o   Step 4: With your thumb still covering your right nostril, breath out through your left nostril

o   Step 5: Now switch your thumb to your left nostril and inhale through your right nostril

o   Step 6: Finally, exhale through your right nostril

o   Repeat steps 3-6 for 5-10 minutes. (Bajnath, pp. 118-119)

More gifts in being present

In addition to the emotional benefits, mindfulness has a physical effects on the body as well!

It was reported in The Annals of Family Medicine in 2012 that meditation can have preventive effects on your immune system. Researchers showed that mindfulness meditation is about as effective as exercise in reducing acute respiratory illness.

In 2011, researchers revealed that after only four days of mindfulness meditation training, participants reduced the unpleasantness of pain by 57% and reduced the pain-intensity by 40%. They also suggested that meditation has the capacity to “modulate brain regions associated with constructing the pain experience.” In other words, it could actually alter the way we perceive pain!

Massachusetts General Hospital found that in only 8 weeks, mindfulness meditation training can change the structure of the brain! They state that, “The results suggest that participation in [Mindfulness-Based Stress Reduction] is associated with changes in gray matter concentration in brain regions involved in learning and memory processes, emotion regulation, self-referential processing, and perspective-taking.”

This is where we connect

It’s clear that mindful awareness has the potential to powerfully impact our lives. In fact, it is in this space that important life decisions are made. If you’ve realized that you would like to ensure that you live a long healthy life, The Institute for Human Optimization is here for you.

Why us?

The Institute for Human Optimization, Precision Medical Research Group was created with the intention of pursuing a highly personalized approach to longevity medicine to help enhance healthspan. Where lifespan is the actual number of years we’re alive, healthspan is how many of those years are spent in health and wellness.

We acknowledge that cellular aging is a natural event that occurs in all living organisms and is defined by several different principal mechanisms and hallmarks. As we get older we lose the ability to repair ourselves and molecular damage accumulates overtime. This biological process is characterized by a progressive loss of physiological integrity, leading to impaired function and loss of life.

How are we different?

By targeting age-related diseases, we believe that The Institute for Human Optimization can treat these diseases while promoting enhanced health outcomes, which thereby lessens the emotional and societal burden that comes with an aging population.

The current health care system does not address this fundamental issue and only uses polypharmacy for chronic disease management while ignoring the warning signals of underlying imbalance in an organized human system. Getting to the root cause is at the core of what we do.

How can The Institute for Human Optimization assist me?

We believe that each person is truly unique. From DNA to iris, we all possess a blueprint that is genetically inherited and environmentally influenced. By gaining a deeper appreciation for the person on a molecular level and addressing the root causes driving disease, we can help promote optimized health through our unique scientific, N of 1, approach to individualized care.

At The Institute for Human Optimization, my team and I leverage the most cutting-edge advances in genetic testing, nutritional, and functional medicine to help our patients treat the root biological imbalances that cause aging. We believe that a long healthspan – not just a long lifespan – is the most important thing you can cultivate. A long healthspan means you don’t miss out on life as you get older. It means remaining independent and having the vitality to travel and see the world.  A long healthspan means that you can be there – in full body and mind – for the people who need you the most and that every day will feel like a gift.

The Institute for Human Optimization provides the most comprehensive, data-driven, personalized approach to wellness. It is:

·   Predictive – We use genomics and advanced biomarker testing to risk stratification and empowerment.

·   Personalized – We use data-driven health information to curate actionable change for disease mitigation and prevention.

·   Preventive – We utilize highly individualized programs tailored to your unique genomic blueprint.

·   Participatory – We empower engagement in personal choices, which allows for improved outcomes and enhanced results.

Let’s work together to discover your Why!