Nicotine Addiction Fact or Fiction Part Three

Smokers are in an addiction class all by themselves.  If you have read the previous two blogs you now know that smokers, in general, are dopamine deficient and are “psychologically” addicted to the “feeling good” effects of the dopamine release stimulated by nicotine.  You are also aware that will power has very little to do with the ability to stop smoking – because addictions tend to be regulated by the Subconscious Mind and the Right Brain.  The Subconscious Mind (which is like the hard drive on your computer) and the Right Brain set up set up the automatic and associative responses in the body.  In the case of a smoker, he or she has physical associations, like associating drinking alcohol and smoking, or taking a break and smoking, in addition to the addictive compulsions.  On top of this, the smoker over time also develops a subconscious belief or program that “smoking is the ONLY way that I can feel good”.  Everyone is entitled to feel good – including smokers, of course – but the smoker’s mind is playing a trick.  If smoking is the only way that I can feel good, all other ways that could provoke the feeling good response become secondary.

For a smoker to quit smoking permanently, the individual must become a non-smoker (no

addiction) and an ex-smoker (no habitual associations).  In order to do this, the Subconscious Mind must be involved – since it creates these associations in the first place.  Will power for the chronic smoker, in my opinion, is useful but has very little to do with quitting in the long term.  The easiest way to access this part of the mind is to use the natural mind state called hypnosis.  It is a state that we use daily, but no one teaches you how to use it to our advantage.

Most smokers need subconscious help to quit permanently – since they have often tried to quit multiple times and failed.  Reprogramming must occur around self-esteem, creating health and motivation.  If someone has a faulty program, it must be identified and updated, or deleted and replaced in the Subconscious Mind- and this is especially true with smokers.  Everything that they believe smoking “gives” them is a lie.  Smoking has never given them anything that the non-smoker doesn’t already have.  If you have the conscious desire to give up the psychological addiction to smoking, or you know someone you care about who smokes, please consider the program that I have created called “Stop Killing Yourself:  21 Days to Your Last Cigarette”. It uses self-hypnosis to access the Subconscious Mind and establish new healthier programming.  It is time for smokers to reclaim their health.  It has recently come to my attention that many medical doctors are refusing to take on a new patients who smoke.  Is this because medical doctors consider patients who smoke to be on borrowed time?  Your body is a miracle.  Give it a fighting chance. Take the steps to quit smoking now.

Until next time…

Dr. Gatis

Nicotine Addiction: Fact or Fiction?

This week is National Stop Smoking Week.   I have worked with many smokers and have some views on smoking that may be useful for those of you who currently smoke and would like to quit.  To this end, I will blog several times this week in order to give you information that you will find useful.

Addiction is defined by compulsive drug-seeking and abuse, even in the face of Healthy lung shape world design logo concept idea with love heart shape symbolic sign of women human hands on blur green natural clean air greenery background: Element of this image furnished by NASAnegative health consequences.  Smokers would definitely fall under this category – but what are they actually addicted to, and how are they addicted?  Smoking addiction is in a class by itself, in my opinion.  Smokers assume that they use tobacco products on a regular basis because they are addicted to nicotine.  The truth, however, is that they are not physically addicted to the effects of nicotine. They are addicted to the psychological effects of nicotine.  I first became aware of this fact when a woman who routinely smoked at least 2 packs a day got pregnant.  She immediately stopped smoking for the entire pregnancy with no cravings and no side-effects from stopping.  How is this possible?  If she had been addicted to heroin instead, it would have been virtually impossible without severe physical withdrawal symptoms.

Research indicates that nicotine acts on the brain’s reward pathways – and those involving the neurotransmitter dopamine.  Nicotine increases dopamine in the “reward” circuits.  All the effects that smokers attribute to nicotine are actually the result of dopamine stimulation in the brain.  Nicotine is rapidly distributed to the brain with peak levels occurring within 10 seconds of inhalation.

Nicotine is also rapidly eliminated from the body, so the nicotine-stimulating effect on dopamine is short.  In order to maintain the drug’s effects, the smoker has to take another nicotine “hit”.

The problem with smokers is that they are usually dopamine deficient to begin with – and nicotine makes them feel “good”. The unfortunate thing about most current treatments for nicotine addiction is that they concentrate on the supposed physical Cigarette stub with smokeeffects of nicotine withdrawal.  Take the patch, for example.  The patch is designed to give decreasing nicotine doses over time assuming that this will allow a smoker to “wean off” nicotine.  The problem with this approach is that it doesn’t give the smoker more dopamine I.e., it doesn’t address the dopamine deficiency.  A chronic smoker will actually experience symptoms relating to “not enough” dopamine  (irritability, craving, depression, anxiety, cognitive and attention deficits, sleep disturbances) rather than nicotine “withdrawal” symptoms. In order to quit smoking, the dopamine deficiency must be addressed.  If we can get the smoker’s brain to make more dopamine or find another way to stimulate dopamine release, then

Stopping smoking can become relatively easy – and I have never met a smoker who really didn’t want to quit.

Until the next installment…

Dr. Gatis

The Great Outdoors: The Natural Anti-Depressant

Exercise, as we all know, has many benefits – and it is recognized to have a positive effect on our mind and our moods.  It is now a recognized way to improve the symptoms Multi-Generation Family Enjoying Walk In Beautiful Countrysideof depression.  The best evidence comes from a review by a team of UK researchers, published in the “Cochrane Database of Systematic Reviews” that looked at 37 studies that compared exercise with a placebo, medication or psychological counselling.

Across this research, more than 2,000 people with depression found exercise to be as effective as antidepressants and psychological therapies for reducing the symptoms of depression.  Researchers noted, however, that there needs to be more detailed research looking at what types of exercise are most helpful for depression, as well as the number and duration of sessions that would help the most.

No matter which way you look at it, exercise is beneficial for the mind as well as the body – as it boosts hormones like endorphins and serotonin….so take a break and take a walk.  Your body and your brain will thank you.  It may turn out that exercise in the fresh air will be better than taking tablets!

Until next time…

Dr. Gatis

The Second Force of Illness: Impaired Metabolism or Burnout

The First Force of Illness is inadequate digestion and absorption of foods (or “sludging” – as we mentioned in the previous blog) and endothelial dysfunction.  The Second Force of Illness is “burnout” due to impaired metabolic/cellular processes creating an overall lack of energy.  How many of you suffer from being “tired”.    Metabolism is the term used to describe the creation of usable energy from food – and fatigue is an indicator that you may have an impaired metabolic ability to generate this “food energy”. The main factors in impaired metabolism are:  insulin resistance, mitochondrial dysfunction and thyroid dysfunction.

A major player in “burnout” is glucose regulation and control.  There is a saying that you chargercan have “too much of a good thing” – and this applies to carbohydrates – especially glucose and sugars.  Insulin, secreted by the pancreas in response to carbohydrates in the blood, regulates the uptake of glucose into the cells.  In the current North American diet, insulin secretion is virtually constant due to the almost continual intake of sugar and carbohydrates.  The only thing the body can do is to continue to secrete insulin in the attempt to lower the blood sugar level.  The cells can only take in a certain amount of glucose at a time, so the cells, under the stress of too much insulin, will do the logical thing – change the receptors for insulin making them inactive.  The scientific term for this is Insulin Resistance.

When a cell is unresponsive to insulin, our cells become unable to get energy from the food we eat – despite the fact that we have eaten enough – and our insulin blood levels become chronically elevated.   We become tired and hungry.   The cells are crying out for energy and we crave the quickest energy source (sugar) – which only compounds the problem when we eat them.   For our ancestors, food availability was always in question, so the body adapted by being able to store away the energy that we didn’t immediately need in the moment for use later – as fat tissue.  In today’s society, however, food (especially carbohydrates) is plentiful for most of us, so the “rainy day” never comes – but we still eat as if it could.  This is the crux of our obesity epidemic.  .  High insulin levels in the blood and Insulin Resistance have not only been linked to obesity, but also to arteriosclerosis and heart disease, stroke, high blood pressure and diabetes.

Mitochondrial Dysfunction is the second major part of burnout. Mitochondria are the energy producers of the cell.  They do this by taking sugar, fatty acids or amino acids from your food and, in the presence of oxygen, burn them to create energy.  Mitochondrial dysfunction is caused by a number of factors.  Overproduction of free radicals (also known as “reactive oxygen species” or RburnoutOS) can cause mitochondrial damage.  This is why you take antioxidants like vitamin A and E.  Poisoning from heavy metals, petroleum products, pesticides and trans fats also contribute.  At the cellular level, we find mitochondrial damage or dysfunction occurring in almost every type of major illness e.g., heart disease, stroke, diabetes and cancer.

The third major factor in impaired metabolism is thyroid dysfunction.  The thyroid is like the gas pedal in your car and determines your rate of speed.  Too little thyroid hormone and your metabolism slows.  Too much and your metabolism “red-lines”.  A low-functioning thyroid – especially in women – is becoming the norm.  Symptoms of hypothyroid include:  being cold all the time, weight gain, constipation, oily skin, coarse hair, increased cholesterol and depression.  There are many possible causes which include allergic reactions (wheat allergy/celiac disease has a well-known association with autoimmune thyroid disease), toxins, infections, hormonal disturbances and low selenium or iodine levels.

In the next blog, we will explore the ways you can test for “sludge” and “burnout”.  Until then……

Dr. Gatis

Testosterone Is Important To Heart Health: How to Raise It Naturally

In the last blog, I mentioned that my “patient” (myself) was experiencing uncharacteristic fatigue and lack of motivation.  The regular blood tests showed a normally-functioning thyroid, no anemia and blood sugar regulation within normal parameters.  The cholesterol level was slightly high but not significantly changed over the last few years.  The total testosterone was within the “normal” range, but the free or “active” testosterone was in the very low part of the range. Remember what I said about testosterone and heart disease?  The free or “active” form of Testosterone helps to protect a man’s heart and arteries.  Dr. Edward Lichten, M.D. in his “Textbook of Bio-Identical Hormones” states that “scientifically, vitamin D, human growth hormone, thyroxine (T4), and triiodothyronine (T3), DHEA, and testosterone in men and estradiol in women have strong cardio-protective or therapeutic applications”.

Man running in a gym on a treadmill concept for exercising, fitnWhat can a 58-year-old male do to increase his testosterone? Exercise – especially resistance training – tends to increase the testosterone level and the HDL.  Reducing fat mass increasing lean muscle mass also reduces the tendency of the body to convert testosterone to estrogen and decreases insulin resistance.  It is important for a man’s reproductive health that his body have the correct levels of Zinc, Vitamin E, and certain amino acids (like L-Citrulline and L-Arginine) vitamin C, B vitamins, and magnesium.  Certain herbs are reputed to raise the free testosterone level – in particular, Tribulus terrestris and Eurycoma longifolia.  Taking the natural precursors to testosterone production may increase levels e.g., DHEA, if it is available.  Reducing stress is very important because high levels of cortisol (produced when stressed) suppresses DHEA.   In general, I prefer patients to raise their testosterone levels through natural stimulation – rather than immediate testosterone replacement – if at all possible.  Read on as I make testosterone stimulation very personal….

In my case, Blood Spot testing (done by finger prick and is a combination of arterial and venous blood) had previously been done in 2012 and was repeated on the same day as the regular blood tests last month.  In 2012, the only parameter that was slightly below normal was the Testosterone level.  The current test showed a further 30% drop in testosterone and a 56.5% reduction in DHEAS values.  The current results show that there are four cardiovascular parameters that are now abnormal:  the triglycerides are elevated (20% more than 2012); the HDL or good cholesterol has decreased by 40%; the VLDL (the very bad LDL cholesterol) is elevated as is the insulin level.  In addition, the Vitamin D level is also severely low – which is surprising because I routinely take 2000 IU per day.

In a nutshell, it is my contention that most, if not all, of these cardiovascular-related changes are due to a less-than-optimal testosterone and vitamin D level .  Unless I take appropriate action, I will become insulin-resistant (Type 2 diabetic) and the mechanisms of arteriosclerosis will continue to increase.  Rather than immediately going for Bio-identical testosterone replacement, I will attempt to raise the testosterone level through exercise, stress reduction, weight reduction, nutrient supplementation and so on over the next few months and will report back to you when the tests are repeated in January 2015.

Until next time…..

Dr. Gatis