Nicotine Addiction Fact or Fiction Part 2

In the first installment of “Nicotine Addiction – Fact or Fiction”,  I mentioned the following information about smokers which I believe are backed up by research in the area:  1)  Smokers are psychologically-addicted to the effects of nicotine rather than physically-addicted to nicotine – due to the effect on the neurotransmitter dopamine (the “feeling good” neurotransmitter);  2)  most chronic tobacco users who have trouble quitting are deficient in dopamine and were probably dopamine-deficient before they started smoking, and 3)  attempting to quit smoking soley by reducing the amount of nicotine over time – without taking other measures to increase dopamine levels – is almost impossible as a dopamine-deficient smoker will experience withdrawal symptoms in proportion to the lack of dopamine e.g., anxiety, irritability, depression.  We have all heard the expression “an apple a day keeps the doctor away”.  When it comes to dopamine, however, the consumption of beets has been shown to raise increase the production of serotonin and dopamine.  Perhaps a beet-a-day would keep the psychiatrist away – and help smokers to quit.

There is another side to the smokers dilemma.  All smokers associate cigarettes with Quitting smoking - male hand crushing cigaretteother activities like eating, drinking coffee or alcohol, driving and so on.  These are habitual associations.  As a Bio-medical hypnotherapist as well as an ND, I am aware that the subconscious mind has everything to do with creating and maintaining addictions and these habitual associations.  The Subconscious Mind is very strong.  In fact, the Subconscious Mind via its Right Brain Hemisphere connections runs all the “automatic” actions in the body below your conscious control. In other words, actions that you don’t have to think about that happen automatically.  The problem with the right brain is that it is based on emotions, not logic. The right brain and subconscious mind are like the hard drive on your computer.  It has all your beliefs about yourself and life, as well as the associations between thought forms and actions, but these beliefs and associations are not often logical and get acted upon anyway.

In the case of a chronic smoker, the primary associative belief is often “smoking is the ONLY way that I can feel good”.  If this associative belief remains active, unchallenged and unchanged, the right brain/subconscious mind has no choice but to continue the internal drive to smoke.  This is why the natural mind-state we call “hypnosis” can be beneficial – because it allows access to the subconscious mind and can eliminate these unwanted associations and beliefs.  I will have more to say about this in the final installment.

Until next time….be miraculous!

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 Key to Health Is in the Mind

Psychoneuroimmunology is the study of the relationship between the mind or psyche, the nervous system and the immune system.  Another way to state this is the relationship between stress the immune system and our health.   When we are “stressed” the body produces “stress-induced” chemicals like cortisol and epinephrine – which are part of our survival mechanism and absolutely necessary.  These chemicals rise in the blood in order to protect us from immediate harm.  The problem arises when these chemicals are chronically elevated due to ongoing stress triggers i.e., modern life.

How can we turn down this stress response, you say?  By increasing its opposite, the

Business People Yoga Relaxation Wellbeing Concept

relaxation response.  It is no mistake that women, in particular, are flocking to the yoga studio.  A review of the literature studying the benefits of yoga found that, compared to no exercise, yoga was linked to a lower rate of obesity, reduced high blood pressure and even tended to reduce high cholesterol.  The Cochrane Collaboration found that yoga can reduce diastolic blood pressure and triglycerides in the blood and increase the HDL (good) cholesterol.

Another easy way to induce the relaxation response is to practice “deep breathing” techniques – which have long been part of meditation.  The researchers at Harvard Medical School found that practicing deep breathing 20 minutes a day for eight weeks increased the expression of genes involved in energy release and increased the protein NF-B – which is part of the body’s response to inflammation, stress and trauma.  The end result is that deep breathing helps to reduce the symptoms of anxiety, lowers heart rate and blood pressure, and improves oxygenation of tissues.

The practice of meditation continues to attract the attention of scientists for its potential stress-relieving effects on the mind and body.  Thailand researchers studied the effects of transcendental meditation (which creates a state of profound relaxation while remaining awake).  Over the course of 18 weeks, study participants felt less anxiety, felt better in social situations at work as well as with their private relationships with family and friends.

Break your stress pattern and take the time to breathe deeply and “smell the roses” – preferably daily.

Take the time to still your mind and body.  Your health depends on it.

Until next time….

Dr. Gatis

Why Should You Work Out In The Morning?

Testosterone burns fat, builds muscle and increases sex drive in men and women.  Testosterone, like most steroid hormones, has a daily rhythm – highest in the morning and decreasing over the day.  It has been suggested that our ability to perform follows the same trend i.e., testosterone levels can predict our physical performance over the day.  A team at Swansea University, lead by Professor Kilduff,  evaluated the effect of training in the morning on testosterone response throughout the day.

Using testosterone levels derived from saliva sampling, 18 semi-professional rugby Morning  exercise and black clockplayers were divided into three groups:  the control or resting group; the sprint group (5 x 40 meters) and weight-training (bench press and squat) group.  A follow-up saliva sample was taken before the players completed a performance test (back squat and bench press, 40m sprint and jump test).

The results showed the circadian decline in testosterone levels was negated by morning training.  In other words, working out (especially with weight training) in the morning  keeps the testosterone levels from dropping during the day and increases performance in power sports at least six hours after the initial workout.

If you recall in a previous blogs (2 and 3), I mentioned the reasons why maintaining testosterone levels is extremely important for men and women.  Here is a short list:  Increases bone density, decreases cholesterol, helps to prevent Alzheimer’s disease and dementia, prevents and treats depression, protects against cardiovascular disease, hypertension, excess body fat and arthritis, enhances memory and cognition, and protects against Diabetes, Insulin Resistance and Metabolic Syndrome.   Perhaps changing how and when we exercise may reduce our tendency to certain health conditions by maintaining optimal steroid hormone levels.

Until next time……

Dr. Gatis

Jealousy Can Increase Your Risk of Alzheimer’s

Negative emotions can and do have an effect on our physiology.  The Chinese have known for centuries  that anger can affect the liver, grief can affect the lungs, the kidneys can be affected by fear and so on.  Now mainstream medical science has confirming data – at least when it comes to emotions like jealousy, fear and anger.  Having jealous or insecure thoughts has weird effects on the brain – in particular, the amygdala – the part of the brain that is involved in our perception of fear, anger and disgust.  The amygdala releases the hormones adrenaline and noradrenaline as part of your stress response.  The stress response is useful and necessary when it is short-lived but chronic stress andHuman Emotion the long-term release of these hormones affects the immune system and the cardiovascular system in deleterious ways.

Having chronic or obsessive thoughts of your partner being unfaithful or with another lover, or competition (real or imagined) with another in the workplace, for example, activates the amygdala and the release of stress hormones that can raise blood pressure – and blood pressure spikes when under stress have been linked to some forms of dementia.  A study out of Kyoto University in Japan, of 800 women over 38 years-of-age who felt most stressed or anxious, were at increased risk of Alzheimer’s and long-term distress.  The bottom line is that if you are feeling “out or your mind” with jealousy or insecurity, the result,  on a physical level, may just be literally “losing your mind”. Could it be that a high self-esteem and self-concept can protect us in some way from these mind-related diseases? Food for thought.

Until next time,

Dr. Gatis

The Fifth and Last Force of Illness: Oxidative Stress (or “Rusting”)

We are all rusting.  In this sense, we are all like apples – going brown with age (think “age Oxidative Stressspots”).   The process of oxidizing is a necessary component of burning fuel to make energy, but the by-products of this process are highly reactive oxygen molecules known as “free radicals” – which can damage the tissues unless there is enough “anti-oxidation” happening to counteract free radical production.   This state of imbalance is called Oxidative Stress, or the unchecked effects of oxygen on the body.

Research has shown that virtually all illnesses have an increased level of oxidative stress in common.

Heart disease, cancer, osteoarthritis, rheumatoid arthritis, diabetes and neurological problems like alzheimers’s, parkinson’s and multiple sclerosis are some common diseases that appear to be triggered by oxidative stress.  The related symptoms include fatigue, weakness, muscle and joint pain, headaches, itchiness, digestion problems, anxiety and depression – to mention only a few.

VitaminsThe source of oxidative stress can be both internal and external.  Internally, we may have nutritional deficiencies of the “antioxidants” – like Zinc, C, Selenium, and E.  How we live our lives also contributes to this imbalance as smoking, alcohol, excessive exercise, pharmacologic drugs and overeating contribute to oxidative stress.  Blood sugar imbalance leads to oxidative stress, and so does being overweight.  External sources include exposure to pollution, pesticides, petrochemicals and heavy metals.

Tests for Oxidative Stress include measuring lipid peroxides, superoxide dismutase, glutathione peroxidase, catalase and/or glutathione in the blood.  Certain free radical markers like catechol and 2,3 – dihydroxybenzoate can be measured in the urine.  Blood levels of the antioxidant nutrients A, D, E, CoEnzyme Q10 and beta-carotene can be measured in the blood as well.

We are all at risk for Oxidative Stress – since the majority of us do not get enough antioxidant-containing through our food.  I believe that supplementation of these nutrients is often a necessary first step – if the individual already has signs of oxidative stress.  This being said, there are no supplements that can take the place of optimizing your diet.  Choose to eat high nutrient-to-calorie ratio foods rather than eating meals or snacks which are high in calories but low in antioxidants.  Eliminate anything “white” or processed from your diet i.e. white sugar, white flour, white bread, white rice and white pasta.  Dramatically increase the colourful vegetables and fruits in your diet which contain antioxidants like lycopene, lutein and proanthocyandins.  “You are what you eat” is an appropriate phrase.  As Mr. Spock might say….”Eat Right, Live Long and Prosper”!

Until next time…..