Thursday, April 07, 2022

What happened when I stopped drinking caffeine for a month

I love coffee. Maybe too much. I used to drink up to four cups of Nespresso a morning—the darkest roast I could find. I looked forward to my first cup, and by the third, I knew I shouldn’t head to the kitchen to make the fourth, but I don’t always listen to my better judgment.

And I pay the price. I usually start to feel jittery, and if I don’t eat breakfast, my stomach can feel upset. Turns out, each of those pods has as much as 100 milligrams of caffeine. That can add up pretty quick.

So, when my former colleague, author Jeff Pearlman, shared on Twitter that he had given up caffeine in August, I wondered if I should, too.

A heavy coffee drinker, he hated how it made him feel. “I dig the initial buzz,” he told me. “But then I’d drink and drink and drink, and by 3 p.m., I’d need a nap. It made my hands shaky and my mind race. I work in coffee shops a lot, so it came with the turf. But after a while, I needed to shift.”

Pearlman switched to decaf and said it was shockingly easy to give up caffeine. “Didn’t miss it much,” he says, adding that he’s not 100% done. “Sometimes, if there’s a flavored caffeinated coffee that I like, I’ll go 70% decaf, 30% of the flavored kind. Just for taste, texture. But it’s been overall easy. No headaches, no urgings.”

After contemplating it for a few months, I decided to give it a try.

What Happened When I Stopped

Like Pearlman, it was easier than I thought. I love the taste of coffee and drink mine black. Switching to decaf pods did the trick. Unlike Pearlman, though, I had side effects. On the first day, I had a bad headache.

“The headache experience, which is very common, is a sign of withdrawal from the caffeine dependency,” says Kara Fitzgerald, author of Younger You: Reduce Your Bio Age and Live Longer, Better. “It’s temporary but can really be tough to plow through and keeps many of us searching for a caffeine fix to avoid withdrawal.”

I also felt tired all day for the first two weeks. That’s because going caffeine-free can make you sluggish at first, reducing your energy and your ability to focus, says Hayley Miller, a registered dietitian nutritionist at Persona, a personalized vitamin and supplement company. “The good news is, this will be short-lived—thanks to the human body’s amazing ability to adapt. You can expect to regain your mental clarity and focus within a few weeks of quitting.”

It took time, but my focus eventually evened out and seemed to be more consistent throughout the day instead of peaking in the morning and waning in the afternoon. I also slept better. I only had caffeine in the morning, and the fact that it could impact my sleep surprised me.

“You discovered the best benefits by far of going caffeine-free,” says Fitzgerald. “Given that it is a potent stimulant, readily entering into the brain and blocking adenosine receptors, the number one benefit of stopping is improved sleep.”

Fitzgerald says the caffeine half-life is on average five hours. “It’s longer for some of us who have slower biotransformation enzymes,” she explains. “This means that to completely clear caffeine from the body, it can take over 10 hours. It’s not surprising it influences sleep. Those of us who are slow metabolizers can have additional problems, including higher blood sugar and blood pressure, altered tolerance to exercise, and increased risk of nonfatal heart attacks.” (She says that direct-to-consumer genetic tests like 23andMe may be able to tell you if you metabolize caffeine quickly or not.)

Quitting coffee has another benefit: “Since caffeine is a diuretic—meaning it speeds up urine production—you’ll find this change will cut down your trips to the bathroom,” says Miller. “Even better, going caffeine-free could actually improve your nutrition by helping your body absorb B vitamins and other important nutrients. In other words, quitting coffee could help you get more from your food.”

But Caffeine Does Have Benefits

While Fitzgerald says the evidence is still being scientifically teased out, caffeine might be a longevity agent. “It looks to be in fruit flies, mice, and worms,” she says. “Human studies are lacking. It’s also thought to be neuroprotective in moderate intake in humans, [meaning it] is protective against age-related illness like dementia or Parkinson’s.”

Looking beyond caffeine to the vehicle that the caffeine is found in, such as coffee or tea, you’ll find that both drinks are hailed for containing phytochemicals that are also beneficial.

“When we look at human studies of coffee drinkers, we see that they tend to live longer—caffeinated coffee or not,” says Fitzgerald. “I personally love my daily morning coffee ritual and appreciate those beneficial phytochemicals. I don’t have it after the morning hour unless it’s the occasional decaf, which allows me to sleep well at night.”

Caffeine is a natural stimulant, and Miller says it’s a great way to get a burst of energy in the morning and to fight the midday blues. “But too much of anything is never good,” she says. “You should never drink more than the equivalent to about four cups of coffee a day.”

It’s been a month into my experiment, and to be honest, I’m not sure if I’ll go back. I love the quality of sleep I now have, but I do miss that little burst of energy caffeine gave me. I might try an occasional cup or a mix of regular and decaf to see what happens.

Miller says the decision to go caffeine-free should depend on your lifestyle and your reasons for using it. “If you drink coffee for the taste or because you love a latte at the local coffee shop, then quitting probably isn’t necessary,” she says. “If you’re relying on caffeine to power through your day, there may be other things at play: Your sleep quality, stress levels, or nutrition may be affecting your ability to stay alert and focused. It’s better to manage your energy through lifestyle choices than to lean on that cup of Joe.”

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement

 

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Thursday, April 02, 2020

Do You Have SAD or Just the Winter Blues?

If you find that when temperatures start dropping, your mood does too, then you're not alone. This is because experts believe that as many as 20% of Americans experience the so-called winter blues every year. Typically, winter blues amount to some minor social withdrawal and mood swings, which reverse themselves as our planet rotates back towards the sun.


However, for millions of people around the world, these depressive symptoms are severe and long-lasting, which end up affecting how they sleep, eat, think, and live their lives. One such person was Diana Lillo, 55. Despite her symptoms changing from one year to the next, every winter she found that she had “depression for no apparent reason—a generalized feeling of ‘doom and gloom’ even when nothing, in particular, was wrong.”

When it started to affect her marriage, Lillo sought help and was diagnosed with SAD. “Seasonal affective disorder, or SAD, is clinical depression that follows a seasonal pattern,” says Kelly Rohan, Ph.D., Professor of Psychological Science and Director of Clinical Training at the University of Vermont.

Health professionals are not entirely sure why it occurs, but they agree that a lack of sunlight plays a key role. One theory is it messes with your biological clock, which can lead to symptoms of depression. Another theory is that the lack of light interferes with brain chemicals, such as serotonin and melatonin, which affect sleep and mood.


If you have the usual winter blues, your symptoms will most probably be rather mild. “Perhaps you feel a little less energetic than you do in the summertime and have some food cravings that are unusual, like wanting to eat more carbohydrate-rich foods, or you sleep a little more, but not substantially more,” says Rohan. Such feelings will typically leave of their own accord, possibly just after a few days.

On the other hand, SAD typically causes more serious oversleeping, weight gain, appetite changes, lethargy, and social isolation. You could also end up experiencing intense sadness, irritability, problems concentrating, feelings of hopelessness or worthlessness, or even suicidal thoughts.

What's more, if you are diagnosed with SAD, these symptoms will stick around “for at least two weeks, if not longer, most of the day, nearly every day,” according to Rohan. They will interfere with your daily functioning and ability to do things, causing a lot of distress.

That’s precisely what happened to Lillo, who found that she was “going deeper and deeper into depression until suicidal thoughts appeared every winter.” This “every winter” part is key: If the symptoms of depression have appeared for at least two years in a row, and haven’t turned up during other seasons, there’s a high chance that SAD is the cause.

If you think you might suffer from SAD, it’s important that you talk to your doctor about it. They might recommend antidepressants or therapy, in addition to some strategies you can try at home. One of the best things you could do is to maximize the amount of daylight that you're exposed to. Rohan suggests taking morning walks which "gets the light that is available to your retina, which can help reset a biological clock. And it gets you moving in terms of physical activity.”

Light therapy is also very useful when it comes to treating SAD. Your doctor can prescribe this form of therapy, which entails spending some time every morning sitting next to a box that emits very bright light. This will simulate the effect of sunlight and has been proven to work for approximately 70% of SAD patients.

When suffering from SAD, you would also do very well to avoid being alone. “Go meet up with that group you belong to or go to the gym or go see that movie, see friends for coffee,” says Rohan. “Withdrawing from those routines sets you up for what I call going into hibernation mode, which really breeds depression.”

All in all, people with SAD need to be prepared for the future. This may involve anticipating “down” times, watching out for worsening symptoms, and planning activities ahead. It may also mean beginning treatments before allowing any symptoms to kick in since the best defense is a good offense.


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement

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Thursday, January 23, 2020

No role of Opioids in reducing pain and disability in chronic osteoarthritis

Opioids provided no clinically relevant pain relief and no clinically relevant reduction in disability compared with placebo in chronic osteoarthritis pain (hip, knee), according to a recent study published in the European Journal of Pain. 

Osteoarthritis (OA) is the most common form of arthritis which has become one of the leading causes of disability in older adults. It occurs due to the break down of cartilage, causing the bones within the joints to rub together causing pain, stiffness, and other symptoms.


OA occurs most often in older people, although it can occur in adults of any age. OA is also called degenerative joint disease, degenerative arthritis, and wear-and-tear arthritis. 


The major treatment hurdle for osteoarthritis is the absence of any good disease-modifying drugs for this disease. Without effective treatment, physicians are left to manage patients symptomatically and the most common thing done by them is to manage their pain. One of the main culprits [driving opioid use] are chronic pain patients and one of the most highly prescribed conditions for opioids is osteoarthritis.


This updated systematic review by Winfried Häuser, Health Care Center for Pain Medicine and Mental Health, Saarbrücken, Germany, and colleagues, evaluated the efficacy and safety of opioids compared with placebo for chronic osteoarthritis pain. 


For the purpose, the researchers searched the online databases from October 2013 to July 2019. Randomized controlled trials comparing opioids with placebo and at least 4 weeks double‐blinded duration were analyzed. A total of 22 studies with 8,942 participants were included in the meta-analysis. Study duration ranged between 4 and 24 weeks.


Primary outcomes were pain relief of 50% or greater, disability, tolerability and safety. Key findings of the study include: 


Based on very low– to low‐quality evidence, opioids provided no clinically relevant pain relief of 50% or greater and no clinically relevant reduction in disability compared with the placebo. 


There was clinically relevant harm related to the dropout rate due to adverse events. 


The frequency of serious adverse events did not differ from placebo. Enriched enrolment randomized withdrawal design: 


Based on very low– to low‐quality evidence, opioids provided no clinically relevant pain relief of 50% or greater and no clinically relevant reduction in disability compared with placebo.
 Dropout rates due to adverse events and frequency of serious adverse events did not differ from placebo. 


"Tolerability of opioids is low and efficacy is not clinically relevant in controlled studies from 4 to 24 weeks for osteoarthritis pain," wrote the authors. 


The study, "Opioids for chronic osteoarthritis pain: An updated systematic review and meta‐analysis of efficacy, tolerability and safety in randomized placebo‐controlled studies of at least 4 weeks double‐blind duration," is published in the European Journal of Pain.


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement
 

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