How’s your blood pressure?

Is your blood pressure under 120/80mmHg? If you don’t know your numbers, here’s why it really matters.

• According to Blood Pressure UK (the Blood Pressure Association), every day in the UK, 350 people have a stroke or heart attack that could have been prevented. 
• 1 in 2 strokes and heart attacks are the result of high blood pressure.
• 1 in 2 adults with high blood pressure don’t know they have it or aren’t receiving treatment. 
• 6 million people in the UK alone have high blood pressure and don’t know it. 
• £2.1 billion – that’s how much high blood pressure costs the NHS every year.

When you know your numbers, you are then able to take steps to get yours back in control if you need to.

What is blood pressure?

Blood pressure is the force, or pressure, that blood exerts on the walls of the blood vessels. This pressure ensures a steady flow of blood into, and out of, all the organs of the body. 

Keeping blood pressure within normal limits is vital.

If it is too high (hypertension), blood vessels can be damaged, causing clots, and rupture, resulting in a heart attack or stroke. If it is too low (hypotension), blood flow to the tissues may be inadequate, which is potentially very dangerous – especially if this were to affect the brain, kidneys or heart.

How do I know I have blood pressure problems?

High or low blood pressure does not always cause symptoms.

Pubescent girls, young, slim women, pregnant women and gaunt, older people are most frequently affected by low blood pressure. It can be a result of dehydration, which is particularly common in older people. 

If you experience symptoms of low blood pressure (see below), and they occur frequently or very suddenly, you should get the cause clarified by your doctor.

High blood pressure or hypertension, which is more common than low blood pressure, not only affects older people. Young adults and even children can also suffer from it. What is particularly worrying is that many people affected do not know they are ill.

What causes high blood pressure?

There are many causes of hypertension. In most cases, an unhealthy diet and lifestyle are major contributory factors.

The risk of developing high blood pressure increases with age. Over the years, the blood vessels lose their elasticity and become stiffer. Often, only the upper blood pressure value (systolic pressure) is elevated in older people - this is also considered high blood pressure, which is usually treated with medication.

These days, more and more children also develop high blood pressure. In children, the main causes are being overweight and too little exercise. Maintaining a normal weight and doing daily physical activity are the best ways to protect children from high blood pressure and its consequences.

In adulthood, it affects men more often than women. About one in five men between the ages of 40 and 49 has high blood pressure. From the age of 60 onwards, women catch up. This is usually caused by the menopause, when levels of the hormone that lowers blood pressure, oestrogen, begin to fall. Women can also develop high blood pressure during pregnancy or by taking the contraceptive pill.

In rare cases, high blood pressure is the result of another disease. This is usually a kidney disease, hormone disorder or vascular disease. If this other condition can be treated successfully, blood pressure usually returns to normal.

What are the symptoms of low blood pressure?

• Dizziness
• Palpitations
• Headaches
• Tiredness
• Difficulty breathing
• Ringing in the ears / Tinnitus
• Loss of appetite
• Irritability
• Sensitivity to the weather
• Low mood

​

What are the symptoms of high blood pressure?

Most people show hardly any clear symptoms of high blood pressure, so it often goes unnoticed for a long time. That’s why it’s often referred to as a ‘silent disease’. It is, therefore, important to take possible signs of high blood pressure seriously and see a doctor as soon as possible:

• Dizziness
• Headaches (especially in the morning)
• Insomnia
• Nervousness
• Ringing in the ears / Tinnitus
• Nose bleeds
• Shortness of breath
• Redness in the face
• Nausea

How can a nutrition practitioner help?

The most common underlying reason for blood pressure problems are poor diet and lifestyle choices. Even small changes to your habits and what you eat can make a big difference in a relatively short period of time.

I will ask questions about your overall health and health history, diet, lifestyle and exercise habits. I will look at your food diary to see where there may be room for improvement. I will then develop a customised diet, supplement and lifestyle plan for you. Are you interested to know more? Why not book in a free call.

Lamb and Spinach Curry

This one takes a while to cook due to the cut of meat, but it is well worth it for that Saturday night curry.

Alternatively cook on a Sunday, whilst prepping your breakfasts and lunches for the week.

Serves 4

Ingredients:

1 red onion

4 garlic cloves

600g lamb shoulder

2 tbsp coconut or oliveoil

1tsp cayenne

3tsp ground coriander

3tsp ground cumin

1tsp turmeric

1/2tsp ground cinnamon

2 cardamom pods

2 tins chopped tomatoes

1 tin coconut milk

200g fresh spinach

200g frozen peas

1 lemon

Seasoning to taste

Method:

1. Finely slice the onion, crush and finely chop the garlic and on a separate board, cut the lamb into cubes

2. Heat the oil in a large saucepan on a medium heat and cook the onion for 4-5 mins until browned. Then add the garlic, cayenne, coriander, cumin, turmeric, cinnamon and cardamom and a couple twists of black pepper. Add 4 tbsp of water and fry  for a few mins until fragrant.

3. Add the lamb to the saucepan with a big pinch of salt and brown for 3-4 mins, adding water if it gets dry to prevent the spices from burning.

4. Add the tomatoes and bring the curry to a simmer. Cook for  45 mins, stirring every 15 mins.

5. Add the coconut milk, stir well and cook for a further 45 mins, again stirring every 15 mins.

6. Add the spinach and the peas and stir again until the spinach wilts.

7. Take the pan off the heat and stir in the lemon juice. Serve with cauliflower rice or a side of steamed vegetables.

8. Enjoy!

Prostate Care You Can’t Ignore

When you think about long-term health, prostate care often doesn’t come to mind until there’s an issue. Yet, the prostate plays a crucial role in men’s overall health and wellbeing so making sure it’s on your radar will be key to your (or your partner’s) long term health and happiness.

If you’ve even considered your prostate before, here’s what you need to know:

• The prostate is a small, muscular gland in the male reproductive system that surrounds the urethra. It produces most of the fluid in semen, and its muscular contractions help propel this fluid, along with semen, through the penis during orgasm. 
• It’s important for more than just urinary and reproductive health; a healthy prostate can contribute to better energy levels, fewer health concerns, and overall vitality. Prostate problems can affect quality of life, so staying ahead with prevention is key - even if it doesn’t feel like a priority right now.
• As men get older (50##plus##), it’s common for the prostate to become enlarged, a condition known as benign prostatic hyperplasia (BPH) aka benign prostate enlargement (BPE). This happens when the cells of the prostate gland begin to multiply. Just why this happens isn’t understood but it’s thought to be linked to changes in sex hormones as men age. 
• Important to note, ​​BPH isn’t prostate cancer and doesn’t increase your risk for this type of cancer, but the symptoms can impact your quality of life. Like so many health issues, getting a prompt diagnosis and treatment is best since there’s a greater chance of avoiding long-term complications. 

Common symptoms of BHP

• Not fully emptying your bladder
• Nocturia (getting up to go to the loo more than twice a night)
• Dribbling at the end
• Incontinence or leaking
• Straining when trying to urinate
• A weak flow of urine
• Pain during urination
• Blood in your urine

Testing for BHP

You might have several different tests; some can be done at your doctor’s (like a blood test or a urine test). Others might need to be done at a hospital. 

It’s likely your doctor will want to rule out some more serious conditions like prostate cancer. 

The blood test is called the prostate-specific antigen (PSA) blood test. PSA is a protein made in the prostate and levels rise with the prostate gets enlarged - although levels can be affected by some illnesses or recent procedures/ surgery.

Dietary strategies for supporting prostate health

1. Balance your blood sugar levels

Eating the right balance of proteins, fibre and starches along with healthy fats has benefits for all aspects of your health. Every meal should contain a source of protein. 

Choose wholegrain versions of foods like pasta, rice and bread to prevent blood sugars spiking, and fill your plate with veggies. 

2. Eat more fruit and veg   

A diet rich in plant-based foods provides essential vitamins, minerals, and antioxidants that protect the prostate. 

Foods like tomatoes (rich in lycopene), broccoli, and green tea have all been linked to better prostate health. These nutrients help fight inflammation and reduce oxidative stress, which can contribute to prostate problems. 

3. Don’t skimp on healthy fats 

Not all fats are created equal and one type you’ll definitely want on the menu. Omega-3 fatty acids, found in fatty fish, like salmon and mackerel, plus walnuts and flax and chia seeds, help reduce inflammation and may lower the risk of prostate diseases. 

At the same time, if you can cut back on saturated fats and processed foods, which promote inflammation, you can consider this a double win. 

4. Eat foods that contain zinc 

Like sesame and pumpkin seeds are naturally high in zinc, an important mineral that can be lacking in mean with prostate problems compared to those who don’t.

5. Limit alcohol and caffeine

Too much alcohol and caffeine can irritate the bladder and prostate, especially for men who are already dealing with urinary issues. 

Moderation - or avoidance - is key to preventing these problems from worsening.

Lifestyle aspects  

Keep an eye on your weight   

Excess weight, especially around the midsection, can increase the risk of prostate problems - as well as a host of other midlife problems. 

A balanced diet (like the Mediterranean-style diet described above and regular exercise will help you maintain a healthy weight and support prostate health.

Making movement matter

Regular exercise not only helps maintain a healthy weight, but it also supports prostate health. 

Physical activity improves circulation and can reduce the risk of developing prostate problems. Aim for at least 150 minutes of moderate exercise per week.

Get regular check-ups

Even if you feel prostate issues aren’t a thing, do put it on your radar and be mindful of some of the symptoms. Early detection is crucial. 

Make sure to schedule regular prostate screenings, especially if you’re over 50 or have a family history of prostate issues. Talking to your GP about any concerns will help catch any issues early on. 

The food and lifestyle recommendations are great at any stage of life, not least midlife, so taking these on board regardless will stand you in good stead for the coming decades. 

Uncomfortable truth: prostate problems are very common, and prostate cancer is on the up

• Prostate cancer is the most common cancer in men and rates have risen by 9% in the last decade.
• More than 52,000 men are diagnosed with prostate cancer every year – that's 144 men every day.
• Every 45 minutes one man dies from prostate cancer – that's more than 12,000 men every year.
• 1 in 8 men will be diagnosed with prostate cancer in their lifetime.
• About 490,000 men are living with and after prostate cancer.

Source: Prostate Cancer UK

 

Do you know that I also work with male clients? If you’re interested in a health check, why not get in touch. I offer free 30-minute health reviews and you can book in here.

Spotlight on Men’s Health

It's “Movember”, that time of year where normally clean-shaven men start sprouting moustaches – with varying degrees of success. 

“Movember” is the leading charity for men’s health worldwide. Every year – in November – it raises awareness of men’s health issues by encouraging men to grow a moustache, move more for the 30 days of the month (at least) and run men’s health charity events at work and in their social circles. The charity funds research and education about men’s health issues, focussing primarily on suicide prevention, prostate and testicular cancer. 

Suicide is the main cause of death for men and boys between the ages of 5 and 49 – a shocking and desperately sad statistics. Suicide was the main cause of death in boys and younger men even before the Coronavirus pandemic. The social isolation during the pandemic is making matters worse. 90 % of people who attempt or commit suicide have mental health problems. 

More women than men suffer from depression, but women are more likely to talk about their issues and seek help. Men tend to bottle up their problems and negative feelings – until they can no longer cope. Movember is encouraging men to speak out and seek help. 

The charity’s other focal subject is cancer, in particular prostate and testicular cancer. Although cancers affect both men and women, men are 60% more likely to get the disease and 70% more likely to die from cancer than women. There is much speculation about why that is. 

The most common cancers in men are prostate, lung and colon cancer – in that order. The most common one – prostate cancer – is a cancer that women cannot get. Cervical cancer in women has declined due to improved screening. Screening for prostate cancer is not (yet) routinely done. One reason for that is that there is still some discussion about how useful the PSA (prostate specific antigen) reading actually is. 

Throughout their life, women have a lot more contact with health professionals. Birth control, pregnancy, birth, child rearing and routine breast cancer and cervical screens means that they are in and out of doctors’ surgeries a lot more often than men as a matter of course. This reduces the reservations some may have about talking to medical professionals. It also offers ample opportunity to mention something they have been worried about. Stereotypically, men are more reluctant to make an appointment with a doctor. 

The most common cause of death for men between the ages of 50 and 79, however, is still heart disease, an issue the charity does not seem to emphasise very much. The good news is that for males, the death rates from heart disease and stroke have reduced by about 50% since 2001. 

The bad news is that the incidence of heart disease has barely changed. However, modern medicine has become much better at treating it, so that more people survive for longer. According to the British Heart foundation, 80% of people living with heart disease have at least one other health condition. It looks like in most cases that might be type 2 diabetes. A paper published in the European Heart Journal in 2015 found that 75% of patients with cardiovascular disease have abnormal blood sugar readings. 

While deaths from heart disease and lung cancer in men have reduced by 50% and 30% respectively since 2001, there has been an increase in the death rate from Alzheimer’s and dementia of more than 60% and from liver disease by 12%. Alzheimer’s is also the leading cause of death in men over the age of 80. 

Liver disease is almost entirely preventable. The most common causes are lifestyle-related: alcohol and obesity (together with hepatitis B, an infectious disease) account for 90% of cases. Alcohol is still the main reason for liver failure, but in recent years there has been a new version of liver disease: non-alcoholic fatty liver disease (NAFLD). At first, doctors often did not believe their patients when they said they didn’t drink – but presented with livers in a state of disease previously only seen in alcoholics. Now we know that something other than alcohol – sugar – can wreak just as much havoc on the liver as alcohol does.

As Alzheimer’s and dementia have been on the rise for decades, years of research have gone into finding out was causes it. Today, Alzheimer’s is referred to by some as “type 3 diabetes”, because here, too, blood sugar increases and insulin resistance has been observed. Although Alzheimer’s is known to have many contributing factors, there is no doubt that sugar is one of them. 

The bottom line is that diet appears to play a major role in the leading causes of death among men. Diabetes promotes silent low-grade but long-term inflammation that damages blood vessels, nerves and liver cells. Even suicide, usually preceded by mental health issues, is not exclusively psychological. A healthy diet may not prevent all mental health problems all by itself, but a diet of ultra-processed food certainly promotes them. 

So, if you are going to do just ONE thing to prolong your healthy lifespan it’s this: 

Eat real food

Ultra-processed foods have been linked to cardiovascular disease, cancer, non-alcoholic liver disease, and neuro-degenerative diseases – which is code for Alzheimer’s and dementia. We’re not cut out to subsist on man-made food. 

We evolved to eat natural foods: meat, fish, seafood, eggs, vegetables, fruit, nuts and seeds, herbs and spices. There is very little humans can do to improve on nature – except perhaps cooking (which allowed us to develop a bigger brain) and fermenting (which is not just a handy way to preserve food, but supports the gut).

If you are already eating real food or want to do TWO things to live a long and healthy life: 

Cut out sugar and refined carbohydrates

Much of this will have left your life once you started eating real food, but there may be room for improvement. Sugar is detrimental, and all starchy carbohydrates (think bread, rice, pasta, potatoes) ultimately turn into sugar in the process of digestion. 

How fast that happens and how much they will make your blood glucose rise depends on how processed they are. If you must have bread, pasta, and rice, go for the whole grain versions. Consider cutting them out altogether, because while there are essential fats and essential amino acids (the building blocks of protein), there are no essential carbohydrates. If you never eat pasta again, you’ll live. Probably a longer and healthier life to boot.

If you’re up for even more steps towards better performance, more energy and less bulge, book in for a free 30-minute men’s health review. You can do that by clicking here.

There’s been plenty of talk about HRT and menopause. But whether or not HRT is one for you, can nutrition and lifestyle changes really help you have a better menopause? As a Registered Nutritionist, this is something I work on every day in clinic with my clients. Here are five things I suggest that you can do to support your body right now.

Perimenopause is a significant journey in a woman’s life, bringing with it a variety of changes (and challenges) both physically and emotionally. These changes can feel overwhelming at times and, although social media is full of memes about how awful the transition to menopause is, the good news is that nutrition and lifestyle medicine can play a powerful role in helping you navigate this stage of life with greater ease.

1. Balance your blood sugars

Maintaining stable blood sugar levels is crucial during perimenopause. Fluctuating blood sugars can lead to energy crashes, mood swings, and increased cravings, all of which can make menopausal symptoms feel more intense.

How to balance blood sugars:

• Eat three meals a day, no snacks: aim for balanced meals with a mix of protein, healthy fats, and fibre to slow the release of sugars into your bloodstream.
• Limit refined sugars: reduce your intake of sugary snacks and drinks, which can cause spikes and drops in blood sugar levels.
• Include complex carbs: focus on whole grains, legumes, and vegetables, which provide sustained energy.

2. Choose a Mediterranean diet

The Mediterranean diet is renowned for its health benefits for all kinds of ills and especially for women going through perimenopause. This diet emphasises whole foods that are rich in nutrients, antioxidants, and healthy fats, all of which can support hormonal balance and reduce inflammation (the latter also rises during this stage of your life).

Key components of the Mediterranean diet:

• Fruits and vegetables: these are backed with inflammation-quelling, disease-fighting antioxidants. Aim for a colourful variety to get a range of vitamins and minerals plus important phytonutrients. 
• Healthy fats: include sources like olive oil, nuts, seeds, and oily fish such as salmon, fresh tuna, mackerel and trout to support heart and brain health.
• Whole grains and legumes: provide fibre for digestive health and help regulate blood sugar levels.

3. Eat phytoestrogens

Phytoestrogens are plant-based compounds that can mimic the effects of oestrogen in the body, helping to balance hormone levels naturally during menopause. Including these in your diet may help reduce hot flushes and other menopausal symptoms.

Sources of phytoestrogens:

• Soy products: tofu, tempeh, and edamame are excellent sources.
• Flaxseeds: ground flaxseeds can be added to smoothies, salads, or yoghurt.
• Legumes: chickpeas, lentils, and beans are rich in phytoestrogens.

4. Prioritise stress relief

Your body in perimenopause is less resistant to stress so you will need to ensure you make stress relief important in your daily life rather than something you will add to your list of chores and get to it if you have time. Stress can exacerbate perimenopausal symptoms, so it’s important to find ways to counteract its effect. 

Chronic stress can lead to hormone imbalances, sleep disturbances, and weight gain. When I say stress, this does not have to mean the ‘big stuff’ like bereavement, divorce or a house move. The relentlessness of day-to-day worries is just as important.

Stress relief techniques:

• Mindfulness and guided meditation: incorporate deep breathing or mindfulness practices to calm the mind. These encourage slowing down your breathing while you do them which can have an impact on your heart rate variability (HRV). If you have wearable devices like a smart watch, or smart ring, or even use wellness apps that measure HRV, you will be able to see for yourself how the magic works by testing before and after meditation.
• Physical activity: regular exercise, like walking, yoga, or swimming, can reduce stress and improve mood. While running and high intensity training is good for your cardiovascular system, it does place additional stress on your system so this doesn’t count for the purposes of stress relief.
• Connect with others: social support is key; spend time with friends or join a community group. You might have heard the saying – ‘it takes a village to raise a child’. Consider, it takes a village to get through the transition to menopause, too.

5. Ensure you get quality sleep

Sleep disturbances are common during perimenopause, but getting adequate rest is essential for overall health. 

Poor sleep can worsen symptoms like mood swings, fatigue, and weight gain. It’s not just the amount of time you spend in bed that matters but the sleep you’re getting and the quality of your sleep. 

The most restorative sleep is deep sleep, and you stand the greatest chance of getting more of this when you go to bed before midnight, according to The Sleep Foundation. 

Tips for better sleep:

• Create a sleep routine: go to bed and wake up at the same time each day to regulate your body’s internal clock.
• Limit caffeine and alcohol: both can interfere with sleep quality, especially when consumed later in the day.
• Relax before bed: wind down with a relaxing activity like reading, stretching, or taking a warm bath. TV is not on this list as the blue light can impact how well you sleep.
• Limit scrolling on your phone before bed: this might seem a good way to wind down but the blue light from your phone may disrupt sleep hormones. Scrolling also provides a dopamine hit, and this keeps you scrolling longer. The reason this is important is that dopamine is a daytime hormone - the opposite of what you want when you’re trying to wind down.

As you navigate perimenopause, remember that your body has unique needs, and small changes can make a big difference. Nutrition and lifestyle medicine can help support your body through this transition and improve your overall wellbeing.

Just as a little reminder, I’m a nutrition practitioner dedicated to supporting women through perimenopause and beyond. Come along to our Menopause Coffee Morning and join our community - see our events page for more details.

How to regain your sense of calm in perimenopause

Palpitations, a dry mouth, sweating, insomnia are just some of the unmistakable signs of anxiety. Everyone has experienced these symptoms at some point in their life. Who hasn't felt stage fright before a presentation, hyperventilated before an exam or spent a sleepless night before their dental appointment? But when we enter perimenopause, this is one of the most common symptoms that women suffer from – and it can be incapacitating.

So, where does nutrition come into it? At first glance, it may seem preposterous to say that diet influences how we feel; but think about it: In the cold, hard light of science, feelings are chemistry! 

Of course, in the first instance, it is our environment, our experiences, and to an extent, our personality that makes us feel the way we feel. But our feelings of fear, anger, overwhelm or love and confidence trigger the release of hormones in our body, which is where chemistry kicks in. 

We need the happy hormone serotonin and the pleasure hormone dopamine to feel good, the sleep hormone melatonin to sleep, the stress hormones adrenaline and cortisol for our get-up-and-go and to fight or flee when we’re under threat. Hormones work in unison with each other. Some hormones suppress others; some trigger the release of others. But for these feedback mechanisms to work, for our body to even be able to manufacture the chemicals that we need, we must supply the raw materials they are made of. 

Those raw materials are fatty acids, proteins, vitamins, minerals, and phytonutrients – nutrients. What’s more, even our friendly gut bacteria contribute to how we feel by extracting more nutrients from our food for us, manufacturing some, such as short-chain fatty acids, from scratch and even providing some ready-made serotonin! So, if you think of feelings that way, what we eat is bound to have a massive impact on how we feel and how we cope with the challenges life throws at us. 

Don't get me wrong; I’m not saying that diet will cure an anxiety disorder. However, if we try and fuel our body with poor quality food that does not provide the building blocks of the hormones and catalysts our brain chemistry requires, we’ll have a much harder time overcoming mental health issues. 

So, what are these nutrients our body needs, particularly when we are anxious? 

Magnesium is often referred to as ‘nature’s tranquiliser’ – which hints at just how crucial this mineral is for supporting balanced mood, relaxation and deep sleep. One reason why magnesium helps us cope with anxiety might be that it plays a role in nerve transmission. The mineral is not even hard to find. There’s some in most foods, particularly in green leafy vegetables – think broccoli, spinach, kale, and watercress – but also in grains, such as brown rice, buckwheat and quinoa, nuts and seeds, or fish and seafood. Despite this, deficiency is common, which may have something to do with our penchant for convenience and junk foods that are just not as nutritious as real food. 

L-theanine – in a 2019 study found that this amino acid might help manage anxiety and support a balanced stress response. L-theanine is found in green tea. It increases the activity of the neurotransmitter GABA, which has calming, anti-anxiety effects. The amino acid also raises dopamine and the creation of alpha waves in the brain. 

This is because l-theanine can cross the blood-brain barrier, a membrane that protects our brain from unwanted and harmful substances. The high intake of green tea by Buddhist monks may contribute to their famously calm demeanour and intense focus during meditation. If you want to give green tea a try, be sure to choose an organic one to reduce your exposure to pesticides and other toxins, which have been found to disrupt the brain’s stress circuitry.

Omega-3 fats - the authors of a 2020 research review agree that the role of nutrition in the management of mental health disorders is underestimated. They reviewed the existing research into in connection with anxiety and found that this type of fat is critical for brain health and has been shown to reduce anxiety symptoms. 

As vegan diets are becoming more popular, it is important to note that omega-3 fats from plant sources, such as flaxseed oil or walnut oil, does not cover our daily requirements, let alone achieve therapeutic levels. The omega-3s these foods contain are inferior to the ones we need: EPA and DHA. Although the body can make those long-chain fatty acids can from plant-source omega-3 (alpha-linoleic acid or ALA), the conversion is sluggish and easily disrupted. Only about 5 per cent get converted. If you are vegan, do not like fish, or are allergic to it, your diet alone will cover your needs. I recommend finding a good-quality supplement with omega-3 from marine sources (i.e., algae), which is the only vegan source of DHA. 

When talking about anxiety and nutrition, we must not neglect the role of the microbiota, the friendly bacteria in our gut. The majority of available research studies in 2019 showed that it is beneficial to give our gut bacteria some TLC. Interestingly, “non-probiotic interventions were more effective than the probiotic” ones.

That suggests that just popping a probiotic capsule may not be enough – and that’s no surprise, really. Don't get me wrong; probiotics are beneficial; there is no doubt about that. However, their contents – live bacteria, e. g. Lactobacillus and Bifidobacterium species – are not going to settle in the gut. They are only travelling through, and while doing so, they help create a bacteria-friendly climate and temporarily crowd out undesirable microbes. But really, they are only lending a helping hand to our own, indigenous bacteria. Those are the ones that are at home there, and those are the ones that can protect our gut, feed our brain, improve our mood, and keep us healthy. 

You can look after your friendly bacteria by giving them real food, especially fibre-rich plant foods, including vegetables, fruit, nuts, seeds, pulses, whole grains, herbs, and spices. Variety is key here. While probiotics – especially in the form of fermented foods like sauerkraut, kimchi, live yoghurt, kefir and kombucha – are great, prebiotics – fibre – are even better. We still need to learn much more about all the different microbes living in our guts, but what we do know is that the more different species we have, the healthier we are. How do we cultivate a variety of species? By keeping our diets interesting! Different microbes have different preferences. By varying what we eat, we are creating a desirable place for them to live. 

To keep everyone happy, it is also essential to avoid what harms the microbiota. Alcohol acts like a weedkiller on your internal garden. Food additives reduce a protective type of antibody called secretory immunoglobulin A (or sIgA, for short), and emulsifiers are particularly damaging for the gut. Sugar promotes yeast overgrowth, which can overwhelm the beneficial bacteria and make it difficult for them to adhere to the gut wall. 

Of course, although hugely important, diet is not everything. Lifestyle factors, too, play a crucial role in mental health. It will come as no surprise that it is worth reducing stress as much possible if you suffer from anxiety. Interestingly, stress also damages the microbiota and interferes with the conversion of omega-3 fatty acids – among many other things, so just getting on top of stress will do you a whole lot of good. 

I know that that is easier said than done, but there is a shedload of information on stress management on the internet, ranging from relaxation techniques, such as meditation or breathing exercises, to self-care and me-time tips. 

So, as you can see, you don’t have to take anxiety attacks lying down. There is a lot that you can do to avoid them or to aid your recovery. And if you’d like to get in touch about a personalised programme, feel free to book a call.