Hello friends.  That was a nice long break from posting.  It isn't that nothing is happening on the Covid front, I just got busy with work and posting fell by the wayside.  But right now a snow storm is settling over my home and I anticipate being trapped here for a few days, so I'll have time to put down a few thoughts.

Age x Obesity + Degree of Infection => Aerosols Released
https://www.pnas.org/content/118/8/e2021830118
The equation above oversimplifies, but it captures the gist of the findings.  Basically there are a few people who are superspreaders, and the scientists are starting to understand who and why.  In their words "exhaled aerosol particles vary between subjects by three orders of magnitude, with exhaled respiratory droplet number increasing with degree of COVID-19 infection and elevated BMI-years.  What this means to us is that it is still reasonable to keep staying away from most people, keep wearing masks, and find a way to lose weight if you've gotten fat.  I've got friends who've had great success with Noom, and others who swear by the Ketogenic diet or the Whole 30.  But there is no doubt that obesity is a huge risk factor for bad outcomes and also for being a superspreader.

The kidneys are one of those organs that nobody pays much attention to when they are young. They're in the back of the abdomen somewhere, and they don't say much. They just do their thing, filtering the blood and making urine that we eliminate many times a day. Without them we would not be alive.

I'm here to suggest that perhaps your kidneys deserve a little respect before they start failing. The kidneys weaken with age and can really cause a lot of trouble if they fail, but there are things you can do to treat them nice and keep tabs on them.

The kidneys are busy all the time because they get ~20% of your total cardiac output and have a lot of housecleaning to do.  Take care of your kidneys starting now and improve your chances of finishing this life with kidneys that still work.  Here are 13 Ways:

1. Get your kidney function checked annually, or more often if you have a family history of kidney disease, unusual kidney structure, or you are hypertensive, diabetic, or obese, or if there are things on this list that you just can't do.
2. Take care of invisible medical problems.  Most of the conditions that damage kidneys are things like high blood pressure, blood sugar or cholesterol—things that you can’t feel.  Deal with invisible problems because once you feel the damage it’s too late.
3. Avoid NSAIDS as much as you can.  This means ibuprofen, aspirin and naproxen.  If you must take them, take the minimum dose for the minimum time.  High doses can be destructive.  Tylenol (acetomenophen) is the only OTC pain reliever that doesn’t hurt the kidneys, and it can cause liver failure.
4. Caution with Medications.  Penicillins, sulfas and thiazides reduce renal function if taken longterm.  If there are other ways to treat your problems, find them.
5. Stop Smoking.  If you’re a smoker you’ve probably already been told the thousands of medical reasons to stop.  Get help if you need it.
6. Get heavy metals (lead, mercury, etc) chelated out if you have too much.  Start with a hair test and go from there.
7. Fix prostate problems.  A swollen prostate can back up urine and drown the kidneys.  Get help if you can't pee.
8. Drink water.  It’s the fluid that you’re made out of, and drinking it helps prevent kidney stones which really suck.  If you have kidney disease already, your doctor will suggest specific amounts.
9. Stop boozing. Alcohol is a strong diuretic and can directly impact kidney function, as well as hurting the liver and adding to the kidney’s work.  Easy on the alcohol.
10. Eat fruit and veggies.  You don’t have to give up meat but limiting meat consumption might be recommended if you have kidney disease.  For prevention of kidney disease the best dietary advice is to eat lots of fruit and veggies for the antioxidants.
11. Be reasonable with salt. Too much salt makes your blood pressure go up which is really hard on the kidneys.
12. Manage your weight.  Obesity is a top risk factor for kidney disease and just like blood pressure, smoking and drinking, it’s not an easy one to fix fast.  Get help.
13. Know the symptoms of kidney failure and get help if they happen.  The early symptoms are non-specific: fatigue, brain fog, loss of appetite and swelling ankles.  The next stage is muscle twitches and cramps, itching, nausea, vomiting and diarrhea, hipccups, a sore mouth or a bad taste in the mouth, sleep disturbances and possibly congestive heart failure.  The late symptoms are really bad; get help way before then.

Happy All Souls Day! The temptation of bad holiday foods is upon us, and our ancestors would be appalled. If you are anything like me, the easy availability of candy is bad news. Let me be the first to tell you to GET RID OF IT today instead of letting it sit around and tempt you into sugar addiction.

The problem with candy is that it is made out of sugar.  Sugar has many names, but it has the same effects. It doesn't matter if it's called honey, agave syrup, corn syrup or rice syrup, it still makes us crave more. And that is BAD NEWS.

It works like this.  Eating too much sugar (and even a little it usually too much) causes an imbalance in our insulin and leptin levels.  That imbalance causes us to feel hungry when we don't need food. That false hunger feeling, which can be a very strong craving, causes us to eat more and worse foods than we normally would. Uncontrolled eating worsens the imbalance which then leads to weight gain, pre-diabetes and diabetes, heart disease, cancer, dementia and all manner of bad news.

The GOOD NEWS is that this pattern of craving is easy to reverse. If you start your day by NOT eating sugar, you can stop the cravings for that day.  If you keep your sugar and carb intake low day after day, the cravings will disappear completely.  You will find that you aren't really a sugar addict after all.

Eggs and bacon are a great anti-craving breakfast, especially if you keep the portions of potatoes, breads and such small. Even oatmeal is a far better breakfast than a pastry, or even a bagel, sorry to say. The worst possible breakfast in the universe is Halloween candy, so get rid of it!  Throw it in the trash. Cheap sugary candy is the devil and you do not want to give it to anyone that you care about.

One small note about chocolate. People have the idea that chocolate is actually good for you, and this is true, but it has to be a certain kind of chocolate, AND you can't eat very much of it. Hershey's bars are more sugar and rancid milk than they are chocolate, so they are NOT good for you. Very dark (strong) chocolate, eaten one square at a time (not a whole bar!), is the only kind of chocolate that you can claim is good for you. And that is not the kind of chocolate that people give out at Halloween.

I hope this has been enough to get you started in the right direction.  Throw away the leftover candies, and brush your teeth.  Let your kids binge on sugar all at once until they feel sick, then get rid of the rest and make them brush their teeth too. Return to eating whole foods (fruit and veggies) as soon as possible! This Halloween curse can be beaten!

​The photograph above is a wild ginger plant in the genus Asarum. I photographed it last week in the woods near my father's house. Don't eat it. We know this. Some plants are poison. Naturopaths know about aristolochic acid because it is part of our training in botanical medicine.

Medicine in the US today is as polarized as our politics, and just as full of talking points and bald faced lies. I find it infuriating and frustrating. Today I read a hit piece attacking naturopathic doctors. It claimed that we push herbs that contain aristolochic acid (AA). AA is a known carcinogen in the bladder and kidneys, and a new study suggests that it's causing a lot of liver cancer too. It really ticks me off when headlines say we push people to take poison. Not so. We are here to guard against such mistakes.

Chinese herbal products have often been found to contain toxins, and to be mis-labeled or not labeled at all. Herbs containing AA can be found in Chinese weight loss formulas, among other places Here in the good old US we may complain about the shady politics in the FDA, but at some level they really are trying to protect us. They're doing better than the Chinese authorities, far as I can tell.

There's been an incredible increase in the wealth of the Chinese middle class in the last 25 years. Suddenly people have jobs, cars, and disposable income. They are eating more sugar than they ever have before, and they are getting fat, even getting diabetes. The Chinese are looking more and more like US.

Combine their new obesity, disposable income, and good supply of poorly regulated herbal products, and you can understand why the Chinese are getting cancer from AA. Lots of other people in Asia, like the Taiwanese, are having the same problem.

We've known about AA for a long time. The FDA issued a warning about it in 2001 which is when it came onto a lot of people's radar.

If you would like to know if an herbal formula or a supplement is safe to take, there is no one better to consult than a naturopath. We study on which herbs are useful and which are dangerous.

It is true that the vast majority of herbal products are not very well tested. You have to do the research to find out which ones are good, or ask a naturopath. Some companies have excellent quality assurance standards, and some do not. If you are going to take a product, you want to know if it contains what it says on the label. You also want to know that it does not contain anything toxic. Third party testing of products is expensive and most companies don't do it. If you buy the cheapest herbs you can get, you are probably choosing the ones that haven't been checked. Just so you know.

The people who are dedicated to the project of smearing alternative medicine don't know much about it, but that doesn't slow them down. It has become disgustingly normal, especially online, to just say whatever you want as if it were true, and keep saying it until the dimwitted come to believe you.

Don't let them brainwash you. Keep your wits sharp. Gather information and challenge your own assumptions. There is disinformation on all sides, and medicine is as rich a medium for BS as politics.

Just because something is natural does not make it safe.  Just because something is herbal does not make it dangerous. If you're going to experiment with herbs, do your research--or get some help from someone who has. And don't buy imported herbs online. Please.

I never would have thought I'd say that.  When I was a BLM ranger in California for a summer, I covered myself in DEET to work in clouds of mosquitoes, and I thought it made me sick.  I was so eager to wash that stuff off at the end of a workday!  But it does work on bugs.

Recently I did a 6 day kayak self-support trip on the mighty Yampa river in northwestern Colorado.  I got sick when I got home.  BAD sick.  I think I had West Nile virus, and that it infected the meninges of my brain.  But I am bouncing back, finally.  The only upsides I can detect is that I lost some weight that I didn't mind losing, and that if I did have West Nile, I won't be getting it again.

A couple days ago I read the recent missive of the EWG (Environmental Working Group) about bug repellants (which we didn't have).  They pretty much said that the herbal ones don't really work, and with stuff like West Nile and malaria out there, you want one that works.  Hence the DEET recommendation.  I have more research to do about it because I hear that there's another chemical that may be less toxic to humans and work as well as DEET, but I don't know it yet to report on it.  I've heard that the clothing that is impregnated with bug stuff really works well too, so if I ever go "Yamping" again I'll take some of that.

Suffice it to say that I really recommend avoiding mosquito bites this season.  Apparently it's a bad West Nile season in Colorado and in Oregon, because of the mild winter and warm spring.  It's probably bad nationwide.  And the disease that can be caused by West Nile is sorely unpleasant.  Don't get it, but if you do get a big fever and headache after mosquito bites, get naturopathic support.  Conventional docs will just tell you to take ibuprofen or acetomenophen and go to bed.