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  • Rest Your Body In Gratitude With A 12-Minute Meditation

    Rest Your Body In Gratitude With A 12-Minute Meditation

    Take a restorative moment to release tension and feel deeply into gratitude for your hard-working body. 

    Taking a moment to pause with the intention to simply allow our bodies to rest in awareness can bring about a great sense of restoration and renewal to the heart. Our bodies are so overworked and often ignored. This guided awareness practice will allow us to feel a sense of gratitude for our body, in all of its beauty and mystery. 

    A 12-Minute Meditation to Rest Your Body in Gratitude

    Read and practice the guided meditation script below, pausing after each paragraph. Or listen to the audio practice.

    1. Starting off, find the posture that feels comfortable for you in this moment. There are many different postures that we can choose from. Check in with your body to sense into what posture is best for me right now?
    2. Once you’ve found that posture, just begin to notice and feel your body here and present in this moment, not trying to fix anything or to change anything about the body. Oftentimes, the body can be used just for the purpose of working, striving, and achieving, but in this moment, we’re inviting our bodies to just rest naturally. 
    3. Take a few moments to feel what it means to be alive in your body right now. With attention resting lightly on the body, just notice: How is my body expressing its aliveness in this moment? Maybe that’s with lots of sensation, maybe the body just feels relaxed and at ease, or maybe there’s energy moving through some of our bodies. Whatever is true for your body right now, allow this aliveness to be what you sense into in this moment. This is my body and I’m grateful for my body.
    4. Now, allow your attention to lightly rest on the sensations associated with the body touching whatever is supporting it. Maybe it’s the floor or a cushion, or a bed or couch. Allowing your attention to lightly rest, feel the liveness of the body touching and being supported by whatever is under you. This is my body resting, supported by what’s under me at this moment and I’m grateful for this body and for this support and this moment to rest. Resting just like a newborn rests in the arms of a parent or caregiver. Allow your body to rest, letting the support, the stability, and the comfort of having something holding you really infuse your body and your awareness. In this moment, I’m being held and supported and this support is stable, and unconditional, and I am grateful.  Continue to feel the connection and the support of whatever is holding you in this moment, remaining connected to that experience. 
    5. We’re going to begin to invite our bodies to rest in the feeling of the space around the body. So, we’re really just allowing our attention to rest on the skin of the body. And with each exhale, let your attention begin to relax and expand out beyond the skin, just going out a few inches around the skin, resting in this space. Rather than focusing entirely on the physicality of the body, now we’re inviting the energy in the body—the tingling, the sensations—to actually rest in the space around us. You might use your imagination a little bit to imagine that, with every exhalation, you begin to sense your body being held by the vastness of the space surrounding the body.  
    6. It may be helpful to start with your back, inviting the back to rest. Just let go into the space behind you. And shifting to one side of the body, feeling that side, feeling the skin, and then inviting that side of the body to just let go. To relax into the space around that side of the body. And then going to the front of the body: feeling the skin, the body sensations, and the aliveness, and just allowing the front of the body to be held and to rest into the space in front. And lastly, arriving at the other side of the body, sensing the skin of the body, then letting your attention relax into the space around that side of the body. 
    7. For a few moments, as you’re breathing in and out naturally, allow your attention to rest as the body is resting, in the space around the body. The body can let go now. Breathing in, feeling the body held in our awareness. Breathing out, we’re grateful for the space around the body. It allows the body to relax.
    8. As we bring this practice to a close, the invitation is for you to place a hand on your heart, feeling a sense of gratitude and appreciation for the body, the space around the body, and this moment of resting. And remember that gratitude for the body is a way that we can always reconnect with this sense of rest, presence, and ease.



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  • How We Eat vs. How We Think We Eat

    How We Eat vs. How We Think We Eat

    The so-called optimism bias may get in the way of a healthy lifestyle.

    Yes, media messages about nutrition are often confusing and inconsistent, but many Americans know what is considered a healthy diet. I mean, does anyone really think drinking brown carbonated sugar water is good for them? The issue is that they don’t appear to be translating their knowledge into action.

    Why do people have such difficulty changing their dietary behaviors? While ignorance and confusion may play a part, being motivated to change is likely much more important. Certainly, we are living in a world that pushes us to eat whatever we want, regardless of the long-term consequences. “One of the major problems in getting people to change their behaviour is the need to get them to recognise the need to change.”

    For example, if you ask people how much meat they eat—or how much greasy food, eggs, sweets, alcohol, or butter—they claim to be eating less than the average person. So, if people think they’re at less risk than others, they may dismiss advice to eat more healthfully, thinking that they already eat healthier. Is it possible that they actually are? No, people rated their own eating behavior as healthier on average, even when their actual eating habits were terrible. Because of this, perhaps campaigns promoting health need to make people aware of how badly they are eating. But when that is done, a strange thing happens. When people are challenged with the reality of what the average person actually eats, they change their answer to make themselves appear as though they’re still healthier than average.

    When people’s positive comparisons on risky behaviors are threatened, they tend to not only reduce their estimates of how frequently they engage in those behaviors—”oh, I don’t eat that much meat”—but they also minimize the significance of the behaviors. “Meat’s not that bad for you anyway.” It’s the same “personal fable” that smokers tell themselves. Studies show that smokers have a strong tendency to underestimate smoking-related risks, developing a series of illusions and false beliefs to support their choice to keep smoking.

    Why do so many people continue to light up in spite of smoking’s harm to their health? For many of the same reasons, people continue to eat unhealthy food. First, they convince themselves that they are less at risk than others who engage in the same behavior. Adding to this optimism bias, smokers also underestimate how much smoking elevates lung cancer risk, thinking two-pack-a-day smokers only have five times the risk of getting lung cancer when their actual risk is 20-fold higher, as you can see below and at 3:10 in my video Why Don’t People Eat Healthier?.Also, many smokers believe lung cancer is mainly determined by genetics.

    Many hazards related to the food we eat share this same “optimistic bias,” like heart attacks and heart disease (our number one killer), obesity, diabetes, and all the rest. People can often find quite ingenious reasons for believing that their own risk is less than others’ risk. So, maybe public health advocates need to be just as ingenious in understanding where this unrealistic optimism originated from and find ways to help people gain a more accurate picture of their own vulnerability. All sorts of work is being done trying to reduce or eliminate this bias, “but we must consider the possibility that reductions in optimistic bias might lead to reductions in self-esteem and psychological well-being,” if people start to realize just how much risk they truly face and how much they have themselves to blame.

    This reminds me of the tightrope wire health professionals have to walk, telling people how much power we all have over getting cancer. There is an oft-cited paper that calculated that we may be able to prevent approximately 90% of human cancers. Although its reference to “present trends” referred to the 1960s—when this paper was published—it still applies today, more than half a century later. “Genetic factors are not the major causes of chronic diseases.” Using identical twins to see how much disease risk was truly genetic, researchers found that out of 28 chronic diseases, cancers had the lowest genetic component—only about 10% attributable to bad genes. What runs in families is bad habits.

    But when you tell everyone the good news about how much power we have in preventing cancer, what about the people who already have it? When people are diagnosed with cancer, they often ask, “Why me? Did I do something wrong? Is this my fault?” So, you can imagine how the message of “well, yeah, kinda” could be destructive for patients or survivors. In other words, a message that is intended to empower people and promote prevention could just make cancer victims feel guilty.

    But the truth is still the truth, no matter how difficult it may be. So, what doctors have to do is try to guide patients to “switch from guilt feelings to a ‘responsibility’ approach.” They have personal control; they can make different choices from now on. Doctors need to give them a sense of agency in their lives. Better, though, to try to take those steps before you get cancer.

    Doctor’s Note

    For more on personal responsibility, see Why You Should Care About Nutrition and Taking Personal Responsibility for Your Health.



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  • Smart Sun Habits for Everyday UV Protection and Outdoor Skin Safety with Sunscreen

    Smart Sun Habits for Everyday UV Protection and Outdoor Skin Safety with Sunscreen

    Smart sun habits help people enjoy the outdoors while lowering the risk of long-term skin damage. By understanding how the sun and UV rays work and building simple sun protection habits, anyone can improve outdoor skin safety without giving up time outside.

    Why Sun and UV Protection Matters

    Spending time in the sun supports mood, social connection, and physical activity, but unprotected UV exposure is a major cause of sunburn, premature aging, and skin cancer.

    UV rays can damage DNA in skin cells long before any redness or tanning is obvious. Because this damage builds up over time, consistent outdoor skin safety is more effective than occasional, last-minute protection.

    UVA and UVB are the main types of UV that affect skin. UVA penetrates deeper and drives photoaging, while UVB is the main cause of sunburn; both contribute to skin cancer risk.

    Cloudy or cool days can still have strong UV levels, so temperature and comfort are not reliable guides. This is why broad-spectrum sunscreen and other sun protection habits are recommended throughout the year.

    Understanding the UV Index and Peak Hours

    Instead of avoiding the outdoors, people can time their activities using the UV Index. This scale shows how strong UV radiation is at a specific time and place. Higher numbers mean higher risk and a faster time to sunburn without protection.

    Many weather apps display the UV Index, helping people decide when to seek shade, wear more protective clothing, or apply extra sunscreen.

    UV levels are usually highest between about 10 a.m. and 4 p.m., when the sun is high in the sky. Outdoor activities do not need to stop during these hours, but stronger outdoor skin safety measures are important, especially for children, people with fair skin, or anyone spending long periods outside.

    Core Sun Protection Habits

    Effective sun protection habits usually include three pillars: shade, clothing, and sunscreen. Shade is a powerful first step, because it reduces direct exposure to sun and UV. Trees, umbrellas, canopies, awnings, and covered patios all help lower the intensity of UV reaching the skin, especially around midday.

    Clothing acts as a physical barrier. Long-sleeved shirts, long pants, and long skirts made with tightly woven fabrics block more UV than thin or loosely woven materials.

    Some garments carry a UPF (Ultraviolet Protection Factor) rating, which indicates how well they block UV. Higher UPF numbers mean better protection, making these items useful for people who work or play outdoors often, according to Johns Hopkins.

    Sunscreen Basics for Outdoor Skin Safety

    Sunscreen fills in the gaps that shade and clothing cannot cover. For most people, experts recommend a broad-spectrum sunscreen with at least SPF 30 for everyday outdoor skin safety.

    Broad-spectrum products are formulated to protect against both UVA and UVB, aligning with the goal of reducing sunburn, photoaging, and skin cancer risk.

    Getting real-world protection depends on how sunscreen is used. Adults typically need about one ounce, roughly a shot glass, to cover the entire body, with smaller amounts for children.

    Sunscreen should be applied to dry skin 15 to 30 minutes before going outside and reapplied every two hours, or more often after swimming, sweating, or towel-drying. Commonly missed areas include the ears, neck, scalp line, tops of the feet, and backs of the hands.

    Many people ask what SPF they truly need. SPF 30 blocks a large share of UVB rays; higher SPF products block slightly more but do not reach 100%.

    Higher numbers can offer a bit more safety for those who burn easily or spend many hours in the sun, but proper application and reapplication remain more important than choosing the highest possible SPF.

    Questions also arise about daily sunscreen safety. Major health organizations support regular sunscreen use as part of sensible sun protection habits.

    People with sensitive or acne-prone skin may prefer mineral formulas with zinc oxide or titanium dioxide, or non-comedogenic products. Testing a new sunscreen on a small patch of skin first can help identify irritation.

    Clothing, Hats, Sunglasses, and Timing

    Smart clothing choices further strengthen outdoor skin safety. Lightweight, long-sleeved shirts and pants made from breathable yet tightly woven fabric provide coverage while remaining comfortable in warm weather. Darker colors and denser weaves usually block more UV than thin, light fabrics that allow visible light to pass through easily.

    Hats and sunglasses provide focused protection for vulnerable areas. A wide-brimmed hat shades the face, ears, and neck, which often receive the most sun exposure and are common sites for sun damage, as per the Centers for Disease Control and Prevention.

    Sunglasses labeled as blocking 99–100% of UVA and UVB protect the eyes and the thin skin around them, which can be damaged even on bright but cool days.

    Timing outdoor activities can make sun protection habits easier to maintain. When possible, people can plan walks, runs, and playground visits in the early morning or late afternoon to avoid the most intense UV.

    At the beach, on snow, or near water, surfaces reflect UV and increase exposure, so combining shade, UPF clothing, and frequent sunscreen reapplication becomes especially important.

    Myths, Skin Tone, and Vitamin D

    Several myths can weaken outdoor skin safety. One is that sunscreen is unnecessary on cloudy or cold days. In reality, a significant amount of UV can pass through clouds, and skin can be damaged even when the air feels cool.

    Another myth is that people who tan easily or have darker skin do not need sunscreen. While darker skin has more natural protection, it does not remove the risk of UV damage or skin cancer, and problems in darker skin are sometimes detected later.

    Vitamin D is another common concern. Many people can maintain healthy levels through brief, incidental sun exposure plus diet and, when appropriate, supplements recommended by a healthcare professional.

    Intentional sunbathing or the use of tanning beds adds unnecessary UV damage and is not usually advised as the main source of vitamin D.

    Smart Sun Habits for Lifelong Outdoor Skin Safety

    Smart sun habits become most powerful when they turn into routine behaviors. Keeping sunscreen near the bathroom sink or front door, leaving a hat and sunglasses by the exit, or placing sunscreen in a gym bag or car all make it easier to remember protection before stepping into the sun and UV.

    Setting phone reminders to reapply during long outdoor events can turn good intentions into consistent practice.

    Families who model outdoor skin safety, putting on sunscreen together before leaving home, choosing shaded picnic spots, and encouraging hats and sunglasses, help children adopt these habits early.

    Over time, these small steps add up. With a practical mix of sunscreen, shade, clothing, timing, and regular awareness, people can enjoy time outside while keeping sun, UV, and long-term skin damage in better balance.

    Frequently Asked Questions

    1. Can I mix different brands of sunscreen in one routine?

    Yes. It is generally fine to use different brands, but layering does not increase SPF beyond the highest product used; focus on applying enough and reapplying regularly.

    2. Does sunscreen expire, and what happens if I still use it?

    Yes. Sunscreen loses effectiveness after its expiration date or if stored in extreme heat, so using old product can mean less protection than the label suggests.

    3. Is makeup with SPF enough for outdoor activities?

    Usually not. SPF makeup can help, but it is often applied too thinly; for extended outdoor time, a dedicated broad-spectrum sunscreen under makeup is recommended.

    4. Do I need sun protection when driving or sitting near windows indoors?

    Often yes. UVA rays can penetrate glass, so regular exposure near windows may warrant daily sunscreen on exposed skin, especially the face and hands.



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  • Smarter Snack Habits That Improve Blood Sugar Control, Boost Energy, and Increase Satiety

    Smarter Snack Habits That Improve Blood Sugar Control, Boost Energy, and Increase Satiety

    Snacks play a bigger role in daily energy and blood sugar control than many people realize. The types of snacks someone reaches for can either support steady energy or trigger spikes and crashes that lead to fatigue, cravings, and overeating.

    By focusing on healthy snack swaps that improve glycemic balance and increase satiety, it becomes possible to upgrade eating habits without committing to a full diet overhaul.

    Why Snacks Matter for Blood Sugar Control and Energy

    Snacking is often treated as a minor part of nutrition, but it directly affects blood sugar control throughout the day.

    Foods high in refined carbohydrates, like chips, candy, and pastries, tend to have a high glycemic impact, meaning they cause rapid spikes in blood glucose levels. These spikes are often followed by sharp drops, which can leave a person feeling tired, irritable, and hungry again soon after eating.

    On the other hand, snacks that are lower on the glycemic scale help maintain more stable blood sugar levels. This stability supports consistent energy, better focus, and improved appetite regulation. Over time, choosing better snacks can also support metabolic health and reduce the likelihood of energy crashes.

    What Makes Snacks Blood Sugar-Friendly?

    Not all snacks are created equal, especially when it comes to glycemic response and satiety. Blood sugar-friendly snacks typically include a combination of macronutrients that slow digestion and prevent spikes.

    • Protein helps stabilize blood sugar and promotes satiety.
    • Fiber slows carbohydrate absorption and supports digestive health.
    • Healthy fats extend energy release and reduce hunger signals.

    A snack that combines these elements, such as apple slices with peanut butter or Greek yogurt with berries, has a lower glycemic effect than a snack made of refined carbohydrates alone. Portion size also matters, as even healthy snacks can lead to blood sugar fluctuations if eaten in excess.

    Easy Healthy Snack Swaps That Improve Glycemic Balance

    Making healthy snack swaps does not require eliminating favorite foods. Instead, small substitutions can significantly improve blood sugar control and satiety.

    • Potato chips can be swapped for roasted chickpeas or a handful of nuts, which offer more protein and fiber while lowering glycemic impact.
    • Candy bars can be replaced with dark chocolate paired with almonds, reducing sugar content while improving satiety.
    • White bread snacks can be upgraded to whole grain or lettuce wraps, which digest more slowly and provide sustained energy.
    • Sugary flavored yogurt can be swapped for plain Greek yogurt with fresh fruit, offering more protein and less added sugar.
    • Sugary drinks like soda or juice can be replaced with infused water or unsweetened tea, eliminating rapid blood sugar spikes.
    • Pastries can be swapped for oat-based snacks or homemade energy bites that include fiber and healthy fats.

    These healthy snack swaps help reduce glycemic load while keeping meals satisfying and enjoyable.

    Smart Snack Pairings That Boost Satiety and Blood Sugar Control

    Pairing foods strategically is one of the simplest ways to improve snacks without removing them entirely. Combining carbohydrates with protein or fat slows digestion and leads to greater satiety, according to Harvard Health.

    Some effective pairings include:

    • Apple slices with peanut butter
    • Whole grain crackers with cheese
    • Banana with Greek yogurt
    • Raw vegetables with hummus

    These combinations reduce the glycemic response compared to eating carbohydrates alone. They also help prevent overeating later by keeping hunger levels stable.

    Common Snack Mistakes That Disrupt Glycemic Balance

    Even snacks labeled as “healthy” can interfere with blood sugar control if they are not chosen carefully. Several common habits contribute to energy fluctuations.

    • Choosing low-fat snacks that are high in added sugar, which increases glycemic impact.
    • Eating refined carbohydrates without protein or fat, leading to rapid digestion and low satiety.
    • Skipping snacks entirely and becoming overly hungry, which can lead to overeating during meals.
    • Relying on misleading labels such as “natural” or “organic,” which do not guarantee low glycemic content.

    Awareness of these patterns makes it easier to choose snacks that support both energy and satiety.

    What Snacks Won’t Spike Blood Sugar?

    Snacks that have minimal impact on blood sugar are typically rich in protein, fiber, or healthy fats. Examples include nuts, seeds, boiled eggs, Greek yogurt, and low-glycemic fruits like berries. These foods digest more slowly and help maintain stable glucose levels.

    For instance, a handful of almonds provides healthy fats and protein that reduce hunger while keeping blood sugar steady. Similarly, Greek yogurt offers protein that slows the absorption of natural sugars from fruit, as per the Centers for Disease Control and Prevention.

    What Is the Best Snack for Stable Energy?

    The best snacks for stable energy combine multiple nutrients to support satiety and gradual energy release. A balanced snack often includes:

    • A carbohydrate source for quick energy
    • Protein for blood sugar control
    • Fat for sustained satiety

    An example would be whole grain toast with avocado and a boiled egg. This combination delivers a steady energy curve instead of a spike-and-crash pattern.

    How to Choose Low Glycemic Snacks

    Choosing low glycemic snacks becomes easier with a few practical strategies. Reading ingredient labels can help identify added sugars and refined carbohydrates that contribute to spikes. Whole, minimally processed foods are generally better choices because they retain fiber and nutrients that slow digestion.

    Foods like nuts, seeds, vegetables, and whole grains tend to have a lower glycemic impact compared to processed snack foods. When in doubt, pairing a carbohydrate with protein or fat can immediately improve a snack’s glycemic profile.

    Can Snacks Help With Blood Sugar Control?

    Snacks can actively support blood sugar control when used strategically. Eating balanced snacks between meals can prevent extreme hunger and reduce the likelihood of overeating. This approach also helps maintain more consistent glucose levels throughout the day.

    Rather than avoiding snacks altogether, choosing nutrient-dense options can turn snacking into a tool for better energy management and metabolic stability.

    Healthy Snack Swaps for Weight Loss and Energy

    Healthy snack swaps are also useful for those aiming to manage weight while maintaining energy. Foods that improve satiety tend to reduce overall calorie intake by keeping hunger in check.

    For example, replacing a sugary granola bar with a combination of nuts and fruit provides more fiber and protein, helping a person feel full longer. Similarly, swapping chips for air-popped popcorn can reduce calorie intake while still offering a satisfying crunch.

    Quick Checklist for Better Snacks

    A simple way to evaluate snacks is to consider a few key factors:

    • Does it include protein for blood sugar control?
    • Is it rich in fiber to reduce glycemic impact?
    • Does it contain healthy fats to improve satiety?
    • Will it provide steady energy rather than a quick spike?

    If a snack meets most of these criteria, it is more likely to support both energy and metabolic health.

    Smarter Snacks for Better Energy and Blood Sugar Control

    Upgrading snacks does not require a strict diet or major lifestyle changes. By focusing on healthy snack swaps that improve glycemic balance and increase satiety, it becomes easier to maintain consistent energy throughout the day.

    Small changes, like pairing foods, choosing whole ingredients, and reducing added sugars, can have a meaningful impact on blood sugar control. Over time, these smarter snack choices help create a more stable and sustainable approach to eating without sacrificing convenience or enjoyment.

    Frequently Asked Questions

    1. How often should someone eat snacks for stable blood sugar?

    Snacking every 3–4 hours between meals can help maintain steady blood sugar levels, especially if meals are spaced far apart.

    2. Are store-bought “healthy snacks” reliable for blood sugar control?

    Not always. Many packaged snacks contain hidden sugars or refined carbs, so checking labels is important.

    3. Do low glycemic snacks help reduce cravings?

    Yes, they can improve satiety and prevent sudden drops in blood sugar that often trigger cravings.

    4. Is it better to snack before or after a workout for energy?

    A balanced snack before a workout can provide fuel, while one after helps recovery, both can support stable energy levels.



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  • How Refusing to Join the Old Farts Club Helped Me Drive Safely at Night Again

    How Refusing to Join the Old Farts Club Helped Me Drive Safely at Night Again

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  • A Light, Slow, Deep (LSD) Breathing Meditation

    A Light, Slow, Deep (LSD) Breathing Meditation

    Our breathing often becomes shallow, tense, or restricted during the day, and we don’t even notice it. Try this Light, Slow, Deep breathing technique to soften, relax, and expand again.

    Thanks to our autonomic nervous system, life-sustaining processes like our heartbeat, digestion, and breathing all happen without us even having to pay attention. But our environments, stress levels, and other factors can definitely affect the health and efficiency of these processes.

    For example, sitting hunched at our desks and staring at screens often means that our breathing gets shallow and irregular—which of course affects things like focus, energy, cognition, and attention.

    This week, Shamash Alidina leads a guided breathing exercise called Light, Slow, Deep (or LSD), designed to re-set the breath in a way that opens the chest, relaxes tension, and calms the nervous system.

    Most of us breathe backwards: too hard, too fast, and too much. We grip the breath without realizing it. LSD breathing is an invitation to do the opposite.

    • Light means breathing with softness, a gentleness, as if the breath is barely disturbing the air around you.
    • Slow means extending each breath, giving your nervous system time to settle like a pendulum that’s swinging wildly gradually finding its still point.
    • Deep means breathing low in your lower abdomen, not in your chest, but down where the lungs are roomiest and most efficient.

    Together, these three qualities activate your parasympathetic nervous system—the calm, rest-and-digest part of you that so often gets crowded out by the noise of the day. Think of it like turning down volume on a radio that’s been playing too loud. You’re not switching it off, you’re just bringing it to a gentler, more natural level.

    A Light, Slow, Deep (LSD) Breathing Meditation

    Read and practice the guided meditation script below, pausing after each paragraph. Or listen to the audio practice.

    1. Begin by finding a comfortable position. You could be on a chair, cross legged on the floor, lying down. You could even be standing and just gently moving. Whatever allows your body to feel supported and at ease. 
    2. The breath pattern we’ll use today is simple. Inhale for four counts, a gentle pause, and then exhale for six counts. A slightly longer exhale is key. Longer exhalations directly stimulate the vagus nerve, signaling to the whole system that you’re safe. So you don’t need to force anything, you just allow. 
    3. Let’s begin. Take one natural breath first. No need to change anything yet. 
    4. Now place one hand on your lower abdomen, just below your navel. This is your anchor and as you inhale you’re aiming to feel that hand rise like a tide coming in. As you exhale, the hand falls, the tide going out. 
    5. Keep going with that easy breath. Inhaling softly through the nose, feeling the lower abdomen expand. In two, three, four, pause. And exhale slowly. Two, three, four, five, six. And then pause. In, two, three, four, and out two, three, four, five, six
    6. Inhale light and steady like warming mists rising from still water. Exhale, the breath dissolving. Body softening. 
    7. If there is any tendency to grip or control as you’re breathing right now, see if you can loosen your hold on the breath by just a few percent. Inhaling, the lower abdomen is rising. Your chest is barely moving, your shoulders are down. 
    8. Remember to keep exhaling longer than the inhale. All the way to the end. As you inhale, receive the breath rather than taking it in. Exhale and release. Not pushing, just allowing the air to naturally leave.
    9. Now let the breath find its own natural rhythm. Your job is to simply notice it now as the witness, not as the controller. If thoughts arise, and they will, treat them like clouds passing through the still sky. The sky doesn’t chase the clouds, it doesn’t argue with them, it simply holds them. Allows them to be there, and they pass. 
    10. Feel how each complete breath cycle leaves you a little more still, a little more at ease. Like sediment settling slowly to the bottom of a glass of water. The water doesn’t try to clear itself, it just rests. And some clarity naturally comes. Breathing in, slow, light, low. Exhaling slowly. There’s nothing to achieve and nowhere to get to. The breath is simply happening—as it has, without effort, your whole life, long before any thought about it. 
    11. One way to breathe lightly is to breathe quietly. See if you can breathe so quietly that you can hardly hear your own breath. As you do this, you may sense a tiny amount of air hunger, a tiny urge to breathe more. And that’s quite natural. In fact, that’s a good sign. You’re rebalancing your oxygen and carbon dioxide in your body. More oxygen is getting into your cells and into your brain when you breathe lightly. 
    12. When you don’t force yourself too much, you may be able to notice a bit more saliva in your mouth, a bit more warmth in your hands and feet perhaps. This is the sign of the relaxation response engaging, a sign that you’re going in the right direction. 
    13. As we move towards the end of the practice, start noticing the quality of your mind right now. Is it quieter than when we started? Is it more spacious? LSD breathing doesn’t create this stillness, it reveals it. The stillness was always there underneath the movement. The breath simply clears the way. Inhaling light, slow, deep. And exhale, releasing any last effort. 
    14. Remember you can return to this breath at any point in your day—on the train, at your desk, before a difficult conversation. Doesn’t need any special equipment. Just a few moments. 
    15. When you’re ready, slowly allow your eyes to open if they’ve been closed. Take the outside world back into you, and carry this quality into your day. Well done, you’ve given yourself 12 minutes of genuine rest. Thank you for joining me.



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  • Is Aging Gracefully the New Anti-Aging? Brandon Hyatt on Science-Backed Aesthetics for Preventive Healthcare

    Is Aging Gracefully the New Anti-Aging? Brandon Hyatt on Science-Backed Aesthetics for Preventive Healthcare

    The human body has often been perceived as a canvas, and for many years, humans have modified, adorned, and cared for it as an act of identity and intention. Today, that same attention, which was occasionally deemed as vanity, has become an extension of preventive healthcare, embraced under the label of aesthetic and regenerative medicine.

    Brandon Christopher Hyatt, BSN, RN, LHP, founder of The Wellness Lab, has spent his career serving that precise conviction. A former critical care nurse turned advanced aesthetic practitioner, Hyatt challenges industry convention from the ground up, his foundational premise being that the goal of any intervention should never be to override the body’s biology, but to reinforce it.

    Brandon Christopher Hyatt, BSN, RN, LHP, Founder of The Wellness Lab

    “My goal is enhancing your own natural beauty rather than changing who you are,” Hyatt says. “In my view, aesthetics and wellness are intertwined; it’s not just about looking good, it’s about feeling good as well.”

    The numbers validate his orientation. The global aesthetics market is projected to exceed $191 billion by 2032, yet Hyatt argues that the segments leading that growth aren’t cosmetic surgery or injectables, but regenerative and cellular wellness. This belief informs Hyatt’s clinical philosophy at The Wellness Lab, where treatments expand into NAD+ therapy, platelet-rich plasma, stem cell treatments, exosomes, and peptide therapy.

    Hyatt believes this shift signals that consumers are no longer purchasing aesthetic services solely to change how they look. They are investing in how they thrive, and that drives how he approaches regenerative medicine in itself. His focus is centered around enhancing physiological efficiency so that visible outcomes reflect internal health.

    Collagen and elastin regeneration, fibroblast activation, and improved cellular communication form the foundation of what he refers to as reinforcing the skin’s structural matrix. “Doing treatments that reinforce that matrix will allow you to need less Botox, less filler, less of those services, but also give you more healthy, youthful-looking skin at the same time,” he says

    Misconceptions surrounding aesthetic medicine remain a consistent theme in Hyatt’s perspective. He observes that the rapid expansion of injectable treatments, particularly Botox and dermal fillers, has contributed to a saturation of minimally trained providers entering the space. He says, “The industry got flooded with people wanting to capitalize on beauty and Botox and filler.” The consequence, in his view, has been a normalization of overcorrection, where aesthetic outcomes can sometimes detach from natural facial harmony.

    Hyatt’s process begins beneath the skin. Instead of defaulting to dermal fillers or neuromodulators as primary interventions, he seeks to assess clients at a biological level, evaluating internal health markers before recommending any treatment pathway.

    “I treat clients more at a cellular level, which enhances the longevity of their aesthetic goals,” he says. “Through treatments like NAD+ and PRP, things that can build collagen and elastin, you’re actually treating aging concerns at a cellular level rather than applying superficial band-aid fixes.”

    His background in life coaching informs this methodology, particularly in the emphasis on education and trust. “I’m not here to sell people, I’m here to advise,” he states, reinforcing a clinical stance that prioritizes informed decision-making over procedural volume.

    Among the modalities Hyatt champions, peptide therapy, he believes, has emerged as particularly transformative. With its ability to stimulate collagen synthesis, inhibit inflammation, and accelerate tissue regeneration, he frames peptides as an enabler, allowing the body to work at its optimal state without the suppressive effects associated with more invasive or exogenous interventions.

    This regenerative model extends into how care plans are structured. Hyatt advocates for incorporating cellular therapies alongside daily lifestyle foundations, assessing budget, goals, and timeline with each client. “Anti-aging is not a real thing,” he states. “We don’t anti-age. But we can age gracefully, taking care of our body inside and out with nutrition, sleep, and science to support health and wellness.”

    He believes clients should begin engaging with aesthetic care as soon as they reach adulthood, even through foundational interventions such as skincare, medical-grade facials, microneedling, or early peptide support. “Just as individuals maintain dental health through routine care, aesthetic health should also be maintained through consistent biological upkeep,” he says.

    Hyatt also underscores that immediate results, while often desired, are only one part of a broader clinical equation. He explains that his role involves balancing short-term aesthetic improvements with long-term tissue health. In practice, this means combining modalities that deliver visible results with therapies that strengthen underlying skin architecture, reducing dependency on repetitive filler-based correction over time.

    Aesthetic clinics are evolving, and Hyatt believes those that will define the next decade will look more like integrative health ecosystems. He sees the model taking shape at The Wellness Lab as a preview of that trajectory, a practice where cellular health, regenerative science, cosmetic outcomes, and personal empowerment exist within a single clinical philosophy. Critically, he insists that philosophy must be designed to include everyone.

    “We all want to look and feel our best,” he says. “I don’t want to exclude people. Whether you’re a plumber or a professional, this is for you, it’s about looking good and feeling good, for you.” The practitioners leading this movement, Hyatt adds, are offering something unparalleled, grounded and valuable: the science to age on one’s own terms.

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  • Earache and Otalgia in Adults and Uncovering Hidden TMJ Problems and Referred Ear Pain Issues

    Earache and Otalgia in Adults and Uncovering Hidden TMJ Problems and Referred Ear Pain Issues

    Earache in adults is often blamed on infections, but many cases of adult ear pain actually come from structures outside the ear, a pattern known as ear pain or secondary otalgia.

    In these situations, the ear becomes a “warning light” for problems in the jaw, teeth, neck, throat, or nerves rather than the true source of disease. Understanding these less obvious causes of otalgia helps adults avoid repeated, ineffective treatment for “ear infections” that are not really present.

    What Is Earache (Otalgia) in Adults?

    Earache, or otalgia, is any pain felt in or around the ear, regardless of where it starts. Clinicians distinguish between primary otalgia, where the problem lies in the ear itself, and secondary or referred ear pain, where the source is elsewhere but the pain is felt in the ear. In children, primary ear infections are common, but in adults, secondary causes frequently dominate.

    A careful ear examination guides this distinction. Primary ear problems such as infections usually cause visible changes, including redness, bulging, perforation, or discharge from the eardrum, often with fever and reduced hearing.

    When the ear looks normal but adult ear pain persists, referred ear pain becomes more likely, and attention shifts to the jaw, teeth, throat, neck, and nerves.

    Can You Have Ear Pain Without an Ear Infection?

    Adults can absolutely have earaches without any infection. When there is no fever, hearing is normal, and the ear exam shows no inflammation, otalgia often reflects problems in nearby structures like the TMJ, teeth, or throat. In these cases, ear drops and antibiotics do little because they do not address the actual source of pain.

    Referred ear pain occurs because nerves serving the ear also carry sensation from other parts of the head and neck. The brain sometimes misreads where the signal started, so a throat, jaw, or neck issue can be experienced as earache. This explains why a normal ear can still hurt and why persistent adult ear pain requires a broader perspective.

    How Does Referred Ear Pain Work?

    Referred ear pain develops from shared nerve pathways. Nerves that serve the temporomandibular joint, teeth, throat, neck, and parts of the chest feed into the same networks that transmit ear sensations. When one of these regions becomes inflamed or injured, the brain may interpret the pain as coming from the ear.

    Because of this overlap, adult ear pain can be puzzling. A dental abscess, TMJ disorder, or throat inflammation can all produce otalgia even when the ear itself appears healthy. Recognizing referred ear pain encourages both patients and clinicians to look beyond simple ear infection as the default explanation.

    What is Referred Ear Pain?

    Referred ear pain is otalgia felt in the ear even though the problem lies elsewhere. Everyday examples include toothache that radiates toward the ear, sore throat that seems to “shoot” into the ear, or jaw strain near the TMJ that feels like ear pressure and ache.

    Often, earache is accompanied by other clues, such as difficulty chewing, swallowing pain, or neck stiffness, pointing toward the real origin, according to Cleveland Clinic.

    TMJ Disorders and Dental Problems as Causes of Adult Ear Pain

    The temporomandibular joint (TMJ), located just in front of the ear, is a leading cause of referred ear pain in adults. TMJ disorders can arise from teeth grinding, jaw clenching, bite misalignment, arthritis, or prior injury.

    The earache from TMJ is often dull, aching, and one-sided, and it tends to worsen with chewing, talking, or yawning. People may notice jaw clicking, popping, locking, or tenderness over the joint, while the ear exam remains normal.

    Dental problems are another major contributor to adult ear pain. Deep cavities, cracked teeth, wisdom tooth issues, and dental abscesses in the molar region can send pain along nerves shared with the ear.

    This referred pain often feels deep and throbbing, worsens with biting or exposure to hot and cold, and may accompany tooth sensitivity, gum swelling, or a bad taste in the mouth. Once the dental issue is treated, the associated earache usually improves.

    How do you Tell the Difference Between TMJ or Dental Pain and an Ear Infection?

    Ear infections typically cause constant pain, often with fever, feeling unwell, reduced hearing, and visible changes in the eardrum such as redness or bulging. There might be ear discharge or a recent history of colds.

    In contrast, TMJ-related otalgia fluctuates with jaw use and comes with jaw symptoms, while dental-related ear pain reflects biting or temperature triggers and clear tooth or gum problems. A normal ear exam strongly points toward TMJ, dental, or other referred causes rather than primary ear disease.

    Throat, Sinus, Neck, and Nerve-Related Sources of Otalgia

    Inflammation of the throat and sinuses can also lead to adult ear pain. Tonsillitis, pharyngitis, sinusitis, and laryngopharyngeal reflux irritate areas with shared nerve connections to the ear, as per Harvard Health.

    Adults may notice sore throat, difficulty swallowing, hoarseness, nasal congestion, or postnasal drip alongside earache, suggesting referred ear pain rather than a primary ear infection. Sinus congestion can also disturb Eustachian tube function, causing ear pressure, fullness, or mild otalgia, especially with changes in altitude or during colds.

    Neck and cervical spine problems such as arthritis, disc disease, or muscle strain can cause dull, persistent discomfort around or behind the ear.

    This type of adult ear pain often worsens with certain head positions and may come with neck stiffness or reduced range of motion. In addition, nerve-related conditions like trigeminal or glossopharyngeal neuralgia, as well as migraine, can present as sharp, electric, or pressure-like ear pain despite a normal ear examination.

    Although less common, serious conditions such as head and neck cancers, temporal arteritis, or even heart attack can sometimes present with referred ear pain.

    Persistent, unexplained adult ear pain, especially in older individuals or those who smoke, drink heavily, or have cardiovascular risk factors, deserves careful evaluation, particularly if it appears with weight loss, swallowing problems, voice changes, neck lumps, chest discomfort, or shortness of breath.

    Understanding Adult Ear Pain for Better Care

    Earache in adults is often more complex than a simple infection, and many cases of otalgia stem from TMJ disorders, dental problems, throat and sinus disease, neck issues, nerve conditions, or, less often, serious underlying illness.

    Recognizing that adult ear pain can be referred to as ear pain encourages a broader look at jaw function, dental health, throat and sinus symptoms, neck posture, and neurological features.

    Mild, brief earache may respond to rest, jaw care, and congestion management, but ear pain that persists, recurs, or comes with red-flag symptoms should prompt medical or dental assessment. By understanding the varied sources of earache, adults can seek more accurate diagnoses and more effective relief from their otalgia.

    Frequently Asked Questions

    1. Can earwax buildup cause adult ear pain that feels like something more serious?

    Yes. Impacted earwax can cause earache, fullness, reduced hearing, and even tinnitus, and it can feel alarming, but it is usually harmless and easily treated once removed by a professional.

    2. Is it normal for adult ear pain to get worse at night?

    It can be. TMJ clenching during sleep, lying on one side, or increased attention to pain when things are quiet can all make earache feel worse at night, even without an infection.

    3. Can stress or anxiety make earache or otalgia worse?

    Yes. Stress can increase jaw clenching and muscle tension in the neck and shoulders, which may aggravate TMJ-related ear pain or tension-type discomfort around the ears.

    4. Should adults with recurring ear pain keep a symptom diary?

    This can be helpful. Tracking when earache happens, what activities trigger it (chewing, cold drinks, head position), and associated symptoms can give doctors valuable clues about referred ear pain sources.



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  • Elisha Goldstein on the Power of Tiny Shifts

    Elisha Goldstein on the Power of Tiny Shifts

    Psychologist and mindfulness teacher Dr. Elisha Goldstein has spent decades helping people find their way back to themselves. He’s come to see that lasting change rarely comes from dramatic overhaul, but rather through the smallest possible pivots. His new book, Tiny Shifts, introduces a four-step method for interrupting the emotional loops that keep us stuck, and making real change in the ordinary moments of everyday life. Mindful editor-in-chief Siri Myhrom sat down with Dr. Goldstein to talk about the neuroscience behind the method, why our bodies know things our minds don’t, and what to do when the problems feel too big for a tiny shift.


    The heart of the book is the Four R Method: Recognize, Release, Refocus, Reinforce. Where did that come from? Was a method you’ve always had, or did it emerge from a need?

    I think the Four R Method evolved over time—out of my personal experience and also my teaching. The first R—Recognize—is foundational. It’s in many of the world’s wisdom traditions, psychology speaks of it, neuroscience speaks of it. This idea of recognizing, labeling, noticing. Awareness is on its own a regulation tool. It’s also the very first opening to anything. It’s the foundation of mindfulness.

    We need to rebalance the somatic reaction that’s happening, because that widens the space now between stimulus and response. That moment of awareness on its own is typically not enough. We need a wider space.

    That first R is really about stepping outside of the emotional loops that are patterned and conditioned within us—often unconscious, whether that’s anxiety, overeating, snapping at people, road rage, or just generally feeling overwhelmed. These loops happen because there’s so much repetition over years of our lives. We just don’t notice we’re in them. How many people, since 2007, have been programmed to fall into the gentle scroll—typically as some form of soothing, with boredom or dis-ease or restlessness underneath? To wake up to that has been foundational for me.

    But what typically wasn’t there—and what’s not taught systematically—is what I learned later as a psychologist: the somatic piece. That moment of awareness gives us a little wedge. But we can lose that wedge pretty quickly. What we need to do is rebalance the somatic reaction that’s happening. That’s what widens the space between stimulus and response. We don’t just need to step into the space—we typically need to widen it.


    Can you say more about what Release actually means? I think when people hear “letting go,” they imagine it means not feeling the hard thing anymore.

    So that’s a good question, what you’re pointing to here, because release is not about getting rid of the feeling. If you think about tiny shift, it’s like an emotional pivot. We’re just trying to pivot. It’s not about the outcome so much. Think of it more like a verb.

    It’s not whether the emotion is legitimate or illegitimate—it’s here. Release is taking a moment—taking a breath, a slightly longer exhale out, allowing the shoulders to drop, letting the muscles elongate—to feel a little more softness in my body around the activation.  

    I’ll give you an example—a hypothetical moment that has happened many times. My teenage kids had agreed to clean up after themselves after their midnight snacks, and I came downstairs one morning to dishes everywhere. I notice myself really frustrated. Shoulders up, hands tense, face kind of scrunched, heart rate up. I’m about to storm into their room and let them know.

    And release is more about taking a moment to soften around that feeling. It’s not to get rid of the feeling, because the anger is actually justified. They crossed a boundary; there was an agreement. That anger is a healthy feeling. It’s not whether the emotion is legitimate or illegitimate—it’s here. 

    So I recognize the frustration loop. And release is taking a moment—taking a breath, a slightly longer exhale out, allowing the shoulders to drop, letting the muscles elongate. That activates the parasympathetic nervous system. What’s happening there is that I’m taking that space between stimulus and response and widening it. The anger is still there. But I’m able to feel a little more softness in my body around the activation. 

    Sometimes, too, I’ll notice a story in my mind that’s not serving me—something rigid, something about what was done to me—and as I take that exhalation out, I might see that story and say the word “release” and allow it to kind of come out. That doesn’t mean it magically disappears. But it does help soften the activation. It helps turn the volume down on the story a little bit. That’s what we’re after. Whether we’re going to use the anger constructively or destructively—that’s the important piece. And the release is what gives us enough space to choose.


    There’s a phrase in the book — “embodied cognition” — that gets at knowing through our bodies. Where do you think our disconnection from the body comes from?

    I think it’s cultural. Western culture, in particular. You see it from a young age—how we train kids to favor and prize thinking. And our bodies, how we feel, sensations—this type of stuff is implicitly taught as unimportant. So we don’t get a lot of reps with it.

    We’re also wired to problem-solve. So if we’re feeling anxious, frustrated, like something’s wrong—we’re going to try and problem-solve that. And the way we problem-solve is we start thinking. We think about all the problems in front of us, or possible problems that aren’t in front of us, or we reach back to our Rolodex of history and think about problems in the past. Meanwhile, we feel more anxious or upset, because that’s the emotion it feeds.

    The insight doesn’t translate into change until it drops down into the body. That’s the piece that’s so often missing.

    The pause can give us a moment of recognition, but then it’s gone. The insight doesn’t translate into change until it drops down into the body. That’s the piece that’s so often missing.

    There’s a study I keep coming back to, by Norman Farb and Zindel Segal at the University of Toronto. Segal is one of the creators of mindfulness-based cognitive therapy. They showed emotionally difficult film clips—clips from Terms of Endearment and The Champ—to two groups. One group had gone through mindfulness training and one who hadn’t. Both groups showed the same perceived sadness. But the mindfulness group scored statistically significantly lower on the Beck Depression Inventory

    We’ve got two basic networks in our brains: the narrative network [also called the Default Mode Network], where rumination and worry live; and the present-focus network [also called the Task Positive Network], where problem-solving occurs. And what the brain imaging showed is a kind of seesaw effect: when one network goes up, the other goes down, and vice versa. 

    When people were paying attention to the sensation of sadness and saying “sadness” in their mind, their narrative network was coming down. They didn’t get caught in the rumination as much. That’s how mindfulness works. And similarly, when we recognize a loop and soften around it in an embodied way, it dials down that narrative default mode network. That’s the neurology behind why this works.


    Can you give another example of how this works in your everyday life?

    This method is basically how I cured my insomnia, because understanding the neurology of this has helped me trust, to come back to my body any time I have sleep troubles. As an example, my dog recently woke me up in the middle of the night, barking. So I had to go get the dog, and on the way back to bed, I banged my hand on the banister in the dark, and cut my hand. It’s the kind of thing that just wakes your whole body up. By the time I got back to bed, my mind had latched onto a work problem. And I could recognize what was happening: I was in a worry loop. There’s something called the Zeigarnik Effect—the mind keeps trying to close unfinished loops. So I knew that if I just tried to push the thought away, it would keep coming back.

    I recommend this to anyone: really deeply listen to a practice with massive repetition, so that you memorize it. Because the higher your emotional activation, the more your thoughts are convincing, the more you kind of go under a spell. If you have some level of mastery, you’ll be able to break that spell—because you can trust the neurology.

    What I did instead was recognize the loop, and take a moment to soften the physical tension. My stomach was clenched from the worrying, so I took some deep breaths—not to “activate the parasympathetic nervous system” as a technique, but because my abdomen was tense and I needed to do the opposite. I needed to stretch those muscles. So I took deep breaths, my abdomen expanded, and that was the release.

    Then my refocus was: I know the seesaw effect. I know that even though my mind is telling me I need to worry about this, if I come back and attend to something in the present moment—for me the body is the most tangible anchor—I can activate that steady gear and bring the spinning gear down. And because I’ve done a body scan hundreds of times, my body just knows what to do. I don’t need to turn on an audio. I recommend this to anyone: really deeply listen to a practice like that with massive repetition, so that you memorize it. Because the higher your emotional activation, the more your thoughts are convincing, the more you kind of go under a spell. If you have some level of mastery, you’ll be able to break that spell—because you can trust the neurology.


    The third R is Refocus. You describe it as “taking the steering wheel.” What does that look like in practice?

    Our brain is already reactively asking us questions—and it’s steering. What’s the worst case scenario here? What’s wrong with me? Why don’t my kids love me anymore? Whatever it is, refocus is about consciously redirecting that question-asking capacity. When we ask our brain questions, it searches for answers. So instead of those reactive questions, we ask something like: What’s most important for me to focus on right now? What do I actually need right now that’ll move me in a healthier direction? What’s something I can do that’ll enhance the next five minutes of my life? Something like that will completely change the moment.

    Sometimes refocus doesn’t even require a new question. After you’ve recognized and released, you often just have access to wisdom you already had—a phrase from a teacher you love, an intuition about what you need. The emotional loops don’t erase our wisdom. They just block access to it.

    And sometimes refocus doesn’t even require a new question. After you’ve recognized and released, you often just have access to wisdom you already had—a phrase from a teacher you love, an intuition about what you need. The emotional loops don’t erase our wisdom. They just block access to it. That’s why so many people say, I’ve done so much work, read so many books, why isn’t it sticking? This is why. When we’re in those emotional loops, we lose access to what we know. The release is what restores that access.


    The fourth R—Reinforce—is the one you say that’s most often skipped. Why does it matter?

    Yes, it’s the most often missed—and the reason there’s a fourth R at all is because after we have an experience, we need to do something to emotionally tag that moment so we remember it. It might be a meditation or interrupting a moment where you were about to snap at your kid, or you were in traffic hating being in traffic and you loosened your grip on the steering wheel and remembered something Sharon Salzberg said—you are also the traffic—and suddenly felt a whole lot more ease. The reinforce is saying: I need to do something that emotionally tags this moment. That’s a term from neuroscience. To emotionally tag the moment so my brain remembers it. I want to install it in my short-term working memory so that the next time I’m in this context, my brain will automatically bring it up and interrupt the old pattern.

    Emotional tagging is acknowledging: Wow, look at what I just did, and how I’m feeling right now. That gives it a little extra emphasis. It’s like hitting the save button on a document you just created. You take a beat with it. Just let the moment land. That’s the reinforce piece.

    The way to do that is quite simple. Just acknowledging: Wow, look at what I just did, and how I’m feeling right now. That gives it a little extra emphasis. Or you take a moment and put your hand on your heart and sense the shift—whether it’s relief, ease, warmth, whatever the positive shift is—and you let it land. It’s like hitting the save button on a document you just created. You take a beat with it. Just let the moment land. That’s the reinforce piece. And that’s how we really enhance the process toward more implicit change—not just knowing something, but having it available to us the next time we need it.


    As I was reading, I was thinking, too, about our current cultural moment. I live in Minneapolis, and we have had a hell of a year. In the realm of overwhelm, there was both the feeling and the message: We need to be doing something, and it has to be more and more and more, and it’s not enough, and everything’s on fire. How does a concept like “tiny shifts” work when the problems feel so big and so urgent? How can this tiny thing be enough to meet what is asking so much of us?  

    First of all, just acknowledging that, yeah, Minneapolis has been through the wringer this last year in gigantic ways. A friend of mine who’s been diagnosed with cancer said exactly that to me after I gave him the book, Do you have anything called Big Shifts? Because that’s what I need. And I really felt that.

    A friend of mine who’s been diagnosed with cancer said to me after I gave him the book, “Do you have anything called Big Shifts? Because that’s what I need.” And I really felt that.

    But here’s what I’d say. In your example—the feeling that I’m not doing enough, there’s so much to do, everything’s on fire, and it’s still not enough—that is an emotional loop. What I’m noticing is that I’m activated. My mind is running stories. My body is tensing. It’s a not-enoughness loop, a save-the-world loop. And a tiny shift is saying: What’s happening within me right now? Because I’m not grounded and balanced in this moment. And that’s what we’re after.

    So I recognize the overwhelm loop. I release. I soften around the activation even as all of that is still here. Then I refocus—and in this moment I could go a lot of directions. I might ask: What are some things I’ve been doing in the direction of this that I feel a sense of accomplishment about?—redirecting attention from the lack to what I’ve actually done. Or: What’s one thing I can do that moves in this direction? 

    The tiny shift isn’t pretending the big thing is small. It’s gathering yourself—recognize, release—so that when you refocus, you’re steering from a more grounded place.

    The tiny shift isn’t pretending the big thing is small. It’s gathering yourself—recognize, release—so that when you refocus, you’re steering from a more grounded place. And then if you notice even a little bit of relief or clarity, you reinforce it. Okay. I can do this. This is also part of me. I can walk through this incredibly difficult time with more groundedness. And that might take thirty seconds. Or it might open up the realization that you need to take a half an hour this evening. That’s okay too. Because that’s a need you have, and the method helped you find it.


    Following up on that question of What do I need right now?—What if what we need is truly unrealistic or impossible—say, a more loving parent, or for more people to step up, or for more hours in a day? How do you get at what’s underneath all that so you can get to what can actually be addressed?

    Often when we’re overwhelmed, we struggle to even name what we need. So we can ask, What do I need right now? And if the honest answer is, I’m confused, I don’t know, I’m just so over it—then the actual need is “clarity.”  That’s always a one-to-one: confusion means the need is clarity. So then the question becomes, What’s going to support me in the direction of clarity? Maybe a conversation. Maybe journaling. Maybe space and time—and there’s no getting around that sometimes we just need to take time to reflect. You’re not going to get it without taking time to sit and be with something. We can do that together or we can do that individually, but there is a need, and there’s no getting around taking space for that. So the next layer is: What’s going to support me in creating that space? 


    Speaking of that, you do have a class coming up. Do you want to talk about? 

    Yes, we have this great program called the 21-Day Tiny Shift Experience, starting on May 11. I realize that change happens in the everyday moments of our lives, and this is a program of one- to three-minute daily voice notes delivered through WhatsApp—for people who want support in layering this into everyday life. People had incredible results the first time we ran it: more relief, more ease, more calm, real insight—without taking time out of their day, just by weaving in these tiny shifts over three weeks.

    And remind us—where can people find your  book and learn more?

    The book is Tiny Shifts, and there’s a free resource bundle at elishagoldstein.com/tiny-shifts—a quick guide to the method, three shorter meditations, and a needs and feelings inventory. 


    There’s still time to join the upcoming 21-day Tiny Shifts program, which starts on May 11, 2026. Register here.



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  • How Metabolic Flexibility and Fuel Switching Shape a Healthier Metabolism and Stronger Insulin Response

    How Metabolic Flexibility and Fuel Switching Shape a Healthier Metabolism and Stronger Insulin Response

    Metabolic flexibility is emerging as a key marker of how well a person’s metabolism adapts to changing demands and fuel availability. It describes how efficiently the body can perform fuel switching between carbohydrates (glucose) and fats in different states such as feeding, fasting, and exercise.

    When fuel switching works well, insulin, mitochondria, and cellular energy systems stay in better balance, supporting long‑term metabolic health.

    What Is Metabolic Flexibility?

    Metabolic flexibility is the capacity of the body to switch between burning glucose and fat depending on what fuels are available and what the body needs at that moment.

    In a flexible state, the body increases carbohydrate oxidation after a meal and then shifts to fat oxidation during fasting or when carbohydrate intake is lower. This adaptability helps maintain stable energy and efficient nutrient handling.

    Fuel switching operates across a 24‑hour cycle. After eating, glucose becomes the primary fuel, especially for the brain and working muscles. Between meals and overnight, when insulin levels drop, the body draws more heavily on stored fat.

    A flexible metabolism transitions smoothly between these states, while a less flexible one tends to rely excessively on glucose and store more energy as fat.

    How Insulin and Mitochondria Shape Fuel Switching

    Insulin and mitochondria are central to metabolic flexibility. After a carbohydrate‑rich meal, insulin rises and signals cells to take up glucose, using it immediately for energy or storing it as glycogen. At the same time, insulin temporarily suppresses the release of fatty acids from fat tissue, shifting the system toward glucose use.

    As time passes after a meal and insulin levels fall, fat cells begin releasing fatty acids, and tissues increase fat oxidation. In a flexible system, this transition happens smoothly. Chronic high insulin levels and insulin resistance disrupt this rhythm, keeping the body stuck in glucose‑dominant mode and making it harder to tap into fat stores for fuel.

    Mitochondria, the cell’s energy‑producing structures, are where both glucose and fatty acids are oxidized to generate ATP.

    Healthy mitochondria can handle different fuel mixes, ramping up fatty acid oxidation during fasting and managing carbohydrate surges after meals without excessive metabolic stress. When mitochondrial function or number declines, fuel switching becomes less efficient, and excess fuel is more likely to be stored in tissues such as liver and muscle, which can promote insulin resistance.

    Why Metabolic Flexibility Matters for Health

    Metabolic flexibility sits at the intersection of insulin sensitivity, mitochondrial function, and long‑term cardiometabolic health.

    When fuel switching is intact, the body handles post‑meal blood sugar more effectively, reducing sharp spikes and insulin surges. Over time, this can ease the burden on the pancreas and help maintain healthier glucose control.

    Research associates metabolic inflexibility with conditions like insulin resistance, type 2 diabetes, obesity, and cardiovascular disease, according to Cleveland Clinic.

    Inflexible systems often show persistent reliance on glucose, difficulty increasing fat oxidation, and signs of mitochondrial overload or dysfunction. These patterns contribute to chronic low‑grade inflammation and the accumulation of fat in the liver and muscles, all of which raise long‑term disease risk.

    Signs of Poor Metabolic Flexibility

    Metabolic flexibility is often measured in research settings, but everyday signs can provide clues.

    Frequent energy crashes between meals, strong dependence on snacks, and intense cravings for refined carbohydrates may indicate trouble transitioning from glucose to fat as a fuel source. Feeling shaky, irritable, or unusually fatigued when meals are delayed can suggest similar issues.

    Physical and laboratory markers also offer hints. Central weight gain, elevated fasting glucose or insulin, high triglycerides, and low HDL cholesterol often cluster with impaired metabolic flexibility. While none of these signs are diagnostic on their own, together they can point to a metabolism that struggles with effective fuel switching.

    What Undermines Metabolic Flexibility?

    Modern lifestyles can make metabolic flexibility harder to maintain. Highly processed diets rich in refined carbohydrates and fats, frequent snacking, and low physical activity keep a constant influx of energy coming in.

    Under these conditions, insulin may remain elevated for long periods, leaving fewer opportunities for the body to shift back into fat‑burning mode between meals.

    Chronic overnutrition and sedentary behavior can overload mitochondria and promote fat storage in tissues not designed to store large amounts of lipid.

    Aging, poor sleep, and ongoing psychological stress can further reduce insulin sensitivity and alter hormonal balance. Over time, these influences accumulate and make fuel switching less responsive, reinforcing a state of metabolic inflexibility.

    How to Improve Metabolic Flexibility Safely

    Improving metabolic flexibility involves gradual, sustainable changes rather than extreme interventions, as per Mayo Clinic.

    A dietary pattern centered on minimally processed foods, adequate protein, healthy fats, and moderate amounts of carbohydrates supports more stable insulin responses. Setting defined meal times and limiting constant snacking allows the body to cycle naturally between periods of glucose use and fat use.

    Physical activity is one of the most effective tools for enhancing metabolic flexibility. Regular aerobic exercise, resistance training, and some higher‑intensity efforts increase mitochondrial density and capacity in muscles.

    As these adaptations build, muscles become better at using both fat and glucose, even at rest. Alongside movement, quality sleep, stress management, and limiting alcohol and tobacco use help maintain insulin sensitivity and healthier fuel switching.

    People with existing metabolic conditions or taking medications should consult a healthcare professional before major shifts in diet or fasting patterns. The aim is to train the metabolism toward greater metabolic flexibility through consistent routines that are realistic to maintain over the long term.

    Metabolic Flexibility: Training Metabolism for Better Fuel Switching

    Metabolic flexibility captures how well the body’s metabolism can shift between glucose and fat, under the guidance of insulin and powered by mitochondria.

    When this fuel switching works smoothly, the system handles meals, fasting periods, and physical activity with less strain, supporting steadier energy, healthier body composition, and lower long‑term disease risk.

    By focusing on nutrient‑dense foods, regular movement, structured meal timing, and restorative lifestyle habits, individuals can gradually nudge their metabolism toward better metabolic flexibility and more resilient fuel switching over time.

    Frequently Asked Questions

    1. Can someone be metabolically flexible and still have extra body fat?

    Yes. A person can carry extra body fat yet still show good metabolic flexibility, especially if they have good insulin sensitivity, move regularly, and maintain stable blood sugar.

    2. Does drinking coffee affect metabolic flexibility?

    Caffeine can temporarily increase fat oxidation and alertness, but its impact on long‑term metabolic flexibility depends more on overall diet, sleep, and activity than coffee itself.

    3. Is metabolic flexibility permanent once it improves?

    No. Metabolic flexibility is dynamic and can improve or decline over time, depending on ongoing habits like nutrition, physical activity, sleep, and stress management.

    4. Can someone have normal lab tests but still be metabolically inflexible?

    Yes. Standard lab tests may look normal while early signs of metabolic inflexibility, like energy crashes, cravings, or difficulty fasting, are already present, especially in the early stages.



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