Is Burnout Real?

Richmondchironeu • August 5, 2019

Hello again everyone:

Most of us at some point in our lives, have felt burnt out. This is usually from chronic stress that is usually a combination of different types of stresses. These may include work and/or emotional and mental stress, biochemical stress and physical stress. Examples might be: working 50 to 70 hours per week; stressful work situations including how well we get along with our boss or co-workers; poor eating habits; recurrent illnesses; nutrient depletion and imbalances; poor sleep; lack of appropriate exercise; frustration in not achieving our purpose; relationship issues; substance abuse such as sugar and/or alcohol or food; medications; etc.

Burn out is real, and now the medical profession has even given the condition it’s own diagnostic code:

Z73.0 – Burn-out state of vital exhaustion

Symptoms include: extreme fatigue; anxiety; insomnia; weariness; loss of motivation and/or passion for work or other responsibilities, ambitions or goals; negativity; cynicism; loss of hope; feeling profoundly emotionally exhausted; feeling less of a sense of worth or competency; not feeling recognized or rewarded appropriately and more.

For more detailed info, please check out this really informative link:

What is it that I find in burnout patients?? Typically, it is some type of dysfunction in the HPA axis. This is the Hypothalamus-Pituitary-Adrenal axis. And what is that?

Our brain has many ways of recognizing stress and generating a pro-survival response, and a primary one is the HPA axis.  Any  type of stress sends signals to the brain so that we can respond appropriately and survive and thrive. This information comes into the brain, and gets sent to the  hypothalamus  to generate a survival response. Once the  hypothalamus gets the information, it sends a signal to the pituitary  to actually carry out the response by sending signals to our body on how to respond to the stress, and the usual target is the  adrenal glands.

For example: Let’s say we are having a very stressful day at work. This emotional, chemical or physical stress sends a signal to the hypothalamus, then sends a signal to the pituitary that sends a signal to the adrenal glands. The adrenal glands respond by putting out increased levels of adrenalin and cortisol, which give us the energy and lift we need to see our way through the stress and to recover from it. This is great and has allowed humans to conquer their environment and do great things.

Bottom Line:  The problems arise when this mechanism becomes  chronically turned on , and this persistent elevation of stress hormones has MANY NEGATIVE downstream effects. Over the next couple of newsletters, we will explore how stress and the continual over-stimulation of the HPA results in poor health and degeneration of multiple bodily systems. From exhaustion to digestive problems, to depression, to frequent illnesses or infections, increased allergies, poor sleep, loss of cognitive function, increased anxiety, poor memory and more, stress is usually part of the gang that is tearing us down. In the next issues, we will go over this and describe self-care things you can do now to off-set the negative effects of stress.

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Health News Update: Sleep Timing, Mood & Performance 4.6.26 Hello everyone: In taking a history at the start of a healthcare process, I often find people of all ages have sleep schedules that do not match optimal circadian rhythms and have un-knowingly contributed to degrading their health. Sleep is a significant component of leading an anti-inflammatory lifestyle as it fosters autophagy (an immune based essential self-cleaning function, hormonal regulation, stress reduction, immune resilience, optimal aging, and more. As it turns out, getting your sleep timing right lowers depression, reduces morning fatigue, improves physical functions, and can markedly increase your ability to think, recall things and overall cognitive functions. Proper sleep timing aligned with our natural circadian clocks may also decrease mortality risks. Background There is conflict between living according to our endogenous biological rhythms and our external environment, with disruptions resulting in negative consequences to health and performance. This is often documented in shift work and jet lag , but ‘societal norms’ (eg, typical working hours) can create profound issues for ‘night owls’, people whose internal biological timing predisposes them to follow an unusually late sleep-wake cycle. Night owls have also been associated with health issues, mood disturbances, poorer performance and increased mortality rates . Results Overall, participants demonstrated a significant advance of ∼2 h in sleep/wake timings as measured by actigraphy and circadian phase markers (dim light melatonin onset and peak time of the cortisol awakening response), whilst having no adverse effect on sleep duration. Notably, the phase advance was accompanied by significant improvements to self-reported depression and stress, as well as improved cognitive (reaction time) and physical (grip strength) performance measures during the typical ‘suboptimal’ morning hours. https://www.sciencedirect.com/science/article/abs/pii/S1389945719301388?via%3Dihub resetting sleep timing improves brain function and overall health. Bottom Line: For long term health, assisting recovery, optimal aging, improving immune resilience, lowering your total inflammatory burden thus reducing your risk for developing chronic diseases…it looks like a very good idea to get your sleep cycles in line with your natural biological rhythms. The researchers aimed to accomplish this using only simple practical natural lifestyle methods…no medications. Here is some of what they did: · Avoid blue light after dark. · Get some early morning sunshine…even 5 minutes will help. · Exercise in the morning or early afternoon. · Adopt early time restricted feeding schedules (eTRF). · Fix a time to sleep and stick to it. If you have any chronic health issues, or just want to optimize the aging process, simply adopt a few simple lifestyle strategies. I have seen this clinically be one of the major keys to the success when it comes to overcoming fatigue, brain fog, digestive issues, and any chronic health problem. Best wishes to you for a healthy life!
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Health News Update: How To Fight Inflammation and Chronic Disease 3.23.26 Hello again everyone: You might wonder why I keep focusing on food…so here are some of the reasons: food choices are the leading cause of death in the U.S. and spreading around the world. Poor food choices lead to inflammation which slowly destroy health. It is that simple, plain, and clear and backed by research. The next question: how do we fight back? Introduction The positive impact of food on health was postulated by the ancient Hippocrates, father of modern medicine with his famous quote: “Let food be thy medicine and medicine be thy food” [1]. In the 21st century, scientists have focused on the effect of nutritional habits in diseases. Nowadays, it is well documented that food plays a noteworthy role in the pathogenesis of chronic diseases namely cardiovascular diseases (CVD), metabolic syndrome, diabetes mellitus type II, and cancer [2–5], as it correlates with others with the lipid pattern, the blood pressure, and the endothelial function. The scientists examine the effect of nutritional habits on disease emergence and progression in both individual nutrient intake and dietary patterns models. Worldwide, two dietary patterns are usually compared—the Mediterranean diet (MD) and the Western diet (WD) [3,6]. The Mediterranean diet reflects the food culture of most Mediterranean countries based on olive oil consumption, seasonal fresh vegetables, cereals, and plants in balance with low consumption of meat [7]. The Western diet, on the contrary, is dominated by high-fat dairy products processed and red meat [8]. However, discordance in the different MD patterns and consumed food doses had been recognized. Without any doubt, those discrepancies could confine and restrict our knowledge on the health benefit mechanisms of the MD [9]. Due to the above, the medical community along with nutritionists and dieticians take a keen interest in MD and its traits [7]. https://www.academia.edu/45378994/biomedicines_Mediterranean_Diet_as_a_Tool_to_Combat_Inflammation_and_Chronic_Diseases_An_Overview?email_work_card=view-paper food choices can fight inflammation and chronic disease Bottom Line: This is a 2020 paper and since then literally hundreds of papers on the MD have emerged showing how the food plan lowers inflammation and the risk for developing multiple chronic illnesses. Even still, lots of research needs to be done to elucidate the many mechanisms of how food impacts our system and how to optimally individualize dietary recommendations. At this point, our best strategy to prevent and/or recover from any chronic condition is to eat as clean and natural as possible. It has become rather obvious that the further away from a natural diet we get, the sicker we become. On top of that, I have yet to see a full recovery from any health issue without the foundation of a predominantly plant-based, unprocessed, whole foods approach…which is why I keep posting about this subject. All the best to you and yours!
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