Idiopathic peripheral Neuropathy
I am a new listener and have truly enjoyed the AMA podcasts. Unfortunately I suffer from idiopathic peripheral neuropathy and cannot find a medical professional (been to Mayo Clinic, UCLA, Cedar Sinai ) who can give me direction on how to slow the onset, reverse the current symptoms, or repair the damage. I am 69 years old, in relatively good health, and find this is impacting my enjoyment of my life significantly…to the point of visiting a counselor for depression. There is an organization, the Foundation for Peripheral Neuropathy, which I have joined and does offer some solace in the stories of the people who live with it…I am not the type to sit back and accept it. I understand the challenges of those who suffer neuropathy as a result of life saving treatments (cancer, etc), though the fact there isn’t a cause to be traced back to makes this particularly frustrating. Thank you for you consideration in answering this question. Take care.
Breath by James Nestor
I just finished reading Breath by James Nestor, and am captivated by the breathing techniques and importance of breathing through ones nose for all sorts of health benefits that he lays out. I'm super curious if Peter has heard of this book and what his thoughts are about it.
TRE and Postprandial Insulin Levels?
Dr. Attia, You mentioned on previous AMAs that some people do not do well with intermittent fasting due to increased postprandial insulin levels. I am not diabetic (fasting glucose 90mg/dL), but have found that I will crash hard (get tired) right after dinner when following a regular 16/8 window. When I eat three meals a day, I do not get tired after dinner. Does getting tired after dinner mean an increase in insulin, or too little insulin?? Would appreciate any thoughts here. Thank you!
Altitude and Dehydration
I think Peter missed one of the Elephants in the room regarding his plane trip where he passed out the next day in Brazil. His dehydration was likely exacerbated more than he thought by the plane trip, which I assume it was between 6 and 8 hours in duration. Most people do not take into account that while at altitude even sleeping, your body looses a lot of water. It is easy to over look the fact that your lungs are giving up larger amounts of water due to the difference in vapor pressure at altitude and at sea level. The lungs loose water more rapidly at altitude because of the vapor pressure difference. When you fly, the altitude of the cockpit is approximately 8,000 ft. Just sitting or sleeping at altitude (on a plane or in a hotel room) causes a lot of water to be lost from your lungs (no sweating, or exertion required). Is this a case of dehydration where one should just add lots of water? or is there a case for using something with electrolytes. I live in Colorado and spend a lot of time above 9,000'. Currently I rehydrate with about 75% plain water and 25% water with added electrolytes.. Is there any research on altitude and rehydration?