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How to Transform Your Health in Eight Weeks with Dr Ayan Panja #324

Jan 8, 2023 1h 43m 26 insights
Doctors working in general practice have never faced such challenges as they do today – and yet there’s a perception that they’re just not working hard enough. The reality, says this week’s guest, is there are fewer doctors and resources and soaring patient numbers with increasingly complex needs. But Dr Ayan Panja might just have hit on a solution. Ayan, as regular listeners will know, is a returning guest to the podcast and a good friend of mine. Together we developed the RCGP-accredited Prescribing Lifestyle Medicine course, which we offer to fellow healthcare practitioners. As well as being a very busy NHS GP with almost 25 years of experience, Ayan is an exceptional health communicator. His brand-new book, The Health Fix: Transform Your Health In 8 Weeks, contains life-changing insights about how we can all improve our health and wellbeing using techniques and strategies he has seen work time and time again in over 2 decades of clinical practice. In our conversation, Ayan explains the eight key factors which affect our health the most day to day and shares the simple ways that we can start to improve them. We talk about autoimmune disease and how the underlying mechanisms behind these diseases often start in the body years before we actually get a diagnosis. We also discuss the limitations of evidence-based medicine and why real-world experience often counts as much, if not more than laboratory findings. And of course, we talk about the practical things that we can all implement immediately to improve our health and happiness. One of the things that I love the most about Ayan’s approach is that it really understands that you are unique and it's going to allow you to generate your own targeted lifestyle prescription. And this episode will put you on the right path to discovering your own, individual health story – and the right interventions for you.  Find out about the LIVE, Prescribing Lifestyle Medicine event for healthcare practitioners http://www.prescribinglifestylemedicine.org/ Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Thanks to our
Actionable Insights

1. Understand Health Loop Factors

Recognize that your current state of health is based on eight interconnected factors: sleep, stress, diet, exercise, genetics, environment, historic infections, and sunlight exposure. This framework helps identify areas for improvement.

2. Tailor Health Approach to Self

Improve your health by understanding your unique personal story and tailoring interventions to your individual needs. This personalized approach helps identify and address the root causes of your health challenges.

3. Prioritize Based on Health Loop

Use the Health Loop to identify the two or three key areas in your life that genuinely need attention, rather than focusing solely on your ‘favorite’ health area or external advice. This ensures your efforts are directed where they will have the most impact.

4. Create Personal Health Timeline

Plot out all significant health and life events from your childhood to the present on a timeline. This helps identify patterns and understand how early life experiences (e.g., infections, stress) may be affecting your adult health.

5. Analyze Your Typical Day

To understand how the eight health loop factors (stress, sleep, diet, movement, etc.) are impacting you, reflect on and describe your typical day. This often reveals key areas for health improvement.

6. Address Root System Malfunctions

Instead of solely focusing on symptoms (like pain or headaches), investigate and address underlying malfunctions in your biological systems (gut, immune, musculoskeletal, nervous, endocrine, cardiovascular). This approach targets the root cause of persistent health issues.

7. Adjust Lifestyle for Systemic Health

For persistent symptoms linked to systemic inflammation (e.g., migraines), make lifestyle adjustments to your behaviors and environment. This helps improve the functioning of your biological systems, leading to symptom relief.

8. Use IDEAL Framework for Change

Apply the IDEAL framework for behavior change: Identify what you want to do, Define what needs to be done, Engage with the process, Activate by taking action, and Look back to acknowledge your progress.

9. Perform One-Minute Recharge

Combat stress by taking one minute to do nothing: close your eyes, sit, breathe slowly, and visualize a relaxing scene. Perform this twice a day, such as before starting work and before entering your home, to better handle daily stressors and leave work stress outside.

10. Maintain Consistent Sleep Schedule

Go to bed and wake up at the same time each day, even on weekends, to maintain a consistent circadian rhythm. This improves energy levels, brain power, mood, stress levels, and blood sugar control.

11. Establish Pre-Bed Routine

Create a one-hour routine before bed that avoids stimulating activities like checking work emails, and instead focuses on calming, relaxing activities. This signals to your body and brain that it’s time to wind down, leading to better sleep and improved daytime function.

12. Prioritize Daily Hydration

Ensure you drink enough water throughout the day, as adequate hydration is crucial for brain function, skin health, renal function, and overall well-being. It can dramatically improve concentration and energy levels.

13. Start Day with Water

Drink a glass of water first thing in the morning to kick-start your hydration process for the day.

14. Improve Diet with Nutrients

Enhance your diet by introducing more nutrient-rich foods, particularly vegetables and fruits, to move away from less nutritious ‘beige foods’ and support overall health.

15. Focus on How, What, When You Eat

Beyond just what you eat, pay attention to how you eat (e.g., eating slowly) and when you eat (e.g., avoiding late-night snacking) to optimize digestion and sleep.

16. Avoid Bedtime Snacking

Refrain from snacking before bedtime, as it can disrupt sleep by causing spikes in blood glucose and insulin levels, which is detrimental to overall health.

17. Consider Probiotics for Gut Health

If your gut flora may be compromised (e.g., after antibiotic use), consider taking a probiotic like Lactobacillus GG to help restore the balance of good bacteria, which is crucial for immune system function.

18. Consider Gluten Avoidance

If you have a genetic predisposition to celiac disease (e.g., HLA-DQ2 or HLA-DQ8 genes), consider avoiding gluten to potentially prevent the development of celiac disease, even if current antibody tests are negative.

19. Gluten-Free for Hashimoto’s

If you have Hashimoto’s disease, consider a gluten-free diet. Due to molecular mimicry, gluten proteins can resemble thyroid gland proteins, causing the immune system to attack the thyroid and leading to flare-ups of symptoms.

20. Address High Sugar for Brain Health

If experiencing brain fog, memory issues, or have a family history of Alzheimer’s, address high sugar intake in your diet. Interventions to lower blood glucose can also help prevent Alzheimer’s and improve cognitive function.

21. Start Exercise Gently

If new to exercise or have a history of aversion, begin with a gentle, structured program like the Couch to 5K app, which gradually builds from walking to running. This approach makes exercise more accessible and sustainable.

22. Manage Intrusive Thoughts

If worries arise during your one-minute recharge, gently redirect your focus by returning to the beginning of a breath and thinking of something relaxing. This helps cultivate stillness and overcome initial difficulty with silence.

23. Practice Silence Regularly

If you find sitting in silence difficult initially, bear with it and practice regularly. The more you expose yourself to stillness, the easier it becomes to quiet your mind.

24. Create Daily Transition Zones

Implement ’transition zones’ in your day to shift your state, such as changing clothes after work. This helps metaphorically leave the stresses of the day behind and be more present at home.

25. Iteratively Refine Health Loop

Revisit and refine your Health Loop analysis repeatedly over time, making small ’tweaks’ to your routines and behaviors. This iterative process allows for continuous improvement and adaptation as your health needs evolve.

26. Live and Savor the Moment

Practice being present and living in the moment, savoring everything you do. This mindset can enhance your overall well-being and appreciation for life.