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He handed it to me, saying, Here, Mommy. Standing up from my tiny chair, I took the flower and smiled. Thanks, honey. I looked at the text, written in the preschool teacher's neat handwriting. That's what he loves about me? Not what I would have expected. The brain is happy, because there is now a steady supply of ketones produced from stored fat. Someone could do the same thing by doing an extended fast to burn through glycogen stores more quickly. With IF, it just takes longer to get there, because you are depleting only some of the glycogen each day. But eventually, you should get to the point where you get into ketosis daily during the fast, even while enjoying carbs in your eating window. Our brains love ketones, and once we have a steady supply, we experience amazing mental clarity and increased energy during the fast! This is one of my favorite features of living an intermittent fasting lifestyle, and it is the reason that I do any work requiring me to be focused and mentally sharp while in the fasted state. What do all these fasting terms mean? Don't worry! Once your body has learned to tap into your fat for fuel during the fast, you have reached a state we like to call metabolic flexibility, and I believe it is how our bodies are meant to function. What does metabolic flexibility look like in our bodies? --Unknown author More brains. --Zombie from The Return of the Living Dead In order to make your anxiety getaway by freeing yourself of anxiety symptoms, it's vital that you first consider how the anxiety plane achieves lift off.

Using this flying analogy, think of anxiety as having two separate, but connected, engine pieces. Your belief system is one. It plays a large, influential role. The other engine piece can be filled with vats of plane fuel and is, in large part, even more responsible for anxiety lift off. Yep, I'm talking about your brain. Boarding the Anxious Brain Plane Overall, about 7% of the population (22 million people) buy their own insurance, with about 11 million buying on the insurance exchanges and with over 8 million receiving subsidies. Finally, there are myriad special insurance programs for special groups that cover other Americans. There is the Indian Health Service (IHS) for Native Americans, Department of Veterans Affairs (VA) health care, Tricare for the military, and other programs. A SIGNIFICANT PORTION of the population moves between insurance programs each year and, thus, might have multiple types of insurance during any given year. Experts call this churn. For instance, it is common for someone to be unemployed and have Medicaid, then to find a job with employer-sponsored insurance. Similarly, older veterans may have veterans' health coverage and Medicare simultaneously. One measure of this churn is that between one-quarter and one-third of the people who get insurance through the exchanges set up by the ACA are new each year. There is yet another layer of complexity for health insurance. The ACA required dental and vision care be provided to children under the age of 19. Where is he? He's helping my grandfather herd the cattle. Your grandfather? I suppose he eats fish four times a day.

No, Grandfather hates fish. As with most jokes, there's a lot of truth in this one. Just when you think you've isolated the cause of something, new information complicates the picture. While the discussion of nature versus nurture is ongoing, I was starting to see centenarians' longevity as a cooperative effort between nature and nurture or, more specifically, between genetics and environment. Studies correlating the age at which the parents died and the age at which their children died seemed to suggest that the genetic influence on aging accounts for only about 20 percent of the variations in life span and that environment is responsible for the rest. But then again, I could see a problem with this low assessment of the genetic contribution in my own family. I kept chewing it over in my mind as I broke off and ate pieces of a giant chocolate chip muffin. I would have thought it would have been my hugs, sitting with him at bedtime, or playing with him. But nope, it's gardening. I think that's a good thing? Yes, it's definitely a good thing. I shouldn't be surprised by my kids' love of gardening. Since the days I wore them in the baby carrier, I've included them as I've worked in the garden. In fact, they always liked sitting in the dirt a lot more than being in the carrier. As I weeded and watered, I'd glance over to make sure they weren't stuffing rocks in their mouths. Fortunately that only happened once; When we eat, we use the food for fuel. When we fast, we switch over to using our backup fuel sources for energy, including our stored fat. Metabolic flexibility, just as nature intended! This would have been important in the past when we didn't have a grocery store or fast-food restaurant on every corner, or a pantry fully stocked with snacks.

Our survival would have depended on the body's ability to switch fuel sources as needed. Regaining this flexibility is huge. All this talk about ketosis and ketones may make you think you need to go out and buy some of those ketone indicator strips so you can start checking your urine, a ketone breath analyzer so you can check ketones in your breath, or a blood ketone meter so you can check ketone levels in your blood. Actually, I would like to encourage you to not get caught up in trying to measure ketones at all. Let me explain. When your body uses ketones efficiently, there are fewer ketones being excreted, or released, in your urine or your breath, and you also won't have as many hanging around in your blood. Your anxiety is primarily a brain issue. It's not really about you. Still, it's easy to take anxiety personally because it sure does feel like you. After all, they're your anxious thoughts, feelings, reactions, and symptoms, right? At least that's what you tell yourself--it's what everybody who suffers from anxiety tells themselves. You're in the company of millions. Feel better? Probably not. Anxious misery does not love anxious company. So how is anxiety a brain issue, exactly? However, for adults, dental and vision care are not part of traditional health insurance and need to be purchased separately with additional premiums. Employers often offer dental and vision insurance. Medicare does not cover dental care, although some of the Medicare Advantage plans cover it. In Medicaid dental care is covered for children, but coverage for adults varies between states.

Preventive care, such as cleanings, has no deductibles and co-pays, while for more expensive treatments, such as crowns, insurance may cover only 50% of the cost. About 10% of the population, or about 28 to 30 million Americans, lacked health insurance in 2017. The highest percentage of people without health insurance are those between the ages of 20 and 40. Overall, about 75 million Americans lack dental coverage altogether, and about 63 million lack any type of vision insurance. In 2017, the United States spent 17. Overall, 45. My grandfather Dov had a heart attack and died at age sixty-eight, while my father, David, had a heart attack at the same age but didn't die till sixteen years later, thanks to bypass surgery. So the relationship of mortality between parents and children changed not because of a difference in aging (they both had heart attacks at the same age) but because of the change in the environment, which in this case was medical intervention. Meanwhile, studies of identical twins who were separated early in life and had different levels of health and different diseases in midlife suggest that genetics account for about 25 percent of the variations in life span. That means that even if you have genes that increase your risk for type 2 diabetes, if you're physically active, eat healthy foods, and manage your stress, you may never develop the disease. So the effects of genes and the effects of environment are not easy to isolate, but as we learn more about genetics' share of the responsibility, we can plan better strategies to protect ourselves from the environment. All that said, though, all bets are off when it comes to people with exceptional longevity. Other studies suggest that for people with such long life spans, genetics may deserve up to 80 percent of the credit. We still had questions about how much environment might have added to our SuperAgers' longevity, though, so we began a study to assess their lifestyle factors. The study included 477 Ashkenazi Jews who had been living independently as of ages 95-109. Our nurse, Bill Grainer, collected data on body measurements and administered study questionnaires to gather information on lifestyle factors. I scooped the rocks out before my older son tried to swallow them. The kids have since moved on to starting seeds, watering the garden (and each other) with the hose, and weeding. At their current ages of three and six, they aren't the world's most precise gardeners, but their enthusiasm makes up for it. Even though the main garden is only eight by fifteen feet, it's a center of our family's activity.