You could be the picture of health to everyone who beholds you, feel generally “okay” on a daily basis without any real complaints, and never really feel compelled to visit the doctor for any specific issue. Plus, you’re Primal, so what could possibly go wrong? Except that many of us, if we stop to think about it, have little niggling symptoms that annoy us. And some of them could portend more serious conditions. I don’t want to worry anyone or freak you guys out. I just want you to be aware of seemingly inconsequential symptoms before they become more serious.
I’ve omitted the obvious signs that people don’t ignore, like blood in the toilet or the sudden inability to bear weight on one leg, to focus on the subtler symptoms that many of us take for granted.
You drag through every day.
Maybe it’s your job boring you to tears. Maybe it’s the long commute robbing you of valuable sleep. Maybe man wasn’t meant to sit in a cubicle during the best hours of the day. Maybe you’ve just had a bad week. Maybe you’re still on a high-carb diet, or you’re transitioning to a low-carb one. Those are all reasonable reasons to be tired throughout the day, but it could be something else. If you find yourself nodding off on a consistent basis all day, every day, and the aforementioned causes don’t apply, consider conditions like hypothyroidism, diabetes, hypothalamic pituitary axis (HPA) insufficiency, or chronic fatigue syndrome (CFS).
One health risk associated with consistent snoring is being smothered in your sleep by whoever has to listen to it. Another is sleep apnea. Regular snorers may have obstructive sleep apnea (OSA), a disease that involves obstruction of the upper airway, frequent (but unbeknownst to the sleeper) awakenings, and 20-40 second long pauses of breathing during sleep. Yes, if you snore all the time, you might be holding your breath while you sleep. People with OSA are often inexplicably tired during the day (because of the awakenings and poor sleep). OSA is also linked to metabolic syndrome, cardiovascular disease, hypertension, cancer, and diabetes.
Get checked out by your doctor. A sleep study may be in order.
You can’t drag yourself out of bed in the mornings.
Beds are hard to leave. I get that. They’re soft, warm, inviting. But you should be able to get out of bed if you really need to get on with your day. You shouldn’t languish daily against your better judgment. If you are, something’s wrong and needs fixing. Remember, that same study showing a link between low sleep duration and early mortality also found a link with long sleep duration (although a later study found that sleeping for a long time only increased mortality in sedentary people). A common culprit (assuming you’re not getting to bed too late or sleeping poorly in general, which I’ve already covered) is low morning cortisol, which has been shown to be an accurate predictor of hypothalamic pituitary axis insufficiency.
Frequent injuries can mean several things: you’re training too much or too hard, you’re not giving yourself enough time or food to recover from your workouts, you’re using poor form, you’re wearing the wrong shoes, you’re moving the wrong way, you’re deficient in key micronutrients. Whatever the cause or causes, someone who’s always injured, or always getting injured, is not a healthy person. You should be able to to move relatively pain-free.
We’re sexual beings. And not necessarily in a tantric, creepy guru with an open shirt, hairy chest, long greasy hair, and extensive selection of oils kind of way. On a base level, we exist to reproduce and so the ability and drive to do it – or at least perform the act – is pretty central to our health. And if we’re just not interested in sex, there’s usually something going on that needs addressing. Hypothyroidism and depression are two potential causes, as are low testosterone in men and low estrogen in women.
Most dark circles under the eyes are caused by poor sleep and/or thinning skin. But dark circles can indicate a few other, more serious issues. You could have food intolerances or undiscovered food/seasonal allergies, which could in turn indicate other issues (see below). They might also indicate anemia or elevated liver enzymes, both of which simple blood work can uncover. It’s probably nothing too serious, but be certain.
Get a complete blood count (for anemia) and/or a liver enzyme test. Try an elimination diet to identify food intolerances or allergies.
You have sudden intolerances to foods.
Have you ever experienced it? Maybe you sit down to your favorite post workout meal of steak and broccoli only to wake up later that night with horrible gas and horribler stomach pain. Or it’s cherry season and you come home from the farmer’s market with a big five pound bag of them, but eating more than a handful gives you the runs and really bad bloating. When there’s a sudden food intolerance, whether it’s to FODMAPs or dairy or anything else, it may indicate imbalanced gut flora, leaky gut, or both. Even if a food you already avoid, like wheat, is giving you more trouble than it usually does, that should be a warning sign to address the health of your gut.
See the recommendations for acne.
This is by no means an exhaustive list. There are more, and I may even get to them in the future. It’s just a list of signs and symptoms that in my experience people tend to ignore or downplay. You may well be justified in doing that, but it’s good to find out for sure so that small problems don’t become larger ones.
Thanks for reading, everyone. Got any other symptoms that people should watch out for? Let us know in the comment section!
Mark Sisson is the founder of Mark’s Daily Apple, godfather to the Primal food and lifestyle movement, and the New York Times bestselling author of The Keto Reset Diet. His latest book is Keto for Life, where he discusses how he combines the keto diet with a Primal lifestyle for optimal health and longevity. Mark is the author of numerous other books as well, including The Primal Blueprint, which was credited with turbocharging the growth of the primal/paleo movement back in 2009. After spending three decades researching and educating folks on why food is the key component to achieving and maintaining optimal wellness, Mark launched Primal Kitchen, a real-food company that creates Primal/paleo, keto, and Whole30-friendly kitchen staples.