Let me introduce myself. My name is Mark Sisson. I’m 63 years young. I live and work in Malibu, California. In a past life I was a professional marathoner and triathlete. Now my life goal is to help 100 million people get healthy. I started this blog in 2006 to empower people to take full responsibility for their own health and enjoyment of life by investigating, discussing, and critically rethinking everything we’ve assumed to be true about health and wellness...Tell Me More
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.
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).
See a doc or health professional experienced with CFS or HPA insufficiency. Get thyroid and blood sugar tests.
Good sleep is a pillar of good health. It’s really, really hard – bordering on impossible – to be healthy, lean, and fit without a solid 7-8 hours of sleep a night. Many people think they’re getting away with it, tossing around pithy quotes like “sleep is for the dead,” but they’re really just getting by. And not for long. Eventually, it catches up. Inadequate sleep is linked to early mortality from all causes, while partial sleep deprivation directly leads to insulin resistance, overeating, and body fat gain.
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.
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.
You can be lean, ripped to shreds, and strong as an ox, but if you can’t walk up a flight of stairs without getting winded or go for a hike and enjoy it, you should probably rectify that. Human beings should be strong, yes, and the presence of good amounts of lean mass is one of the most important health markers we have. It’s not everything, though. Humans should also be able to move their body around the environment, to ambulate and crawl and climb and even run if we have to without wanting to die. I’m not suggesting we all become triathletes or CrossFit champions. I’m not advocating chronic cardio. I’m not even advocating running or “cardio” at all; you can absolutely improve your conditioning using strength training movements done quickly with minimal rest. I’m just saying that cardiovascular fitness matters, too, and if you don’t have any, you’re not as healthy as you think.
Don’t be the person they use in sprinter/marathoner comparison pics. Don’t neglect your lean muscle mass for the sake of a few seconds shaved off your time. Take it from a guy who’s been there, who’s read the literature proving the importance of muscle in health: we all need a decent amount of it. Besides, even the top endurance guys are incorporating strength training these days. Chances are lifting heavy things will only improve your endurance performance, not hinder it. It will also make you more resistant to injury.
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.
For many people, teenage acne is part of growing up. Acne as an adult could mean something different. And yeah, check in with a dermatologist if you want, but I doubt the creams, ointments, balms, salves, and other superficial skin treatments will get to the root of the issue if it’s a serious one. There’s a growing amount of evidence that gut health is linked to acne: gut permeability is elevated in many disorders, acne rosacea patients are more likely to suffer GI dysbiosis, and acne vulgaris patients tend to have altered gut flora.
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.
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!