pain management Archives - Singing Dragon and Handspring Blog

Neil Pearson: Informing the Language of Yoga Teachers with Pain Science

Singing DragonOctober 10, 2019 0 Comments

Language is powerful, as is pain. Both can be forceful motivators of behavioural change. Spoken language can be interpreted in many ways. Sometimes we even question whether words mean what we think they mean. Pain can be the same. We wonder whether pain really is intended to “get us to stop or change our behaviour”. We might also wonder “exactly what is it that I am supposed to change? Maybe the change I need to make is to stop responding this way to my pain!”

As a yoga teacher, leading groups in asana requires instructions that will keep your students safe. As such, cognitive contemplations such as the above are not well-suited as part of an asana practice dialogue. We use language that guides our students to be aware of what is happening in the present moment. We guide them to find the right challenge so they can explore preconceived notions, all the while staying present with, and not ignoring what’s happening now. We use language that provides options for change. “What would happen if you changed the way you are breathing right now?” “Or what you are thinking?” “Or if you let go of some of the aversion to the emotions or tension that you are feeling in your body right now?” In other words, we use language that encourages awareness and language that encourages self-regulation – often of body, breath, thoughts and emotions. Note that this language of awareness is not the same as asking a student to be aware “as the first step to change”. This is language that focuses on awareness as important in and of itself. Continue reading →

Matthew J. Taylor: Be An Inclusive Genius

Singing DragonOctober 10, 2019 0 Comments

Matthew J. Taylor, PT, PhD, C-IAYT is a yoga safety expert, advisor to and past president of the International Association of Yoga Therapists, Accessible Yoga board member, and a yoga policy consultant. He directs SmartSafeYoga.com and authored the book Yoga Therapy as a Creative Response to Pain (Singing Dragon, 2018), as well as over 40 other publications.

In this video, Matt provides some practical information and tips on keeping yoga teaching simple and efficient, while remaining inclusive towards all students.

Yoga Therapy as a Creative Response to Pain
Matthew J. Taylor. Foreword by John Kepner

A guide that supports yoga therapists in creating a programme of care for those living with chronic pain, through bringing pain science, creativity and yoga together for the first time. It provides the skills and knowledge to create an environment that restores hope and meaning as well as practical guidance. Read more

Dr Steffany Moonaz: Yoga and Accessibility – Yoga for Arthritis

Singing DragonOctober 10, 2019 0 Comments

Dr. Steffany Moonaz is a yoga therapist and researcher in Baltimore, MD and serves as Director of Clinical and Academic Research at the Maryland University of Integrative Health. Her book, Yoga Therapy for Arthritis, was published in December 2018 by Singing Dragon.

In this video, Steffany talks about accessibility in yoga, how the practice can be adapted to suit the individual, and how it improves quality of life.

Yoga Therapy for Arthritis
A Whole-Person Approach to Movement and Lifestyle
Dr Steffany Moonaz and Erin Byron. Foreword by Dr. Clifton O Bingham III, MD

Arthritis limits physical mobility while also impacting energy and mental health. Focusing on mental practice and physical postures for a whole-person approach, this guide will support yoga teachers, therapists and health professionals in working with individuals to live differently with arthritis, as well as those individuals themselves. Read more

Writing about Living with Crohn’s Disease

Singing DragonMay 6, 2016 1 Comment

By Kathleen Nicholls, author of Go Your Crohn Way

Living as I do with Crohn’s Disease and a myriad of other chronic illnesses, it can be exhausting just getting up in the morning. Without meaning to sound melodramatic, often everything is a struggle. Life is exhausting.

So when I can I like to do things to make it easier. Better. Less ‘all-about-illness’. Continue reading →

Putting life first and CRPS second

Singing DragonDecember 5, 2014 0 Comments

Karen Rodham is a health psychologist who has spent seven years working exclusively with people who are living with Complex Regional Pain Syndrome (sometimes known as Reflex Sympathetic Dystrophy or RSD).

Imagine your loved one has developed a pain condition. Medicine does not reduce the pain, they can’t tolerate being touched in the area affected by the pain; they find it difficult to leave the house because they are afraid that someone might accidentally bump into them; they are less tolerant than they used to be and they can no longer do the things they used to do. You are desperate to help them, but nothing seems to work. You can’t even give them a hug because this makes their pain worse. How might you feel?

Complex Regional Pain Syndrome (CRPS) is a pain condition. Most people who experience it improve in the first year, but for a significant minority (up to 20%); CRPS becomes a chronic long term condition. The key symptom is burning pain, but this is a kind of pain that medication barely affects and because of this chronic CRPS is a very difficult condition to live with. Other symptoms include: swelling, colour and temperature changes, hypersensitivity, as well as increased sweat and hair growth in the affected area(s). Although the symptoms are usually experienced in a single limb, it is possible for CRPS to occur in more than one limb, and indeed in other body regions. In addition to all of this, it can take a long time for CRPS to be diagnosed because the symptoms could also be a sign that other serious conditions are developing. These other serious conditions need to be ruled out first which can be a frustrating process, not just for the person who is in pain, but for their loved ones and for the health professional who is trying to work out what is going on. For the person who is diagnosed with CRPS, coping and learning to live with CRPS is not easy, but in the same way that the person with CRPS is learning to live with and cope with the condition, so too are friends, family and loved ones. So what can you do if a loved one is living with CRPS?

Things to do together:

Communication: First, find a way to talk openly and honestly about how CRPS is impacting on both your lives. It is very likely that your loved one is not only trying to come to terms with their CRPS, they are probably also afraid that they are becoming a burden. If this is how they are thinking, the chances are they will be working very hard to keep their feelings to themselves. You will also be likely to be skirting around the issue because you don’t know how to help them. This is a recipe for upset and misunderstanding for everyone concerned. Without open and honest communication you won’t be able to work out what the problems and issues are, and without identifying the problems, you won’t be able to think about how to solve them.
Seek external help: Many people find that those first few conversations can be easier if they use a couple counsellor. Couple counsellors can help you to find a new and non-threatening way of telling each other how you really feel in a safe and constructive way.

Things the person living with CRPS can do:

Stock Story: Many people with CRPS say that when someone asks what is wrong with them, they feel they should explain CRPS in detail. It is fine to do this, especially when you are talking with close friends and family, but it can be exhausting going over and over what CRPS is and how it affects you. One solution is to develop a stock story that gives enough information to give them the gist, without going into minute detail. Something along the lines of “I have a rare form of arthritis” works well, because people have heard of arthritis, know that it is painful and that it is a long term condition, but you can make your own stock story and find something that works for you.

Crisis Card: Sometimes things can get very difficult and it can be hard to know which way to turn. Rather than wait for the next crisis, it is a good idea to make a note of the coping strategies that work for you (e.g. go for a walk, phone my sister, take a bath). You could put them on a credit card sized piece of self-laminating card and carry it in your purse or wallet – that way the next time you feel thoroughly fed up, all you need to remember is to read your crisis card and be reminded of what works for you.

Pacing: A key aim of pacing is to make our daily activities and rest patterns more consistent. It can be tempting when you have CRPS to overdo things on your good days, but this can impact on how you feel on the following days. Doing things at a steadier pace actually helps you to achieve more in a more balanced way.

Building a support network: It is important to have the right kind of people around you. Some of this is to do with you being able to communicate your needs so that other people know and understand how to support you, but it is also about you growing your network and finding positive and like-minded people.

Change your focus: Allow yourself time to effectively grieve for what you can no longer do and then turn your attention to things you can do, or new things you can try. It is normal to feel sad and frustrated about the things you can no longer do when you are diagnosed with a chronic condition. Allow yourself time to process this and to come to terms with the idea that this is how things are for now. No-one knows the future, so you cannot predict whether you will improve or get worse. What you can do is to proactively focus on the positive. Don’t be fooled by how simple this sounds, it is not an easy thing to do, but it is a positive way of dealing with the changes enforced on you.

Relaxation: Stress makes pain worse. Finding different ways to cope when you feel stressed, and learning to head off stress before it takes hold can help reduce the tension you feel in your body, which in turn could reduce the likelihood of stress-related pain flares.

Things the family can do:

Keep your own hobbies going: If you can keep your interests and hobbies going, you will be able to maintain a level of normality. This will ensure that you have an external focus and will go some way to reducing the fear often voiced to me by people living with CRPS that their condition has had such an impact on their loved one’s lives that they are now a burden to them.
Learn about CRPS: This last point is one for the family and the person living with CRPS. Ask the health professionals who work with you for their recommendations about where to get good and accurate information about CRPS. The better informed you are, the better understanding you will have as a family about how to work together.

With all of these points in mind, I wrote the book Learning to Cope with CRPS / RSD: Putting life first and pain second. I share coping strategies that people who live with CRPS find work well. I have also included a chapter focusing attention on loved ones (friends and family of people living with CRPS) who often feel bewildered, frustrated and neglected by the health profession and worry that no-one realises that CRPS impacts on them too. It is important to remember that everyone’s CRPS journey is unique – we are all human beings with different backgrounds and experiences, but it can be helpful to know that there are a range of different strategies you can try that might make coping with CRPS a little easier. Whether you are a person living with CRPS or a person who cares about someone living with CRPS, this book should highlight how you too can move towards putting life first and CRPS second.

Early therapeutic uses of light and colour – extract from Colour Healing Manual

Singing DragonAugust 28, 2013 1 Comment

Taken from Pauline Wills’ Colour Healing Manual, in this extract the author discusses how colour, light and healing have traditionally been linked across a range of ancient civilizations – and what these can mean for today’s uses of colour therapy.

Click here to read the extract

Pauline Wills is a qualified yoga instructor, reflexologist and colour practitioner and pioneered the integration of colour with reflexology. Her first introduction to the healing power of colour was through yoga and then through the Maitreya School of Colour Healing. She is the co-founder of The Oracle School of Colour in London, where she teaches and practises colour therapy and reflexology. She has written numerous books on complementary therapies.

Relieve tension headaches with these facial massage techniques – extract from Vital Face by Leena Kiviluoma

Singing DragonJune 25, 2013 0 Comments

Taken from Vital Face, this selection of quick and easy exercises designed for the forehead will enable you to remove stiffness, eliminate tension headaches, and smooth out facial lines.

Click here to read the extract.

Feel the difference? Read the book for more exercises to relax and rejuvenate the whole face, head and neck.

‘Leena Kiviluoma has done trailblazing work in developing her ingenious, easy-to-use facial muscle care technique. I use her book when I teach anatomy, physiology and skin care to trainee beauty care professionals. With the help of this book clients of beauty therapists can also practice effective self-applied beauty routines at home which will help to maintain a youthful appearance.’

-Anna-Liisa Halsas-Lehto, Master of Health Science, Vocational Teacher, Beauty Therapist

‘I tried this programme developed by Leena Kiviluoma. Both the relaxedness and the capacity of my jaw increased noticeably.’

-Fitness and Health Magazine, Finnish edition

Leena Kiviluoma is a physiotherapist working as a teacher and consultant in the fitness, beauty, health and rehabilitation industries. Her clients have included the Finnish National Opera, the Finnish National Theatre, The Parliament of Finland and many other companies, and she has contributed to numerous articles on fitness and beauty in magazines and newspapers. She began to develop her medical-based, facial muscle care technique and therapy in 1990 and her two books on the subject have been translated into many languages. She lives in Helsinki, Finland.

Raise awareness of Ehlers-Danlos Syndrome this May

Singing DragonMay 21, 2013 0 Comments

May is Ehlers-Danlos Syndrome (EDS) Awareness Month, raising awareness of this multi-systemic and complex connective tissue disorder, and supporting those who live with this invisible condition.

As awareness and understanding of EDS are central to early diagnosis and management of symptoms, take the time to learn about the condition, and simple steps that can help the many people who live with it.

Learn more about EDS (especially type III – Hypermobility Syndrome) with these interviews and resources, and more:

Books:

Interviews:

Organisations:

See also:

A Guide to Living with Hypermobility Syndrome (Facebook)
A Multidisciplinary Approach to Managing EDS Hypermobility Syndrome (Facebook)

Understanding and treating the complex chronic patient – an interview with Isobel Knight

Singing DragonFebruary 20, 2013 1 Comment

What makes treating the chronic complex patient so difficult? Do you think there is still a lack of understanding about how best to approach this?

I think that practitioners are very scared by complex chronic conditions and can become very overwhelmed. I’ve had so many medical professionals dismiss me because they really didn’t understand what the problem was. Treatment of chronic complex conditions really does require a multi-disciplinary team of people and medical experts, as well as an overarching approach to treatment plans. This can all be overwhelming for one person.

Conditions become chronic and complex over the years. There’s often a long delay in diagnosis (research by the Hypermobility Syndrome Association in the UK suggests that diagnoses can take about 10 years). As an individual gets older, he or she will gather more problems, which makes treatment even more difficult, relating to more bodily systems. If the condition is intercepted younger, these can all be addressed and hopefully better controlled.

How has being an individual with EDSIII (Ehlers-Danlos Syndrome – Type 3, Hypermobility) influenced the way you treat people in your clinic?

Based on what I’ve experienced, I can certainly spot the condition very quickly in people who haven’t had a diagnosis. Although I can’t officially diagnose, if the symptoms are there, I can get them sent to their GP for a referral to an expert rheumatologist. So in this way it’s really helped some people. I also know what ongoing management they are often going to require, so I can both refer them on to practitioners that I know, and support them with Bowen Therapy in the areas that I know they will need help with.

I’m never overwhelmed by what patients say, and I always believe them. And that helps a lot.

Why did you choose the autoethnographic approach in writing your new book?

That was inspired by an author I quote in the book, who wrote about life with a kidney condition and eventually turned it into a PhD thesis. I thought it was a really good way of framing the book. It uses my story as a basis, but also weaves in the stories of others, to ensure that it’s socially representative of that culture group. But also, this is a personal story. I include some quite personal details, and I hope that this makes it much more accessible to read, not a dry textbook. It really says how the patient feels, from my point of view and from the points of view of others.

In the book, you go into quite a lot of depth on the psychology involved both in having a chronic complex condition and in treatment. Do you think that the importance of this area is underestimated?

Yes. I was actually really surprised how large the psychological section of the book ended up being. There are so many layers to it, trust being a very important one. The issue of trust is so important for any medical professional dealing with a chronic complex patient. Personally, I had been consistently told by a range of professionals that the pain I was experiencing was psychosomatic, and that there was nothing wrong with me. I think that most patients have years of that to contend with. In so many cases these conditions involve a legacies of problems that haven’t been fully handled since a young age. Behaviours change because of pain. That really has an impact on people. They get angry, they get depressed, they get anxious.

I’ve also included a section for the patient on managing chronic pain, cognitive behavioural therapy, and other psychological aids such as goal-setting, pacing, ways of communicating and dealing with doctors.

Medical professionals also need support psychologically in dealing with the complex chronic patient because, as mentioned, treatment can be very overwhelming for them, and quite emotionally draining. If one of your patients comes back every week with little improvement to their pain, it can be emotionally difficult as a therapist to make a positive spin on it and focus on treatment.

Social media seems to be a really supportive, positive force for the treatment and understanding of these conditions. How do you see this developing in future?

I think that because some patients with this condition can become quite disabled, and socially isolated, Facebook, for example, can be a real lifeline for them. It’s a way for them to get mutual support, to learn more about the condition, to realise they’re not alone in their experience. I’ve been staggered by the response to my Facebook page, and how it’s being used internationally to provide support and share information on this subject (but never any medical advice).

How do you hope this book will help professionals working with, and patients with the syndrome?

I hope that the patients will be able to see that there has been, in my story, quite a positive improvement due to the level of care I’ve had, and the experts I’ve managed to have access to. Physiotherapy has been essential in this. I’d like to offer patients hope but also the reality that this is a genetically inherited condition, which is about management, not cure. I hope that the book provides not only treatment information, but validation – they can take the book to their doctors to show them what’s going on. It’s as up to the minute as up to the minute can be in terms of medical research and practice.

In terms of the medical professionals, I hope that they can understand the full impact of a multi-systemic chronic complex condition, what it means to have bodily systems not working very well, and the impact that this has psychologically, physically and socially. I hope this helps them to develop a bit of a more empathetic approach.

I’m incredibly lucky to have been able to have 6 real experts in each field contributing to the book. This means that they’ve been really able to bring the book up to date with the latest research on treatment and medical management of the condition. That’s a real privilege.

“Although fatigue may persist, it can go away” – An interview with Lucie Montpetit

Singing DragonFebruary 20, 2012 3 Comments

Photo: Singing Dragon author Lucie Montpetit (Credit: Jackie Fritz)

Lucie Montpetit is an occupational therapist with over 25 years’ experience working in a variety of hospital settings. She runs workshops on managing fatigue, stress and pain using the approach she has developed incorporating a number of different techniques. She has personally suffered from debilitating fatigue and restored her health through the methods she now teaches others.

She is the author of Breaking Free from Persistent Fatigue – coming soon from Singing Dragon.

In this interview, Lucie recounts her personal experience with Myalgic Encephalomyelitis and how overcoming this condition through a combination of occupational therapy techniques and Eastern health modalities inspired her to help others to do the same.

Can you please tell us a bit about you and your personal and professional interest in improving the lives of people with persistent fatigue?

First, I’d like to explain that I chose the expression “persistent fatigue” because although fatigue may persist, it can go away. A frame of mind open to hope is important in healing.

When I started working as an occupational therapist, I was interested in understanding the drops in energy of my patients. Despite people’s motivation to get better, a lack of energy became apparent in rehabilitation. I encountered different types of lack of energy, whether patients were suffering from major depression in an acute psychiatric setting; war veterans suffering from late onset diabetes leading to leg amputation; or young mothers who just encountered their first major energy drop from multiple sclerosis or a rheumatoid arthritic attack. Personally, I went to see a neurologist at the age of 29 because of sudden energy drops and my GP thought I had multiple sclerosis, but nothing was found and it went away within two weeks. Then, after my second child was born, I had multisystemic symptoms that my GP did not understand. He said I must be stressed. But I did not feel I was more stressed than my co-workers and friends who had to conjugate career and family life.

Eventually, despite my relatively healthy lifestyle, I had to find another doctor who put me on sick leave with the diagnosis of myalgic encephalomyelitis. It took me about two years to recover from the persistent debilitating fatigue. After that I started to do workshops for patients suffering from similar daily challenges. My book reflects in part my own findings to regain my health as well as the work I have done as an occupational therapist with patients suffering from debilitating fatigue associated with different diagnoses. So it is not a book about disease but about finding solutions according to different ways of gaining back one’s physical, emotional and psychological energy balance. For many, it is also a path towards empowerment and finding a new meaning in daily activities.

Can you paint us a picture of what the person with fatigue goes through on a daily basis?

Once the imbalance is severe, here is what I observed in my patients: Sudden energy drops at fixed time during the day or after physical exercise; poor sleep of different kinds (inability to fall asleep, waking up many times during the night with an urge to urinate and/or unable to feel refreshed even after a good night’s sleep); food and environmental intolerances; exacerbation of known allergies or new allergy appearances; dizziness; mood swings; foggy thinking; no buffer to deal with stress; having a hard time doing little things around the house, such as washing dishes, due to lack of energy and reduced capacity to organise and plan; having projects in mind and interests to pursue but the inability to do so due to lack of energy; not being able to lift grocery bags without shaking like a leaf and needing to go to bed right after; preferring to be alone but not necessary being depressed – essentially just needing to use as little energy as possible to “survive another day”.

What causes this debilitating condition?

One thing for sure is that long standing exposure to stress is a cause of this debilitating condition, but not only psychosocial stressors like your work environment, a conjugal separation or the death of a close relative. These can also include viral infections, postural stressors that leads to jaw misalignment and lack of sleep, nutritional deficiencies that prevent the production of energy at the cellular level, candidiasis, and long term exposure to moulds, endocrine disruptors, heavy metals, allergens, electromagnetic smog and other environmental pollutants.

The accumulation of stressors leads to the imbalance of your psycho-neuro-immuno-endocrine (PNI) super system, known by researchers as allostatic overload.

What makes it worse, and what makes it better?

Continuous exposure to stressors of any kind – insomnia, not respecting one’s limitations and forcing oneself to do more – makes things worse. To make things better, get rid of the stressors when possible; eat energising foods rather than energy draining processed foods; modify daily habits to optimize the natural chronobiological hormonal cycles of one’s body; learn to change one’s mode of reacting into a more energising way of responding to daily life challenges; and make informed choices while honouring one’s strength and limitations. Choosing the right physical intensity of exercise to regain one’s capacities is crucial, while choosing key nutrients to optimise cellular energy production is also important in the process. Learning how to breathe efficiently through the nose in order to optimise the oxygen input is also very important.

What is the book about, and what motivated you to write it?

For many years, I have been dissatisfied with medical answers that purport to address the debilitating fatigue suffered by my patients with auto-immune diseases. Lack of resources and understanding, finding quick fix medications such as antidepressants for patients clearly suffering from musculoskeletal symptoms such as fibromyalgia, and having difficulty finding answers with the variety of health professionals I personally consulted inspired me to write the book. I needed to find answers firstly for myself, and then got the urge to share my findings and what I had learned with others facing similar prejudices among some health care practitioners. So the book is about finding personal solutions, different for each reader because of their own type of debilitating fatigue and personal way of over-spending their energy. People will learn how to make an energy balance sheet like one would do financially when consolidating debts. From their findings, they will figure out how to save energy in their daily lives and regain their inner mind-body balance towards health.

Can you talk about how your work and approach is influenced by Chinese medicine and other practices?

As an occupational therapist I was trained to view my patients from a holistic perspective, which is in accordance with my personal understanding. People require a meaning in the activity they are doing in therapy; they need goals of their own to reach in addition to those of my rehabilitation treatment plan for them. From my perspective as a martial artist of many decades, I am also influenced by the efficiency of energy expenditure, the need for the energy to circulate through the meridians and the influence of the breath during outer and inner Qi Gong and martial practice.

For me, the autonomous nervous system (ANS) follows the yin/yang principles. Patients I treat, for different reasons, have lost the balance of their PNI super system. This has direct repercussions on the ANS as it reverts to a constant “fight or flight” reaction mode as a result of too many stressors that leads to a narrow, skewed perception of daily life. In these circumstances, the ANS becomes too much yang.

I teach patients to reconnect with their bodies through their senses, the awareness of their body and posture in space and their breathing pattern. Then I use different Qi Gong exercises according to the level of energy of my clients or Chan Ssu Chin Tai Chi exercises (known as Silk Reeling Cocoon exercises) to reconnect further with their breath and body and the body’s ability to heal itself. Sometimes I use Neurofunctional reorganisation – Padovan’s Method® (NFR) with the patients to regain the balance of their autonomic nervous system and sleep rhythm: it is a powerful tool that follows brain plasticity principles. I had used NFR mainly with patients suffering from neurological conditions that follows brain plasticity principles in the past. Many of the NRF exercises help my clients suffering from debilitating fatigue as well because it helps reorganise posture, breathing, and ANS functions and rhythms.

Once the body starts to regain its natural rhythms, I encourage my patients to implement what they found useful in therapy into their lifestyle. I teach them about chronobiological rhythms so they can choose for themselves the minor changes in their daily habits that can help foster the natural flow of hormones and chi. Finally, when the patient starts to get out of the constant “fight or flight” mode and is ready to respond in a new way, I make use of Cognitive Behavioural Therapy (CBT) principles to help make changes to the energy draining perception of daily life to energising life habits that are better suited for the recovery process. All of those life changes follow the yin/yang principle to break free from persistent fatigue while restoring the inner balance called homeostasis in Western medicine.

How does the book reflect your general philosophy about health?

For me, health is a dynamic equilibrium within oneself. Equilibrium takes place in the physical, emotional, psychological and spiritual dimensions of our lives in relation to our environment. If a person is disconnected from one aspect of his or her self, the imbalance will eventually be reflected in the other dimensions of his or her life. I believe that every person who comes to consult me is in part responsible for restoring and then maintaining his or her PNI super system dynamic balance that we refer to as health. People are amazing at finding ways to change their lives in ways that make sense to them. Once they realise from a new point of view how they were living, they have no interest of returning to their previous lifestyle.

Our environment has never had such a strong negative impact on our health. Depleted soils and foods, pollution of all senses, the intrusion of technology in every aspect of our daily lives and having to deal with the compound effects of so many hundreds of chemicals even before we are born are also major stressors that health professionals too often neglect. These are also consequences of living in a world that is too “yang”. There is an implicit false belief that we have to be busy and multitasking most of the time. We can be proactive in maintaining or restoring our health once we gain knowledge of those relatively new phenomena. Knowledge is power. Feeling empowered rather than feeling a victim of a disease changes your outlook on your condition. This frees your body-mind and it starts to heal itself faster. Allowing a few minutes per day to be rather than to do is sometimes sufficient to maintain one’s inner balance.

Finally, how should this book be used by the reader?

The book is to be read and applied according to your level of energy. As a start, people who have low energy would benefit from knowing how to nourish their bodies to optimise energy production. Then they should go to the chapter that appeals to them. Usually, a gut feeling leads people to what they need. If a reader is too exhausted to concentrate on reading, I recommend bringing the book to a true friend or the health professional he or she is working with to do some of the exercises with the assistance of the health professional.

Pages