Can a head injury be followed by changes that are easy to overlook, dismiss, or explain away?
In this conversation, Sandra Lee speaks with functional medicine physician Dr. Shabnam Das Kar about brain health, hormones, and the importance of noticing what may have changed after a fall, concussion, accident, or other health experience. They explore why concerns such as fatigue, changes in sleep, mood, memory, or focus may deserve attention rather than an immediate assumption that they are simply stress or part of getting older.
The conversation also looks beyond symptoms. Dr. Shabnam shares perspectives on sleep, food, movement, blood pressure, and other areas that may influence long-term brain health, while Sandra brings the discussion back to practical ways of becoming more aware of your own experience.
Perhaps most importantly, they explore what can happen when a desired change feels too big to begin. Through the Tiny Habits approach, Dr. Shabnam offers a different possibility: starting with an action small enough to fit the motivation and capacity you have today.
As you listen, consider: What change have you noticed in yourself that may be worth writing down, asking about, or approaching with one very small next step?
What You Are Invited to Discover:
- The changes in memory, mood, sleep, energy, or focus that may be easier to explain away than explore.
- A different way to consider the possible connection between brain health and hormones after a head injury.
- The role that people close to you may play in noticing changes that are difficult to recognize in yourself.
- Why knowing what may support your health is different from creating a change you can realistically sustain.
- A surprisingly small way to begin when the action you want to take feels too difficult or overwhelming.
Free Gift:
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About the Guest:
Dr. Shabnam Das Kar, MD, is a functional medicine physician who helps people protect brain function before symptoms of cognitive decline appear. Her clinical work centres on better blood pressure management as the most powerful lever for brain health. Her primary training was as an obstetrician and gynecologist in Mumbai; later she moved into functional medicine full time. She is a Fellow of the American Academy of Anti-Aging Medicine, holds brain health certification from Amen Clinics, and is trained in Dr. BJ Foggâs Behaviour Design. She divides her time between Alberta, Canada, and Mumbai, India.
Contact:
Website https://drkarmd.com/
Resources:
Share your Story with Sandra. Schedule a 10 minute call to share about your head injury, and how it has impacted your life - https://shinewithsandra.com/brainstory
Join Sandra Live on Facebook for Better Brain Briefs every Thursday at 8:00 a.m. Pacific, where you can ask questions and catch the replay for a limited time: https://www.facebook.com/SandraLeeInspiration/
Download your Free Audio Gift, Imagine Whatâs Possible, at https://shinewithsandra.com
Join the Brain Health & Healing Private Facebook Group - https://www.facebook.com/groups/brainhealthhealing
About the Host:
Sandra Lee has spent almost 40 years helping people feel and function better by addressing what standard treatment often misses: the unresolved trauma and emotional patterns stored in the body. She is the creator of The Spectrum of Anger⢠and The Witnessed Bodyâ˘, which integrates Intuitive Sound Healing and Combat Brain Training to support brain injury recovery, brain health, and dementia. Her work is grounded in the belief that symptoms are messages, not malfunctions, and that when those messages are finally received and released, the body can do what it already knows how to do.
Website -https://miracleinspirations.com
LinkedIn - https://www.linkedin.com/in/sandra-lee-701662250/
YouTube - https://www.youtube.com/@sandralee1miracleinspirations
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Original theme music by Bradford Tilden.
Disclaimer: Everything you hear on this show is for educational and informational purposes only. It's not medical advice, and it doesn't diagnose or treat any condition. Please consult your medical practitioner before making health decisions.
Welcome to Brain Health and Healing. I'm Sandra
Sandra Lee:Lee. This show is for people living with head injuries and
Sandra Lee:the families and supporters who love them. If you are ready to
Sandra Lee:reclaim your life, identity, and dreams for the future, you are
Sandra Lee:in the right place.
Sandra Lee:Oh, welcome to Brain Health and Healing: Receiving Adversity's
Sandra Lee:Gifts. I have a wonderful guest with me today. I am so excited.
Sandra Lee:So, I love helping people with injuries to their brain if they
Sandra Lee:have had falls or strokes or accidents, and actual tissue
Sandra Lee:brain damage has occurred. I have an expert with me today who
Sandra Lee:is an expert in not necessarily brain injury specifically, but
Sandra Lee:how to recover whatever is going on with your brain, I have a
Sandra Lee:functional medicine practitioner with me to talk with us about
Sandra Lee:how do we support our brain in recovering from injury. How do
Sandra Lee:we keep our brain healthy? So we have Dr. Shabnam Das Kaur. She
Sandra Lee:is a functional medicine physician who helps people
Sandra Lee:protect brain function before symptoms of cognitive decline
Sandra Lee:appear. Her clinical work centers on better blood pressure
Sandra Lee:management as the most powerful lever for brain health. Her
Sandra Lee:primary training was as an obstetrician and gynecologist in
Sandra Lee:Mumbai, India. Later, she moved into functional medicine full
Sandra Lee:time. She is a fellow of the American Academy of Anti-Aging
Sandra Lee:Medicine, holds brain health certification from Amon Clinics,
Sandra Lee:and is trained in Dr. B. J. Fogg's behavior design. She
Sandra Lee:divides her time between Alberta, Canada, and Mumbai,
Sandra Lee:India. Welcome to the show, Dr. Shabnam.
Sandra Lee:Dr. Shabnam Das Kar: Thank you, Sandra. It's a real pleasure
Sandra Lee:being here with you.
Sandra Lee:I met Dr. Shabnam at some place called the Healthy
Sandra Lee:Neighborhoods Project, where I was talking about my work with
Sandra Lee:helping the brain stay healthy and brain injury, and she is
Sandra Lee:going to talk to us about something that I hadn't really
Sandra Lee:heard about when it comes to recovery from brain injury.
Sandra Lee:She's going to talk about hormones today.
Sandra Lee:Dr. Shabnam Das Kar: Yes, so my background is as an OB/GY, and
Sandra Lee:it was actually hormones which drew me to a fellowship in from
Sandra Lee:the American Academy of Anti-Aging Medicine, because I
Sandra Lee:was at a conference and I was listening to somebody talking
Sandra Lee:about you know hormones, and I thought this is a different way
Sandra Lee:to think about hormones, and you know, Sandra, as you rightly
Sandra Lee:pointed out, I don't actually work with people who have had
Sandra Lee:brain trauma. But what was fascinating, and this was this
Sandra Lee:came from my training from Dr. Yemen's clinic, was when he
Sandra Lee:started talking about people who have had even what we would call
Sandra Lee:minor traumatic brain injury like they have not had
Sandra Lee:unconsciousness. They went to the ER and maybe they had some
Sandra Lee:brain imaging which did not show anything, and so they were not
Sandra Lee:seriously seriously ill. Like they were, they didn't lose
Sandra Lee:their consciousness or anything. But when they went, they were
Sandra Lee:sent home because there isn't a whole lot to do, but they
Sandra Lee:realized that many of them started having symptoms. Now the
Sandra Lee:problem is, you know, with a lot of these, so lots and lots of
Sandra Lee:studies, and I'm sure we're going to post something in your
Sandra Lee:show notes, have shown that people who have had brain
Sandra Lee:injuries, regardless of how severe it was, like even those
Sandra Lee:with mild traumatic brain injury can have hormone disruptions
Sandra Lee:later on.
Sandra Lee:Now the challenge, Sandra, is quite often these are missed
Sandra Lee:because the symptoms are not like one specific symptom. If
Sandra Lee:they are like specific symptoms, like excessive thirst or
Sandra Lee:something, then they would be sort of like detected early. But
Sandra Lee:symptoms can be things like you know fatigue, low mood, problems
Sandra Lee:with sleep, and oh, it's just you just had a brain trauma, so
Sandra Lee:you're going through all that. But sometimes it could be you
Sandra Lee:know early flags for hormonal disruptions like thyroid
Sandra Lee:hormones, or growth hormone, or you know there are some other
Sandra Lee:hormones called antidiuretic hormones. Then for men it's
Sandra Lee:testosterone, for women it could be the you know they could have
Sandra Lee:irregular cycles. And as a former OB/GY one one thing I
Sandra Lee:didn't. Back then, was sometimes it can cause problems of
Sandra Lee:fertility, low libido, and I don't remember asking any of my
Sandra Lee:OB/GY patients back when I was in Mumbai about whether they
Sandra Lee:have ever had any head trauma when I was, you know, when they
Sandra Lee:were talking about their infertility. So basically, what
Sandra Lee:I want to suggest here is, if you are someone who's who's
Sandra Lee:going through those symptoms, and again, Sandra, you know, I
Sandra Lee:usually tell people that just because a particular symptom has
Sandra Lee:not been listed in the doctor's list of symptoms, doesn't mean
Sandra Lee:it's not related to whatever preceded it, and I usually ask
Sandra Lee:them like, when do you think this started, and sometimes they
Sandra Lee:oh yeah I think it started when I fell off that stool when I was
Sandra Lee:trying to reach a higher shelf in my kitchen, and I thought it
Sandra Lee:was not a big deal. And but now that you're asking me, I realize
Sandra Lee:oh that was when a lot of my symptoms started.
Sandra Lee:So first of all, is how you need to identify whether you are
Sandra Lee:someone, and you by you I mean anyone who's dealing with any of
Sandra Lee:these. Are you? Do you have any of those symptoms? And if you
Sandra Lee:have those symptoms, sometimes your family doctor may not be
Sandra Lee:aware that you know these hormonal problems can occur
Sandra Lee:following a concussion or a mild traumatic brain injury, but you
Sandra Lee:need to advocate for yourself, and you can ask your family
Sandra Lee:doctor that you know this is what has happened to me, and I
Sandra Lee:have read or again it depends. Andre, you know some people are,
Sandra Lee:some doctors may be open to the suggestion, some may not, but
Sandra Lee:they may say that okay, do you think, doctor, I should be
Sandra Lee:screened for some hormonal problems? And once a hormonal
Sandra Lee:problem is detected, very often it will need a specialist
Sandra Lee:endocrinologist, or like it will need a specialist reference. And
Sandra Lee:Sandra, you and I know how long it can take for someone to get
Sandra Lee:an appointment. Oh my goodness! Yes. So, what it sounds like to
Sandra Lee:me is that people just need to pay attention to any significant
Sandra Lee:changes in symptoms all of the time. Yeah.
Sandra Lee:Whether or not whether or not they've had an
Sandra Lee:actual injury. Yeah. But to notice any time significant
Sandra Lee:changes occur, and I know when it comes to talking with people
Sandra Lee:about you know forgetting things and the potential for dementia,
Sandra Lee:that when people have symptoms like starting to forget things,
Sandra Lee:Dr. Shabnam Das Kar: yeah,
Sandra Lee:or they don't want to go there.
Sandra Lee:Dr. Shabnam Das Kar: Yeah,
Sandra Lee:they are afraid of having this whole issue occur,
Sandra Lee:and so they tend to pretend that the issue is not showing up.
Sandra Lee:Dr. Shabnam Das Kar: Yeah, and the other thing, you know, and
Sandra Lee:I'm guilty of it as well. So it doesn't mean that knowledge
Sandra Lee:alone is going to prevent all whole lot of things happening.
Sandra Lee:One thing I, after I became aware of my symptoms and I
Sandra Lee:realized, so I had shortness of breath climbing a small little
Sandra Lee:hill, and I thought, oh, I'm deconditioned. I should be
Sandra Lee:working out more. I don't do that, and you know, I'm not
Sandra Lee:walking as much because it's very hot. But then my doctor
Sandra Lee:said, "No, you need a reference, you know, to the cardiologist.
Sandra Lee:And the cardiologist tells me, "No, I need to investigate you
Sandra Lee:for, you know. And I'm thinking, "How come I, being a doctor
Sandra Lee:who's supposed to know all that, how come I was ignoring my
Sandra Lee:symptoms? But anyway, turned out to be not to be a hard problem.
Sandra Lee:But you see how we tend to. So this is the cognitive biases
Sandra Lee:humans have, where bad things happen to other people, they
Sandra Lee:don't happen to me. It's like, oh, I can't remember where I
Sandra Lee:left my keys. This is quite normal, and you know, I was
Sandra Lee:unmindful. Sometimes that is the truth. But the thing is, any
Sandra Lee:symptom one is we should not ignore them, and second is
Sandra Lee:sometimes this is what many of us are guilty of. It's trying to
Sandra Lee:justify it as, oh, it's just sleep. Oh, it's like I'm
Sandra Lee:stressed. I have so many things I'm dealing with. I'm taking
Sandra Lee:care of older parents. My kids are, you know, going off to
Sandra Lee:college now, and blah blah blah blah blah. We try to justify
Sandra Lee:many things, and sometimes it's doctors who tell the patient,
Sandra Lee:"You just have a lot of stress in your life. Now, Sandro, who
Sandra Lee:doesn't have stress in their lives? We all do, right? I know.
Sandra Lee:So, first of all, I think I would say that don't dismiss any
Sandra Lee:symptoms that are new. Find out if it if it is not anything
Sandra Lee:serious, fantastic, well and good. But what if it is
Sandra Lee:something you can do something about? So I like to give people
Sandra Lee:practical strategies
Sandra Lee:to take, so that we want them to remember this and
Sandra Lee:write it down. Yeah. So it sounds to me like a first
Sandra Lee:practical strategy is. To pay attention all of the time,
Sandra Lee:Dr. Shabnam Das Kar: yes,
Sandra Lee:to how you feel and notice any significant changes
Sandra Lee:or any slow creeping changes as well that are gradually getting
Sandra Lee:worse. And instead of you know saying, "Oh, it's nothing, write
Sandra Lee:it down,
Sandra Lee:Dr. Shabnam Das Kar: yeah.
Sandra Lee:And it doesn't mean, oh, I'm going to go do. It was
Sandra Lee:like, oh, I'm noticing. I'm having a hard time forgetting,
Sandra Lee:or I'm having a harder time staying awake at night, or you
Sandra Lee:know, I'm having a hard time waking up in the morning, or
Sandra Lee:whatever it is to notice it, and then at some point it's like,
Sandra Lee:oh, maybe I really need to deal with this, yeah. And then go
Sandra Lee:through the process of you know calling the doctor and making an
Sandra Lee:appointment, and you know, like we were talking about, sometimes
Sandra Lee:getting the appointment can take some time. Yeah. So to you know
Sandra Lee:have the process already running, you know, before it
Sandra Lee:gets significantly worse.
Sandra Lee:Dr. Shabnam Das Kar: Yeah. Another thing, Sandra, I want to
Sandra Lee:point out is because the brain kind of not kind of actually
Sandra Lee:controls almost everything we do. So sometimes it is hard to
Sandra Lee:be objective about the brain. So I also tell people that you know
Sandra Lee:what? Have your loved ones, or your friends, or your
Sandra Lee:colleagues, people who meet you quite often, have they been
Sandra Lee:saying something? And sometimes you won't believe Sandra. When I
Sandra Lee:have, like, let's say it's a couple, and the wife is
Sandra Lee:concerned about the husband's challenges because he seems to
Sandra Lee:get lost while driving, and she is volunteering to drive, and
Sandra Lee:she says, "You know, he just wouldn't agree with me. And here
Sandra Lee:I am thinking, and he says, "I don't have a problem. Sometimes
Sandra Lee:it is people who are close to you who notice. Sometimes it may
Sandra Lee:be a colleague who notices that you are missing appointments,
Sandra Lee:you are missing meetings, or you show up late, and they may not
Sandra Lee:tell you, but I think it's also important for us to ask. You
Sandra Lee:know, have you noticed anything different about me? Because
Sandra Lee:sometimes people won't won't tell someone. You know, you are
Sandra Lee:you're not doing this. You know, and particularly family members.
Sandra Lee:Like I have noticed time and time again. Sometimes it is
Sandra Lee:adult kids who notice that. Oh, you know my father or my mother
Sandra Lee:is not what she was even a year ago, and the father and the
Sandra Lee:mother whoever it is think I'm fine.
Sandra Lee:I know an issue that people run into when it comes to
Sandra Lee:that is fear of conflict,
Sandra Lee:Dr. Shabnam Das Kar: yeah, fear
Sandra Lee:of making somebody upset, and and and all of these
Sandra Lee:interpersonal related things, and so just think about
Sandra Lee:listening to this conversation that Dr. Shabnam and I are
Sandra Lee:having is a little bit of permission for you if you find
Sandra Lee:yourself in this situation on either side, either the person
Sandra Lee:who is behavior is changing or is not going, or being a family
Sandra Lee:member or a friend, to realize this is significant stuff when
Sandra Lee:it comes to the health of your brain, and like Dr. Shum said,
Sandra Lee:everything that the brain controls. Yeah, so it's like,
Sandra Lee:oh, I heard that podcast, and that functional medicine doctor
Sandra Lee:was saying to say something, and so to help you get over that
Sandra Lee:little hurdle, because I know, I mean, I have this whole fear
Sandra Lee:about bothering people and all this stuff, and oh, a doctor
Sandra Lee:actually said I should say something. So to to give you
Sandra Lee:that little bit of a nudge to either ask for that. Oh, have
Sandra Lee:you noticed anything about me?
Sandra Lee:Dr. Shabnam Das Kar: Yeah.
Sandra Lee:Or if you have a loved person who is showing
Sandra Lee:these signs to you know just work up that little bit of
Sandra Lee:courage to actually say something.
Sandra Lee:Dr. Shabnam Das Kar: Yeah, absolutely. And I think Sandra,
Sandra Lee:another thing again, as I get older, I guess I'm noticing it
Sandra Lee:is sometimes we don't we are suspecting something. We are
Sandra Lee:kind of like, okay, I my memory is not what it was. I'm
Sandra Lee:forgetting things that I wasn't. But I don't want to know. I have
Sandra Lee:dementia.
Sandra Lee:Yes.
Sandra Lee:Dr. Shabnam Das Kar: But my point is, regardless of what
Sandra Lee:your symptoms are, and even if you have, if someone has early
Sandra Lee:cognitive decline, there are always, always, always things to
Sandra Lee:do that can help your symptom, that can you know maybe it will
Sandra Lee:reduce your symptoms. It can even prevent dementia. So this
Sandra Lee:is one something that I always protest against. Is when
Sandra Lee:sometimes doctors will tell patients, "Oh, you have a
Sandra Lee:diagnosis of dementia." And you don't qualify for a medication.
Sandra Lee:There's nothing much you can do. I disagree with that completely.
Sandra Lee:There is so much you can do.
Sandra Lee:Yes. So here on Brain Health and Healing, people
Sandra Lee:are accustomed to hearing me say, "Your brain heals itself
Sandra Lee:every day of your life.
Sandra Lee:Dr. Shabnam Das Kar: Yes, you have to give it the opportunity
Sandra Lee:and the resources for it to heal.
Sandra Lee:So, tell us more about hormones and how we
Sandra Lee:support our brain in taking care of itself with hormones.
Sandra Lee:Dr. Shabnam Das Kar: So, hormones now again. First of
Sandra Lee:all, as an individual, a person cannot do much about hormones
Sandra Lee:other than making sure they get the right diagnosis, so there
Sandra Lee:are no like you'll hear Sandra. I'm sure you hear as much as I
Sandra Lee:do about natural hormone treatments. Well, there are no
Sandra Lee:natural hormone treatments like no supplement that is going to
Sandra Lee:increase someone's level of let's say testosterone or
Sandra Lee:estrogen or anything in a let's say a postmenopausal woman is
Sandra Lee:going to take some supplement which is going to increase her
Sandra Lee:hormone levels. Now that doesn't exist, so a lot of it is
Sandra Lee:prescription stuff. But what are the things that you know any one
Sandra Lee:of us can do in terms of? So I use what I call my eight keys to
Sandra Lee:long term health. Most of the keys, I'm sure, everyone, most
Sandra Lee:people are familiar with sleep. Now, with sleep, what happens,
Sandra Lee:and and I'm sure you have a lot of clients who have sleep issues
Sandra Lee:after their trauma, the brain trauma. So sometimes, what gets
Sandra Lee:missed is, particularly in women, it could be a combination
Sandra Lee:of things like, in menopause, one of the commonest problems is
Sandra Lee:chronic insomnia, and chronic insomnia cannot be treated by
Sandra Lee:pills. It needs something called cognitive behavioral therapy for
Sandra Lee:insomnia, which is a non-prescription medication
Sandra Lee:treatment, which is again not easily available because it's
Sandra Lee:usually delivered by sleep coaches or psychologists.
Sandra Lee:But it's good to know because some people can also do
Sandra Lee:self-paced courses and all that. So cognitive behavioral therapy
Sandra Lee:for insomnia is very important. Then some people may have what
Sandra Lee:is called obstructive sleep apnea, and that may have no
Sandra Lee:relation to the brain trauma, but they can have it anyway. So
Sandra Lee:what happens is during sleep, the brain doesn't get enough
Sandra Lee:oxygen. We stop breathing in between, and for men, sometimes
Sandra Lee:their you know partners or wives may notice at night like they're
Sandra Lee:giving a jab, jabbing him in the ribs because he just stops
Sandra Lee:breathing. But for women, sometimes the symptoms are not
Sandra Lee:really related to breathing. It may be things like anxiety,
Sandra Lee:hallucinations, and sometimes they are told, "Oh, you're in
Sandra Lee:menopause, so this is the problem. But the problem is
Sandra Lee:actually sleep apnea, and to diagnose that, they again have
Sandra Lee:to go for a sleep study, and that is the only way to confirm
Sandra Lee:whether someone has or doesn't have it. So these are the two
Sandra Lee:things about sleep that people don't talk a lot about, you
Sandra Lee:know. Then food. Now there are no, you know, magic brain food.
Sandra Lee:That if I if I just eat blueberries, I'm my brain is
Sandra Lee:going to be great. Sandra, I can see you agreeing to that.
Sandra Lee:Rats. There's not a magical food that's gonna solve
Sandra Lee:all my problems. Ah,
Sandra Lee:Dr. Shabnam Das Kar: no. So when it comes to food, I talk about
Sandra Lee:you know what are the jobs you want food to do for your brain.
Sandra Lee:So I look at it as number one is does it maintain your blood
Sandra Lee:glucose levels in a constant level state? There is a very
Sandra Lee:strict range which is good for the brain, and this is good for
Sandra Lee:all brains, regardless of whether someone has a brain
Sandra Lee:trauma, someone has diabetes, someone has a family history of
Sandra Lee:dementia. Doesn't matter for everyone. This applies. It
Sandra Lee:applies to mood disorders too. Then the next thing is: is it
Sandra Lee:keeping inflammation? Chronic inflammation is a very big
Sandra Lee:problem. Chronic inflammation is like a smoldering fire where the
Sandra Lee:immune system is on a constant, you know, alert when it doesn't
Sandra Lee:need to be. Like there is no bacteria it's dealing with,
Sandra Lee:there is no virus it's dealing with at that point. But it's in
Sandra Lee:the past something might have happened, and there are
Sandra Lee:gazillions of things which can trigger a chronic inflammation.
Sandra Lee:Food is one of the big ones. Now, I don't need to. Your
Sandra Lee:audience, I'm sure, knows very well that you know ultra
Sandra Lee:processed food like a lot of sugary food, pop, and you know
Sandra Lee:high carbohydrate food, pizzas, burgers, all the stuff, cakes
Sandra Lee:and pastries and cookies; those are not good for anyone's brain,
Sandra Lee:regardless of whether they've had trauma or not. So that is
Sandra Lee:that is not new information. Everyone knows. But the thing
Sandra Lee:is, what would be good for the brain?
Sandra Lee:Things like having high quality protein, because proteins don't
Sandra Lee:raise blood glucose levels as much as. Carbohydrates do so
Sandra Lee:proteins, as in depending on whether you're vegetarian,
Sandra Lee:vegan, or you eat so meat, fish, eggs, tofu. Those are you know
Sandra Lee:high quality protein and eat them as far as possible in the
Sandra Lee:least like processed way. So for example, if someone has to
Sandra Lee:choose between I'm from Alberta, so a wonderful, nice, juicy
Sandra Lee:steak and sausages. I would much rather they choose the steak.
Sandra Lee:But then again, Sandra, it's not always practical to have
Sandra Lee:sausages, you know, every week. I mean, sorry, steaks every
Sandra Lee:week. But if someone has to choose between, let us say, a
Sandra Lee:sausage and a sandwich, then I'd much rather go for the sausage.
Sandra Lee:So here are the decisions: like what what are the most important
Sandra Lee:you know things that you need to do for yourself? So proteins and
Sandra Lee:good quality fat. So good quality fat, as in things like
Sandra Lee:nuts or natural you know fatty fish or things like avocado. The
Sandra Lee:worst possible fat are trans fats. Those are the processed
Sandra Lee:food, the things that processed food contain. And again, another
Sandra Lee:you know something you'll find people.
Sandra Lee:Oh, you need to eat fish for the brain. Well, yes, you need to
Sandra Lee:eat fish for sure, but maybe you don't love fish. You don't like
Sandra Lee:fish at all, but expecting yourself to get enough omega
Sandra Lee:three to help your brain from eating only two helpings of
Sandra Lee:fatty fish a week, it's not going to work. So people can
Sandra Lee:actually test for omega three levels, and again, the test is
Sandra Lee:not available through healthcare. It's a specialized
Sandra Lee:testing, but most people would need supplements. You cannot. No
Sandra Lee:one can eat their way to have omega threes. So what else can
Sandra Lee:people do now? Exercise. Everybody knows, Sandra. We all
Sandra Lee:know that exercise is good for us. But how many of us actually
Sandra Lee:manage to meet what you know the guidelines recommend. I'm sure
Sandra Lee:you you meet such. I am not someone who meets the
Sandra Lee:requirements either. I
Sandra Lee:don't.
Sandra Lee:Dr. Shabnam Das Kar: And Canada has a very nice you know
Sandra Lee:guideline which is called the 24 Hour Movement Guideline, and
Sandra Lee:that is very important. You know why? Because a lot of time we
Sandra Lee:spend in sitting continuously. So right now I'm standing. So I
Sandra Lee:have a sit-stand desk which I can adjust. And if you are using
Sandra Lee:a standing desk, I always recommend people get a thick
Sandra Lee:rubber mat, like an anti-fatigue mat, because you can't stand for
Sandra Lee:two. And you should. No one should be standing all the time.
Sandra Lee:So again, this is my you know behavior change and tiny habits
Sandra Lee:method is your environment has the biggest impact on your
Sandra Lee:behavior. So when I decided I'm going to you know stand for my
Sandra Lee:meetings and Zoom calls and when I see patients, I decided to get
Sandra Lee:out of the chair in my office. You know, because the chair is
Sandra Lee:not there, I'm not like I won't be inclined to sit. Then I
Sandra Lee:realized my husband likes to sit when he's here at the table, so
Sandra Lee:I thought, "Oh, what do I do now? Because I can see the
Sandra Lee:chair, so I decided to push the chair under the table so that
Sandra Lee:it's not in my vision, so that he can pull it out when he wants
Sandra Lee:to sit, but I don't have to see it. And if I don't see it, very
Sandra Lee:unlikely I won't use it.
Sandra Lee:So, how do we set ourselves for success? You know, environment
Sandra Lee:is one of the biggest one, but sometimes we may not be able to
Sandra Lee:change our environment completely. So, food we talked
Sandra Lee:about, then exercise. Now, when it comes to exercise, what I
Sandra Lee:want to highlight is, you know, reducing Continuous sitting,
Sandra Lee:like yesterday or day, I was reading about you know people
Sandra Lee:talking about the number of hours of television viewing. A
Sandra Lee:lot of people you know do because number one is they are
Sandra Lee:bored, they don't have anything else to do, they are retired,
Sandra Lee:and apparently some statistics say like people are spending
Sandra Lee:about three to four hours a day watching TV. So I ask my
Sandra Lee:patients sometimes, you know, what do you do at this between
Sandra Lee:this time and this time? Where does most of your sitting come
Sandra Lee:from? And they'll say, Oh, I watch. I said, Okay, can you?
Sandra Lee:They'll say, Okay, I have a treadmill in the house, but I'm
Sandra Lee:not using it.
Sandra Lee:Said, Can you move it to the front of the TV? Like, you know,
Sandra Lee:watch your favorite show, and you can be on your treadmill
Sandra Lee:while you're doing that instead of sitting at the you know on
Sandra Lee:the couch. So so many different ways of doing this. Then another
Sandra Lee:one of my other keys is taking appropriate prescription
Sandra Lee:medications. That is where my interest in hypertension comes
Sandra Lee:in. Many people, because hypertension often doesn't have
Sandra Lee:any symptoms, so they think, "Oh, it doesn't have any
Sandra Lee:symptoms. I'm young. It's not my problem. I'm in my 30s and 40s
Sandra Lee:now. This is something my grandparents dealt with. No,
Sandra Lee:your midlife health will decide your long-term health. So write
Sandra Lee:prescription medications. Then, of course, there are
Sandra Lee:supplementation things like omega three fatty acids, vitamin
Sandra Lee:D. We cannot get enough vitamin D from you know, and
Sandra Lee:particularly in northern areas like Canada, we're not going to.
Sandra Lee:And my skin color, there's no chance I'm going to make vitamin
Sandra Lee:D.
Sandra Lee:So, Dr. Shabnam has given us a wide range of
Sandra Lee:practical actions to take that support general health, that
Sandra Lee:support hormone health, and that support recovery from whatever
Sandra Lee:it is that's not working properly about your brain. Now,
Sandra Lee:I think Dr. Shabnam and I are probably going to be doing
Sandra Lee:several of these podcast interviews because she's got so
Sandra Lee:much wisdom to share. So let's give us a quick conclusion for
Sandra Lee:people to take away with what we've already talked about.
Sandra Lee:Dr. Shabnam Das Kar: Yeah. So first of all, observe for any
Sandra Lee:symptoms that you didn't have before, and more importantly,
Sandra Lee:don't ignore any symptom that you like. One of the things I
Sandra Lee:ask people when it comes to brain, because a lot of people
Sandra Lee:come to me like, doctor, I don't want to get dementia when I'm
Sandra Lee:older, so I'll ask them. Do you feel your brain is as rapid fire
Sandra Lee:as it was before? And 100% of the time, it's like, no, I want
Sandra Lee:a brain upgrade. You know, so are you having things like mood
Sandra Lee:issues? You're not sleeping well, or you know, you have
Sandra Lee:fatigue. These are new things. Or did you notice anything
Sandra Lee:change after, let's say, a minor trauma? Minor, you fell off a
Sandra Lee:stool, reaching out for a shelf in the upper this thing in your
Sandra Lee:kitchen, or ask your loved ones that we know Sandra and I talked
Sandra Lee:about. Are you noticing something different in me? That
Sandra Lee:is one. Next is whatever the symptom is, regardless. Like you
Sandra Lee:know, don't judge. Like don't try to sort of justify. Yeah,
Sandra Lee:this is what happened. I'm stressed. I'm not sleeping well.
Sandra Lee:That is why I have this symptom.
Sandra Lee:Best to confirm. You know, sometimes some of the early
Sandra Lee:symptoms can you know we can catch them early enough. Then we
Sandra Lee:can treat much better. Next is what are the things you can do
Sandra Lee:for yourself. So no matter how severe a health challenge you're
Sandra Lee:dealing with, what I would suggest is make a written down
Sandra Lee:list of all the things. Like most people know, you know,
Sandra Lee:quite a some people may not know everything, but then they might
Sandra Lee:know that okay, it's like yesterday I was talking to a
Sandra Lee:relative, and she and her husband have diabetes, and she
Sandra Lee:said, "Oh, I use a few dates in my morning smoothie, and I'm
Sandra Lee:like my eyes are almost reaching my. Said, "Why are you having
Sandra Lee:dates? No, people say it's good for the brain. I said, "No,
Sandra Lee:that's sugar. Sugar in any form, whether it is natural or not, is
Sandra Lee:not the best thing for your brain, and particularly for
Sandra Lee:someone who has diabetes. So yes, information alone does not
Sandra Lee:change behavior, but right information is important. And
Sandra Lee:like Sandra and I said, there are no magic food or magic
Sandra Lee:supplements. Just have blueberries, or just have fatty
Sandra Lee:fish, and your brain's going to be good. No, so write
Sandra Lee:information, and the other thing is make a list of all the
Sandra Lee:changes that you probably want to make. So let us say you want
Sandra Lee:to start exercising. So instead of you know going and signing up
Sandra Lee:for a gym, you've not worked out for the last five years. Like is
Sandra Lee:that something you see yourself doing? Yes, the impact of going
Sandra Lee:to the gym would be fantastic.
Sandra Lee:But do you have the motivation right now? So, as a tiny habits
Sandra Lee:coach, I would say match your, you know, whatever it is, the
Sandra Lee:outcome you're looking for. Match it to your present
Sandra Lee:motivation level. If you've not worked out for the last five
Sandra Lee:years, like don't set yourself up for failure. Start with
Sandra Lee:something small. So start a tiny habit like I'm going to walk to
Sandra Lee:the mailbox every day. You know something, or even smaller.
Sandra Lee:Actually, in the tiny habits method, we say start with
Sandra Lee:something as simple as I'm going to take out my you know walking
Sandra Lee:shoes. Maybe my walking shoes are packed away in the basement,
Sandra Lee:so I'm just going to take them out, or maybe I'll just put them
Sandra Lee:on and tie the shoelace. Very often, people find that once
Sandra Lee:they do that, they usually end up going out for the walk. But
Sandra Lee:the third part of the tiny habits method. So first of all,
Sandra Lee:anchor it to something you already do. So let's say after I
Sandra Lee:put away my coffee cup in the morning, I'm going to you know
Sandra Lee:put on my shoes. But the third part of the tiny habit recipe,
Sandra Lee:and this is a method that comes from the work of Dr. B. J. Fogg
Sandra Lee:at Stanford. The third part is the part that a lot of people
Sandra Lee:miss is an instant celebration. So an instant celebration. There
Sandra Lee:are long list of things you can do. Something like, okay, I tied
Sandra Lee:my shoelace today, so Yahoo. You know, depending on your
Sandra Lee:personality, I'm not a Yahoo kind of person.
Sandra Lee:I would think of something like imaginary fireworks or something
Sandra Lee:that is meaningful to you. And what happens is most people
Sandra Lee:don't get this right. They feel that oh, it's so tiny. I'm just
Sandra Lee:putting on a putting on my shoes. How is that going to help
Sandra Lee:me? You know, exercise. No, that feeling when you celebrate that
Sandra Lee:feeling of you know that you feel good about it that
Sandra Lee:increases your motivation for doing something more difficult.
Sandra Lee:And don't raise the bar like the tiny habit remains that tiny,
Sandra Lee:but you will find, and I have seen it in myself. I have seen
Sandra Lee:it in a lot of people I have helped. That once they are
Sandra Lee:successful in doing something really tiny, and I think Sandra,
Sandra Lee:for many of your clients who are dealing with you know severe
Sandra Lee:brain trauma, like doing something really tiny, like I'm
Sandra Lee:going to do two dumbbell curls, like two dumbbell curls with a
Sandra Lee:two-pound weight, is absolutely. I mean, it's like you're going
Sandra Lee:to think, how is that going to impact? But you'll be surprised
Sandra Lee:to see really big deal. Yes, it's like it just it increases
Sandra Lee:on its own. There is nobody telling them do it, do it, do
Sandra Lee:it. You know, no notification on the phone prompting them, oh,
Sandra Lee:you need to do this, but this is how you know. This is why the
Sandra Lee:tiny habits method and behavior design.
Sandra Lee:All of this. First of all, make a list of everything that you
Sandra Lee:are. You know, this is the desired outcome. Let us say
Sandra Lee:someone wants to improve focus. What are the things you can do?
Sandra Lee:And they can actually talk to you because you help people with
Sandra Lee:that wonderful test. Yes. Yes. Yes. So Sandra has this really
Sandra Lee:nice test, and we all went through this testing on that on
Sandra Lee:that webinar. And it's surprising how quickly people
Sandra Lee:can actually improve on that. And doing something like that,
Sandra Lee:you know, doing that test and improving, seeing your scores
Sandra Lee:improve, that gives a wonderful feeling to people. So make a
Sandra Lee:list of all the things that you. What is the desired outcome? If
Sandra Lee:it is focus, what are the things that can improve focus? And out
Sandra Lee:of that list, I would say people should choose things that one
Sandra Lee:has a high impact on the outcome they are looking for, and the
Sandra Lee:second, which is the part that a lot of people, you know, miss
Sandra Lee:out? Is do you see yourself doing it? Actually doing it.
Sandra Lee:Yes. And if you if it doesn't happen, doesn't matter. This was
Sandra Lee:a self experiment. It didn't work. Try something else.
Sandra Lee:And you know what I say is, if you don't do it this
Sandra Lee:time, there's always tomorrow. Oh
Sandra Lee:Dr. Shabnam Das Kar: yeah,
Sandra Lee:yeah. Well, so thank you, Doctor Shabnam. This has
Sandra Lee:been so full of practical strategies. What do you have as
Sandra Lee:a gift for people?
Sandra Lee:Dr. Shabnam Das Kar: Okay, so I have a weekly email which I talk
Sandra Lee:about brain health in general, or just health in general,
Sandra Lee:specifically brain and blood pressure, and people can. It's a
Sandra Lee:free email, so people can sign up on my website. So drcarmd.com
Sandra Lee:forward slash email, d r k a r md.com/e and you'll find a form
Sandra Lee:to give in your name and your email address, and you get to
Sandra Lee:down people get
Sandra Lee:to download a free book called 20 Myths About Brain
Sandra Lee:Health, where you know there are 20 things that people can, and
Sandra Lee:each of those can actually become like something you want
Sandra Lee:to implement? Yes, and that will be in the show notes. Yes. So,
Sandra Lee:and I also have a brain podcast with my co-host Andrea. So it's
Sandra Lee:all there on my website. Yeah, we are not as regular with the
Sandra Lee:you know with publishing episodes as we should be, but I
Sandra Lee:mean it's there. It will all be in the show notes. So thank you
Sandra Lee:so much, Dr. Shabnam, and for you listening, you have lots of
Sandra Lee:wonderful practical things to write down in your notes so you
Sandra Lee:can apply them to your life. Thank you so much for coming to
Sandra Lee:Brain Health and Healing. We will see you next time. Thank
Sandra Lee:you very much, Sandra. Thank you, everyone.
Sandra Lee:Isn't that wonderful having a functional medicine practitioner
Sandra Lee:come on and give us practical strategies for supporting brain
Sandra Lee:health? Dr. Shabnam is going to be on again with us in the
Sandra Lee:future to have us have more strategies for supporting our
Sandra Lee:brains. What did you learn today? What did you write down
Sandra Lee:to apply in your daily life? Go to the Brain Health and Healing
Sandra Lee:Facebook group and share what you learned. I am Sondra Lee
Sandra Lee:with Brain Health and Healing. If you want to share your story
Sandra Lee:of brain injury or of overcoming adversity, I would love to hear
Sandra Lee:it. I invite you to a complimentary 10-minute share
Sandra Lee:your story call. This is not a sales call; it's an opportunity
Sandra Lee:to share your experience. Go to shinewithsandra.com/brainstory.
Sandra Lee:and to hear what your body's been trying to tell you, get my
Sandra Lee:Imagine What's Possible audio gift. Go to shinewithsandra.com.
Sandra Lee:Your body heals itself every day.

