Site icon Bend Osteopathic Care, PC

Super 6

Lifestyle Medicine Wheel

These Super 6 Lifestyle Pillars are critical in the prevention and reversal of chronic disease. Typically, one of these 6 areas or more need some nurturing. We encourage you to be curious about these areas and what you feel would be a practical next step towards wellness for you to make.  Go to COVID Prevention Tips page for additional information

Get whole with awareness of Forks, Feet, Fingers, Stress, Sleep & Love 

1.FORKS (Diet & Nutrition) :  Eat More Plants!       

It is a myth that we need to give up our joy of eating to be healthyI look forward to my overnight oats soaked in homemade hemp seed milk sweetened with dates and vanilla extract with berries, ground flaxseed, cinnamon, ginger, cacao nibs for breakfast. I absolutely love my breakfast! I look forward to our curry potato, brown rice or quinoa vegetables stews for lunch and dinner or burrito bowls with pumpkin seeds, whole grains, beans and hot sauce. I do not feel deprived. I feel light and energized in my body. I am eating for optimal blood flow and loving every bite. With every meal I know I am repairing damaged blood vessels and healing my body.Where possible eat organic regenerative whole foods, not too much, mostly plants! Be mindful of the chemicals on the food. See the Dirty Dozen and Clean 15 at At minimum choose organic if the food is on the Dirty Dozen list and worry less if the food is listed on the Clean 15.

The food we eat (and the chemicals permitted to be sprayed on the food) is the number one cause of disease in the US. The health of our soil directly correlates to the health of our own gastrointestinal system and within most of our functioning immune system. The lack of nutrients in the soil due to large scale farming practices and the chemicals sprayed on our food must be addressed. We must reclaim our right to healthy soil and a healthy immune system. Please go to these 2 websites to learn more:

Shift your whole to processed ratio. Perfection is impossible, to be whole is the goal!

Whole foods with fiber: Vegetables, fruits, beans, organic whole grains, seeds

Shift your plant to animal ratio, consider meat as more of a garnish then the main dish

To properly train your gut microbiome we need to start low and go slow with fiber. 

Long term goal: Avoid or limit to 2 servings or less a week “meats and treats” which are foods WITHOUT fiber

Foods without fiber = meat, eggs, dairy, cheese, oils, white flour, sugar

Ideally limit meat to wild game or true pasture raise raised, and garnish portion or 2 servings maximum a week over main dish or go without completely. Note if you abruptly stop eating animal source foods you were more than likely have detox symptoms as your microbiome shifts from more carnivorous (bactericides) dominate to herbivore (prevotella) dominant strains. The herbivorous strains have the most profound anti inflammatory and anti cancer effects on our physiology which is why humans who eat a plant dominate diet live the longest and have the lowest rates of chronic disease including heart disease and cancer. 

Minimize all conventional grains which are sprayed with glyphosate (Round Up) which disrupts are small intestinal health & can be a cause of cancer. Choose organic whole grains wheat, barley, rye (contain gluten) & wild rice, brown rice, quinoa, millet, amaranth (non-gluten) 

Minimize all processed foods, fast foods.

Plant based diversity is the greatest predictor of a health gut so the goal is to increase the variety of whole plant foods in your diet. 

Prioritize nutrient dense whole plant foods, see GBOMBS below.

Eat oatmeal with 1 tablespoon fresh ground flaxseed or whole chia or shelled raw hemp seeds with berries, cacao nibs and your plant milk of choice.

Try “overnight oats” for breakfast:

We encourage a large salad with beans, seeds, whole grains for one meal a day.

Hemp milk recipe:

Try burrito bowls for lunch and dinner. Google: whole food plant-based burrito bowel recipes

Try making your own salad dressings with a base of walnuts, and or other seeds/nuts with raw apple cider vinegar and sea salt and spices to taste. Blend and serve. Add to fresh cut veggies, air fried or raw pumpkin seeds and brown or wild rice with lentils or other legume.

Can you replace one meal with a green smoothie? Try this combination:

1-part frozen banana, 1-part frozen berries, 1-part frozen or fresh darky leafy green like spinach or organic kale, 1 part chia or flax or hemp seed. Use water or a non-dairy plant milk.

Try living on sweet potatoes and kale with fruit for snacks and dessert for a few days. If you are transitioning from the standard American type diet be mindful that you will likely have significant detoxification systems when you drastically change your diet. A gentler approach would be to slowly shift your choices toward more whole fiber foods, eating slowly less fiber less foods.

Especially if you already have significant bowel symptoms you need to SLOWLY increase your intake of whole fiber foods. 

Add a prebiotic like psyllium husk powder or capsule, start with 1 capsule daily and slowly increase up to 4 caps over a few weeks or from 1 teaspoon to a tablespoon daily

Consider other prebiotics: Beta glucans (found in oats, barley, wheat, rye) OR Acacia powder OR Wheat Dextrin (Benefiber) 

From Peter Attia, MD, when I look at a person, and all their data (e.g., DEXA, biomarkers), I’m asking three questions with respect to nutrition. These questions assume a person is not already in “perfect” nutritional balance – that is, ideally nourished with a high amount of lean body mass:

  1. Are they over-nourished or under-nourished?
  2. Are they under-muscled or adequately muscled?
  3. Are they metabolically healthy or not?

Looking at the first two questions creates a 2×2 framework with which we can place patients into one of four squares. Only three of the four squares, practically, have occupants. It’s unusual to see a person who’s under-nourished but adequately muscled. The square they land in informs the strategy and tactics we employ to work toward our objectives.

Your strategy and tactics are informed by which box you fall into. For example, if you are over-nourished and under-muscled (the most common phenotype), your strategy would include inducing an energy (calorie) deficit, while likely boosting protein intake to reach your protein target, and engaging in an exercise program geared toward building muscle.


If you are over-nourished, regardless of muscle mass, you’ll need to create an energy deficit to shed excess body fat. The aim of each of the following three strategies is the same: create an energy deficit. However, the approach can be either direct or indirect in nature. Some people find it easier to use one of the three while others combine two or more.

  1. Calorie restriction (CR): A direct but sometimes challenging approach, CR involves consistently restricting your calorie intake, and accurately tracking input. This approach is agnostic to what you eat and when you eat it, and is only concerned with how much you eat.
  2. Dietary restriction (DR): This is a tactic you’ll likely be familiar with. Most name “diets” fall under this category. Vegan, paleo, keto, carnivore, low fat, low carb, etc. all fall under dietary restriction. Dietary restriction excludes or limits certain foods or macronutrients from your diet. Reports of fat loss with a specific diet are common; however, the fat loss promoted by any diet has much more to do with the calorie deficit created by restricting foods or macronutrients than with the food or macronutrient restriction itself. As a general rule, the more restrictive a DR strategy, the more likely it is to achieve its ultimate goal: fewer calories consumed.
  3. Time restriction (TR): As with DR, TR is an indirect approach to CR. Rather than restricting foods or macronutrients, or counting calories, one simply restricts the number of hours each day in which they consume calories. A common example of this is 16/8, where you have an 8-hour eating window and a 16-hour window in which you do not consume calories. The smaller your eating window, the more likely you are to create an energy deficit.

As you begin your longevity journey, you’ll want to identify which box you fall into in the 2×2 framework, and then create a nutrition protocol that propels you toward the goal, adequately nourished and adequately muscled.

Consider watching: Forks Over Knives, Hungry For Change

Consider reading:

Fiber Fueled: The Plant-Based Gut Health Program for Losing Weight, Restoring Your Health, and Optimizing Your Microbiome by Will Bulsiewicz MD

Eat To Live by Joel Fuhrman, MD

The Pleasure Trap by Doug Lisle, PhD

How Not To Die & How Not To Diet by Michael Greger, MD

Nourish: The Definitive Plant-Based Nutrition Guide for Families by Brenda Davis, RD & Reshma Shah M.D. M.P.H.

2. FEET (Physical Activity):  Play More! 

Move your body a little bit every day as tolerated

For resistance exercise to build strength keep it simple with 3 exercises  “Push, Pull, Squat” Using your own body weight start doing daily push ups, weight assisted pull ups and air squats. Slowly advance, see these tips for advancing push ups. 

Unless you have severe shoulder issues, weight assisted pull ups and not advancing too fast are generally safe and in fact can be the best exercise if you have the most common cause of shoulder pain, impingement syndrome. See this video on tips to get started. This is also a good video for details on hanging.

Reclaim yours squat! We used to have to squat several times daily but due to the western toilet seat we are deprived of this natural strengthening and balance exercise. Add gentle mini “air squats” in your home, walk in the house or outside and advance slowly as tolerated, and/or add stationary cycling, gentle yoga stretches.

See this video for general calisthenics advice for beginners 

Goal to increase exercise to 60 minutes a day, remember it is a marathon not a sprint, go slow and advance as tolerated. You are the expert of your own body.

Check out the 4 minute work out by Zach Bush, MD on YouTube

From Peter Attia, MD: In planning for The Centenarian Decathlon™, you begin by thinking through and identifying a set of activities you would like to be able to do at age 100.
Here are a few examples:

This list will look different for everyone and you’ll need to spend time thinking through which activities are most important to you.

There are four categories of exercise that provider the most value.

  1. Stability: Stability is what allows us to safely transfer force from our body to the outside world and vice versa. Virtually any orthopedic injury you sustain can be traced back to some deficiency here.
  2. Strength: In its simplest form, strength means utilizing muscle to generate force. And if you are interested in living a long and healthy life and playing with your great-grandkids someday, then muscle mass should be a priority. Never in the history of human civilization has a 90-year-old said, “I wish I had less muscle” or “I wish I was less strong.”
  3. Zone 2 training (aerobic efficiency): Zone 2 is defined as the highest metabolic output/work that you can sustain while keeping your lactate level below two millimole per liter. Functionally, this measures your peak aerobic efficiency.
  4. VO2 max (maximum aerobic output): Your VO2 max refers to the maximum rate at which your muscles can extract oxygen from your blood and put it to metabolic use to generate energy. There is no metric–biomarker or otherwise–that is more highly associated with the length of your life than your VO2 max.
  5. Stability videos from Peter Attia, MD 
  6. Dynamic Neuromuscular Stabilization
  7. Postural Restoration Institute 

Check out the Jivamukti Yoga Magic Ten on YouTube, can find at, Jivamukti Yoga tab. Avoid the hand stand unless skilled and confident. Replace hand stand with more time in Downward Dog adding toe raises, leg extensions.

Monitor your heart rate, target heart is 180 – your age ( to maintain aerobic and avoid anaerobic respiration)

Consider reading Finding Ultra by Rich Roll, Outlive by Peter Attia, MD 

Watch the film The Game Changers  

3. FINGERS (Substance Intake/Escape Behavior) : Thrive without.     Avoid tobacco use, if you smoke stay curious about quitting, practice posture and breath awareness, do body scans when reaching and commit to this practice if you still decide to have a cigarette. Increase fruits and vegetables and you will naturally smoke less.  Stay curious about any repetitive behavior (smoking, alcohol or other drug use) that you may be using to help regulate your nervous system that may be hurting you acutely or in the long term. Stay curious about screen addiction & total screen time daily. Watch the film on Netflix “The Social Dilemma” and resources at Is there a joyful activity or practice that you can reclaim or add to replace the negative stress management behavior? See STRESS below for positive stress management tools.

4. STRESS (Stress Management) : Stay Present! 

To balance your nervous system, relax the body and prevent compression pain we need to recruit back your parasympathetic nervous system.

To do this:

Practice soft belly breathing and posture awareness

The belly should rise on inhalation and fall on exhalation

Inhale through the nose and exhale through the nose or mouth

Allow shoulders to rest on top of the rib cage avoiding ‘ear muffs’

Minimize slouching, goal for a straight spine and strong core

Consider reading Mindsight by Dan Siegel, MD

Read Breath, The New Science of a Lost Art by James Nestor 

See his breath exercise list at

Try These Vagus Nerve Exercises  from Stanley Rosenberg

Practice slowing your rate of breathing. Silent count your inhalation & exhalation time and practice prolonging to a goal of 6 seconds in and 6 seconds out. 

Consider adding 5 minutes of sitting breath and sensation meditation practice daily. Can add the free Insight Timer app to your smart phone. 

Observe sensation of air beneath the nostrils to sharpen the mind, as you progress can add body scans, noticing any sensation of your body and slowly scanning from head to feet, feet to head.

Notice when mind wanders away from sensation focus and gently bring mind back to sensations.

We are all perfectly imperfect holy beings, the benefit is in the practice not perfection! Every time you can bring your mind back to sensation is like a push up for the brain and will literally change how your brain works and will naturally create more acetylcholine that is deficient in many of us. This neurotransmitter is necessary for relaxation and optimal sleep and can not be taken in a pill or drug.

Consider a free 10 Day silent meditation retreat to learn Vipassana Meditation. Go to to learn more.

5. SLEEP (Sleep Hygiene) : Rest Well

Prioritize adequate sleep, sleep deprivation is the most common and most difficult stressor to the body. Without adequate sleep, the body can not repair and heal.

“Sleep is not an optional lifestyle luxury, it is a non-negotiable, biological necessity. It is your life support system and it is mother nature’s best effort yet at immortality. The decimation of sleep throughout industrialized nations is having a catastrophic impact on our health, our wellness, even the safety and education of our children. It is a silent, sleep loss epidemic and it is fast becoming one of the greatest public health challenges that we face in the 21st century”.  – From Matthew Walker, Professor of Neuroscience and Psychology at the University of California, Berkeley, and Founder and Director of the Center for Human Sleep Science. Author of Why We Sleep.  

Avoid caffeine after 2 PM, minimize or avoid alcohol 

Avoid naps during the day IF you are struggling with sleep at night 

Establish regularity of time going to bed and time waking up, regardless of weekday or weekend – regularity is king!

Anchor your sleep and improve the quantity and quality of your sleep 

Keep it cool! Set thermostat at 65 F. 

Try to get 2-10 minutes of natural sunlight in the morning, if you can watch the sun set

Minimize screen time 2-3 hours before bed or use special glasses the block light frequencies that keep your melatonin levels inappropriately low when you need to sleep.

Read a real book before bed. If must look at electronic screens before bed, use a blue light blocking glasses but know that other color frequencies effect natural melatonin as well – so the glasses are not fool proof. 

Consider adding Magnesium L-Threonate 100-200 mg or glycinate 30-60 minutes before bed

Consider L-Theanine 200 mg 30-60 minutes before bed 

Consider melatonin assist, take 0.3 – 1 mg after dinner or 1 hour before bed – ideally short term use only 

Minimize lighting in home in evening

Add Insight Timer a free app, search for Yoga Nidra, guided sleep meditations.

See my sleep hygiene handout at for more ideas:  Suggestions for Better Sleep

Take Vitamin D3 4000 IU daily with meals but make sure to get your blood vitamin D level checked as Vitamin D is a hormone and high levels can be unsafe. For long term use, Vitamin D 2000 IU with vitamin K2. 

Take Vitamin B-50 Complex for 3 months and eat more whole fiber foods to get your gut healthy.

Without a healthy gut and microbiome we will not sleep well.

Add a meditation practice, see STRESS above.

Reclaim your nose breath, if you can not breath through your nose you deserve further evaluation and options for correction. Let me know.  Read the book Breath by James Nestor mentioned above. 

Read Why We Sleep by Matt Walker 

See extensive sleep resources at

6. LOVE (Social Connection) :  Grow Love (Emotional/Mental  Health) 

Are you isolated? We can not do it on our own. Seek out support! 

Are your relationships nourishing?

Connect with yourself, go inward

Choose a few minutes every day for silent contemplation, prayer

Practice gratitude: Place hands on chest and feel one thing you are grateful for for 1-3 minutes before getting out of bed in the AM each day.

Connect with other sentient beings, volunteer?

Be curious about grudges, need for forgiveness, adequate grief work

Do you have childhood trauma, or any trauma that has not been adequately addressed, in that case I strongly encourage finding a counselor, look for a somatic therapist in your area and if not available any counselor, you may have to interview a few to find one that feels right.

“Human beings have 3 core needs: To be seen, heard, and authentically expressed for who we are” – Dr Nicole LePera 

Consider reading:

How To Do The Work by Dr. Nicole LePera 

A Return to Love by Marianne Williamson

Lost Connections by Johann Hari

The Power of Now by Eckhart Tolle


Exit mobile version