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We Are Such Stuff As Fish Are Made Of

Collagen's benefits are more than skin deep

Loading Screen Tip: make a plan to get out of your house within 30 minutes of waking up. Even if you work from home or are retired—take a little stroll; it’s a very energizing start to the day!

⏰ IN A RUSH?

Today’s Key Learnings:

Flying by? Here are some key take-away ideas from today’s newsletter:

  • Some fish are better or worse than others for eating:

    • Best: salmon, tuna, sardines, anchovies, cod, and trout

    • Worst: tilapia, king mackerel, orange roughy, swordfish, shark, tilefish, and eels

    • Scroll down on tips for selecting the better-quality fish at the market!

  • You need collagen for health skin, bones, joints, and more

    • Your body makes collagen from your food

    • You can help it by getting plenty of protein, vitamins, and minerals (scroll down for more details)

    • You can also help it by not doing the usual Bad Things™ (smoking, drinking, eating processed foods, especially processed meats)

    • You can also eat collagen directly in the form of other animals' skin and bones

    • You can also buy collagen supplements (but watch out for allergens)

  • Sitting is very bad for the body, but there are things you can do to mitigate the harm done

👀 WATCH AND LEARN

7 Kinds of Fish To Avoid Eating

Are fish a healthy superfood, or a deathtrap of heavy metals and pathogens? Well, they can be either…

So you’ll note one of the worst, tilapia, is also perhaps the most popular fish eaten in N. America. Aside from heavy metals, its fatty acid ratio is the opposite of what would be good for us and can cause inflammation.

King mackerel, orange roughy, swordfish, shark, tilefish, and eels are the other unfortunate choices listed.

Tips for better fish-eating:

Healthier fish options include salmon, tuna, sardines, anchovies, cod, and trout, which are high in omega-3 fatty acids and other essential nutrients, and low in contaminants like mercury.

Opt for wild-caught fish when possible, which tends to be higher in omega-3 and lower in omega-6, and contains fewer contaminants, pesticides, and antibiotics.

When buying fish, look for young fish with firm flesh and a deep red-orange color for salmon, or a translucent white color for white fish fillets.

The organization that made this video, Heart Disease Code, are currently offering a free book, “The Surprising Truth About Fat And Cholesterol”, which has insights from many experts including, most notably, Dr. Mark Hyman, Board President for Clinical Affairs at the Institute for Functional Medicine.

🦴 MAIN FEATURE

Research Review: Collagen

For something that's a very popular supplement, not many people understand what collagen is, where it comes from, or what it does.

In a nutshell:

Collagen is a kind of protein. Our bodies make it naturally, and we can also get more in our diet and/or take extra as a supplement.

Our bodies use collagen in connective tissue, skin, tendon, bone, and cartilage. It has many functions, but a broad description would be "holding things together".

As we get older, our bodies produce less collagen. Signs of this include wrinkles, loss of skin hydration, and joint pain.

Quick test: pinch the skin on the middle of the back of one of your hands, and then watch what happens when you get low. How quickly and easily did your skin returns to its original shape?

If it was pretty much instantanous and flawless, congratulations, you have plenty of collagen (and also elastin). If you didn't, you are probably low on both!

(they are quite similar proteins and are made from the same base "stuff", so if you're low on one, you'll usually be low on both)

Quick note: A lot of research out there has been funded by beauty companies, so we had our work cut out for us today, and have highlighted where any research may be biased.

More than skin deep

While marketing for collagen is almost exclusively aimed at "reduce wrinkles and other signs of aging", it does a lot more than that.

You remember we mentioned that many things from the bones outward are held together by collagen? We weren't kidding...

Taking extra collagen isn't the only way

We can't (yet!) completely halt the age-related loss of collagen, but we can slow it, with our lifestyle choices:

Can I get collagen from food?

Yep! Just as collagen holds our bodies together, it holds the bodies of other animals together. And, just like collagen is found in most parts of our body but most plentifully in our skin and bones, that's what to eat to get collagen from other animals, e.g:

  • Chicken skin

  • Fish skin

  • Bone broth ← health benefits and recipes at this link!

What about vegans?

Yes, vegans are also held together by collagen! We do not, however, recommend eating their skin or boiling their bones into broth. Ethical considerations aside, cannibalism can give you CJD!

More seriously, if you're vegan, you can't get collagen from a plant-based diet, but you can get the stuff your body uses to make collagen. Basically, you want to make sure you get plenty of:

Just be sure to continue to remember to avoid highly-processed foods. So:

  • Soy mince/chunks whose ingredients list reads: "soya"? Yes!

  • The Incredible Burger or Linda McCartney's Sausages? Sadly less healthy

👆 Meat-eaters might want to read that one too. By far the worst offenders for AGEs (Advanced Glycation End Products, which can not only cause collagen to stiffen, but also inactivate proteins responsible for collagen repair, along with doing much more serious damage to your body's natural functions) include:

  • Hot dogs

  • Bacon

  • Fried/roasted/grilled meats

Is it worth it as a supplement?

That depends on you, your age, and your lifestyle, but it's generally considered safe*

*if you have a seafood allergy, be careful though, as many supplements are from fish or shellfish—you will need to find one that's free from your allergen

Also, all collagen is animal-derived. So if you're a vegan, decide for yourself whether this constitutes medicine and if so, whether that makes it ethically permissible to you.

With that out of the way:

What the science says on collagen supplementation

Collagen for skin

The short version is that they selected 19 studies with over a thousand participants in total, and they found:

In the meta-analysis, a grouped analysis of studies showed favorable results of hydrolyzed collagen supplementation compared with placebo in terms of skin hydration, elasticity, and wrinkles.

The findings of improved hydration and elasticity were also confirmed in the subgroup meta-analysis.

Based on results, ingestion of hydrolyzed collagen for 90 days is effective in reducing skin aging, as it reduces wrinkles and improves skin elasticity and hydration.

Caveat: while that systematic review had no conflicts of interests, at least some of the 19 studies will have been funded by beauty companies. Here are two, so that you know what that looks like:

Funded by Quiris to investigate their own supplement, Elasten®:

Funded by BioCell to investigate their own supplement, BioCell Collagen:

A note on funding bias: to be clear, the issue is not that the researchers might be corrupt (though that could happen).

The issue is more that sometimes companies will hire ten labs to do ten research studies... and then pull funding from ones whose results aren't going the way they'd like.

So the "best" (for them) study is the one that gets published.

Here's another systematic review—like the one at the top of this section—that found the same, with doses ranging from 2.5g–15g per day for 8 weeks or longer:

Again, some of those studies will have been funded by beauty companies. The general weight of evidence does seem clear and favorable, though.

Collagen for bones

Here, we encountered a lot less in the way of potential bias, because this is simply marketed a lot less. Despite being arguably far more important!

We found a high quality multi-vector randomized controlled study with a sample size of 131 postmenopausal women. They had these women take 5g collagen supplement (or placebo), and studied the results over the course of a year.

They found:

  • The intake of the supplement increased bone mineral density (BMD)

  • Supplementation was also associated with a favorable shift in bone markers, indicating:

    • increased bone formation

    • reduced bone degradation

A follow-up study with 31 of these women found that taking 5 grams of collagen daily for a total of 4 years was associated with a progressive increase in BMD.

You might be wondering if collagen also helps against osteoarthritis.

The answer is: yes, it does (at least, it significantly reduces the symptoms)

In summary:

  • You need collagen for health skin, bones, joints, and more

  • Your body makes collagen from your food

  • You can help it by getting plenty of protein, vitamins, and minerals

  • You can also help it by not doing the usual Bad Things™ (smoking, drinking, eating processed foods, especially processed meats)

  • You can also eat collagen directly in the form of other animals' skin and bones

  • You can also buy collagen supplements (but watch out for allergens)

Want to try collagen supplementation?

We don't sell it (or anything else), but for your convenience...

We selected this one because it's the same kind used in many of the studies, and it doesn't contain any known allergens.

It's bovine collagen, meaning it's from cows, so it's not vegan, and also some subscribers may want to abstain for religious reasons. We respect that, and/but make our recommendations based solely on the science of health and productivity.

📖 ONE-MINUTE BOOK REVIEW

Deskbound: Standing Up to a Sitting World - by Kelly Starrett and Glen Cordoza

We've all heard that "sitting is the new smoking", and whether or not that's an exaggeration (the jury's out), one thing that is clear is that sitting is very bad.

Popular advice is "here's how to sit with good posture and stretch your neck sometimes"... but that advice tends to come from companies that pay people to sit for a long time. They might not be the a very unbiased source.

Starrett and Cordoza offer better. After one opening chapter covering the multifarious ways sitting ruins our health, the rest of the book is all advice, covering:

  • The principles of how the body is supposed to be

  • The most important movements that we should be doing

  • A dynamic workstation setup

    • This is great, because "get a standing desk" tends to present more questions than answers, and can cause as much harm as good if done wrong

    • The authors also cover how to progressively cut down on sitting, rather than try to go cold-turkey.

    • They also recognize that not everyone can stand at all, and...

  • Optimizing the sitting position, for when we must sit

  • Exercises to maintain our general mobility and compensate about as well as we can for the body-unfriendly nature of modern life.

The book is mostly explanations, so at 682 pages, you can imagine it's not just "get up, lazybones!". Rather, things are explained in such detail (and with many high-quality medical diagrams) so that we can truly understand them.

Most of us have gone through life knowing we should have "better posture" and "move more"... but without the details, that can be hard to execute correctly, and worse, we can even sabotage our bodies unknowingly with incorrect form.

This book straightens all that out very comprehensively, and we highly recommend it.

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Wishing you a wonderful week ahead,

The 10almonds Team