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Meet Sara Gottfried MD
Meet Sara Gottfried MD
Meet Dr. Sara Szal Gottfried
Please meet Dr. Sara Szal Gottfried a leading doctor who practices precision medicine and also serves as the WorldSprings Wellness Advisor, as well as the creator of The Mineral Method wellness circuits.
Precision medicine is fascinating; it looks at your genes, lifestyle, and environment to come up with the best approach to health and longevity and offer personalized recommendations to optimize health at the individual level.
The benefits of soaking
Throughout Europe and Japan, physicians prescribe soaking in mineral waters of varying temperatures for a host of ailments. Mineral waters are prescribed to treat conditions and reduce risk of disease, including reduction of tension and stress and extending to other benefits such as reduction of inflammation, better breathing, and improved athletic recovery.
The potential benefits of soaking in nourishing waters are valuable and can be part of the lifestyle modifications a patient makes under the care of a precision medicine doctor. Taken further, contrast bathing - the practice of alternating between soaking in a hot pool followed by a cold plunge, as you can follow within The Mineral Method wellness circuits - can increase your blood oxygenation, blood flow to muscles and the skin, and soothes muscle soreness.
Soaking in mineral water is a proven path to a healthier body and maybe greater longevity.
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Benefits of Mineral Water
on Jul 26, 2024 | 3 minutes
By Wellness Consultant Sara Gottfried, MD Inside hot spring soaking pools, minerals abound. Magnesium, calcium, iron, potassium, silica, sodium, lithium. People flock to hot springs for bathing and relaxation, and don’t realize that around the world, doctors prescribe hot springs for medical therapy. Like sugar dissolves in a cup of hot coffee, minerals from rocks dissolve in the hot spring water, and the mineral content varies according to location and depth of the water. It’s the high mineral concentration that offers the therapeutic benefits such as promoting deep relaxation and recovery, boosting circulation, soothing sore muscles and maybe joints, and improving certain skin conditions. A physician friend recently described his use of hot springs as an ancient wellness practice: “I soaked in hot springs today and felt spacious and relaxed, full of ease, as if all the mental and physical knots of a busy life melted away. ”He’s an internal medicine doctor, so I asked if he prescribed them to his patients. “No, but maybe it’s time to start.” As a precision medicine doctor who integrates ancient healing with modern technology and science, I wondered if there was data to support the physician’s claims. Laptop in hand, I dove into the science that underlies the “sit and soak” approach to mineral hot springs. I was surprised at the breadth and depth of scientific support emerging from more than 735 scientific papers published in mostly peer-reviewed journals – far too many to read myself. Examples include the following. One review described the benefits of mineral hot springs for improving chronic stress and the immune system, and suggested that it might be a good hermetic strategy .ii (If you listen to Stanford University Professor Andrew Huberman’s podcast, you might know something about hormesis from deliberate heat exposure, or even deliberate cold exposure – hormesis is a biological concept in which you subject yourself to enough stress to trigger a positive adaptation.) Another review details the benefits to your skin, particularly if you have psoriasis or atopic dermatitis. A systematic review suggests that mineral hot springs may help increase blood circulation. Another systematic review on the effectiveness of hot springs (known as balneotherapy) in people with cancer. An older study showingbenefit in inflammation of the joints and elsewhere in the body, such as in rheumatoid arthritis or osteoarthritis. In Japan, hot springs are used in rehabilitation medicine. More limited scientific support exists on use of mineral hot springs for endometriosis and autoimmune disease, xiixiii though the evidence is moderate that it helps ease the pain of fibromyalgia. Keep in mind that just because a condition you face hasn’t been studied doesn’t mean that your condition may not be affected by mineral hot spring. Lack of proof is not proof against. Given the low risk and high potential benefit of soaking in minerals, you may want to try your own self experiment. Mechanism You might wonder if all of the benefits stem from the minerals or if something else might be operative to increase healing. But do the minerals get absorbed? We don’t really know. We believe that tiny quantities of minerals pass through the layers of your skin and potentially enter your bloodstream. Some people may absorb more minerals than others, and some people may benefit from hot springs by a different mechanism of action. Hot springs provide heat stress and kicks off “thermoregulatory” patterns in the body via heat shock proteins that may help increase your health span (the period of time you are relatively free of disease), as described by Rhonda Patrick, PhD. xvHeat shock proteins are found inside cells and help to regulate the health of the cell, including how it talks to other cells. xvi Activating them can be good. Safety Whenever we consider a treatment in medicine, we think about the risks and benefits. While soaking in the waters of a mineral hot spring and potentially absorbing the abundant minerals dissolved in the water may be helpful for the body, we still need to consider risks. Common sense dictates that one should avoid water with extreme temperature. Start with the right temperature for you. Some natural hot springs have highly acidic or searing hot waters, which can cause a burn. Conclusion Hot Springs are used across many cultures and are one of the oldest wellness practices. Soaking in mineral-rich waters at varying temperatures has both physical and emotional benefits. If you have spoken to anyone who’s experienced these waters, you will hear stories of lower stress, a sense of relaxation, and a desire to return to the healing waters soon—and there is science to support these experiences. While Europe and Japan are the most established places in which doctors prescribe mineral water therapy, you may find the experience to be healing, particularly if you have chronic stress and tension, poor blood circulation, skin problems, inflammation, or pain. The current scientific basis for the use of mineral hot springs suggests that it just might “ease the mental and physical knots of a busy life” and make it worth your experimentation.
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Sauna & Cold Plunge
on Jul 25, 2024 | 3 minutes
By Wellness Consultant Sara Gottfried, MD You may have heard of the benefits of deliberate hot water immersion, and perhaps you have heard of the benefits of deliberate cold water immersion. What about when you combine the two by alternating between hot and cold mineral water? Alternating hot and cold mineral water immersion is one form of contrast bathing. The idea is an ancient concept, recently popularized by advocates such as Wim “The Iceman” Hof and Professor Andrew Huberman. Can you really improve your health through contrast bathing? Throughout Europe and Japan, physicians prescribe soaking in mineral waters of varying temperatures to treat conditions and reduce risk of disease, including reduction of tension and stress and extending to other benefits such as reduction of inflammation, better breathing, and improved athletic recovery. In this blog, we will explore the more commonly known benefits of contrast immersion as well as the lesser known attributes such as enhanced brain chemicals, blood flow to skin and muscles, lactate recovery, and glucose modulation. Benefits of Contrast Bathing Many of the benefits of contrast immersion stem from the study of cold water immersion. Contrast bathing may activate the innate healing capacity of the body, which may relieve various conditions and symptoms. When practiced regularly, positive effects of contrast bathing seem to last longer and may affect cardiovascular circulation, improve chronic inflammation, and perhaps improve fat burning. Documented benefits are listed below. Note that some of the benefits are directly from cold water immersion whereas other studies investigate contrast bathing. Increase oxygenation and blood flow to muscle tissue. In a study of athletes in their twenties, oxygenation and blood flow improved to the calf muscles with contrast bathing, suggesting a potential application in recovery from injury. Improve energy, mood, and focus. Cold water exposure triggers release of dopamine, epinephrine (also known as adrenaline), and norepinephrine in the body, though data are mixed perhaps related to body size and fitness level. All are potential feel-good brain chemicals that make you feel more alert and able to focus. Dopamine can take a while to be triggered with cold water immersion, though epinephrine can spike in under one minute. Colder temperatures trigger a more rapid release, with the caveats listed below. Lowers blood pressure and heart rate. Cold water immersion to 89.6 degrees Fahrenheit increases your systolic and diastolic blood pressure by 11 to 12 percent, respectively, and reduces heart rate by 15 percent according to older research. While these changes are advantageous for most people, care must be taken not to drop blood pressure and heart rate excessively, to remain well hydrated, and to track carefully how you feel throughout the exposure. Rapid recovery after intense exercise, as measured by lactate elimination. In one small study of 11 subjects, men and women showed similar benefit with contrast water immersion for 30 minutes to hasten plasma lactate decrease. Temperatures used were hot (96.8 degrees Fahrenheit) and cold (53.6 degrees Fahrenheit) water baths. Another study in 20 rugby players showed a similar lactate effect. In a meta-analysis of 52 studies of cold water immersion, positive effects were observed in muscle power, muscle soreness, creatine kinase—and that shorter durations and lower temperatures may improve the efficacy of cold water immersion after high intensity exercise. Better HRV after intense exercise. Another study in 20 men confirmed the lactate elimination and showed improved post-exercise cardiac autonomic regulation. When you exercise, you activate the sympathetic (fight or flight) response, and contrast cold water immersion appears to accelerate parasympathetic reactivation. Better skin blood flow in rheumatoid arthritis, diabetes, and foot/ankle injuries in a systematic review of 10 studies. Healthier lung function and few respiratory infections in people with chronic respiratory disease. In particular, inhaling sulfurous mineral waters may help with clearing mucus from the respiratory tract, and cold water immersion appears to lessen the risk of infection in people with chronic respiratory disease. Enhanced glucose metabolism and insulin sensitivity. Deliberate cold exposure increases your metabolism because your body has to burn more calories in order to raise core body temperature. Muscle soreness. One small study of 26 men found a transient decrease in muscle soreness with contrast bathing compared to use of compression garments, though other measures of athletic performance were not significantly different. As Professor Andrew Huberman points out, contrast bathing may also increase resilience and grit, though these outcomes are more difficult to demonstrate. On his podcast about deliberate cold exposure, he describes training the prefrontal cortex with cold immersion may help regulate one’s “top-down” control that translate into a skill that applies more broadly to other situations, “allowing you to cope better and maintain a calm, clear mind when confronted with real-world stressors. In other words, deliberate cold exposure is great training for the mind.” One meta-analysis of 28 studies showed that cold water immersion may be more advantageous than active recovery, warm water immersion, and even contrast bathing, though data are limited. Find what works best for you. How to Do It and Keep Safe Generally you start with warm or hot water first. Finish with cold to allow your body to heat up on it’s own without the assistance of warm water for maximal metabolic benefit. Use warm but not hot water to adjust slowly. While deliberate hot water immersion includes risks that we have previously described, it’s the cold water immersion that can be riskier because cold shot is possible. You need to find the right temperature for you, go slow, and limit your exposure initially to just a few minutes. Prioritize safety. For the cold water portion, there are a few tenets to create safety. Only immerse your body up to your neck, and keep your head above water. The torso seems to be the most important. Keep in mind that some people tolerate cold water better than others. You want to aim for water that is mildly uncomfortable, i.e., cold enough to make you want to get out, but safe enough for you to stay for a few minutes. That may be 60 degrees for some folks, and 45 degrees for others. Professor Huberman recommends deliberate cold exposure for a grand total of 11 minutes per week. He advises two to four sessions that last one to five minutes each distributed across a week. Common sense dictates that you choose safe bodies of water for contrast bathing. Take care to perform slow, deliberate breathing and avoid hyperventilation before or during water immersion. Conclusion If you are new to contrast bathing or cold water immersion, take your time to adapt. It may feel uncomfortable at first, but following the instructions that we’ve provided will help you slowly adjust and experience the benefits. At WorldSprings, you will find various circuits that allow you to perform contrast bathing. Warm to hot mineral baths range from 37.8 up to 40°C in replica of the hot springs of Osek South Korea waters, Yarrangobilly, Australia, and Blue Lagoon of Iceland, and cold plunges that are 55°C. Metabolism In the short-term, cold exposure increases metabolism as the body has to burn calories to increase core body temperature. The total calories burned from the cold exposure are not that significant. However, the conversion of white fat (energy storage) to beige or brown fat (which are highly metabolically active) can be beneficial for: Allowing people to feel more comfortable in the cold (i.e., cold adaptation) Triggering further and more sustained increases in metabolism Of course, calories in (consumed) versus calories out (metabolized) or “CICO” governs whether you gain, lose, or maintain weight. There is no escaping the laws of thermodynamics. __________________________________________________ 1. Shadgan B, et al. Contrast baths, intramuscular hemodynamics, and oxygenation as monitored by near-infrared spectroscopy. J Athl Train. 2018 Aug;53(8):782-787. doi: 10.4085/1062-6050-127-17. Epub 2018 Sep 13. 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The effect of contrast temperature water therapy on repeated sprint performance. J Sci Med Sport. 2007 Dec;10(6):398-402. doi: 10.1016/j.jsams.2007.01.002. Epub 2007 Mar 6. PMID: 17339133. https://pubmed.ncbi.nlm.nih.gov/17339133/ 7. Moore E, Fuller JT, Buckley JD, Saunders S, Halson SL, Broatch JR, Bellenger CR. Impact of Cold-Water Immersion Compared with Passive Recovery Following a Single Bout of Strenuous Exercise on Athletic Performance in Physically Active Participants: A Systematic Review with Meta-analysis and Meta-regression. Sports Med. 2022 Jul;52(7):1667-1688. doi: 10.1007/s40279-022-01644-9. Epub 2022 Feb 14. PMID: 35157264; PMCID: PMC9213381. https://pubmed.ncbi.nlm.nih.gov/35157264/ 8. Bastos FN, Vanderlei LC, Nakamura FY, Bertollo M, Godoy MF, Hoshi RA, Junior JN, Pastre CM. Effects of cold water immersion and active recovery on post-exercise heart rate variability. Int J Sports Med. 2012 Nov;33(11):873-9. doi: 10.1055/s-0032-1301905. Epub 2012 Jun 21. 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