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E va Se l h u b
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E va Se l h u b, M . D.
Yo u r
Health
Destiny
HarperOne
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This book contains advice and information relating to health care. It should be used to
supplement rather than replace the advice of your doctor or another trained health professional.
If you know or suspect that you have a health problem, it is recommended that you seek your
physicians advice before embarking on any medical program or treatment. All efforts have
been made to assure the accuracy of the information contained in this book as of the date of
publication. The publisher and the author disclaim liability for any medical outcomes that may
occur as a result of applying the methods suggested in this book.
your health destiny: How to Unlock Your Natural Ability to Overcome Illness, Feel Better,
andLive Longer. Copyright 2015 by Eva Selhub, M.D. All rights reserved. Printed in the
United States of America. No part of this book may be used or reproduced in any manner
whatsoever without written permission except in the case of brief quotations embodied in
critical articles and reviews. For information address HarperCollins Publishers, 195 Broadway,
New York, NY10007.
HarperCollins books may be purchased for educational, business, or sales promotional use.
Forinformation please e-mail the Special Markets Department at SPsales@harpercollins.com.
HarperCollins website: http://www.harpercollins.com
HarperCollins,
first edition
Heart Diagram: Copyright by Nucleus Medical Art, Inc. / Getty Images
Immunity Chart: Copyright by www.myvmc.com
Designed by Ralph Fowler / rlfdesign
Library of Congress Cataloging-in-Publication Data
Selhub, Eva M.
Your health destiny : how to unlock your natural ability to overcome illness, feel better,
andlive longer / Eva Selhub, M.D. First edition.
pagescm
isbn 9780062327789
1. Mind and body therapies. 2. Mental healing. 3. Health. I. Title.
RC489.M53S452015
613.2dc23
2014031303
1516171819rrd(h)10987654321
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Contents
17
29
43
69
95
119
143
169
193
221
Acknowledgments
225
Notes
227
Index
239
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introduction
Your Health
Destiny
Healing is a matter of time, but it is sometimes
also a matter of opportunity.
H i p p o c r at e s
hen our body gets sick, we often feel out of control. Worse yet,
when we have to go see a doctor, we can feel even more vulnerable, perhaps even helpless. We go because we want to hear
that there is a remedy, a cure. We take the prescribed medication, have that
expensive test done, or go see yet another specialist. We fearfully await lab
results. Even if the results turn out to be normal, the feeling of relief is brief,
because in the end, when we again fall prey to sickness, we will go through
the same cycle all over again.
It does not have to be this way. We do have control over our health, and
we can make choices that can positively influence any health issue, big or
small, acute or chronic.
The truth is, we are supposed to get sick; its the bodys way of telling us
theres a problem. The belief that there is some kind of absolute or perfect
state of health gets us into trouble, because it drives us to desperately accept
answers from health-care professionals without also tuning into our bodys
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needs and strengths. When the body gets sick, its a sign that we are out of
balance, and its not just a time to seek help from our doctors, but also a time
to take responsibility and empower ourselves as experts on our own health.
Your body and its processes do not have to be an enigma to you, and it is
through understanding that you can find your power to heal and thrive. It
is really your choice to do so.
Take Brittanys case. Brittany woke up one morning unable to move
her neck. She panicked. She had been in a car accident two years earlier
and had sustained an injury to her cervical spine. It had been fine for
years. The worst possible scenarios coursed through her mind: I have a
bulging disc. There is nerve damage. I will be paralyzed. I cant afford to be
immobilizednot today; I have so much to do and so many commitments
to attend to. Damn, I cant work out. God help me, I am in so much pain.
Brittany was thirty-two years old, very active, and healthy, by her own
standards. She exercised daily, ate three meals a day, worked as a nurse,
took care of her three children, and managed to say yes to every parent
committee that the school had. As she lay in her bed in excruciating pain,
she wondered how she would manage.
She went to see her primary-
care physician, who gave her several
prescriptionsa pain medication, a muscle relaxer, and a sleep aidand a
referral to a neurosurgeon for an MRI (magnetic resonance imaging). After
leaving the office, Brittany burst into tears and called me, as she had come
to see me before to learn how to manage her stress more effectively.
I dont want to take all these medications, she cried. I dont want there
to be something wrong with me. I have so much to do. I have so many obligations. I am so stressed as it is. I cant move my neck. What if its something really bad? I dont want surgery.
I didnt interrupt Brittany as she cried and complained. I gave her the
space to express her fears without trying to tell her everything would be
okay or give her advice, not at the outset. Soon Brittany was able to able to
relax into my silence and take some deep breaths with me.
Then I spoke. What we are doing right now is creating space for your
magnificent body to heal. Whatever is going on is fixable. Remember that.
You are in control, not me, not the neurosurgeon, and certainly not your
pain. Your pain is, however, trying to tell you something, perhaps something
more than just that your spine may be out of alignment. Its trying to tell
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Introduction3
you that your life may be out of alignment too, as what is transpiring within
your body often mirrors your experiences in your everyday life. For instance, your pain may be telling you that you have been functioning under
stress and duress and that you might want to slow down. It may be telling
you that you tend to get overwhelmed and out of balance, because you take
on too much responsibility and have a hard time saying no when asked to do
something or help someone, at the same time that you are unable to accept
help or support from others.
I instructed Brittany to take only the muscle relaxer at night for two or
three days, which would help her sleep and also remind the muscles how
to relax. I taught her breathing exercises and guided meditations that she
could practice regularly that focused on allowing the universe to soothe,
love, and guide her. During this rest period, Brittany was also to journal
about why she felt so obligated to be so busy and help others so much, even
at her own expense, and follow this with a description of her values, virtues,
and victories that make her special and the unique person she is.
Within four days, Brittanys pain subsided, so that she was almost back
to feeling her usual self, but she had more awareness now. Her rest period
had given her the opportunity to reflect and realize that underlying her
behaviors and actions was a belief that she wasnt enough, that she was
a failure at really getting things done, unlike other people, making her
want to push harder and do more. She was ready to reprogram this belief
into one of knowing she is enough.
And just like that, Brittany went from feeling out of control to being in
control of her health. She still planned on meeting with the neurosurgeon
and getting the MRI, but now she did not feel that she had to accept whatever he or she said. This experience had shown her that her body, when
given the opportunity to do so, had an incredible capacity to heal itself, and
when she was guided to listen deeply to the messages her body had to reveal
to her, she could learn how to improve the alignment and support not only
in her spine, but also in her life.
The good news is, you dont have to wait until you are really sick or in
pain to start making different choices. I have treated thousands of patients
who have had a myriad of problemsfrom heart disease to cancer, depression to anxietywho learned to make better choices that supported and
stimulated their bodys tremendous natural healing power. Board-certified
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Introduction5
3. Working on creating the social infrastructure they need to feel supported enough to heal.
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to understand what these signals mean, and then make the right choices
that will bring amazing results to your health, in both the short and long
term. You will discover ways to prevent disease from happening or getting
worse, and you may find that you can reverse the disease process altogether.
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Ch a p t e r o n e
The Power
to Transform
Health
The part can never be well, unless the whole is well.
P
l at o
ike the weather, your health is constantly changing. This fact alone
provides you with choice. You have a tremendous ability to influence
that change. Simply put, you have the power to transform your mind
and improve the functioning of your body. The key to this power lies in
your ability to bounce back from illness, manage lifes stress efficiently and
effectively, and truly believe in the possibility of good.
A meta-analytic review of the effects of optimism on physical health
done at the University of Kansas in 2010 found that optimism was a significant predictor of positive physical health outcomes.1 Laura Kubzansky,
an associate professor at the Harvard School of Public Health, has found
through her research that optimism can cut the risk of coronary artery disease in half. She says about genes: They are 4050 percent heritable, which
means you may be born with the genetic predisposition. But this also suggests there is a lot of room to maneuver.2 In other words, there is wiggle
room in the power you have to positively influence your health.
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The notion that you have a lot of wiggle room with your genes is an
empowering fact. The burgeoning science of epigenetics tells us that by
changing our environment, from stressful to nurturing, we can affect how
a genes DNA expresses itself. Why is this so important?
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These clock genes and the genes examined in Bensons study are intricately connected with the wiring in the brain. The ever-expanding science
of neuroplasticity, or the examination of how the brain continues to change
and remodel, confirms that, by adjusting the environment in the mind and
body through diet, emotional balance, better stress management, more
sleep, and more time in nature, it is possible to create positive changes in
the brain resulting in improved health and well-being. In other words, by
lowering the stress your body is exposed to and by improving your lifestyle
habits and behaviors, you can actually change the course of your health for
the better; the landscape of your brain and your genes improve.
Stress to your system does not come only in the form of the food you
eat or a lack of sleep, but also in the thoughts and beliefs you hold and
the negative emotions that can run rampant through your brain. Without
addressing the mind, your beliefs and emotions, and the biochemistry and
physiology of the body, the behavior and lifestyle changes you need to make
simply will not stick.
Your thoughts, emotions, and beliefs, and therefore your perception of
yourself and your world, are directly connected to your bodys biochemistry and physiology. Research tells us that your beliefs can affect your bodys
biochemical responses and that you have the power to believe in good and
thus feel good.6 When you expect good, and I mean really believe that a good
outcome is possible, your body responds positively. The catch is that you also
need to believe in and support your bodys strength and natural ability to
heal. Expecting your body to be strong without supporting it does not work.
You have to choose to change your mind and your attitudes toward health
and your life for the good, so that good can also manifest itself in your body.
Are you as excited about this fact as I am? You should be, because it
implies the possibility that changing the landscape of your beliefs and
thoughts, not just your sleep habits, can offset your clock genes for the
better. You actually have an active choice in what thoughts or beliefs you
hold at any given moment in life. You can choose to be happy or choose to
be miserable. You can choose to look at yourself, your life, and your predicaments from the standpoint of a victim, or you can choose to be a victor in
the adventure that is your life.
If this sounds as though I am telling you that all you have to do is Dont
worry, be happy, I am not. It is not that simple. Fear and stress are n
aturally
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present in the world and in our bodies, but you have the ability to control
your reactions, move beyond your negative emotions, and achieve a greater
sense of well-being.
Awareness Exercise
Think of a situation that you are stressed about. Perhaps you are angry
with someone or something or feel anxious, worried, or upset. Choose
a situation in which you feel you have little control over the outcome.
Notice how you feel. Notice how strong the emotion is that you are
experiencing. Notice the thoughts that come up for you. Be aware of
the sensations you are experiencing in your body, particularly in your
chest, jaw, stomach, and the movement of your breath.
Now redirect your focus and think of a situation of awe, love, or
laughter. For instance, you might remember how it felt to be looked at
by someone who absolutely adores you, when you watched your child
walk for the first time, gazed at an incredible sunset, or laughed so hard
you couldnt breathe. Try to stay in this experience for a minute or two.
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Once you have spent some time with the positive experience, go
back to thinking about the stressful situation and notice if you feel or
think differently.
You may notice that you do feel differently, in your body. You might also
observe that you feel slightly differently, perhaps less charged, about the
situation. By changing your emotion, you change your experience of the
current problem, and therefore your perception of it, even if only slightly
at first.
The key here is that when you change your physiology from stress to
balance, you are able to change your emotion and then have access to positive expectation. When you dont make this necessary change, stress, fear,
and the ensuing physiology tax your body, your health, and ultimately the
strength you actually have to heal. The more pressing problem is that you
may not even realize how much stress you are under and how overtaxed
your body is.
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To your brain, it doesnt really matter what stressor you are facing. Endocrinologist Hans Selye, in the 1950s, expanded on Cannons work and
explained that you do not have to be chased by a raging animal for the fight-
or-flight response to be triggered; this heightened reaction occurs regardless of whether the challenge at hand is life threatening or not.8 You could
be late for work, preparing for public speaking, or worried about paying
your mortgage. To your brain, stress is stress.
What you may want to be clear on is what the definition of stress actually
is: any threat or challenge to your state of stability, or homeostasis. This
could be a change in your blood-sugar levels or the fact that the temperature outside has dropped twenty degrees.
And when you experience any kind of stress, your brain initiates physiological corrective responses that will bring your body back into a state of
stability, which can range from regulating your body temperature to finding shelter, food, or love. In other words, stress is not necessarily bad, but
rather the real reason you are able to maintain and sustain life, or pretty
much do anything.
The problem is not so much stress, but the inability to manage it and
resume stability. You see, the body is constantly moving in and out of
homeostasis. You are comfortable, then you are uncomfortable, then you
shift positions, and you are comfortable again. This process is called allostasis, or the ability to achieve stability through change.9 Not being able
to make a change to bring about comfort or stability creates a problem, or
an allostatic load.
Lets just say you are exposed to a virus during your very stressful day
at work, when you barely have time to eat lunch, let alone manage to eat
something that isnt fast food. By the time you get home, you notice you feel
more tired and achy than usual, but chalk it up to the stressful day, brew
some coffee, and get to working on (and worrying about) your next project. Unbeknownst to you, your stress response is working too, kicking your
immune system into action, and the inflammatory products that are flying
through your bloodstream are causing you to feel more fatigued.
This is the important part: your immune system has kicked in to fight the
infection and create a sense of fatigue to motivate you to rest, so it can work
more efficiently and effectively. But you do not rest. You stay up late working
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on your project. Your immune system works overtime, and the next day you
find yourself immobilized with profound fatigue and a high fever.
You see, the whole time you had choice. At any point along the way you
could have chosen to listen to your bodys symptoms, taken heed, and employed more self-care. Your ability to bounce back from a viral invasion
could have been drastically improved, thus altering the destined course of
your health. You could have, for example, gone home, rested, perhaps taken
an Epsom-salt bath, and eaten some chicken soup, which is loaded with
healthy vitamins and minerals that support your immune system, and perhaps you never would have succumbed to the virus.
This is true for every aspect of your life and health. You always have
the ability to make empowered choices that enable your body to heal itself,
choices that keep your stress levels down and the stress response active only
when it is needed to do its work. Being exposed to a virus, for instance, does
warrant the activation of the stress response and the immune system. You
want the stress response do to its job and help your body get rid of the virus.
When the work is done, you also want the stress response to turn itself off,
so that your system can get back into its steady state. Adding more stress to
the equation with your beliefs, habits, and behaviors is only going to push
the response to stay active, become overactive, and maybe even burn out,
so that your symptoms lead not just to a passing illness, but a full-blown
disease.
Youre in control.
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are like most people, you would feel scared, worried, and anxious. Your
mind would jump to automatic negative assumptions, and the extent of
the negativity would depend on how bad you perceive your diagnosis to be.
This negative emotional state stimulates your stress response to varying degrees and for a multitude of reasons, including but not limited to the stress
in your life that is already present, the stress of the actual disease process,
and stress that comes from fear and apprehension of the unknown.
You dont want to be told that you are not well, whole, or intact. Just
knowing there is something wrong with you can get you trapped in a loop
of negative thoughts, emotions, and beliefs, which could have negative
physiological implications caused by a heightened fight-or-flight response,
including increased blood pressure, muscle tension, and inflammation.
These physiological changes, in turn, can negatively affect your bodys natural ability to heal, your own capability to cope and function, and ultimately your belief that overcoming this diagnosis is possible.
In reality, a diagnosis reflects a pattern of discordance or imbalance in
the body that is caused by a variety of factorsgenetics and lifestyle be
haviors are just two of them. When my patients understand they are not
their diagnosis, nor are they prisoners to it, they start the process of breaking free from limiting beliefs and labels, enabling them to open the door
to the possibility of a positive outcome. They begin to perceive that their
illness or life problem is a challenge that can be reckoned with, that other
options for an outcome are possible, and that they have a choice about how
they handle their situation. They have a choice to expect good. And science
does show that positive expectation can confer better health.
Think about it yourself. If you were told you had diabetes, what would it
make you think about and how would you feel about it, about your chances
of getting better and the idea of now having to take medication? Conversely,
what if you were told that your body was showing an imbalance in its ability
to process sugar? Would you feel the same or think the same thoughts? I
personally would feel more in control when presented with the latter explanation, so I could think of it as just needing to find a way to get my system
more balanced. In other words, I am more likely to believe in the possibility
of a positive outcome. When a diagnosis is made, you have two choices
feeling scared and powerless or responding with hope and the belief you
can change your health destiny.
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