A physician was forced to add "environment" as a third pillar of health after a patient, who perfectly managed her diet and exercise, remained ill due to significant environmental exposures. This challenges the conventional two-pillar model of health.
Complex environmental illnesses are often dismissed by doctors and friends as being "all in your head" because their symptoms are invisible and difficult to test for. This parallels the historical misdiagnosis of "hysteria" to label real but poorly understood medical conditions.
The rise in consumer cleaning products and spick-and-span households reduces our exposure to diverse microbes. According to the hygiene hypothesis, this lack of immune system training can make our bodies less robust and more prone to overreacting to benign substances like food proteins, thus fostering allergies.
The obesity crisis is a systemic issue, not an individual failing. The modern food environment promotes overconsumption of unhealthy foods. Critically, the U.S. agricultural system does not even produce enough fruits and vegetables for the population to follow recommended dietary guidelines.
Instead of chasing weight loss, focus on foundational health markers like inflammation, blood sugar balance, stress levels, and nutrient deficiencies. When these systems are optimized, sustainable weight loss and body recomposition often occur as a natural side effect.
Frame your health as five interconnected 'personal wells': physical, mental, emotional, social, and spiritual. According to Christine Platt, the depletion of just one well is enough to make you feel unwell, as it restrains the health of the other four. This model provides a targeted framework for self-assessment and restoration.
Focusing on overall body fat percentage is an outdated approach. A more valuable future biomarker for health will be muscle quality, specifically the amount of fat that infiltrates muscle tissue. This fat is a better indicator of metabolic health and may store environmental toxins.
Psychologist Dacher Keltner developed dozens of severe panic attacks after moving from California to Wisconsin. The unfamiliar climate and culture created a profound sense of isolation that manifested physically, highlighting the deep link between environment and mental health.
Chronic issues like fatigue, moodiness, and brain fog are frequently dismissed as inevitable side effects of getting older. However, these are often direct symptoms of underlying environmental health problems, such as mold exposure or parasites, that can be addressed.
A 7-year study of healthy individuals over 85 found minimal genetic differences from their less healthy counterparts. The key to their extreme healthspan appears to be a robust immune system, which is significantly shaped by lifestyle choices, challenging the common narrative about being born with "good genes."
Effective solutions for complex problems often lie outside an organization's direct control. Children's Health System of Texas moved beyond patient-centric design to co-designing a "wellness ecosystem" with partners like the housing authority and schools, addressing root causes rather than just symptoms.