I got some great news today. All my most recent round of blood work came back in the healthy range. After several years of piss poor inflammatory markers I’m thrilled to see it getting back to normal. But I’m somehow I’m a foul mood for the day.
I talked to a friend about some exciting work we want to do together. It’s exactly the kind of work I’m looking to do in the future and their take on the problem is especially creative. But somehow I’m in a foul mood.
It’s a beautiful Easter Day and I’ve done nothing but enjoyable activities. I went for a hike. Are a gorgeous meal made up of ingredients from our local dairy share and greens from the hydroponics we grew ourselves. But somehow I’m in a foul mood.
I can’t remotely pinpoint why I should feel angry or sad or in anyway negative and yet I’m just a half a step off from the reality of my life today. Not even a viral tweet is doing anything to cheer me. And I usually love dopamine hits. I only had one minor setback in the whole day. I wasn’t looking at a timer and I had a gaming account get zeroed (it will cost a little money to rebuild). Ironically the last time this happened was over Christmas. Apparently holy days and games are a poor mix. But that shouldn’t account for a mood.
I guess some days are just moods. But I’ve got some nachos and tomorrow is another day. I bet I’ll be happy tomorrow.
I’m feeling pretty good these days. I’ve written about my progress and my biohacking. But one area I’m not improving in is consistency. Despite meticulous record keeping and a routine I maintain assiduously, it’s almost impossible to predict when I’ll have a bad day. They appear at random!
Most days were bad days the past two or three years. The good days really stood out. I noticed them because they were rare. Now I’ve got a pretty consistent pattern of several days on and one day off. Sometimes I’ll even wrack up almost a week of good days. I used to have bad months and bad weeks. Now it’s rare for me to have more than three bad days in a row.
But I’m still regularly caught off guard by bad days. Out of the blue for no discernible reason I’m in pain, exhausted and struggling with basic function. The pain is the first symptom. Radiating out from my upper spine it pins me flat on my back in bed. About all I can manage in that state of pain is my phone over my face and the light gestures required to work a touch screen. But I don’t know why I have these bad days.
I can do everything “right” and be feeling terrific and then I’m fucked up all over again on a dime. Now I’ve got a small pharmacy I can toss at my symptoms now so I can often medicate myself back to a tolerable baseline.
The issue is what should I do once I’ve recovered? Do I rest? Build up my strength? I used to practice “active resting” where I would engage in restorative practices even when I felt well. The idea was I was building up a reserve of energy for the next crash. But was that the wrong approach?
I’m beginning to think I should take advantage of every last moment of health I have. If I feel well then screw the “active resting” I’m going to use every good minute I’ve got to pursue my goals. Active resting doesn’t seem to have any benefits I can reliably track. And it seems no more likely I’ll have a good day if I have rested then it is I will have a bad day. At best it’s marginally related to a poor night sleep but once I’ve woken up to face the day the day is cast there isn’t it?
I hate that I’m unreliable. I hate that I can’t track triggers. Doctors have seemed largely sanguine on the issue. Some days will just be bad. Sometimes your immune response will be off. But I’m feel lost and angry that I don’t know how I can live life without some degree of predictability. The only thing I can rely on is that on good days I feel good. So maybe I should just pack shit in on those days. No restorative crap. Just go hard at my goals. I’m not sure this is a good plan. It’s probably a bad one. It could just be my addiction to work talking now that my mind knows my body can handle my hard living again. At least for a few days. But if hard living doesn’t produce predictable crashes then what should my takeaway be? Fuck if I know.
The more writing has become a daily habit the more I can feel the ebbs and flows of my own voice. Some days I feel a passionate need to share some story or insight, and others, I feel like my voice can barely muster a sentence let alone a full fledged argument.
There are days where fully thought through essays seem to emerge with little effort. As if I wrote them in my subconscious throughout the day and it’s only the slight flick of focus that brings it fully formed to the page. Other days I need to scrape at the contours of my mind to see what fancies or novelties has passed through my attention through the day. Often in theses cases a bit of zeitgeist has stuck in a crevice and I can pull it out and expand on it. I can take a small nugget and chew on it till I find the juice.
I don’t mind the days where I need turn my eye within. The self reflection and additional effort is what I think may slowly be making me a better writer. While I don’t struggle with needing discipline to write everyday, I do need to exercise effort to find ideas that haven’t formed yet. The daily nature of the experiment is building out new thought muscles. It’s making my thinker clearer, faster and crisper. The regular exercise of thought and mind, whether I’m inspired or not, feels as if it’s making inspiration strike more often and my mind see clearly.
I’m getting the sense that a lot more people suffer from general poor health than we let on. When I discuss my own struggles my inbox blows up with fellow suffers of autoimmune conditions. People are fatigued, in pain, mentally sluggish and often struggle with adjacent symptoms like chronic inflammation or gastrointestinal ailments.
Please know you are not alone. As it’s rarely considered socially acceptable to be sick (it’s own issue) I’m going to use my position of privilege to discuss how I’ve hacked my way from completely disabled to about 90% healthy. I’m here to share what luck, power, and wealth have given to me so others with less may succeed like I have.
Step 1: Diagnostic Baseline
It’s really hard to do anything when you are sick and trust me I hate being told well nothing is wrong so maybe just lose weight, exercise and eat healthy. Like sure you fuckers I haven’t considered yoga. Fuck all the way off. But alas it’s true that in order to navigate modern medicine you need a baseline. Go to a GP and ask for a full blood work up. A blood test is typically composed of three main tests: a complete blood count, a metabolic panel and a lipid panel. Read up on what you might see on a typical blood panel. This article is a good place to start (I am not a patient of theirs and do not endorse them for care it’s just a reference).
Step 2: Pick Your Tools and Measurements
If it is possible (lots of folks suffering from chronic fatigue can’t) start on the basics. Order a tracker like a Fitbit, Oura Ring, Apple Watch or Whoop. Then pick an app that can help organize your data. I personally use Gyroscope. My tracking stack is a Whoop for strain & recovery and an Apple Watch for more generalized tracking like sleep, sleep and heart rate monitor. I use MyFitnessPal for food tracking. Strong for workout tracking. Calm for mindfulness, and Gyroscope syncs it for one dashboard. I also use an app called Welltory which uses HRV & blood pressure from monitoring it does in application as well as through syncing with Apple Watch.
An iPhone application folder with wellness apps including Gyroscope, Welltory, LifeCycle, Apple Fitness, Calm, Whoop, Endel, MyFitnessPal & Apple Health.
I also track my symptoms in a journal app called Day One as it’s the lowest friction place I can do simple logging of metrics like pain, mood and energy levels. I also use Google Sheets to keep track of my medications and supplements as I take upwards of 25 different pills and remedies a day (trust me I wish it didn’t work). While there is a lot of variance on workouts I always get hour of low impact walking (3 miles a day), ten minutes of mindfulness, and all my supplements. Like I never miss a pill. I’m happy to discuss my supplement stack with folks but here is a basic guideline of what I take that is provably good.
Step 3: Steadily Improve
Most people overdo it. You try to change a bunch of stuff all at once. Or you dive right into a big change. This is too overwhelming. And it can make you feel sicker (some folks call it a healing crisis). Just pick one metric and improve it by 10% over a week. Pick one activity you will do for 30 straight days. I said I’d write every day and here it is day 91. (Edit, I updated my stack on this post to reflect current use on day 355). The point is you can’t improve everything all at once.
Part of my success is simply telling myself I was going to run the experiment even if it was a failure. Biohacking requires that you don’t change up your variables too often or too quickly. You need to establish trend lines. The biggest mistake you can make is being “noisy” as you will never isolate the meaningful variables. And you won’t stick to it. So it’s a double fuck up. Clean reliable data matters. Don’t change too much too fast.
Step 4: Try Common Experiments
You don’t need to reinvent the wheel. Coming up with unique experiments probably won’t be necessary till you are well along your biohacking journey. My elaborate tests didn’t really start till this year after two full years of tracking. Start with common experiments others have shown to work. Fasting is a great place to start for metabolic health and fat loss. Walking makes a big difference in your resting heart rate. Being active once an hour has proven metabolic benefits. Try intermittent fasts and then if you see a benefit you can progress to 72 hour water fasts. Adding more protein to your diet is popular for a reason. Start with 20 grams at a meal and work up to a gram per ounce of your goal body weight. Eating more protein tends to shift your diet away from lower quality calories as it’s hard to eat a whole chicken breast and then eat a bunch of fried potatoes. Though I have tried. Work in supplements for whatever your bloods showed you to be borderline on. Vitamin D deficiency is common. If want to sleep deeper try magnesium at night. If you are tired B vitamins are proven. If mental acuity is your goal CoQ10, green tea and ginseng work for many people. Metformin is the top metabolic drug for a reason. If your lipid panel said you needed to lose weight or you have metabolic syndrome Metformin is your first stop. Like I said, there are a lot of proven hacks you can test out and incorporate into your life right now. Don’t be intimidated just work an experiment that has a high probability of success.
Anyone can begin biohacking with a goal, basic tools, and some patience. I’ve taken myself pretty far in the past three years. I’ve had great doctors but some of my success comes down to being willing to experiment with my body.
The American attitude towards healthcare leans heavily towards pharmaceuticals. Much of what ails us might be mitigated by nutrition, supplements, exercise or physical treatments. But we tend to prioritize a “one and done” approach that lends itself to prescriptions for any ailment you can pinpoint. It’s not unusual to be on upwards of ten pills a day if you are chronically ill each one treating a distinct symptom. You mostly pray they don’t have any interactions and that the cure isn’t worse than the disease especially when it comes to drugs like opioids that can form dependencies.
I’m not entirely opposed to this approach if I’m being honest. A wholistic approach is a lot of work and when you are sick having the energy to do a bunch of shit is unrealistic. Even as I’m rounding the corner on controlling my autoimmune disease I still find it time consuming and often exhausting to manage all aspects of my health. The meal planning, the physical therapy, the body work, the exercise protocols, the sleep regimens, the supplement routines (mine easily costs upwards of $500 a month and no it’s not covered by insurance) and the nonstop recording and monitoring is practically a full time job. And you can’t even tell if it’s working half the time with crashes and system cascades that require heavy duty intervention. It’s hard to spot signal in the noise but that doesn’t mean it’s not there
Being sick in America feels surprisingly similar to being a startup founder. You get dismissed constantly. The workload rarely relents. And progress is only visible if you are diligent about monitoring core metrics that might reveal a trend line. It’s no wonder that entrepreneurs can be avid biohackers. We record and measure and monitor and hope that some higher authority (a physician or a venture capitalist) will spot the the key inflection point that may change our lives.
I have over 1,000 recorded data points just on my usage of pain medications and it’s correlation to my functionality. Despite my meticulous tracking and my adherence to protocols, I regularly have encounters with medical professionals that discount what I have to say. Like a founder I may be an expert on my “startup” but a physician or other expert has a lot more longitudinal data. The question ends up being do you as the operator (or the patient) have some insight the professionals do not? Honestly it’s hard to tell. Being wrong is pretty common. Doctors and venture capitalists know this. So do you as the patient or founder. Trust in these interactions can be low because of this.
Unlike with a company where you can walk away, being a patient means you are stuck with it. I have to work through the blocks as if I don’t I’m resigning myself to a life of illness. Which isn’t to say I can’t tolerate being ill and disabled, merely that I don’t believe that “this is as good as it gets.” I’m happy with my life but I do believe it’s within my control to do and be more.
For me this has meant juggling the pharmaceuticals that control symptoms but don’t heal me alongside an elaborate functional medicine and biohacking routine. I think of these drug for symptom regimens a cash flow business that can do well but will always remain the business that it is without a creative owner pushing for more.
I don’t want to just run my “business” even if it might be a self sustaining one. I’m at a point where yeah I can live like this for the rest of my life. But I want more than having a store or a service. So I test. And I experiment. And I throw tons of time after protocols and treatments that may be woo or bullshit. Or they may in fact be the turning point that lets me be more. And if it is then it’s all worth it. Much of what I’ve done has been worth it. But how the fuck do you determine that in a system that has so little interest beyond simple solutions like a pill? If I had the answer I’d tell you. Until I do I’m spending my time on machines that shoot electromagnetic pulses into my spine and glugging down micronutrient slurries. I hope the hacks turn into sustainable growth channels. But I could have just waisted a few hours on nothing. Until then I’ll record the data and hope the trend line reveals something.
What is real? Do originals exist? Can we determine the source of creative genesis when we stew in the folklore of cultural memetics? A knockoff has its own reality steeped in the accretion of culture.
I was once was asked by a tourist for direction’s to find “a real fake Fendi” when I lived in Manhattan’s Chinatown. I was honestly stumped by this inquiry. Was there a fake that had inherent realness that other knockoffs did not possess? Was there a vendor who sold the most authentic mimicry of Fendi which the tourist wished to find? I had no clue how to answer. Did they mean the realness one sees on the catwalks overseen by RuPaul? But which kind of realness? The creation that evokes the spirit of its inspiration? A realness so over the top and yet absolutely true to its essence. Or perhaps the blunt direct feedback that no construction no matter how convincing is the original artifact. Is is serving realness? I honestly didn’t know. I just told them Canal was one block north.
But perhaps authenticity isn’t the issue. In drag authenticity is manufactured. In fashions’ knockoff districts the question of authenticity is a layered confect of replication adhering to the aesthetics of the original. In some cases it actually is the original conveniently lost from some faraway inventory count. The real fake Fendi might in fact be real.
I bring this all up because in Illegal.Auction’s second collection we have curated a selection of the most outrageous instances of authenticity being the commodity sold in the NFT space. None of what we have posted are originals. They are all knockoffs. But like the real fake Fendi how can you tell? What makes something original in digital spaces. All is perfectly replicable. And no we have no new answers from Benjamin’s Art in the Age of Mechanical Reproduction either. But maybe you will. You can buy a token of these real fake NFTs. Like the real Fake Fendi realness is in the eye of the beholder.
It’s only with hindsight that I realize pain has been a persistent companion in my life. If something is normal for you the grandiosity of ego can tend to make you assume its true for everyone else. I spent much of my life thinking it was normal to be in pain, to be tired, to feel unwell. Life is suffering right? As it turns out no most people are not suffering from debilitating pain. I was not normal.
I’ve been feeling well recently and when I have extended stretches of health the memories of pain fade. This is good as pain is an insistent companion. They tell you to ignore your pain or place it on a shelf or some other “removed” metaphor but I’ve always found this to be bad advice. You can channel all your focus elsewhere but the pain is there. And worse, now you are using all your energy to pull your attention away instead of what you may have preferred like work or a hobby. It’s a consuming experience one way or the other. You can feel the pain or you can feel the force of your willpower but regardless you will feel. Pain is demanding.
When pain is chronic you think you will get used to it. That perhaps it becomes a background noise after a time. The way you get used to a television or radio playing in another room. But it’s not really like that. My pain is in my spine. It comes from a swelling that chokes out the nerves. The worst spots for me are between where my bra strap would land and my mid back. At its worst it runs the length of my spine and impacts my ability to walk. There is no comfort to be found with this pain. Sitting up. Standing. Even laying down. It finds your attention. It does not give reprieves.
They say that pain is a teacher. This is a lie, at least when it comes to pain beyond understanding. I suppose understandable pain could be used as a correction, as part of a causal learning process. Pain beyond understanding, though … pain beyond understanding teaches you nothing.
I live with a lot of pain beyond understanding. When it grabs me there is little I can do but hope to survive. It consumes. You have tools to fight but more often the only reaction that makes sense is fighting to relieve it. As Ben said, it has nothing to give me. It teaches nothing in this state. It’s beyond sensory inputs. This pain envelopes you into another reality. And when it is relieved you pray it will never reappear again. I know that it will. But the fear of it makes me bargain with myself. I say I will redouble my efforts to fight for my health. As if I weren’t doing as much as I can. I remind myself I have pain medication for a reason and I should simply take it. Sometimes I do.
Pain doesn’t care. It isn’t an enemy. It simply exists and you pray the tools you have will relieve it. When a true 10 on the acute breakthrough pain comes all you can do is hope to survive it. And when it is relieved the sweetness of its passing is like no other pleasure. It’s like having your humanity restored.
I occasionally enjoy dropping a deliberately provocative tweet just to see where people will land on rorsach wordings. I particularly like ones that can be read depending on your place in cultural issues haven’t reached consensus. which is exactly why people get angry. I did this on a whim yesterday asking “is listening to audiobooks reading?”
About 70% of folks said yes. 30% said no. But the reasons why were fascinating. The majority probably doesn’t care about semantics (the minority do which I will get to) but a good chunk cares about the connotations associated with how we learn or retain information. Mostly as a function of diversity and inclusion as many folks find reading to be inaccessible for reasons of neurodivergence or focus.
I relate as I don’t process audio easily so prefer subtitles and transcripts. Sometimes I feel bad about this as folks occasionally moralize about the value of mediums I don’t find accessible. There are plenty of things that I can’t engage with or experience in its original form because of disability. I’m just not particularly angry about it. But I am also left with all of the high prestige ways of consuming culture and none of the lowbrow. Like bummer I don’t have podcasts but I still have Dostoyevsky
That’s ultimately the interesting point about asking if reading and listening are similar. What do we consider to be higher processing? And does that matter? Some folks definitely moralized on the issue on. It’s sides. If you retain the information who cares how you got it. And accessibility is its own value. Pop culture is arguably more important because of its accessibility. This is why memes are folk art. They produce a very low loss form of high meaning to content ratio
A third of folks wanted about the definition used. A lot of semantics of information consumption. If you fall into the camp of caring about how we discuss information processing there is an amazing book called the Alphabet and the Goddess: The Conflict between Word and Image about the transition from image to binary communication and the changes in our neurological structures by a surgeon called and Leonard Schlain.
Like the actual debate about what types of processing is happening and how it affects our structures is worth having. But so much of Twitter boils down to the moral scolds and the rage woke fighting over ideas of worth and assigning value and status. I’d rather discuss how our minds process and that impacts the trajectory of our civilizations.
I’m learning to live around my routines. Or maybe my routines are what I live and everything else that I perceive as life is just moments in between meals, meditation, supplements, treatments, workouts, walks, and pharmaceuticals. Who is to say what forms the contours of life?
When I first picked up the daily commitment to write I struggled to find a topic to write about each day and I would find myself stressed if the end of the day was nearing and I felt I had nothing of value to say. Now I am realizing that having something to say isn’t the point of this daily discipline. It is the persistence that matters. The content is secondary. The knowledge that every day I will write and so I do is what matters. I will exercise the willpower necessary to form my thoughts into words. I will place them in public to prove to myself that I have remained committed. This is like any other aspect of my routine. Breath in and breathe out. Lift the weight. Take the medicine. Write the words.
Daily disciplines bring about breakthroughs. The individual acts maybe don’t matter so much. Some days will be better than others. But persistent effort brings about quality inexorably. It forces a standard of quality that improves at each repetition in some meaningful way even if you cannot see it in that moment. I find the act of creation easier now. It doesn’t feel like a burden. It is nit a source of stress or anxiety. It’s just something I do.
I am extremely online. I think it’s the best place to spend time if you want to thrive. Hands down nothing has ever beaten internet communities at improving the quality of my life on every metric. I know it sounds a little utopian but every skill I’ve acquired, job I’ve had and crucial piece of knowledge can be tracked back to the web.
I could have had a slower path in life with regular credentials and prestige building jobs with the right signals but none of those old rules have hung around long enough that I’m confident I would have made it as far in life. I needed the extra edge from living extremely online. I think we all do.
Life moves too quickly in modernity for us not to come together to survive it. Progress is going to be collaborative. Individual efforts and silos with us all competing for place and resources. Competition maybe served its purpose in a world of resource scarcity but as wealth is less dependent on rent seeking and property ownership and more on innovation and technical progress, then collaborative work has better incentives.
This may sound a little stupid but every time I ask Twitter for a ridiculous piece of advice like “ does anyone lift while high” I get incredible pieces of insight. It sounds like a dumb question and like click bait but I’m probing for similar cases of physiological response, chronic pain and a desire to biohack to better health. And yes it turns out if you have inflammation lifting weights while stoned is a great way to encourage a behavior that promotes lower inflammation with an inflammation lowering drug. It’s a virtuous cycle. And I would never have known without shitposting health nuts on Twitter. I’m not going to get that nuanced a piece of information with specific context out of a doctor or any credentialed body that works to reduce risk. I’d love to see a double blonde study proving the benefits of toking and squatting. Some knowledge is meant to be epistemic. The internet is our culture now. So share your weird finds with your tribe. It gives us all a better shot at better lives.
