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Strong Women
Feeling run down? Here’s how a GP recommends supporting your immune system when it’s running low
By Chloe Gray
4 months ago
5 min read
A GP explains why we might be more susceptible to colds and bugs right now, and how to support our immune system in the long run.
It’s now dark until nearly 8am, it’s cold and we’re all huddled in coats and boots. And as we busy ourselves with Christmas shopping and finishing off work stuff ahead of the festive break, many of us are battling our first winter cold.
It’s a fact that we’re naturally more susceptible to colds during the cooler months, but there are ways to fight back. While the term ’boosting your immune system’ isn’t really that accurate, it is perfectly possible to support and improve immune health more generally. According to Dr Sarah Brewer, GP and the medical director of vitamin and supplement brand Healthspan, a strong immune system is the key to staying healthy no matter what the elements throw our way. That’s because, she says, the immune system protects against disease by recognising and attacking infections.
It functions in two ways: ‘innate’ immunity (protections that are programmed into all of us as general defences against disease) and ‘acquired’ immunity (specific measures in the body aimed against a particular infection once we have encountered it for long-term immunity – how vaccines work).
A ‘low’ immune system simply means that you are more likely to experience symptoms when exposed to a common cold virus or bacteria. So, the most common sign that your immunity is low is that you have frequent or prolonged colds (pre-Covid, the average was around one cold a year, lasting seven to 10 days).
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3 reasons your immune system might be low
There are many reasons why someone might have lower than usual immunity. “One theory is that as people get older, they develop more vitamin and mineral deficiencies that contribute to reduced immunity with higher levels of inflammation,” Dr Brewer suggests. She points to a recent study from Oregon State University which found that people aged 55 and over who took a daily multivitamin and mineral supplement for 12 weeks were able to fight off infections twice as fast as those taking a placebo.
But it’s about more than just nutrition. Have you ever noticed that you get wiped out with a cold just before a job interview or big event? That’s because stress has a huge impact on our immunity, says Dr Brewer: “Numerous studies have demonstrated that long term stress has the ability to reduce the functionality of key components of the immune system which can, in turn, leave you open to infection.”
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And you’re also not imagining that you get more unwell in the winter than the summer. That’s because viruses can survive longer outside the body when temperatures are reduced. “Inhaling cold air reduces immune responses within the nasal lining and a lack of sunshine lowers your levels of vitamin D, which also impairs immunity,” says Dr Brewer.
How to support your immune system
Load up on vitamins C and D
Getting in the right nutrients is essential for optimum functioning of the body – including the immune system. Vitamin D and vitamin C are what to focus on: research by the World Health Organisation has shown that taking vitamin D supplements can reduce your risk of experiencing at least one respiratory infection, including the common cold, influenza or pneumonia, by a third. Other studies show that vitamin C suppresses the activation of viral genes so that cold viruses cannot survive in cells. Your best bet is to ensure you’re consuming a bit of citrus every day, whether that’s an orange at breakfast, a glass of freshly squeezed grapefruit juice mid-morning or a healthy lashing of lime juice over your curry in the evening.
Focus on a Mediterranean style diet
While the NHS recommends taking a vitamin D supplement, especially during the winter months, what we eat is also important. Dr Brewer recommends eating a Mediterranean style diet with plenty of fruit and vegetables, onions, garlic, oily fish and wholegrains, which she says can provide all the nutrients necessary to help support the immune system.
Stay active (but don’t over-exercise)
Other lifestyle tweaks you can make include staying active and prioritising exercise, which can neutralise the harmful effects of stress hormones. “Exercise should be non-competitive, so avoid over-training and marathons [to support immunity] as physical stress suppresses immunity and increases the risk of developing symptoms when exposed to a common cold virus,” Dr Brewer advises.
Sleep more
Finally, now’s the time to enjoy some well-earned rest. “During sleep, your body secretes hormones involved in fighting disease,” says Dr Brewer. “People who sleep for seven to eight hours have better immunity than those who are sleep deprived, and tend to live longer, too.”
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Then there are natural supplements you can take. “I always keep some Pelargonium extracts on hand to start as soon as cold or flu symptoms develop,” says Dr Brewer. This is a traditional herbal remedy from a South African geranium, and clinical trials show that it is effective in treating acute bronchitis, sinusitis, tonsillitis and the common cold.
Echinacea, another licensed herbal medicine, is also a popular cold-beater. “It has a natural, antimicrobial action, increases the number and activity of white blood cells involved in fighting infections, and has an anti-inflammatory action to reduce symptoms if an infection takes hold,” explains Dr Brewer. Echinacea has actually been shown to reduce the chance of developing a cold by 58% and shorten the duration of those that do occur by 1.4 days.
And, at risk of sounding like Boris Johnson circa 2020, washing your hands is essential, as is wiping down keyboards, doorknobs and phones. Dr Brewer also urges everyone to talk to their doctor about getting an annual flu vaccination.
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