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THE BLOG
​Alexander Butkevich, MD

Take A Vaction From Your Screens

7/20/2026

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​August, summer’s last gasp, is a popular time for vacations. It’s hot out, work slows down, and families are counting the days until the school year resumes. With many TV shows on summer hiatus, it’s also a great opportunity to step back, evaluate our recreational screen time, and schedule some time away from the digital world.
 
You’re encouraged to participate whether you live for the dopamine hit from social media or spend a fair amount of time watching shows and movies. When I say screen time, I’m referring to devices and TV.
 
Over the years, much has been published about the pitfalls and dangers of too much screen time, from Computer Vision Syndrome (CVS), text neck, and reduced memory and attention span to mental health concerns such as anxiety and depression, work-life imbalance, accidents and injuries, impaired sleep quality and quantity, increased sedentary behavior, expanding waistlines, and chronic diseases related to obesity. Another often overlooked consequence of doomscrolling and binge-watching is opportunity cost. In other words, what could you accomplish if you weren’t looking at a screen?
 
Whether your habit is doomscrolling or binge-watching, changing it now can help establish a new pattern of behavior for the fall, with less recreational screen time.
 
Health organizations typically recommend reducing recreational screen time by 14 hours per week. We have all heard some version of the quote, “Fail to plan, plan to fail.” With that in mind, here are a couple of suggested schedules to help you step away from your screens each day—TV and phones included:

  1. Eight hours on Sunday and one hour per day, Monday through Friday; or
  2. Two hours a day, which can be either:
    1. during one meal a day plus the last hour before bed; or
    2. the first hour upon rising and the last hour before bed; or
    3. the last two hours before retiring.
 
For those of you reporting challenges with sleep, avoiding the blue light from screens before bed is a great way to improve sleep quality and quantity. Both TVs and smartphones emit blue light, a known sleep disruptor.
 
After choosing your schedule from the options above, decide how you will fill that time with activities other than screens. You might consider reading a paper book, meditating, calling loved ones, going for a walk, playing a game, working on a puzzle, journaling, exercising, addressing mail or bills, tackling that pesky household to-do list, or prepping healthy food for the week. You may even use the time for a hobby you have always wanted to try but somehow couldn’t fit in.
 
It may be challenging at first to suppress the instinct to grab your phone or turn on the TV, but that urge will dissipate over time. Once you have succeeded, you may choose to maintain a strict schedule or consider alternatives:
 
Controlling your binge-watching habit:
  • Consider limiting viewing time to the amount of time you have invested in exercise that day. For example, if you exercise for one hour, you are allotted one hour of TV viewing time.
 
  • Choose shows that expand your horizons, such as programs on the History Channel, NASA’s digital streaming service, National Geographic, or cooking shows focused on healthy food.
 
Controlling your scrolling habit:
  • Move your most-used apps off the home screen, turn off push notifications, change the color scheme to black and white, establish device-free rooms in your home, and monitor your usage with built-in features that show how you spend time on your device.
 
I welcome your feedback about all the things you accomplished with reduced screen time!

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Diversify Your Gut Microbiome

5/26/2026

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For as long as most can recall, the USDA has engrained the “5-A-Day” messaging into the psyche of Americans, that is, to eat five servings of fruit and vegetables a day. More recently, as microbiome science has evolved, researchers are espousing the benefits of diversity over quantity in our consumption of plant-based foods—meaning, we should focus on incorporating different types of plants rather than focusing on daily servings. To be clear at the outset of this blog, recommending a vegan or a vegetarian lifestyle is not where this is headed.
 
Let’s start at the beginning. In 2018, when the American Gut Project (AGP) published their research, more than 10,000 “citizen scientists” from the U.S., U.K. and Australia self-selected to contribute stool samples and details regarding their diet. Stool samples were analyzed for beta-diversity, or variation in microbes. Those who self-reported consuming the greatest dietary diversity of plants demonstrated the greatest diversity of microbial species, regardless of whether participants self-identified as a vegan or an omnivore.
 
Why is microbial diversity in the gut important? The gut microbiome (GMB) is the ecosystem of bacteria, fungi and viruses living mostly in the colon and, to a lesser degree, in the stomach and small intestine. The science evolves almost daily, but a dysbiotic or imbalanced GMB ecosystem has been linked to mental disorders, cardiometabolic diseases, immune dysfunction, neuroendocrine function and neurodegeneration. A more diverse gut ecosystem is thought to make a person more resilient to disease and aging.
 
The GMB is mutable, affected by certain lifestyle choices including but not limited to diet, exercise and stress. When it comes to diet, plant foods deliver a type of fiber known as prebiotics (food/energy for the microbes living in your GI tract) and antioxidants to your GI, which in turn develop a more resilient and diverse GMB. Thus, more plants = more diverse GMB = better health.
 
The publication of the AGP research led to several social media challenges to consume 30 different plant foods a week, the creation of the “Hack Your Health” documentary smoothie and the founding of ZOE, which conducts its own research on plant diversity and gut microbial diversity. (If you visit the ZOE site, you’ll find they sell several products and services. I am not suggesting these are necessary in order to participate in the challenge.)
 
The concept of the challenge is to eat 30 different types of plants per week. Once you have eaten one plant once that week, that’s it—you cannot count it again for that week!
 
What counts? Fruit, vegetables, nuts, seeds, spices, grains and herbs are all on the list, and even your coffee, tea, chocolate and extra virgin olive oil count! Juice does not count, because it has been stripped of its beneficial fiber.
 
Admittedly, this challenge will likely require a great deal of planning, shopping and prep work. Smoothies, soups and salads are your friends here! Even if you don’t hit the 30-plants-a-week goal, you can still benefit from the attempt. It’s always good to expand our horizons—you may even come to realize you had been stuck in a food rut eating the same foods over and over again.
 
If you decide to tackle this challenge, there are many apps, logs, books, etc., that you can purchase online to help guide you. I suggest keeping it simple out of the gate, and I have provided a printable PDF to help you log your progress. June’s Motivated Mondays’ mini resolution through CCP will be to eat more fruit and vegetables, so there will be plenty of creative recipes provided to help you try new recipes. Click here if you’re interested in signing up!
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