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In other words, the spiritual component in the yoga protocol created additional and measurable healing value. This is in line with Daaleman et al.’s study on a geriatric population quoted earlier, in which spirituality increased the positive effect on health.37 The importance and additional benefit of the spiritual component in the yoga protocol has been confirmed in the latest meta-analysis from the Mayo Clinic.38 It concluded that yoga is a viable anti-hypertensive lifestyle therapy and produces the greatest blood pressure benefits when breathing techniques and meditation or mental relaxation are included.

This also correlates with research presented in Radical Remission in which Kelly Turner quotes two factors each in the physical, emotional, and mental domains.39 But in the spiritual domain she lists three factors that are needed for radical healing: deepening spiritual connection, having a purpose in life, and embracing social support. Thus the significance of the spiritual component, as stressed by Turner, becomes vitally important in the process of healing. It is also in line with pancha koshas—the Ayurvedic model of the multilevels of human existence—that healing is most effective when it includes the spiritual factor (anandamaya kosha).