10 things that can cause leaky gut and wreck your health

If you’ve been googling how to manage your chronic health condition, chances are you’re heard of leaky gut. Leaky gut is what it sounds like — the lining of the intestines have become “leaky,” allowing undigested foods, bacteria, and other undesirables into the sterile bloodstream.

This causes system-wide inflammation that becomes chronic health issues: autoimmune diseases such as Hashimoto’s hypothyroidism, chronic pain, brain fog, food allergies and sensitivities, depression, eczema, asthma, and myriad other complaints.

It makes sense, then, that people want to heal leaky gut.

However, it’s best to know why you have leaky gut first. That way you’re not chasing down the wrong remedies.

Ten causes of leaky gut

Although we understand the role of leaky gut in chronic health disorders, the underlying causes of leaky gut itself can be harder to pin down.

Here are the causes we know about:

1. Many inflammatory foods damage the intestinal walls, leading to leaky gut. Gluten in particular is associated with leaky gut. Dairy, processed foods, excess sugar, and fast foods are other culprits.

2. Excess alcohol is another common cause of leaky gut.

3. Some medications cause leaky gut, including corticosteroids, antibiotics, antacids, and some medications for arthritis  It’s important to note some drugs have inflammatory fillers such as gluten.

4. Certain infections, such H. pylori overgrowth (the bacteria that causes ulcers) or small intestinal bacterial overgrowth (SIBO) can cause leaky gut. Yeast, parasites, and viruses are other possibilities.

5. Chronic stress raises stress hormones, which damages the gut lining over time.

6. Hormone imbalances can cause leaky gut as the intestines depend on proper hormone levels for good function. Imbalances in estrogen, progesterone, testosterone, thyroid hormones, and stress hormones all contribute to leaky gut.

7. Autoimmune conditions can lead to leaky gut. We often think in terms of leaky gut causing autoimmune diseases such as Hashimoto’s hypothyroidism, rheumatoid arthritis, or psoriasis. However, sometimes it’s the other way around. The constant inflammation of autoimmune disease can make the gut leaky. Or autoimmunity in the digestive tract can sabotage gut health. In these cases, managing autoimmunity is a strategy to improve leaky gut.

8. Food processing changes the natural structure of foods in a way that makes them inflammatory to the gut. Examples include deamidating wheat to make it water soluble and the high-heat processing (glycation) of sugars. Additives such as gums (xanthan gum, carrageenan, etc.), food colorings, and artificial flavors are inflammatory for some people, too.

9. Our environment surrounds us with toxins, some of which have been shown to degrade the gut lining. Regularly taking glutathione, the body’s primary antioxidant, helps protect the body from toxins.

10. Sufficient vitamin D is vital to protecting the gut lining and a vitamin D deficiency can make the intestinal lining more vulnerable to damage.

These are some of the factors known to contribute to leaky gut. By understanding the cause of your leaky gut, you will have more success restoring health to your gut and managing your chronic health or autoimmune condition.

For more information on how to support leaky gut and autoimmune management, contact my office.

Still have hypothyroidism despite normal lab results?

Your doctor says your hypothyroid condition has been treated, but do you still suffer from symptoms of low thyroid function?

• Fatigue
• Weight gain
• Hair loss
• Constipation
• Depression
• Memory loss
• Cold hands and feet

If so, you may suffer from Hashimoto’s, an autoimmune disease that attacks and destroys the thyroid bland.

Hypothyroidism is usually caused by Hashimoto’s, an autoimmune disease

Hypothyroidism means your thyroid gland is under functioning and not producing enough thyroid hormone. This is bad news because every cell in the body depends on thyroid hormones. Including brain cells. This explains why people with untreated or poorly managed hypothyroidism are at higher risk for rapid brain decline.

Hypothyroidism affects millions of Americans, many of them whom continue to suffer from worsening health despite treatment. What’s more, 90 percent of hypothyroid cases are caused by autoimmune Hashimoto’s. As Hashimoto’s gradually destroys the thyroid gland, this lowers thyroid function, causing myriad symptoms.

Lab tests can identify Hashimoto’s by testing for TPO and TGB antibodies. If positive, these markers indicate an autoimmune disease is attacking the thyroid gland. It’s vital to dampen the inflammatory autoimmune attacks against the thyroid and balance the immune system.

However, thyroid hormone medication may still be necessary if damage is already extensive.

How to manage Hashimoto’s hypothyroidism

Managing Hashimoto’s hypothyroidism is rarely a quick fix. Instead, it involves a multi-faceted approach to diet and lifestyle to reduce inflammation and autoimmune flares against the thyroid. Strategies include:

Adopt a strict gluten-free diet. Numerous studies show a strong link between Hashimoto’s hypothyroidism and gluten  In fact, people with a gluten intolerance are genetically more prone to Hashimoto’s disease. Gluten sensitivity also promotes inflammation and leaky gut, which flares autoimmune diseases such as Hashimoto’s hypothyroidism.

Adopt an autoimmune diet. For many people, going gluten-free is not enough to manage Hashimoto’s hypothyroidism. You may need to go deeper with an anti-inflammatory diet that eliminates common inflammatory foods, such as dairy, eggs, grains, legumes, and other foods. A whole-foods, Paleo-based diet that emphasizes plenty of produce and eliminates processed foods is important to manage Hashimoto’s hypothyroidism.

Repairing a leaky gut. Leaky gut, or intestinal permeability, typically plays a primary role in Hashimoto’s hypothyroidism and other autoimmune diseases. In leaky gut the lining of the small intestine becomes inflamed, damaged, and porous, allowing undigested foods, bacteria, fungus, and other foreign invaders into the sterile environment of the bloodstream where they trigger inflammation and autoimmunity.

Stabilize blood sugar. Stabilizing blood sugar is vital to managing Hashimoto’s hypothyroidism. A diet high in sugars and refined carbohydrates (such as breads, pastas, pastries, and desserts) spikes inflammation, skews hormones, and flares autoimmunity. Energy crashes, fatigue after meals, excess belly fat, hormonal imbalances, mood swings, and sleep issues are all signs you may have low blood sugar or high blood sugar (insulin resistance).

These are just a few of the basics of autoimmune management for Hashimoto’s hypothyroidism. Ask my office for more information.

Got brain fog? Here are five possible reasons why

Do you suffer from brain fog? That muggy feeling your brain is operating in a puddle of mud and life is moving in slow motion. People think brain fog is funny or normal, but it’s not. It’s a red flag your brain is inflamed, functioning poorly, and likely degenerating too quickly.

What causes brain fog and why should you care? Consider these reasons:

1. Brain cells not communicating well with each other

Brain fog happens when brain cells, or neurons, don’t communicate well with each other. This causes brain function to slow down and diminish, giving you symptoms of brain fog.

Many factors cause neurons to fire sluggishly or not all with each other, which I’ll talk about more in this article.

When you have brain fog, you have to ask yourself, “Why are my neurons not able to fire effectively?”

2. Unstable blood sugar and brain fog

Blood sugar that swings too low or too high can cause brain fog. Symptoms of low blood sugar include irritability or lightheadedness between meals, cravings for sweets, waking up at 3 or 4 a.m., dependence on coffee or sugar for energy, becoming upset easily, and forgetfulness.

Symptoms of high blood sugar (insulin resistance) include fatigue after meals, constant hunger, cravings for sweets not relieved by eating them, constant thirst, frequent urination, difficulty falling asleep, and a big belly.

Blood sugar that is too low or too high means neurons are not receiving the energy they need to function, which often causes brain fog.

Unstable blood sugar is commonly caused by eating too many processed carbohydrates and sugary items, skipping meals, or chronic overeating.

Quite often relieving symptoms of brain fog can be as easy as stabilizing your blood sugar. Eat a whole foods diet based around vegetables, proteins, and healthy fats. Avoid sweets and processed foods, and keep carbohydrate consumption to a level that prevents symptoms of low or high blood sugar.

3. An unhealthy gut environment

Communication between the gut and the brain is ongoing and intimate. Bad gut health affects the brain and can cause symptoms of brain fog.

For instance, some people develop brain fog after eating certain foods, such as gluten, that trigger inflammation in the gut. If you have digestive problems, your gut may be playing a role in your brain fog.

Leaky gut is a condition in which the lining of the intestine becomes overly porous, allows undigested food particles, yeast, bacteria, and other harmful compounds to enter the bloodstream.

This triggers chronic inflammation in the gut, body, and brain, along with other health problems, such as food intolerances, pain, autoimmune disorders, skin issues, joint problems, depression, and, of course, brain fog.

4. Poor circulation and brain fog

Are your fingers, toes, and nose are cold to the touch? This may mean your brain is not receiving enough oxygen due to poor circulation. Other symptoms of poor circulation include weak nails, fungal nail infections, low brain endurance, and cramping in the hands and feet.

Low circulation deprives the brain of oxygen and nutrients, thus causing brain fog. Factors that cause low circulation include anemia, chronic stress, hypothyroidism, low blood pressure, smoking, and blood sugar imbalances.

5. Autoimmune disease and brain fog

Autoimmunity is a disorder in which the immune system attacks and destroys body tissue. Examples include Hashimoto’s hypothyroidism, Type 1 diabetes, and rheumatoid arthritis.

This chronic inflammation goes on to inflame the brain, which hampers function and can cause brain fog. Brain fog is a common complaint among autoimmune sufferers.

Also, autoimmune attacks in the brain are more common than people realize. This, too, is linked with brain fog.

Don’t assume your brain fog is something to shrug off. It’s best to discover the underlying causes of brain fog and address them. This will not only give you better brain function but also help prevent dementia later in life. Ask my office for more information.

Concussions triple suicide risk

While concussions have gained attention for their link to dementia, did you know they also increase the risk for suicide? Just one concussion can triple the long-term risk of suicide in otherwise healthy people.

Although brain-injured football players have been receiving all the attention lately, the typical concussion patient is a middle-aged adult. Most concussions happen during traffic accidents, falls at home, and in other everyday situations.

A study looked at a quarter-million subjects who had been diagnosed with a mild concussion during the last 20 years. Researchers found suicide occurred at three times the norm in this population. They also found that on average suicide occurred nearly six years after the concussion. Also, the risk increased with additional concussions.

Why does a concussion increase suicide risk? 

In functional medicine we know a concussion causes brain inflammation, from which the patient may never fully recover. Unlike the body’s immune system, the brain’s immune system does not shut off once triggered. As a result, unchecked brain inflammation damages and destroys healthy brain cells.

Brain inflammation is tied to various brain-based disorders, including depression and mental illness. In fact, a 2014 study concluded that sustaining a head injury leads to a greater risk of mental illness later in life.

When patients fail to employ strategies to dampen brain inflammation, post-concussive inflammation continues its crawl through the brain like a slow-burning fire, consuming neurons in its path. This can go on for years after the concussion, impacting mood, memory, and general function.

What’s more, thanks to intimate communication between the brain and the gut, a concussion often impacts gut health and function. Many people report the onset of digestive issues after a concussion.

This is bad news because research shows an inflamed and unhealthy gut is directly linked to depression, giving post-concussive patients a double whammy of depression-inducing inflammation that travels back and forth between the gut and the brain.

Functional medicine strategies for concussions 

For every person who dies from suicide, many others think about it or suffer from chronic depression. 

This study shows a clear need for better long-term care of patients with concussion.

Fortunately, functional medicine offers many strategies to reduce brain inflammation and lower the risk of mood disorders such as depression after a concussion:

• Stabilizing blood sugar
• Removing inflammatory triggers from the diet (such as gluten) or the environment (such as synthetic scents or toxic cleaning products)
• Improving gut health and gut bacteria diversity
• Identifying and addressing autoimmune diseases, situations where the body’s immune system attacks body tissue, creating chronic inflammation. Autoimmune reactions in the brain are more common than people realize.
• Addressing chronic infections.
• Improving blood flow and oxygenation flow in the brain.
• Stabilizing hormones.
• Using nutritional compounds to reduce inflammation in the brain.

These are among the foundations of functional medicine that can make the difference between a post-concussive downward spiral or be the springboard to a more brain-healthy way of living. 

If life hasn’t been the same since your concussion, ask my office how functional medicine strategies can help.

Nature is powerful medicine for the body and brain

Have you ever wondered why a walk in the woods makes you feel so good? While that Zen feeling is partly about “getting away from it all,” studies show time in nature is also powerfully therapeutic for the body and brain. 

More than half of the world's population lives in an urban setting, and by 2050 that number will increase to a whopping 70 percent. Urbanization disconnects us from nature with measurable effects on our health. For example, city dwellers are at a 40 percent higher risk for mood disorders than rural folk.

Eight reasons nature is powerful medicine for your body and brain 

Spending time in nature is known for its anti-inflammatory effects, and its positive impacts on mood and depression. Here are eight great reasons to spend more time in nature:

1. Vitamin D: Exposure to sunlight enables us to produce this critical hormone. In our increasingly indoor world, many people find they are deficient in Vitamin D. This can lead to a variety of health problems, including depression. Vitamin D is also critical to regulating inflammation.

2. Improved sleep: Sleep patterns are tied to the sun’s schedule. Spending too much time indoors away from natural light can alter this rhythm, which plays a role in many metabolic processes and mental health. Early morning exposure to sunlight has been shown to recalibrate the sleep cycle, and one study found participants were cured of insomnia in one week of camping outdoors with no exposure to electronics or electric light.

3. Increased emotional stability and empathy: People who spend time in nature show increased activity in parts of the brain responsible for empathy, emotional stability, and love. In case you were wondering, yes, urban environments, have the opposite effect of promoting fear and anxiety. 

4. Grounding: A study in the Journal of Alternative and Complementary Medicine reported that grounding (bare-skinned contact with the earth) can have an intense anti-inflammatory and energizing effect on the body. 

5. Creativity: A study of backpackers found that after four days in nature, subjects scored 50 percent better on a creativity test. 

6. A breath of fresh air: Outdoor air really is fresher than indoor air! The EPA states that indoor pollutants are 2 to 100 times higher than outdoor pollutants! 

7. Improved mood: A Stanford study showed that participants who walked for 90 minutes in a natural environment were less apt to focus on life’s shortcomings compared to subjects who walked along a busy highway. Added bonus: Time in the sun boosts serotonin, a brain hormone responsible for happiness. 

8. Renewed mental focus: Interaction with nature gives your brain a break from everyday stimulation, allowing it to restore your attention levels.  

Hit the hills!

Live in a city with no green space nearby? Try to get out of town into nature as often as you can. But even roaming the green places in your city can bring great benefits. And don’t worry if you aren’t capable of a vigorous hike; even “non-exercise activity” has solid benefits.

What are you planning for your next outdoor excursion?

Generosity and volunteering proven good for health

While volunteering is good for those in need, the giver cashes in big on generosity, too. Studies show the benefits of generosity and volunteering include a heightened sense of well-being, increased self-worth, and improved emotional and physical health. 

How generosity makes you happier

Generosity and volunteering produce hormones that relieve stress, promote happiness, cause a natural high (endorphins), and promote bonding and tranquility.

Being generous makes us feel better about ourselves  It builds confidence, and encourages us to focus toward the world rather than ourselves.

When we improve someone else’s life, empowerment grows and we are better able to deal with life’s hardships.

Volunteering can help you feel better 

Generosity and volunteering also lower mortality rates, reduce cardiovascular risk, decrease anxiety and depression, and improve sleep. 

In fact, one study showed adults who volunteered at least four hours a week for one year were 40 percent less likely to develop high blood pressure compared to non-volunteers.

Another study of teens found those who spent an hour a week helping children in after-school programs had lower levels of cholesterol and inflammation than their non-volunteering peers.

Generosity must be genuine to benefit health

Don’t volunteer or be generous simply out of obligation in order to improve your health.

If you want to enjoy the health benefits of generosity and volunteering, it must be genuine. Make sure you’re focused on helping others and not just looking good.

A 2012 study found that older volunteers had a lower risk of dying in a four-year period than non-volunteers, as long as their volunteerism was for altruistic and not self-oriented reasons.

Tips for volunteering to improve your health

• Offer to do something your enjoy.
• Help with a cause you’re passionate about.
• Be realistic about your schedule so you don’t stress out.
• Volunteer with others so it’s socially beneficial.
• Don’t give up if your first attempt is a bad match.

Receive generosity with grace so others can benefit as well

Remember, generosity and volunteering are good for everyone. Others may have chronic health conditions they are working to manage.

If someone is generous to you, don’t brush it off or feel undeserving — receive their kindness with sincerity and grace. This will bring you closer to the person and allow them reap the benefits of giving as well.

Want to be happier and lower disease risk? Hang out with a pet

Most pet lovers find their furry, feathered, hoofed, and scaly companions count among their best friends. But pets aren’t only good company — research shows they greatly benefit your mental and physical health. 

Pets help the developing immune system

A study in Finland showed that babies who grew up in a home with cats and dogs were 44 percent less likely to develop ear infections and 29 percent less likely to receive antibiotics in their first year compared to babies from pet-free homes. The theory is that exposure to bacteria brought in from outside by pets helps the developing immune system learn how to react properly to germs in the environment. And the more time the pet spent outdoors, the greater the benefit.

Other studies show that children who live with dogs and cats in the first year of life are less likely to develop allergies to those animals later in life.

Pets help you live longer and lower disease risk

Babies aren’t the only ones benefiting from pets:

• People with pets have lower cholesterol and triglyceride levels than non pet-owners, regardless of weight, diet, and smoking habits.
• In subjects who have experienced a heart attack, dog ownership decreases the odds for death the first year post-heart-attack from 1 in 15 to 1 in 87!
• In people undergoing stress tests or physical examinations, the presence of a dog during the exam lowered heart rate and blood pressure.
• “Seizure-alert” animals are trained to signal their owners prior to a seizure as well as protect them during the event.
• Some pets are trained to alert their diabetic humans to episodes of hypoglycemia (low blood sugar) before life-threatening symptoms develop.
• Prescription drug use and overall costs of caring for patients in nursing homes dropped in facilities where companion animals became part of daily therapy.
• The need to exercise a pet and care for it often results in better physical and mental health for the human, regardless of age.
• Researchers at the University of Arizona are exploring whether dogs can improve human health by having a probiotic effect on the body.

Pets provide mental, emotional, and social benefits 

A study at Tufts University found young adult pet owners are more connected to their communities and relationships, are more engaged in community service, help family and friends, demonstrate more leadership, and have more empathy and confidence than non pet owners.

Caring for a pet can prevent downward spirals by providing consistency and routine, helping us feel needed, and giving us something to do each day.

This is especially true for those who live alone, as well as the elderly, who say their pets provide social companionship and a reason to get out of the house for exercise and socialization.

Even families surveyed before and after they acquired a pet reported feeling happier after adopting a pet.

In conclusion, pet owners exhibit greater self-esteem, are more physically fit, more conscientious, less lonely, more socially outgoing, and have healthier relationship styles than non-pet people. The researchers concluded that our pets contribute to our sense of self just as much as our human companions do.

Eat breakfast to lose weight

If you’re like most Americans, you eat a high-carb breakfast packed with grains, dairy, and sugar, or you don’t eat breakfast at all either because you’re too busy or you want to lose weight. Either way, you’re not doing yourself any favors.

Breakfast is exactly what it sounds like — the breaking of a fast. After 8-plus hours of no food, your body needs fuel to bring its systems up to speed and maintain even energy for the day. As it turns out, eating a solid breakfast is one of the best things you can do to lose weight. It also helps assure a clear mind, steady emotions, and plentiful energy throughout the day.

Skipping breakfast can actually make you gain weight!

We’ve all been taught the “calories in vs. calories out” theory for weight loss. In an effort to cut calories, we skip breakfast because it’s the easiest meal to do without, especially if we tend to wake up with no appetite or we’re always in a rush to get to work. But while calories can matter, skipping breakfast can actually lead to weight gain:

When you wake in the morning, your blood sugar is already low. Skipping breakfast (or any meal) allows it to go lower and impairs insulin sensitivity, which leads to weight gain.

Chronic low blood sugar creates a cascade effect in your hormonal system that directly affects your body’s ability to deal with stress. This can result in increased inflammation throughout your body, which can lead to weight gain. Low blood sugar also causes brain fog, mood issues, insomnia, decreased brain function, and other health issues. None of these symptoms will help you stick to a healthier eating plan.

Skipping breakfast has interesting behavioral effects; research shows that people who skip breakfast tend to reach for higher calorie foods once they do eat, leading to higher total daily calorie consumption than those who ate a solid breakfast. This is partly because missing meals causes the brain to become primed toward higher-calorie foods like it would during starvation or famine.

Skipping breakfast makes you more likely to binge on sugary foods that result in an energy crash later in the day—making you less likely to go out and get that much-needed exercise. (PS: A big sweet, milky coffee drink with whipped cream is not a breakfast.)

Eat a protein-strong breakfast for weight loss and steady energy

You know you need to eat breakfast. But eating traditional carb-heavy breakfast foods such as cereals, bagels, muffins, and fruit smoothies isn’t a great idea; they sabotage your weight loss goals by destabilizing blood glucose and insulin after the night’s fast, as well as kicking cravings for quick-energy sugary stuff and junk foods into high gear.

Eating a nutrient-dense, lower carb breakfast with plenty of protein and healthy fats provides the brain and body with proper fuel, balances your blood sugar and insulin, and gives your metabolism a boost for the day.

Studies show a protein-strong breakfast can also reduce hunger hormones, increase the chemical that tells your brain to stop eating, improve your sense of satiety, and reduce evening snacking.

Many girls’ ADHD misdiagnosed as depression, anxiety

When we think of attention deficit hyperactivity disorder (ADHD) we think of the boys — they’ve received the lion’s share of diagnoses and attention. But turns out we’re focusing mainly on characteristically boys’ symptoms, leaving a lot of girls in the dust with their symptoms and very bad outcomes in adulthood.

While boys act out and are hyperactive, ADHD in girls expresses itself more as disorganization and inattentiveness.

Symptoms include a tendency toward daydreaming, trouble following instructions, and making careless mistakes.

These symptoms can lead to feelings of shame for girls who feel the pressure to perform. They see these symptoms as personal flaws instead of a neurological condition.

Sadly, this continual sense of failure can lead to anxiety, depression, low self-esteem, eating disorders, and a four to five times greater risk of self-harm and suicide.

These girls are more likely to have fewer friendships and get into unhealthy and abusive relationships that mirror their inner lack of self worth.

Girls tend to develop ADHD later than boys and it can get worse as they get older. Many don’t get diagnosed until adulthood and spend their lives trying to manage it on their own and feeling shame about it.

Missing the cues of ADHD in girls

The diagnosis of ADHD in girls has increased 55 percent in recent years, compared to 40 percent for boys. Despite this increase, many girls still go undiagnosed (while there is over diagnosis of boys).

This is because the symptoms of feeling unfocused and disorganized lead to depression and anxiety. As a result, girls miss out on services that may help their symptoms in childhood and instead are prescribed anti-anxiety and antidepressant medications, which can exacerbate symptoms of ADHD. Many doctors also believe girls can’t get ADHD.

ADHD in adult women

As women take on careers and raising children, masking their symptoms of ADHD can become more difficult.

The researchers found that adult women with high IQs and ADHD suffer from constant feelings of being frantic and overwhelmed trying to manage day-to-day basics. Adult women have become the fastest growing users of ADHD medications.

ADHD and functional medicine

With any neurological disorder, including ADHD, we always seek to support the brain as much as possible. This can mean looking at foods that are inflammatory to the brain (gluten is a primary one) and gut health, another known link to brain health. For more advice, please contact my office.

Busting the low-fat myth: Cholesterol is good for you

If you’re one of the many people with high cholesterol, you may have been prescribed statin drugs and told to eat a low-fat diet — the standard advice for decades. However, experts have now reviewed the research and found there is no link between heart disease and total fat, saturated fat, or dietary cholesterol.

Statins made me forget where I parked the car

Cholesterol-lowering statins are among the most commonly prescribed and profitable medications in the world, taken by 25 percent of people over age 45. Touted to keep heart disease at bay, statin drugs are now known to be a cause of serious memory loss  fuzzy thinking, learning difficulties, fatigue, muscle damage, and even diabetes.

Why do statins cause memory loss? The human brain is made up of 60 percent fat, much of that cholesterol. The brain uses cholesterol to build brain chemicals that allow neurons to communicate with one another. Without cholesterol, the brain’s cells eventually die from inactivity. Over time, this results in memory loss and other brain disorders. In studies of the elderly  those with high total cholesterol actually have reduced risk of dementia – likely due to their body’s plentiful supply of this brain-supporting substance.

Cholesterol and heart attack risk

In a review of 72 studies  researchers found that most heart attack patients’ cholesterol levels did not indicate cardiac risk; in fact, 75 percent of them had normal, not high LDL (“bad”) cholesterol. Even more surprising, 90 percent of them had HDL ("good") cholesterol levels under 60. Additionally, low HDL is a warning sign for pre-diabetes, and most of these patients had pre-diabetes, or “metabolic syndrome.” We now know that low HDL, not high LDL, is the real driver behind most heart attacks and heart disease, which changes the game on cholesterol management.

What about dietary fat?

Consider the following regarding low-fat diets. (Keep in mind this refers to intake of healthy fats):

• High-fat diets lower triglycerides  normalize LDL (bad cholesterol), and increase LDL particle size. LDL cholesterol comes in two sizes; large particles that move freely, causing no harm, and small particles that embed in artery walls, causing inflammation the buildup of plaque. You want fluffy large particles.
• The National Institutes of Health reported that increasing fat intake to 50 percent of calories improved the nutritional status of heart study participants, and didn’t negatively affect heart disease risk factors.
• The 2015 U.S. Dietary Guidelines Advisory Committee reviewed all the research over 40 years and told us to stop worrying about dietary cholesterol, arguing it is “not a nutrient of concern for overconsumption.”
• People who consume low-fat diets are at increased risk for depression and suicide (remember how the brain is made from 60 percent fat).
• And here’s the clincher: Harvard School of Public Health recently admitted that when it comes to disease prevention, low-fat diets don’t appear to offer any special benefits. It’s sugar and refined carbohydrates that contribute to obesity, pre-diabetes, heart disease, and many other health issues.

If not fat, what causes heart disease?

Here are five important factors in heart disease risk:

• Inflammation in the body.
• Free radicals that attack LDL and turn it from large (unharmful) into small (harmful) particles.
• Trans fats that increase inflammation and raise triglycerides.
• Sugar, which is inflammatory, promotes plaque formation in arteries, and raises stress hormones.
• Stress, which increases blood pressure and causes other heath issues.

Ask my office how to have better heart health.

Loneliness is bad for your health

Everyone feels lonely from time to time. Maybe you miss a party, move to a new city, or lack a close circle of friends. Ideally, loneliness is temporary, but when it becomes chronic, it can have far-reaching consequences for our health. While we’ve known for decades that perceived social isolation, or loneliness, is a major risk factor for chronic illness and death, only more recently have we gained deeper clues into why loneliness is such a health risk.

Studies show loneliness affects immunity

In a study of overweight but otherwise healthy people, those with loneliness showed higher levels of inflammation when faced with stressful activities; another set of subjects experienced more inflammation, pain, depression and fatigue than normal, plus a reactivation of dormant viruses in the body. More recently, it was shown that loneliness reduced the ability to fight off viruses and bacteria.

Researchers say the body perceives loneliness as a stressor, causing it to go into a “fight or flight” response and release adrenal hormones. Over time this chronic stress response leads to chronic inflammation, setting the stage for numerous disorders, including depression, coronary heart disease, Type 2 diabetes, arthritis, Alzheimer’s disease, and cancer.

This explains why lonely people have been shown to be at increased risk for cancer, neurodegenerative disease, and viral infections.

Compounding the problem is the fact that chronic inflammation is linked with depression and other mental health issues, which may cause a lonely person to further isolate themselves in a vicious cycle that’s hard to break.

?The remedy for loneliness

Clearly, healthy social relationships are the best antidote to loneliness. Relationships don’t just happen – you have to make them happen.

Ideas to remedy loneliness include: Join Meetup.com groups, or start one; schedule time with friends or acquaintances; attend local events; sign up for classes to learn something new with other people; join a volunteer organization; join a church or spiritual community. If you look outside yourself you will find a cornucopia of healthy social opportunities.

Humans are designed to commune. It’s vital to health because in our history it was vital to survival. The stress response to loneliness and isolation is a red flag that you need the feeling of protection and inclusion socialization brings.

If you feel depression and lack of motivation are holding you back from reaching out to form a healthy social community, ask my office about ways diet and specific supplementation can help boost your desire to socialize.

Is undiagnosed PTSD causing your chronic stress or fatigue?

Are you chronically stressed out, chronically fatigued, or both? Are you careful about your diet and lifestyle but nothing works? You may want to consider whether post-traumatic stress disorder (PTSD) plays a role in your poor stress-handling ability.

Studies show PTSD alters the body’s ability to regulate cortisol, our primary stress hormone produced by the adrenal glands. People with poor adrenal function suffer from usually either low cortisol or high cortisol.

Altered cortisol levels increase the risk for developing chronic conditions, such as autoimmune disease, chronic pain, or chronic inflammation.

More women suffer from PTSD than men

Not just war veterans suffer from PTSD. In fact, more women than men suffer from PTSD.

Why? For one, more girls than boys suffer sexual abuse as children, predisposing women to more severe reactions to traumas later in life. Researchers also found that sexual trauma causes more emotional suffering and is more likely to contribute to a PTSD than other types of trauma.

Women are also biologically more prone to PTSD than men.

Are your stress hormones to high or too low?

Low cortisol causes low blood sugar, blacking out when standing up, weakness and fatigue, waking up at 3 or 4 a.m., depression, hypersensitivity, and an inability to cope with stress.

High cortisol causes symptoms of insomnia, not feeling rested after sleep, weight gain around the abdomen, anxiety, chronic stress, and hormonal imbalances.

Supporting adrenal function is fundamental to good health. The first place to start is with diet, as many cases of =low or high cortisol are simply a matter of too much sugar and too many processed carbohydrates.

Undiagnosed immune reactions to foods, such as gluten, dairy, egg, and soy can trigger adrenal issues.

An undiagnosed and chronic parasitic, viral, or bacterial infection can take their toll on the body’s stress handling abilities and cause low or high cortisol.

And, of course, lifestyle factors affect adrenal function. Over exercising, over working, not getting enough sleep, or being in a stressful job or relationship can certainly tax your adrenals and lead to altered cortisol.

But if you have been addressed all those and low or high cortisol persists, it’s time to investigate whether PTSD is a contributing factor.

Past traumas and even your parents’ traumas can cause poor adrenal function

Studies have shown that PTSD can cause low or high cortisol. An interesting finding is that people tend to have low cortisol if both parents suffer from PTSD. This is likely due to both the biological effects of PTSD as well as the child’s environment growing up.

Research has also found that low cortisol is more often associated with the PTSD symptoms of avoidance, withdrawal, and isolation, while high cortisol is associated with hyper arousal and re-experiencing traumatic events.

Cortisol plays a significant role in your physical and mental well-being and if you suspect you may have PTSD, it’s important to seek non-pharmaceutical treatments. Fortunately, PTSD is much studied these days and many treatment options exist.

Recovering from sugar and alcohol hangovers

With the promise of good intentions around the corner, the end of the year can turn into a downward spiral of too much sugar and alcohol.

It’s hard to get back on the healthy eating wagon, but knowing a few things about how sugar and alcohol affect the body can help.

Recovering from the sugar hangover

Has a sugar hangover left you with an upset stomach, a headache, brain fog, skin issues, chronic pain, mood swings, allergy symptoms, lethargy, and self-loathing?

Steps for recovering from a sugar hangover include:

No sugar. Holiday desserts shoot your blood sugar levels up and down. This taxes the immune system, imbalances brain chemistry, and skews hormones. To stabilize blood sugar, eat protein every two to three hours, never skip breakfast, and avoid sweets and starchy foods. Focus on proteins, vegetables, and healthy fats.

Hydrate. Staying hydrated with filtered water will help flush toxins from your body.

Support your liver. Help your liver flush toxins with compounds such as as milk thistle, dandelion, N-acetyl L-cysteine, beet root, panax ginseng, and more.

Heal your gut. Unstable blood sugar inflames the gut and promotes yeast and bacterial overgrowth. In addition to stabilizing blood sugar, follow the autoimmune paleo diet that eliminates common immune triggers (such as gluten), and use gut support compounds like probiotics and L-glutamine.

Exercise. If you’ve been morphing into the couch, go easy initially to avoid more inflammation. Appropriate exercise will help tame inflammation, improve brain function, and help flush toxins.

Recovering from the alcohol hangover

Alcohol hangovers are their own special hell.

We don’t fully know why hangovers happen, but a few facts can help us recover from them.

Alcohol blocks the production of a hormone that helps the body absorb water. As a result, the body immediately excretes the water—up to four times as much as the alcohol consumed. This is what causes fatigue, dry mouth, and a headache. Drink plenty and use electrolytes to help rehydrate.

When that water is excreted, many of our water-soluble vitamins go with it, contributing to that lousy hung-over. A b-complex supplement before drinking and another the next day can help compensate.

Alcohol also breaks down the body’s store of glycogen, an energy source, thus causing weakness, fatigue, and lack of coordination. It’s important to remember to eat.

Drinking alcohol creates the powerful toxin acetaldehyde in the body. The body attacks it with an antioxidant called glutathione, our body’s most powerful antioxidant. Using natural compounds to support glutathione can help with recovery.

Alcohol inhibits glutamine, one of the body’s natural stimulants. When you stop drinking, the body responds by producing more than it needs, disrupting sleep and causing hangover tremors, anxiety, restlessness, and increased blood pressure. Allow yourself to take it easy.

The New Year is a great time not to focus on unrealistic goals, rather on simple daily strategies to not only recover from holiday excesses but also improve how you feel and function all year. Ask my office for more advice.

Don’t let travel derail your autoimmune management

Managing an autoimmune condition is hard enough. Throw in holiday travel, staying with relatives, meals out, and exhaustion, and autoimmune management goes to a new level of difficulty. However, failing to follow your plan can wreck the holidays with symptom flares or an energy crash.

What to do? First, take a deep breath and adopt a no-stress, can-do attitude. Just as at home, good autoimmune management simply requires some advance planning and strategic thinking.

Here are some tips to help you manage your autoimmune condition while traveling.

Map out meals and snacks so you don’t go hungry or trigger a flare. The functional medicine approach to managing an autoimmune disease requires following some variation of the autoimmune diet  This diet is usually a strict Paleo diet of ample produce and healthy meats and fats, and no grains, dairy, soy, sugar, or processed foods.

Google ahead of time to find out where you can eat at your destination. Look for the Whole Foods and other health food stores. Make sure you have a refrigerator in your hotel room or ask your hosts to make space for you in theirs. You can insulate and pack frozen meals to heat up in a mini crockpot, also stowed in your luggage. Some people even pack a hot plate and cookware. Bring a travel bag large enough for approved snack items to stave off hunger. Ideas include beef jerky, celery, sardines, olives, coconut meat, and other filling snacks.

Pack plenty of glutathione support. Traveling includes plenty of stressful events that can deplete your glutathione stores. Glutathione is the body’s most powerful antioxidant and vital to preventing and taming autoimmune flares. Early mornings, long days, new environments, crowded airplanes, Grandma’s fabric softener, and so on — these stressors can deplete glutathione so that inflammation is more likely.

Options include glutathione precursors such as N-acetyl-cysteine, alpha-lipoic acid, cordyceps, and milk thistle. You can also take s-acetyl-glutathione, or an oral liposomal glutathione. Note that taking straight glutathione is not effective.

Search ahead for hypoallergenic hotel rooms. Ever walk into a hotel and get blasted with that sickly perfume smell? Some hotels overdo it with the scented products. Others have feather pillows, and dusty, stale rooms. Look for hotels that offer scent-free, allergy-friendly rooms with hypoallergenic bedding, air purifiers, and windows that open.

Carry a mask to avoid pollution or toxic odors. There’s only so much you can do to control your environment while traveling. If the passenger next to you on the packed plane is doused in cologne, it helps to have a face mask handy so you can breathe easier. A good face mask is comfortable and allows you to breathe easily while protecting you from toxins in the air, thus keeping your immune system calmer. Some companies even make face masks  for children.

Don't let your vacation become work. Schedule in down time to nap, read, or go for peaceful walks. Stress is a powerful inflammatory toxin so it pays to make sure you enjoy your vacation with plenty of rest time.

Maternal PCOS can raise the risk of autism in children

Researchers have discovered that polycystic ovarian syndrome, or PCOS  is linked with an almost 60 percent greater risk of giving birth to a child who will develop an autism spectrum disorder (ASD).

As many as one in ten women of childbearing age have PCOS, a hormonal disorder, and it can affect girls as young as 11. It is the most common female hormone imbalance in the United States.

Although the exact link between maternal PCOS and autism isn’t clear, the findings support the notion that sex hormones early in life play a role in the development of autism in both boys and girls.

PCOS exposes the developing fetus to excess androgens, hormones that play a role in male traits. These androgens are believed to affect the development of the brain and central nervous system, increasing the risk of an ASD.

In the study, researchers looked at children ages 4 to 17 who were born in Sweden between 1984 and 2007. They found that a maternal diagnosis of PCOS increased the risk of having a child with ASD by 59 percent.

What are symptoms of PCOS?

It’s important to address PCOS before you get pregnant. How do you know if you have PCOS?

Here are some symptoms:

• Infertility
• Irregular menstrual periods
• Ovarian cysts
• Acne, oily skin, or dandruff
• Obesity and excess weight, usually concentrated around the abdomen
• Thinning hair
• Dark, thick patches of skin on the neck, arms, breasts, or thighs
• Skin tags
• Anxiety or depression
• Sleep apnea

What causes PCOS?

The interesting thing about PCOS is symptoms are similar to those of high blood sugar and diabetes. Although genetic predisposition plays a role, PCOS is a hormonal imbalance frequently caused by the same things that cause high blood sugar: a diet high in sugars and processed carbohydrates, lack of plant fiber, overeating, and lack of exercise.

Identifying PCOS

Common markers that help identify a PCOS diagnosis along with symptoms and other findings include a fasting blood sugar over 100 on a blood test, and elevated triglycerides and cholesterol (especially if triglycerides are higher than cholesterol). These are also markers of insulin resistance, or pre-diabetes.

Insulin resistance, when the body’s cells become less sensitive to insulin due to a high-carbohydrate diet, leads to excess testosterone and PCOS in women (and excess estrogen in men).

Unfortunately, as testosterone levels rise, the cells become more resistant to insulin, thus creating more testosterone in a vicious cycle.

If you think you may have PCOS and are hoping to get pregnant, ask my office for advice on functional medicine strategies to balance your hormones and support an optimal pregnancy.

Did childhood trauma play a role in your autoimmunity?

Autoimmune patients expend considerable effort finding the right diet, supplements, lifestyle, and practitioner to manage their autoimmunity.

But did you know your experiences from childhood could be provoking your autoimmunity as an adult?

Abuse, belittlement, insults, neglect, loss of loved ones, parental acrimony… the traumas children weather unfortunately become a lifelong “operating system” that has profound influences on immunological and neurological health. Traumas in childhood affect not only physical and cellular health, but also our DNA.

Early traumas make it hard to turn off stress

In a healthy situation, a child can respond to stress and recover from it, developing normal resiliency.

However, chronic and unpredictable stress in childhood constantly floods the body with stress hormones and keeps it in a hyper vigilant inflammatory state. In time, this interferes with the body’s ability to turn off or dampen the stress response.

In fact, research that compared the saliva of healthy, happy children with children who grew up with abuse and neglect found almost 3,000 genetic changes on their DNA. All of these changes regulated the response to stress and the ability to rebound from it.

This means that little, everyday occurrences that might momentarily irritate a healthier person can unleash a torrent of stress hormones and an accompanying inflammatory cascade that predisposes one for disease.

These are the people accused of overreacting and who are rattled by loud noises, bright lights, and crowds.

A disagreement with someone, a near miss on the highway, a restaurant that’s too loud, an unexpected bill — for the person who had a stressful childhood these minor but regular insults create a metabolic environment that fosters and perpetuates illness.

This can include autoimmune disease, chronic pain, heart disease, cancer, fibromyalgia, chronic fatigue, digestive disorders, migraines, asthma, and obesity.

In fact, this research was inspired by one clinician’s observation that the majority of his obese patients endured sexual abuse as children.

Assessing chronic childhood stress

Researchers studied the effects of childhood stress on later health in the Adverse Childhood Experiences (ACE) Study, developing a short quiz to assess the relationship between childhood traumas and disease risk.

For instance, someone with a score of 4 (scale of 0–8) is at a significantly higher risk for chronic disease, suicide, and addiction.

Early trauma and autoimmune management

Although traumas during childhood and a higher ACE score can increase hardships and disease risk in adulthood, it doesn’t have to be a prison sentence —the brain and body are responsive to change.

Many therapies have been shown to help heal these traumas: meditation, mindfulness practices, neurofeedback, EMDR (eye movement desensitization and reprocessing), cognitive therapy, EFT (emotional freedom technique, or tapping), and more.

Be sure and include your emotional well-being and the health of your subconscious “operating system,” which was established in childhood, in your autoimmune management plan.

The mass extinction of species happening in your gut

You probably already know the planet is experiencing an extinction crisis; scientists estimate we’ll lose up to 50 percent of current species during the next 20 years. But did you know there’s also an extinction crisis of gut bacteria happening among civilized humans?

The modern diet, which is high in processed foods, meats and sugars but pitifully low in plant fiber appears to have killed off a rich diversity of gut bacteria on which our health depends. The result? Inflammation and chronic disease.

Low fiber kills bacteria and increases inflammation

To prove the point, one study changed the diets of African Americans, who have a high risk of colon cancer, and native Africans in South Africa. They put the African Americans on a native diet high in plant fiber and the native Africans on a typical American diet high in processed foods and meats.

The researchers quickly saw a decrease in colon inflammation in the Americans eating increased fiber, and an increase in colon inflammation in the South Africans on a standard American diet.

In fact, studies of the few remaining indigenous cultures on the planet show humans once served as host to significantly more gut bacteria than is found in Westerners today. These cultures eat about 10 times more plant fiber than the average American. Those bacteria organize themselves in colonies to digest plant fiber, support immunity, and curb inflammation.

People around the world even have different strains of the same bacterium that is native to their area and genetics. Human migration over the years has wiped out some strains, increasing the risk of certain diseases as a result, such as gastric cancer.

How a diversity of gut bacteria protect your health

Just how do bacteria protect us from chronic disease?

For one thing, when they work at breaking down plant fibers, they create compounds called short-chain fatty acids (SCFAs) that stimulate the anti-inflammatory arm of the immune system.

Although it’s possible to supplement with SCFAs, unfortunately they won’t be as beneficial as when your own gut bacteria produce them. This is because the bacteria colonize themselves with similar bacteria in an internal ecosystem that protects the lining of the gut.

Starved bacteria eat the gut lining

One startling revelation researchers found is that gut bacteria starved of the plant fiber they need for fuel instead appear to feed on the protective mucus layer that lines the intestines. Studies of mice fed high-fiber diets showed this mucosal layer was as twice as thick as that of mice on a low-fiber diet.

A too-thin layer of protective mucus allows dangerous bacteria, undigested foods, and other pathogens into the bloodstream, where they trigger system-wide inflammation. This is known as leaky gut.

How to beef up your own gut bacteria

It’s quite possible that many of us today lack the diversity of gut bacteria our ancestors had, and our health suffers as a result. Researchers believe those who grow up on farms, with animals, and exposed to other sources of more diverse bacteria may fare better in terms of microbial diversity.

Nevertheless, a diet high in plant fiber can increase the diversity and population of your gut bacteria, thus helping you balance digestion and tame inflammation. If you find it difficult to tolerate a high-fiber diet, you may have a severe imbalance in your gut bacteria that needs attention. Ask my office for more information.

Five things doctors don’t tell you about depression

Do you suffer from depression? People succumb to depression for different reasons. It’s important to look for the underlying cause of your depression. Consider these five:

1. Poor communication between brain cells

Depression happens when neurons in certain areas of the brain don’t communicate well with each other, or “fire.” This causes poor brain function and symptoms of depression.

Many factors cause poor firing in the brain, which I’ll talk about more in this article.

The primary question when you have symptoms of depression is, “What is causing neurons not to fire in areas of the brain associated with mood?”

2. Unstable blood sugar and depression

Blood sugar that is too low or too high can cause depression. Symptoms of low blood sugar include irritability or lightheadedness between meals, cravings for sweets, waking up at 3 or 4 a.m., dependence on coffee or sugar for energy, becoming upset easily, and forgetfulness.

Symptoms of high blood sugar (insulin resistance) include fatigue after meals, constant hunger, cravings for sweets not relieved by eating them, constant thirst, frequent urination, difficulty falling asleep, and a big belly.

Both low and high blood sugar compromise the brain’s ability to stay fueled, with symptoms of depression often resulting.

The most common causes of unstable blood sugar are eating too many processed carbohydrates and sugar, skipping meals, and chronic overeating.

Sometimes relieving depression can be as easy stabilizing your blood sugar with a whole foods diet that consists primarily of produce and healthy fats and proteins, avoiding sweets and processed foods, and eating an appropriate amount of carbohydrates for your body.

3. Unhealthy gut

When gut health is bad, brain health suffers, often causing depression. If you have digestive problems, your gut may be playing a role in your depression.

Leaky gut is a condition in which the lining of the intestine becomes overly porous, allows undigested food particles, yeast, bacteria, and other undesirable compounds to enter the sterile environment of the bloodstream.

Leaky gut triggers chronic inflammation in the gut, body, and brain, along with other health problems, such as food intolerances, pain, autoimmune disorders, skin issues, joint problems, and, of course, depression.

Also, too much bad gut bacteria (dysbiosis) has been directly linked with depression in studies. Many factors contribute to leaky gut and dysbiosis, including poor diet, alcohol, and chronic stress. Knowing what caused your gut problems will help you resolve them.

4. Poor circulation

If your fingers, toes, and nose are cold to the touch your brain may not be receiving enough oxygen due to poor circulation.

Other symptoms of poor circulation include weak nails, fungal nail infections, low brain endurance, and cramping in the hands and feet.

Low circulation deprives the brain of blood flow, oxygen, and nutrients. Factors that cause low circulation include anemia, chronic stress, hypothyroidism, low blood pressure, smoking, and blood sugar imbalances.

5. Autoimmune disease and chronic inflammation

Autoimmune diseases — when the immune system attacks and destroys body tissue — can cause depression. Examples include Hashimoto’s hypothyroidism, Type 1 diabetes, and rheumatoid arthritis.

Chronic inflammation, such as in chronic joint pain, gut problems, or skin rashes, is also linked with depression.

These disorders inflame the brain, which hampers function and can cause depression.

The brain is also a surprisingly common place for an autoimmune reaction to take place, causing myriad symptoms including depression.

Don’t assume your depression is caused by an antidepressant deficiency. It’s best to discover the underlying causes and address those first. Ask my office for more information.

Why your negative gluten test may have been wrong

If you tested for whether gluten might be behind your chronic health issues but a blood test came back negative, are you wondering, “Now what?”

Although it’s possible gluten may not be a problem for you, there’s a high probability that test result was inaccurate. Conventional testing for gluten sensitivity misses many important markers and can give you a false negative result. As a result, you may be told gluten is not an issue when in fact it is provoking your autoimmune disease or chronic health condition. Gluten has been linked in the literature to 55 diseases so far, most of them autoimmune.

Fortunately, newer testing has been developed by Cyrex Labs to catch the cases of gluten sensitivity that conventional testing misses.

Why standard blood tests often fail at diagnosing gluten sensitivity

Standard blood tests for gluten sensitivity have a less than 30 percent accuracy rate. Gluten has to have significantly destroyed the gut wall for blood testing to be effective. In many people, gluten damages other tissues in the body, such as neurological tissue.

Current tests only screen for one component of wheat, alpha gliadin. Yet people can react to at least 12 different portions of the wheat protein.

In some people, other foods such as dairy can trigger a gluten-like immune response because the body sees them as one in the same. This is called cross-reactivity. Conventional doctor’s offices do not screen for this.

Standard testing only looks at the response of one set of immune cells. If those cells are depressed due to immune exhaustion, results could be inaccurate. More thorough testing compensates for immune depression by testing a variety of immune cells.

Gluten damages more than the gut

Standard testing also only looks at whether gluten sensitivity is destroying gut tissue. However, in many people, gluten does not cause an immune reaction in the digestive tract to the same degree it does in the brain or in the skin. In fact, most people are affected neurologically by a gluten intolerance. Fortunately, we now have ways to screen for that.

Which part of wheat do you react to?

Gluten sensitivity isn’t as cut-and-dry as once thought. (Also, the word “gluten” is technically incorrect as “gliadin” is the portion of wheat that triggers an immune response.)

Wheat is made up of more than 100 different components that can cause a reaction, not just the alpha gliadin component most tests use.

Other parts of wheat that can cause gluten sensitivity include different forms of gliadin besides alpha gliadin, the portion of wheat found in whole wheat, the sticky portion of gluten, wheat that has been altered through industrial processing, and wheat opioids — substances produced during the digestion of wheat that have addictive properties similar to opiates. People with a wheat opioid sensitivity may go through severe withdrawals on a gluten-free diet.

In addition to comprehensive gluten sensitivity testing, Cyrex also tests for the following: foods that cross react with gluten, damage that gluten can cause to your gut and your brain, and autoimmune reactions (when your immune system attacks and destroys body tissue) that may have gone undiagnosed yet cause chronic symptoms. For more information about advanced immune testing, contact my office.

Five things you can address that cause insomnia

It seems almost everyone has insomnia these days, including, possibly, you. People either can’t fall asleep, they wake up after a few hours of sleep and can’t go back asleep, or they aren’t able to sleep deeply. The reasons for insomnia vary from person to person, but it’s typically not due to a sleeping pill deficiency.

Instead, the reasons behind insomnia or poor sleep can be startlingly straightforward, although addressing them may take some diet and lifestyle changes.

In this article I’ll go over often overlooked issues that cause insomnia and poor sleep. Don’t assume a powerful sleeping pill is your only answer. Look at the underlying causes first and address those.

Five things that can cause insomnia

Low blood sugar. Do you wake up at 3 or 4 a.m., racked with anxiety and unable to fall back asleep? That could be caused by a blood sugar crash, which raises stress hormones (hence the anxious wake up). Eating small but frequent meals, never skipping meals, and avoid sugary and starchy foods are important to keep blood sugar stable. Additionally, eating a little bit of protein before bed and at night if you wake up may help.

High blood sugar (insulin resistance or pre-diabetes). Do you fall asleep after meals yet struggle to fall asleep at night? Do you wake up feeling like you’ve been run over by a truck, but are wide awake at bedtime? It could be high blood sugar, a precursor to diabetes, is driving your primary stress hormone cortisol and keeping you up. A telltale symptom of high blood sugar is falling asleep after meals, especially starchy meals. Minimizing sugary and starchy foods, not overeating, and exercising regularly can help you rewind insulin resistance and sleep better at night.

Too much blue light. Are you staring into a computer, phone, tablet, or TV screen right before bed? If so, you’re confusing your body’s sleep hormone production. The body recognizes blue light as daylight, which suppresses the production of melatonin, our main sleep hormone. Limiting your exposure to blue light at night can help boost your body’s production of sleep hormones. Wear orange glasses two hours before bed, use orange bulbs in your nighttime lamps, and limit your evening screen time to boost melatonin.

Inflammation. If you are chronically inflamed it drives up your stress hormones, which can keep you awake. This is particularly true if you’re experiencing inflammation in your brain, which can cause anxiety. One of the most common causes of chronic inflammation is an immune reaction to foods, especially gluten, dairy, eggs, and various grains. Screening for undiagnosed food sensitivities and an anti-inflammatory diet can help you hone in on what’s causing your insomnia or poor sleep.

Hormone imbalances. Hormone imbalances can significantly impact sleep. Low progesterone, which is a common symptom of chronic stress, heightens anxiety and sleeplessness. An estrogen deficiency in perimenopause and menopause has been shown to increase anxiety, insomnia  and sleep apnea. In men, low testosterone is linked with poor sleep and sleep apnea. Also, low hormone levels can be inflammatory to the brain, increasing anxiety and insomnia.

Many things can cause insomnia and poor sleep, however these are some of the more common. While you are addressing the underlying factors of your sleep issue, you can aid your ability to sleep with safe and natural compounds, depending on the mechanism. Ask my office for more advice.