Everyday life is filled with toxins. How to stay healthy

It’s nice to think eating organic food and using “green” household and body products keeps us toxin-free. While those measures certainly help, the sad truth is we are nevertheless inundated with unprecedented levels of toxins in our air, water, food, and everyday environment.

Numerous studies link toxins with myriad health disorders, including autoimmunity, cancer, brain disorders, obesity, hormonal imbalances, and more.

Studies show humans carry hundreds of toxins in their bodies. The only reason it isn’t more is because of limits as to how many are tested. Children contain a higher body burden of toxins and toxins are found in umbilical cord blood and breast milk.

Though this is depressing, understanding the situation can help you better protect your body from the tens of thousands of synthetic chemicals in our environment.

Be aware of chemical sensitivity

Of course, we’d like our toxin levels to be as low as possible. However, it’s even more important that you do not react to toxins. People develop sensitivities to toxins the same way they do to gluten, dairy, or other foods.

A sensitivity to a chemical or heavy metal contributes to autoimmune disease, food sensitivities, and and an overall decline in health. Plus, since it’s difficult to impossible to avoid toxins, a sensitivity to them will leave you with an ongoing immune battle.

Weathering a toxic environment

Studies have turned up ample disturbing evidence on the effects of toxins on human health, and tens of thousands have not yet been studied. Nor do we understand how these toxins may work in combination.

Although there is no way to completely escape (the deepest parts of the ocean contain high levels of toxins), there are ways you can protect your body from toxins and prevent chemical sensitivities.

How to protect yourself as best you can from toxins

Start with your diet. Foods and beverages, even organic ones, contain toxins because of how prevalent they are in the environment. So avoid the obvious offenders of artificial additives and foods that contain pesticides, hormones, and antibiotics.

Beyond that, the goal is a balanced immune system. This requires eating a diet that stabilizes blood sugar (no sugars or sweeteners, not too high on carbohydrates, and avoid skipping meals, over eating, or under eating.)

It also requires avoiding foods that trigger an immune response. This is different for everyone although gluten and dairy are common offenders.

Resveratrol and curcumin

Toxins trigger inflammation and damage cells. Studies show high doses of resveratrol and curcumin can help buffer the body from the damage of toxins, especially if you take them together in a liposomal form.

Glutathione

Glutathione is the body’s master antioxidant that protects the cells from damage. Low glutathione raises your risk of chemical sensitivities and suffering damage from toxins. Nutrients that boost glutathione levels include n-acetyl-cysteine, cordyceps, Gotu Kola, milk thistle, L-glutamine, and alpha lipoic acid. Straight oral glutathione doesn’t work well, but liposomal, reduced, and s-acetyl glutathione are absorbed. Glutathione can also be delivered via IV, suppositories, or a nebulizer.

Boost detoxification

Another strategy against toxins is to improve your body’s detoxification. This can mean supporting the liver, lymph glands, kidneys, and bowel motility (so you’re not constipated). An inability to excrete toxins makes you more inflamed and raises your overall body burden.

Nutrients that support the liver pathways include methyl B12, selenium, molybdenum, dandelion root, milk thistle, trimethylglycine, Panax ginseng, and MSM.

Ask my office about how best to protect yourself from environmental toxins.

Feel worse on the autoimmune paleo (AIP) diet?

Although the autoimmune paleo (AIP) diet is a well known foundation for managing chronic health issues, some people are dismayed to find embarking on it makes them feel worse. What gives? The sudden change in diet can temporarily upset your chemistry and reveal hidden health problems.

If you have been accustomed to eating gluten, dairy, grains, sugars, and processed foods, going cold turkey off those foods is a radical shift. Likewise, adding in lots of vegetables can also shock a digestive system unaccustomed to ample plant fiber.

Most people feel significantly better on the AIP diet. If you’re not one of them, however, don’t give up on the diet. Instead, look for the underlying reason why.

Feeling temporarily worse on the AIP diet

Following are common adverse reactions to the autoimmune paleo diet. Knowing why you react negatively can further help you on your wellness journey.

Low blood sugar. Symptoms of low blood sugar and adrenal fatigue can worsen on this diet. This is usually caused by not eating enough or frequently enough. The general recommendation is to eat every two to three hours, however, some people may initially need a bite or two every hour until blood sugar stabilizes and they can go longer without eating. Avoid sugary fruits and investigate what else may be taxing your adrenal function, such as brain-based issues, autoimmunity, or chronic infection.

New food sensitivities. When gut damage is bad and inflammation high, it’s possible to develop food sensitivities to new foods on the autoimmune diet. This is very frustrating for people as the diet is already so limited. This can be a complex situation that requires concerted effort to tame inflammation and repair the gut.

Opioid withdrawal reactions. Opioids are morphine-like chemicals made by the body that reduce pain and create a feeling of euphoria and well-being. Some people become dependent on foods that release opioids in the brain, namely gluten and dairy. They can initially experience depression, anger, lethargy, and agitation on the autoimmune diet. For those with serious opioid addictions to gluten and dairy, withdrawal can be intense.

Brain chemical imbalance. A diet high in processed carbohydrates affects brain chemicals that influence our mood, particularly serotonin and dopamine. Suddenly switching to a lower carbohydrate diet can disrupt the balance of brain chemicals and cause temporary changes in mood, behavior, and personality. You may need to gradually lower carbohydrate consumption if so.

Insomnia and anxiety. Some people report irresolvable insomnia and anxiety if carbohydrate consumption is too low. If these symptoms persist long after an adjustment period, you may simply need to use trial and error to find the carbohydrate “sweet spot” that lets you sleep but also keeps blood sugar in check.

Difficulty digesting fiber. The AIP diet is heavy on vegetables. For those with compromised digestive function, this can overwhelm the gut. Concerted gut repair nutritional therapy can ease you into a higher fiber diet.

Histamine intolerance. This is a reaction to aged or fermented foods that causes myriad symptoms, including rashes, runny nose, or headaches. Avoiding these foods for a while can help the gut heal so you can eat them later.

Yeast and bacteria die-off reactions. Going cold turkey off processed carbs, gluten, and dairy can cause a sudden and uncomfortable die off of harmful yeast and bacteria in your gut. This is especially true in the case of poor liver detoxification and constipation. Supporting the body’s pathways of elimination can help.

These are a few of the issues that can arise when you switch to the autoimmune paleo diet. Don't forget to consider the grief and anger you may feel about missing your favorite foods. However, if you weather the transition and ferret out sources of discomfort, your newfound health will more than make up for the rough legs of the journey.

Daylight saving got you down? You’re not alone

If you’re still feeling knackered from the time change with daylight saving  you’re not alone. Changing the time throws a kink in the fragile and sensitive human biological clock, leaving many people feeling continuously jet lagged for a few weeks.

An hour of lost sleep might not sound like a big deal, but if you or your friends and coworkers are any indication, it makes for some groggy and grumpy days, bouts of insomnia, and feeling generally off.

It’s not just a hunch — scientific studies have demonstrated various ways in which the bi-annual time change messes with our health.

The body has genes that flip on and off to keep us in a steady rhythm of sleeping and waking. When we throw those genes off beat by artificially changing the time, the effect extends into the rest of the body, including muscles, the skeleton, the pancreas, etc. The disruption is felt body-wide.

How daylight saving time can impact health

This disruption dulls the brain and throws the body’s systems off, resulting in serious and even fatal consequences for some people.

For instance, past studies have shown driving fatalities, workplace injuries, and heart attacks go up after the spring-forward change in time. An Australian study found that even suicides increase after the time change.

Unsurprisingly, work productivity goes down as well, causing losses in the hundreds of millions of dollars.

Night owls, people who naturally are more inclined to stay up late and sleep later in the morning take the longest to recover.

Worst of all, some studies suggest our bodies never really adjust to time changes. We’re designed to sync with natural changes in light throughout the year, not artificially inflicted ones.

How to recover from daylight saving time

Although people complain and we see a spate of news stories every spring bemoaning the change in time, we’re nevertheless stuck with it until politicians add it to their to-do list.

Understanding the effect of the time change on your body can help you better know how to ease the transition into suddenly waking up an hour earlier.

Avoid overdoing it for a while. Because you know your whole body is struggling to adjust to being thrown out of whack, don’t expect too much from yourself. Avoid scheduling high-risk or energy demanding activities the week after the time change. And be extra careful driving.

Schedule in some naps and restful mornings. If you’re like most people, you’ll be sleep-deprived for a week or two. Take a lunch nap in your car at work, let yourself rest on a weekend morning, and be extra disciplined about getting to bed early enough.

Wear orange glasses at night. Wear some orange safety glasses a couple of hours before bed to shield your eyes from artificial blue light from light bulbs, the TV, and computer and phone screens. This facilitates production of sleep hormones and will help ease you into the new schedule.

Get some sunshine during the day. Our bodies were designed to wake and sleep according to the light of the seasons, not an industrialized schedule. Get as much natural light as you can during the day and avoid artificial sources of blue light (computer, TV, smart phones) in the evening.

Gluten is the first thing to go with Hashimoto's hypothyroidism diagnosis

Hypothyroidism has received a lot of attention online since the publication of Why Do I Still Have Thyroid Symptoms? by Datis Kharrazian in 2009. While many facets should be addressed in managing hypothyroidism, one of the most important continues to be a gluten-free diet.

Research shows ninety percent of hypothyroidism cases are due to an autoimmune disease that attacks and destroys the thyroid gland. This disease is called Hashimoto’s.

Most doctors do not test for Hashimoto’s because it does not change treatment, which is thyroid medication. Also, many cases of hypothyroidism go undiagnosed because Hashimoto’s can cause the lab marker TSH to fluctuate.

Where does gluten fit in with this? Numerous studies have linked an immune reaction to gluten with Hashimoto’s hypothyroidism. Whether it’s a gluten sensitivity or celiac disease, gluten triggers an autoimmune attack on the thyroid gland in many people. Most of these people do not even know they are sensitive to gluten.

Going off gluten is the first step with Hashimoto’s

Studies, clinical observation, and patient stories make a very strong case for the benefits of going gluten-free to better manage your Hashimoto’s hypothyroidism symptoms.

A number of studies for several countries show a link between Hashimoto’s and gluten. This is because the protein structure of gluten closely resembles that of thyroid tissue. When your immune system reacts to gluten, it may start erroneously reacting to thyroid tissue as well. This will cause the immune system to attack and destroy thyroid tissue in a case of mistaken identity.

Studies also show patients improve on a strict gluten-free diet. One study showed as many as 71 percent of subjects resolved their hypothyroid symptoms after following a strict gluten-free diet for one year.

Why you may need to stop eating other foods too

Sorry to say, going gluten-free alone doesn’t always work. Many people with Hashimoto’s hypothyroidism also need to go dairy-free. Dairy, whether it’s cow, goat, or sheep, is the second biggest problem food for people with Hashimoto’s hypothyroidism.

Many people simply have an immune intolerance to dairy and aren’t aware of it until they stop consuming it. However, in an immune sensitive individual, the body may also mistake dairy for gluten and trigger an immune reaction that ultimately ends up targeting the thyroid.

For those serious about managing their Hashimoto’s hypothyroidism, a gluten-free and dairy-free diet frequently results in profound alleviation of symptoms, if not total remission.

Many find they may need to eliminate additional foods, such as certain grains, eggs, or soy. An elimination/provocation diet can help you figure out what your immune system reacts to, or a comprehensive food sensitivity test from Cyrex Labs.

What is there left to eat?

If you’re used to eating without restrictions, eliminating gluten, dairy, and possibly other foods to manage your Hashimoto’s hypothyroid symptoms may seem overwhelming and too restrictive. Many people are left wondering, what is left to eat?

Rest assured there is more than enough to eat. Most people fare well on a paleo diet that is primarily vegetables (a diverse array of plenty of vegetables helps create the healthy gut bacteria that improve immunity.)

More importantly, symptoms and general health improves so dramatically that people come to love their new diet and despise the way they feel after they cheat.

Ask my office for more information about implementing a gluten- and dairy-free diet.

Is too much iron causing your chronic inflammation?

Did you know too much iron is toxic and inflammatory? If you are working to manage a chronic inflammatory condition, make sure high iron levels aren’t sabotaging your efforts. (Likewise, low iron levels can also make it difficult or impossible to heal.)

Hemochromatosis is a genetic disorder in which the body absorbs too much dietary iron. It is a relatively common condition, affecting approximately a million people in the United States. Symptoms typically include joint pain, chronic fatigue, heart flutters, and abdominal pain. Untreated hemochromatosis increases the risk of diabetes, arthritis, liver inflammation (cirrhosis), sexual dysfunction, and other diseases.

Psychological symptoms may include depression, anxiety, nervous tics, and obsessive compulsive disorder. Iron accumulation in the basal ganglia of the brain can interfere significantly with neurological functioning, leading to movement disorders and/or dementia.

Because symptoms vary so much and the disorder is associated with differing conditions, hemochromatosis often goes undiagnosed. If hemochromatosis is suspected, a series of three blood tests known collectively as the Iron Panel confirm diagnosis.

Once hemochromatosis has been identified, it can be addressed in two ways. The medical treatment for hemochromatosis is phlebotomy, which means periodically drawing blood from the body. This helps normalize the body’s iron levels and can relieve many, though not all, hemochromatosis symptoms.

The other way to alleviate symptoms and reduce the dangers of hemochromatosis is through diet — avoiding certain foods and supplements, while favoring others.

What to Avoid

Don’t take iron supplements or multivitamins that contain iron. Even people who have not been diagnosed with hemochromatosis should be cautious of iron supplements (many different factors besides iron deficiency cause anemia, find the root cause for your anemia before taking iron).

Certain medical conditions, such as restless leg syndrome, are associated with iron deficiency, and iron supplements may be prescribed or recommended for these conditions. However, anyone should have their iron levels checked first before taking supplements.

Stay away from vitamin C supplements and orange juice, as vitamin C increases iron absorption. (It is generally okay, however, to eat whole foods that contain vitamin C.)

Avoid or at least minimize alcohol consumption. Alcohol compromises liver function, the organ most vulnerable to too much iron.

Stay away from shellfish and raw fish as they may contain infectious bacteria that people with hemochromatosis are particularly vulnerable to.

Avoid or minimize red meat consumption. Red meat contains a form of iron that the body absorbs most easily.

Avoid or minimize sugar intake. Sugar increases iron absorption.

What to Increase

Essentially, there are two types of foods that a person with hemochromatosis should eat plenty of.

The first category is foods that inhibit iron absorption, such as:

• Green or black tea
• Raw kale
• Eggs
• Legumes
• Foods rich in calcium, magnesium, polyphenols, tannins, phylates and/or oxalates.

The second category is foods that contain iron, but in a form difficult to absorb. Nearly all vegetables, fruits, whole grains, nuts, and beans are in this category. Many of them contain oxalates as well, which reduce iron absorption.

If you are going to occasionally consume some foods that have easily absorbed iron, such as meat or sweets, combine them with foods that block iron absorption.

A hemochromatosis diet need not necessarily be overly strict. Much of it will depend on an individual’s level of iron overload, as revealed by lab tests. Ask my office for more information on hemochromatosis and whether it may be hindering your functional medicine protocol.

Five ways eating more vegetables makes you happier

New research shows increasing your intake of fresh fruits and vegetables can boost your well-being in as little as two weeks. Although the study didn’t explain why, previous studies show eating more vegetables impacts brain, immune, and gut health — all of which affect your mood.

The New Zealand study divided more than 170 young adults into three groups. The researchers personally gave one group two servings on fresh fruits and vegetables each day. The second group was given vouchers and text reminders to consume extra produce. The third group was not given any produce or vouchers.

The first group given the extra produce in person consumed an average of 3.7 servings a day of fruits and vegetables. After two weeks they reported feeling improvements in mood, vitality, motivation, as well as a flourishing of well-being.

The other two groups reported no change.

5 ways eating more produce makes you feel better

When you look at the effects of a plant-based diet on health, the results of this study are no surprise.

Here are five reasons why eating more fruits and vegetables can make you happier and more motivated:

Eating more vegetables increases the gut bacteria that promotes relaxation. Brain scans show healthy gut bacteria promotes relaxation.

Eating more vegetables increases the gut bacteria that lower brain inflammation. A Harvard-affiliated study found that healthy gut bacteria lowers brain inflammation, thus lowering the risk of dementia. Brain inflammation is also linked with depression, anxiety, and irritability.

Eating more vegetables increases the gut bacteria that lower depression, anxiety, eating disorders, autism symptoms, and obesity. By now you get the picture. Studies continue to find links between gut bacteria and a variety of mood and mental disorders. Eating a wide variety of plenty of produce is the best way to create a healthy diversity of gut bacteria.

Regular bowel movements from increased fiber of a high-vegetable diet improve your mood. It’s no mystery why constipated babies are so fussy. Research shows a higher prevalence of mood disorders in those with chronic constipation. Although myriad factors can cause constipation, often it’s as simple as too little plant fiber. Eating ample amounts of vegetables and fruits promotes regular, healthy bowel movements (unless you have a gut disorder that makes digesting produce difficult). Constipation increases circulating toxins in the body, which can inflame the brain and leads to bad moods.

What does a serving of vegetables look like?

The new recommendation from the American Institute for Cancer Research is to eat at least five servings a day of fruits and vegetables, but ideally you should eat seven to ten. Five of those servings should be vegetables and two to three fruit (to avoid consuming too much sugar). In other words, two-thirds of each meal should be vegetables.

A “serving” is a vague reference. Here are some ideas of what a serving looks like:

• ½ cup of fruit
• 1 medium piece of fruit
• ¼ cup of dried fruit
• 1 cup of leafy vegetables
• ½ cup of cooked or raw vegetables

Most Americans don’t eat near enough vegetables. It takes some practice and discipline to develop a vegetable habit (vegetable for breakfast, anyone?), but once you do you’ll be motivated by how much better you feel.

Pre-prep veggies for quick salads, and make big batches of veggie soups and stews to facilitate the transition.

Hydrochloric acid (HCl) and enzymes for digestion

Do you suffer from acid reflux, indigestion, slow gut transit time, or feeling like there’s a brick in your stomach after eating? Or perhaps you’re on a restricted diet for a chronic health condition but still react to an ever shrinking list of foods. If so, you need to work on restoring digestion.

Many factors affect digestion, including aging, poor brain function that affects gut function, poor diet, and more. Often the problem often isn’t the food itself, but a hyper sensitive immune system reacting to food proteins that are not broken down properly. Thankfully, you can improve your symptoms greatly with proper supplementation.

Breakdown of food proteins is key for good digestion

For good digestion, you need sufficient hydrochloric acid (HCl) and digestive enzyme activity in the gut. These both serve the important function of breaking down food proteins, which prevents the immune system from targeting them and causing symptoms.

HCl is naturally present in the stomach and is vital for digestion of proteins. Low HCl symptoms include:

• Not feeling well after eating meat
• Feeling like meat sits in their stomach too long
• Feeling like they ate a brick
• Acid reflux
• Constipation

It may sound contrary that low stomach acid can cause acid reflux. In fact, many people with acid reflux-like symptoms are mistakenly prescribed acid-blockers intended to cut stomach acid, when in fact it’s low stomach acid causing the problem — the low stomach acid results in undigested food becoming rancid and moving back up the esophagus to cause the pain and burning sensation. What these people need is additional HCl to improve digestion.

Many people with poor digestion also have poor pancreatic enzyme output. Similar to stomach acid, these enzymes are critical to break apart food proteins so the immune system doesn’t react to them, causing inflammation.

Supplement with HCl and digestive enzymes for healthy digestion

Supplementing with HCl and digestive enzymes can go a long way toward improving your digestion by supporting breakdown of food proteins as well as relieving symptoms.

Follow this advice when supplementing with HCl and digestive enzymes:

• HCl: Supplement with HCl when you eat meats to help break down the proteins better. This will not only improve your digestion but also bring you relief from uncomfortable symptoms.
• Digestive enzymes: Take these with all meals; include pepsin, bromelain  and proteases. Look for a high-quality, broad-spectrum digestive enzyme supplement with a minimum of fillers.

Oral tolerance and digestive function

It’s particularly important for people with food sensitivities to support food protein breakdown with proper levels of HCl and digestive enzymes. At the root of this is the concept of oral tolerance  Oral tolerance is how well a person’s immune system can tolerate acceptable foods while responding appropriately to bacteria or other harmful compounds.

While there are other factors that affect oral tolerance, it’s important for food proteins to be broken down small enough that the body accepts them and doesn’t mount an immune reaction causing symptoms.

You’ve heard the phrase, “You are what you eat.” When we can’t digest food properly, it means our bodies aren’t getting the fuel to function at their best. If you suffer from symptoms of poor digestion or food sensitivities, contact my office.

Suffer from chronic health issues? Eat real food!

When you’re starting on a new health journey, knowing what to eat can seem confusing. For starters, there is a ton of conflicting advice out there, with proponents of each diet insisting their diet is the healthiest.

The truth is, the best diet depends on which one works best for you. Factors that determine this include your individual food sensitivities, digestive health, blood sugar handling, and stress handling.

In functional medicine we follow general guidelines that focus on whole foods, removing foods to which you are intolerant, and stabilizing blood sugar. Beyond that, your history, lab tests, and current condition serve as guides in customizing your diet.

A custom diet plan starts with real food

With customization tips in mind, one basic rule still applies across the board: Eat whole foods.

When you eliminate foods that have been through processing (like breakfast cereal or chips), foods with artificial colorings, additives, and preservatives, and foods laden with industrialized fats and too much sugar, you are already on solid ground nutritionally.

This means sticking largely to the produce, meat, and nut sections in the grocery store. Use healthy, natural fats such as coconut oil and olive oil. Avoid vegetable oils, which are unstable and become inflammatory free radicals in your body.

Avoid hydrogenated oil as it has been shown to damage brain cells and raise heart disease risk.

You have to develop new habits to shop for and prep vegetables, cook healthy meats, and wean yourself off sodas, pizza pockets, chips, and other quick-grab items. But you’ll start feeling so much better you won’t mind. In fact, you’ll likely feel enthusiastic about it.

When eating real food is difficult

Some people favor processed food because they have trouble digesting real foods. This is a red flag digestion is seriously compromised.

For instance, if your stomach feels heavy after eating meat, as if it just sits there and does not digest, your stomach may be low in hydrochloric acid (HCl). HCl is necessary to digest meats and it’s a common deficiency.

In functional medicine, we know that a diet that consists primarily of produce is very beneficial. However, the dramatic increase in fiber from eating more fresh fruits and vegetables causes digestive problems in some people.

Factors that make eating produce difficult include an overgrowth of the wrong bacteria  low HCl, insufficient output of pancreatic enzymes, inflammation of the gut lining, and other digestive issues.

These people need to work on restoring gut health and slowly ease into eating more vegetables.

Blood sugar and stress handling

Most Americans eat too many carbohydrates and sugars, which contributes significantly to inflammation and chronic disease. At the same time, not everyone fares well on a very low-carb diet.

People with chronically low blood sugar and adrenal fatigue need to eat smaller meals more frequently to protect their brain health, whereas others find eating three meals per day optimal.

Some people feel great on a very low-carb, or ketogenic, diet, while others develop anxiety and insomnia. Finding the right amount of carbohydrates to eat so that you keep blood sugar stable and lower inflammation, yet function optimally, can take some tweaking. Then, as blood sugar and stress handling improve, you may be able to readjust.

Stress can wreck your hormones and cause PMS

For some women, their monthly period is no big deal. For others, it’s a grueling journey through depression, anxiety, irritability, pain, and more. If you think premenstrual syndrome (PMS) is too awful to be natural, you’re right — PMS is a symptom of a hormone imbalance often caused by too much stress.

Although a variety of factors can cause hormonal imbalances and PMS, one of the more common is low progesterone caused by long term chronic stress.

Low progesterone symptoms:

• Depression
• Mood swings
• Changes in weight or appetite
• Insomnia
• Anxiety
• Crying easily
• Irritability
• Poor focus and concentration
• Fatigue
• Frequent or irregular menstruation
• Low sex drive
• Migraines

How stress lowers progesterone

Chronic stress causes pregnenolone steal, a situation that causes progesterone deficiency and hormonal imbalances. Pregnenolone is a precursor hormone used to make progesterone and the stress hormone cortisol.

The body can only make so much pregnenolone. This means that if stress is always high, it “steals” pregnenolone from progesterone to make cortisol in order to meet the demands of stress. This causes an imbalance between progesterone and estrogen.

Factors that cause pregnenolone steal

Progesterone cream use can further skew hormones. It’s better to address the causes of low progesterone, which is typically stress-induced pregnenolone steal. Causes of pregnenolone steal and PMS include:

• Sugar and sweeteners, excess processed carbs — rice, pasta, bread, pastries, etc.
• Excess caffeine
• Food intolerances — gluten, dairy, eggs, soy, corn, nuts, grains, etc.
• Digestive issues — bloating, indigestion, diarrhea, constipation, leaky gut, pain, etc.
• Lack of sleep
• Inflammation — joint pain, chronic pain, skin rashes, brain fog, fatigue, etc.
• Autoimmune disease (such as Hashimoto’s)
• Overdoing it; over exercising
• Feeling constantly overwhelmed
• Poor nutrition
• Reverse pregnenolone steal to soothe PMS

Ways to reduce pregnenolone steal include an anti-inflammatory diet, restoring gut health, and managing autoimmunity.

A variety of compounds can help soothe PMS, such as omega 3 fatty acids and gamma-linoleic acid (GLA—evening primrose oil, borage oil, or black currant oil.

Supporting serotonin, a brain chemical that promotes well-being, may help with PMS mood symptoms — tryptophan, 5-HTP, St. John’s Wort, and SAMe.

This is a broad overview. Ask my office for more advice on using natural therapies to alleviate PMS and support healthy hormones.

Why lab testing is important in functional medicine

Lab testing is foundational to functional medicine, and for good reason. It can show you what is causing your symptoms, if you are headed toward a disease (even if you don’t have symptoms), track the progress of your protocol, and motivate you to stick with your protocol.

Lab testing includes many different tests. Some examples of testing used in functional medicine include:

Food sensitivity testing. If a food you eat regularly causes inflammation, this contributes to chronic health disorders.

Gut testing. Gut problems contribute to chronic health issues. Tests can screen for leaky gut, gut function, parasites, bacterial overgrowth, and autoimmune reactions.

Blood chemistry panel. This is an excellent starting point in functional medicine testing and includes the use of functional medicine ranges (versus lab ranges). Blood testing screens for some diseases and can catch a trend toward a disease while there’s still time to reverse it.

Chemical and metal sensitivity testing. As with foods, an immune reaction to chemicals or metals can trigger chronic inflammatory health disorders.

Adrenal testing. Adrenal testing reveals the relationship between your health and stress handling. The most important test is the second one because it shows if your protocol is working. If not, you need to dig deeper.

Hormone testing. Hormone imbalances profoundly affect health. Testing screens for excesses, deficiencies, feedback loops, and how well you metabolize hormones.

DNA genetic testing. Genetic testing delivers insight into disease risk and genetic metabolic variations that affect health. An example is the MTHFR variance.

These are just a few examples of the types of testing used in functional medicine. What type of testing you need depends on your symptoms and health history.

Why lab testing is important in functional medicine

Functional medicine is based on peer-reviewed science and finds the root cause of your symptoms. There are a variety of factors that can lead to depression, fatigue, chronic pain, poor function, and other chronic health disorders.

Functional lab testing shows a trend toward disease

In conventional medicine, doctors use labs to screen for disease. Once a condition has become a disease, such as diabetes or autoimmune disease, the damage is significant.

Functional medicine uses lab testing to catch a health trend that is on the way to disease but that can still be slowed, halted, or reversed. For instance, lab markers that show elevated blood sugar, inflammation, and poor liver function allow you to easily reverse the march towards diabetes.

Another example is autoimmunity. A significant amount of tissue must be destroyed before conventional medicine can diagnose autoimmune disease. However, by testing for antibodies against tissue, the autoimmune progression can be slowed or stopped in its early stages.

Functional lab testing tracks progress

Although the first test is important for identifying health problems, subsequent testing is also crucial to let you know whether your protocol is working. If there is no improvement, it means you have not hit on the right protocol or discovered all the underlying causes.

Lab testing improves compliance and social support

Seeing the results of a lab test makes it easier to stick with a protocol. It also can encourage a disbelieving spouse, family member, or friend to support you. Many people think gluten sensitivity is just a fad, or that your symptoms aren’t real and you simply complain too much. Your lab results validate your symptoms and can help others be more supportive.

Ask my office about functional lab testing to help you get to the bottom of your chronic health condition.

What is leaky gut and why should you care?

Does stuff really leak out of your intestines when you have leaky gut? The truth is, contents of the small intestine escape through the wall into the bloodstream. This can trigger many different inflammatory disorders and autoimmune disease, a disease in which the immune system attacks and destroys body tissue.

Leaky gut is associated with symptoms including:

• Skin problems (eczema, psoriasis, rosacea, acne, etc.)
• Chronic pain
• Autoimmune disease
• Puffiness
• Fatigue
• Brain fog
• Depression
• Anxiety disorders
• Poor memory
• Asthma
• Food allergies and sensitivities
• Seasonal allergies
• Fungal infections
• Migraines
• Arthritis
• PMS and other hormonal issues

Leaky gut, referred to as intestinal permeability in the research, means the lining of the small intestine has become inflamed, damaged, and overly porous. This allows undigested foods, bacteria, molds, and other pathogens to enter into the sterile environment of the bloodstream. The immune system attacks these compounds, triggering inflammation that, when constant, turns into chronic health disorders.

Leaky gut now on the research radar

Conventional medicine once believed leaky gut wasn’t a valid concept, but researchers now validate it as linked with many chronic disorders, including inflammatory bowel disorders, gluten sensitivity and celiac disease, Crohn’s disease, type 1 diabetes, depression, and more.

How to repair leaky gut

If you have a chronic health condition — even if it’s not digestive — addressing leaky gut is vital to improving your health. The bulk of this work is done through diet. The most common causes of leaky gut are processed foods, excess sugars, lack of plant fibers, and foods that trigger an immune reaction (as in gluten sensitivity).

Excess alcohol, NSAID use, and antibiotics are other common culprits.

A leaky gut diet, also known as an autoimmune diet, helps many people repair leaky gut. Stabilizing blood sugar is also key.

If you have Hashimoto’s hypothyroidism you are not managing correctly, or if your liver is not detoxifying properly, you will likely have problems with leaky gut. Nutrients that can help support liver detoxification include milk thistle, dandelion root, and schizandra.

In addition to diet, many nutrients can help support gut healing. Some of these include probiotics, enzymes, l-glutamine, deglycyrrhizinated licorice root, collagen, hydrochloric acid, and anti-fungal herbs.

Targeted nutrients can help stabilize blood sugar, manage stress, tame inflammation, and support a healthy balance of gut bacteria. All these factors help repair leaky gut. If you have an autoimmune condition, managing leaky gut can be a lifelong process as autoimmune flares can inflame the gut.

Ask me for advice about a leaky gut diet and protocol.

Three ways to make the placebo effect work for you

The placebo effect is a target of ridicule but studies show it has become increasingly effective in recent years, particularly in the United States, where drugs for pain, depression, anxiety sometimes barely outmatch placebos.

Fortunately, researchers have decided to study how and why the placebo effect works.

By embracing the mystery of the placebo effect, you can harness its powers to enhance your health protocol or better cope with your ailment.

What is the placebo effect?

Researchers give one group of subjects a new drug or procedure and a different group a sham, then compare the results. Neither group knows which treatment they received. In some studies, the placebo treatment works as well or even better than the real treatment.

1: Use belief to enhance placebo effect

A person’s beliefs and expectations play a profound role in how their body will respond to something. When subjects are told their pain will drop before receiving a placebo, it does. Likewise, when they are told they will experience more pain, they do, even though pain delivery was not increased.

Scans during these experiments show brain activity corresponds with the expected outcome, even though neither pain relief nor increased pain was delivered.

Scientists have also learned that positive expectations release endorphins and dopamine, the “reward” brain chemical. Endorphins dampen inflammation and both endorphins and dopamine help relieve pain.

Spend some time every day reaffirming why you’re on your health journey and the positive things you expect to gain from it. Visualize feeling and functioning better.

2: Receive care and attention to enhance placebo

Increased attention, concern, and care are also believed to be why the placebo effect has become much stronger in recent years. When people take part in these studies, they receive an increased level of interaction and care that positively impacts their health.

Seek out supportive care and nurturing during your health journey. This can be from a practitioner you work with, through body work appointments, or in the company of a support group or class. Include plenty of in-person social time as it is better for you than online socializing.

3: Develop a positivity and gratitude practice

Negativity is stressful and inflammatory. Doctors report that patients who are angry, don’t believe their treatment will work, or who are not supported by their friends and family in their healing journey may not experience optimal results.

However, the person who expects the best from their protocol, learns about their new diet and supplements, and enjoys working with their practitioner experiences less stress and inflammation and better results.

Take some time each day to think positive thoughts about your health journey and what it involves. Keep a daily or weekly gratitude journal and make sure to note your progress. These tips really do help your health!

Remember, it’s the placebo effect and not superstition

Although we’ve all heard miracle healing stories, it’s best not to pin your hopes on one. The placebo effect alone is estimated to work between 18 to 80 percent of the time, which is a wide spread to bank on.

Functional medicine is about creating new lifelong habits as much as it is about restoring function. By injecting the best the placebo effect has to offer into your daily diet and protocol, you are laying the groundwork for a lifetime of more positive outcomes.

Diets sodas are dangerous and they make you fat

Millions of people drink diet soda in the belief they’re preventing weight gain, and the soda industry invests millions of dollars to perpetuate this belief. Research, however, paints a different picture — diet sodas are dangerous and can make you fat.

Artificial, low-calorie sweeteners used in diet sodas confuse the body and derange its ability to metabolize sugar and carbohydrates. This “confusion” increases hunger and sugar cravings.

Also, artificial sweeteners create imbalances in gut bacteria, boosting the bacteria that turn calories into body fat, which can lead to obesity, diabetes, and inflammation.

Diet sodas bring bigger risks than obesity

The health risks associated with diet soda are far more serious than weight gain.

The primary sweetener used in diet sodas, aspartame (which goes by the benign-sounding names Equal and NutraSweet), has been linked to numerous cardiovascular conditions, including stroke, heart failure, and heart attack.

In fact, a nine-year study of 60,000 women showed women who drank two or more cans of diet soda a day were 50 percent more likely to die of heart disease.

Moreover, aspartame overstimulates the brain chemical dopamine, which over time can result in depression, migraine headaches, and seizures.

The other FDA-approved artificial sweeteners — saccharin, neotame, sucralose, and acesulfame potassium — have also been linked to increased risk for heart disease and other health conditions.

Aspartame is a controversial topic. It has been linked to myriad health conditions, some as serious as brain tumors, birth defects, cancer, and memory loss, and is behind numerous complaints to the FDA. However, industry science holds fast to its safety.

Fruit juice is not a healthy substitute

Unfortunately, fruit juice is not a healthy substitute for soda. Fructose is every bit as fattening and inflammatory as sugar or chemical sweeteners. Excessive consumption of fruit juice also puts you at risk of heart disease and diabetes.

In contrast, eating whole fruit also has you consuming fiber, enzymes, minerals and other healthful compounds stripped away by juicing. Also, chewing tells your brain that you’ve eaten, which reduces your appetite.

If you are addicted to diet sodas (as many people are), you may have to wean yourself gradually. Begin by substituting sparkling water with lemon or lime juice, or even just plain water, for some of your sweet drinks. Often when you think you want something sweet, you’re really just thirsty, and plain filtered water will do you fine.

With patience, you can develop an automatic preference for whole, healthy, unsweetened foods and drinks, largely because they make you feel better. After a while, the foods you crave most can actually be those that are best for your body.

Ask my office about transitioning to a whole foods diet so you can feel and function your best.

Start the new year with an anti-inflammatory detox diet

If you’re like most people, you over indulged during the holidays and now you’d like to reboot your health with a detox diet. The autoimmune diet calms inflammation, stimulates repair and recovery, and boosts energy while preventing hunger. It also helps tame autoimmunity and repair leaky gut.

Remove foods that cause inflammation

Many foods people eat daily can be inflammatory, causing fatigue, rashes, joint pain, digestive issues, headaches, anxiety, depression, autoimmune flare ups, and more.

The foods most people react to are gluten, dairy, various grains, eggs, nuts, and nightshades. Sugar, sweeteners, and sweet fruits also cause inflammation.

The autoimmune detox diet calms inflammation

People new to this diet often wonder if there is anything left to eat. There is plenty to eat on the autoimmune diet! In fact, the autoimmune diet more closely resembles what people have eaten for most of human history.

The diet is based on grass-fed and organic meats, wild fish, healthy fats, fermented foods, and lots of veggies. Eating plenty of vegetables will help build good gut bacteria, detoxify the liver, and boost immune health and tolerance of more foods.

Healthy fats include coconut oil, avocado oil, olive oil, and ghee (if tolerated). Avoid processed vegetable oils and strictly avoid hydrogenated oils, or trans fats.

The rewards of feeling better outweigh the downsides of the diet

The autoimmune detox diet is certainly more work than eating fast food or microwave meals. But the rewards in how much better it will make you feel are worth the effort.

This diet requires planning and preparation. You may experience cravings, low energy, and some detox symptoms for a few days in the beginning. Online support groups can be very reassuring and helpful.

However, it doesn’t take long before most people feel an increase in energy and well being and actually come to enjoy the diet. Many also lose unwanted fat.

After following the diet for 30 to 90 days, you may wish to add in some of the eliminated foods — one at a time every 72 hours — to see whether you react to any of them. This will help you customize a lifelong diet that is healthy but satisfying. Many find going off at least gluten and dairy bring substantial health benefits.

Supplements to enhance detoxification and gut repair

Certain nutritional compounds can aid in your health reboot. Some are great at supporting liver detoxification, gut repair, blood sugar balance, and stress handling, all of which can aid you in your new diet. Just call my office for advice.

Foods to avoid on the autoimmune detox diet

• Sugars and sweeteners, including honey, agave, maple syrup, coconut sugar, etc.
• High-glycemic fruits: Watermelon, mango, pineapple, grapes, canned and dried fruits, etc.
• Tomatoes, potatoes, peppers, eggplant, and other nightshades
• Mushrooms
• Grains: Wheat, oats, rice, barley, buckwheat, corn, quinoa, etc.
• Dairy: Milk, cream, cheese, butter, whey
• Eggs or foods that contain eggs (mayonnaise)
• Soy: Soy milk, soy sauce, tofu, tempeh, etc.
• Alcohol
• Lectins: Lectins are compounds that can promote leaky gut. Avoid nuts, beans, soy, nightshades, peanut oil, peanut butter, and soy and soy products while on the diet. You may be able to add some or all back in later.
• Coffee: For some coffee over taxes the adrenal glands. Many instant coffees contain gluten.
• Processed and canned foods

Foods to eat

• Most vegetables (except nightshades and mushrooms): Asparagus, spinach, lettuce, broccoli, beets, cauliflower, carrots, celery, artichokes, garlic, onions, zucchini, squash, rhubarb, cucumbers, turnips, watercress, etc. Eat with every meal!
• Fermented foods: Sauerkraut, kimchi, pickled ginger, fermented cucumbers, coconut yogurt, kombucha, etc. You must make your own or buy one of the few available truly fermented brands. (If you have histamine intolerance you may need to avoid these.)
• Meats: Grass-fed and organic chicken, turkey, beef, bison, lamb, etc., and wild fish
• Low glycemic fruits sparingly: Apricots, plums, apple, peach, pear, cherries, berries, etc.
• Coconut: Coconut butter, milk, cream, oil
• Herbal teas, non-stimulating, non-caffeinated
• Olives and olive oil
• Ghee (butter oil) unless severe dairy allergy

Is stress making you sick? Use an adrenal stress test

You’ve probably heard it over and over: Stress raises the risk of disease. But how do you know if your stress is the disease-causing kind? It’s helpful to know some signs and about the adrenal stress test.

Severe stress can either cause you to be fatigued all the time, wired all the time, or a mix of both. Or maybe stress manifests as sleep issues.

It’s not uncommon for people to become so used to being stressed out they fail to realize it’s an issue. They have forgotten how not to feel stressed out.

Symptoms of fatigue-based stress

• Fatigue
• Slow to get going in the morning
• Energy crash in the afternoon
• Craving sweets, caffeine, or nicotine
• Unstable behavior; moodiness
• Shaky, light-headed, or irritable if meals are delayed
• Inability to stay asleep
• Dizziness when moving from sitting to standing

Symptoms of wired stress

• Excess belly fat
• Insulin resistance (high blood sugar)
• Insomnia
• Not feeling rested in the morning
• Women grow facial hair; men grow breasts
• PCOS in women (polycystic ovarian syndrome)

How to do a lab test for stress

You can do an adrenal stress test to measure how well your body deals with stress using your saliva; it’s also called an adrenal salivary panel. Your adrenal glands are two small glands that sit atop each kidney that secrete stress hormones.

To get the most from the adrenal stress test, do the test a second time after following a health protocol for four to six weeks. This shows you whether you're on the right track with your healing approach.

This is because stress in the body is always caused by more than just the stress that we perceive, for example low or high blood sugar, an infection, or autoimmune disease.

Adrenal health should improve as you manage these conditions. If things do not improve, it means you must keep searching to find out what is taxing the body.

Measuring your sleep-wake cycle

Another way to gauge stress with the adrenal stress test is to look at your sleep-wake cycle, or circadian rhythm.

Are you alert in the morning and sleepy at night? An abnormal circadian rhythm is one symptom of adrenal stress.

Your primary stress hormone, cortisol, should be high in the morning and low at night on an adrenal stress test. Many people have a backwards rhythm causing fatigue in the morning and insomnia at night. Or, instead of a gradual decline of cortisol during the day, it may drop in the afternoon, causing an energy crash.

Where are you on the adrenal stress test scale?

By measuring several markers, the adrenal stress test can tell you whether you are in:

• The “alarm reaction” of high adrenal hormones
• Adrenal exhaustion and chronic tiredness
• Somewhere in between

You do not necessarily have to progress from alarm reaction to adrenal fatigue. It’s possible to jump between phases, or stay in one phase for years.

The adrenal stress test also measures immune cells called total SIgA. This is a measure of how stress has impacted your immune system over time. If SIgA is low, it can mean you are more susceptible to food intolerances, infections, and weakened immunity.

Start with blood sugar stability to manage stress

One of the most common causes of chronic stress is a blood sugar imbalance  Addressing high or low blood sugar are vital to addressing chronic stress.

Various herbal and nutritional compounds, such as adrenal adaptogens, can profoundly influence adrenal function. Ask my office about the adrenal stress test and how you can support your adrenal health.

What is functional medicine? Look for the root cause

You may have noticed the term “functional medicine” becoming more popular. What is functional medicine and how is it different from regular medicine? Functional medicine addresses health disorders by looking at their root causes rather than masking symptoms with drugs or surgery.

By looking at root causes, you improve your energy, sleep, vitality, and even libido. This is why seeing a functional medicine doctor for a gut problem can also improve your brain function and hormone issues. Everything in the body works together.

Root causes: Address engine, not engine light

If the engine light of your car comes on, do you find a way to turn off the engine light, or do you investigate under the hood?

That analogy works for functional medicine.

Functional medicine is not about giving you a drug for a symptom, but instead investigating why you have that symptom and working on that instead.

For example, suppose 10 different people have the same complaint, whether it is depression, fatigue, digestive problems, or persistent skin rashes.

Each of those 10 people can have the same symptom, but for 10 very different reasons.

An overgrowth of gut bacteria may be causing depression in one person, while it is a gluten intolerance in another.

Fatigue can be the result of low blood sugar in one person, and autoimmune B12 anemia disease in another.

You must know why you have a health problem

Until you understand why you are suffering from a health problem, chasing after drugs or therapies can keep landing you at dead ends.

Functional medicine relies on published, peer-reviewed science to help us understand how the body works and where breakdowns occur.

Lab tests, questionnaires, in-office exams, and a discussion about your case history help the functional medicine practitioner learn where the root cause lies.

Five common functional medicine root causes

Although different people can have the same symptom for different reasons, functional medicine often finds common root causes. Some of them are:

• Food intolerances, especially to gluten and dairy
• Low blood sugar
• High blood sugar (insulin resistance, or pre-diabetes)
• Intestinal bacterial and yeast overgrowths
• Autoimmunity (when the immune system attacks and destroys body tissue)

Addressing one or all of these factors, depending on the person, can relieve not only the symptom that brought you to the office, but a number of other symptoms as well.

There are no specialties in the human body

The body is a highly complex web in which all systems and parts are related.

The body does not have specialties in the way medicine does. The digestive system — or any other system in the body — does not function independently of the rest of the body.

For instance, if autoimmune disease is destroying the thyroid gland, it’s not just the thyroid you address, but also the immune system. If the gallbladder is acting up, addressing a gluten intolerance and chronic inflammation can sometimes prevent gallbladder surgery.

Functional medicine is about reversing or stopping the progression of disease as much as possible without the use of drugs or surgery (although medication and surgery should not be avoided when needed).

It’s also about feeling as good as you should feel. For more information, please contact my office.

Sleepy after meals, can’t lose weight, and always hungry?

If you are sleepy after eating, always hungry, and can’t lose weight, you may suffer from insulin resistance, which raises your risk for diabetes. The good news is insulin resistance is often reversible through simple dietary changes.

How do you know if you have insulin resistance? See if any of these symptoms apply to you:

• Fatigue after meals
• General fatigue
• Constant hunger
• Craving for sweets not relieved by eating them
• Must have sweets after meals
• Waist girth equal to or larger than hip girth
• Frequent urination
• Increased appetite and thirst
• Difficulty losing weight
• Migrating aches and pains
• Trouble falling asleep

Why is insulin resistance dangerous?

Insulin resistance, also known as pre-diabetes, is uncomfortable, but it’s also dangerous. It is linked with Alzheimer’s disease, heart disease, chronic pain, hormone imbalances, and many other common modern maladies.

But that’s not all. Insulin resistance can also kill your libido and make you chronically tired.

If you’re a woman, insulin resistance causes testosterone to spike so you lose your hair and develop male characteristics. If you’re a man  it raises estrogen levels so you get “moobs” and cry at commercials. These are some pretty undesirable consequences for a sugar habit!

What causes insulin resistance?

The good news and the bad news is insulin resistance is caused by poor diet and lack of exercise. This is bad news because it means giving up some comforts, but it’s good news because it means radically changing your health is highly doable!

A diet high in sugars and carbohydrates—sugars, sweets, sodas, pastries, bread, pasta, rice, potatoes, corn, grains, beans, and other starchy foods —leads to high blood sugar and insulin resistance.

Because high blood sugar is dangerous to the body, the pancreas secretes insulin to lower it. Insulin escorts sugar out of the bloodstream and into the body’s cells. Excess sugar is converted into fat for storage.

When this response happens regularly every day, as it does for millions of Americans, the cells become overwhelmed from the constant bombardment of insulin. In defense, they become resistant to insulin and refuse it entry. Now you have high blood sugar and high insulin in your bloodstream, causing inflammation, throwing off hormone balance, and degenerating the brain.

This is why insulin resistance causes fatigue after meals. The insulin-resistant cells are deprived of glucose for energy, converting all that extra sugar into fat is draining, and the whole process saps brain function.

Many people have both insulin resistance and low blood sugar. This means their energy crashes not only after meals, but between meals too. Either way, stabilizing blood sugar is your key to better health and losing weight.

Reversing insulin resistance

The most important thing is to ditch the sugar and eat only as many complex carbohydrates as your body needs (it varies from person to person). Eat tons of veggies for fiber and to build good gut bacteria. Start checking your fasting blood sugar in the morning and shoot for a level between 80 and 100. Anything over 100 is too high. Also, exercise daily, with bursts of high intensity and some weight training, to sensitize your cells to insulin.

Various herbs and nutrients can help reverse insulin resistance — ask my office for a recommendation.

Gluten sensitivity can raise your risk of gallbladder surgery

Gallbladder surgery is one of the most commonly performed surgeries today. Did you know simply going gluten-free may lower the risk of needing gallbladder surgery?

For people with celiac disease or gluten sensitivity, gluten triggers a wide range of adverse reactions, from joint pain to poor brain function. In the last several years, research has also linked gluten with gallbladder disease in gluten-sensitive individuals.

Gluten sensitivity largely undiagnosed

An astonishing number of people are gluten intolerant but do not know it. Undiagnosed gluten sensitivity can cause leaky gut, chronic pain, inflammation, neurological damage, and autoimmunity (when the immune system attacks and destroys body tissue). Gluten sensitivity is estimated to affect between 20 and 40 percent of the general population, and is less frequently identified than celiac disease, though this is changing.

How gluten can raise the risk of needing gallbladder surgery

So how can gluten raise the risk of requiring gallbladder surgery? The process begins with damage to the small intestine. This damage inhibits its ability to properly secrete a hormone called cholecystokinin. Cholecystokinin is the hormone that signals the gallbladder when it’s time to release bile, which aids in the digestion and absorption of fat. As a result, bile builds up in the gallbladder, causing inflammation and raising the risk of gallbladder disease and subsequent gallbladder surgery.

Approximately 60 percent of people with celiac disease — an autoimmune reaction to gluten — also have gallbladder, liver, or pancreatic conditions, and this is apparently one reason why.

Why you need a gallbladder

Although you can live without your gallbladder, it is essential to overall health. The bile stored and secreted by the gallbladder enables you to digest fats. Without a gallbladder, your liver still produces bile, but the bile just “leaks” continually into the small intestine. This means there are no adequate reserves of bile to break down fats when needed.

These fats then become rancid and inflame the digestive tract while fat-soluble vitamins and essential fatty acids are not properly absorbed. Ultimately, this compromises the function of your entire digestive tract. In fact, studies have linked gallbladder removal with an elevated risk of colon cancer.

Also, if the gallbladder is not removed but isn’t doing its job well, this can be detrimental to liver function.

It is worth caring for your gallbladder to preserve the health of your digestive system, and hence your immune system. If you are sensitive to gluten, it’s important to go gluten-free to maintain gallbladder health and lower your risk of needing gallbladder surgery.

Additionally, your gallbladder appreciates a diet high in omega 3 essential fatty acids, and free of processed oils and hydrogenated fats. And in general, it is safest to keep starchy carbs (cake, potatoes, white flour, refined sugar, etc.) to a minimum.

Various botanicals and nutrients can support liver and gallbladder health. They include milk thistle seed extract, dandelion root, ginger root, and phosphatidyl choline.

If you have already had your gallbladder removed, don’t despair. Taking ox bile with your meals can help you emulsify and absorb your fats, which are vital for many aspects of health including brain function. For more information, contact my office.

Breast implants can make you sick. What you need to know

If you have succumbed to mysterious and debilitating symptoms after breast implant surgery, or if you are considering breast implants, take note that both silicone and saline can make you sick.

Not only can breast implants break down, leak, or burst, but the body’s immune system may simply reject them. This rejection may lead to autoimmune reactions to other tissues in the body, meaning the immune system attacks and destroys these tissues.

Symptoms vary widely but often include fatigue, muscle and joint pain, brain fog, memory loss, depression, hair loss, and symptoms associated with specific autoimmune diseases.

Why breast implants are risky

All breast implants – whether filled with silicone or saline – leak and/or break down eventually. Some of the consequences are merely uncomfortable, while others are potentially far more serious.

Sometimes an implant can last as long as 12 years without fracturing; others may develop problems within just a few months. But no implant will remain intact indefinitely.

Mammograms will not always reveal when an implant has ruptured. In fact, pressure from the mammogram itself can damage the implant.

Possible breast implant complications

Autoimmune disorders. Any foreign substance in the body can cause an autoimmune reaction, including breast implants. Sometimes removing the implants will relieve the symptoms, although the autoimmune reaction may persist after removal and require functional medicine management.

Infection. Though leakage is less frequent with saline implants than with silicone implants, mold and bacteria can grow within the saline solution. It has been speculated that when the solution inevitably leaks out, it may cause illness and possibly even endanger a nursing baby, though this effect has not been conclusively studied or established. (For more about potential complications with saline implants, see the FDA’s comprehensive report on saline breast implant surgery.)

Cancers. Breast implants may be linked with cancer in two ways. One is that the implants can obstruct early detection of breast cancer. The other is that silicone implants in particular are believed by some doctors to leak cancer-causing chemicals.

Raynaud’s Syndrome. This is a condition in which blood circulation is restricted by a narrowing of the small arteries, causing coldness and numbness in the hands and feet. It occurs more often in women who have had breast implants.

For more detail about possible complications, see the FDA’s report on Risks of Breast Implants  A new type of implant, known as stem cell fat transfer, involves injecting fat from a woman’s hips or thighs into her breasts. This may prove a safer alternative to silicon or saline, though it is still in the testing phases.

If you suspect you are sick from your breast implants or you are trying to recover after breast implant removal, functional medicine can improve immune function and help with autoimmune remission. Contact my office for more information.

Prevent post-election autoimmune flares this Thanksgiving

A family gathering this Thanksgiving may feel like reality TV survival show if you have autoimmunity and politically polarized family members.

Stress, anger, and fear trigger an inflammatory immune response that can rage on for weeks, flaring attacks against your tissue and sending inflammation coursing through your body and brain.

This brings not only your autoimmune symptoms, but also general symptoms associated with autoimmunity: brain fog, fatigue, depression, lethargy, chronic pain, gut problems, and insomnia.

This year more than ever, it pays to be extra careful given the fractious national mood. Avoid political discussions, but if they happen around you, try the following.

Focus on being calm, not right. Remember, the goal is to protect your health, not be right. You’re not going to change anyone’s mind anymore than they are going to change yours. Arrive knowing this is not an argument that’s going to be won.

Learn and practice self-calming techniques before you arrive. Anger is like a fire that’s hard to put out once lit. Commit to preventing anger by practicing some proven relaxation techniques you can employ even if Aunt Sally or Cousin Fred are going off.

Self-calming, anti-inflammatory ideas include:

Breathing from your diaphragm. This slows your heart rate, improves oxygen flow, and inhibits stress. Shallow, rapid chest breathing puts your body in the fight-or-flight response, which will lure you into an argument against your better judgment.

Alternate nostril breathing. Casually place your fingers near your nose and press your right nostril shut to inhale through your left nostril. Then exhale through your right nostril, inhale through your right nostril, and start from the beginning. Remember to breathe from your diaphragm. This slows the heart rate, lowers stress, and focuses the mind.

Sensing your body. Bringing awareness into your body, especially the parts where you may be feeling anger or fear, can help neutralize those emotions. Start with sensing a hand, or the feeling of your feet on the ground, and slowly move that sensation through different parts of your body.

Do not get “hangry.” I repeat, do not get hangry. Hanger is that angry hunger triggered by low blood sugar and is a recipe for war. Keep your autoimmune-legal snack items with you at all times.

Accept people where they are. And yourself. You feel strongly about your beliefs, as do your family members. You may not understand one another, but accept we can only be where we are with our beliefs.

Give thanks. This holiday is about gratitude, an enormous boon to health, so practice it (authentically) regularly. Even if you think Uncle Bob’s vote was an act of treason, focus on how generous he is, or his sense of humor.

Consider whether to go. If your autoimmunity is severe or your family especially toxic, weigh whether your health can afford the visit. It’s ok to avoid having to spend a month recovering in bed.

If you’re already managing your autoimmunity, then you know avoiding inflammatory foods, excess alcohol, sleep deprivation, and exhaustion are important. Just remember to be mindful of how powerfully stress affects autoimmunity during this particularly unusual Thanksgiving holiday.