The surprising culprit behind fatty liver is not fat

If you struggle with excess weight or high blood sugar, your blood tests show may also show fatty liver (high liver enzymes). Although fatty liver has no overt symptoms, a liver filled with fat hinders detoxification, promotes inflammation, may increase gallstones  and increases heart attack risk. So a fatty liver means eat less fat, right? Wrong, the culprit in fatty liver isn’t too much fat but rather too many sugars and carbohydrates.

Too many carbs are the main culprits behind the excess belly fat that is a sure sign of fatty liver. This is because sugar signals the liver to produce more fat.

This process is heightened when the liver must process fructose  particularly high-fructose corn syrup found in soft drinks and other junk foods.

From fatty liver to fatty liver disease

While some fat in the liver is normal, if it exceeds 5 to 10 percent of total weight of the organ, it is considered fatty liver and the first stage of non-alcoholic fatty liver disease (NAFLD). If fatty liver progresses unchecked, it can lead all the way to cirrhosis.

(Alcohol abuse can also cause fatty liver disease and the majority of alcoholics have a fatty liver.)

NAFLD is the most common liver disorder in the west, affecting as many as one third of Americans. It primarily afflicts those who overweight and middle-aged, but NAFLD is increasingly affecting children and teens due to their over consumption of sodas, sweets, and high-carb foods. High cholesterol and diabetes are typically found with NAFLD too.

How to reverse fatty liver and regain liver health

The good news is you can reverse fatty liver before it’s too late. Even though the liver may not initially complain with symptoms, it’s important to take liver health seriously to prevent serious long-term complications. Steps to reverse fatty liver include:

Adopt a lower-carb, sugar-free diet. High blood sugar leads to fatty liver. To start reversing it you need to bring blood sugar down to healthy levels with a whole foods diet abundant in fibrous vegetables, healthy fats, and proteins while low in foods that spike blood sugar. Most people will begin to lose excess fat on this way of eating as well, further unburdening the liver.

Exercise daily. Exercise helps lower high blood sugar, detoxify the body, and shed excess fat, all of which will help reverse fatty liver.

Avoid alcohol and unnecessary medications. Alcohol is very hard on the liver, as are many medications. Avoid both as much as possible while working to reverse fatty liver.

Lower inflammation. The liver actually plays an important role in inflammation and lowering overall inflammation will likewise ease its burdens. The most important ways to do this are by removing foods from your diet that promote inflammation (gluten and dairy are the most common) and minimizing exposure to toxins and chemicals.

Take natural anti-inflammatory compounds. Certain nutritional compounds really shine when it comes to lowering inflammation. These include high doses of emulsified turmeric and resveratrol, absorbable forms of glutathione, vitamin D, and many other compounds. Ask my office for more advice.

Support liver detoxification pathways. If your liver cells are clogged with fat it may have trouble with everday detoxification duties. The liver responds wonderfully to herbs and compounds that support detoxification, such as milk thistle or n-acetyl-cysteine.

Ask my office for more ways to reverse fatty liver and support liver health.

How diet foods prevent weight loss and cause obesity

For decades the diet industry has conned consumers into thinking good diet products are low in fat. This led to a boon in creation of low-fat, high-carbohydrate, and often high-sugar “diet” products that promote fat storage, prevent fat burning, increase cravings, and raise inflammation. Not only can diet foods make you fatter, they can also make you sicker.

Yet another new study shows low-fat diet foods lead to obesity. Rats given high-sugar, low-fat foods that mimic many diet products not only got fatter than the control rats, they also experienced liver damage and brain inflammation.

The sad thing about this study is that the low-fat rats didn’t eat more calories. They consumed the same amount of calories as their counterparts that were fed a balanced diet yet they still ended the study fatter and sicker.

Liver and brain damage from low-fat, high-sugar

The excess fat accumulated around the rats’ livers was similar to the liver damage caused by heavy alcohol use. This study and others similar to it show that brain-inflammation from the high-sugar, low-fat diet also impaired function of the vagus nerve. This is a nerve that runs between the brain and the gut and is vital to both healthy brain and gut function.

Diet foods skew hunger and satiety hormones

The impacts on the vagus nerve and the brain also alter hormone signaling around hunger and satiety. This explains why people on high-carbohydrate, high-sugar diets often feel hungry all the time despite how much they eat.

Dieting signals the body to store fat

The hormones that control hunger and satiety also play a role in fat burning and fat storage. When this system is dysregulated due to a high-sugar diet, this prompts the body to favor fat storing over fat burning.

The best way to reverse this process is to fuel the body with a lower carbohydrate diet that is adequate in proteins and fat, and abundant in vegetables. How many carbohydrates a person needs to consume depends on many factors and varies from person to person. Ask my office for advice.

Dieting makes the body efficient at fat storage

Add a low-calorie diet to the poor performance of mainstream diet products and you have a recipe for lifelong super-powered fat storing abilities. This means a person has to consume fewer and fewer calories simply to avoid gaining weight.

This was best evidenced among former contestants of the popular TV show The Biggest Loser  Although contestants lost weight through a stringent regime of low-calorie dieting and intensive exercise, most contestants piled the weight back on after the show ended. They also had to consume 500–800 fewer calories below maintenance calories simply to avoid gaining weight. This is because the extreme dieting and exercise, though effective, had lowered their resting metabolic rate so that they were burning fewer calories each day compared to before participating in the show.

How to lose weight and stay healthy?

Often people lose weight simply by following a diet that lowers inflammation and removes foods to which they are intolerant, and by stabilizing blood sugar, repairing leaky gut, and addressing chronic inflammation. By focusing on a vegetable-dominant diet you also increase the proportion of gut bacteria that promote fat burning over fat storage.

The key is to gradually switch yourself over to a life-long way of eating you enjoy because it makes you feel better.

For more information on healthy weight loss, contact my office.

Extreme exercise is good for you, right? Not exactly

If you want to get fit and lose weight, you should exercise as hard as you can, for as long as you can, every day, right? Wrong! Research shows extreme exercise can cause chronic health problems and make you feel worse. (What constitutes over exercise depends on the individual and their fitness level.) Recovery time is as important as the exercise itself.

Over exercising can cause the following health issues:

• Increased inflammation
• Fatigued adrenals, the stress-handling glands
• More bad gut bacteria
• Leaky gut
• Depleted hormones
• Depressed immunity
• Increased risk of injury
• Bone loss
• Too much exercise raises inflammation

Many of the issues caused by over exercising stem from inflammation. Although appropriate exercise can be anti-inflammatory and very good for the brain, too much has the opposite effect.

The cellular damage from over exercising triggers a systemic inflammatory response that sets the stage for a host of other health problems.

Too much exercise stresses out your body

The damage and inflammation from over exercising is very stressful to the body. Excess stress underlies the burnout, depletion, and increasing weakness often seen with over exercising. Results can be fatigue, poor thyroid function, depressed immunity, and more.

Over exercising damages gut health

The gut and the bacteria it houses are increasingly being recognized as the seat of the immune system and foundational to our health.

Overdoing exercise has been found to damage the gut wall, causing “leaky gut.” This allows undigested foods, bacteria, yeast, and other pathogens into the bloodstream, where they then trigger inflammation throughout the body.

Overtraining also changes the composition of gut bacteria so there is too much bad bacteria.

How to know if you’re over training

How do you know if your exercise routine is making you unhealthy?

One of the most common symptoms is constant fatigue. Your workout routine should give you more energy, not less. Appropriate exercise boosts chemicals in the body that improve brain function, increase well being, and raise energy. If the opposite is happening to you, you’re overdoing it.

Other symptoms of over exercising include getting sick frequently, loss of muscle mass, gaining body fat, and difficulty recovering from injuries.

What to do if you’re over exercising

If you’re making yourself sick with exercise, the answer isn’t to stop exercising, but to go about your workouts differently. First of all, give yourself time to recover. This typically means exercising less frequently.

Also, it’s very important to get enough sleep. This is a critical time when your muscles repair and your metabolic system and brain recharge. Sufficient sleep is crucial if you want to stay active and healthy for the long haul.

Nitric oxide for autoimmune and chronic disorders

When it comes to autoimmune disease and other chronic health conditions, taming inflammation is the name of the game. This can be difficult because the body creates vicious cycles where inflammation keeps feeding more inflammation. This makes halting the progression of autoimmune disease and chronic health issues difficult…but not impossible.

However, we now know about nutritional ingredients that can boost anti-inflammatory efforts. These ingredients act on two inflammatory immune messengers called “nitrous oxide” and “IL-17.”

IL-17 is a pro-inflammatory immune cell that damages body tissue, such as the thyroid gland in autoimmune Hashimoto’s, the joints in rheumatoid arthritis, or the nerve sheaths in multiple sclerosis. IL-17 isn’t completely bad—it’s necessary to fight infection. But when the immune system becomes hyper zealous, IL-17 goes out of control and attacks the body it’s designed to protect.

IL-17 destroys tissue by activating a “inducible nitric oxide,” one of three forms of nitric oxide, a gas, involved in various processes in the body. Two other two forms of nitric oxide are beneficial and actually fight inflammation: endothelial nitric oxide and neuronal nitric oxide.

However, inducible nitric oxide is pro-inflammatory and damages body tissue under the orders of IL-17.

Therefore, one way we can stop the vicious cycle of inflammation is to dampen IL-17 and inducible nitric oxide. Luckily, there are nutritional compounds that help the body do this.

But first — perhaps you’ve heard of arginine to boost nitric oxide. Although arginine boosts the anti-inflammatory endothelial and neuronal nitric oxides, it also boosts inducible nitric oxide. So if you are fighting chronic inflammation, taking arginine may work against you.

It’s safer instead to take nutritional compounds that studies show support endothelial nitric oxide. These include:

• Adenosine
• Huperzine A
• Vinpocetine
• Alpha GPC
• Xanthinol niacinate
• L-acetylcarnitine

These compounds work synergistically taken together in an emulsified liquid form. Not only does boosting endothelial nitric oxide tame inflammation, it also helps repair and regenerate body tissue, promote blood flow, dissolve plaques, and dilate blood vessels. Start with small doses to gauge effects and tolerance. These compounds also support neuronal nitric oxide and thus the health of your brain and nervous system.

Exercise is another excellent way to boost beneficial nitric oxides. In fact, take these endothelial nitric oxide boosting compounds before getting your heart rate to maximum capacity for a few minutes first thing in the morning. This will optimize anti-inflammatory effects and support brain health.

You don’t have to exercise long — just a few minutes of raising your heart rate as high as you can has profound anti-inflammatory and brain supporting effects. Just be sure not to over train as that produces more inflammation. Also, how you get your heart rate up depends on your fitness level and abilities, so keep it safe and doable.

Other tools to tame inflammation include therapeutic doses of vitamin D3, omega 3 fatty acids, absorbable forms of glutathione  and therapeutic doses of emulsified resveratrol and curcumin. These compounds have been shown to dampen the the inflammatory vicious cycles associated with autoimmune and chronic disorders.

Of course, lifestyle and diet changes are vital too. This includes eliminating pro-inflammatory foods with the autoimmune diet and designing an inflammation-quenching lifestyle.

For help taming your chronic inflammation and autoimmune disorder, ask my office for advice.

Intermittent fasting for weight loss and longevity

Humans have been fasting for millennia, either for religious or spiritual reasons or simply due to lack of food. Today, a new form of fasting called intermittent fasting is increasingly popular among those seeking it’s anti-aging and health benefits.

Intermittent fasting, or IF, makes fasting an everyday part of life versus something you do once or twice a year. Many people use it successfully for weight loss and inflammation as well as to improve brain function and insulin sensitivity. The promise of increased longevity is another reason people choose to fast regularly.

Different forms of intermittent fasting

Intermittent fasting can be done in a number of ways:

• 5:2 diet — In this plan you eat normally five days per week, and either fast completely, or severely restrict calories (500-600 calories) the other two days.
• Alternate day fasting — This plan includes normal eating for 24 hours and zero, or very low calories (500-600) for the next 24-hour period, alternating every other day. These 24-hour periods typically begin at dinnertime so that in any one day you may miss one or two meals, but not all three.
• 16:8 or 14:10 — Also known as the “eating window plan,” this plan has you eat during an 8- or 10-hour window and fast the remaining 16 or 14 hours of each 24-hour period. For example, you stop eating at 7 p.m and do not eat again until 14 hours later at 9 a.m. the next morning.

Intermittent fasting for weight loss

Restricting caloric intake can lead to weight loss, but intermittent fasting seems to help with weight loss in more ways than that. For one thing, studies show intermittent fasters have better insulin sensitivity and glucose regulation. Among other things, this makes a person crave less sugar and use glucose more efficiently for energy production instead of being stored as fat. Intermittent fasting also causes your body to burn more fat. Because it depletes glycogen, the storage form of glucose, your body switches over to burning stored fat for energy.

Intermittent fasting for brain function

Studies show intermittent fasting can benefit brain function and potentially even stave off Alzheimer's disease and depression. This is likely due to better glucose and insulin control (Alzheimer's disease is often called type 3 diabetes), as well as production of ketone bodies for fuel. Ketones provide a ready source of clean-burning fuel for the brain that leave behind fewer free radicals than glucose does. High-fat ketogenic diets have long been used to help prevent seizures.

Other benefits

Intermittent fasting has been shown in trials to reduce blood pressure, triglycerides, LDL cholesterol, and insulin-like growth factor, a hormone that is linked to cancer and diabetes. There is still much to learn about the benefits and pitfalls of intermittent fasting. Fortunately, it is an area of great scientific interest and research is happening at a rapid pace.

Intermittent fasting is not for everyone

Children and teens, pregnant women, people with eating disorders, as well as those with hypoglycemia should not fast. Also, diabetics taking insulin should only attempt this diet under supervision of a doctor.

Women often find less stringent forms of intermittent fasting are more suitable for them. For example, a woman might start by trying a 12:12 eating window plan and potentially lengthen her fasting time gradually, or not, as it suits her.

As always, it is important to understand that there is no one-size-fits-all remedy to any health concern. Contact my office to discuss if intermittent fasting might be right for you.

Arsenic levels in gluten-free foods by category

Recent studies have shown rice can be dangerously high in inorganic arsenic, particularly rice grown in the southern United States. This is bad news for gluten-free people who eat rice-based products — one study showed people on a gluten-free diet have twice as much arsenic in their urine compared to controls (and 70 percent more mercury).

Although guidelines exist to minimize arsenic exposure (buy rice from California, eat white rice, wash rice thoroughly before cooking, and cook rice like pasta in a ratio of about 6 to 1 water to rice), what about rice-based gluten-free foods? It's nearly impossible to know where their rice comes from, how it’s processed, and what the arsenic levels are.

Arsenic levels in popular gluten-free foods

Until now. The Gluten-Free Watchddog has begun testing arsenic levels in popular brands of gluten-free foods  which you can view with a subscription.

Keep in mind that what is considered an acceptable amount of arsenic varies. Codex, an international collection of safety standards, proposes a maximum of 200 parts per billion in white rice. The European Union proposes 100 parts per billion.

However, arsenic expert Dr. Andrew Meharg proposes a maximum of 50 parts per billion for children, who carry a heavier toxic body burden, and a maximum of 100 parts per billion for adults.

Arsenic levels in rice-based gluten-free foods

For results of inorganic arsenic testing on various brands of gluten-free foods that you can browse by category, visit Gluten-Free Watchdog  A paid subscription is required to access the reports. However, below are examples of arsenic level ranges in some categories of popular gluten-free foods.*

Inorganic arsenic in gluten-free breads

Inorganic arsenic in popular gluten-free breads ranged from 10 parts per billion to 40 parts per billion.

Pastas

Inorganic arsenic in popular gluten-free pastas ranged from 20 parts per billion to 150 parts per billion.

Cereals

Inorganic arsenic in popular gluten-free cereals ranged from 70 parts per billion to 280 parts per billion.

Miscellaneous rice products (rice bran, rice milk, rice syrup, rice cakes)

Inorganic arsenic in miscellaneous rice products ranged from 20 parts per billion to 540 parts per billion.

Rice

Inorganic arsenic in several rice brands ranged from 80 parts per billion to 140 parts per billion. (Brown rice has more than white rice. Gluten-Free Watchdog reports a brand called Mighty Rice grown on the island of Mauritius shows very low levels of inorganic arsenic in their tests.)

Factor in frequency and amount of consumption

It's important to understand these numbers tell us the concentration of inorganic arsenic in each product. The frequency and amount of any item eaten and whether the eater is an adult or a developing child are also very important factors in the equation. For example, at 540 parts per billion of inorganic arsenic, one rice bran product looks pretty bad. But consumed in very small quantities as brans typically are, it may not pose as much a problem, relative to the other foods listed, as it first may seem.

It would be better if rice were not high in inorganic arsenic. Thankfully groups such as Gluten Free Watchdog are around to help us reduce exposures. Also, there is a group based at Cornell University working to shift the world to a rice farming method that uses up to 50 percent less water while increasing yields, thus saving precious water while reducing the amount of arsenic in the rice produced.

*Ranges included with permission from Gluten-Free Watchdog LLC.

Gluten-free and worried about arsenic in rice? What to know

Gluten-free folks accustomed to eating rice-based gluten-free breads, pastas, cereals, and other substitutes may be consuming dangerously high levels of arsenic.

In fact, a 2017 study showed people on a gluten-free diet consuming rice-based products on a regular basis showed almost twice as much arsenic in their urine compared to those who did not (and 70 percent more mercury, another troublesome finding.)

Why arsenic is harmful

Arsenic is a naturally occurring heavy metal. It is the inorganic arsenic (not bound to carbon) that is toxic to humans if levels ingested are too high.

Although inorganic arsenic occurs naturally, it also accumulates in soil and water due to pesticides and fertilizers. Because rice grows in water, it is the grain highest in arsenic.

Consistent exposure to small amounts of arsenic increases the risk of bladder, lung, and skin cancer, as well as heart disease, type 2 diabetes, and neurological disorders. Consuming arsenic during pregnancy may affect the baby’s immune system.

Consumer Reports found one serving of rice pasta, rice cereal, and rice milk exceeded a safe amount of arsenic for one week while one serving of rice cakes came close.

The FDA recently proposed a limit of 100 parts per billion of arsenic in infant rice cereal. However, it’s impossible to know how much arsenic is safe to consume as risk is dose dependent; the more you consume the higher the risk.

How to minimize arsenic exposure from rice

These troubling truths about arsenic exposure through rice don’t have to spell doom for gluten-free folks who depend on rice-based substitutes.

For starters, look for products made from other grains besides rice. Thankfully, there are many more on the market these days.

Look at where your rice comes from. In 2014 Consumer Reports found that rice from Arkansas, Louisiana, or Texas had the highest concentrations of inorganic arsenic while California rice has almost 40 percent less arsenic. Brown basmati rice from California, India, or Pakistan has a third less inorganic arsenic than other brown rices. 

Unfortunately, because the arsenic comes from the water, organic rice may not be lower in arsenic.

Eat white rice (sorry!). Since arsenic tends to accumulate in the outer layers that are removed to turn brown rice into white, white rice contains less of the toxin than the whole grain.

Rinse your rice thoroughly and cook in excess water. Wash your rice thoroughly before cooking and then cook your rice in a ratio of about six cups of water to one cup of rice and drain the excess water after. This cuts down arsenic levels by about one third compared to letting rice absorb all the water during cooking.

Consider a grain-free diet. Many people feel and function significantly better on a grain-free diet. If you don’t eat rice-based products, excessive arsenic exposure is one less thing to worry about in a world where we are constantly at battle with toxic chemicals and heavy metals.

Ask my office for more ways to protect yourself from toxic chemicals and heavy metals.

Hemorrhoids bumming you out? Look at root causes

It’s an embarrassing subject we like to put behind us, but hemorrhoids can be a real bummer, with the pain of sitting butting into everyday tasks. Although hemorrhoids tend to run in families, certain measures can prevent your backside from continually taking front and center.

Hemorrhoids are swollen and inflamed veins in the anus and rectum that cause pain from sitting, squatting, going to the bathroom, and other ordinary things. In addition to pain, other symptoms include bleeding, the urge for a bowel movement, itching, and irritation.

Common root causes of hemorrhoids

Fortunately, the most common cause of hemorrhoids is also the most preventable — a diet low in fiber. Most Americans eat less than half the daily recommended amount of fiber. And that recommendation has gone up — from 5–7 servings a day to 7–10. (A serving is a half cup of vegetables and fruits or a cup of leafy greens.)

Upping your fiber intake may be all that’s required for relief. Ideas to make eating more veggies easier include:

• Prepping and storing veggies to add to meals
• Ordering salads with meals when eating out
• Making big batches of veggies soups and stews
• Keeping a container “salad bar” in your fridge
• Veggie smoothies
• Snacking on raw veggies

Make sure to drink plenty of water and exercise regularly, both which are important for constipation prevention.

If eating lots of vegetables causes gastric discomfort, you may need to take digestive enzymes with your meals. Or you may have compromised digestion that require gut healing. Ask my office about ways to help repair your gut function.

Still constipated?

If you eat plenty of fiber and are still constipated, then you may have to investigate other possible root causes.

Thyroid. For instance, the autoimmune disease Hashimoto’s hypothyroidism is known to cause constipation. Properly managing Hashimoto’s by addressing immune imbalances is fundamental to relieving constipation and hemorrhoids.

Brain. Poor brain function can cause constipation and hemorrhoids. If your brain is aging too fast or under functions, the vagus nerve  which runs between the brain and the gut, does not receive sufficient activation. An active vagus nerve signals the intestines to rhythmically contract and move food along in a timely manner. In fact, irresolvable constipation is an early symptom of Parkinson’s disease (although constipation does not always predict Parkinson’s).

Also, poor vagus nerve and brain function inhibit secretion of digestive juices and enzymes, which lead to constipation, as well as fail to keep the tissues and blood vessels of the rectum and anus healthy so as to avoid hemorrhoids.

Fortunately, we can jumpstart the vagus nerve with exercises such as gargling vigorously and frequently, singing loudly, or stimulating the gag reflex.

Gut. An inflamed, leaky gut with too much bad gut bacteria contributes to constipation. The gut has its own nervous system, called the enteric nervous system. When gut health is bad, the enteric nervous system does not function properly and constipation can result.

Additionally, poor gut health and bad gut bacteria impact brain health in a way that can, thanks to the communication highway of the vagus nerve, set the stage for constipation and hemorrhoids due to faulty brain-gut interaction.

Toilet pedestals and non-surgical treatments

If you haven’t caught wind of the “Squatty Potty” movement yet, take notice. Elevating your feet when you’re on the toilet so that you’re closer to a squatting position is said to help prevent constipation and hemorrhoids. Also, be aware of non-surgical solutions for hemorrhoids, such as in-office treatments that use an electrical current.

A variety of factors can cause hemorrhoids, however it’s always important to address diet and health of the digestive tract, brain, and immune system when looking to manage the underlying cause. Ask my office for more advice.

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.