Tag Archives: stress

The Key to Unlocking the Thyroid

The thyroid gland plays a vital role in countless functions.  Hypothyroidism, or an under active thyroid is one of the most commonly diagnosed and medicated conditions in healthcare today.  It can leave an individual feeling mentally fatigued, physically tired, constipated, unable to lose weight, abnormally cold, or plagued with dry skin, brittle nails and hair loss; to name a few.

This desperate individual turns to a doctor for help and is usually provided thyroid hormones without a blink of an eye.  Right off the bat we are witness to a flawed system and an antiquated way of thinking when it comes to health and our bodies.

The thyroid gland, just like every other organ in our body, does not exist and function in isolation.  As such, its function or dysfunction is normally a consequence of some sort of additional dysfunction somewhere within the interdependent matrix that is the human body.  The practice of supplementing thyroid symptoms with thyroid hormones is no better than a stop gap at best, as the underlying dysfunction persists and a dependency or worse is created by the external source of thyroid hormones.

Traditional medicine currently listens to symptoms, measures TSH, perhaps some form of T3 and T4, and diagnoses and prescribes from there.  It should be known that TSH alone is great at telling you something is off along the thyroid, pituitary access, but is useless as far as telling us what or why.  Adding some measurement of T3 and T4 to the panel is superior to the former, but again comes up short in shining a light on the why.

When the option of a more illuminating, complete thyroid panel (blood work) can be ordered, one must ask why it isn’t?  Even further, with the number one cause of hypothyroidism in this country being an autoimmune issue, why would a test for thyroid anti-bodies not be included in the standard testing?

Perhaps all resources aren’t utilized due to the fact that it doesn’t change the cookbook approach allopathic medicine has to offer.  If thyroid symptoms are present and the limited blood markers ordered signify that the thyroid hormones are off, another thyroid hormone consumer is created and left to life long dependency and/or incremental increases in dosage.  This shotgun approach is nothing less than reckless and a prime example of sick care.  Perhaps the thyroid isn’t the main issue that need be addressed.

Perhaps the adrenal glands are on overdrive from constant stress (physical, chemical or emotional).  Did you know hyper-functioning adrenal glands will dampen thyroid function?

Perhaps a leaky gut or gut infection is present.  Did you know that ~20% of thyroid hormones are converted in the intestines to  an active form the body can use, BUT only in the presence of a healthy gut and proper gut flora?

Perhaps liver function is hampered due to a high fructose diet, long term statin use or toxic overload.  Did you know the majority of thyroid hormones are converted to the active form in the liver?

These are just a few common examples of what can lead to hypothyroid symptoms and a skewing of limited, tunnel visioned lab numbers.

The most intelligent approach to the thyroid puzzle should at the very least include a COMPLETE thyroid panel accompanied by an antibody test.  Some practitioners may deem this medically unnecessary and refuse to order it, and to some aspect they may be correct.

It may very well be medically unnecessary if the goal is to simply stick a finger in the damn of dysfunction by flooding the body with thyroid hormones.  However, from an intelligently formulated functional standpoint, the complete panel (in addition to a comprehensive history, and a few other additional tests) can guide those interested in identifying the source of the dysfunction and provide the practitioner with the information needed to construct a plan.  If this is the goal, than it is no doubt medically necessary.

An eye opening example of this rests within the fact that the number one cause of an under active thyroid in America is due to immune dysfunction (Hashimotto’s Disease). That makes this an immune issue, not a primary thyroid issue.  The immune system can be and must be addressed and balanced in order to halt the attack on the thyroid gland.  This attack is what leads to the symptoms and can be identified by, amongst other things, a test for thyroid antibodies.

That is just one instance of how ordering the proper tests and not immediately resorting to medications  can clear the path to true health and wellness.  If you have a practitioner who refuses to order the tests you request, maybe it’s time to ask why, or find one who will.

Personally, my patients have been met with reluctance and sometimes outright refusal when the additional tests are requested. However, they can be done and it is your right as a proactive, educated patient to receive the tests you desire; as well as to work with a professional who is open minded and willing to work together when it comes to your health.

That is the model we strive to achieve and implement on a daily basis.  If it sounds appealing and liberating to you, feel free to contact us at anytime.

We’re ready when you are.

Make health happen.

Why Can’t I Fall Asleep?

Insomnia can be one of the most frustrating conditions to deal with. And while not all cases of sleep disturbances fall under this overused and often incorrectly utilized label, when you are sleep deprived you know it, and end up suffering on numerous physiologic fronts far beyond simply feeling tired.

But why does this happen?

How can we fix it?

Unfortunately there are plenty of reasons why our sleep cycle can be thrown off, ranging from diet and stress to outright neurological dysfunction. However, if we utilize our knowledge of physiology and start with a least invasive approach, we can start the balling rolling in the right direction.

We first need to understand and appreciate our body’s natural 24 hour cycle. This is called the circadian rhythm and is our built in sleep-wake cycle. This cycle is heavily contingent upon the inverse relationship between two chemicals: melatonin and cortisol.

Our adrenal glands secrete cortisol in response to stress (chemical, physical and emotional) in order to provide our body with energy to deal with that stress. The adrenals and thus the release of cortisol can be set into overdrive when we are stressed or from constant blood sugar swings. This is important to grasp as cortisol has an inverse relationship with melatonin and is a driver behind the wake portion of our circadian rhythm. This means that when cortisol is elevated, melatonin and thus your ability to sleep is down.

Melatonin on the other hand drives the sleep portion of our 24 hour cycle. When all is functioning properly, our melatonin level rises throughout the day (as cortisol is dropping), ultimately culminating in its peak in the later evening, sending us off to a refreshing slumber. During the evening our melatonin level begins to drop as our cortisol levels begin to rise in response to our lower blood sugar during the mini fast that takes place when we sleep.

Cortisol then peaks in the morning (while melatonin level bottoms out) providing us with wide eyed energy for the day. As the day goes on cortisol level slowly dips and melatonin rises, and we repeat the cycle all over again.

Does this picture of perfect balance and physiological harmony sound like you?

If it doesn’t, you’re not alone as adrenal dysfunction is overwhelmingly common in contemporary lifestyles filled with poor diets and high stress.

Again, starting with a least invasive, general approach, there are things you can do in an attempt to recalibrate your circadian rhythm. The first thing you can do is to start your day out with 10-15 minutes of sun exposure. This exposure to natural light will signal the body that it is day time and lead to increased production of serotonin, which is the reason people tend to feel happier with higher levels of sunlight.

Serotonin is the precursor to melatonin and thus the more serotonin, the more potential melatonin that can be produced. This is why people who are suffering from depression due to a lack of serotonin also tend to have issues sleeping.

In addition to the sun exposure, you can also make sure to provide fuel for serotonin by consuming the amino acid tryptophan as this is the precursor to serotonin. In order to boost the likelihood of this conversion, adequate amounts of magnesium and vitamin B6 are also necessary.

Taking this step can start you on your way to more serotonin, more melatonin, and hopefully more sleep. However, there are some common pitfalls that hinder the pathway from serotonin to melatonin. One of the last steps in this conversion is called methylation. Potential attenuators of the methylation process include a junk food diet (high carb/sugar), birth control pills, hormone replacement therapies, and the bacterial gut infection, H. pylori. Working with a qualified health care provider to identify and rectify each of these situations is a must when attempting to correct that 24 hour cycle.

By far the most common cause of low melatonin is the aforementioned high cortisol. When one of these is up, the other is down. The most common cause of abnormal cortisol is dysglycemia or blood sugar issues. We have covered the causes of this extensively in past posts and it truly is a deal beaker when it comes to ALL aspects of health and longevity. Other than modifying the diet, having fasting insulin and HbA1c levels monitored can point you in the right direction.

A regular recharge by the way of natural, refreshing sleep is another vital pillar to optimal living and longevity.

Use this information.

Contact us for a consult.

Dig deeper.

Do what you have to do to ensure you are stacking the deck in your favor as much as possible in order to live this one and only life to the fullest.

Beat the Stress of the Season

For many, “the most wonderful time of the year” can bring about not so wonderful emotions like stress, anxiety, or depression.  This is quite unfortunate as the joy of the Holiday Season and conclusion of another year can also serve as a time for catching up with friends and family; a time to count our blessings and keep things in perspective, and a time to allow the foot to ease off the gas pedal as we reflect, relax, and recharge.

Understandably though, many do succumb to some degree of stress or another during this time of year.

Not to worry.

The following article does an informative job of breaking down the potential stress pitfall while also offering some intelligent remedies for dealing with it.  I came across this article the other day and in the spirit of the season would love to share it with you in hopes that it will provide a clearer path to tranquility this holiday season and beyond:

http://articles.mercola.com/sites/articles/archive/2014/12/18/holiday-stress-grief.aspx

MERRY CHRISTMAS

Picking Protein: Weighing the Whey

The mission to achieve optimal health is an evolving journey.  A key component of that journey is finding the best source of nutrients.  In many instances this becomes a case of the least offensive option.  Something that’s going to give you what you’re looking for without leaving too large a trail of collateral damage behind.

Rarely do I find this to be more true than when it comes to protein powder.  Now, in an ideal world all of our protein would safely and conveniently be derived from grass fed animals, free range chickens and eggs, wild fish, etc.  Unfortunately this is not the case and due to convenience, availability and lack of consistently strong alternatives, supplementing with a protein powder is something many (self included) find themselves doing.

All day, everyday we are constantly using protein to carry out life’s functions.  This constant turnover makes it imperative to obtain an adequate amount from an outside source in order to thrive.  Add consequences of life such as elevated stress, physical activity, injury or a virus to the equation and the need for a sustained quality protein source grows .

My personal search for the “best” appears to be a never ending process.  It is a process that also accompanies the search for the best nutritional choices and supplement supply for myself and my patients.  Just when you get comfortable with a product, new research emerges or your own school of thought changes.  Even worse, a report surfaces that your go to product contains traces of antibiotics or metals (true story).

Being that individually we lack the time, knowledge and overall resources to whip up our own concoctions, we will always be at the mercy of a third party manufacturer who to varying degrees, has that bottom line on their mind.  It is our choice and has become my professional and personal duty to avoid the comfort of blissful ignorance and stay diligently abreast on the latest information pertaining to what we put in our one and only body.

One of the most popular, powder protein sources is whey.  And while I personally have not used whey in a couple of years as I try to refrain from dairy products, I do recognize that it does possess many endearing and attractive qualities highlighted by its superior bioavailability.  What I’ve listed below are some buzz words and guide lines to look for if selecting a whey product.

The list is by no means perfect and can be hard to use as a checklist to satisfy all criteria.  It is however a good starting point as you decide which factors are most important to you.  This list has been loosely compiled from research.  Feel free to interject or add your own suggestions as we continue on that quest for the perfect products.

•             NON-DENATURED

WHY:     Traditionally, even the most expensive whey products available (isolates, ion exchange and hydrolyzed) are by-products of cheese manufacture. The milk goes through a heating process at high temperatures (163 degrees F) which damages the whey proteins.

Many manufactured whey proteins are also high in MSG (manufactured glutamic acid), which is toxic to neurological patients. In fact, typical whey protein powders may be detrimental to patients with neurological disorders because they contribute to an excess of glutamate in the body which can damage the nervous system, especially the brain.

True non-denatured whey protein on the other hand, is not a by-product of cheese manufacture; it is a “native” whey protein, which means it is not manufactured at all. It is the optimal natural precursor of glutathione (powerful antioxidant, antiviral, antimicrobial, detoxifier, etc.). It contains exceptionally high levels of non-denatured Cysteine and Glutamine, the amino acids required for intracellular glutathione production.

•             COLD PROCESSED/MICROFILTERED or ULTRAFILTERED

WHY:     Native Whey protein is obtained through a very specific process that differs from standard whey protein: the proteins are extracted directly from skimmed milk using membrane technologies, preferably COLD PROCESSED or at low temperature (microfiltration and ultrafiltration). The state of the art low temperature process removes casein and lactose to leave only the purest, most biologically active whey protein.

•             NO GROWTH HOMONES or GMOs

It is important to use whey protein from herds that graze on disease-free, pesticide-free, chemical-free, natural grass pastures and the milking of the cows are not subjected to any chemicals, hormones, antibiotics, or injected pathogens.  While some of these may be removed during the filtration process, some remain and can now wreak havoc within your own body.

•             NO ARTIFICIAL SWEETENERS and LOW CARB/SUGAR

•             CONCENTRATE v ISOLATE

Protein isolates are proteins stripped away/isolated from their nutritional cofactors.

Isolates are exposed to acid processing to eliminate the fat, which denatures protein, leaving them deficient in key amino acids and nutritional cofactors.

When you remove fat, you actually remove components of its immune supporting/boosting properties.  Fat provides not only calories; most foods rich in healthful fat – including nuts and seeds like almonds and chia – are carriers of antioxidants, such as vitamin E and phytosterols.

Overall you’re left with an inferior whey protein if you take the fat out.

Some Thoughts on Depression, Pain and Stroke

We’ll take it easy on you with this week’s post as we head into another weekend.  Sometimes I have to repeatedly re-read some of the facts and figures during my constant investigation of the ever growing and changing research.  These are a few of those “double take” paragraphs that I have compiled and felt compelled to share.  Take it in, embrace the empowerment and make the necessary changes.

DEPRESSION – INFLAMMATORY DIET LINK

For 12 years, researchers tracked the diet habits and health outcomes of more than 43,000 women — none of whom had depression at the start of the study period. Here’s what they found: Women who sipped soft drinks, ate fatty red meat, or consumed refined grains (like pasta, white bread, crackers, or chips) daily were 29 to 41% more likely to be diagnosed or treated for depression than those who stuck to a healthier diet. Blood tests revealed that women who ate the above foods also tested significantly higher for three biomarkers of inflammation.

http://www.prevention.com/mind-body/emotional-health/certain-foods-linked-inflammation-and-depression?cm_mmc=MSN-_-PVN_News-_-Pass%20The%20Pasta–And%20The%20Prozac-_-Pass%20The%20Pasta–And%20The%20Prozac%20SL

GOT PAIN?  PATIENT BEWARE

Back pain accounts for more than $100 billion in annual U.S. healthcare costs and is the second leading cause of physician visits and hospitalizations.

What Happens When Physicians Don’t Know How to Treat Pain?

They resort to the only treatment they know: prescription drugs to treat inflammation, arthritis, back pain, stress, and autoimmunity. And now we’re facing another epidemic on top of chronic pain: prescription drug abuse.

The latter has been called the fastest-growing drug problem in the US by the Centers for Disease Control and Prevention (CDC), as the number of deaths from opioid painkillers like hydrocodone and oxycodone rose nearly four-fold between 1999 and 2009.  Pain medications were involved in 14,800 overdose deaths in 2008.

The overdoses now kill more people than cocaine and heroin combined. As USA Today recently reported, more US states are now taking action to try and stop this growing problem.

http://www.usatoday.com/story/news/nation/2013/10/10/states-prescription-drug-painkiller-abuse/2961389/

STROKE: MORE EVIDENCE TO GET UP, MOVE AND NOT BE A STATISTIC

The American Heart Association reports 800,000 Americans suffer from stroke each year. Stroke is the leading cause of disability in the US and the fourth leading cause of death. Up to 80 percent of strokes are preventable, because for the most part, strokes are the result of unhealthy lifestyle choices.

Recent research published in the journal Stroke found that, if you’re inactive, you have a 20 percent higher risk for having a stroke or mini-stroke (transient ischemic attack) than people who exercise enough to break a sweat at least four times a week.

The study involved more than 27,000 Americans for an average of 5.7 years, male and female, Caucasian and African-American.  It included a larger proportion of people from the “Stroke Belt” states, where stroke rates are higher (Virginia, Tennessee, the Carolinas, Mississippi, Louisiana, Georgia, Florida, Arkansas, and Alabama).

http://www.ncbi.nlm.nih.gov/pubmed/23868271?dopt=Abstract

Get out there and move! Have a great weekend.