Eat breakfast to lose weight

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

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

Skipping breakfast can actually make you gain weight!

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

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

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

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

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

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

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

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

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

Many girls’ ADHD misdiagnosed as depression, anxiety

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

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

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

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

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

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

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

Missing the cues of ADHD in girls

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

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

ADHD in adult women

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

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

ADHD and functional medicine

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

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

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

Statins made me forget where I parked the car

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

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

Cholesterol and heart attack risk

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

What about dietary fat?

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

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

If not fat, what causes heart disease?

Here are five important factors in heart disease risk:

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

Ask my office how to have better heart health.

Loneliness is bad for your health

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

Studies show loneliness affects immunity

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

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

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

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


The remedy for loneliness

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

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

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

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

Is undiagnosed PTSD causing your chronic stress or fatigue?

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

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

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

More women suffer from PTSD than men

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

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

Women are also biologically more prone to PTSD than men.

Are your stress hormones to high or too low?

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

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

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

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

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

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

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

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

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

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

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

Recovering from sugar and alcohol hangovers

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

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

Recovering from the sugar hangover

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

Steps for recovering from a sugar hangover include:

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

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

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

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

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

Recovering from the alcohol hangover

Alcohol hangovers are their own special hell.

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

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

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

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

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

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

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

Don’t let travel derail your autoimmune management

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

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

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

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

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

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

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

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

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

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

Maternal PCOS can raise the risk of autism in children

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

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

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

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

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

What are symptoms of PCOS?

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

Here are some symptoms:

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

What causes PCOS?

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

Identifying PCOS

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

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

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

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

Got brain drain? Trade your keyboard for a pen

Do your fingers whir across the keyboard, but your brain is left in the dust? One small but effective way to improve brain health is as simple as putting a pen to paper for a little bit each day. Research shows that although keyboards make writing fast and easy, they also make for sloppier brain function compared to handwriting.

Handwriting has been phased out of everyday life and school curriculums. Studies show many people can’t remember the last time they had to write something by hand and many children don’t know how to properly hold a pen or pencil because it’s barely taught in school.

This is bad news for our brains, say experts. The reason it takes children several years to learn how to write is because writing requires so many different areas of the brain to work simultaneously, enhancing development.

Likewise, college students who take notes by hand understand the material better than computer note takers. Note taking by hand requires more focus and discernment, enhancing memory, while taking notes on a laptop note can turn into mindless transcription.

In fact, taking notes by computer actually impairs the learning process while handwriting enhances it, thanks to the motor skills involved.

Why handwriting is better for the brain

Neuroscience has discovered a variety of reasons why handwriting is better for the brain than typing.

• It activates learning pathways in the brain.
• It stimulates more ideas and creativity.
• Cursive writing can help remedy dyslexia.
• Taking notes by hand improves memory.
• A handwritten piece has more personality than something type written, thus improving human connection.
• Handwriting involves fine motor skills that involve more areas of the brain in the learning process.

Perhaps those missing out most on the neurological benefits of handwriting are the children who barely learn it. Cursive writing is largely no longer being taught and keyboard proficiency takes precedence over writing after first grade.

Brain scans of children learning letters through writing versus through typing showed writing activates various parts of the brain while typing hardly activates it at all. In other words, those messy first stabs at writing that gradually improve with practice are building neurological foundations that make learning easier and more enduring.

Handwriting improves overall health

Because it boosts brain function, handwriting can improve your health. You can further supercharge the benefits of handwriting based on what you write about  Using specific journaling practices will not only give you the benefits of handwriting but the content of your writing can help you better manage your health. Look what studies below show.

• Writing down your thoughts and feelings can make your wounds heal faster.
• Writing 20 minutes a day improves quality of life for patients with cancer.
• People who keep a gratitude journal are more optimistic and exercise more.
• Writing down what you’re grateful for at night can improve sleep.
• Expressive writing has been shown to improve mental and physical well-being.

Whether you keep a gratitude journal, take class notes by hand, or commit to regularly writing an older relative handwritten letters, handwriting is a small but effective way to boost your quality of life.

How to overcome your addiction to unhappiness

Notice how easy it is to hang on to anger, shame, guilt, worry, and other negative emotions? Are these emotions so horribly delectable you just can’t let go?

You’re not alone. However, you could be worsening your health by giving in. Scientists have discovered negative emotions have an addictive quality that trigger the reward centers in the brain. In other words, you feel like you’re rewarding yourself when you succumb to negative emotions.

Worry activates areas of the brain that trick you into feeling soothed. Pride and its shadow twins of shame and guilt are the most powerful triggers of the brain’s reward centers. On some twisted level, these yucky emotions feel good.

As with many addictions, negative emotions are fine in moderation (and even beneficial , but toxic when indulged in regularly  They raise stress and inflammation, our two biggest foes when battling autoimmune disease and chronic illness.

Four scientific tips to boost happiness

Happiness is effortless for some people. Good for them. The rest of us have to work at positivity the same way we do at diet and exercise.

If you’re a pro at managing your autoimmune disease through diet and lifestyle, don’t overlook how influential feelings and attitude are on your health.

Here are some tips from a neuroscientist to wean yourself off an unhappiness addiction:

1. Activate the reward center of the brain with gratitude instead of negativity. Shame, guilt, and worry trigger the same brain chemicals gratitude does. Except gratitude doesn't make you sick; it improves health.

Don’t have anything to be grateful for (c’mon…)? Doesn’t matter. It’s the searching for gratitude that elicits positive benefits.

2. Label negative feelings. Labeling your negative feeling in a few words activates different areas of the brain that lighten the negativity load. Practicing mindfulness is healthier than suppressing emotions.

3. Make a decision when overcome with worry and anxiety. When you’re besieged by worry, create an intention, set a goal, take action — just do something. This boosts the reward center of the brain and takes it off that exhausting hamster wheel. Don’t trap yourself with making the best decision or the one you should make. Instead, shoot for a “good enough” decision that you make for you.

4. Socialize and touch. Appropriately, of course. As far as the brain is concerned, social exclusion is an injury while healthy socialization is an elixir. Even little touches — handshakes, pat on the back, tap on the arm, a hug — amplify the health benefits of socialization. Got no one to touch? Get a massage. And don’t rely solely on texting or the Internet for your socialization. Research shows they don’t impart the same benefits “in-real-life” human company does.

Basically, working towards positivity exercises your brain and helps pull it out of destructive, self-perpetuating loops that raise stress hormones and drive inflammation. Brain exercises aren’t just about crossword puzzles and Sudoku — you also need to exercise the brain’s positivity centers. Ask my office for more information on brain health.

Five little-known things that make autoimmunity worse

If you are managing your autoimmune disease through diet and lifestyle, then you probably know about the autoimmune diet  supplements, non-toxic home and body products, and getting enough rest.

But are you aware of hidden sources of stress that may be triggering autoimmune flares?

Common autoimmune diseases today include Hashimoto’s hypothyroidism, multiple sclerosis, type 1 diabetes, psoriasis, celiac disease, rheumatoid arthritis, and pernicious anemia. However, there are many more.

Research increasingly shows the connection between autoimmune disease and food sensitivities (such as to gluten) and environmental toxins. Indeed, many people have successfully sent their autoimmunity into remission by following an autoimmune diet and “going green” with the products they use.

We also know stress is inflammatory and can trigger autoimmunity. But what many people may miss is the hidden sources of this inflammation-triggering stress.

Little known triggers of autoimmune disease

Following are little known sources of stress that could be triggering autoimmune disease flare-ups:

Stressful TV shows: Turning on the flat screen to relax could backfire if you’re watching people always on the run from zombies. Research shows watching others stress out can raise our own stress hormones  On top of that, many people feel like failures after they watch TV, which is stressful. Try a productively calming hobby, like practicing an instrument or working with your hands while listening to music to calm your nerves … and your immune system.

Social media: Research shows social media users are more stressed out than non-users. Facebook and Twitter can make us feel like we always have to put on a happy face and that we’re not as successful as our friends. The addictive nature of social media is also stressful. As with all good things, practice moderation. And go see your friends in real life — socialization is a well-known stress buster and health booster that can help you better manage your autoimmune disease.

A bad relationship: We get so used to some relationships we don’t even realize they’re unhealthy. For instance, researchers have shown bad marriages are linked with more stress and inflammation. Bad bosses have also been shown to be hard on your health. Although it’s not so easy to just pop out of a bad relationship, being aware that it can trigger your autoimmune symptoms can help you start moving in a healthier direction.

A difficult childhood: Research shows links between a history of childhood adversities (neglect, disruption, trauma, abuse) and autoimmune disease. Chronic stress while the brain and central nervous system are still developing can create ongoing inflammation and set the stage for autoimmune disease to more easily trigger later in life.

Lack of self-love: How well you love and respect yourself influences your choice in relationships, your career, and how you handle problems. Do you talk to and treat yourself with the same kindness you would an adored child? Do you care for your needs the same way you do a pampered pet? If you bully yourself, you’re unwittingly triggering your autoimmunity. After all, autoimmune disease is the body attacking itself. Don’t foster that with self-attacking thoughts and behaviors. Commit to practicing small acts of self-love throughout your days.

When you look at issues like a bad childhood, a toxic relationship, or lack of self-love, it makes changing your diet and switching to natural body products look easy.

But that’s not the whole picture. Autoimmune disease is a flag from the body that certain aspects of your life may need evaluating and evolving.

Think you don't need a gallbladder? Think again

Have you been told you don’t need your gallbladder? Think again. Sure, you’ll live without it, but the gallbladder is actually a vital digestive organ.

The gallbladder stores bile, a chemical made by the liver that emulsifies fat, and secretes it into the small intestine when needed.

Bile is necessary for the digestion and absorption of fats, and it helps ensure you absorb vitamins and minerals from foods in your diet.

Gallstones and a congested gallbladder

Gallbladder removal is one of the most common surgeries today and is performed when the gallbladder becomes congested with gallstones.

Things that can cause gallstones are nutritional deficiencies, hydrogenated fats (trans fats), processed vegetable oils, hypothyroidism, and no-fat or low-fat diets.

The gallbladder there is like a holding tank for bile that secretes it as needed, such as when you eat something fatty.

Without a gallbladder the liver continuously leaks bile into the small intestine.

This means there is not enough stored bile to digest fats. As a result, fats can be become rancid and irritate and inflame the digestive tract. This can result in not only discomfort, but also poor digestive function and inadequate absorption of nutrients.

If you have a gallbladder but it’s sluggish and congested with stones, this backs up the liver’s detoxification pathways. As a result, the liver cannot effectively detoxify hormones, toxins, and other metabolites.

Things to watch out for if you’re gallbladder has been removed

Gallbladder removal puts you at risk for deficiencies of essential fatty acids, which are vital for good brain health and hormone function, and fat-soluble vitamins, such as vitamin D, A, and E, which are especially important for good immune health.

Also, if the gallbladder isn’t there to emulsify fats, the health of the entire digestive tract may become compromised. Studies suggest gallbladder removal increases the risk of colon cancer.

How to support gallbladder health

Luckily, various nutritional compounds support gallbladder health, fat digestion, and liver detoxification, including dandelion root, milk thistle seed extract, ginger root, phosphatidylcholine, and taurine.

These compounds can also help if your gallbladder has been removed, along with ox bile.

Maintaining good gallbladder health

Following are some tips to support good gallbladder health:

• Eat a diet high in fiber
• Avoid refined and excess starchy carbohydrates (white flour, sugar, potatoes, etc.)
• Avoid trans fats, hydrogenated fats, and processed vegetable oils
• Get plenty of essential fatty acids and omega 3s
• Eliminate food intolerances
• Make sure to properly support low thyroid function or autoimmune Hashimoto’s hypothyroidism

Ask my office for more advice on how to support your gallbladder or your digestive health if your gallbladder has been removed.

Do you have an inflamed brain? How to tell and what to do

When most people think of inflammation they think of arthritic joints, or maybe a sprained ankle. But did you know your brain can become inflamed, too?

The problem is an inflamed brain won’t hurt. Instead you should look for other symptoms of brain inflammation. These include brain fog, slow thinking, fatigue, and depression.

Brain fog is a hallmark symptom of brain inflammation. The inflammation slows down communication between neurons. This is what causes you to feel foggy, dull, and slow.

Brain inflammation is serious because it means nerve cells in the brain are dying. In other words, brain inflammation is causing your brain to atrophy and age too fast.

What causes brain inflammation

A common cause of brain inflammation is head injury. Injuries cause immune cells to turn on in order to begin the healing process. But unlike immune cells in the body, the brain’s immune cells do not turn off. This means brain inflammation can continue to be a problem long after the injury. This is one reason football players have high rates of the chronic degenerative brain disease called chronic traumatic encephalopathy.

Other common causes of brain inflammation include chronic inflammation in the body, leaky gut, high blood sugar and diabetes, hormone imbalances, hypothyroidism  food intolerances (gluten is a notorious brain inflamer), stress, and brain autoimmunity — a disorder in which the immune system erroneously attacks and damages brain tissue. It is more common than people realize.

Depression and brain inflammation

Depression is a common symptom of brain inflammation (although different things can cause depression, depending on the person). Immune cells called cytokines that are created by inflammation impair brain function. Cytokines also hamper the activity of serotonin, the “joy and well-being” brain chemical commonly linked with depression.

A good illustration of this is the fact that many patients given the anti-viral drug interferon  which increases cytokine activity, develop depression. Conversely, many people who tame inflammation relieve depression.

Brain inflammation: Autism to Alzheimer’s

Brain imaging and autopsies show brain inflammation is more common in individuals with autism.

Brain inflammation is also increasingly being linked with dementia and Alzheimer’s disease. The inflammation both degenerates brain tissue and increases amyloid beta, the hallmark of Alzheimer’s.

Take brain inflammation seriously to save your brain

If you have brain fog or other symptoms that suggest brain inflammation, this means your brain is degenerating (aging) too fast. Be proactive in saving your brain health:

• Take flavonoids. Flavonoids are plant compounds that have been shown to reduce inflammation in the brain. Ask my office for more information.
Balance your blood sugar. Low blood sugar, insulin resistance (high blood sugar), and diabetes all inflame the brain. Don’t skip meals or overdo carbs.
• Food sensitivities. Gluten is a common cause of brain inflammation. Rule out a sensitivity to gluten or other commonly inflammatory foods, such as dairy, soy, eggs, and other grains. 
• Balance hormones. Low sex hormones (such as estrogen and testosterone) and low thyroid hormones contribute to brain inflammation. 
• Heal your gut. The gut and the brain profoundly influence one another. An inflamed gut causes an inflamed brain.
• Take glutathione precursors. Glutathione is the body’s master antioxidant and can help quench brain inflammation. Sufficient essential fatty acids and vitamin D are important, too.

Moody and need meds or just a healthy, normal female?

Do you feel you need anti-depressants or anti-anxiety medications, or has your doctor said you do? Although true depression or anxiety disorders need management, many women are misled into believing they need treatment for what is actually normal behavior. Women are designed to be sensitive to their environments, emotionally in tune with their children and loved ones, and intuitive — traits that ensure survival. Women are also wired to express emotions and to pick up on the emotions of others.

Unfortunately, emotionality is not socially acceptable despite being a sign of good health in women. What is not so healthy is the constant pressure to apologize for and restrain emotionality for fear of being regarded as weak or hysterical.

Pharmaceutical companies, astute in the psychology of selling, spin this into sales targeted at women. In ads for antidepressants  93 percent feature a woman, usually a lonely single woman or stressed-out single mom. One in four American women take an antidepressant compared to one in seven men.

Dealing with Hashimoto’s can introduce its own complications that cause one to feel emotional, especially as the disease can cause symptoms of depression.

Women are more likely than men to express negative feelings through sadness and worry, which can be interpreted as a psychiatric disorder requiring medication. Men are more prone to express negative feelings as anger or through substance abuse, which are not as easy to address pharmaceutically.

Furthermore, when we paint depression and anxiety as women’s problems, men truly suffering from these problems are more likely to go overlooked. Women are almost twice as likely than men to receive a diagnosis of depression or anxiety.

Is it a lifestyle issue or a true disorder?

Many women turn to prescription drugs to help them manage feeling that are actually natural responses to unnatural stressors: chronic sleep deprivation, too little time outdoors, unhealthy diets, social isolation, over exposure to toxins and electric light, and over packed schedules. The human animal simply wasn’t designed to live optimally in today’s highly artificial, stressed-out environment.

If you struggle with Hashimoto’s hypothyroidism you may be told you need to take antidepressants. Managing your Hashimoto’s can alleviate symptoms of depression.

This is not meant to dismiss or minimize genuine depressive or anxiety disorders. But is your state of mind a reasonable response to your situation or a mental disorder? For instance, crying  which is seen as a sign of weakness, is actually a healthy way for many women to express sadness, frustration, fear, or other strong emotions. Women who take SSRI antidepressants (selective serotonin reuptake inhibitors) find it’s difficult to cry. They also experience more apathy and indifference.

Natural approaches to sadness and worry

Unfortunately, we can’t wave a magic wand and remove the stressors from life. However, it’s helpful and important to prioritize basic biological needs: plenty of sleep, good nutrition, healthy socialization, physical activity, and time outdoors.

Managing your autoimmune Hashimoto’s hypothyroidism is also vital to alleviating symptoms of depression and the feelings of frustration and sadness feeling helpless about the disease can bring.

Also, many natural compounds can address brain chemical imbalances to help boost your mental well being and function. Adrenal adaptogens are herbs that help buffer the effects of stress on your body and brain. Dietary strategies that balance blood sugar and tame inflammation can also result in profound improvements in mood.

For help managing your symptoms of depression and anxiety naturally, and your Hashimoto’s hypothyroidism, contact my office.

BPAs in store receipts can trigger autoimmunity and other health issues

BPA (bisphenol-A) is gaining recognition as an undesirable toxin that people now try to avoid in plastics, particularly water bottles. But it’s harder to avoid than you think – research shows handling those seemingly innocuous store receipts quickly raises blood levels of BPA and that BPA may play a role in autoimmune diseases such as Hashimoto's.

Be aware of BPA on store receipts when you have Hashimoto’s 

Store and fast food receipts, ATM receipts, airline tickets, gas station receipts, and other thermal papers use large amounts of BPA on the surface as a print developer. Holding a receipt coated with BPA for just five seconds is enough to transfer it to your skin and if your fingers are wet or greasy about 10 times as much is transferred. Having hand sanitizers, lotions, or sunscreen on your hands also increases the amount of BPA your body takes in from receipts. Cash stored with receipts in a wallet also become contaminated with BPA that raises blood levels when handled.

Why BPA is bad for health

So why should you care? BPA has estrogen-like qualities that meddle with hormone function and become a toxic burden. In rodents BPA has been proven to cause reproductive defects, cancer, and metabolic and immune problems. BPA is particularly threatening to a developing fetus as it can cause chromosomal errors, miscarriage, and genetic damage. In children and adults BPA is linked to decreased sperm quality, early puberty and early breast development, ovarian and reproductive dysfunction, cancer, heart disease, thyroid problems, insulin resistance, and obesity.

BPA and Hashimoto’s hypothyroidism

Recent research also links BPA to the triggering and flaring of autoimmune disorders such as Hashimoto’s hypothyroidism. BPA does this because it stimulates and disrupts various pathways in the immune system, which raises the risk of triggering autoimmune disease or flare-ups.

Where BPA is found

BPA is the main component of polycarbonate and is also found in water and beverage bottles, plastic lids, the lining of tin cans, food storage containers, dental sealants, contact lenses, and electronics. BPA contamination from canned foods is significant. One study found a person who eats canned soup versus fresh soup receives 1,000 percent more BPA because it is in the lining of the can. Plastics exposed to heat, light, or acids (such as soda) release considerably more BPA. Eating from a microwaved plastic container and drinking hot coffee through a plastic coffee lid, sugary soda from a plastic water bottle, or water from a plastic bottle that has been sitting in the sun are examples of ways you will increase your exposure to BPA.

BPA-free is no guarantee

Given the documented health risks it poses, BPA has been banned from use in baby bottles and sippy cups and many companies now offer BPA-free products. Unfortunately, researchers have found many non-BPA plastics still have synthetic estrogens similar to BPA. Some even have more. Basically, if it’s plastic, it’s a problem–- 95 percent of all plastic products can disrupt hormones, even if they carry a “BPA-free” label. Also, be aware that some metal water bottles are lined with plastic, negating the purpose of avoiding a plastic water bottle.

Reduce your exposure to BPA to better manage Hashimoto's

It’s important to reduce your exposure to BPA as much as possible. Minimize use of plastics and especially avoid drinking or eating from heated plastic. Maintaining healthy gut bacteria with cultured and fermented foods such as kimchi and taking probiotics is believed to help mitigate the absorption of BPA and help degrade it in the body.

Ask my office for advice on better managing your Hashimoto’s hypothyroidism. 

Did stress push you off the healthy Hashimoto's hypothyroidism habits wagon? How to get back on track

It seems the times when we most need to support our Hashimoto’s hypothyroidism with healthy habits is when we are most apt to fall off the wagon. It can happen during major life changes or stressors, such as a move, the end of a relationship, or change in job status. Although the desire to comfort ourselves with sweets, junk foods, and too many days off from the gym are powerful, in the long run slacking off just adds to the stress and can worsen Hashimoto’s hypothyroidism symptoms. Instead of beating yourself up (which just causes even more stress), honor the fact that you’re in a tough spot and take small measures to slowly work your way back into a healthy diet and lifestyle.

Once you see how even the smallest changes transform into more energy and peace of mind it will motivate you to increasingly expand what you include in your healthy Hashimoto’s hypothyroidism habits routine.

With that in mind, here are some gentle and easy steps to keep you from getting sucked into the abyss of destructive habits during stressful times.

Go for a walk. Have you stopped working out? Then walking is a gentle, pleasurable way to reawaken your physical body while settling the mind. Exercise is a magic bullet when it comes to health, but too much exercise stresses the body and causes inflammation. If a major life stressor has you feeling weaker and more tired than normal, that may be your body’s way of telling you it needs extra rest to cope. Walking’s physical benefits are only part of the story; research shows walking, especially in a natural environment, lowers stress, anxiety, and depression while boosting energy.

Make veggie smoothies. When we’re beset by stress, healthy cooking can seem overwhelming. Frozen pizza or bowls of cereal may feel comforting at first, but their effects on your blood sugar stability and brain chemistry will soon spike stress levels. One way to outsmart comfort-food cravings is to make veggie smoothies. Simply combine a few different vegetables, such as carrots, celery, beet, some salad or leafy greens, cucumber, avocado, ginger, etc. with filtered water, a small bit of fruit for taste and, if desired, some lemon juice and salt. People with Hashimoto’s hypothyroidism should be careful not to overuse raw cruciferous vegetables such as cabbage, kale, or broccoli as it can inhibit thyroid function. Also, avoid the temptation to rely on all fruit smoothies or the use of super-sweet additions such as pineapple or fruit juice. The high sugar content creates stress for the body, something you don’t need more of.

Eating lots of veggies also improves the balance of your gut bacteria, which play a profound role in mood, stress, weight, and immunity.

Don’t be a hermit. When stress is high it’s tempting to retreat under a rock, but isolation can compound your troubles. Ample research has shown the stress-lowering and health-boosting benefits of healthy socialization. Get together with friends, join meetup.com groups, take classes, go to church…being around other people boosts feel-good brain chemicals and is a reminder you’re not the only one with big life struggles.

How gluten can cause depression, anxiety, brain fog when yo have Hashimoto's hypothyroidism

Do you have Hashimoto's hypothyroidism and suffer from depression, anxiety disorders, brain fog, memory loss, or other brain-based issues? While conventional medicine turns to drug treatments, recent research points to poor gut health as the root of mental illness. This is because inflammation in the gut triggers inflammation throughout the body, including in the brain, bringing on depression, anxiety, brain fog, memory loss and other neurological symptoms. Although many factors affect gut health—and hence brain health—one of the more profound is a sensitivity to gluten, the protein found in wheat, barley, rye, and other wheat-like grains. In fact, a gluten sensitivity has been found to affect brain and nerve tissue more than any other tissue in the body.

Gluten sensitivity once was thought to be limited to celiac disease, an autoimmune response to gluten that damages the digestive tract and is linked to depression. However, newer research has confirmed the validity of non-celiac gluten sensitivity, an immune response to gluten that causes many symptoms, including digestive problems, skin rashes, joint pain, and neurological and psychiatric diseases. Recent research shows gluten degenerates brain and nervous tissue in a significant portion of those with gluten sensitivity.

A gluten-free diet is important for those with Hashimoto’s hypothyroidism as a number of studies show a link between gluten sensitivity and Hashimoto’s, as well as other autoimmune reactions.

How Does Gluten Affect Mental Health?

Beyond exacerbating Hashimoto’s hypothyroidism, gluten can affect mental health in a variety of ways.

For instance, gluten sensitivity can lead to depression, anxiety, brain fog and other brain symptoms by irritating the lining of the small intestine, resulting in “leaky gut,” a condition in which the intestinal wall becomes overly porous. This allows undigested food, toxins and bacteria into the bloodstream where they trigger inflammation throughout the body and brain. Also, certain harmful bacteria that travel through a leaky gut into the bloodstream release toxic molecules (lipopolysaccharides) that are linked to depression and various psychiatric disorders.

Another way gluten can trigger depression is through gluten cross-reactivity. Because gluten is similar in structure to brain tissue, when the immune system attacks gluten in the blood, it can confuse brain tissue with gluten and accidentally attack brain and nerve tissue as well.

Gluten is also known to disrupt the balance of good and bad bacteria in the digestive tract. There is a relationship between gut bacteria and the brain, and an imbalance in gut bacteria has been linked with psychiatric disorders.

The gut damage caused by a gluten sensitivity can also prevent the absorption of nutrients essential for brain health, especially zinc, tryptophan, and B vitamins. These nutrients are critical for the synthesis of brain chemicals that prevent depression, anxiety and other brain-based disorders.

What Steps Can You Take When You Have Hashimoto's Hypothyroidism?

If you are experiencing depression, anxiety, brain fog, memory loss, or other unresolved brain-based issues, testing for gluten sensitivity can be a valuable tool in knowing how best to manage it. Addressing leaky gut is also paramount.

Ask my office for more information on leaky gut and the connection between gluten and Hashimoto’s hypothyroidism, depression, anxiety, brain fog, memory loss, and other brain-based disorders.

Why you should avoid GMOs if you have Hashimoto's hypothyroidism

Unless you live under a rock, you’ve probably been hearing about GMOs, or genetically modified organisms. What is the big deal with GMOs, and can they really be that bad for you if the government allows them in our food supply? Sadly, yes, GMOs really are that bad for you despite being legal in the United States.

If you have Hashimoto's hypothyroidism and are working to manage your immune and thyroid health, GMOs are a factor that could set you back. Therefore, a GMO-free diet should be part of your protocol to manage your autoimmune Hashimoto's hypothyroidism.

A GMO food has had its DNA altered through the insertion of genes from another species of plant, animal, bacteria, or virus.

Examples of genetic modification include splicing fish genes into tomatoes and strawberries, jellyfish genes inserted into corn, or tobacco engineered with lettuce. Some genetic modification is done to create new drugs or industrial products, but in agriculture it is used to increase resistance to herbicides, pests, or bad weather.

Why GMOs are dangerous if you have Hashimoto's hypothyroidism

Common GMO crops include soy, corn, canola, cottonseed, and sugar beets. Genetic modification creates new proteins the human body has never before encountered. As far as the body is concerned, these new proteins are not food but instead dangerous pathogens to be attacked, destroyed, and removed. This creates inflammation, which if chronic can lead to a long list of health conditions.

For instance, an increase in allergies has been shown in populations after GMO foods are introduced, as well as in farm workers who handle the GMO foods. Animal studies show GMO foods can trigger reactions to a wide range of other foods.

For the person working to manage Hashimoto's hypothyroidism, this can create extra problems. Because Hashimoto's is an autoimmune disorder, management focuses on balancing the immune system and dampening autoimmune flare-ups. If GMOs trigger an inflammatory response, it gives the person with Hashimoto's hypothyroidism another battle to fight in balancing the immune system and regulating thyroid function.

GMOs are legal in the United States because of the dearth of studies on humans. The only research on humans shows that GMOs transfer into the bacteria that reside in the gut, which should be cause enough for concern. This means that long after you have eaten a GMO food its foreign proteins could stay behind in your gut, with unknown outcomes.

For instance, if a food is modified with an antibiotic, it could create an antibiotic-resistant strain of bacteria in your body. Or a food modified with a toxin designed to kill insects could turn your gut bacteria into a pesticide. These new proteins could also make it into other parts of the body, including potentially a developing fetus.

The studies on animals are alarming enough that most other First World nations require GMO foods to be labeled, or have restricted or outright banned GMOs. The FDA’s own scientists have warned of allergies, toxins, new diseases, and nutritional problems and urged long-term studies. In animal studies GMOs have been linked to:

• Infertility, lower birth weight, and high death rate among offspring
• Immune problems
• Accelerated aging
• Faulty insulin regulation
• Changes in major organs and the gastrointestinal system
• Organ damage
• Death

It can be difficult to find genuine whole foods these days and more difficult still to comprehend the motivations behind the allowance of GMOs in our food supply. The very real threats of GMOs only give us more reason to avoid processed foods. To be safe, avoid risky ingredients, which include soy, canola, cottonseed, corn and sugar from sugar beets. If you have Hashimoto's hypothyroidism, you may need to be extra cautious so as not to provoke inflammation.

For guidance while you shop, download a non-GMO shopping app to your phone.

Blood testing for hypothyroidism: Functional ranges versus lab ranges

Did your blood test for hypothyroidism say you’re fine even though you suffer from fatigue, brain fog, hair loss, depression, or weight gain? Does your doctor say your thyroid condition “doesn’t exist.”

Many doctors dismiss thyroid symptoms because of an incomplete blood test or ranges that are too wide. In functional medicine, however, we use a blood test to screen for hypothyroidism before it gets too advanced for most doctors to diagnose. This way you can begin to manage your condition and symptoms.

A functional blood test for a return to health

Functional medicine addresses the underlying causes of symptoms instead of overriding them with drugs or surgery. One tool we use to accomplish this is to interpret blood tests using functional ranges, which outline the parameters of good health.

In contrast, the ranges most doctors use are based on a bell-curve analysis of all the people who visited that lab over a certain period of time, many of whom are very sick. These lab ranges have broadened over the last few decades as health of the American population has declined. As a result, many people with real health problems are told they’re ok because their results fall within these ranges. For instance, the lab ranges for hypothyroidism are often overly wide so that many people are told they’re fine when in fact they have hypothyroidism.

Do you really want to evaluate your health in comparison to all the sick people who visited your lab, or do you want to look at a blood test for what constitutes good health?

Looking for patterns that contribute to Hashimoto's hypothyroidism

Because functional medicine is based on an in-depth knowledge of human physiology and how various systems in the body work together, we also look at a blood test for patterns instead of just looking at individual markers. By doing this, we see how these different systems influence one another to cause a constellation of symptoms.

For instance, instead of just looking at TSH, we can look at whether immune, hormonal, or stress imbalances may be causing hypothyroid symptoms.

Other patterns can help us identify insulin resistance, fatty liver, leaky gut, different types of anemia, or other problems that may be contributing to thyroid symptoms.

Functional medicine can identify Hashimoto’s hypothyroidism

A blood test for functional medicine also includes more markers that standard blood tests. For instance, we know Hashimoto’s, an autoimmune disease that attacks and destroys the thyroid gland, is responsible for 90 percent of hypothyroid cases in the United States. Therefore, we also test thyroid antibodies to screen for autoimmunity along with other thyroid markers for more information.

A functional medicine blood test can also help us know what other tests may be necessary, such as a gastrointestinal panel or further testing for anemia.

Principles of functional medicine for Hashimoto's hypothyroidism

Once the factors contributing to hypothyroid symptoms have been identified, the functional medicine practitioner uses a variety of science-backed, non-pharmaceutical approaches to manage health. These include:

• Adjustments to the diet--a gluten-free diet is important for those with Hashimoto's hypothyroidism
• Lifestyle changes (such as eating breakfast, proper sleep hygiene, physical activity, or reduction of stress)
• The use of botanicals or nutritional compounds to improve physiological function
• Other natural medicine approaches customized for the patient based on lab testing

Childhood stomach aches linked with adult depression; the Hashimoto’s hypothyroid connection

Many dismiss childhood stomach aches as a normal part of growing up. However research shows that chronic childhood stomach aches could result in anxiety and depression later in life. From what we know about gut health and immune health, it’s feasible this could also play a role in developing Hashimoto’s hypothyroidism later in life.

A Stanford University researcher found that gastric irritation early in life could pave the way for lifelong psychological problems. Of course, not all childhood stomach aches will lead to adult depression and anxiety; genetic makeup and when the stomach aches occur developmentally are also important factors.

Researcher Pankaj Pasricha, MD, notes that 15 to 20 percent of people experience chronic pain in the upper abdomen, and are more likely to suffer from anxiety or depression than their peers.

Gut and brain hardwired together

Dr. Pasricha points to the connection between the gut and brain as an explanation for psychological issues related to childhood stomach aches. The gut has its own nervous system—similar to that of the brain—and is hardwired to the brain by the vagus nerve, a nerve that runs from the brain to the internal organs. As a result of signals transferred back and forth, disturbances in the gut can impact the brain.

To test whether chronic childhood gut problems could lead to anxiety and depression later in life, researchers performed experiments on baby rats, irritating their stomachs for six days.

Study shows early gut problems lead to adult anxiety

Researchers found that these rats showed significantly more anxiety and depression than their peers. They also had higher levels of stress hormones. It was concluded that the early gastric irritation permanently altered their brain function. However, when the researchers inhibited the release of stress hormones in the affected rats, they behaved more normally.

The Hashimoto’s hypothyroid connection

Studies also link high levels of stress hormones with immune imbalances that can trigger or flare up an autoimmune condition such as Hashimoto’s hypothyroidism. Additionally, stomach aches often indicate a gluten intolerance, and studies have established a link between gluten intolerance and Hashimoto’s disease. Also, researchers today increasingly link depression and anxiety with inflammation. All of these factors point to imbalances in the immune system that increase the risk of autoimmune Hashimoto’s hypothyroidism.

Addressing gut-based anxiety and depression

A number of studies show that chronic inflammation rewires the brain to become more sensitive to stress. This causes one to become “stressed out” very easily and suffer from disorders such as anxiety and depression.

So what can you do? First (if you have children), think preventively. Take colic and chronic stomach aches seriously. Intolerance to certain foods, such as gluten or dairy, is often the culprit. Other possibilities include bacterial infections, yeast overgrowth, or parasites.

Bearing all this in mind, the most important first step is to remove the inflammatory triggers that perpetuate the stress. Of course, if you have Hashimoto’s you should eliminate gluten from your diet completely. Beyond that, an anti-inflammatory diet is a great way to start. However you may need additional support—such as a gut-cleanse and repair—to unwind inflammation affecting both the brain and the gut.

Chronic stress also leads to depleted and imbalanced brain chemicals, called “neurotransmitters.” Neurotransmitters regulate our moods, function, and even our personality. And because the gut has its own nervous system, neurotransmitter imbalances also lead to poor digestive function.

My office can recommend specific nutritional therapies to help unwind stress, restore gut health, improve brain chemistry, and manage Hashimoto’s hypothyroidism. If your child complains of stomach distress, it’s important that you address the problem right away, in order to reduce the risk of depression, anxiety, and immune imbalances later in life.