Tuesday, May 13, 2014

How to avoid hidden sources of gluten when you have Hashimoto's hypothyroidism

352 hidden gluten

Congratulations, you’ve gone gluten free to better manage your Hashimoto's hypothyroidism! Perhaps you have celiac disease, or non-celiac gluten sensitivity, both of which require avoidance of gluten for optimal health. You know to avoid wheat, barley, rye, triticale, einkorn, farro, kamut, spelt, farina, emmer, durum, and semolina, plus most oats because they are commonly cross-contaminated with gluten grains in the field or factory. That pretty much sums it up, right?

Well, not quite. Gluten can actually reside as a hidden component in many common food ingredients, which can make food shopping, restaurants, travel, and potlucks a risky business. In this article, we’ll offer some guidelines for successfully navigating this tricky terrain.

Navigating Food Labels When You Have Hashimoto's Hypothyroidism

Manufacturers are not presently required to identify gluten as an ingredient on labels. Just because a product doesn’t list a gluten grain, doesn’t mean it’s gluten-free. When you're managing Hashimoto's hypothyroidism this is important because studies show most people with Hashimoto's cannot tolerate gluten.

Your greatest tool in determining what is safe to eat is to read food labels, and become familiar with stealthy ingredients that may include gluten. Have you ever seen an ingredient that you can’t identify? If so, it’s best to avoid it. Here is a (non-exhaustive) list of some common ingredients that can contain gluten:

  • Malt and barley malt
  • Food starch and modified starch
  • Dextrin and maltodextrin -- sourced from corn or wheat
  • HPP = Hydrolyzed Plant Protein
  • HVP = Hydrolyzed Vegetable Protein
  • TVP = Texturized Vegetable Protein
  • “Natural flavor”
  • “Spices”
  • “Artificial flavor”
  • Brewer’s yeast
  • Gelatinized and pregelatinized starch
  • Brown rice syrup

Pre-packaged foods can add a challenge as well. Below are some common foods that may have gluten in them. Look for a certified GF label if you aren’t sure; otherwise, pass it up.

  • Soy sauce (a good replacement is coconut aminos, or wheat-free tamari -- 100% soy)
  • Many salad dressings use gluten thickener
  • Gravies, sauces, marinades
  • Fish sauce (common in Thai restaurants)
  • Canned and boxed soups
  • Soup mix
  • Bouillon
  • Licorice candy
  • Instant coffee
  • Coffee substitutes
  • Condiments
  • Puddings and pie fillings
  • Processed meats (gluten is used as a binder in cold cuts, hot dogs, sausages, and some specialty/reformed meats)
  • Many reduced-fat and ready-made foods have binder starches sourced from wheat
  • Ice cream –- look out for added gluten (cookie dough, anyone?) and beware of scoop cross - contamination where ice cream is served
  • Mashed potatoes
  • Imitation crab
  • Some wasabi
  • Vegan meat substitutes
  • Chips (factory cross-contamination)
  • Beer
  • White sauce (made from a wheat flour roux)
  • Worcestershire
  • Communion wafer (ask your church about bringing your own GF version)
  • All Chinese condiments contain wheat, including soy, oyster, hoisin, and bean sauces
  • Some spice companies use glutenous fillers; use only pure, high-quality herbs and spices with no fillers

The Restaurant Dilemma When You Have Hashimoto's Hypothyroidism

Restaurants can pose their own challenges. Here are some things to look for when you're eating out and have Hashimoto's hypothyroidism:

  • Fried food; those delectable fries may have been cooked in the same oil that fried the onion rings doused in wheat batter
  • Vegetables may have been par-boiled in the pasta water
  • At Asian restaurants, you may ask for GF but the busy chef may not be looking at the ingredients on the hoisin or fish sauce; ask for no sauce if uncertain.
  • GF foods may be prepared on the same surfaces or with the same utensils that glutenous foods touch.

If you are uncertain at a restaurant, talk to the chef directly. If you aren’t happy with the answer, don’t eat there. Many restaurants are becoming aware of the need for truly GF foods, but it’s always good to make sure they are careful about food prep. Ask friends, and ask local online GF groups about recommended eateries.

Gluten Free Shopping with Hashimoto's: When In Doubt, Go Without!

When you are new to eating GF, restaurants and grocery shopping can be daunting, but the more you do it, the better you’ll get at determining what goes in your belly. If you aren’t sure, don’t eat it. Ask questions, read ingredient labels; just because those noodles say, “Rice” on the front, that doesn’t mean they don’t have a gluten grain added in. “Wheat-free” doesn’t necessarily mean gluten free. Lastly, always check product labels for warnings that state a food is produced in a factory that also makes gluten-based products; if it is, cross-contamination could be an issue.

The more you do it, the more natural it becomes, and soon you will be navigating your gluten-free life and managing your Hashimoto's hypothyroidism with ease.

Watch for gluten cross-reactivity with non-gluten foods when you have Hashimoto's hypothyroidism

Non-gluten grain options include: rice, corn, amaranth, millet, quinoa, sorghum, teff, and buckwheat (not actually in the wheat family). However, these grains can cross-react with gluten in some people. This means their body recognizes them as gluten and responds with a reaction. An elimination/provocation diet or food sensitivity test  can let you know which grains are safe to eat. Dairy is another food that commonly cross-reacts with gluten, as is coffee. If your gluten-free diet is not helping you manage your Hashimoto's hypothyroidism you may need to consider cross-reactive foods.

Ask my office for more information on using a gluten-free diet to manage Hashimoto's hypothyroidism.

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Tuesday, July 31, 2012

Feeling sleepy after meals can increase Alzheimer's risk; hypothyroid symptoms

insulin-resistance-dementia-alzheimers-risk

Do you feel sleepy or have intense cravings for sugar after meals? Are you a woman whose hair is thinning, yet you’re growing facial hair? Are you a man who cries at movies and has “moobs” (male breasts)? If so, you probably suffer from insulin resistance. Not only does insulin resistance gender bend your hormones, research shows it also raises your risk for dementia and Alzheimer’s.

Insulin resistance also promotes inflammation, which can exacerbate symptoms of hypothyroidism caused by Hashimoto’s, an autoimmune disease that destroys the thyroid gland.

What is insulin resistance?

A high-carb, high-sugar diet consistently raises blood sugar levels, which in turn requires the body to secrete high levels of insulin to lower blood sugar. Eventually these insulin surges exhaust the body’s cells, which then refuse entry to the insulin, causing insulin resistance. Insulin resistance brought on by high blood sugar arises from eating a diet that is high in sweets, soda, and starchy foods such as breads, pasta, rice, corn, potatoes, etc.; a habit of overeating; and living a sedentary lifestyle.

The link between insulin resistance and Alzheimer’s

Insulin resistance has long been linked with many common health conditions, including obesity, heart disease, type 2 diabetes, high blood pressure, and hormonal imbalances. More recently, researchers have discovered that it also increases the risk of dementia and Alzheimer’s. In fact, the link is so well established that some researchers refer to Alzheimer’s as “type 3 diabetes”. This is because a high-carbohydrate diet has the ability to accelerate brain degeneration and cause dementia.

The link between insulin resistance and Hashimoto's hypothyroidism

Managing insulin resistance can also benefit those with Hashimoto's hypothyroidism. An important aspect of managing any autoimmune disease, including Hashimoto's, is taming inflammation. Insulin resistance is a very pro-inflammatory condition that can exacerbate and even trigger autoimmune diseases. Stabilizing blood sugar is fundamental for supporting for Hashimoto's hypothyroidism.

Insulin necessary for brain function

Insulin does more than regulate blood sugar in the body. Appropriate levels of insulin in the brain manage glucose levels for sustained mental energy. In turn, this regulates inflammation and helps produce brain chemicals that regulate mood.

The insulin surges and insulin resistance that result from a sugary, high-carbohydrate diet raises inflammation in the brain and disrupts the brain’s ability to perform even simple operations.

For many people, insulin resistance eventually becomes type 2 diabetes—the body’s ability to regulate blood sugar has broken down. Moreover, studies have demonstrated a clear link between diabetes and an increased risk of Alzheimer’s and dementia.

Don’t wait until it’s too late

Both insulin resistance and type 2 diabetes often can be reversed by changing your diet and lifestyle. So, it’s best not to wait until you have developed dementia or Alzheimer’s to take action. While a low-carb, ketogenic diet has been shown to be beneficial to those with dementia and Alzheimer’s, it is also key to prevention.

This diet is also very beneficial to managing Hashimoto's hypothyroidism and other autoimmune diseases.

Reversing insulin resistance to prevent Alzheimer’s

Some of the most powerful tools to prevent dementia and Alzheimer’s are, unsurprisingly, the same tools that can reverse insulin resistance. These include:

  • Ditching all sweets, sugars, desserts, and sodas. Beware natural sweeteners, such as honey, maple syrup, and agave, as they still raise blood sugar and insulin. Also, avoid over-indulging in sugary fruits.
  • Adopt a lower-carb diet. Some people will need a low amount of carbohydrates—coming primarily from leafy green vegetables—for optimal function, some will need more. Ask our office for guidelines to get started.
  • Exercise regularly. Studies show a combination of both aerobic and weight lifting exercises offers the best brain protection. High-intensity interval training and weight lifting have been shown especially effective to reverse insulin resistance (but do not derail your progress by overtraining). Even just a half-hour walk daily can be extremely beneficial.
  • Eat healthy, natural fats instead of processed vegetable oils. Coconut oil has been shown to be especially beneficial for brain health.

Hypothyroidism also linked with Alzheimer's risk

There's another reason to manage your blood sugar if you have Hashimoto's hypothyroidism—research shows women whose TSH is above 2.1 mIU/L had a more than two-fold greater risk of developing Alzheimer's, even if they were on thyroid medication. Ask us how we can help you manage the underlying cause of your hypothyroidism so you not only can feel better but also reduce your risk of Alzheimer's.

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Tuesday, July 17, 2012

Got hypothyroidism and PMS? Stress could be robbing your body of progesterone

PMS-low-progesterone-pregnenolone steal

It’s the time of the month that so many women dread, the PMS days. For some, premenstrual syndrome is simply an irritating inconvenience, but for others it is a cause of extreme suffering. Yet because it is so common, many women don’t take PMS seriously, even though the effect on their lives is serious indeed.

For women who also have hypothyroidism, symptoms can overlap and the causes can be the same.

Common or not, PMS, especially the extreme variety, is not normal or healthy. It is a sign that the delicate balance of female hormones is all out of whack. PMS symptoms may be a signal that the body is experiencing a progesterone deficiency due to chronic stress.

Symptoms of low progesterone include:

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

As you may have noticed, many of these are also symptoms of hypothyroidism. The chronic stress that lowers progesterone and causes PMS can also suppress thyroid function.

Natural remedies for PMS

Instead of reaching for the progesterone cream at your local supplement store, it’s safer to first address the underlying causes of low progesterone. For many women, progesterone levels take a beating because of chronic stress. Every time you experience stress, your body responds with cortisol, an adrenal stress hormone that works to keep the body in balance.

But in these fast-paced times, we experience stress so frequently that the body’s demand for cortisol is constantly high. To keep up with demand, the body borrows the materials needed to make reproductive hormones, including progesterone, and makes cortisol instead. This is called “pregnenolone steal,” when the body steals pregnenolone needed for other hormones to keep pace with the demands of stress.

Not only can chronic stress rob the body of progesterone, but it can also hinder function of the brain's pituitary gland. The pituitary gland directs function for the thyroid and other hormone glands. When chronic stress suppresses pituitary function, this can suppress thyroid function.

Factors that can cause chronic stress:

  • Sugar and sweeteners, too many starchy foods (rice, pasta, bread, etc.), and excess caffeine
  • Food intolerances (gluten, dairy, eggs, soy, corn, nuts, grains, etc.)
  • Gut problems (gas, bloating, indigestion, heartburn, diarrhea, constipation, stomach pain, etc.)
  • Lack of sleep
  • Chronic inflammation (joint pain, muscle pain, skin rashes and disorders, brain fog, fatigue, etc.)
  • Autoimmune disease (such as Hashimoto’s hypothyroidism)
  • Overdoing it; pushing yourself without breaks or enough rest
  • Poor nutrition

Restoring hormonal balance naturally

Many times, the best way to reduce symptoms of PMS is to stop the pregnenolone steal, thereby allowing the body to make enough of its own progesterone. Strategies for stopping pregnenolone steal include an anti-inflammatory diet, which eases the body’s burden of stress. You may also need to work on restoring gut health, taming chronic inflammation, or managing your autoimmune disease appropriately, approaches that benefit from the guidance of an experienced practitioner.

These strategies can also help boost thyroid function.

Nutrients to ease PMS

Basic nutritional support can sometimes ease the symptoms of PMS. For instance, are you getting enough omega 3 fatty acids and gamma-linoleic acid (GLA)? You may find that supplementing with a high-quality emulsified fish oil or krill oil is helpful, especially if you add one of the GLAs—evening primrose oil, borage oil, or black currant oil—as well.

Supporting serotonin, your brain’s feel-good neurotransmitter, may also alleviate symptoms when you’re premenstrual. Compounds that support serotonin activity include tryptophan, 5-HTP, St. John’s Wort, and SAMe. Other nutrients that may offer additional support include magnesium, B6, and vitamin D3.

Ask my office for natural therapies to alleviate PMS and support healthy hormonal balance and thyroid function.

If you suffer from symptoms of low thyroid, you should also rule out Hashimoto's, an autoimmune thyroid disorder.

Important note: If you are taking an antidepressant, do NOT embark upon a serotonin support regimen without the guidance of your physician.

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Tuesday, April 10, 2012

More than half of all cancers preventable—the Hashimoto's hypothyroidism link

cancer-prevention-autoimmune-diet

You never know when those persistent Hashimoto's hypothyroid symptoms might save your life. An autoimmune thyroid disease is a warning signal the body is out of balance. By managing your Hashimoto's hypothyroidism with nutritional and lifestyle interventions, you may prevent cancer as well.

Carrying the genes for cancer doesn’t make it a sure thing—a recent study found more than half of all cancers are preventable. In functional medicine, we have long known certain diet and lifestyle practices, as well as various nutritional and botanical compounds, can reduce the risk of cancer.

Not only can nutritional therapy help prevent cancer, but it also can aid in the management of chronic autoimmune and inflammatory disorders, such as Hashimoto's hypothyroidism.

Cancer risk factors increase risks of Hashimoto's hypothyroidism and more

Many of the same factors that raise the risk of cancer are also linked with many chronic immune disorders common today:

  • Neurological disorders—memory loss, Alzheimer’s, dementia, Parkinson’s
  • Autoimmune disease—Hashimoto’s hypothyroidism, rheumatoid arthritis, multiple sclerosis, Graves’ disease, vitiglio, type 1 diabetes
  • Mood disorders—Anxiety, depression, obsessive-compulsive disorder, panic disorders
  • Other health issues—Chronic pain, migraines, fatigue, obesity, type 2 diabetes

People’s diet and lifestyle choices significantly influence their chance of getting cancer or one of the other immune disorders listed above. For instance, smoking alone is a responsible for 30 percent of cancers (and 75 percent of lung cancer) in the United States, and obesity for another 20 percent.

Cancer prevention falling on deaf ears

Although an enormous amount of data on the causes and preventability of cancer already exist, little of it has been put into practice on a larger scale, according to researchers. Instead, people, and their doctors, remain skeptical that cancer can be prevented.

Obstacles to more widespread cancer prevention cited by the researchers include:

  • The short-term focus of cancer research. The benefits of preventions take decades to be realized.
  • Intervening too late. It may be too late to implement preventive strategies after a lifetime of cancer-causing habits.
  • The focus of research on treatment instead of prevention. Research focuses on a single organ affected. Focusing on behavioral changes to prevent cancer might save more lives.
  • Societal factors that affect health. Many of the factors that increase the risk of cancer and other diseases, such as fast foods, high-carb diets, and addictions to sedentary forms of entertainment (television, video games, the Internet), are accepted as normal in our society.

Managing Hashimoto's hypothyroidism can prevent cancer

It’s possible to change social norms and thus affect health, say the researchers. The anti-smoking campaigns have led to a decline in lung cancer rates. Media attention on the dangers of trans fats has led to more awareness and less use of hydrogenated oils in food processing and the restaurant industry.

In functional medicine, we often don’t see people willing to make the necessary lifestyle changes until the “pain of the problem is worse than the pain of the solution.” Adopting a healthier diet and incorporating herbal and nutritional supplements into daily life can be challenging at first, but such changes significantly ease symptoms of Hashimoto's hypothyroidism, restore well-being, and reduce the risk of cancer for many people.

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Tuesday, March 27, 2012

When a gluten-free diet is not enough for Hashimoto's hypothyroidism

gluten-free grain-free autoimmune

For many people, a gluten-free diet erases Hashimoto's hypothyroidism symptoms  like a magic wand. For others, it doesn't make a dent, despite a proven gluten intolerance. What gives? A diet that also eliminates dairy, grains, and other foods may be necessary, along with nutritional compounds to restore gut health.

Gluten damages the small intestines and causes chronic inflammation. This inflammation extends to other parts of the body and helps explain why gluten triggers so many disorders, including Hashimoto's hypothyroidism, joint pain, skin disorders (eczema, psoriasis, rosacea, etc.), fatigue, depression, or mood disorders from inflammation in the brain. It even increases the risk of death for people with celiac disease.

A gluten-free diet reduces inflammation and allows the gut to recover, which often alleviates symptoms elsewhere in the body.

However, newer research showed that the small intestines of up to 60 percent of adults in one study never completely healed on a gluten-free diet, especially in those who didn’t adhere to the diet fully.

In another study, only 8 percent of subjects fully recovered gut health on a gluten-free diet for 16 months, and only 34 percent recovered after a gluten-free diet for two years in yet another study.

These are pretty grim numbers for a diet that has taken the natural health world by storm. Does this mean a gluten-free diet is not worth the effort?

Absolutely not.

Going beyond a gluten-free diet for Hashimoto's hypothyroidism

These studies shed light on the fact that a gluten-free diet often is not enough to recover gut health. One may still suffer from gut inflammation, poor absorption of nutrients due to damage of the intestinal lining, and leaky gut (leaky gut allows undigested food and pathogens to escape into the bloodstream, where they cause more inflammation).

This explains why some continue to suffer from Hashimoto's hypothyroidism symptoms despite a gluten-free diet.

So what’s the solution? One is to look for other food intolerances. Because gluten causes leaky gut, undigested food escapes into the bloodstream and provoke an immune reaction. This leads to allergies and sensitivities to many other foods. Ferreting out these foods with a strict anti-inflammatory elimination diet is an important first step. Many people with Hashimoto's hypothyroidism feel and function better eliminating all grains, as well as dairy and even legumes.

Using nutritional therapy to unwind gut inflammation

In functional medicine we have also identified nutritional and botanical compounds that can help unwind the chronic inflammation in the gut while taming Hashimoto's hypothyroidism symptoms. These include nutrients to support glutathione, the body’s main antioxidant, as well as nutrients that dampen inflammation through nitric oxide modulation. Glutathione in particular is essential to repairing and protecting intestinal health.

The botanical compounds resveratrol and curcumin have also been shown to dampen inflammation. Resveratrol is a compound derived from Japanese knotweed, and curcumin is derived from the popular curry spice turmeric. Both are well known for their antioxidant qualities.

Research shows that taking them together creates a synergistic effect, making them potent tools for quenching the inflammation and damage in the small intestines and elsewhere in the body, including the thyroid.

Enhancing the gluten-free diet goes the distance for Hashimoto's hypothyroidism

Although a gluten-free diet is vital to restoring health for people with celiac disease or a gluten intolerance, it might not go the whole distance for those with Hashimoto's hypothyroidism. Removing other foods and using nutritional therapy to quench inflammation are also important steps to restoring gut and thyroid health.

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Tuesday, March 20, 2012

Fight Hashimoto's hypothyroidism with glutathione recycling

glutathone autoimmune hashimoto's hypothryoidism leaky gut

The term “antioxidant” has become popular in a multitude of products from acai to dark chocolate, but the most important antioxidant is the one made by your body: glutathione. Sufficient glutathione is vital for combating autoimmune diseases such as Hashimoto's hypothyroidism.

Glutathione is a molecule that protects the body in many ways. It shields cells from damage caused by oxidation and inflammation, it aids in detoxification, and it helps the immune system function at its best.

When glutathione production drops, you are more vulnerable to:

  • autoimmune disease
  • chemical sensitivities
  • heavy metal sensitivities
  • inflammatory disorders
  • intestinal permeability (leaky gut)
  • other immune issues

Stress lowers glutathione levels

When we are healthy, our bodies make enough glutathione to protect us. However, chronic stress, whether it is from toxins, poor diet, sleep deprivation, smoking, excess sugar, or other stressors, eventually exhausts glutathione levels. Glutathione levels also decrease gradually as a result of aging.

A glutathione supplement is not effective taken orally. Instead, people can boost glutathione levels through a liposomal cream, nebulizer, suppository, or IV drip. These methods will help raise glutathione levels and your general antioxidant status, which can reduce inflammation and improve health. However, they do not raise glutathione inside the cells.

Studies link low glutathione with autoimmune hypothyroidism

To raise glutathione levels inside the cells, where it can protect the cells' energy-producing factories called “mitochondria,” you must enhance your body’s ability to recycle glutathione. Recycling glutathione means taking glutathione that has already been used and rebuilding it so it’s ready for action again.

Studies show a correlation between the inability to recycle glutathione and increased autoimmune disease, such as Hashimoto's hypothyroidism. Glutathione recycling helps balance the immune system, protect the thyroid gland tissue from damage caused autoimmune attacks, and also helps repair damage. Good glutathione recycling is an important tool in managing Hashimoto's hypothyroidism.

Glutathione recycling helps repair leaky gut

Glutathione recycling also helps protect and repair the gut. It’s common for people with Hashimoto's hypothyroidism to have leaky gut, which exacerbates their autoimmune thyroid condition. Poor glutathione recycling weakens gut integrity, making a person more prone to multiple food sensitivities and chronic gut issues. Good glutathione recycling is a vital part of restoring and protecting gut health.

Boosting glutathione recycling for Hashimoto's hypothyroidism

One of the most important steps to enhance glutathione recycling is to remove stressors that deplete glutathione levels. These may include lack of sleep, smoking, food intolerances, diets high in sugars and processed foods, excess alcohol intake, and metabolic imbalances, such as with the hormones or immune system.

If you have Hashimoto's hypothyroidism, this also means going on a strict gluten-free diet, as many studies show a connection between the autoimmune thyroid disease and a gluten intolerance or celiac disease.

Beyond that, a variety of nutritional and botanical compounds have been shown to support glutathione recycling. They include:

  • N-acetyl-cysteine
  • Alpha-lipoic acid
  • L-glutamine
  • Selenium
  • Cordyceps
  • Gotu kola
  • Milk thistle

Booting your glutathione levels with a glutathione liposomal cream and then supporting glutathione recycling can profoundly enhance the management of Hashimoto's hypothyroidism, inflammatory disorders, chemical sensitivities, food sensitivities, and more.

Contact my office for advice on how you can support your glutathione recycling system.

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Tuesday, March 13, 2012

Trans fats and hypothyroidism: Trans fats shrink the brain, increase dementia risk

trans fats shrink brain

A recent study found a diet high in trans fats shrinks the brain and increases the risk of dementia, making them a poor choice for people with Hashimoto's and hypothyroidism. The brain depends on proper thyroid function, and a brain-healthy diet is paramount for people with Hasimoto's and hypothyroidism.

Trans fats are found in fast foods, processed foods, margarine, shortening, and more. They can be identified in a list of ingredients as hydrogenated or partially hydrogenated oil.

Hypothyroidism diet: High in vitamins, omega 3s

On the other hand, study participants who ate diets high in vitamins B, C, D, and E and omega 3 fatty acids were found to have larger, healthier brains than their junk-food eating counterparts. These nutrients are found in a diet high in vegetables, fruits, fish, and raw nuts and seeds.

A brain-healthy diet will also tame autoimmune flare-ups and inflammation associated with Hashimoto's and hypothyroidism.

Even small amounts of trans fats damaging

Although a few studies in the past have examined the link between brain health and trans fats, this study by Oregon Health and Science University in Portland was the first to measure blood levels of trans fats in relation to brain volume using MRI brain scans.

The most sobering observation was that blood levels of trans fat levels were not that high, a testament to the damage they cause even in small amounts.

Researchers suggest that trans fats in the diet replace healthy fats in the brain's cell membranes, which affects the ability of the brain to function properly.

Brain is made of mostly fat

Cell membranes communicate with other cells and determine what is allowed to enter and exit the cell. Fatty acids make up a significant portion of cell membranes, brain tissue, and myelin sheaths, which protect neurons that communicate with one another. In fact, about 60 percent of the brain is made up of fat, coming from fats in the diet.

Trans fats replace good fats in brain

When trans fats become part of the cells and nerve sheaths they replace vital brain fats, such as DHA, an essential omega-3 fatty acid. As a result, cellular communication suffers, the cells degenerate, brain volume shrinks, and memory and cognition suffer.

Trans fats restrict blood flow to brain

Trans fats also contribute to the clogging of veins and arteries, which inhibits blood flow to the brain. Constricting blood flow to the brain robs the brain of oxygen and vital nutrients, another factor that degenerates, or shrinks, the brain and affects function.

The good news is that a diet high in vitamins B, C, D, and E, and omega 3 fatty acids protects the brain from shrinkage and decline. The study subjects who ate a diet abundant in these nutrients consistently scored better on mental performance tests and showed less brain shrinkage.

Eating to protect brain health with Hashimoto's hypothyroidism

Trans fats are closer to plastic than food, significantly impacting brain health, and it’s best to strictly avoid them.

Instead, aim for a brain-friendly diet that includes leafy green vegetables, seafood, eggs, olive oil, nuts, avocadoes, colorful fruits, nuts, and meats.

Also, eliminating all sweets and sodas, minimizing starchy foods (grains, potatoes, legumes, etc.), and eliminating foods to which you are intolerant (gluten and dairy, for example) will reduce inflammation, another factor that shrinks the brain and steals memory.

Studies show a strong link between Hashimoto's hypothyroidism and gluten intolerance, making a strict gluten-free diet important for managing thyroid health.

Other food intolerances are common for those with Hashimoto's hypothyroidism. An allergy-elimination diet is a good way to ferret out which foods may be causing inflammation.

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Tuesday, February 28, 2012

Is a chemical sensitivity worsening your Hashimoto's hypothyroidism?

Chemical sensitivity

You've probably heard of food intolerances to gluten, dairy, eggs, or other foods. But chemical intolerances, or sensitivities, have become increasingly common, as well. A person with a chemical sensitivity has an immune reaction to chemicals and heavy metals in air pollution, pesticides, plastics, adhesives, household cleaners, cosmetics, perfumes, and more.

When exposed to these chemicals, the sensitive person may react with a variety of different symptoms, including migraines, fatigue, inflammation, brain fog, memory loss, vertigo, sore throat, respiratory or sinus problems, or a skin rash.

For the person with autoimmune Hashimoto's hypothyroidism, a chemical sensitivity creates a chronic assault on the immune system, making it difficult to manage this autoimmune thyroid condition.

Why doesn't everyone have a chemical sensitivity?

Although we now live in a world of thousands of toxic chemicals, some people react to chemicals and some don't. In fact, lab testing may reveal the person who doesn't react actually carries a heavier toxic burden than the person who reacts very easily. Why?

The answer lies in how well the person's immune system handles exposures to chemicals and pollutants in our environment. Several factors can cause a chemical intolerance:

  • The immune system reacts to certain chemicals or heavy metals as allergens due to an immune imbalance.
  • An individual has lost the ability to detoxify chemicals from everyday exposure.
  • An individual's natural antioxidant status is deficient, increasingly one's vulnerability to toxicity from chemicals.
  • A breakdown of immune barriers—gut, lungs, skin, and blood-brain barrier—increases the body's vulnerability to toxins.

In other words, it's not necessarily small exposures to toxic chemicals or heavy metals that make one sick (even though they are not good for us), but instead the body's inability to handle environmental toxins.

How chelation can worsen Hashimoto's hypothyroidism

A common method of treating a chemical sensitivity or other chronic condition is chelation. Chelation is a detoxification therapy that removes heavy metals from the body.

However, for the person whose immune system is reacting to chemicals and heavy metals, chelation can actually make things worse. By using chelation to liberate chemicals and heavy metals from tissue and into the bloodstream, the chemically sensitive person may react with even more symptoms and more tissue damage.

For the person with Hashimoto's hypothyroidism, this means a flare-up of the condition and worsening symptoms.

Chelation should only be considered if the immune barriers are in tact (i.e., no leaky gut, or leaky blood-brain barrier, which would allow chelated toxins into the brain), the immune system is balanced, and detoxification functions are working normally.

How to prevent or alleviate a chemical sensitivity

These days, it is difficult to isolate ourselves from pollutants, chemicals, and heavy metals. There is very little testing of new chemicals that enter our environment, and it is extremely difficult to require manufacturers to ban chemicals. Instead, you can focus on using toxin- and scent-free cleaners and personal care products, eating organic, whole foods, and consuming plenty of fibrous, antioxidant-rich vegetables and filtered water to help cleanse your system.

Beyond that, we have more advanced clinical strategies to help alleviate a chemical sensitivity. These include supporting the activity of glutathione, the body's most powerful antioxidant, repairing the immune barriers—gut, lung, and blood-brain—with nutritional support, balancing the immune system, and restoring the body's natural ability to detoxify.

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Tuesday, February 21, 2012

Hypothyroidism during pregnancy more common than thought

pregnancy hypothyroidism Hashimoto's

A new study shows hypothyroidism during pregnancy may be more common that previously thought, thanks to new clinical guidelines for evaluating thyroid stimulating hormone (TSH). The study revealed hypothyroidism in one in six pregnant women, a 10 percent increase after using a narrower TSH range.

The new guideline for normal TSH is now 0.3 to 3.0, narrower than the former guideline of 0.5 to 5.0. In functional medicine we use a range of 1.8 to 3.0.

Gestational hypothyroidism poses a number of risks, including miscarriage, hypertension, gestational diabetes, low-birth weight, and risk for lower IQ in the baby.

Hashimoto's hypothyroidism screening important during pregnancy

This study illustrates the importance of screening for hypothyroidism during pregnancy. Only about a quarter of the more than 500,000 women in the study were tested for TSH, meaning many more may have gone through pregnancy with an undiagnosed thyroid condition.

TSH shouldn't be the only marker ordered. Pregnant women should also test other thyroid markers, such as T4 and T3, as well as TPO and TGB antibodies. The antibody tests determine whether the hypothyroidism stems from an autoimmune disease called Hashimoto's, which attacks and destroys thyroid gland tissue.

Studies show about 90 percent of hypothyroidism cases in the United States are due to autoimmune Hashimoto's hypothyroidism. Thyroid hormone medication alone does not effectively manage Hashimoto's. Instead, appropriate thyroid care involves managing the immune system.

Hashimoto's hypothyroidism risk to baby's health

Although it's always important to manage an autoimmune disease, it's especially vital during pregnancy. Autoimmune Hashimoto's hypothyroidism is a sign that the pregnant woman's immune system is out of balance. It also signals a high probability of intestinal permeability, or leaky gut (which allows undigested foods and pathogens to escape into the bloodstream, where they trigger an immune reaction). People with Hashimoto's commonly have food intolerances, particularly to gluten, and high levels of the stress hormone cortisol.

These are health conditions that can affect the fetus. Studies show that infants born to mothers with high cortisol are at higher risk of developing allergies. An intolerance to gluten or other foods can be passed on to the infant, as can immune imbalances, which can raise the risk of such disorders as asthma, eczema, and allergies.

Hypothyroidism is a red flag that the body is out of balance and that the health of the child may be compromised.

Addressing Hashimoto's hypothyroidism during pregnancy

It's very important to screen for hypothyroidism and Hashimoto's during pregnancy. It's even better to screen for it before conception.

If lab tests identify hypothyroidism, optimal health of the mother and the baby depends on restoring thyroid activity.

While thyroid hormones may be necessary, a pregnant woman also should address the underlying cause of the hypothyroidism. We can do this through lab testing, an autoimmune diet, and nutritional support appropriate for pregnancy.

Detecting hypothyroidism early can help ensure a healthier pregnancy, a healthier child, a reduced risk of postpartum depression, and more energy for the mother during the demanding post-partum period.

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Tuesday, February 14, 2012

Heart disease is an inflammation disease; hypothyroidism risks

You could eat a “heart-healthy” diet, exercise regularly, and maintain a healthy weight, and still be at risk for heart disease.

heart disease inflammation hypothyroidism gluten

Why? Because the root cause of heart disease is inflammation, and managing inflammation goes beyond standard prevention advice.

For the person with hypothyroidism, this also extends to addressing the underlying cause of low thyroid function, another factor that can raise inflammation and hence the risk of heart disease.

The whole grain diet, inflammation, and heart disease

Are you following popular guidelines by eating a whole grain diet? Opting for whole wheat bread may seem like a healthy choice; however research suggests that as many as one in five people have a gluten sensitivity.

For the gluten-intolerant person, even whole wheat products cause inflammation, increasing the risk of heart disease. In fact, more and more people are discovering that they can significantly reduce inflammation by eliminating grains all together.

Other foods—such as dairy or eggs—may also cause sensitivities and increase inflammation. An anti-inflammatory diet can help ferret out which foods increase inflammation.

Because several studies have linked gluten intolerance with Hashimoto’s disease, an autoimmune disease that causes hypothyroidism, avoiding gluten is especially critical in order to lessen inflammation and protect thyroid health.

Whole grains and blood sugar

A grain-based diet may also be too high in carbohydrates, causing blood sugar to fluctuate dramatically. This leads to a drop in energy, sugar and/or caffeine cravings, sleep issues, and most importantly, inflammation. High-carbohydrate diets—even those high in fibrous whole grains and legumes—can prove too inflammatory for some people. Leafy, colorful vegetables and mildly sweet fruits (such as berries) are a better choice.

Gut health and heart disease

Other causes of inflammation include: an overgrowth of harmful bacteria in the gut, poor function of the digestive organs, and gastric irritation. All play a role in increasing the risk of heart disease.

Studies suggest that the overgrowth of one strain of gastric bacteria in particular—“H. pylori”—increases the risk of heart disease. Caused by insufficient acidity in the stomach, the usually symptomless H. pylori is responsible for peptic ulcers—a condition estimated to affect many Americans.

How inflammation increases the risk of heart disease

Inflammation creates lesions on arterial walls, thus contributing to the formation of plaque within the arteries—a process known as “atherosclerosis.” In order to quickly repair the lesions, the body “patches” them up with cholesterol. Although an effective short-term fix, this eventually leads to the creation of artery-clogging plaque, and drives up the risk of a heart attack.

Hypothyroidism and heart disease

Whenever I see high cholesterol in a patient, I immediately screen for hypothyroidism. Hypothyroidism increases triglycerides, cholesterol, and “bad” LDL cholesterol.

Most people in the U.S. with hypothyroidism have it as a result of Hashimoto’s disease—an autoimmune disease that attacks and destroys the thyroid gland. An unmanaged autoimmune condition is another factor that can lead to chronic inflammation, increasing the risk of heart disease.

The source of inflammation is different for everyone

You can see why reducing inflammation is “at the heart” of reducing your risk of heart disease, and why statin drugs do not address the root cause for most people. The source of inflammation can vary for each individual, but typically it involves evaluating one’s diet, immune health, and digestive function.

This explains why I look at more than just cholesterol when evaluating the risk of heart disease. I examine other markers on a blood chemistry panel, including fasting blood sugar, homocysteine, C-reactive protein, immune markers, and thyroid values.

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Tuesday, January 17, 2012

Hypothyroidism and overtraining: Too much of a good thing

Hashimotos-hypothyroidism-vertraining-adrenal-cortisol-belly-fat

Mary was a mother of two with hypothyroidism who began a vigorous exercise program of weight lifting and running, one to two hours a day, six days a week, hoping to boost her weight loss. Not only did she fail to lose weight, she actually gained weight, and found herself battling fatigue, irritability, and constant colds and flus. As it turns out, Mary was exercising too much.

Overtraining weakens the body

While regular exercise is vital to good health, studies show overtraining can actually deplete hormones, depress immunity, lead to bone loss, increase the risk of injuries, slow healing, increase inflammation, and cause a general feeling of burn-out. For the person striving to manage a thyroid condition, all these factors can work against her.

Also, studies show hypothyroidism affects athletic performance in a number of ways. It creates more muscle weakness and cramping, impairs cardiac function and blood flow, and hampers the ability of muscles to use fatty acids for energy, thus limiting endurance.

Sufficient recovery between exercise sessions and exercising at an appropriate intensity will get you fitter faster without compromising your thyroid health.

Overtraining and high cortisol

Overtraining causes your body to pump out extra cortisol, a hormone secreted by the adrenal glands that helps us cope with stress. High cortisol can cause bone loss, and muscle breakdown, create belly fat, increase sugar cravings, and lead to insulin resistance, a pre-diabetic condition that causes high blood sugar.

Overtraining and low cortisol

Some people who overtrain suffer from low cortisol, which can lead to weight gain, fatigue, low blood sugar (with dizziness, light-headedness, and irritability), muscle weakness, difficulty recovering from workouts, and poor immune strength.

Both high and low cortisol negatively affect thyroid health, making cortisol management paramount when addressing a hypothyroid condition.

American life is already stressful

Clearly, neither high nor low cortisol produces the desired effects of an exercise regime, and both cause a chronic inflammatory state that ages you quickly. Throw in other factors of modern American life—stressful lifestyles, too little sleep, poor diets, too many sweets and caffeine—and overtraining can be the tipping point into cortisol-driven disorders.

And, of course, the person with Hashimoto’s should strictly avoid gluten, another stressor that can flare up a hypothyroid condition.

Symptoms of overtraining

How much exercise is too much? This varies from person to person. Overtraining for one person can be another person’s warm up. An adrenal salivary panel will show you your cortisol levels, but it’s especially important to pay attention to signals from your body, which is harder than it sounds for the driven athlete accustomed to pushing the envelope.

Symptoms of overtraining include persistent tiredness, worsening strength and stamina, sleep disturbances, slow recovery, aching joints or limbs, injuries, and frequent illness, to name a few. Also, symptoms of hypothyroidism may worsen.

More thyroid hormones are not the answer

More thyroid hormones are not the answer to get through an overly demanding exercise regimen. Too much thyroid hormone medication can cause thyroid hormone resistance, hence worsening symptoms of hypothyroidism.

Exercise should boost energy, not drain it

Appropriate exercise boosts your energy and your sense of well-being. And while some muscle soreness is normal, you should experience energy, mental focus, and a good mood during recovery periods between workouts.

Ask us about an adrenal cortisol panel to help you establish and appropriate intensity level for your workouts. Also, ask us about ways to manage your hypothyroid condition—for 90 percent of Americans, an autoimmune disease called Hashimoto’s causes hypothyroidism. The immune system, not the thyroid gland, should be the main focus of health management.

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Tuesday, January 3, 2012

Detox Diet Plan for the New Year

Detox weight loss diet plan

Now that the food comas, sugar hangovers, and holiday binges are over, it’s a good time to “clean house” with a detox diet. A detox diet calms inflammation, stimulates repair and recovery, and boosts energy. A detox diet should never involve frequent hunger or lack of nutrients, factors that only stress the body further.

Finding food intolerances

Many people don’t realize they have food intolerances. These foods trigger an immune reaction and cause such symptoms as low energy, rashes, joint pain, digestive issues, headaches, anxiety, depression, and more. They also prevent weight loss. The foods people most commonly react to are gluten, grains, dairy, eggs, and nuts.

Other inflammation triggers

Other common immune triggers include nightshades (potatoes, tomatoes, peppers, etc.), legumes, coffee, and, of course, foods high in sugar. Don't forget, sugary foods include sweet fruits and natural sweeteners, such as honey, maple syrup, and agave.

The hunger-free diet plan

At this point you might be saying, “There is nothing left to eat!” On the contrary, the detox diet resembles what our ancestors ate prior to the industrialization of food, and there is plenty to eat. In fact, it is important not to get too hungry as the low blood sugar caused by chronic hunger causes inflammation. Eat frequently enough to sustain energy and avoid crashing.

Healthy diet plan foods

Grass-fed and organic meats, wild fish, plenty of vegetables, healthy fats, and fermented foods, such as sauerkraut, make up the detox diet, along with plenty of water and non-caffeinated herbal teas.

Good fats are key to success

An appropriate amount of good fats ward off hunger and sustain energy. Include healthy fats such as coconut oil, avocado, olive oil, ghee (butter oil), and salmon. Avoid processed vegetable oils and strictly avoid hydrogenated oils, or trans fats.

Rewards outweigh difficulties

Yes, the diet is difficult at first. It requires planning and preparation. Initially you may experience sugar and carb cravings, low energy as your body adapts to burning fat instead of sugar for fuel, and such detox symptoms as headaches, rashes, or joint pain. Please call our office for guidance if so.

However people who stick with the diet inevitably feel such a boost in energy and well being that they come to enjoy the diet.

A great weight-loss diet plan

Many find the detox diet is the best weight loss diet yet. Cutting out sweets and high-carb foods naturally promotes weight loss. More importantly, however, the detox diet becomes a weight loss diet plan by reducing inflammation, stabilizing blood sugar, and restoring balance to the adrenals, our stress-managing glands.

Reintroducing foods

After 30 to 90 days of the detox diet, you may wish to add in some of the foods you eliminated, one at a time every 72 hours to see whether you react in any way to them. This will help you build a healthier lifelong diet. However many find a gluten-free and even grain-free diet builds lasting health.

Support with detox supplements

I can help you enhance the effects of the detox diet with nutritional compounds to aid in cleansing and ease the symptoms of transition. They support the liver, the digestive tract, blood sugar balance, and stress handling. Just call my office for advice.

Detox diet plan

Foods to avoid

  • ALL sugars and sweeteners, including honey, agave, maple syrup, etc.
  • High-glycemic fruits: Watermelon, mango, pineapple, raisins, grapes, canned fruits, dried fruits, etc.
  • Nightshades: Tomatoes, potatoes, peppers, eggplant, and other nightshades
  • Mushrooms
  • Grains: Wheat, oats, rice, barley, buckwheat, corn, quinoa, etc.
  • Dairy: Milk, cream, cheese, butter, whey.
  • Eggs or foods that contain eggs (mayonnaise)
  • Soy: Soy milk, soy sauce, tofu, tempeh, etc.
  • Alcohol
  • Lectins: Lectins promote leaky gut. Avoid nuts, beans, soy, nightshades, peanut oil, peanut butter, and soy and soy products.
  • Coffee: Many people react to coffee as if it is gluten, and it can be overstimulating.
  • Processed foods
  • Canned foods

Foods to eat

  • Most vegetables (except nightshades and mushrooms): Asparagus, spinach, lettuce, broccoli, beets, cauliflower, carrots, celery, artichokes, garlic, onions, zucchini, squash, rhubarb, cucumbers, turnips, watercress, etc.
  • Fermented foods: Sauerkraut, kimchi, pickled ginger, fermented cucumbers, coconut yogurt, kombucha, etc. You must make your own or buy one of the few brands that are genuinely fermented (not made with vinegar) and free of sugars or additives.
  • Meats: Grass-fed and organic chicken, turkey, beef, bison, lamb, etc., and wild fish.
  • Low glycemic fruits sparingly: Apricots, plums, apple, peach, pear, cherries, berries, etc.
  • Coconut: Coconut oil, coconut butter, coconut milk, coconut cream.
  • Olives and olive oil
  • Ghee (butter oil) unless severe dairy allergy

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Tuesday, December 27, 2011

Holiday sugar hangover cure?


sugar hangover cureThe tin of peppermint bark is empty, the pies polished off, and the Yule log cake reduced to crumbs.

Left in their wake, however, is the sugar hangover, that annual holiday tradition that may include an upset stomach, headache, lethargy, brain fog, skin problems, join pain, mood swings, allergy symptoms, and a heap of regret.

How to recover from a sugar hangover

While alcohol hangover cures are a folklore staple, you can take solid steps to recover from your sugar hangover:

  • Quit eating sweets. Those holiday treats have sent your blood sugar levels skyrocketing and plummeting repeatedly, taxing the immune system, the brain, hormone balance, and every other system in the body.

    To recover, put blood sugar levels on an even keel by eating protein every two to three hours, eating a good breakfast, and avoiding starchy foods, desserts, and sweet drinks (soda, sweet coffee drinks) that spike blood sugar. Instead focus on quality proteins, leafy vegetables, and good sources of fat (olive oil, avocado, coconut oil, salmon, etc.)

  • Drink plenty of water. This is also the most popular alcohol hangover cure for a reason. Staying hydrated with clean filtered water will help flush your body of toxins and aid in recovery.

  • Support your liver. Processing all those sweets burdens your liver. Help your liver flush these toxins with such liver detox nutrients as milk thistle, dandelion, N-acetyl L-cysteine, beet root, panax ginseng, and more. Contact my office for more advice on liver detoxification.

  • Restore your gut. Sweets cause inflammation, promote overgrowth of harmful yeast and bacteria, and irritate the gastric lining. You can restore gut health by avoiding sweets and other starchy foods, temporarily adopting a strict detox diet that eliminates common immune triggers (i.e., gluten), and by eating cultured and fermented foods.

  • Move your body. A brisk walk, a swim, yoga, or some other gentle exercise will get your lymphatic system pumping and blood flowing to help flush toxins and rejuvenate cells. You may want to avoid extremely vigorous exercise until hangover symptoms subside so as not to further promote inflammation.

Why not go for a New Year's detox?

These are some basics to help you recover from a sugar hangover and get you back on the wellness path. In fact, all of these tips will help you recover from an alcohol hangover, too. For more advanced strategies and to get started on a detox plan for the New Year, contact my office.

What are your tips for a sugar hangover cure?

Of course the best way to cure a sugar hangover is to avoid one. But if you happen to overindulge on special occasions, what are some of your tips for a sugar hangover cure?

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Tuesday, December 20, 2011

Can stress cause your baby's allergies?

A calm, healthy pregnancy and postpartum period could reduce the risk of allergies in your baby, according to a new Swedish study.

Researchers found infants with lower levels of cortisol, an adrenal hormone released in response to stress, developed fewer allergies than other infants.

Stress hormone cortisol triggers allergies

The researchers believe environmental and lifestyle factors during pregnancy and early infancy raise adrenal cortisol levels, which increases the risk of allergies.

Studies show high cortisol in a pregnant mother raises levels of the hormone in the fetus.

In functional medicine, we see many women enter into pregnancy with high cortisol. Common symptoms include excess belly fat, insomnia, insulin resistance (high blood sugar), hair loss, and an irregular menstrual cycle.

Stress isn’t just about too much to do on too little sleep (although that is certainly a factor).

Factors that cause high adrenal cortisol

Common factors that elevate cortisol are:

  • Sugary, starchy diets that consistently spike blood sugar (which causes excess belly fat).
  • Excess caffeine.
  • Undiagnosed food intolerances. Gluten intolerance and celiac disease are particularly common.
  • Poor gut health. Gas, bloating, indigestion, heartburn, diarrhea, constipation, and other digestive symptoms are signs of a poorly functioning gut.
  • Improperly managed autoimmune disease. Do you have Hashimoto’s hypothyroidism or another autoimmune disease?

Rate of childhood allergies rising

The rate of allergies has risen sharply in the United States. About 54 percent of Americans are allergic to at least one thing, an up to five-fold increase the late 1970s. The number of children with food allergies has risen 18 percent since the late 90s; witness the prevalence of peanut-free classrooms.

Manage health before pregnancy

The best thing a mother can do to reduce the risk of allergies in her child is to address her own health and nutrition before conception.

An adrenal saliva test is a good way to measure whether cortisol levels are normal. A mother’s health before conception and during pregnancy greatly influences the health of her baby.

Stress is a fact of life for us all. How have you managed to lower stress levels during pregnancy?

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Tuesday, December 13, 2011

Vitamin D outshines vitamin C at preventing flu virus

Move over vitamin C. When it comes to warding off the flu virus and colds, studies shows vitamin D trumps vitamin C. But are you getting enough vitamin D from sunlight and diet alone?Sneezing young woman

Studies link low vitamin D levels with flu virus

Compelling evidence links low vitamin D levels with illness.

One study showed vitamin D-deficient subjects were 36 percent more likely to report an upper respiratory infection than those with higher levels. That rate jumped significantly for those with asthma.

Another study found children taking vitamin D supplements suffered almost half as many incidences of the flu virus than the children not taking vitamin D.

Also, vitamin D levels were found to be lower in children who died of swine flu than in those who survived.

Vitamin D benefits go beyond fighting the flu

Vitamin D does so much more than fight the flu. Sufficient vitamin D lowers the risk of cancer, autoimmune disease, gum disease, heart disease, diabetes, pulmonary disease, and weak bones.

Are you getting enough vitamin D?

Vitamin D is a corner stone to good health, however research shows many people do not get enough from sunlight and diet alone. In general, we spend most of our lives indoors, wear sunscreen when outside, and don’t eat a vitamin D-rich diet.

More than 40 percent of the population and 60 percent of children are estimated deficient. Blacks, Hispanics, and other populations with darker skin show the highest rates of deficiency. Living at a northern latitude, obesity, and aging also increase the risk for deficiency. One study found 60 percent of postmenopausal to be deficient in vitamin D.

Boosting your vitamin D levels

Supplementing with vitamin D3 (cholecalciferol) and its cofactors will help you outpace the flu and prevent disease. A 25-hydroxy vitamin D test is the most accurate way to measure and monitor your levels, with optimal levels falling between 50–80 ng/mL. However if you suffer from an autoimmune disease or other chronic illness, your practitioner may recommend a more specific goal.

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Tuesday, December 6, 2011

Can pregnancy cause hypothyroidism?

Question

Why did pregnancy trigger my hypothyroidism?

Answer

Natural immune shifts during pregnancy, together with a genetic tendency and other predisposing factors, can trigger hypothyroidism in some women.

Hypothyroidism is an immune disease for most

For 90 percent of Americans, hypothyroidism is caused by Hashimoto’s, an autoimmune disease in which the immune system attacks and destroys the thyroid gland.

The immune system has two major arms of function, one that reacts immediately to an invader, and one that reacts later to produce antibodies. When one of these arms of becomes overly dominant it can trigger an autoimmune disease.


Going into pregnancy predisposed

Pregnancy and the postpartum periods naturally polarize the immune system. In the third trimester the delayed immune response is dominant. Postpartum the immediate immune reaction is stronger.

If a genetically predisposed woman goes into pregnancy with an existing immune imbalance, these natural immune shifts could be the tipping point for Hashimoto’s.


When pregnancy is one stressor too many

Pregnancy can also cause hypothyroid symptoms secondary to chronic stress. Stressors such as gut infections, food intolerances, blood sugar imbalances, and hormonal imbalances can depress the pituitary gland, which controls hormone function in the body. As a result the pituitary fails to signal thyroid activity.

For many women this manifests not only as low thyroid function, but also postpartum depression. Because so many women enter pregnancy dealing with multiple chronic stressors, the increased demands of pregnancy overwhelm the pituitary gland and depress thyroid function.


Balancing health pre-conception lowers risk for mother and baby

A woman should address health and immune imbalances before conceiving to reduce her risk of developing hypothyroidism.

Doing so also may lower the risk of her infant developing eczema, asthma, food allergies, and even autism, which has been found to be caused by an autoimmune disease in many. When the mother’s immune system is healthy and balanced, there’s a stronger possibility her baby’s will be too.


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Tuesday, November 29, 2011

Fractures common today: Build stronger bones

Question

Is it my imagination or are broken bones more common than ever today?



Answer

Boys are 32 percent and girls 56 percent more likely to break a bone than children 40 years ago. Fractures are also common in older adults.



Soda has replaced milk

Dairy provides 70 percent of calcium in the American diet. However 40 years ago children drank four times more milk than soda; in 2001 they drank two and a half more times soda than milk. Today males ages 12-29 average half a gallon a day of soda. Not only is soda replacing more healthful, bone-building options, but it also contributes to obesity, blood sugar imbalances, inflammation, and other metabolic disorders that lead to poor bone quality.



Chronic inflammation weakens bones

For instance, just the chronic, low-grade inflammation caused by regular soda consumption can lead to weaker bones; inflammation accelerates the breakdown of bone so that it outpaces bone building. Soda consumption is also linked to a rise in obesity, another barrier to good bone health. Studies show obese people have weaker bones as their bone marrow produces more fat cells than bone cells.



When dairy is a poor option

Many people today find dairy is not a viable option for them due to an intolerance to lactose, the sugar in milk, or casein, the milk protein. Consuming dairy when you are dairy intolerant will actually trigger inflammation and work against your bone-strengthening efforts. Many other foods are good sources of calcium, including canned salmon and sardines with the bones, ample homemade bone broth, greens, certain nuts and seeds, nettle and raspberry leaves, and more.



Not all calcium supplements are the same

Calcium supplements are another option, however not all calcium supplements are the same. Some forms are easier to absorb than others. Also, it’s important to take a calcium supplement with the necessary cofactors for appropriate assimilation. These include other minerals, vitamins D3 and K2, and omega-3 fatty acids. Talk with your practitioner to learn the best way to get enough calcium and ensure good bone quality.



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Wednesday, November 23, 2011

Your brain is what you eat: Hydrogenated fats

Question

What is all the fuss about hydrogenated oils, or trans fats? Aren’t they OK to eat in moderation?

Answer

The hydrogenated fat you eat becomes part of your brain and nervous tissue. Because of its unnatural structure, cells and neurons composed partly of hydrogenated fat do not function properly.

The brain is made up of the fat you eat

If someone calls you a fat head they are not off the mark. The brain is made up mostly of fat, including the fat you eat. While hydrogenated fats are best known for contributing to cardiovascular disease, lesser known is their impact on brain health. Hydrogenated oils have been molecularly restructured for a long shelf life and are found in many processed foods. Heating oils too high while cooking also causes trans fats.

Cell membranes communicate with other cells and determine what is allowed to enter and exit the cell. These membranes incorporate hydrogenated oils into their structure, making them more rigid and less able to function properly. The nerve sheaths that insulate and protect neurons also incorporate trans fats.

Trans fats disrupt brain function

When trans fats become part of the cells and the nerve sheaths they replace vital brain fats, such as DHA, an essential omega-3 fatty acid. As a result cellular communication suffers, the cells degenerate, and the person can experience a wide range of consequences, including diminished mental performance, mood disorders, memory loss, or health problems.

Trans fats slow brain circulation

Trans fats are best known for their contribution to cardiovascular disease by thickening the blood, slowing circulation, and clogging arteries. The brain, too, has a vascular system that delivers nutrients and oxygen and removes toxins throughout the brain. When this vascular system becomes clogged with trans fats, this also impacts brain health and function.

One food that is not ok in moderation

Although conventional wisdom says all things are OK in moderation, hydrogenated fats are a man-made substance closer to plastic than food. When eaten they become a part of your cells and your brain for some time. Therefore it is best to avoid them completely.



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Tuesday, November 15, 2011

Why does eating make me sleepy?

Question

I practically fall asleep in my plate after every meal. Why does eating make me so sleepy?

Answer

Feeling sleepy after meals is a common symptom of insulin resistance, a risk factor for diabetes.

Starchy foods and too much insulin

Insulin resistance is common today and is a stepping-stone to diabetes. Overeating and eating a diet high in sugar and starchy foods causes insulin resistance. These foods include breads, rice, pasta, pastries, chips, potatoes, soda, sweet coffee drinks, and more.

Converting glucose to fat demands energy

Insulin escorts glucose into the cells to make energy. Starchy foods bombard the bloodstream with too much glucose, forcing the release of insulin to lower it. When a person eats a starchy diet on a regular basis, the body overproduces insulin to lower chronically high blood sugar.

Eventually these constant surges of insulin exhaust the body’s cells and they refuse entry to the insulin, which is called insulin resistance. As a result insulin can’t escort glucose into the cells to make energy and the person feels sleepy.


Also, because glucose can’t get into cells, blood sugar climbs too high. The body lowers it to safer levels by converting excess glucose into fat for storage. This is a demanding process that robs one of energy.


Insulin surges overproduce calming brain chemical

A fluctuation in brain chemistry is another factor that causes tiredness. Carbohydrates provide precursors for serotonin, the “joy and well-being” brain chemical that can ward off depression and also be calming.

However, the insulin surge that follows a high-carb meal overproduces serotonin in the brain, contributing to that need for a post-meal nap. After serotonin levels drop, people then may feel depressed, which spurs cravings for more high-carb foods and sweets to get that pleasurable “high” and start the cycle over again.


Restoring insulin sensitivity

If you feel sleepy even after a very low-carb meal, it could be because you overate or because your glucose metabolism has become too disordered to function properly. While adapting a lower-carb diet is vital, you may need the guidance of a practitioner in using nutritional and botanical compounds that can help restore insulin sensitivity.

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Tuesday, November 8, 2011

Food allergies can prevent weight loss

Question

I learned I have intolerances and allergies to certain foods, and that I need to avoid those foods if I want to lose weight. Isn’t it just a matter of eating fewer calories?

Answer

Some people find they can’t lose weight through calorie restriction alone. When that happens several issues need to be investigated. One of the most important is food intolerances. Eating foods to which you are allergic or intolerant will prevent weight loss.

Food intolerances cause inflammation

Food intolerances and allergies create inflammation, and inflammation prevents weight loss. Every time you eat gluten, dairy, eggs, soy, corn, or some other food that may be a problem for you, you create inflammation in your body.

Leaky gut is a primary culprit

For many people today, a variety of foods trigger inflammation. This is due largely to intestinal permeability, or “leaky gut,” which allows undigested food particles to slip into the bloodstream through damaged and inflamed intestinal walls. Leaky gut is very common today due to poor diets, excessive sweets, chronic stress, and other maladies of modern life. Gluten intolerance and celiac disease are also common and cause leaky gut.

As these food particles circulate throughout the body the immune system responds by attacking and destroying them for removal, just as it would respond to a viral or bacterial infection. Unfortunately, if the food is eaten regularly, this keeps the immune system constantly at work, hence creating chronic inflammation. Symptoms can be obvious in the way of joint pain, skin issues, abdominal pain, or even brain fog, memory loss, or moodiness. Sometimes the inflammation is not obvious, yet a person finds she or he can’t lose weight.


Inflammation halts weight loss

Studies show the immune compounds that cause inflammation also make insulin receptors less sensitive, creating insulin resistance. As a result glucose can’t get into cells and blood sugar becomes too high. The body lowers blood sugar by converting it to fat for storage. Insulin resistance also hinders fat burning.

Inflammation also has been shown to cause leptin resistance, which stimulates hunger and promotes fat storage. Furthermore, excess body fat secretes immune messenger cells that trigger inflammation, promoting a vicious cycle that prevents weight loss.


Although moderating caloric intake and exercising are recommended for weight loss, effective and lasting weight loss depends in part on tackling chronic inflammation and food sensitivities.




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