When Healthy Eating Becomes Harmful

Understanding Orthorexia

By Mira Dessy

When it comes to the concept of wellness and nutrition, it’s easy to celebrate healthy choices, and we should. Choosing nourishing foods and fueling your body with intention is a powerful act of self-care. But sometimes, what starts as a desire to eat well can slowly turn into something more rigid, more obsessive, and far less healthy. It can lead to a condition called Orthorexia.

Orthorexia is a form of disordered eating characterized by an unhealthy obsession with eating “clean,” “pure,” or “perfect” foods. Unlike other eating disorders, orthorexia isn’t necessarily about weight—it’s about control, fear, and a deep-rooted belief that health can only be achieved through strict dietary rules. And while it may start with good intentions, it can often spiral into anxiety, social isolation, and even malnutrition.

This condition can be especially difficult to identify because our culture often praises clean eating. We’re exposed to a variety of media sources, all promoting the concept. Sadly, although the concept is good, it can go too far.

When someone feels guilt, shame, or panic over eating something “off-plan,” avoids social gatherings to maintain their food routine, or spends excessive time researching ingredients and rules, these may be warning signs that their eating patterns are out of balance.

The truth is that food is meant to be enjoyed. Meals are meant to be shared. Nourishment is about more than just the nutrients on your plate; it’s also about connection, pleasure, and flexibility. No one meal makes or breaks your health. And chasing a “perfect” diet can come at the expense of your mental, emotional, and even physical well-being.

Aiming for 80% nourishing, whole-food choices gives you structure without rigidity. It makes room for birthday cake, spontaneous picnics, a night out with friends, or a quiet cup of coffee with something sweet. That 20% isn’t a cheat—it’s part of a well-rounded life.

If you or someone you love is struggling with orthorexia tendencies, know that restoring a healthy relationship with food is possible. It starts by softening the rules, inviting joy back to the table, and remembering that true wellness includes both nourishment and freedom.

Let’s shift the conversation—from perfection to balance, from control to connection. Because food isn’t just fuel, it’s a part of how we live, love, and experience the world.

[We’d like to thank our friend and colleague, Mira Dessy, for allowing us to share this article with our audience. Mira is a Nutrition Educator, speaker, and the author of The Pantry Principle, a great resource if you want to know what is lurking in the foods you purchase. Her book is available in our office.]

By Mila McManus MD|2025-10-07T10:24:26-05:00October 8th, 2025|Articles, General|

by Mila McManus, MD

Here’s what you need to know about oats and oat milk, so you can make a wise choice that fits your unique nutritional needs. — **Hoo Knew?**

Oats have long been celebrated as a hearty, nourishing grain, and many might even call them a superfood. We often get questions about oats and oat products and these are some of the more frequent ones:

Is oatmeal good for me?
Oat milk must be healthy, right?
Is oatmeal a good source of protein?
Will oatmeal lower my cholesterol?

The answers to these questions are almost always, “It depends”. It depends on:

the manufacturing process.
how much you eat and what you eat it with.
the product you purchase.
how your metabolic system handles it.
your food allergies and sensitivities.

Here’s what you need to know about oats and oat milk, so you can make a wise choice that fits your unique nutritional needs.

Nutritional Strengths of Oats and Oatmeal

Rolled or steel-cut oats are rich in complex carbohydrates, plant protein, and key micronutrients such as manganese, phosphorus, magnesium, iron, and B vitamins. A half-cup of dry rolled oats provides about 5 grams of fiber and a modest 5 grams of protein. Oats are famous for beta-glucan, a soluble fiber shown to lower LDL cholesterol, but there are other heroes of beta-glucan, including beans, peas, lentils, broccoli, sweet potato, eggplant, apples, strawberries, and prunes.

Whole oats, when eaten intact [as opposed to quick or instant oats or oat flour], may digest slowly and keep blood glucose steadier than many other refined grains for some people. One half cup of dry rolled oats contains 29 total carbohydrates, with 5 of these being fiber, resulting in 24 net carbohydrates. These digestible carbohydrates are primarily maltose and glucose. Maltose in particular has a high glycemic index, and continuous glucose monitor (CGM) data show that oatmeal is among the more common foods to cause noticeable blood-sugar spikes for many individuals (Zhou et al., 2023; Zeevi et al., 2015). Since stabilizing blood sugar is key to good health and avoiding lifestyle diseases, it is important to know if oats are right for you.

Should you eat oats? Here’s what you need to know:

First, be tested to ensure you are neither allergic nor sensitive to oats. If you are, you should avoid them.
Second, buy whole grain, old-fashioned, or groats, as these are least processed and contain the most fiber. We recommend organic and certified gluten-free as well.
Third, wear a Continuous Glucose Monitor [CGM] and eat oats in a variety of ways to see how your metabolic system reacts to them. If they spike and dump your blood sugar, they are harming your health. Here’s more on CGMs.
Fourth, considering the 24 grams of net carbohydrates, it is usually a mistake to add more carbohydrates to the meal, such as fruit, sugar, or bread. Instead, add protein and fat to your meal, such as eggs, bacon, sausage, protein powder, nuts, seeds, and butter. This will help to slow down the digestion of the carbohydrates and possibly prevent spiking blood sugar, leading to satiation and good energy levels.

Oat Milk: From Grain to Glass

Oat milk starts as oats blended with water. Most commercial producers add enzymes that break oat starch into smaller sugars—primarily maltose and glucose—for natural sweetness. The liquid is then strained, homogenized, and often fortified with calcium, vitamin D, and vitamin B12. Total carbohydrates range from 15-17 grams for an unsweetened 8-ounce serving, with little useful nutrition in terms of fiber, protein, vitamins, minerals, and phytonutrients.

Drawbacks:

Higher glycemic impact. Because the starch is enzymatically converted to simple sugars, oat milk typically raises blood glucose faster than intact oats.
Loss of fiber and protein. Straining removes much of the bran and germ, meaning oat milk has less satiating fiber and protein than cooked oatmeal.
Some varieties include seed oils, salt, or stabilizers such as gellan gum for texture.
Gluten Considerations. Oats themselves are naturally gluten-free. However, cross-contact with wheat, barley, or rye can occur during growing or processing. People with celiac disease or gluten sensitivity should choose oats and oat milk labeled certified gluten-free.
Is oat milk good for you? Not really. It’s better to opt for unsweetened nut milks for shakes, grain-free cereals, coffee, and cooking.

So that’s what you need to know. Choose wisely. Be well.

References

Whitehead, A., Beck, E. J., Tosh, S., & Wolever, T. M. S. (2014). Cholesterol-lowering effects of oat β-glucan: A meta-analysis of randomized controlled trials. American Journal of Clinical Nutrition, 100(6), 1413–1421. https://doi.org/10.3945/ajcn.114.086108
Zhou, W., et al. (2023). Continuous glucose monitoring reveals individual glycemic responses to common foods. Nutrients, 15(4), 823. https://doi.org/10.3390/nu15040823
Zeevi, D., et al. (2015). Personalized nutrition by prediction of glycemic responses. Cell, 163(5), 1079–1094. https://doi.org/10.1016/j.cell.2015.11.001
U.S. Department of Agriculture (USDA) FoodData Central. (2024). Oatmeal, cooked and Oat milk, unsweetened, nutrition profiles.
Food and Agriculture Organization of the United Nations (FAO). (2023). State of genetically modified crops: No commercial GMO oats to date.

By Mila McManus MD|2025-09-30T10:29:33-05:00October 1st, 2025|Articles, General|

by Mila McManus, MD

The troubling truth about fake meat is that some of them are made using animal blood derivatives and genetically engineered ingredients, raising serious health and ethical concerns.

In recent years, “fake meat” products have flooded the marketplace, marketed as sustainable, cruelty-free alternatives to traditional animal products. But a closer look reveals a troubling truth: some of these so-called plant-based or lab-grown alternatives are made using animal blood derivatives and genetically engineered ingredients. This not only raises serious health and ethical concerns but also exposes loopholes in our food safety system that allow untested products onto grocery shelves.

How Fake Meat is Made with Animal Blood

One of the most controversial processes involves the use of heme, an iron-containing molecule that gives meat its characteristic flavor and color. To produce heme for fake meat, companies have turned to genetic engineering, inserting animal DNA into yeast or bacteria to create a lab-derived version of what is naturally found in blood. In some cases, fetal bovine serum—literally harvested from the blood of unborn calves—has been used as a growth medium for lab-grown cells.

While the marketing of these products suggests they are vegan or vegetarian-friendly, the truth is more complicated. If animal blood is part of the process, then these foods cannot honestly be called vegan—or even cruelty-free. This blurring of lines misleads consumers who seek to avoid animal exploitation altogether.

An Ethical Red Line

The use of animal blood in fake meat is not only a health issue, but also an ethical one. For people who choose plant-based eating out of concern for animals, being misled into eating products that rely on animal exploitation is a betrayal. True vegan and vegetarian values demand honest labeling, ethical transparency, and respect for consumer choice.

The FDA’s “GRAS” Loophole

Adding to the concern is how these products are approved. Many fake meat companies rely on the “Generally Recognized As Safe” (GRAS) loophole. This provision allows companies to self-certify the safety of new food ingredients without rigorous, independent FDA review. In other words, corporations can essentially police themselves when it comes to declaring novel lab-made additives as safe for public consumption.

Even more troubling, genetically engineered ingredients and lab-grown animal cell products are often exempt from traditional premarket safety testing. Instead of conducting long-term studies on human health, companies can enter the market with minimal oversight, leaving consumers to serve as test subjects.

Why It Matters for Your Health

We are only beginning to understand the long-term effects of consuming genetically modified yeast products, synthetic heme, and lab-grown animal cells. The lack of independent, peer-reviewed research means that questions remain unanswered about potential risks such as:

Allergic reactions to novel proteins
Gut microbiome disruption
Long-term toxicity or carcinogenicity
Unknown impacts of growth serums and genetic manipulation

Consumers deserve transparency and thorough safety testing—not a corporate experiment masquerading as a healthy, sustainable alternative.

What You Can Do

We must hold regulators accountable and demand that new, genetically engineered, or lab-grown food products undergo rigorous premarket safety testing before they reach our plates. The FDA should close loopholes that allow corporations to declare their own creations as safe without independent oversight. Consumers have the right to know what’s in their food, how it’s made, and whether it’s truly safe for long-term health. It’s time to put people before profits.

One way to use your voice and your vote is to support consumer advocate organizations, such as the Environmental Working Group (https://ewg.org) or the Organic Consumers Association (https://organicconsumers.org/). Both organizations are influential in Washington, advocating for our health. Readers who wish to comment on FDA oversight of novel foods can submit feedback via the FDA’s public comment portal at https://www.fda.gov/.

Don’t Eat Fake Meat. Be Well.

References:

Center for Food Safety. (2021). GRAS loophole: FDA fails to ensure food safety. Retrieved from https://www.centerforfoodsafety.org

https://organicconsumers.org/organic-bytes-newsletter-908-lab-grown-meats-should-be-banned/

U.S. Food and Drug Administration (FDA). (2022). Generally Recognized as Safe (GRAS). https://www.fda.gov/food/food-ingredients-packaging/generally-recognized-safe-gras

U.S. Food and Drug Administration (FDA). (2018). GRAS notice for soy leghemoglobin preparation derived from Pichia pastoris. GRN No. 737. https://www.fda.gov/media/111697/download

Stephens, N., et al. (2018). Bringing cultured meat to market: Technical, socio-political, and regulatory challenges. Trends in Food Science & Technology, 78, 155–166. https://doi.org/10.1016/j.tifs.2018.04.010

By Mila McManus MD|2025-09-23T10:15:37-05:00September 24th, 2025|Articles, General|

Butyrate is a small fat molecule produced in the large intestine by gut bacteria breaking down dietary fiber, offering big benefits!

by Mila McManus, MD

What Is Butyrate?

Butyrate is a small molecule with big benefits and simple lifestyle choices can result in big health benefits for you. Butyrate is a short-chain fatty acid—a tiny type of fat made in the large intestine by specific gut bacteria as they break down dietary fiber. Along with acetate and propionate, it’s one of the main “postbiotics,” the helpful substances our gut microbes create after we feed them the right foods. As you will see, small postbiotics, like butyrate, offer big benefits towards good health.

How It’s Made

When we eat foods rich in fiber such as beans, oats, leafy greens, nuts, and resistant starches like green banana, jicama, and cooked-and-cooled-potatoes, much of that fiber passes through the small intestine undigested. When it reaches the colon, friendly bacteria ferment the fiber, releasing butyrate as a by-product. Some of the best-known butyrate makers include Faecalibacterium prausnitzii and Roseburia species.

The Big Benefits that Matter

Butyrate is more than just a fuel source—it plays many roles that keep us healthy:

Power for Your Gut Lining
Cells that line the colon use butyrate as their main energy source. A steady supply helps those cells stay strong and healthy.
Stronger Gut Barrier
Butyrate supports a tight, protective lining in the intestine, helping prevent “leaky gut,” where unwanted particles slip into the bloodstream.
Natural Inflammation Control
It helps calm overactive immune responses, which can lower the risk of chronic inflammation in the digestive tract and beyond.
Metabolic Support
Research links butyrate to improved blood-sugar control and better weight regulation, at least in part by influencing hormones involved in hunger and energy use.
Cancer Protection
By supporting healthy cell turnover and turning off certain harmful genes, butyrate may help reduce the risk of colon cancer.

Meet Akkermansia: Butyrate’s Helpful Neighbor

Akkermansia muciniphila is another important gut microbe with a special relationship to butyrate. While Akkermansia doesn’t make much butyrate itself, it breaks down the mucus layer that lines the gut, releasing nutrients that other bacteria can use. Those nutrients become food for butyrate-producing bacteria [Faecalibacterium prausnitzii and Roseburia species], helping them create more of this valuable compound. Akkermansia is also linked to a thicker mucus layer and a stronger intestinal barrier—benefits that complement the work of butyrate. Here’s a link for more about Akkermansia.

How to Support Butyrate Production

You don’t need supplements to boost butyrate. Focus on everyday habits:

Eat a Variety of Fibers: Beans, lentils, whole grains, seeds, berries, and vegetables all supply the complex carbs gut bacteria love.
Include Resistant Starch: Foods like cooked-the-cooled potatoes, jicama, and green bananas are especially good at feeding butyrate-producing microbes.
Limit Ultra-Processed Foods: Diets high in refined sugar and low in fiber can starve the beneficial bacteria that make butyrate.
Consider Fermented Foods: Yogurt, kefir, and fermented vegetables can help maintain a diverse gut community.
If attempting a carnivore diet, be sure to add fiber! Without fiber, Akkermansia decreases, gut mucus layer is destroyed, and butyrate production stops or is dramatically reduced, leading to a host of issues.

The Bottom Line

Butyrate might be small, but its impact is huge. By nourishing the cells of the colon, strengthening the gut barrier, and calming inflammation, you can reap the big benefits of butyrate, supporting digestive health and overall well-being. Feeding your gut bacteria plenty of fiber—and encouraging friendly microbes like Akkermansia—is a simple, natural way to help your body produce this powerful compound. Talk to your provider to address your issues and ensure butyrate production is maximized.

Follow your gut. Focus on Everyday Habits. Be Well.

References

Karim MR et al. (2024). Butyrate’s microbial synthesis and health effects. Archives of Microbiology.

Effendi RMRA et al. (2022). Akkermansia muciniphila and gut health. Frontiers in Immunology.

Van-Wehle T & Vital M. (2024). Dietary fiber and butyrate production. npj Biofilms and Microbiomes.

Silva YP et al. (2020). Short-chain fatty acids and metabolic health. Frontiers in Endocrinology.

Mo C et al. (2024). Akkermansia and intestinal barrier support. Gut Pathogens.

By Mila McManus MD|2025-09-18T08:13:17-05:00September 18th, 2025|Articles, General|

New concerns about acetaminophen and ibuprofen contributing to antibiotic resistance give reason to rethink pain relief solutions.

by Mila McManus, MD

For decades, ibuprofen and acetaminophen have been the go-to remedies for everyday aches and pains. Found in nearly every household medicine cabinet, these drugs are considered safe when used as directed. Yet, emerging research suggests their impact may not be as harmless as once thought, raising concerns for both individual health and the global community. It may be time to rethink pain relief solutions.

A recent study from the University of South Australia found that ibuprofen and acetaminophen may contribute to the development of antibiotic resistance. When combined with antibiotics such as ciprofloxacin, these medications accelerated genetic mutations in E. coli, creating more resilient bacterial strains. Even more troubling, these strains showed resistance not only to ciprofloxacin but also to multiple classes of antibiotics.

This matters because antimicrobial resistance already causes over 1.27 million deaths worldwide each year, according to the World Health Organization. In other words, humans are becoming increasingly resistant to antibiotics to the extent that when they are desperately needed to save lives, there is not one that will do the job. While researchers do not advise eliminating ibuprofen or acetaminophen completely, the findings underscore the need for cautious prescribing and heightened awareness of drug interactions—especially among older adults and those taking multiple medications.

Pain Has Many Roots

Not all pain stems from injury. In fact, much of the discomfort people experience daily can be traced to chronic inflammation, hormone imbalance/decline, stealth infections, nutrient deficiencies, stress, or lifestyle habits:

Dietary triggers like refined carbohydrates, sugars, and processed oils fuel systemic inflammation.
Nutrient gaps—particularly low omega-3 fatty acids, vitamin D, and magnesium—may heighten pain sensitivity.
Stress and poor sleep amplify pain perception and slow healing.
Hormone imbalances can greatly contribute to chronic pain.
Stealth infections such as parasites, viruses, mold, and bacteria can wreak havoc!
Gut health imbalances can drive body-wide inflammation, affecting joints and muscles.

Addressing these root causes often reduces pain naturally—without the risks linked to long-term painkiller use.

Natural Approaches to Pain Relief

Instead of relying solely on over-the-counter drugs, consider these evidence-based strategies:

Anti-inflammatory foods: Incorporate vegetables, herbs, and omega-3-rich foods like wild salmon, flax, and chia. Turmeric, ginger, and peppers provide natural compounds that ease inflammation.
Collagen and bone broth: Support joint and connective tissue health.
Hydration and gut health: Drinking enough water and eating fiber-rich or fermented foods can reduce systemic inflammation.
Gentle movement: Walking, swimming, or yoga improves circulation and mobility.
Optimize and balance your hormones.
Get tested and treated for leaky gut.
Targeted supplements: Vitamin D, magnesium, and omega-3s may improve resilience against chronic pain.

Supplements and Therapies to Discuss with Your Provider

Beyond foundational diet and lifestyle changes, some people explore advanced or emerging options for pain relief. Talk with one of our medical providers about this growing list of safer options.

NAD+ (nicotinamide adenine dinucleotide) injections or oral precursors (NMN, NR) for cellular repair and energy.
Helleborus injections, studied for potential anti-inflammatory properties.
Protease with bromelain, plant-derived enzymes that may reduce swelling and pain.
Curcumin, the active compound in turmeric, with well-documented anti-inflammatory effects.
Krill oil, a source of omega-3 fatty acids and the antioxidant astaxanthin.
Local castor oil packs for circulation and inflammation relief.
Prolotherapy, an injection-based treatment designed to stimulate healing in tendons and ligaments.
Hyperbaric oxygen therapy (HBOT) to enhance tissue repair and reduce inflammation.
Valasta (astaxanthin supplement), a potent antioxidant.
BPC-157 peptide, an experimental compound with early evidence of healing and anti-inflammatory benefits.
MSM (methylsulfonylmethane) for joint health and pain reduction.
Red light therapy
PEMF therapy like ONDAMED

The Takeaway

While ibuprofen and acetaminophen remain useful tools, their hidden risks highlight the importance of looking deeper into the causes of pain. Moreover, these types of pain medications, as well as opiate pain killers, produce a lot of oxidative stress and actually hasten degeneration! Addressing inflammation, nutrition, and lifestyle factors while guarding the gut and immune function can provide powerful, lasting relief. And for those seeking further support, a growing list of supplements and therapies offer additional avenues to explore under medical supervision.

Pain relief is not just about masking symptoms. It is about healing from the inside out.

By rethinking our reliance on over-the-counter painkillers and leaning into healthier pain relief solutions, we can reduce risks for antibiotic resistance, improve long-term wellness, and move closer to lasting relief.

Be pain-free. Be Well.

References

Health.com. (2025, August 26). Healthy diet linked to lower chronic pain, study shows. Health.com. https://www.health.com/study-healthy-diet-lower-chronic-pain-8761603

Hopkins Medicine. (n.d.). Anti-inflammatory diet. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/wellness-and-prevention/anti-inflammatory-diet

ScitechDaily. (2025, August 28). Common painkillers like ibuprofen could be fueling a global health threat. SciTechDaily. https://scitechdaily.com/common-painkillers-like-ibuprofen-could-be-fueling-a-global-health-threat/

Verywell Health. (2024, June 17). Anti-inflammatory supplements: Options. Verywell Health. https://www.verywellhealth.com/anti-inflammatory-supplements-options-190474

Woodlands Wellness MD. (2017, August 5). Dietary adjustments for pain relief. Woodlands Wellness MD. https://woodlandswellnessmd.com/dietary-adjustments-pain-relief.html

By Mila McManus MD|2025-09-09T09:28:27-05:00September 10th, 2025|Articles, General|

by Mila McManus, MD

Plastics have transformed modern life, but their durability comes with an unintended cost: microplastics are in the food we eat.

Plastics have transformed modern life, but their durability comes with an unintended cost: tiny fragments known as microplastics are now turning up in the air we breathe, the water we drink, and the food we eat. Researchers are only beginning to understand their impact on human health, but evidence suggests they are both widespread and potentially harmful. Knowing the most common food sources—and what you can do to reduce them—can help you make smarter choices without sacrificing nutrition.

What Are Microplastics?

Microplastics are plastic particles smaller than 5 millimeters, while nanoplastics measure under 0.1 micrometers. They come from two main sources:

Primary microplastics, manufactured at a small size (e.g., microbeads in cosmetics).
Secondary microplastics, formed when larger plastics break down through sunlight, heat, or friction.

They are light, persistent, and easily carried into oceans, soil, and food systems. Once ingested, they may pass through the digestive system or, in the case of nanoplastics, penetrate tissues and circulate in the bloodstream.

What We Know So Far

The scope of exposure is striking. A 2025 Marine Pollution Bulletin review found microplastics in 99% of seafood samples tested. A Nature Medicine study detected about 4,800 micrograms of plastic per gram of brain tissue, and microplastics have also been documented in the lungs, liver, kidneys, and placenta.

Health outcomes are still under investigation, but early evidence points to concerning links. A 2024 New England Journal of Medicine study reported that people with microplastics embedded in arterial plaque had higher cardiovascular risks. Other research suggests that plastics may trigger inflammation, disrupt immune function, impair fertility, and contribute to metabolic disorders. While safe exposure thresholds remain undefined, experts agree that minimizing intake is wise.

Health Problems Implicated

Although we cannot yet quantify the exact risk, the strongest associations so far include:

Cardiovascular disease: Microplastics detected in arterial plaque correlate with increased risk of heart attacks and strokes.
Inflammation and immune dysfunction: Plastics may provoke chronic low-grade inflammation and interfere with normal immune signaling.
Endocrine disruption: Additives such as phthalates and bisphenols in plastics act as hormone disruptors.
Metabolic and reproductive issues: Animal studies suggest reduced fertility and metabolic disturbances with high plastic exposure.

While more human studies are needed, the precautionary principle suggests reducing unnecessary exposure now.

The Top 7 Food Sources of Microplastics—and What to Do Instead

Bottled Water
- Problem: Up to 240,000 plastic particles per liter, especially in bottles exposed to heat.
- Solution: Choose filtered tap water in stainless steel or glass bottles.
Tea Bags
- Problem: Nylon or plastic-sealed tea bags release microplastics when steeped in hot water.
- Solution: Switch to loose-leaf tea with a metal or ceramic infuser.
Seafood (Especially Shellfish)
- Problem: Shrimp, oysters, and other filter feeders accumulate microplastics directly from the water.
- Solution: Moderate shellfish consumption, diversify protein sources, and favor whole fish over processed seafood.
Highly Processed Foods
- Problem: Ultra-processed items—like breaded shrimp, nuggets, and snack foods—have consistently higher levels of contamination, likely from processing and packaging.
- Solution: Emphasize whole, minimally processed foods.
Rice
- Problem: Microplastics cling to grains during growing, storage, and processing.
- Solution: Rinse rice thoroughly before cooking, which can reduce levels by up to 40%.
Salt (Especially Sea Salt)
- Problem: Sea salt is made by evaporating seawater, which is now laden with microplastics.
- Solution: Use mined or rock salts such as Himalayan or kosher salt.
Drinks in Glass Bottles with Plastic-Sealed Caps
- Problem: Painted metal or plastic-lined caps leach particles into beverages.
- Solution: Prefer beverages in cork-sealed glass bottles (like some wines) or use tap water and fresh-prepared drinks.

Practical Ways to Reduce Exposure

Cook and store food in glass, metal, or ceramic rather than heating in plastic.
Avoid single-use plastics such as straws, cutlery, and takeout containers.
Boost dietary fiber: Insoluble and soluble fibers may help bind microplastics in the gut and promote excretion.
Limit dust exposure by vacuuming with HEPA filters and wiping with natural fiber cloths—household dust is another ingestion pathway.

Bottom Line

Microplastics are nearly impossible to avoid entirely, but small, consistent changes can dramatically reduce your intake. Our best strategy is two-fold: reduce exposure while promoting detoxification as a matter of routine. While a targeted effort at detoxification may have been optional in decades past, it is essential in our toxic times for anyone desiring to obtain or maintain optimal health, sustain strong immunity, and slow aging. It’s important to make detoxification both a daily focus, and a periodic hyper-focus. Detoxification methods can range from gentle to aggressive, or from targeted organs to whole body, and the best options should be made individually based on your circumstances. Talk to your provider regarding the ideal detoxification efforts for you.

Avoid Microplastics, Detox, Detox, & Detox. Be well.

References

Beyond Plastics. (2024). Microplastics exposure fact sheet. Beyond Plastics. https://www.beyondplastics.org/fact-sheets/microplastics-exposure
EatingWell. (2024, October 18). How to limit microplastics in your food. EatingWell. https://www.eatingwell.com/how-to-limit-microplastics-in-your-food-11713723
Marine Pollution Bulletin. (2025). Review of microplastic and nanoplastic contamination in seafood. Marine Pollution Bulletin, 199, 115050. https://doi.org/10.1016/j.marpolbul.2025.115050
Nature Medicine. (2025). Detection of plastic particles in human brain tissue. Nature Medicine, 31(2), 275–283. https://doi.org/10.1038/s41591-025-01876-2
New England Journal of Medicine. (2024). Micro- and nanoplastic particles in human carotid artery plaques. New England Journal of Medicine, 390(7), 643–653. https://doi.org/10.1056/NEJMoa2309825
Super Age. (2025, April 10). 7 foods and beverages that have the most microplastics (and what to eat instead). Super Age. https://superage.com/7-foods-and-beverages-that-have-the-most-microplastics-and-what-to-eat-instead/
Super Age. (2025, July 16). Microplastics are in our seafood: Here’s how to protect yourself. Super Age. https://superage.com/microplastics-are-in-our-seafood-heres-how-to-protect-yourself/

By Mila McManus MD|2025-09-04T06:13:24-05:00September 4th, 2025|Articles, General|

by Mila McManus, MD

We are exploring recovery steps for those who may have a CT scan, and alternatives to consider with your provider to avoid using CT scanning. — Recovering from a CT Scan

Previously we shared that JAMA Internal Medicine published a study that CT scans could be responsible for up to 5% of new cancer cases each year. That is a sobering number if you think about it: One in 20 new cancer cases could be linked to diagnostic radiation. To read the previous article about this, click here. This week, we are exploring recovery steps for those who may need a CT scan, as well as alternatives to consider with your provider before undergoing one.

Recovery Steps After a CT Scan

The Computed Tomography scan, or CT scan, is a medical imaging technique using X-rays to capture detailed images of cross-sections of the body. Sometimes, contrast dye is also used to improve the images. If you undergo a CT scan, your body will experience oxidative stress and, if applicable, need to detoxify the contrast dye. Here are some steps you can take after a CT scan to support your body:

Drink plenty of water to help eliminate contrast dye and support overall detoxification.
Antioxidants are a powerful way to repair oxidative stress from radiation exposure, neutralizing free radicals and offering anti-inflammatory properties. The most effective for this purpose are Vitamin C & E, Glutathione, and Curcumin.
Using Magnesium to support cellular repair mechanisms and Zinc to support DNA repair and immune function are ideal mineral resources.
Several foods offer radiation protection and can be eaten before and after a CT scan to support the body. Algae such as spirulina or chlorella contain compounds that may reduce radiation damage. Cruciferous vegetables like broccoli, kale, and Brussels sprouts are high in sulforaphane, which supports detoxification. Berries are rich in polyphenols and other antioxidants.
It is important to support detoxification pathways to clear the contrast dye. Sauna, infrared therapy, Epsom salt baths, and binders such as activated charcoal, bentonite clay all promote toxin/toxicant elimination.

Alternatives to CT Scans

Magnetic Resonance Imaging, or MRI, uses magnetic fields and radio waves, so it is a radiation-free option best suited for soft tissues, brain, spinal cord, joints, ligaments, and blood vessels.
Ultrasound uses sound waves, so it is another radiation-free option. Ultrasound is best for abdominal organs, blood flow, musculoskeletal issues, and fetal imaging.
Digital X-rays impose significantly less radiation exposure compared to CT scans and are useful for bone fractures, dental issues, and chest imaging.
Low-Dose CT scans are significantly lower than standard CT scans and can be useful where CT imaging is unavoidable, but dose reduction is possible.
Functional imaging, most often Positron Emission Tomography [PET], is frequently combined with CT or MRI for detailed imaging, though it involves some radiation exposure. Magnetic Particle Imaging [MPI] is in the experimental stages and is radiation-free.
Photoacoustic Imaging [PAI] uses sound waves generated by laser pulses and is emerging as an option in vascular and tumor imaging.
Thermography uses infrared technology to detect heat patterns and is best for screening for inflammation, vascular issues, and breast health.

Take Control of Your Health

You have the agency and knowledge to advocate for yourself with your healthcare providers. Use it to protect yourself from excessive radiation exposure from unnecessary CT scans. If you must have one, work with one of our providers to shape a recovery protocol that is optimal for you. Our providers can also guide you to alternatives to discuss with your specialist when possible.

Be Informed. Advocate for Yourself. Be Well.

References:

Huntington Diagnostic Center. (n.d.). 5 key differences between ultrasound and CT scans. https://hdc1984.com/5-key-differences-between-ultrasound-and-ct-scans/

Image Wisely. (n.d.). MRI as an alternative to CT. https://www.imagewisely.org/Imaging-Modalities/Computed-Tomography/MRI-as-an-Alternative-to-CT

Memorial Sloan Kettering Cancer Center. (n.d.). CT vs. MRI: What’s the difference, and how do doctors choose which imaging method to use? https://www.mskcc.org/news/ct-vs-mri-what-s-difference-and-how-do-doctors-choose-which-imaging-method-use

By Mila McManus MD|2025-08-26T09:23:41-05:00August 27th, 2025|Articles, General|

by Mila McManus MD

The FDA seeks to ban access to desiccated thyroid, which has been a cornerstone of our holistic treatment regimen for decades.

This month, the FDA initiated action seeking to ban access to desiccated thyroid, which has been a cornerstone of our holistic treatment regimen and products that we have confidently provided for decades. To better understand what the FDA is proposing, please read it here.

While not surprising, their action to limit desiccated thyroid products is yet another attempt to undermine non-traditional medical models and bolster the pharmaceutical companies’ profits. The functional medicine field has used desiccated thyroid products, both compounded and commercially available forms, for over three decades. They are marketed as Armour Thyroid, NP Thyroid, Nature-Thyroid, and Natural Thyroid, among other names. Our respected compounding pharmacy partners have consistently provided pure, safe, and potent specialized dosing to ensure optimal health and safety for our patients.

A 12-month grace period has been stated before the limits are initiated. In the meantime, the FDA is urging doctors and patients to transition to synthetic (laboratory-manufactured) medications containing only levothyroxine or liothyronine or a combination of the two.

Two important points for our patients:

First, we have a year during which to transition to other products. You may call your pharmacy for questions or discuss them with your healthcare provider at your next appointment.
Second, because it is not yet official, you have an opportunity to make your voice heard and to take action in opposition to this future intent by clicking the links below and signing the petitions to stop the FDA from removing desiccated animal-derived thyroid medications from the marketplace and beyond the reach of patient and doctor freedom of choice.
https://www.change.org/p/ask-the-fda-to-allow-the-use-of-desiccated-thyroid-medication
https://www.change.org/p/we-as-thyroid-patients-do-not-agree-with-the-fda-false-claims-against-desiccated-thyroid

Use your voice. Be patient. Be well.

By Mila McManus MD|2025-08-19T10:20:50-05:00August 20th, 2025|Articles, General|

CT scans are responsible for up to 5% of new cancers, according to a new study released by JAMA Internal Medicine — Diagnostic CT Scan Radiation

by Mila McManus, MD

JAMA Internal Medicine recently published a new study that CT scans could be causing up to 5% of new cancer cases each year. That is a sobering number if you think about it: One in 20 new cancer cases could be linked to diagnostic radiation.

This is not to say that CT scans are all bad. They can be a life-saving tool when used appropriately by physicians. But there are concerns that physicians are over-ordering them out of habit, anxiety, or convenience, exposing patients to risks that are not necessary. It is estimated that more than one-third of all scans may not be necessary. The study estimated that CT scans conducted during 2023 would result in approximately 103,000 new cancer cases! The use of CT scans has increased by 30% since 2007, reflecting the potential excess radiation.

What is driving this trend? Several stand out. First, due to time constraints, doctors order a CT scan as a better option than sitting down with the patient to figure out the root cause of a health issue. Second, it is essential to recognize that medical imaging is a highly profitable sector within the healthcare system, generating significant revenue. Thirdly, patients ask the physician to order the scan to ease their anxiety about medical issues they are having, even if the physician has informed them that the likelihood of finding an actionable discovery is very low.

There are no standardized doses for CT radiation. The amount of exposure a patient receives can vary widely depending on the protocol and machine used, which inadvertently puts patients at risk. Clinicians would do well to question whether the CT scan will change the patient’s treatment plan and, if not, hold off. Digging deeper into the patient’s medical history and concerns, and talking with the patient about other possible diagnostic options would be a safer way to go. Everyone should advocate for the standardization of radiation dose and the implementation of lower-dose protocols.

In light of this sobering news about CT scans, we want to share with our readers what you can do to protect yourself before and after a CT Scan, as well as provide alternative options to discuss with your provider. Stay tuned next week for these valuable resources, granting you agency to advocate for yourself.

Be Informed. Advocate for Yourself. Reduce exposure. Be Well.

References:

Smith-Bindman R, Chu PW, Azman Firdaus H, et al. Projected Lifetime Cancer Risks From Current Computed Tomography Imaging. JAMA Intern Med. 2025;185(6):710–719. doi:10.1001/jamainternmed.2025.0505

By Mila McManus MD|2025-08-12T09:36:23-05:00August 13th, 2025|Articles, General|

by Mila McManus, MD

Many common mistakes can compromise the health of your oral microbiome and put your teeth, gums, tongue, and overall health at risk.

Who doesn’t want fresh breath and white teeth? But what if your oral hygiene and lifestyle choices are messing up the second largest collection of beneficial microbes in the body? Your mouth is home to a bustling community of over 700 species of microbes that work behind the scenes to keep your teeth, gums, tongue, tonsils, throat, cheeks and even your body healthy. The mouth microbiome is more important than most people realize, and researchers are also making direct links between a poor oral microbiome and a poor gut biome, cardiovascular disease, autoimmune disease, Alzheimer’s, infertility, diabetes, obesity, cancer, and mood disorders. In other words, the condition of your oral microbiome is often a reflection of your inner and overall health.

ORAL CAVITY 101

A healthy, happy mouth microbiome plays many vital roles. First, it protects against harmful pathogens entering through air, water, and food and keeps them in check. Saliva contains enzymes and proteins that kill or control harmful microbes while sparing beneficial ones. Also, your mouth is the first step in digestion, where microbes assist in the breaking down of food and signal the gut that food is forthcoming. Certain oral bacteria help to maintain a neutral pH in the mouth, which protects tooth enamel from acid erosion and decay. Saliva plays a key role in cleaning the mouth of food debris, dead cells, and excess bacteria. Saliva also neutralizes acids and delivers minerals like calcium and phosphate to the teeth that strengthen enamel. Your mouth microbes also train the immune system to respond appropriately to threats. Saliva is also responsible for keeping oral tissues moist, protecting against irritation, ulcers, and infections. It also facilitates speaking and taste perception.

COMMON MISTAKES

Many common mistakes can compromise the health of your oral microbiome and put your teeth, gums, tongue, and overall health at risk:

Brushing with toothpaste that contains ingredients that are too harsh, acidic, and disruptive of the delicate biome. Examples include astringents, alcohol, fluoride, whiteners, certain essential oils, sodium laurel sulfate, and foaming agents.
Consuming too many refined carbohydrates and sugar fuels acid-producing bacteria that damage teeth and gums. This is one of the leading causes of cavities and gum disease.
Use of Antiseptic Mouthwashes, which kill both harmful and beneficial microbes and disturb the delicate, neutral pH of the mouth.
Frequent eating and gum chewing throughout the day prevents saliva from accomplishing one of its primary tasks – to re-mineralize teeth and alkalize the mouth. Eating food, mints, and gum throughout the day causes constant amylase production, which reduces the pH of the mouth, resulting in a constantly acidic oral cavity, which is harmful to the tissues, gums, and teeth. It also results in a constant message to the stomach to lower pH, leading to excessive acid release in the stomach and around the gastric sphincter, which causes heartburn and other symptoms.
Smoking and vaping also reduce microbial diversity and impair immune response.

PROTECTING THE MOUTH MICROBIOME

There are several steps you can take to make your oral microbiome happy again. Brushing and flossing twice a day is a given for most of us. But much more can be done. Choose oral care products free of alcohol, harsh antiseptics, essential oils, sodium laurel sulfate, and foaming agents. Eat plenty of fibrous fruits and vegetables as well as fermented foods, which feed the favorable bacteria of the mouth. Avoid processed sugars and carbohydrates. Give your mouth a break between meals, allowing saliva to re-mineralize and stabilize the neutral pH needed for a healthy oral biome. Staying hydrated helps saliva maintain proper pH and microbial balance. Avoid smoking and tobacco. Consult a biological dentist if oral, dental, or health issues exist.

Your mouth microbiome is a living, dynamic part of your overall health. By supporting it with good oral care, you’re not just protecting your teeth and gums – you’re safeguarding your long-term well-being.

Make your mouth happy. Be Well!

References:

Dewhirst, F.E., et al. (2010). The Human Oral Microbiome. Journal of Bacteriology, 192(19), 5002–5017. https://doi.org/10.1128/JB.00542-10

https://newatlas.com/mental-health/mouth-microbiome-depression/

By Mila McManus MD|2025-08-05T11:01:02-05:00August 6th, 2025|Articles, General|

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