Could You Be Next?

By Admin|2016-08-01T08:57:27-05:00July 29th, 2016|Articles, General|

Do you have, or are you at risk for, an Autoimmune Disease?

By Nancy Mehlert, MS and Mila McManus MD

While rare in underdeveloped nations, autoimmune diseases have become a 21^st century epidemic, with one in six people in America living with autoimmune disease. Some of the increasingly common autoimmune diseases of our times include Hashimoto’s thyroid disease, multiple sclerosis, rheumatoid arthritis, lupus, inflammatory bowel disease (i.e., ulcerative colitis and Crohn’s disease), psoriasis, and celiac disease. What you may not realize is how easily anyone can end up with an autoimmune disease if inflammation is not addressed aggressively and in a timely manner. Here’s why:

Your immune system is designed to protect and defend you from potential invaders; those microbes and substances which should not be in your body, including bacteria, parasites, yeast, fungi, chemicals (e.g., plastics, pesticides, petroleum, heavy metals), and anything else that looks foreign and mysterious to your body. There are varying theories as to the exact etiology of autoimmune disease. Traditionalists tend to blame genetics or occasionally allow that infectious disease may stimulate it. Others in the functional and integrative medicine fields give genetics significantly less credit and recognize inflammation as an underlying common thread to all autoimmune diseases that have become chronic and systemic. Simply put, autoimmune disease occurs when the immune system loses its ability to distinguish friend from foe and begins to attack its own tissues, whether that be an organ, nerves, joints, bone, or other tissues. Most functional integrative practitioners also recognize the gut microbiome (i.e., the colonies of various microbes in the gastrointestinal tract) as providing the vast majority of our immune system, and so connect a compromised microbiome and consequent gut inflammation, as well as related gut permeability (aka “leaky gut”), directly to the onset and progression of autoimmune disease. So while definitions and causes of autoimmune diseases vary, what is consistent among them is a systemic inflammation partnered with the body attacking itself, most likely involving underlying gut UNhealth. Lack of gastrointestinal symptoms does NOT equal a healthy gut. Moreover, let’s not underestimate the role of stress as it triggers and/or exacerbates all that ails you.

Treatment methods also vary. Traditionalists will simply seek to stop the immune response with anti-inflammatory medications and immune suppressing medications, all of which have serious side effects and fail to address the source of the problem. Functional medicine seeks to find the chronic sources of inflammation in the body and correct these areas, working to restore optimal function and offer healing.

Understanding the concepts above about autoimmune disease can help you see that, if you don’t identify and put out the fires of inflammation in the body, they can lead to some very serious diseases. Moreover, it follows that your best defense against autoimmunity is to choose a balanced lifestyle that avoids common sources of inflammation, and address any inflammation at its source if, or when, it does appear.

The human body is complex. Just as a car needs the parts of the engine, properly assembled, AND gas, AND oil, AND tires, AND brake fluid AND filters, the human body has many parts that must function together properly and be cared for properly in order to remain disease free and healthy. There is not a simple pill or diet or an exercise that can cure or prevent autoimmune disease.

Here are many of the likely factors to consider as you seek to avoid or treat an autoimmune disease. We recommend that you partner with a functional/integrative practitioner to explore the following:

Check for hidden infections caused by yeast, viruses, bacteria, and other parasites or pathogens.
Identify food allergens and sensitivities with IgE and IgG testing so that they can be removed as a source of immune attack and invasion.
Identify inflammatory foods and beverages, as well as medications, which contribute to overall inflammation, and avoid them.
Identify vitamin, mineral, and other nutrient deficiencies. Healing and recovery will require them. They help to regulate the behavior of the immune system. For example, vitamin D and zinc deficiencies have been well studied as common culprits involved with inflammation.
Address your gut health by restoring the military force of beneficial bacteria that protects you, while simultaneously eliminating the inflammation there. The gut needs to be healed, sealed and re-militarized!
Identify possible sources of chemical exposure and minimize ongoing exposure. Consider your past and present exposure to pesticides, heavy metals (e.g., mercury, lead and arsenic), petrochemicals, Roundup (an herbicide), plastics, fragrances and other beauty care products. All of these are invaders that create havoc, disrupt normal bodily processes and create real and significant inflammation. They are pervasive and present in our routine daily lives but can be dramatically minimized with an intentional approach.
Consider utilizing PEMF as a complement to your other treatments.
Address your stressors. Stress is an inflammatory trigger. According to Dr. David Marquis, a Diplomat American Clinical Board of Nutrition, “ when you engage in an argument and your cortisol levels increase or you are burning the midnight oil to finish a project and your thyroid hormone levels fluctuate, both are examples of chemical changes in the body that create immediate, real time intestinal permeability, resulting in absorption of partially undigested food, toxins, viruses, yeast and bacteria to pass through the intestines into the bloodstream where the immune response attacks”. Learn to balance your life, practice deep relaxation, exercise regularly but not excessively, ensure quality sleep and maintain healthy relationships. Care for your mind, body and spirit – your whole, integrated being.

References:

https://draxe.com/autoimmune-disease-symptoms/

www.mercola.com

Hemp is Healthy

By Admin|2016-02-19T09:04:36-05:00February 19th, 2016|Articles, General, NANCY’S NUTRITIONAL NUGGET|

By Nancy Mehlert, MS

Hemp seeds are rising in popularity as a wise and healthy addition to a whole food diet and it’s not hard to understand why. Inside this seed is a deeply nutritious profile of healthy fats, generous fiber, quality protein and an amazing supply of vitamins and minerals.

So let’s get clear right away about the relationship of hemp seeds to marijuana. Much like the difference between bell pepper and a chili pepper, both of which are in the pepper family but taste and look very different, hemp and marijuana are both members of the same plant family – cannabis. BUT they are very different! The psychoactive effect in marijuana is caused by Tetrahydrocannabinol (THC). Hemp foods contain only 0.001% of this and do not cause a false positive drug test, nor do they affect pregnant women or children or anyone else eating a quality hemp seed.

So why should you enjoy hemp seeds as part of a healthy diet? Here are 9 really great reasons to include 3 Tablespoons of hemp in your diet often:

You can get an enormous amount of great nutrition in one tiny package. Easy to add to foods and baking or just eat, it is an essential part of fast, portable, healthy food choices.
It has 10 grams of omegas, perfectly balanced between 3s and 6s and high in quality, more than flaxseed or chia seed.
The high quality Omega 6 called “GLA”, which stands for gamma linolenic acid, is promoted by the American Cancer Society as an anti-cancer compound. GLA rich foods such as hemp have been observed to help with ADHD, diabetes, heart disease, high blood pressure, PMS, rheumatoid arthritis and skin allergies.
It has 10 grams of vegetarian protein which is also hypoallergenic, and again, more than flaxseed or chia seed. It contains all 20 amino acids AND, therefore, all 9 of the essential amino acids that our body cannot produce. It is considered a “complete” protein.
Hemp is a very low carb food. All of the carbs in hemp are fiber.
Magnesium deficiency is very common and 3 TBS of hemp offers an amazing 181 mg of magnesium.
Hemp seeds are also rich in calcium, manganese, phosphorus, potassium, zinc and iron.
They offer a good source of Vitamin A as well as some B Vitamins and Vitamin D.
Hemp hearts are raw, whole food with just one simple ingredient.

Eat well. Live Well.

Sources:

www.manitobaharvest.com

http://draxe.com/7-hemp-seed-benefits-nutrition-profile/

Methylene-Tetra-Hydro-huh?

By Admin|2017-03-01T17:36:12-05:00November 4th, 2015|Articles, General|

By Dyvette Warren, PA-C

Edited by Mila McManus MD

Beginning in the womb, and throughout your life, your personal health and happiness, mental capabilities, and propensity for disease are heavily influenced by genetic as well as non-genetic factors, including DNA mutations, nutrition, exposure to microorganisms and toxins, stress, and other environmental conditions.

If you suffer with, or have a history of, migraines, depression, insomnia, anxiety, Alzheimer’s, chemical sensitivities, arthritis, pain, IBS(irritable bowel syndrome), heart disease, stroke, DVT(deep venous thrombosis, ie: blood clot), pulmonary embolism(blood clot in the lungs), side effects with hormones (e.g., birth control pills), miscarriages, autism, birth defects, failure to thrive, anemia, epilepsy, psychosis, ADD/ADHD, seizures, or take prescription medication, particularly those for cancer and autoimmune disorders, we highly recommend that you get tested for an MTHFR gene mutation. This is a piece of the healthcare puzzle that can be treated.

What does the MTHFR gene do?

MTHFR gene provides instruction for making an enzyme called methyl tetrahydrofolate reductase. This enzyme helps amino acids form proteins and influences detoxification efficiency and production of neurotransmitters. A mutated MTHFR gene produces defective enzymes that may perform only 20% – 70% as well as the non-mutated version, depending on the type of mutation.

You ability to effectively break down toxins and eliminate heavy metals, including copper, will be limited. High copper levels deplete zinc levels which can be related to ADHD, depression, headaches, acne, frequent colds, worsening thyroid function, sensitive skin, easy bruising, adrenal stress and more. High copper levels also make it difficult to raise iron levels. Supplementing with Vitamin C and Zinc can help to detoxify and reduce copper levels. Consult with your functional medicine specialist before starting supplements.

A high homocysteine level may develop with an MTHFR mutation, thereby increasing your risk for heart disease, blood clots, stroke, elevated blood pressure, dementia, psychosis, and seizures. A thorough history, along with MTHFR testing, is recommended if you have a high homocysteine level or a history of any of the above listed diseases.

With MTHFR mutation, homocysteine has a difficult time converting to glutathione, the body’s main detoxifier and antioxidant. This contributes to a buildup of toxins and heavy metals in the body.

Also with MTHFR mutation, your body will have reduced capability of converting the inactive forms of folate (folic acid) and B12(cobalamin) into active forms called methyl-folate and methyl-cobalamin.

The Journal of Molecular Psychiatry states that, “Schizophrenia-like syndromes, Bipolar disorder, Parkinson’s disease, Alzheimer’s disease and vascular dementia have all been associated with one or more of the mutations of the MTHFR gene”.

It is likely that MTHFR DNA variation may affect the response to many different medications that affect brain function. Long term use of methotrexate, for example, is associated with elevated homocysteine levels and methotrexate toxicity in patients with MTHFR mutation. We recommend knowing your MTHFR status prior to starting any type of chemotherapy. Chemotherapy neurotoxicity is highly associated with MTHFR mutation. Proper supplementation and future treatment options will need to be discussed with your functional medicine specialist and oncologist once your MTHFR status is known.

Treatment

Although you can’t change this defective gene, you can help it do its job more effectively.

Repairing your digestive system, including optimizing your gut flora (ie blend of microbes in your gut), should be the first step in improving your health.

Methyl-cobalamin and methyl-folate are additional treatment which will be used by your body for detoxing. You may need to start with a low dose to avoid detox effects such as fatigue, muscle pain, headache, anxiety, insomnia, irritability, achiness, etc. Always consult with a functional medicine specialist prior to starting therapy. Click here to read about Active B-Complex by Prothera.

Avoid toxins, including those absorbed through the skin. Look at household cleaning supplies and wear gloves when using chemicals for cleaning. Check your lotions, soaps and deodorants. Use aluminum free deodorants, and use soaps and lotions with the fewest ingredients. We are now offering Pure & Simple Bar soap at our TWIHW facility and it’s just that! You can also visit http://www.ewg.org/skindeep/ which is a database where you can discover what toxic chemicals are in your cosmetics, lotions, and sunscreen products.

Eat healthfully and organic when possible, avoid processed food, don’t smoke, and limit alcohol intake. These measures will help to decrease toxins in the body and will leave the methylation cycle free for other important functions.

There are more than 40 different MTHFR mutations that can be passed down from your mother and/or father. Only two of these are known to be particularly problematic: C677T and A1298C. You might also hear the words homozygous and heterozygous when discussing MTHFR mutations. Homozygous means that you inherited a mutation from your mother AND your father and, therefore, have both copies of the defective gene. Heterozygous means that you inherited the mutation from either your mother or your father and, therefore, have only one copy of the defective gene. If you already know that you have an MTHFR gene mutation, consider having your children’s status tested.

MTHFR testing is offered several ways at our facility (prices are subject to change):

Saliva test kit that you do yourself at home and mail into the lab. This test is $125 and tests for C677T and the A1298C mutations as well as for another mutation called COMT which is also associated with mood disorders and dementia.
Add-on test at Spectracell Laboratories when ordering a nutrient analysis. The add-on price is $40 and tests for C677T and A1298C.
MTHFR can also be ordered through Quest lab who will attempt to bill your insurance; however, we’ve found that many insurance companies will not cover the test and this would result in Quest billing you, the patient, ~$400.

References:

http://www.stopthethyroidmadness.com/mthfr/

http://mthfr.net/mthfr-research/2012/01/27/

BMS Neurology, Effect of MTHFR

US National Library of Medicine National Institute of Health

Genetics Home Reference, Your Guide to Understanding Genetic Conditions

National Center for Advancing Translational Sciences

American Heart Association

Clinical Neurology and Neurosurgery

Holisticprimarycare.net

New England Journal of Medicine

Journal of Human Genetics

Chia Seeds

By Admin|2015-03-22T23:02:26-05:00March 22nd, 2015|Articles, General, NANCY’S NUTRITIONAL NUGGET|

Chia seed is a species of flowering plant in the mint family and is native to central and southern Mexico and Guatemala. They are usually grown organically, are non-GMO and naturally free of gluten. They have become trendy as of late and have been given the status in the nutrition world of being called a “superfood”. This is one superfood that I truly recommend because the nutritional value, ounce for ounce, is rather astounding. (If you are in a hurry to figure out how to use them, skip to the bottom of the article!)

The Nutrition Profile –Amazing!

2 Tablespoons of Chia Seed contains the following:

Protein – 4.4 grams

Fat – 9 grams

Omega-3 fatty acids – 4915 mg

Omega-6 fatty acids – 1620 mg

Carbohydrates – 12 grams

Fiber – 11 grams (42% of the Recommended Daily Value)

Calcium -18% of RDV

Manganese – 30% of the RDV

Magnesium – 30% of the RDV

Phosphorus – 27% of the RDV

Zinc – 7% of the RDV

Chia also contains essential fatty acids alpha-linolenic and linoleic acid, mucin, strontium, boron, Vitamins A, B, E, and D as well as sulfur, iron, iodine, niacin, and thiamine and they are a rich source of antioxidants.

Good for Everything (almost!)

This impressive nutritional evaluation means that, for just 2 tablespoons a day, you can derive a great deal of potential benefit including:

Chia is a balanced food offering high quality protein, fat and carbohydrates. When you eat them, you get some of every primary building block for life.
A digestive health superstar, the carbohydrates in chia are almost totally from fiber. This helps to provide satiation, balance blood sugar, promote bowel regularity, and have a gel forming action in the soluble fiber that works as a prebiotic supporting the growth of probiotics in the gut. By weight, chia seeds are 40% fiber, making them one of the highest sources of fiber available.
Antioxidant rich, chia can be a reliable and powerful protection against free radical damage in the body, the damage that promotes aging (yes including wrinkles!), inflammation and disease.
One small study [i] in Type 2 Diabetics showed that chia seeds can significantly lower blood pressure and C-reactive protein (a marker for inflammation).
Chia has the ability to reverse inflammation, regulate cholesterol and lower blood pressure, all of which support heart health. [ii]
The protein in chia is complete, meaning that it provides all of the essential amino acids that the body requires but cannot make for itself. Since it is a plant protein, it offers a good source of protein for those who do not consume animal protein.
Chia seeds offer an excellent source for calcium as well as most of the other essential nutrients for bone health including phosphorus, magnesium, and boron.
Chia is high in linoleic acid, a fatty acid which helps the body absorb the fat soluble vitamins A, D, E and K.

How to use Chia Seed:

Add to organic yogurt or a non-dairy almond or coconut milk yogurt.
Add to organic unsweetened applesauce.
Drink them by soaking seeds (1.5 Tablespoons) in 8 ounces of water for about 30 minutes or more. Chia seeds hold 12 times their weight in water. When soaked, they can offer great hydration to your body. Unsoaked chia can steal hydration from your body so be sure to drink plenty of water throughout the day to keep your body hydrated.
Make a pudding by putting ¼ cup chia seeds in 8 ounces of nut milk and allow to soak overnight in the refrigerator. Top or blend with pureed mango, blueberries, strawberries, banana, or raspberries.
Pulverize and use chia seed in gluten-free recipes for pancakes, muffins, and breads.
Add to a protein smoothie.
Use in chili or stew to increase nutrition and volume, allowing your shopping dollar to go further without diluting flavors.
Grind and combine with ground pecans, walnuts, hazelnuts, almonds and coconut flakes. Then add hot water for a wonderful low carb breakfast porridge. Sweeten with stevia or lo han if desired.

[i] http://care.diabetesjournals.org/content/30/11/2804.long

[ii] http://www.clevelandclinicwellness.com/Features/Pages/chia-seeds.aspx#

Dangers of Blood Pressure Medications

By Admin|2018-06-28T22:09:12-05:00March 10th, 2015|Articles, General|

By Mila McManus MD

In medical school, we are taught that 95% of the cases of hypertension (high blood pressure) that we come across are considered idiopathic, meaning that it does not have a known cause. We know there are some obvious contributors to high blood pressure such as stress, being overweight, and taking certain medications, but how can it be that so many people require blood pressure medication for no known reason? From a wellness perspective, most cases of hypertension do have an obvious underlying cause, and that’s diet. The ever-worsening American diet is causing an ever-increasing number of people with high blood pressure. It’s time to reflect on the amount of sugar, alcohol, caffeine, salt, toxins, grains, and allergens you are consuming if you have high blood pressure.

Below is a list of common classes of blood pressure medications and some of the more common side effects of them:

Diuretics (“water” pills, e.g., hydrochlorothiazide, furosemide, chlorthalidone). Diuretics work by flushing excess water and sodium from the body, thus lowering blood pressure. Side effects include:

o Arrhythmia

o Low platelets

o Pancreatitis

o Low white blood cell count (ie deficiency in immune cells)

o Glaucoma

o Excess calcium in the body

o High blood sugar

o High cholesterol

o Diarrhea

o Headaches

o Muscle cramps

o Sexual dysfunction

Due to the nature of how these types of medications work, they cause depletion of numerous nutrients, such as:

o Vitamin B6 (relating to depression, sleep disturbance, increased heart disease risk)

o Vitamin C (relating to weak immunity, easy bruising, poor wound healing)

o Zinc (relating to weak immunity, poor wound healing, altered sense of smell/taste, sexual dysfunction)

o CoQ10 (relating to various cardiovascular problems, weak immune system, low energy, muscle weakness)

o Potassium (relating to irregular heartbeat, muscle weakness, fatigue, edema)

o Sodium (relating to muscle weakness, dehydration, memory problems, loss of appetite)

o Magnesium (relating to cardiovascular problems, including higher blood pressure, asthma, osteoporosis, muscle cramps, PMS)

Angiotensin-converting enzyme (ACE) inhibitors. These allow blood vessels to widen by preventing the formation of a hormone called angiotensin. Frequently prescribed ACE inhibitors include enalapril (Vasotec), lisinopril (Prinivil, Zestril) and ramipril (Altace). Side effects include:

- Swelling of the head, neck, tongue
- Abnormalities of blood cells
- Kidney failure
- Liver toxicity
- Pancreatitis
- Headache
- Diarrhea
- Chronic cough
- Fatigue
- Sensitivity to light
- Zinc deficiency which causes weakened immune system, impaired wound healing, altered sense of smell/taste, and sexual dysfunction

Angiotensin II receptor blockers. These help blood vessels relax by blocking the action of angiotensin. Frequently prescribed angiotensin II receptor blockers include losartan (Cozaar), candesartan (Atacand) and valsartan (Diovan). Side effects include:

- Chronic cough
- Upset stomach
- Swelling of head, neck, tongue
- Kidney failure
- Fatigue

Beta blockers. These work by blocking certain nerve and hormonal signals to the heart and blood vessels, thus lowering blood pressure. Frequently prescribed beta blockers include metoprolol (Lopressor, Toprol XL), nadolol (Corgard) and atenolol (Tenormin). Side effects include:

- Heart failure
- Fatigue
- Depression
- Impotence
- Cold extremities
- Dizziness
- Shortness of breath
- Vertigo
- Deficiency of CoQ10 which causes various cardiovascular problems, weak immune system and low energy

Calcium channel blockers. These prevent calcium from going into heart and blood vessel muscle cells, thus causing the cells to relax, which lowers blood pressure. Frequently prescribed calcium channel blockers include amlodipine (Norvasc), diltiazem (Cardizem, Dilacor XR) and nifedipine (Adalat CC, Procardia). Side effects include:

- Arrhythmias
- Heart failure
- Edema (e.g. puffiness/swelling of hands and feet)
- Headache
- Nausea
- Dizziness
- Asthenia (restless feeling)
- Constipation

Renin inhibitors. Renin is a substance produced by your kidneys that starts a chain of chemical steps that increases blood pressure. Aliskiren (Tekturna) slows down the production of renin, reducing its ability to begin this process. Due to a risk of serious complications, including stroke, you shouldn’t take aliskiren along with ACE inhibitors or angiotensin II receptor blockers if you have diabetes or kidney disease. Other side effects include:

- Kidney stones
- Swelling of head, neck, tongue
- Diarrhea
- Kidney failure

Alpha agonists. (clonidine, brand name of which is Catapres) This class of drug works on receptors in the brain that inhibit the release of norepinephrine, thereby relaxing blood vessels which, in turn, lowers blood pressure. Side effects include:

- Depression
- Dizziness
- Dry mouth
- Sexual dysfunction
- Fatigue
- Ear pain
- Headache
- Insomnia
- Deficiencies of:
  - - Coenzyme Q10 (Various cardiovascular problems, weak immune system, low energy)
    - Vitamin B6 (Depression, sleep disturbance, increased cardiovascular disease risk)
    - Zinc (Weak immunity, impaired wound healing, altered sense of smell/taste, sexual dysfunction)
    - Vitamin B1 (Depression, irritability, memory loss, muscle weakness, edema)

Alpha blockers. These medications prevent norepinephrine from binding to alpha-1 receptors on smooth muscle surrounding blood vessels, thereby keeping them relaxed, which in turn lowers blood pressure. Examples of this class include terazosin (Hytrin), Prazosin (Minipress), and doxazosin (Cardura). Side effects include:

- Some research has found that some alpha blockers can increase the risk of heart failure with long-term use
- Arrhythmia
- Priapism (dangerous long lasting erection)
- Headache
- Dizziness
- Fatigue
- Edema (swelling)
- Diarrhea
- Shortness of breath
- Nausea
- Dry mouth
- Blurred vision
- Excessive urination

Vasodilators. (hydralazine). This class of medication directly relaxes the blood vessels by interfering with calcium transport. Side effects include:

- Inflammation of nerves
- Headache
- Lupus
- Abnormalities of blood cells

Now that you’ve read many reasons to avoid blood pressure medications, here are some alternative methods to consider which can all help to reduce your blood pressure naturally.*

Supplements, such as:

o Magnesium-relaxes smooth muscle cells in blood vessels, thus reducing pressure. Read more about magnesium here.

o Krill oil-according to writer Tanya Louise Coad in an article on livestrong.com, “hundreds of published studies have shown benefits from supplementing omega-3s for lowering blood pressure”. She further stated that “a study reported in the May 2009 issue of the Journal of Food Science found a significant blood pressure lowering effect from krill oil on rats. The researchers extracted a peptide from oil located in the tail section and when they fed it to rats, it produced an immediate drop in the animals’ blood pressure”.

o Vitamin D- according to an article by Dr. Mercola, vitamin D deficiency increases parathyroid hormone production, which increases blood pressure. Moreover, Vitamin D is also a negative inhibitor of your body’s renin-angiotensin system (RAS), which regulates blood pressure. If you’re vitamin D deficient, it can cause inappropriate activation of your RAS, which may lead to hypretension.

o Neo40 is a supplement that boosts nitric oxide. Read about it here.

Deep breathing exercises

o Several times per day, and especially when feeling stressed, stop and take 30 seconds to do the following: Sit relaxed in a chair, close your eyes, hold your hands together, picture a happy memory in your mind, and take 4 deep breaths with a 4-count in and 4-count out.

EFT
Meditation
Healing Codes
Exercise
Weight loss
Reduce or eliminate alcohol consumption
Reduce or eliminate caffeine intake
Low carb diet- Insulin depletes magnesium, impairs body’s ability to produce nitric oxide, and causes sodium retention, all of which contribute to high blood pressure. Read Nancy Mehlert’s article about the vicious cycle.

*This information is for educational purposes only and should not be construed as medical advice. Any changes to blood pressure medication should be done under medical supervision.

Resources:

Dangers of Anti-Acids

By Admin|2014-12-09T20:43:31-05:00December 9th, 2014|Articles, General|

by Mila McManus MD

If you have made it a habit of taking anti-acids on a regular basis, whether it’s Nexium, Prilosec, Prevacid, Zegerid, Zantac, Pepcid, Tums, or Rolaids, to name a few, I strongly encourage you to read this article. The FDA cautions against high doses or prolonged use of Proton Pump Inhibitors (e.g. Prevacid, Nexium, and Zegerid) because they’ve been shown to increase the risk of infection, bone fractures, and dementia. Moreover, all anti-acids (e.g. Zantac, Pepcid, and Tums) have 4 main consequences:

1. Increased bacterial overgrowth

2. Impaired nutrient absorption

3. Increased susceptibility to infections

4. Increased risk of cancer and other diseases

You’ve been led to believe that the cause of your heartburn or acid reflux is too much acid. Well, I’m here to tell you that we all have acid and we all need acid for proper processing of the foods we eat. The real problem is dysfunction of the lower esophageal sphincter (LES). The LES is what separates the esophagus from the stomach and its job is to keep foods and liquids from coming back up, and to keep stomach acid in the stomach where it belongs. So when you ask yourself why you have too much acid causing your heartburn, you should really be asking yourself why your LES is failing.

Below are some important facts about causes of heartburn, consequences of acid-reducing drugs, and real treatment options:

LOW stomach acid is the usual initial cause of heartburn and reflux.
Low stomach acid allows for bacteria to flourish, whereas adequate amounts of stomach acid that should normally be present help to prevent overgrowth of bacteria because the acid makes a hostile environment in which to grow. It is well documented that acid-reducing drugs promote bacterial overgrowth.
Since stomach acid stimulates the pancreas to secrete enzymes that digest/process carbohydrates, when there’s a lack of stomach acid, carbohydrates cannot be broken down properly (nor can protein or fat, since that requires stomach acid as well).
When you have unprocessed carbohydrates, they will then be fermented by gut bacteria which in turn help the bacteria to thrive, causing overgrowth of these opportunistic microbes.
This also creates an excess of gas production which increases intra-abdominal pressure, which consequently leads to malfunction of the LES.
If it’s gas produced by maldigestion of carbohydrates, (which causes subsequent fermentation by gut bacteria leading to the production of gas) that causes reflux, then it would make sense that reducing intake of carbohydrates and/or reducing the bacterial load in the gut would help reflux. And by golly, it has been shown that both of these independently can improve or resolve reflux.
Dr. McBride, in her book Gut and Psychology Syndrome, mentions that there are opportunistic bacteria in the gut that, when allowed to flourish, can produce and secrete substances that relax the LES, thereby causing reflux of stomach contents.
It’s a well-known fact that low stomach acid reduces absorption of important nutrients such as amino acids, iron, B12, folate, calcium and zinc.

-Amino acids are the building blocks for everything from hormones and enzymes to muscles and neurotransmitters. Your body can make some of its own amino acids, while others (aka “essential amino acids”) must be obtained from the diet. One of these is Tyrosine, which is required to make thyroid hormone. (test yourself for low thyroid function here) Tyrosine also plays an important role in supporting neurotransmitters that affect mood and appetite. Since many of the amino acids, such as phenylalanine and tryptophan, play a crucial role in mental and behavioral health, low stomach acid predisposes people to developing depression, anxiety, and/or other mental health issues.

-Iron is vital for oxygen transport and DNA synthesis. Low iron will lead to anemia, low energy, and hair loss.

-Vitamin B12 plays a wide variety of roles, including supporting metabolism and nerve function. Symptoms of low B12 include fatigue, memory impairment, depression, anemia, numbness and tingling.

-Folate also has many functions in the body. Low folate can lead to birth defects, heart disease, cancers, and blood disorders.

-Your body uses most of its calcium to keep your bones and teeth strong. The rest of the calcium in your body plays key roles in cell signaling, blood clotting, muscle contraction and nerve function.

-Zinc is another vital nutrient that’s needed for the body’s immune system to work properly. It also plays a role in cell division, cell growth, wound healing, and hormone balance.

Stomach acid is a first line of defense for us. It kills disease-causing microbes that might be hiding in our food, and also prevents bacteria in our intestines from migrating up into the stomach and beyond.
Causes of low stomach acid:

-Anti-Acids, as mentioned above

-Aging

-Auto-immune diseases, particularly of the thyroid and gastrointestinal tract

-Adrenal fatigue (aka adrenal insufficiency)- Cortisol is the main hormone that’s depleted in someone with adrenal fatigue, and cortisol stimulates secretion of stomach acid

-H. pylori, which is a bacterial infection that thrives in the stomach by reducing acid in the stomach (since stomach acid usually prevents growth of bacteria).

Other well-known causes of malfunction of LES—caffeine and alcohol
Treatment options:

-Get evaluated and, if applicable, treated for H.pylori infection
-Get treated for adrenal fatigue by a qualified functional medicine practitioner (click here to test yourself for adrenal fatigue and call 281-298-6742 to speak with a wellness consultant)
-Cut back on or eliminate caffeine and/or alcohol
-Supplement with stomach acid! There are several caveats here, so this is best handled by supervision from a functional medicine practitioner. You can find Betaine HCL supplements with pepsin that provide the stomach acid you need; however, these are best used under supervision to ensure that underlying causes of LES dysfunction are being addressed first, or in conjunction, and that there are no contraindications to using this supplement, such as active stomach ulcers.

Resources:

Gut and Psychology Syndrome by Dr. Natasha Campbell-McBride

PubMed

http://chriskresser.com/heartburn

Supplements that Support your Immune System

By Admin|2014-08-02T09:16:06-05:00August 2nd, 2014|Articles, General|

Support your Immune System

When it comes to prevention and protection, the following supplements that support your immune system make a great basic arsenal of weaponry to have handy to incorporate when you sense your immune system is under unusual attack or stress. Depending on the supplement, increasing the amount you are already taking or adding a couple of them into your daily supplement regimen for a number of days can help to bolster the immune system and/or attack germs that have entered the body. Work with your wellness provider here at TWIHW to develop a strategy that will meet your individual needs.

Vitamin D
Vitamin C
Zinc
Silver Sol
Probiotics
Echinacea – (caution: people with certain allergies (e.g. ragweed) may have adverse reactions to Echinacea)
Essential Oils – stay tuned next month for more on essential oils and their many uses such as immune system support and cleaning the house!

*The product information provided is for educational purposes and is not intended as either diagnosis or treatment of any disease, nor does it replace professional medical advice.

*Warning: Please consult a health care professional before using these products.

Defending the Borders, Part III

By Admin|2014-08-02T08:45:03-05:00August 2nd, 2014|Articles, General|

Being Proactive Against Invaders

This month, we’re closing this series by encouraging you to have a strategic lifestyle that protects your Body Nation. It is proactive and anticipatory in nature.

In military terms, this concept is well demonstrated by the events of 9/11 and the Boston Marathon attack in 2013. When events like this occur, our governments stop to ask the question, “How did this happen and how do we prevent it from reoccurring?”

Do you ever look at your health this way? Do you ask yourself what events occurred that left you exhausted, or with a cold, flu, stomach virus or yeast infection? And more importantly, what can you do going forward to prevent this from happening again? Here are simple proactive and defensive strategies to prevent attack.

Make Wellness Your Lifestyle Routine

Our lifestyle choices direct us in one of two directions: toward disease or toward wellness. Where are your choices taking you? Adopting a healthy lifestyle for life is the single greatest step you can take toward staying well and protecting your health. The core foundational pieces must include:

Food and water choices that truly nourish the physical structure of the body.
Spiritual or meditative time for mental health and self-respect.
Quality sleep for healing, balance, detoxification and restoration.
Routine exercise for strength, stress reduction and stamina.

Are you taking good care of yourself? Get started on a commitment to continually adjust your lifestyle to achieve balance in this foundation for wellness.

Anticipating What Lies Ahead

To avoid getting caught off guard, like our nation did with 9/11, you will find it helpful to anticipate possibilities and take protective, preventative measures. Here are examples of what this looks like:

Crazy Busy Week Ahead: Schedule and plan non-negotiable self-care appointments for wise food choices, adequate sleep, exercise and quiet time.
Germy Places: Anticipate airplanes, hospital visits or being in crowded venues and increase probiotic intake for a day or two before, during and after. In addition, keep you hands clean and off of your face. (The more people you are around, the more likely germs will be passed).
Life’s Most Stressful Events: Recognize that the most difficult life events require a wellness strategy. A dying parent, loss of a job, divorce or loss of someone you love each demand streamlining your life by delegating what you can, stepping away from some commitments for a time, and investing more time in self-care and wellness. Consider professional help, rally friends and family for support, ask your wellness provider about diet and supplements that can help to ease anxiety, reduce inflammation and improve rest.
Feels Like You Are Coming Down With Something:

o At bedtime, increase your military force right where you need it by opening a probiotic capsule and dumping its contents on the back of your tongue before putting your head on the pillow. Doing this places military forces right in the ears, nose and throat.

o Consider adding or increasing supplements that boost your immune function such as probiotics, Silver Sol, zinc, vitamin D and vitamin C. (See Supplement of the Month section in this newsletter.)

o Focus on anti-microbial, anti-fungal, anti-bacterial, antioxidant foods (see the Nutrition article in this newsletter.)

General Maintenance and Upkeep: Seasonally, take time to cleanse your body through juicing, fasting, eating raw or some similar cleansing technique that works well for you. Consult with Nancy Mehlert, our nutritionist, for methods that will meet your individual needs.
Take Direction from Your Body: Most of us are miserably out of relationship with our body. It does speak to you, so learn to listen to it! Listen for thirst, pain, exhaustion, fullness, or hunger and respond with provision. If a craving exists for a healthy food such as a vegetable, nut, or meat, then meet that demand by getting that exact food. (Be aware of malware messages for donuts, ice cream or chips. If you get those messages, some other malicious invader is attacking you).
Get Out In Front of Potential Trouble: If you know you have to have x-rays taken or a certain medical procedure will involve antibiotics or steroids, put a dietary and supplemental plan in place to protect and maintain your gut bacteria by increasing probiotic doses and consulting with your wellness provider for assistance.

Anticipating possible damage, taking proactive steps, and developing a well balanced lifestyle will lead you to wellness.

Digestive Aid

By Admin|2014-06-27T08:35:19-05:00June 27th, 2014|Articles, General|

Digestive Aid for Acid Reflux and Other Ailments

Digestive Aid supports proper digestive function by supplying hydrochloric acid from betaine HCl and pepsin for enhanced protein digestion. It also provides nutrient cofactors B1, B6 and zinc which support the body’s own production of HCl. Additionally, Digestive Aid includes Gamma Oryzanol and Fucoidan which soothe, support and strengthen the protective stomach mucosa.

While counter intuitive, heartburn and reflux can be symptoms of depleted stomach acid, rather than too much. Over the counter drugs and prescription drugs commonly used for heartburn and acid reflux actually can do more harm than good by blocking the production of acid in the stomach making it very difficult for foods to be properly broken down for digestion. A healthy diet combined with probiotics, digestive enzymes, and when necessary, increasing Hydrochloric Acid with meals through the use of Digestive Aid can offer a four pronged approach to improve or resolve most digestive issues.

*The product information provided is for educational purposes and is not intended as either diagnosis or treatment of any disease, nor does it replace professional medical advice.

*Warning: Please consult a health care professional before using this product.

Immune Boosting Foods To Keep You Well

By Admin|2014-03-03T11:01:43-05:00February 14th, 2014|Articles, General, NANCY’S NUTRITIONAL NUGGET|

by Nancy Mehlert, MS

Supplementation is often a necessary step to ensuring our body is getting all of the vitamins, minerals and micronutrients necessary for optimal healthy living. Many of our food sources are contaminated, and we don’t always choose the right variety and quality of food necessary to stay well. But that does not mean we should not make every effort to eat well and make wise food choices. We know that Zinc, Vitamin D, Vitamin C, and Probioticsare all critical players in the ability of the immune system to fend off disease and germs. To help you make wise food choices that will arm your immune system with all the right weaponry, we have provided a list of the best food sources for each of these key immune boosting foods.

Zinc is found in highest levels in oysters, though they can also be ocean polluted with chemicals and metals so are not recommended as a daily food choice. Better daily sources include grass fed beef, lamb, pork, liver, herring, egg yolks, pecans, Brazil nuts, pumpkin seeds, ginger root, mustard, chili powder, and black pepper.

Vitamin D is difficult to obtain from food and the body’s ideal source is to manufacture it from cholesterol in our skin from the ultra violet rays of the sun. With busy indoor lives, northern climates, cholesterol-lowering medications, clothes covering our skin and concerns about skin cancer, we are getting less sunshine, so Vitamin D deficiency is very common. We recommend supplementation of Vitamin D with regular monitoring for optimal levels by your healthcare professional. However, modest amounts of naturally occurring vitamin D are provided in egg yolks, butter, liver, mackerel, salmon, sardines, herring, mushrooms and dark leafy greens.

Vitamin C is an essential nutrient that our bodies cannot manufacture and is only available in plant foods. It is also not very stable, so is most potent and available in very fresh, uncooked fruits and vegetables. Fresh vegetable juicing and eating fresh, whole fruits are two very effective ways to get Vitamin C. All fruits and vegetables are very good sources but the very highest levels are found in the citrus fruits, cantaloupe, strawberries, red and green bell peppers, broccoli, Brussels sprouts, tomatoes, asparagus, avocado, parsley, dark leafy greens, and cabbage.

Probiotics are the amazing bacteria that form the military force that protects your body from invasions of every kind. Also called favorable or “friendly” bacteria, they serve to help in the production of some B vitamins and vitamin K, breakdown our food, and inhibiting the growth of pathogenic (disease-causing) bacteria, viruses, fungi and parasites. This is especially true of invading germs that arrive in, and on, our food. While we recommend probiotic supplementation, fermented and cultured foods are the ideal choice due to the very high population or concentration of living friendly bacteria. Unfortunately, food processing has killed the living aspects of most of our foods so few foods exist today in typical grocery stores that are truly living and full of favorable live bacteria. Whole Foods stores carry several brands of fermented sauerkraut and a high quality organic, living yogurt. (Most live cultures in typical store bought yogurts are inconsequential in number, damaged by pasteurization and combined with a great deal of sugar.) Additionally, fermented vegetables can also be purchased online at Immunitrition.com. Additional resources to learn more about fermenting foods can be found on the Internet at many websites, one such example is www.culturesforhealth.com.

Eat Well, Stay Well!

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