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Seasonal Considerations

By |2019-11-05T06:27:30-05:00October 24th, 2019|Articles, NANCY’S NUTRITIONAL NUGGET|

By Nancy Mehlert, MS

Fall is here, the weather is changing, and the holiday season is quickly approaching.

We wish each of you a wonderful season celebrating with family and friends.  I hope you can find many things and people for which to be thankful.  Know that all of us at TWIHW are thankful for you!

Early November is a good time to make a few plans that can make your holidays healthier.  Today we are providing two low carb, yet delicious recipes for holiday enjoyment that will delight both family and friends.  They are so good, no one will know they are actually healthy for you!  There are many more holiday recipes on our Resources/Recipes tab at TWIHW.com and in our Health Reset Protocol Cookbook, which was newly revised and expanded this year.  If you don’t have a copy, be sure to get one!

When seasons change, the human body seeks change also.

Listen to your body and nourish it well.  Consider incorporating warmer foods such as soups and stews and winter squash.

As sunlight diminishes, you may feel better if you get into the sunshine during the warmer parts of the day to increase your Vitamin D level and maintain a brighter mood.  If that is not possible, you may want to increase your vitamin D3 intake.  This helps to boost your immune function for the flu/cold season and keep your spirits bright.

If your activity level increases or decreases as a result of the changing seasons, then adjust your food intake accordingly.  Some are very active during summer months but less so in the winter and visa versa.  Making dietary adjustments can prevent weight fluctuations and give you a better sense of balance and energy.

I like this Julia Child quote: “This is my invariable advice to people:  Learn how to cook. Try new recipes.  Learn from your mistakes. Be fearless.  And above all, have fun!”

Best wishes for a delightful and fun holiday season.  Eat well.  Be well.

Fatigue or Decreased Energy

By |2020-10-08T10:20:27-05:00September 21st, 2018|

Fatigue or Decreased Energy

Possible causes of your fatigue:

  • Low thyroid function despite normal labs. Having a normal thyroid level does not mean that your thyroid hormones are getting inside your cells which is where they have action.
  • Adrenal fatigue 
  • Mitochondrial dysfunction. Mitochondria are the energy factories in your cells (often caused by increased oxidative stress, toxins, genetic factors, diet, and nutritional deficiencies)
  • Other hormonal imbalances (often despite normal labs)
  • Vitamin deficiencies
  • Undiagnosed or untreated sleep disorders
  • Food allergies and sensitivities
  • Side effect of your medication(s)
  • Chronic microbial infection such as Lyme disease and Epstein-barr virus

At TWIHW, we work on detecting and addressing all of the above factors which are usually ignored in conventional medicine.

Call 281-298-6742 today and get started on a path to healing!

State of the Art Testing: Optimized Treatment and Prevention

By |2022-10-10T17:06:59-05:00July 25th, 2018|General|

By Mila McManus, MD

When I founded The Woodlands Institute for Health & Wellness in 2004, there were far fewer useful and affordable tests to utilize with my patients.  In Functional Medicine, our goal is to identify the root causes of disease while working to build overall optimal health. Functional medicine is observing the uniqueness of each person.  It is, in fact, individualized medicine. The human body is intricate and complex which can make the search for root causes in unique people a step by step, sometimes arduous process of elimination and trial and error. Thankfully, over the last decade, significant advancements in our understanding of the gut biome, immunology, nutrition and genomics have resulted in very advanced and affordable tests which tell us about you as an individual. This leads to personalized and optimized treatment plans with better health outcomes.  Not only do many of these tests lead us to the root causes of symptoms and disease, but also help to identify genetic mutations, predispositions for disease, and help to detect problems early. Below are descriptions of many of the tests we offer here, many of which are new.  

COLOGUARD Colon Cancer Screening is one of our newest test and a welcomed alternative to the traditional, and unpopular, colonoscopy.  The test kit is used at home and is a stool collection which does not require bowel preparation, dietary restrictions or medications to complete. The test uses advanced multiple-marker, stool DNA technology to detect colorectal cancer and advanced adenomas. It is 92% sensitive for detection of colorectal cancer and analyzes patient stool for the presence of 11 molecular markers, including hemoglobin and DNA markers and can detect pre-malignant neoplasia at early onset of abnormality. Patient Profile: Intended for adults, 50 years or older, who are at typical average-risk for colorectal cancer. Offers an excellent screening for colon cancer without the hassle of a colonoscopy. A positive test result would, however, lead to a colonoscopy.  It’s recommended every 3 yrs and is covered by most insurance companies, including Medicare.  You are NOT a candidate if you have a history of colon polyps, and family history of colon cancer, or if you have inflammatory bowel disease (i.e., Crohns, Ulcerative Colitis).

COLOR test: Genetic Risk for Cancer is tested by examining 30 genes including BRCA1 and BRCA2 to help women and men understand their risk for common hereditary cancers, including breast, ovarian, colorectal and pancreatic cancer. Patient Profile: Individuals with a family history of cancer, or those who want to make intentional proactive lifestyle and healthcare choices to avoid or minimize risk for cancer.

IvyGENE: Cancer screening for breast, colon, liver and lung cancer is available by blood draw in our office.  Patient Profile:  Individuals with lab markers suspicious for cancer and/or at the recommendation of the medical practitioner.

Genetic risk detection for heart disease tests for coronary artery disease, myocardial infarction and congestive heart failure risk. Patient Profile: Individuals with a family history or uncontrollable hypertension.

Wheat Sensitivity Testing is done at the highly sensitive peptide level and can confirm Celiac disease, leaky gut caused by wheat allergy, and WGA related Vitamin D deficiency.  The test also allows for tracking of the healing process for leaky gut. Patient Profile: Individuals with digestive disturbances, fatigue, chronic headaches, low vitamin D, joint pain or numbness in fingers, arms or legs, leaky gut syndrome or skin inflammation.

Gut microbiome evaluation examines bacteria, fungi and parasites, identifying imbalances and pinpointing potential risks associated with imbalances.  Patient profile: Individuals with IBS, Autoimmune disease, skin conditions, food intolerances, joint pain and inflammation, fatigue, and nutrient deficiencies.

Neural Zoomer is a test designed to assess an individual’s reactivity to neurological antigens.  Results provide a comprehensive set of autoimmunity markers, from a single blood draw.  Neurological risk for demyelination antigens, blood brain barrier disruption, optical and autonomic nervous system disorder, peripheral neuropathy, brain autoimmunity and neural genetics (available upon request) are assessed. The results allow for early risk detection to motivate the patient to improve lifestyle and information to guide the medical practitioner to an optimal treatment plan. Test provides ability to track progress.  Patient profile: Individuals with ataxia, sensory loss, neuropathic pain, muscle pain/spasm/weakness, brain fog, chronic pain, orthostatic hypotension, photosensitivity, and autoimmune disease.

IBS-D and Small Intestinal Bacterial Overgrowth test confirms IBS-D and SIBO and allows tracking of progress following treatment.  Patient profile: Individuals with abdominal pain, bloating, diarrhea, flatulence, abdominal distension and weakness.

Lectin and Aquaporin Sensitivity test measures the body’s IgG & IgA immune responses to both specific lectins and aquaporins. Immune responses to lectins and aquaporins can result in microbial imbalances, damage of the gut lining and provoke delayed immune responses. This test is specific and defined for 16 commonly consumed high lectin foods and 7 aquaporin foods that often trigger autoimmune responses in the body. Patient profile: Individuals with known autoimmune disease, those who struggle to lose weight, or have bloating, gas, abdominal cramps, painful and swollen joints, fatigue, skin rashes, hormonal fluctuations, nausea or allergy like symptoms.

Genetic testing which, while similar to the popular 23 & Me, provides a deeper level of medical information upon which a provider can formulate treatment protocols. Many genetic mutations directly impact the methylation and detoxification pathways in the human body. Knowing the mutations allows the provider to guide the patient in addressing chronic medical conditions by using nutrition and nutrient supplementation as well as other treatment protocols. The test includes testing for MTHFR and other genes in methlyation pathways, COMT, genes related to detoxification, inflammation, and more. It’s done through a cheek swab from a home test kit. Patient Profile: Individuals with diagnoses, symptoms, or lab data indicating a tendency toward cardiovascular diseases, neurological disorders (e.g. depression, Alzheimer’s, autism spectrum, migraines insomnia), metabolic conditions (diabetes mellitus, kidney diseases, multiple chemical sensitivity, metabolic syndrome), musculoskeletal disorders (osteoporosis), macular degeneration, and cancers.

Comprehensive nutrient analysis measures functional deficiencies at the cellular level.  It is an assessment of how well the body utilizes vitamins, minerals, amino/fatty acids, antioxidants, and metabolites. It also provides treatment recommendations to improve the deficiencies to enable the production of enzymes, hormones, and other substances essential for proper growth, development and good health. Patient Profile: An excellent first assessment to ensure proper supplementation as well as an excellent starting point to assess overall cellular function and needs. Also used when symptoms have not resolved with diet and supplements.

Heavy Metal Testing provides an analysis of the levels of toxic metals and essential elements in urine after administration of a metal detoxification agent. This provides an indication of the accumulated toxic burden on the body.  Low level exposure to toxic metals and essential elements can result in significant retention in the body and can be associated with a vast array of adverse health effects. Patient Profile: Patients with known exposure to heavy metals, unresolved allergies, seizures, unusual neurological symptoms, metabolism issues such as inability to lose weight, history of dental work, and compromised immune function.

Food sensitivity testing helps to identify if the immune system is out of balance, irritated and up-regulated, causing it to attack our food as if it were a threat.  Tests identify what foods are causing these inflammatory responses which most often result in a variety of symptoms. Results allow the patient to remove foods which irritate the immune system so that it can be balanced and down-regulated as well as provide some insight to the provider as to the degree of gut inflammation. Patient Profile: An excellent first assessment for anyone with issues of the digestive system, skin, respiratory system, migraines, muscle or joint pain, low energy, mood swings, anxiety, poor sleep, or children with failure to thrive.

Environmental Allergy Testing is a skin prick, intradermal test for 40 airborne environmental allergens including weeds, grasses, trees, dust mites, mold spores and animal dander. Test also includes wheat, corn, egg, milk, yeast, soy and oat. Intradermal testing is more accurate and sensitive than most typical blood tests for IgE allergies to foods and inhalants. Test results allow for the personalized preparation of allergy drops (not shots!) containing the antigens you need, no matter where you travel. Administering small amounts of these antigens daily will train your immune system to accept the allergens instead of fighting them. Patient Profile: Individuals who suffer with sneezing, post-nasal drip, coughing, sore throat, snoring, headaches, poor sleep, dark circles under eyes, itchy eyes and nose, bloody nose, decreased sense of smell, decreased sense of hearing, eczema or other skin rashes or bumps, fatigue, and/or frequent upper respiratory infections.

Neurotransmitter Testing evaluates the levels of neurotransmitters that directly impact daily life function related to pleasure, reward, mood, alertness, calmness, learning, libido, appetite, energy, attention, aggression, and sense of wellbeing. Patient Profile: Individuals who struggle with anxiety/panic attacks, depression, negativity, easy agitation, low mood, fatigue, impulsive behaviors/addiction, sleep disturbances, hyperactivity, PMS or PMDD and/or poor concentration/focus.

Cognitive Health Assessment by Cambridge Brain Systems provides simple and powerful online brain health assessment solutions.  Patient Profile: Individuals who want to quantify cognition, track cognitive trends and want to educate themselves.

Metabolic Rate Analysis (aka Metacheck) allows you to quickly and accurately learn your resting metabolic rate.  Patient Profile:  Individuals wanting to know how their metabolism is truly working, i.e. how many calories are burned daily at rest, and with exercise.

Consult with your medical provider for suggestions and guidance regarding which test or tests may help to optimize your treatment plan and expand your knowledge about your health!

Sticks and Stones May Break Your Bones and So Will This

By |2017-07-04T09:08:48-05:00July 4th, 2017|Articles, General|

By Mila McManus MD and Nancy Mehlert MSosteoporosis

We tend to not think about our bone health until we break one. , but maybe we should. The Journal of Bone and Mineral Research reported a study which revealed that 10.2 million adults have osteoporosis and another 43.4 million have low bone mass (osteopenia).  That’s more than one-half of the total U.S. adult population! The study projects that by 2020, the number of adults over age 50 with osteoporosis or low bone mass will grow from approximately 54 million to 64.4 million and by 2030, the number will increase to 71.2 million (a 29% increase from 2010).  Moreover, it’s anticipated that the number of fractures will grow proportionately. ¹

Osteoporosis is defined by the National Osteoporosis Foundation as a bone disease that occurs when the body loses too much bone, makes too little bone, or both, and as a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps. The word osteoporosis means “porous bone.” Viewed under a microscope, healthy bone looks like a honeycomb. When osteoporosis occurs, the holes and spaces in the honeycomb are much larger than in healthy bone. Osteoporotic bones have lost density and mass and contain abnormal tissue structure. As bones become less dense, they weaken and are more likely to break. ²

The good news is that most people can prevent, or reverse, bone loss through lifestyle choices.  Here’s a list of important considerations to building and protecting your bones so that you don’t become a statistic:

  • Healthy bones require many nutrients, including protein, fats, vitamins and minerals to stay strong and repair themselves. Simply trying to increase calcium is an inadequate and potentially harmful approach, as research is suggesting this can actually worsen your bone density and lead to heart attacks.²   Instead, it is important to obtain proper balances of vitamin D and K as well as boron, silica, manganese, copper, iodine, magnesium, chromium, zinc and selenium.  Proper supplementation can go a long way to protecting your bones.
  • Nutrition plays a very foundational and critical role in bone health. There are important foods to include to optimize bone health. Equally important, there are foods that pull calcium away from bones and need to be avoided.  Some of them may surprise you! See our Nutrition Nugget for details.
  • Exercise increases bone strength, especially weight bearing choices such as walking, hiking, jogging, stair climbing, lifting weights and playing tennis.
  • Those who smoke cigarettes or drink excessive alcohol are more prone to bone loss and broken bones as well as more likely to get other lifestyle diseases.
  • Low estrogen levels in women and low testosterone levels in men can cause osteoporosis. In fact, bio-identical hormones, especially the use of progesterone and testosterone, have proven very effective with increasing bone density. Synthetic hormones have not proven very successful and come with many side effects.
  • Medications can also steal bone health so it may pay off to discuss with your medical provider if you are using any medications that negatively impact your bones. Some examples include proton pump inhibitors used for heartburn, long term use of high dose steroids such as prednisone, chemotherapy and anticonvulsants.
  • Fluoridated Water and other sources of fluoride such as toothpastes, mouthwashes, foods and beverages processed with fluoridated water are problematic for our bones over time. Excess fluoride in the body results in excessive thickening of bone causing joint pain, bone pain and stiffness.  Interestingly, even though the bone becomes thicker, it becomes more brittle. Fluoride should not be ingested for many reasons, bone health being just one example. ⁴

So take control, examine your bone health strategy and take positive steps to improve it.  Talk to our medical providers for recommendations and a good plan for you.

 

 

References:

¹https://www.nof.org/news/54-million-americans-affected-by-osteoporosis-and-low-bone-mass/

²http://articles.mercola.com/sites/articles/archive/2012/01/30/calcium-supplement-on-heart-attack.aspx

³https://www.nof.org/patients/what-is-osteoporosis/

⁴http://articles.mercola.com/sites/articles/archive/2011/08/08/bone-fluorides-magnet-new-studies-halflife.aspx

http://www.medscape.com/viewarticle/556768 (hip fx more deadly than breast ca in women 65+)

Choose Your Supplements Wisely

By |2017-01-03T07:41:57-05:00January 2nd, 2017|Articles, General|

 

by Mila McManus MD

If I’ve said it once, I’ve said it a million times:  “Supplements are not all created equal”.  There are countless brands from which to choose.  How do you know which ones are good, safe, and optimal for your health?  There are a number of factors to consider, and one of them is price.  You DO get what you pay for with regard to supplements, and it’s important to know that there are also some expensive well-known brands that should be avoided.  In general, though, if you are at a store looking at a long wall of supplements and nobody is around to guide you, I advise you to look at price first.  I highly recommend avoiding the cheapest, generic supplements.  It’s also extremely important that you scrutinize the ‘other’ and ‘inactive’ ingredients on labels.

Here are several other factors to consider when vetting a supplement:

  • Quality control methods and purity
    • One study of 55 different brands of vitamin D showed that the actual amount of vitamin D per dose varied from 9 to 146% of what the labels said.
    • Several years ago, Consumer Labs studied numerous brands of multivitamins and nearly half of them didn’t have in the bottles what the bottles said were in the bottles.
  • The “other” ingredients: Binders, colors, coatings, sweeteners, and fillers
  • Amount of active ingredient(s) per dose
  • How minerals are chelated (i.e., bound to substances that enhance absorbability of the minerals)
  • Synthetic vs natural ingredients
    • Whole-food based supplements aren’t necessarily better
    • dl-alpha vitamin E is the synthetic form and should be avoided.  The best form of vitamin E would be “mixed tocopherols”.

1. Higher-end, reputable supplement manufacturers use the best raw materials, create formulations based on solid scientific data, and use 3rd party testing to ensure quality and purity of their products.  These factors command a higher price. Common contaminants found in vitamins and supplements include mold, pesticides, and heavy metals such as lead, arsenic, and mercury.  Don’t you want to feel confident that your supplements don’t contain these?  Also, if you see a USP or GMP or NPA seal on a supplement, that supplement has at least met some minimum quality standards, but it doesn’t ensure top quality.  Moreover, absence of these seals means nothing.  There are many top quality supplements without these seals.

2. Look for supplements with the least number of ‘other’ ingredients.  Covering all of these is beyond the scope of this article, but know that some are harmless (e.g., silicon dioxide, cellulose, citric acid), while many may be harmful (e.g., food dyes, talc, allergenic foods such as corn and soy)

3. The amount of active ingredients varies widely across supplements.  A supplement may appear great because of numerous healthy ingredients listed, such as CoQ10, turmeric, spirulina, chorella, ginger, fruits and vegetables, but they may be insignificant amounts that aren’t doing much good, if at all.  It’s also noteworthy that the RDA (recommended daily allowance) is often very suboptimal.  For instance, the RDA for vitamin C may be enough to prevent scurvy, but it’s hardly an optimal amount to support immune function, alleviate seasonal allergies, and neutralize the onslaught of free radicals you create, and are exposed to, on a daily basis.

4. When looking at nutrient labels on vitamin and mineral supplements, you’ll notice, for example, that there are several forms of magnesium.  Magnesium glycinate, magnesium oxide, magnesium citrate, and magnesium malate are all different chelated forms of magnesium.  If your magnesium supplement is magnesium oxide, it’s nothing more than a good laxative. You aren’t absorbing that magnesium for its internal benefits.  Calcium is another good example.  Calcium carbonate is very inexpensive and also not well absorbed.  If this is the form in your multivitamin, it’s time to find a better one.

5. It seems intuitive that taking a ‘natural whole food’ supplement would be better than a synthetic form; however, that’s often not the case. A supplement claiming to have nothing but fruits and vegetables in it may be contaminated with pesticides, and it’s also difficult to get optimal doses of nutrients from fruits and vegetables.  Sure, it’s obviously important to eat your fruits and vegetables, but these days our bodies require much more than produce can provide.  This is mainly due to depletion of nutrients available in soil, and increased toxins in the environment.   Another reason that whole food based supplements may not be ideal for some is the yeast content.  Yeast is a common allergen that could be affecting you without you realizing it.

I hope you realize how important it is to do your homework before buying your supplements.  A popular brand isn’t necessarily a good one.  For instance, Centrum® is one of the most popular brands of multivitamin, however, it contains corn and soy (highly allergenic and genetically modified), 3 food dyes including red dye #40, Talc (yes, baby powder, and has been linked to cancer), and contains the cheapest and least absorbable minerals, namely calcium carbonate and magnesium oxide.

Overwhelmed?  Well, we’ve done our homework and offer several product lines at our facility to make your life easier.

 

References:

O magazine, June 2004  (Article on Consumer Labs study)

http://www.drwhitaker.com/choosing-the-best-supplements-to-take/

http://www.nytimes.com/2010/05/26/health/policy/26herbal.html

https://www.ncbi.nlm.nih.gov/pubmed/12867165

http://www.forbes.com/sites/melaniehaiken/2013/02/11/that-vitamin-d-youre-taking-it-may-not-be-vitamin-d/#7dc9ca6e6b6a

http://www.drwhitaker.com/how-safe-are-your-supplements/

http://www.consumerlab.com/




Got Pain?

By |2016-11-01T07:09:25-05:00October 31st, 2016|General|

Some Causes of Pain That You May Not Know Aboutgot-pain

by Mila McManus MD

I’m going to make this short and to the point.  I want to make this topic concise yet meaty. Some of the items below have links if you wish to delve deeper.

Here are some causes of pain that you may not know about:

  • Certain foods due to their nature, such as grains and sugar (read more here)
  • Food sensitivities and intolerance
  • Dysbiosis (aka microbial imbalance in the gut)
  • Adrenal fatigue  (test yourself here)
  • Low thyroid function (test yourself here)
  • Chronic infection(s), whether obvious or in disguise, such as a tooth abscess, infection in the gastrointestinal tract, or chronic lyme disease (the existence of chronic lyme disease is still very controversial in the medical field).
  • Alcohol
  • Poor posture
  • Certain Medications (prescription as well as over-the-counter) e.g., statin drugs used to lower cholesterol
  • Being overweight which causes inflammation throughout the body
  • Healing process that stalls out (read about how PEMF can help with this)
  • Nutrient deficiencies (e.g., vitamin D, B vitamins)

As you can see, there are many ways you can address chronic pain other than with pain medications. Call (281) 298-6742 today for more information on how we can help you address your chronic pain, and forward this newsletter to someone you care about who suffers with chronic pain!

 

 

 

 

Unusual Signs and Symptoms of Low Thyroid Function

By |2016-10-04T08:03:19-05:00October 4th, 2016|Articles, General|

By Mila McManus MD

thyroidMany of you out there know some of the common symptoms of low thyroid function, such as fatigue, weight gain, constipation, headaches, hair loss, depression, and cold intolerance.  I’ve also explained to many of you how the thyroid functions in the body.  Think of this gland as your engine.  If your engine is too ‘revved up’ (i.e., hyperthyroid), bodily functions will be overactive, such as overactive nerves causing jitters, shakiness, anxiety, fast heart rate, palpitations, and high blood pressure. Bowels may be overactive causing excessive bowel movements or loose stools.  Temperature gets higher, metabolism gets faster, and so on.  If your engine slows down (i.e., hypothyroid), bodily functions slow down.  Energy gets lower, brain function gets slower, mood is lower, bowels are slower, pain threshold is lower, temperature is lower, metabolism is slower, and so on.  It’s also important to note that some symptoms can occur on either end of the spectrum.  For instance, you can be tired if thyroid function is low or high.  You can lose weight or gain weight on both ends of the spectrum.  You can be shedding hair when thyroid is under-active or overactive.  And also noteworthy: 1) symptoms can vary, such as you may have normal bowel function, but have other symptoms of low thyroid, and 2) having normal thyroid labs does NOT mean that your thyroid is functioning adequately. (You can read about that here.)  Moreover, there are many factors that affect how well your thyroid functions at the cellular level, including diet, gut health, stress, toxins, vitamin deficiencies, and imbalance of other hormones in the body.

Having said all of that, today I wanted to share some less well known signs and symptoms that may indicate a thyroid problem:

  • High cholesterol
  • Anxiety
  • Dry patches on elbows
  • Slow speech
  • Fluid retention
  • Swollen eyelids
  • Insomnia
  • Severe menstrual cramps
  • Downturned mouth
  • Acne
  • Twitching of the eyelid
  • Tinnitus (ringing in the ears)
  • Dizziness
  • Mild elevation of liver enzymes
  • Gallstones
  • Recurrent bladder infections

If you think you may have low or suboptimal thyroid function, you can test yourself here with our online symptom checker.

References:
Dr. Pamela Smith lecture at A4M conference 2015

 

 

 

 

 

Goitrogens-(a.k.a. stuff that negatively affects thyroid function)

By |2016-09-22T09:33:35-05:00September 22nd, 2016|Articles, General, NANCY’S NUTRITIONAL NUGGET|

goitrogen-photo-option-1-with-kale

 

By Nancy Mehlert, MS

There’s no doubt that, if you have been diagnosed with hypothyroidism (underactive thyroid) or Hashimoto’s (autoimmune thyroid disorder), you have searched the internet for information and come across references to goitrogenic foods (i.e. goitrogens) with the preponderance of sources recommending avoidance. These goitrogenic foods are primarily found in the raw Brassica or cruciferous vegetables which include, but are not limited to, arugula, broccoli, cauliflower, cabbage, collard greens, mustard greens, kale, and Brussels sprouts.

Goitrogens can be drugs, chemicals, or foods.  In terms of food, goitrogens are naturally occurring compounds found in many foods to varying degrees.  Some older research on animals only has suggested that goitrogens might suppress thyroid function by interfering with iodine uptake, thus inhibiting the production of thyroid hormones.  This, in turn, would result in goiter (enlargement of the thyroid).  So understandably, in an effort to do the right thing for your health, you may have felt very compelled to remove these foods from your diet.

Anytime someone suggests removing vegetables from the diet, especially groups of vegetables, my ears really perk up!  There are obvious “man-u-factured” food products and sugar which we would all do well to remove from our diets for improved health, but it goes against common sense to remove foods from the earth which our ancestors have eaten for centuries.  Moreover, without question, vegetables are deeply nutritious.  Where else can we get as many minerals, vitamins, fiber and phytonutrients that serve as antioxidants, anti-inflammatories, cancer fighters and detoxification supporters?  Does eating them really pose a risk or threat to the thyroid?

I join in agreement with most leaders in the functional medicine community who argue that these foods contain far more beneficial nutrients relative to the goitrogenic activity.  Many of these foods help the body to produce glutathione, a very powerful antioxidant necessary to fight Hashimoto’s disease because it modulates and regulates the immune system, puts down the fires of autoimmune flare ups and protects and heals thyroid tissues.  Glutathione also detoxifies the liver while cruciferous vegetables in general are well studied for their protection against cancers, thyroid cancer included.

Dr. Fuhrman states it well: “The fear of eating cruciferous vegetables or that those with hypothyroidism should reduce or avoid the consumption of kale or other cruciferous vegetables is unfounded and does a disservice to the community.  Whether you have normal thyroid function or hypothyroidism, there is no benefit for you to avoid or restrict your intake of cruciferous vegetables.” He goes on to state that “No human study has demonstrated a deficiency in thyroid function from consuming cruciferous vegetables.”

My advice remains the same.  We ALL benefit from food rotation, eating a wide variety of nutrient dense foods, especially vegetables.  Moderation and variety is the best way to ensure the optimal amounts of what the body requires.  All that to say if you are juicing large quantities of kale and/or spinach every single day, perhaps some rotation of greens is in good order for you!  Or if you are eating a vegan or vegetarian diet where the main vegetable choices made every day are from the cruciferous family, perhaps greater variety and reduction would be prudent.  Another strategy is to deactivate most of the goitrogenic compounds by cooking the vegetables.  Roasting, steaming, sautéing or blanching them resolves any potential concern.  Blanched and pureed, they can be frozen as ice cubes for a smoothie so they can still be added to juice each morning.

Finally, thyroid health is best protected, not by taking vegetables out of the diet, but by ensuring adequate iodine intake, stress management, cleaning up the diet, healing the gut, resolving vitamin deficiencies, removing toxins, and balancing hormone function.

Sources:
 
¹(https://www.drfuhrman.com/learn/library/articles/97/do-cruciferous-vegetables-or-soybeans-harm-the-thyroid)
 
https://www.healthfulelements.com/blog/2013/07/goitrogenic-foods-thyroid-busters-or-thyroid-boosters
 
https://www.draxe.com/hypothyridism-diet-natural-treatment/
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Got Chaos?

By |2016-09-07T05:26:48-05:00September 6th, 2016|Articles, General|

10 Ways to Reduce Family Stress

by Nancy Mehlert, MSfamily stress

As the new school year begins and your family settles into the routines for the school year, we encourage you to consider how stress is impacting your family.  Do your own stressors trickle down to have a negative impact on the rest of your family? Do your children’s stressors trickle up to you?

The newest and most powerful stressor in life is the information age.  The explosion of information and our access to it is overwhelming. Distributed in real time, this constant, seemingly uncontrollable bombardment of communication, information, education, and sensationalism has arrived, and our heads are spinning. Most of us never saw it coming, and it has changed our lives in good ways and bad. It requires us to examine ways to turn it down, turn it off and buffer ourselves and our children from it. It has compounded our stressors and is taking a heavy toll on our physical, mental and spiritual health, as well as the health of families and relationships.

Interested in stopping the madness?  Here are 10 ways to help yourself and your family to reduce the stress:

Create technology free zones.  Create family times together that are technology free – no cell phones, tablets, or television.  Promote eye to eye contact, heart to heart communication, and quieter moments. This also reduces drama and control issues by helping children see that not everything is an emergency, not everyone has the right to demand your time anytime they wish, and not every text or post requires an immediate response.

Create “white space” on your kids and your calendars.  We need more peace and quiet and rest in this hectic, crazy world.  This is unassigned time without commitments, appointments, duties, or work.  This space is reserved for renewal of the mind and heart.  It is intended to be reserved for thankfulness, quiet time, meditation, stretching, being in nature, loving on pets, coloring, painting or doing things that are relaxing and peaceful. Teach your children the value of silence, stillness, appreciation and thanksgiving.

Get outdoors for exercise, restoration and fun. Walk, ride bikes, sit on the porch together.  Walk the dog or wash the car.  Work together as a family in the yard or plant a garden. Take off your shoes and stand in the grass, feeling the earth beneath your feet.  This is called “grounding” and it helps your body to resonate and re-calibrate to the fundamental frequencies of the earth that your body requires for health and healing. Allow the sun to warm your skin for 15 minutes, allowing your body to get the best form of Vitamin D for a strong immune and better health.

Cook together. Let’s face it. Fast food is not helping our stress or our health.  Every child needs to know how to cook and prepare a basic meal as a core life skill.  Eating at home can save time and money and can be an enjoyable time to learn together. Get everyone involved, share the duties, take turns, allow creativity and include the children in choices of new vegetables, recipes and foods to try.

Encourage, teach, and promote healthy sleep patterns.  Establish and maintain bedtimes and wind-down times when phone calls and texting need to stop, television must be turned off, and preparations for a restful night of sleep should begin. If possible, turn off the household wi-fi to promote better sleep. Establish age appropriate routines and curfews to teach self-care and responsibility.  Make the end of every day a time for hugs, reflection, words of encouragement, expressions of love and thankfulness.

Don’t be afraid to get help when needed.  Recognize that events resulting in grief, anger, anxiety or sadness need healthy resolution for all of us. Parents and children alike need someone they can trust to express their feelings to reach healthy resolution of traumatic events, difficult seasons or concerning behavior patterns.  Seek out support groups, on-line forums, and professionals or techniques such as journaling and Emotional Freedom Techniques (tapping) to deal with emotions in a healthy way. Remember that unresolved emotional issues can and do manifest in physical ill-health.

Make One Better Food Choice – Getting healthier can seem overwhelming and stressful itself.   Often, small steps generate better long term results. Virtually everyone can benefit from improvements in the diet. There are plenty of reasons to get healthier and stay healthier. Illness derails plans, reduces income potential, and makes us our worst self.  Sugar and food allergies are highly correlated with inflammation, congestion, weight gain, fatigue, body pain, digestive issues, brain fog and frankly, addiction and disease.  Lack of vegetables in the diet leaves us all constipated, nutritionally bankrupt and stressed out.  Simple changes in diet can make a huge difference in everyone’s relationships, productivity and happiness. Do something… one more vegetable, one less soft drink, no more fast food, dump the cereal, avoid the gluten, increase healthy fats….Make at least one better choice this year.

Everyone needs Friend Time. No one prospers in isolation.  We need laughter and encouragement.  We need to know someone else understands us.  We flourish when we can help and be helped by others. Spending time with our friends in person, not via text or Facebook, is healing and restorative.

Practice Nose Breathing.  A recent article by Dr. Mercola discussed the Buteyko method of breathing for relaxation which is in contrast to the concept of deep breathing. It promotes a slow and light breathing through the nose to promote calm, improve oxygenation and reduce stress. It is a great way to help your kids stop wiggling or to prevent your own anxious moment.

Laughter is still great medicine. Increase the frequency of moments of getting into a deep, side splitting laugh. It’s contagious too! Laughter lowers blood pressure, reduces stress hormone levels, works out your abs, releases endorphins, and boosts your immune system. So go rent a hilarious movie, read the funnies, listen to a good comedian, or tickle each other silly.  Laughter is a great stress reducer.

 

Could You Be Next?

By |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 MDautoimmune diseases

While rare in underdeveloped nations, autoimmune diseases have become a 21st 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