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Archive for July, 2017

708 low blood pressure

Most people worry about high blood pressure, and with good reason as it portends numerous health risks. However, low blood pressure brings a different set of problems, such as reduced brain function and increased mortality risk. If the upper or lower number deviates by more than 10 from 120/80, it pays to be aware low blood pressure may be affecting your health.

Blood pressure pushes blood through about 100,000 miles of veins, arteries, and capillaries in the body, carrying oxygen, nutrients, immune cells, hormones, neurotransmitters, and other vital compounds.

High blood pressure strains blood vessels. However, low blood pressure means not enough blood is getting to capillaries and tissues, particularly in your hands, feet, and brain. This deprives those tissues of sufficient oxygen and nutrients. You may have chronic nail fungal infections and cold hands and feet if so.

Adrenal fatigue as a cause of low blood pressure

The most common cause of low blood pressure in a functional medicine model is poor adrenal function.

The adrenals are two walnut-sized glands that sit atop the kidneys. They produce stress hormones and help regulate blood pressure. Many people today suffer from adrenal fatigue due to chronic stress. Other causes of adrenal fatigue are poor diets, low blood sugar, chronic infections, gut problems, inflammation, and unmanaged autoimmunity — all stressors.

Adrenal fatigue symptoms include chronic tiredness, low blood sugar, losing function between meals, getting sick all the time, and low blood pressure.

Orthostatic hypotension when you stand up

Orthostatic hypotension is a common type of low blood pressure that causes lightheadedness when you go from sitting to standing. This happens because the blood pools in the legs upon standing, slowing blood flow back to the heart and thus the brain. You will be diagnosed with orthostatic hypotension when the top number of your blood pressure falls by 20 and the bottom number by 10 upon standing.

Although orthostatic hypotension is a red flag you need to address your low blood pressure, it becomes more dangerous when it makes you faint or fall. Orthostatic hypotension is commonly found in those with low blood pressure and low blood sugar but people with high blood pressure can have it too.

Functional medicine tips for low blood pressure

If you have signs and symptoms of low blood pressure and adrenal fatigue, consider an adrenal saliva test. This test measures levels of the adrenal hormone cortisol throughout the day. This gives you a more precise therapy target and follow-up testing will let you know if your protocols are on the right track.

Everyone knows a person with high blood pressure should avoid salt, but adding some good quality sea salt to your diet may help boost low blood pressure. In fact, you may be one of those people who craves salt.

A nutritional compound that can help raise low blood pressure is licorice root extract, or glycyrrhiza, which can extend the life of cortisol in the body and improve blood volume and electrolyte balance.

Of course, it’s important to address what is causing adrenal fatigue. Adrenal fatigue is always secondary to something else. One of the most common causes is eating a diet that causes low blood sugar. Eating a good breakfast, skipping sweets and sweet drinks, minimizing starchy foods, and eating regularly enough to sustain blood sugar are helpful strategies.

For more advice on supporting healthy adrenal function and blood pressure, contact my office.

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707 throat exercises snoring copy

Snoring happens when the tissues and muscles in the upper airways become too “floppy” during sleep and vibrate. Researchers found simply exercising those muscles to maintain their tone can help reduce snoring.

In a 2015 study, researchers looked at groups of men and women who did not have obstructive sleep apnea, which is associated with many health risks, but snored due to mild or moderate sleep apnea.

For the study, all the participants were instructed to irrigate their nasal passages (such as with a neti pot) three times a day to rule out nasal blockage as a cause of snoring. (Sinus infections also cause snoring and regular nasal irrigation can help combat this.)

Then the subjects were divided into two groups. One group used nasal strips and deep breathing exercises to address their snoring.

The other group performed 8 minutes of tongue and palate exercises three times a day.

At the end of the three-month study, only the group who performed the exercises saw a difference in their snoring — and it was a significant difference.

The exercise group saw the frequency of nightly snoring drop by the 36 percent and the intensity of sound by 59 percent.

This explains why people who regularly sing, play horn instruments, and even play the didgeridoo also report fewer problems with snoring.

Throat and palate exercises to reduce snoring

As with any exercise, the key is to stick with it and keep up the frequency. You’ll also need to perform these on a long term basis for the benefits. Add the exercisesto your commute, tooth brushing routine, or along with your morning cup of coffee. Your bed partner will thank you and you may experience feeling more rested and energetic during the day.

  1. Push the tip of your tongue against the roof of your mouth and slide it backward 20 times.
  2. Suck your tongue upward against the roof of your mouth 20 times.
  3. Push the back of your tongue down while keeping the tip touching the inside of your front teeth 20 times.
  4. Lift your soft palate and uvula 20 times.
  5. Using your index finger, press the inside of your cheek muscle away from your teeth 10 times on each side.
  6. When you’re eating, bite down, then lift your tongue to the roof of your mouth as you swallow, without tightening your cheek muscles.

Midlife hormones, inflammation, and snoring

Although nasal congestion and obesity can cause snoring, many people notice their snoring kicked in during midlife.

Some research shows this is due to a decline in reproductive hormones — estrogen in women and testosterone in men. These hormones play a role in the part of the brain responsible for throat and palate muscle tone during sleep.

Inflammation of the upper airways have also been shown to increase snoring. Adopting an anti-inflammatory diet may help reduce swelling in those tissues and reduce snoring.

Ask my office about maintaining healthy hormone levels and reducing inflammation through nutritional and lifestyle means.

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706 new weight guidelines

Do you dread going to the doctor because you know they will pin your health problems on your weight? Or maybe you quit going to the doctor all together to avoid feeling embarrassed and ashamed. Because the stigma attached to body size has been shown to cause weight gain, researchers are calling for doctors to emphasize exercise rather than weight loss.

Although it’s true obesity is linked to myriad inflammatory health conditions, it’s also true that diets fail the majority of people and often lead to weight gain. Also, some people are overweight due to genetic predisposition, numerous starvation diets, a history of an eating disorder in response to childhood trauma, and so on.

For those people who have spent a lifetime battling their weight and the stigma associated with it, a visit to the doctor simply opens a Pandora’s box of shame, despair, hopelessness, and self-loathing. Many decide it’s simply healthier not to go.

Policy may shift to taking the emphasis off weight

Fortunately, the Centers for Disease Control and Prevention is aware of the ineffectiveness of shaming patients.

A recent essay published by the CDC called for doctors to lay off patients who don’t meet the body mass index (BMI) guidelines and instead shift the focus to helping a patient exercise regularly.

The essay argues that avoiding “fat shaming” will go a long way to establishing better doctor-patient rapport and trust, thus facilitating a patient’s sense of positivity and willingness to adapt healthier habits.

Diets and thinking you are fat lead to obesity

Studies consistently show diets actually lead to long-term weight gain and obesity.

What’s even more shocking is that the perception you are overweight also leads to long term weight gain, even if your original BMI was in the normal range.

In other words, telling a patient they are too fat can actually make them gain weight, not lose it.

And telling yourself you are too fat will do the same.

Addressing obesity and health without stigma

Clearly, telling people they are too heavy and need to lose weight isn’t working.

The key, say researchers, is to promote the idea that a person can be healthy at any weight. This requires decreasing the stigma, establishing trust and rapport, and encouraging exercise and healthy behaviors. It also requires taking into consideration the patient’s social and financial situation.

According to recent studies, regular exercise improves health at any weight. It also reduces the risk of chronic diseases such as diabetes, heart disease, and Alzheimer’s.

Focusing on regular exercise also shifts the focus away from judging the person’s body and instead puts it on behaviors that can be influenced, barriers that can be addressed, and progress that can be measured at follow-up visits, regardless of weight.

Diets have a terrible track record for the majority of people. However, exercise is an area where most people can succeed, regardless of their body size or fitness level.

Ask my office how we can help you improve your health in a way that works for you.

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