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Archive for June, 2018

804 diagnosing hashimoto s

If you have symptoms of hypothyroidism, how do you know if it’s caused by Hashimoto’s, an autoimmune thyroid disease? Although about 90 percent of hypothyroidism cases in the United States are caused by Hashimoto’s, most doctors do not test for it. Why? Because it does not change their treatment. However, it’s vitally important for you to know whether you have Hashimoto’s to stop the damage to your thyroid and prevent other autoimmune diseases.

Hashimoto’s is an autoimmune condition in which the immune system attacks and destroys the thyroid gland over time. Even if medications normalize TSH (thyroid stimulating hormone) on a blood test, an unmanaged autoimmune Hashimoto’s condition continues to damage and destroy the thyroid gland and cause symptoms.

One of the most common scenarios with undiagnosed Hashimoto’s is that your hypothyroidism and symptoms continue to worsen even through you take your thyroid hormone medications. Your doctor may also continually increase your dosage.

Another common scenario is when symptoms and TSH levels fluctuate between being under active and over active. The person can feel like they are hypothyroid one week and hyperthyroid the next. In fact, some doctors may even mistakenly diagnose them with hyperthyroidism when in fact it’s the result of autoimmune Hashimoto’s waxing and waning attacks on the thyroid gland.

This means the patient could suffer from fatigue, headaches, constipation, and depression one week and then when the thyroid becomes over active they suffer from heart palpitations, anxiety, tremors, and insomnia. Blood tests will also show the TSH level going up and down during these swings, which may result in an inaccurate diagnosis.

Sometimes TSH can even be normal as it’s going through a swing resulting in a misdiagnosis all together. Instead, the patient is diagnosed with an anxiety disorder or even bipolar disorder.

What causes these swings with Hashimoto’s hypothyroidism? Autoimmune diseases are not steady. Instead they flare up or go into remission depending on triggers, which can be dietary, chemical, stress related, hormonal, and so on.

When an autoimmune flare damages the thyroid, it releases hormones that are stored in the gland. These thyroid hormones flood the bloodstream in excess causing symptoms that look like hyperthyroidism.

To confirm whether you have Hashimoto’s, you need to run thyroid peroxidase antibodies (TPO Ab) and thyroglobulin antibodies (TGB Ab) test. It’s also helpful to rule out hyperthyroidism, or Graves’ disease.

But keep in mind that because the immune system fluctuates with autoimmune disease, it’s possible to produce a negative antibodies test result. If symptoms strongly suggest Hashimoto’s it’s important to test again.

Ask my office for more advice on identifying Hashimoto’s hypothyroidism.

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803 syncing productivity with cycle

While the eight-to-five workday may suit a man’s physiology, female researchers are finding women can capitalize on periods of heightened creativity, productivity, enhanced communication, and reflection depending on where they are in their menstrual cycle. We tend to think of female hormonal cycles as problematic or negative, but the truth is they can facilitate different aspects of productivity once you learn how to use them to your advantage.

Understanding your hormonal cycles of productivity can help you learn the best time to launch or finish a project, brainstorm a creative endeavor, meet with a boss or coworkers, or step back and reflect on operations.

Looking at a functional medicine view of female hormones — aiming for optimal functional and balance instead of just focusing on when things go wrong —can help you plot your course through each work week. Women can look at their cycles as offering four different periods of enhanced performance, with day 1 representing the first day of your period:

Days 1-5, Intuition and Reflection: During your period, your left and right brains are communicating more efficiently, allowing you to better access intuition, analytical thinking, and long-range visionary thinking. This is the time to reflect on past and future endeavors, re-evaluate whether your course aligns with your vision, and consider which relationships need attention.

Days 6-14, Creativity: During the follicular phase, which actually begins day 1, estrogen is increasing and you are at your creative peak. This is a good time to start new projects, plan, strategize, and brainstorm.

Days 15-17, Communication: During the ovulation phase your communication skills and magnetisms are at their height. This is a great time for negotiations, meetings, and pitches.

Days 18-28, Power: During the luteal phase you are primed to power through project completion, take care of all those administrative tasks, and follow up on meetings.

When your hormones are out of balance

Unfortunately, thanks to stress, unhealthy diets, environmental toxins, and other facets of modern life, it’s easy for your cycles to become unbalanced.

One of the most common causes of hormonal imbalances in women is chronic stress and poor blood sugar balance (another form of stress).

Eating a high-carb diet of pastas, breads, and other processed carbohydrates, eating too many sweets, drinking too many sweetened coffee drinks, not sleeping enough, being too stressed out, not getting enough physical exercise — all these things can drive both estrogen and progesterone out of whack and give you miserable hormonal symptoms.

PMS, irregular periods, infertility, hair loss, overly heavy periods, and other symptoms of hormonal imbalance are signs you need to bring your diet and lifestyle habits more in line with nature’s design.

Through functional medicine protocols of anti-inflammatory diets, blood sugar balancing, gut healing and repair, liver support and detoxification, and stress-reduction, our office can help you better balance your hormones so you can function at your best.

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802 social pollution workplace stress

Thanks to science and public awareness, we know environmental pollution from industry harms our health. Same goes with tobacco. But did you know “social pollution” is just as harmful? Social pollution refers to the long hours, lack of economic security, high cost of health care, exhaustion, surviving in a gig economy, lack of parental support, and high stress that has come to characterize work life in the United States and other industrialized countries. It is now recognized as they fifth leading cause of death.

In the new book Dying for a Paycheck, author and Stanford University professor Jeffrey Pfeffer uncovers the disastrous toll of modern work life on human health.

Sixty-one percent of American workers say workplace stress has made them sick, and 7 percent have been hospitalized by it.

Workplace stress leads to the chronic diseases that make up three quarters of the health problems crushing our health care system, including diabetes, metabolic syndrome (pre-diabetes) cardiovascular disease, and circulatory diseases. Disorders such as alcoholism, drug addiction, and overeating are also linked to high stress and the erosion of family and social structures from work-related stress.

In fact, one of the worst aspects of modern work life is the effect it is having on our social support structures. Long, stressful hours at work breaks up marriages, children, and families, leaves too little time for healthy socializing with friends and family, and makes it difficult for single people to date or establish new relationships.

Research clearly shows regular healthy socialization is vital to good health and that isolation and lack of positive social time can be as bad for your health as smoking 15 cigarettes a day.

When work place stress and social pollution keeps you stuck in fight-or-flight mode

One of the many downsides to workplace stress and social pollution is that it can keep your nervous systems stuck in fight-or-flight mode. A normal stress response is to flee, fight, or freeze. When work stress and the havoc it causes on your home life is constant, you never get a chance to unwind from being in a constant fight-or-flight state.

The chronic stress from this is devastating to brain and body health. It accelerates brain aging, causes leaky gut, raises inflammation, imbalances the hormones, and increases the risk of obesity, cardiovascular disease, and addictive habits.

What can you do to protect yourself from social pollution and workplace stress

Unfortunately, most of us cannot single-handedly change this unhealthy situation in which we find ourselves. However, you can be aware of and not psychologically buy into the subtle or not-so-subtle shaming and unhealthy expectations around productivity.

Companies expect longer hours at lower pay yet provide little to no job security, sick days, maternity or paternity leaves, and so on. Be aware of this and don’t internalize the messaging that working long days with no days off makes you a better person. It doesn’t, it makes you a sicker person.

If you can downsize your housing, car payments, or other expenses, consider the positive impact living more modestly can have on your health. It could be the ticket to a dramatic health turn around.

However, not everyone can afford to downsize as many are working non-stop to barely get by. Although there is no easy answer to this, recognize your situation and don’t ask too much from yourself.

The more people who are aware of the problem, the better chance we have at changing public perception and workplace policies.

In the meantime, support your health the best you can with an anti-inflammatory diet, seek out support, and make sure to include healthy, restful, and relaxing time in your life as much as possible.

If you have a desk job and are too tired to make it to the gym, take regular breaks to move your body and go for short walks as frequently as possible. Regular physical activity is vital to the heath of your brain and body and will help protect you from the harm of workplace stress.

Ask my office for more ways we can help you buffer your body from the negative effects of too much stress.

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801 optimizing glutathione

You’ve heard antioxidant foods and supplements can help fight inflammation and protect you from toxins, but the most important antioxidant is one we make in our own bodies: glutathione.

Unlike common antioxidant sources — vitamins C and E, beta carotene, turmeric, resveratrol, and foods such as blueberries, tomatoes, and red wine — you can’t take plain glutathione as it’s too hard to absorb. However, you can take glutathione precursors or special forms of glutathione that can be absorbed by the body.

Glutathione: the “master antioxidant”

Antioxidants are molecules that inhibit other molecules from going through oxidation, a chemical reaction that produces toxins called free radicals.

Free radicals are unstable molecules created as a result of natural biochemical processes. We can also ingest them via toxins in food, air, water, and even medication. Left unchecked, free radicals damage cells and contribute to the development of serious health problems.

While we need plenty of dietary antioxidants from varied and plentiful fresh fruits and vegetables, our most powerful antioxidant source is the glutathione our bodies produce.

In fact, glutathione is so powerful it’s referred to as the “master antioxidant.”

Two vital duties of glutathione

Two of glutathione’s most important duties are promoting liver detoxification and dampening inflammation.

Liver detox. In the liver, glutathione binds with toxins to help move them out of the body. This process is so effective people who overdose on Tylenol receive an IV infusion of NAC (N-acetyl cysteine), a precursor, or building block, for the body to produce more glutathione.

Inflammation and immune function. When you have enough glutathione in your cells, it “takes the bullet” by offering itself up to free radicals so they don’t attach to and damage cells.

However, when your glutathione reserves are too low, free radical damage can spiral out of control, leading to cell damage and the foundations for inflammatory health condition such as:

  • Intestinal permeability (leaky gut)
  • Chemical sensitivities
  • Heavy metal sensitivities
  • Autoimmune diseases and flares
  • Inflammatory and immune disorders

Glutathione depletion is also linked to a number of other disease states and groups:

  • Aging
  • Athletic overtraining
  • Major injuries and trauma
  • Patients with wasting diseases such as HIV and AIDS
  • Lung cancer
  • Gut-based diseases such as Crohn’s and ulcerative colitis
  • Chronic fatigue syndrome
  • Alcoholism and fatty liver disease
  • Diabetes and low glucose tolerance
  • Cancer

In many of these cases, raising glutathione levels has shown therapeutic benefits.

Support glutathione’s antioxidant status

In these overly-stressed times of inescapable toxic burdens, it’s nearly impossible to maintain proper glutathione levels strictly through diet. You can find plain glutathione over-the-counter, but it’s not worth taking because your gut breaks it down before you can use it.

However, it is possible to support your glutathione status in the following ways:

S-acetyl glutathione is one of the newest and most accessible forms of glutathione that the intestinal tract can efficiently absorb. It can be helpful in managing autoimmunity.

Oral liquid liposomal glutathione covers two bases by providing both bioactive glutathione and glutathione precursors that help your body make glutathione inside the cells.

Liposomal cream is used in localized areas of pain or inflammation, such as an inflamed knee or on the thyroid for autoimmunity.

IV drip is highly effective but is expensive and difficult to access for some patients.

Other glutathione delivery methods include glutathione suppositories, glutathione nebulizers, and sublingual glutathione.

Support glutathione recycling for optimum immune function

It’s important for the body to be able to make glutathione inside the cells to protect mitochondria, the energy-producing factories that lie at the foundation of our health and longevity. To do this, the body must be able to recycle glutathione.

For glutathione to be recycled, it must be reduced:

There are two main forms of glutathione in the body:

  • Reduced glutathione
  • Oxidized glutathione

When there is plenty of reduced glutathione in the cells, they sacrifice themselves to free radicals — “taking the bullet” as previously mentioned — to protect the precious mitochondria. An enzyme called glutathione peroxidase triggers the conversion of reduced glutathione to oxidized glutathione, a free radical itself.

However, when there is sufficient glutathione in the cell, the newly unstable oxidized glutathione pairs with available glutathione with the help of an enzyme called glutathione reductase. This sends it back to reduced glutathione status and ready for duty.

To support glutathione recycling, it is important to first reduce stress on the body:

  • Balance blood sugar
  • Restore gut health
  • Address food intolerances: An elimination diet or a lab test can help you determine which foods are responsible
  • Manage your autoimmune disease
  • Manage hormonal imbalances
  • Get plenty of sleep
  • Cut down on an over-committed schedule
  • Get adequate exercise
  • Make time for play and enjoyment
  • Minimize exposure to toxins in and out of the home

If these factors don’t bring the needed relief, then the following botanicals and nutritional compounds can help support glutathione recycling:

  • N-acetyl-cysteine (NAC) is rapidly metabolized into intracellular glutathione.
  • L-glutamine is important for glutathione generation.
  • Alpha-lipoic acid (ALA) directly recycles and extends the metabolic life spans of vitamin C, glutathione, and coenzyme Q10, necessary for glutathione recycling.
  • Selenium is a trace element that serves as the essential cofactor for the enzyme glutathione peroxidase, which converts reduced glutathione to oxidized glutathione so glutathione can “take the bullet” to protect cells.
  • Milk thistle significantly increases glutathione and positively influences the ratios of reduced and oxidized glutathione.
  • Gotu kola increases the activity and amount of glutathione peroxidase and the quantity of glutathione.
  • Cordyceps activates glutathione synthesis and protects cells by engaging the glutathione enzyme cycle.

Taken together these botanicals and compounds activate the glutathione peroxidase and reductase enzymes to promote a healthy glutathione recycling system.

To optimize your glutathione levels and recycling, contact my office for guidance.

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