ChronoBiology - Understanding Chronotype Circadian Rhythms

Understanding Chronotype May Address Underlying Causes of Chronic Conditions

When you think about how to achieve optimal health, it’s most likely you think about what nutrients to eat and what foods you might avoid, how many hours of sleep to get each night, how much water to drink and how much exercise you should try to achieve in a week. All extremely important lifestyle factors to consider in our quest for a healthy body.

However, there is an emerging field of functional medicine research that specifically addresses, not the what or how much, but the when – the timing of when to sleep, when to eat and when to exercise, to name a few – on the impact of human disease to help inform and improve medical treatment.

Chronobiology

Chronobiology is a study of biologic rhythms that follow a daily or ~24 hour cycle. Most of us are familiar with the circadian rhythm, our internal biological clock, responsible for sleeping at night and being awake during the day. These biological rhythms influence our sleep-wake cycles, eating habits and digestion, body temperature, and other metabolic processes.

Studies suggest that disruptions in the circadian-system (like watching a movie late at night, working late) have been linked to sleep disorders, seasonal affective disorder and various chronic health conditions like cardiovascular disease, neurodegenerative disorders, obesity, diabetes, and mood disorders.

Researchers are taking a closer look at other rhythms of the human body as it impacts health outcomes: timing of eating and meal schedules, when to exercise, and even when we should be taking our medications.

For example, “results from a 2019 study regarding eating times and mood disorders indicated that of the 1,304 study participants, those who reported skipped or delayed breakfasts were more likely to experience a mood disorder compared to those with a regular schedule of eating breakfast, lunch, and dinner.”

And “Human and animal-based studies suggest circadian rhythms influence cardiovascular function and diseases, and may also offer an avenue for disease prevention and treatment. In 2019, a study of over 19,000 patients with hypertension found that those who took their medication at bedtime rather than upon awakening had better ambulatory blood pressure and lower risk of developing cardiovascular disease (CVD).”

Impacts of Chronobiology on Health and Disease
Source

Considering the developing research of medical chronobiology and circadian rhythms, offer additional root cause reasons and tools to glean insights into achieving individualized optimal health and wellness. Understanding your own personal chronotype may help address the underlying causes of chronic conditions and assist in the optimization of treatments and lifestyle interventions. Considering the developing research of medical chronobiology and circadian rhythms, offer additional root cause reasons and tools to gleam insights into achieving individualized optimal health and wellness. Understanding your own personal chronotype may help address underlying causes of chronic conditions and assist in the optimization of treatments and lifestyle interventions.

Credits:

Edits: Erin Assenza, Health Coach at Healthy, Wealthy & Wise Medical Practice

 

 

Stress Anxiety and Insomnia during the COVID-19

Webinar: Stress, Anxiety, and Insomnia during the COVID-19

Join Dr. Elena Klimenko, a functional and integrative medicine doctor, for a discussion on psychological issues during this current health crisis in our country and around the globe.

The outbreak of coronavirus disease 2019 (COVID-19) may be stressful for people. Fear and anxiety about the disease can be overwhelming and cause strong emotions in both adults and children.

Because of the big wave of questions regarding anxiety, stress control, and insomnia, we decided to guide you on how to manage your anxiety, stress, and insomnia during this unprecedented time.

Watch free webinar
“Stress, Anxiety, and Insomnia
during the COVID-19″
presented by Dr. Elena Klimenko, MD, IFMCP

 

LIVE MEDITATION
led by Erin Assenza
Integrative Nutrition Health Coach

https://youtu.be/8evTbq3eUkA

Immune Support for Lungs Health webinar

Webinar “Immune Support for Your Lungs Health”

Join Dr. Elena Klimenko, a functional medicine doctor, for a discussion on respiratory health, diving deep into the details of respiratory infections, especially in the time of COVID-19.

Learn the ways our respiratory system is affected (i.e. seasonal allergies, home pollutants, diet, environment, etc.), along with what we can do to support our respiratory health overall.

Watch free webinar

“Immune Support for Your Lungs Health”
By Dr. Klimenko

Password: Wellness2020

“Immune Support for Your Lungs Health” webinar
boost your immune system to fight coronavirus

4 Tips To Boost Your Immunity So You Can Reduce The Chances Of Getting The Coronavirus Infection

Don’t Panic! Our very own Dr. Elena Klimenko did a Facebook Live video at the Well, answering questions about the Novel Coronavirus and how to reduce the chances of getting the infection.

You can watch the full video here:

The Coronavirus is a family of viruses that most Americans have been exposed to in the past.

However, this Novel Coronavirus, Covid-19, is more virulent than what we are used to and spreads pretty quickly. Symptoms of Covid-19 are fever, body aches, runny nose and in worse cases, an upper respiratory infection.

Generally, only cases that go deeper into the respiratory tract will be seen by professionals.

To keep yourself from getting to that point, you must boost your immunity, keep your immune barriers strong and take the following necessary steps for general prevention.

By taking the necessary steps listed below, the likelihood of getting the virus (or any virus for that matter!) is low:

  1. Wash Your Hands. For at least 20 seconds at a time, several times a day, especially after touching anything that might have been exposed (doorknobs, shopping carts, subway poles, etc). Make sure to get under your fingernails as well.
  2. Wash out your nasal orifices. You can also use a normal saline nasal spray to flush mucus membranes 2-3 times/day to reduce exposure to the virus.
  3. Get good sleep! To keep your immune system strong, you must prioritize 7-8 hours of uninterrupted deep sleep.
  4. Take these supplements to support your immune system.
    If you are running low, you can order them from our office at 212-696-4325.

a. Vitamin D – Your Vitamin D levels should be between 50-80.
b. Vitamin A
c. Herbs like Echinacea, Andrographis and Elderberry
d. Homeopathic Silver and Homeopathic Oscillococcinum

If you are feeling sick, we recommend you stay at home to help stop the spread of any virus.
If you must leave your house for any reason, using a surgical mask can prevent you from spreading germs and keep your community safe.

Hydrogen Sulfide SIBO Small intestinal overgrowth

Hydrogen Sulfide SIBO

Small intestinal overgrowth (SIBO) is a common gut health issue characterized by bacterial overgrowth in the small intestine. It is normally diagnosed through a breath test identifying hydrogen or methane produced by the overgrown bacteria. The problem is that this breath test is unable to detect a less talked about form of small intestinal overgrowth, hydrogen sulfide SIBO.

The good news is that working with a functional medicine practitioner, you can find out if your symptoms are due to hydrogen sulfide SIBO and if so, treat it naturally through a low-sulfate diet.

In this article, you will learn what SIBO and hydrogen SIBO are. You will learn how they are different, what are their symptoms, and how to diagnose them. I will explain why a low-sulfur diet is the best solution for hydrogen sulfide SIBO and how to follow a low-sulfur food plan.

You will also understand how working with a functional medicine doctor, like myself, can help you overcome hydrogen sulfide SIBO.

What Is SIBO

Small intestinal bacterial overgrowth (SIBO) is a gut health condition that affects the small intestine. It happens when certain bacteria, normally grown in other areas of your gut, start growing in your small intestine leading to overgrowth.

Symptoms of SIBO

If you have SIBO, there are a variety of symptoms you may experience. These SIBO symptoms may include:

  • Stomach pain
  • Indigestion
  • Gas
  • Bloating
  • Diarrhea
  • Constipation
  • Cramps
  • Feeling of fullness and quick satiety
  • Weight loss

What Is Hydrogen Sulfide SIBO

If your doctor is suspecting SIBO after going through your symptoms, health history and performing a physical exam, she or he will use a breath test that can detect hydrogen and methane in your breath. Since excess bacteria in your small intestine can lead to the release of these gases, this certainly makes sense and helps to identify most forms of SIBO. However, it doesn’t take hydrogen sulfide SIBO into account.

Hydrogen sulfide is a third form of gas that is commonly present among patients with SIBO. The problem is that hydrogen sulfide cannot be measured with a SIBO breath test. Hydrogen sulfide is produced by a very specific type of bacteria that can overgrow in your small intestine.

The interesting thing about hydrogen sulfide is that in small amounts, it can be beneficial and anti-inflammatory. However, when it occurs in high amounts due to a bacteria overgrowth in your small intestine, it becomes very problematic. High amounts of it in your large intestine can also result in health problems. Therefore to handle this overgrowth and to resolve your symptoms, we have to bring the healthy balance back to your small intestine, your whole gut, and body.

Diagnosing Hydrogen Sulfide SIBO

Since SIBO breath tests are not looking for hydrogen sulfide, you may wonder how can you know if you have hydrogen sulfide SIBO. That’s a great question. Let’s see how functional medicine doctors, such as myself, can help to diagnose hydrogen sulfide SIBO.

As you’ve already learned, breath tests only look for hydrogen and methane, not hydrogen sulfide, and can only diagnose traditional SIBO, not hydrogen sulfide SIBO. One study has found that people with traditional SIBO also have a higher risk of hydrogen sulfide SIBO.

However, another study has found that people who test negative for the SIBO breath test have a higher likelihood of having hydrogen sulfide SIBO. This is why it is important that you are working with a doctor who is familiar with hydrogen sulfide SIBO and is willing to dig deep to find the root causes of your symptoms and gut health issues. Working with a functional medicine doctor, like myself, is a great option.

First, your doctor will go through your symptoms. Symptoms of hydrogen sulfide SIBO may be different than the symptoms of SIBO. Sulfur-like, rotten egg smelly gas or belching are generally a good indication that you are dealing with hydrogen sulfide SIBO. You may also be more likely to experience diarrhea and nausea. You may also have other symptoms as well, such as rashes and pain. Once your doctor understands your symptoms, they can run some more complex GI tests other than the breath test to look for bacteria overgrowth and other gut imbalances. Lastly, if going on a low-sulfur food plan helps to relieve your symptoms, it is a good indication that hydrogen sulfide SIBO was the culprit behind them.

Low-Sulfur Food Plan for Hydrogen Sulfide SIBO

Traditionally, people with SIBO are often recommended to follow the low-FODMAP diet.

However, research has found that low-FODMAP is actually not beneficial for hydrogen sulfide overproduction. If you have hydrogen sulfide SIBO, a low-sulfur diet is a much better idea.

When you eat sulfur-containing food, they go through a process to naturally occurring sulfate in your body. While in a small amount, sulfate is good for you, too much becomes a problem. If you are dealing with hydrogen sulfide SIBO, following a low sulfur food plan can help your body regain its balance and get rid of your symptoms.

What to Eat and What Not to Eat on a Low Sulfur Food Plan

Vegetables to avoid:

  • Arugula
  • Asparagus
  • Bok choy
  • Brussels sprouts
  • Broccoli
  • Cauliflower
  • Cabbage
  • Daikon radish
  • Collard greens
  • Garlic
  • Kale
  • Horseradish
  • Onion
  • Leek
  • Radish
  • Peas
  • Scallion
  • Swiss chard
  • Sauerkaut
  • Spinach
  • Split peas
  • Turnip
  • Soybeans
  • Watercress

Fruits to avoid:

  • Dried fruits
  • Dried coconut
  • Grapes
  • Papaya
  • Pineapple

Dairy and dairy alternatives to avoid:

  • Cow, sheep, and goat milk
  • All cheese
  • Cottage cheese
  • Yogurt
  • Whey
  • Eggs
  • Coconut milk from a carton
  • Soy products
  • Animal protein to avoid:
  • Red meat
  • Fish
  • Poultry white meat

Legumes to avoid:

  • All legumes, including beans, lentils, bean sprouts, soy, etc.

Herbs to avoid:

  • Chives
  • Curry
  • Ginger
  • Horseradish
  • Turmeric

Other things to avoid:

  • Amaranth
  • Buckwheat
  • Lemon and lime juice
  • Frozen potatoes and french fries
  • Peanuts
  • Quinoa
  • Tamarind
  • Vinegar
  • Wine
  • Tamarind
  • Wheat germ

Supplements to avoid:

  • ALA
  • Bromelain and papain
  • Chlorella
  • NAC
  • MSM
  • Milk thistle
  • Turmeric
  • DMSO
  • Dairy source acidophilus
  • Cysteine

Vegetables allowed:

  • All squash
  • Artichokes
  • Avocado
  • Beets
  • Bell pepper
  • Carrot
  • Celery
  • Cucumber
  • Corn
  • Eggplant
  • Lettuce
  • Mushrooms
  • Olives
  • Potatoes
  • Pumpkin
  • Tomato
  • Water chestnut

Fruits allowed (up to ½ cup a day):

  • Bananas
  • Berries
  • Cantaloupes
  • Dates
  • Figs
  • Grapefruit
  • Melons
  • Kiwi
  • Lemon
  • Lime
  • Mango
  • Pear
  • Pomegranate

Herbs allowed:

  • Anise
  • Bay leaves
  • Basil
  • Caraway
  • Cilantro
  • Cinnamon
  • Cumin
  • Dill
  • Lemongrass
  • Lavender
  • Nutmeg
  • Oregano
  • Parsley
  • Pepper
  • Thyme
  • Rosemary
  • Thyme

Other foods allowed:

  • Almond, rice, and hemp milk
  • Nuts, including almonds, cashews, and macadamia
  • Seeds, including pumpkin seeds, sesame seeds
  • Gluten-free bread
  • Beet, corn, or parsnip chips
  • Basmati and jasmine vinegar

Final Thoughts

Hydrogen sulfide is the third most common gas in those with SIBO, yet, there is less research on it making diagnosis and treatment more difficult. If you have hydrogen sulfide SIBO, I recommend that you try a low-sulfur food plan, and notice a reduction in symptoms within a couple of weeks.

If you suspect that you have SIBO or hydrogen sulfide SIBO, I recommend that you contact a functional medicine doctor, like myself, for diagnosis and treatment. I can help you to address the underlying causes of your hydrogen sulfide and other types of SIBO, as well as other gut health issues using a system-oriented approach and engaging both patient and practitioner in a therapeutic partnership. As an experienced functional medicine doctor with integrated expertise of both Western medicine and traditional Eastern practice, I can assess all the factors, including diet, lifestyle, stress, toxicity, allergies, sleep habits, and medication, that may affect your gut health. Then I will prescribe a personalized and effective plan to improve your gut health condition, repair your body, and regain your health and well-being.

If you would like to get more information about hydrogen sulfide SIBO and gut health treatment or to schedule a functional medicine consultation, please call my office at 212-696-4325.

Sources:

https://www.ncbi.nlm.nih.gov/pubmed/15747080

https://www.ncbi.nlm.nih.gov/pubmed/9448181

https://www.ncbi.nlm.nih.gov/pubmed/19709217

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023273/

https://onlinelibrary.wiley.com/doi/pdf/10.1016/S0378-1097%2803%2900748-1

https://www.fasebj.org/doi/abs/10.1096/fasebj.29.1_supplement.598.10

https://www.ncbi.nlm.nih.gov/pubmed/23898195

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023273/https://www.ncbi.nlm.nih.gov/pubmed/23898195

5 Simple and Smart Ways to Stay Hydrated in Winter

Five Simple and Smart Ways to Stay Hydrated in Winter

“Every aspect of our being fully alive relies on the precious resource of water. It’s the most important thing we consume, as the primary building block for our cells; it’s integral to many human faiths and spiritualities, and since ancient times, diverse hydrotherapies have been used to manage pain and stress and boost energy, sleep and immunity.”

Global Wellness Institute

Harsh winter weather can wreak havoc on your system, leaving your skin parched and body dehydrated. Even though your thirst response diminishes because of low temperature, staying well-hydrated during winter is as crucial as it is during the summer season. “In cold climates, body fluid losses can be as high as those in hot climates because of high rates of energy expenditure, use of heavy clothing and increased losses in urine,” the European Hydration Institute points out. The average man needs roughly 125 ounces of water daily (91 ounces for women) from both food and beverages. Inadequate water intake can cause fatigue, muscle cramps, headaches, even dizziness.

Keep winter dehydration at bay with these five smart strategies to up your water intake:

1. Set a drinking water goal

Being attentive to the amount of water you drink each day is important for optimal health. Establishing a daily drinking water goal is one of the easiest ways to keep track of your water consumption. You can use apps like Waterlogged, Hydrate Daily and Plant Nanny to set and achieve these water goals. Also, make a habit of carrying a water bottle everywhere you go, including at work, as it acts as a physical reminder to stay hydrated.

2. Warm it up

Hydrate With Room-Temperature Beverages. Instead of forcing yourself to gulp down glasses of cold water, drink warm water (plain or infused), homemade smoothies and healthy hot beverages like green tea, cinnamon tea or ginger tea.

3. Eat hydrating foods

Consuming fluid-filled foods like orange, oatmeal, cantaloupe, celery, strawberries and yogurt is a great way to sneak in more water into your daily diet. Eating homemade soups made with seasonal vegetables and herbs can also help you stay hydrated while providing warmth and nourishment to your body.

4. Layer your clothing

Wear layers of breathable fabrics instead of heavy-duty woolens to minimize water loss caused by perspiration.

5. Consider your workout water needs

It’s recommended to take half a cup of water for every fifteen minutes of exercise to rehydrate your body. To replenish lost fluid post-workout, “aim to drink one and a half times the fluid you lost while exercising”, suggests Better Health Channel. Instead of drinking it all in one go, “spread it over the next two to six hours after the session”, it adds.

And last but not least, if you want skin that looks and feel hydrated this winter, start growing indoor plants like peace lily, English ivy, snake plant and Boston fern that can naturally humidify a room.

Stay hydrated, stay healthy!

References:

https://www.health.harvard.edu/staying-healthy/the-importance-of-staying-hydrated

christmas tree decorated

9 Tips to Stay Healthy During Holidays

The holidays are supposed to be a season of love, joy, and happiness. This is easier said than done.

Sure, good food, parties, gifts, and family gatherings are beautiful. However, just thinking about setting up the decorations, sending out holiday cards on time, shopping for gifts, attending holiday events, hosting guests, planning, cooking, and cleaning up can be incredibly overwhelming.

Do you want to enjoy this holiday season without overwhelming, fatigue, and health complaints? Do you want to experience more ease, joy, and health than the years before? You’ve come to the right place. Read on to learn how to protect your health, energy, and happiness, and how to survive the holiday hustles and bustles with a smile on your face.

9 Tips to Stay Healthy During the Holidays

Eat an Anti-inflammatory Diet

The holidays are full of temptations and indulgences. Unfortunately, many of our holiday classics from mac ‘n cheese to holiday roasts, from sugary cookies to sweet pumpkin pie, from egg nog to New Year’s Eve cocktails, are often inflammatory. Eating heavy, sugary, and inflammatory foods for a month or longer can be incredibly hard on your body. These foods zap your energy, create inflammation, and increase the risk of disease.

Instead, I recommend that you stick to anti-inflammatory foods during the holidays. Leafy greens, vegetables, fruits, herbs and spices, nuts and seeds, and fermented foods are your best friends. If you eat animal products, always choose organic, pasture-raised beef, free-range poultry and eggs, wild-caught fish, or wild game. There are so many healthy holiday recipes around made with whole foods to enjoy nutrient-dense foods without missing out on anything. If you still want to reach for some of your old favorites, I recommend that you limit them for the actual days of the holidays instead of eating them the entire month. If you are focusing on a nutrient-dense diet, you will notice how much better you feel!

Take Probiotics

Since your gut is connected to all parts of your body, its health is incredibly important. Inflammatory foods and stress may both compromise your gut health. If your gut flora and gut health are out of balance, your entire health can become compromised. Your risk of inflammation, fatigue, stress, pain, and disease increases.

A healthy gut, on the other hand, creates a balanced base that supports your entire health and well-being. While eating an anti-inflammatory diet is essential for gut health, I also recommend that you eat plenty of probiotic-rich fermented foods, such as sauerkrauts, kimchi, and kefir, and take daily probiotic supplements to support your gut microbiome. In my practice I use a variety of different probiotics, so feel free to call us and inquire about our monthly special for probiotics.

Use Adaptogens

Burning the candle at both ends during the holidays can drain your adrenals. Too much stress, too little sleep, too much sugar, and junk food, or too many holiday alcoholic drinks may force your adrenals to overwork and may lead to adrenal fatigue.

To support your adrenal health and balanced stress response, I recommend adaptogenic herbs. Adaptogens have been used in Ayurvedic and Chinese medicine for centuries. They help your body to regulate cortisol, combat stress and improve fatigue. My favorite adaptogenic herbs include Ashwagandha, Rhodiola, Licorice and Ginseng.

Exercise

Exercise may be the last thing on your mind during the busy holiday season. However, it is crucial for your health and energy levels. Regular exercise can help to reduce stress, improve your mood, and boost your energy.

Ideally, you want to get some exercise for 20 to 30 minutes five times a week and stay generally active. Mix up your routine by including some cardiovascular exercise, such as swimming, running, or biking, strength- and resistance training, such as bodyweight exercises, weight lifting, or TRX, and low-impact exercises, such as yoga, pilates, and stretching. Stay active during the day by stretching throughout the day, going for walk during lunch, playing with your kids, taking the stairs, or walking your dogs.

Make Time for Yourself

If you are like most people, you try to please everyone during the holiday season and end up forgetting about yourself. It is certainly wonderful to have this opportunity to reconnect with family and friends and create beautiful memories together. But you also need some love – from yourself.

You deserve and need some quality “me-time”. Make “an appointment with yourself” time during the holiday season. Go for a nature walk. Take a hot, relaxing bath. Meditate. Breathe. Journal. Try some yoga. Curl up with your favorite book. Watch your favorite holiday movie. Even if it’s just a few minutes, try to make a little time for yourself each day. You deserve and need it.

Practice Gratitude

Anxiety and gratitude cannot exist at the same time. Having a gratitude practice is the perfect way to improve your mood, reduce stress, and increase your zest for life. Remember the ‘little things’ throughout the day. Keep a gratitude journal jotting down the things that you are grateful for each morning and evening. Tell your loved ones that you are grateful for them and why you appreciate them.

Be Present

When you spend too much time in the future, it increases anxiety and stress. Being in the present moment, on the other hand, can decrease anxiety and stress, and increase happiness. Spending only 15 to 30 seconds in the present being aware of your body can make a difference. Savoring positive experiences can stimulate and strengthen neural connections in your brain increasing positive emotions. Meditation and breathwork are fantastic ways to spend some time focusing your awareness on the present moment. You can also set your timer a few times a day reminding you to stop and slow down and check-in with the moment for 30 seconds.

Keep It Simple

The holidays can be an incredibly stressful time. If you have a large family, out-of-town guests, or too many holiday parties, it can be quite a hassle. Try to keep it as simple as possible.

Try not to set unrealistic expectations for yourself. Don’t be a perfectionist. Ask for help if you need to. Ask everyone to bring a dish or dessert instead of doing everything by yourself. Make decorations a family event. Involve others in planning games and other holiday activities. Most importantly, know your limitations and say “no” when you have to.

Remember to Have Fun

During the holiday season, we tend to spend too much time running around and trying to make everything perfect. You have to attend holiday parties, take care of your holiday shopping, plan your holiday meals, and decorate your house. It can be a lot when you are a busy person.

But remember the time when you were a kid? The holidays were fun! All the decorations, lights, holiday cookies, movies, and music. It was magical. Be a kid again for a moment. Allow yourself to have a bit of fun. Dance to your favorite song. Sing along with the radio. Play some games with your family. Be silly. This is what the holidays are all about.

Final Thoughts

Remember, the holidays don’t have to be stressful. You can enjoy this season with your loved ones in happiness and health. If fatigue, chronic pain, health complaints, or health issues slowing you down this holiday season, I recommend that you seek help from a functional medicine doctor, like myself.

As an experienced functional medicine doctor with an integrated expertise of both Western medicine and traditional Eastern practice, I can assess all the factors, including diet, lifestyle, stress, toxicity, allergies, sleep habits and medication that may affect your body in order to uncover the root cause of your health issues and prescribe a personalized and effective plan to improve your thyroid condition, repair your body and regain your health and well-being.

If you would like to get more information about autoimmune thyroid treatment or to schedule a functional medicine consultation, please call my office at 212-696-4325.

References:

https://www.psychologytoday.com/us/blog/smart-habits-highly-successful-people/200912/7-tips-relieve-holiday-stress
https://greatergood.berkeley.edu/article/item/6_simple_practices_to_handle_holiday_stress
https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress/art-20047544
https://adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/stress/physical-activity-reduces-st
https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/adaptogen
https://www.ncbi.nlm.nih.gov/pubmed/25857501
https://www.sciencedirect.com/science/article/pii/S0378874109005728
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628357/
http://www.brainlife.org/fulltext/2001/kelly_gs010600.pdf
http://www.herbs-for-menopause.com/ginseng/articles/siberian-ginseng.htm
https://www.ncbi.nlm.nih.gov/pubmed/21793317
https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm
https://greatergood.berkeley.edu/article/item/taking_in_the_good/

top 10 Gut-nourishing foods

Top 10 Gut-Nourishing Foods

The holidays are around the corner. This means that you will be tempted with all kinds of unhealthy treats and comfort foods that may lead to gut inflammation. The good news is that it is possible to eat delicious food while following a nutrient-dense, anti-inflammatory, and gut-protecting diet rich in gut-nourishing foods.

Your gut health matters. A healthy microbiome and well-functioning gut are absolutely essential for optimal digestion, absorption of nutrients, elimination of toxins, and your overall health. A compromised gut flora may lead to leaky gut syndrome, an underlying cause of many digestive issues and other health complaints, including chronic pain, fatigue, and autoimmune diseases.

Take control of your health and nourish your body with gut-friendly foods that promote well-being. Learn about the best gut-health foods and incorporate them into your diet today.

Top 10 Gut-Nourishing Foods

10 Gut-Nourishing Foods

Sauerkrauts

Sauerkrauts mean sour white cabbage in German. They are incredibly common in Germany, my motherland, Russia, and other parts of Eastern-Europe. They are fermented cabbage that serves as fantastic gut-health food. Sauerkrauts are not only rich in fiber but provide they are loaded with good bacteria. They help a healthy gut microbiome balance, promote smooth digestion, and help to prevent the leaky gut syndrome.

You can find sauerkrauts at your local health food stores, grocery stores, and farmer’s markets. You may even make it yourself. I recommend that you also try another powerful gut-friendly food, kimchi, a Korean version of sauerkrauts.

I like to get sauerkrauts in the local store, like Zabar or Fairway, sprinkle it with high-quality olive oil, shred some fresh carrots, chop some red onion and sprinkle with fennel. Takes 5 minutes to prepare and what a great salad to increase your intake of cruciferous vegetables! Bon Appetit!

Yogurt

Speaking of fermented foods, yogurt is another fantastic gut-nourishing food. It is made with fermented milk and is incredibly rich in probiotics. It helps to balance your gut flora, reduce digestive distress, and prevent leaky gut syndrome. If you like yogurt, I also recommend it’s close cousin, kefir, another gut-health food made with fermented milk with similar gut health benefits.

You may find yogurt and kefir at any grocery store. Make sure to buy organic and avoid added sugar and artificial ingredients. If you are intolerant to dairy or avoid dairy for other reasons, you may find dairy-free yogurt and kefir options made from coconut milk or nut milk. These dairy-free options are also fantastic gut-friendly foods. Trader Joy sells delicious cashew nuts kefir, it is delicious and what a great alternative to dairy!

Dandelion Greens

You may remember waving dandelion crowns as a kid. As an adult, you can use green leaves as a gut-health food that grows everywhere in the spring. Yes, the dandelions in your backyard are gut-nourishing free food. Dandelion greens may help to improve gastric motility relaxing the muscles between your stomach and small intestines. It is a powerful cholegogic (stimulates bile production and drainage). As a result, this ubiquitous plant will improve your digestion and prevent leaky gut syndrome. Dandelions may reduce inflammation balance your blood sugar, and lower blood pressure.

Dandelions are versatile and nutritious. You can eat their stems, roots, and flowers. They serve as a beautiful garnish on your salads and dishes and make gut-nourishing tea.

Recipe: Saute green leaves of dandelion in olive oil with onion and garlic. What a great garnish! Remember, more bitter is better for your digestion!

Asparagus

When you think of asparagus, the first thing that comes to mind is that they make your pee smell funny. While it’s true, asparagus is excellent gut-friendly food. Asparagus is a gut-nourishing food that may reduce inflammation, pain, and disease in your gut and body. It may improve nutrient absorption. Asparagus is a fantastic prebiotic food that helps to feed the good bacteria in your gut and prevent intestinal dysbiosis.

You may enjoy asparagus steamed, grilled, roasted, sauteed, and baked. It makes an excellent side dish and is fantastic in soups, salads, and baked vegetable dishes.

Jerusalem Artichokes

Don’t confuse Jerusalem artichokes with globe artichokes. Jerusalem artichokes are actually related to sunflowers. They are delicious tubers that are one of the best gut-nourishing foods. They are rich in fiber and promote the absorption of nutrients. They may help to keep your microbiome balanced and gut inflammation levels low. Jerusalem artichokes may also prevent diarrhea, constipation, and leaky gut syndrome.

You may find Jerusalem artichokes in the produce aisle and try them instead of potatoes next time. You may steam, boil, bake, or saute them, or even eat them raw (shredded) in a salad.

Onions

Onions are one of the best gut-nourishing foods. They are rich in prebiotics that supports your healthy digestion. They also contain flavonoids and antioxidants, including quercetin that fight free-radical damage. Besides boosting your gut health, they are beneficial for your immune system and heart health.

You may enjoy onions raw or cooked. They add a delicious flavor to most soups, salads, stir-fries, baked vegetables, and other main dishes.

Garlic

When talking about the best gut-nourishing foods, you cannot forget about garlic. As fantastic prebiotics, they have similar benefits as onions do. They are rich in manganese, selenium, vitamin C, and vitamin B-6. It has a significant antibacterial effect and also works against parasites and fungi, like candida. I use garlic in tablets (Garlic Forte by MediHerbs) as part of the gut flora restoration protocol. If you choose to do raw garlic, then one clove twice a day will give you close to a therapeutic dose.

Garlic is the most nourishing when eaten raw, however, you can enjoy its gut-health food properties when it’s cooked as well. If you choose to cook garlic, first crush or chop it and allow it to sit for 10 – 15 minutes to activate its beneficial gut-healthy enzymes before cooking. You may add garlic to your soups, salads, and favorite dishes.

Seaweed

Seaweed is also referred to as a sea vegetable. It is a form of algae that I recommend you to try as a gut-nourishing food. Seaweed is incredibly rich in antioxidants and fiber. It may help gut flora balance, promote gut health, and aid digestion. Seaweed is full of polysaccharides that help the production of short-chain fatty acids that protect and feeds your gut cell lining.

Add seaweed flakes to your salads and meals. Try nori snack as a crunchy treat. Be adventurous and enjoy a seaweed salad.

Pineapples

Pineapple is a delicious tropical fruit that is also powerful gut-nourishing food. They are rich in bromelain, an enzyme that helps your digestive system by breaking down protein from large food molecules into smaller, more digestible peptides. Bromelain in pineapples, if eaten on an empty stomach, also helps to reduce pain and inflammation, including gut inflammation. As a result, it may help to promote a healthy gut lining and prevent the leaky gut syndrome.

You can find pineapples at any grocery store or health food store. You can eat it as it is, or as part of a fruit salad, salad, vegetable stir-fry, or pineapple salsa. Make sure to eat it fresh and avoid canned pineapples that are full of added sugar.

Bone Broth

Bone broth is one of the best gut nourishing foods. It is a nutritious clear liquid made from brewed bones and connective tissue. It is a fantastic source of collagen, glutamine, and amino acids that may help to reduce gut inflammation, maintain a healthy gut lining and prevent the leaky gut syndrome. Besides being a delicious gut-friendly food, bone broth may also support your metabolism, joints, and immune system.

You can make your own bone broth from organic, free-range poultry, pasture-raised beef, and wild-caught fish bones. You may also find organic bone broth at your local health food stores. If you are a vegan or vegetarian, you may substitute bone broth for a vegetable broth. While vegetable broth doesn’t have collagen, it is still a gut nourishing food. However, bone broth is a high histamine food, so some people may not tolerate it well. If you are one of them please consult with your functional medicine practitioner and get tested.

Conclusion

If you are experiencing digestive troubles or suspect that the root cause of your health issues is your gut health, as a functional medicine practitioner, I am happy to help. Together, we can identify and address the root cause of your health complaints. With the help of a personalized treatment plan along with some gut-nourishing foods, I can help you to repair your body, and regain your health and well-being.

If you would like to get more information about my integrative and functional medicine services or to schedule a functional medicine consultation, please call my office at 212-696-4325.

In the meantime, share this article with your friends and family to help them regain their health with the power of gut-nourishing foods and holistic medicine.

References:

Autoimmune Thyroid Disease - Functional Medicine Approach

Functional Medicine Approach to Autoimmune Thyroid Disease

Autoimmune diseases affect nearly 24 million Americans, and thyroid diseases affect about 20 million. Many Americans are dealing with autoimmune thyroid disease. In fact, Hashimoto’s disease, an autoimmune thyroid condition, is one of the most common causes of hypothyroidism.

The scary part is that a high percentage of those with autoimmune thyroid disease are completely unaware of their condition. If you have autoimmune thyroid disease, you don’t want to leave it untreated. Read on to learn more about autoimmune thyroid disease and how functional medicine can help you to treat your condition naturally.

What Is Autoimmune Thyroid Disease?

Your thyroid is shaped just like a butterfly. It’s a small gland located at the base of your neck. It plays an important part in your endocrine system, which produces hormones that are responsible for your metabolism, temperature regulation, heart rate, breathing, and mood.

Autoimmune conditions occur when your immune system attacks your own body, in the case of autoimmune thyroid disease, your thyroid. The most common autoimmune thyroid disease is Hashimoto’s disease, a form of autoimmune hypothyroidism. You may also develop autoimmune hyperthyroidism, such as Graves’ disease.

Hashimoto’s Disease

Hashimoto’s Disease is an autoimmune condition characterized by an underactive thyroid.

Symptoms of Hashimoto’s disease include:

  • Fatigue
  • Muscle aches, stiffness, tenderness, or weakness
  • Joint pain and stiffness
  • Unexplained or unexpected weight gain
  • Constipation
  • Pale, dry skin
  • Hair loss
  • Brittle nails
  • Puffy face
  • Enlarged tongue
  • Increased sensitivity to cold
  • Memory issues
  • Depression
  • Prolonged menstrual bleeding

Early diagnosis and treatment of Hashimoto’s disease are crucial. Untreated Hashimoto’s disease may lead to a variety of health complications including goiters, heart problems, mental health issues, myxedema, and birth defects.

Graves’ Disease

Graves’ disease is an autoimmune condition characterized by an overactive thyroid.

Symptoms of Graves’ disease include:

  • Anxiety and irritability
  • Tremor
  • Fatigue 
  • Unexplained or unexpected weight loss, despite eating enough
  • Enlargement of the thyroid gland (goiter)
  • Heart sensitivity
  • Increase in perspiration
  • Warm or moist skin and increased body temperature 
  • Frequent bowel movement
  • Bulging eyes (Graves’ ophthalmopathy)
  • Thick, red skin on the top of the feet or shins (Graves’ dermopathy)
  • Rapid or irregular heartbeat
  • Thinning or brittle hair
  • Difficulty sleeping

It is important to diagnose and treat Graves’ disease early on. Untreated Graves’ disease may lead to a variety of health complications including heart problems; increased risk of heart disease, stroke, and congestive heart failure; eye problems; brittle bones; red and swollen skin and thyrotoxic shock.

Diagnosis of Autoimmune Thyroid Disease

Conventional, functional, and integrative doctors use similar tools for autoimmune thyroid disease diagnosis. You can expect a physical exam, a complete medical history and an analysis of your symptoms. Your doctor will also order some blood tests.

Many conventional doctors only check for your thyroid-stimulating hormone (TSH) level and inactive thyroid hormone (T4) level. However, in order to gain a full understanding of your thyroid health, most integrative medicine and functional medicine doctors find it important to get a complete panel. They check your TSH, free T4, free T3, and reverse T3 levels, as well as certain antibodies to understand the full picture.

What Conventional Doctors Don’t Understand About Autoimmune Thyroid Disease Treatment

Conventional doctors tend to look at your symptoms only, instead of looking at you from a holistic perspective, as a person affected by their diet, lifestyle, and environment. They miss digging deeper for the root cause of your issue and risk factors that may lead to autoimmune thyroid disease. The question of “WHY?” you developed autoimmune thyroid conditions most often remains unanswered.

Risk Factors of Thyroid Disease:

  • Stress: Cortisol, the stress hormone, may also interfere with thyroid hormone production leading to all kinds of imbalance in your body.
  • Leaky Gut: If you have increased intestinal permeability or “leaky gut syndrome”, your gut wall allows undigested food particles to escape into your bloodstream leading to chronic inflammation, a compromised immune system, and potential autoimmune disease.
  • Toxins: An exposure to harmful chemicals—in particular, the ones used in plastic may cause thyroid issues. Heavy metals is another big risk factor. 
  • Infections: Mononucleosis (Epstein-Barr virus), mumps and the flu virus have all been linked to thyroid problems. These viruses can stay dormant in your body for years then flare up when you are under great stress.
  • Food sensitivities and inflammatory foods: Inflammatory foods and foods that you are sensitive to may lead to further inflammation and disease in your body. Gluten sensitivity, for example, may lead to the overproduction of antibodies, which may end up attacking your own body, including your thyroid gland.
  • Autoimmune conditions: If you already have another autoimmune condition, then you are 10 times more likely to develop another one, including autoimmune thyroid disease.

Understanding these risk factors is incredibly important when it comes to autoimmune thyroid treatment. Unlike functional medicine doctors and integrative medicine doctors, conventional practitioners don’t take dietary and lifestyle factors into account when it comes to autoimmune thyroid disease treatment.

The conventional treatment of autoimmune thyroid diseases, such as Hashimoto’s disease and Graves’ disease, usually involves surgery and/or medication. Thyroid medications with synthetic thyroid hormones are one of the top sellers that patients usually stay on for life.

The problem is that these drugs don’t address the root cause of the problem and may lead to side effects and other health problems in the long run. Functional medicine doctors, on the other hand, have a different approach. Your functional medicine doctor will spend time with you to listen and understand why you may have developed an autoimmune thyroid condition. Instead of simply relying on thyroid medication or surgery, they look for the root cause of your autoimmune thyroid disease and offer natural treatment.

Functional Medicine Approach to Autoimmune Thyroid Disease

You will be happy to learn that you may be able to treat autoimmune thyroid disease naturally by following a functional medicine approach. This means addressing the root cause of your issues and following some dietary and lifestyle strategies.

Experiencing a lot of stress, sleeping very little, and eating junk food seems to be the norm in today’s fast-paced world. The problem is that such a lifestyle leads to inflammation and health issues, including autoimmune thyroid disease.

The functional medicine approach to autoimmune thyroid treatment requires dietary changes, adopting some lifestyle strategies, and appropriate supplementation to support your body. Visiting a functional medicine doctor is the first step for identifying the root cause of your autoimmune thyroid disease. Your functional medicine doctor can create an autoimmune thyroid treatment protocol that’s right for you.

Functional Medicine Strategies for Improving Your Thyroid Function

Take a look at some of the main functional medicine strategies for improving your thyroid function.

Repair Your Gut

Support your gut with a fiber-rich and nutrient-dense diet. Eat plenty of probiotic-rich foods, and take probiotic supplements to support your gut flora. Visit a functional medicine doctor to identify problems that may be compromising your gut health.

Clean Up Your Diet

Remove inflammatory foods, such as refined sugar, refined vegetable oils, processed foods, unhealthy fats, gluten, conventional dairy, and any foods to which you may be sensitive. Instead, eat plenty of anti-inflammatory foods, such as greens, vegetables, fruits, healthy fats and clean protein.

Lower Toxicity

Our modern world is full of toxins that create inflammation and disease in your body. Minimize toxic exposure by using organic and natural cleaning and body products, reducing the use of plastics, avoiding smoking and second-hand smoke and spending time in nature.

Identify Infections

There may be infections lying dormant in your body ready to activate an autoimmune thyroid condition under stressful circumstances. It is important that you work with a functional medicine doctor to identify your hidden infections and develop a plan to fight them naturally.

Exercise Regularly

Regular exercise supports your immune system and overall well-being. Aim to exercise 20 to 30 minutes five times a week and to move your body regularly. Get up and stretch at work. Go for a walk during lunch. Play outdoors with your kids or pets.

Relieve Stress

Managing your stress levels is absolutely essential for a healthy immune system. Avoid stress as much as possible. Learn skills that help you to react to stressful situations more effectively. Engage in relaxing activities, including yoga, meditation, journaling, breathwork, and nature walks.

Sleep Plenty

Getting regular quality sleep is essential for your overall well-being. Make sure to sleep 7 to 9 hours a night. Support your sleep cycle by having a regular bedtime. Develop a relaxing night-time routine that works for you to calm your mind and ease your body before bed. Meditation, journaling, light stretching, and a calming cup of tea are great ideas.

Find a Functional Medicine Doctor for Autoimmune Thyroid Treatment

If you suspect or already know that you have autoimmune thyroid disease, it is important that you find a functional medicine practitioner to help you identify the root cause of your condition and prescribe a personalized autoimmune thyroid treatment.

I can help you to address the underlying causes of your autoimmune thyroid condition using a system-oriented approach, engaging both patient and practitioner in a therapeutic partnership. As an experienced functional medicine doctor with an integrated expertise of both Western medicine and traditional Eastern practice, I can assess all the factors, including diet, lifestyle, stress, toxicity, allergies, sleep habits and medication that may affect your immune system in order to uncover the root cause of your autoimmune thyroid disease and prescribe a personalized and effective plan to improve your thyroid condition, repair your body and regain your health and well-being.

If you would like to get more information about autoimmune thyroid treatment or to schedule a functional medicine consultation, please call my office at 212-696-4325.

Functional Medicine Doctor NYC

References:

https://www.aarda.org/news-information/statistics/
https://www.thyroid.org/hypothyroidism/
https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/symptoms-causes/syc-20351855
https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/symptoms-causes/syc-20351855
https://www.niddk.nih.gov/health-information/endocrine-diseases/hyperthyroidism
https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/symptoms-causes/syc-20373659
https://www.thyroid.org/thyroid-function-tests/
https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
https://www.endocrineweb.com/conditions/thyroid/how-stress-affects-your-thyroid
https://www.webmd.com/women/news/20100121/chemical-may-be-linked-to-thyroid-disease#1
https://www.ncbi.nlm.nih.gov/pubmed/24574735
https://www.ncbi.nlm.nih.gov/pubmed/26230132
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5099387/
https://www.ncbi.nlm.nih.gov/pubmed/30213697
https://www.uclahealth.org/endocrine-center/subacute-thyroiditis
https://pubs.acs.org/doi/abs/10.1021/acschemneuro.5b00148
https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
https://www.sciencedirect.com/science/article/abs/pii/0024320589901793

How to Get Better Night Sleep

How To Get Better Night Sleep (According To Functional Medicine)

JUST ONE MORE click along your episodic TV show on Netflix, that means one less hour of sleep, but that’s nothing a cup of coffee won’t fix tomorrow, right? Not quite. Over time, a deficit of deep sleep could mean way more than just a bit of daze—think weight gain, mood disorders, fatigue, increased stress levels, reduced attention span, and declined cognitive performance.

With the hectic pace of day-to-day life, many people don’t get the recommended amount of sleep each night. According to the National Sleep Foundation, adults typically need between seven and nine hours of sleep per night in order to function at their best. Getting fewer hours for even a couple of nights in a row can have the same effect as staying awake for 24 hours straight. And, over time, the chronic sleep debt can even contribute to illness.

I want to get real with you about the importance of sleep and share

12 simple tips from functional medicine on

How to Get Better Night Sleep:

  1. Set the right temp. Make the room a comfortable temperature for sleep (not too hot or cold). In general, the suggested bedroom temperature should be between 60 and 67 degrees Fahrenheit for optimal sleep.
  2. Soak the day away. Take a hot bath at night for 20 minutes. You might want to add 2 cups of Epsom salt and 10 drops of lavender essential oil to the bathwater.
  3. Calm your system. Take a daily dose of Magnesium Lactate before bed, which relaxes the nervous system and muscles. Magnesium supports ion signaling across cell membranes; it supports the body’s natural ongoing activities of bone formation and resorption; it helps facilitate muscle contraction and body’s energy production, which is used by the central nervous, neuromuscular, and cardiovascular systems. Raise your hand if you feel you don’t need it tonight!
  4. Supplement thoughtfully. Other supplements and herbs to get sufficient shuteye include calcium, L-theanine (an amino acid from green tea), Kava Forte by MediHerb and Min–Tran.
  5. Ditch the coffee addiction. Avoid or minimize substances that affect sleep, like caffeine, sugar, and alcohol.
  6. Unplug. Avoid any stimulating activities for two hours before bed such as watching TV, using the Internet and answering emails.
  7. Set a bedtime (and a rise time). Go to bed (preferably before 10 or 11 p.m.) and wake up at the same time every day.
  8. Sweat it out. Exercise daily for 30 minutes (but not three hours before bed, which can affect sleep).
  9. Designate a role. Keep computers, TVs and work materials out of the room to strengthen the mental association between your bedroom and sleep.
  10. Cut the lights. Keep your bedroom very dark or use eyeshades.
  11. REST. Keep it quiet. Block out sound if you have a noisy environment by using earplugs.
  12. Daytime Napping. “No day is so bad it can’t be fixed with a nap.”—Carrie Snow.
12 Tips on how to get a better night sleep

One way to combat the effects of sleep deprivation—and repay some sleep debt—is to incorporate daytime napping into your schedule. The length of the nap and type of sleep you get during that nap help determine its potential health benefits. The table below identifies these benefits.

Health Benefits of Nap

If you need extra support with sleep issues, feel free to call our office at (212) 696-4325 and schedule a consultation. We provide a full-spectrum functional medicine evaluation by a Certified Functional Medicine practitioner.

References:

The Institute For Functional Medicine