Dr. Kyle: Diet Do’s and Don’ts for 2019

 

Looking to start a new diet in 2019? Here are a few tips on what to avoid and what to incorporate into your nutritional regime this year.

FATS ARE GOOD

The human body is designed to process and burn fats as one of its primary energy sources. Fat enhances food digestion and nutrient absorption. Accompany sides of vegetables with a fat source to increase nutrient bioavailability.

Try cooking with animal fats, organic grass-fed butter and coconut oil. Avoid trans fats and poly-unsaturated vegetable oils like canola oil.

Add some wild-caught salmon into your diet to balance out the ratio of omega-3’s to omega-6’s. The typical western diet has an abundance of omega-6’s so eating salmon 1-2 per week will boost your levels of anti-inflammatory omega-3’s.

DON’T SHY AWAY FROM CHOLESTEROL

Cholesterol is vital for the synthesis of hormones and vitamin D. It also helps form cell membranes and other structural components.

Eat whole foods and at least 1 yolk with your egg whites. This will give you a better nutrient profile and a healthy dose of cholesterol.

RED MEATS

Red meats have almost everything you need to not only survive but thrive. They are one of the most micronutrient dense fuel sources on the planet. Red meats are high in b-vitamins, iron, zinc, magnesium, and creatine.

Red meat also includes Lamb! It is an excellent source of heme-iron as well.

GET YOUR PROTEIN

It is most commonly recommended that daily intake should be 1g of protein per pound. Older athletes will need more due to less efficient protein absorption.

Keep in mind that dietary needs will fluctuate based on physical demands and training goals. Athletes trying to put on mass should eat 40g before bed to maintain protein synthesis throughout the night.

20g per meal will provide 90% of muscle protein synthesis. 40g will provide 100%.

Carbohydrates

Some carbs are better then other! So, we want to pick the right ones.

Avoid refined sugars (obviously). Include variation and eat 2 forms of carbs at a time for faster absorption. I recommend sweet potatoes, spinach, red peppers and carrots. These foods have plenty of micronutrients and produce low levels of gas.

Add a side of white rice to your meat and vegetable dish. White rice is easy to digest, and can help supplement your macronutrient intake. Oats on the other hand can be hard to digest – soak them in warm water overnight or add yogurt.

Remember, carbohydrates are used to fuel workouts! Getting adequate carbs to sustain your athletic performance will protect against muscle tissue breakdown.

As always, ask a healthcare professional for dietary recommendations that best suit you. Some foods that work well for others may not sit well for you. Listen to your body.

Stay healthy and good luck achieving all your health and wellness goals for 2019!

Dr. Kyle: Debunking the Salt Myth

Do you pay attention to how much sodium you take in?

Maybe you should!

It turns out that sodium may not be as bad as we previously thought. In fact, sodium is essential for many metabolic processes. Sodium is responsible for regulating blood pressure, maintaining blood volume and is required for neuron function and signal transduction.

Many believe that high (or adequate) salt intake will lead to high blood pressure. Most cases of hypertension are actually a result of genetics or stress. A small percentage of the people who are sodium sensitive may experience an increase in blood pressure, but an overwhelming benefit for the rest of the population cannot be ignored.

Sodium has several benefits including:

• Increased performance
• Increased stamina / endurance
• Increased blood volume
• Increased recovery

During high intensity exercise, the body actually responds better to a higher blood volume. This improves delivery of oxygen and nutrients to the working cells of the body. High blood volumes are also optimal for kidney filtration and removal of toxins and metabolic waste products.

Low dietary sodium and elimination diets can have detrimental effects for high performance athletes. Low salt intake will decrease overall blood volume, making the blood thicker. This can cause muscle weakness, cramps and lethargy.

What Type of Salt?

I recommend iodized salt. Iodine helps with thyroid function and regulates metabolism. Unbleached, pure Himalayan salt is also a good option.

So if you are hitting a wall during your workout it may be due to sodium depletion. Bottom line, make sure you are drinking plenty of water, eating sufficient carbs for your training needs, getting a balance of micronutrients from a variety of whole foods, and don’t be afraid to sprinkle a little salt on your meals every once in a while!

Dr. Kyle: Sport Injury Rehabilitation

 

There are many factors to consider before clearing an athlete to return to sport. Time since injury, improvements in range of motion and increases in joint stability are all good metrics to evaluate before giving an athlete the green light.

Many rehabilitation programs focus primarily on enhancing maximal muscle strength. Current research suggests that Rate of Force Development (RFD) may actually be a better predictive factor in determining whether an athlete is ready for sport.

Common athletic maneuvers such as pivoting, jumping and stop-and-starts require rapid stabilization of the joints in the lower limb. This requires almost instantaneous muscle activation to prevent joint displacement and avoid re-injury. Factors such as neural activation, fiber composition and muscle contractile properties influence RFD and the body’s ability to absorb load on the joint. Therefore, it may not matter how strong the muscle is, but rather how fast the muscle can fire.

So how might this change rehabilitation programs?

Most physical rehabilitation protocols help build strength but fail to include an explosive component. Because athletic demands are often variable and unpredictable, it is important for the muscles to be able to react to any situation. Incorporating explosive plyometric exercises and a variation of sport specific drills will improve RFD and prevent future injury.

Take home points for sport-injury rehab:

• Allow sufficient time to for healing process to occur
• Recover full range of motion and flexibility
• Progressively overload the muscle to build strength
• Explosive training to enhance ability of muscle to generate force rapidly.
• Incorporate plyometric and sport specific drills to complement athletic demands.

As always, the best way to stay in the game is to avoid injury in the first place. So don’t wait for the pain to start before implementing an effective strength AND conditioning program.

If you or someone you know is suffering from a sport injury, call and book an appointment today for a complete musculoskeletal assessment!

 

Reference:
Buckthorpe, M., & Roi, G. S. (2018). The time has come to incorporate a greater focus on rate of force development training in the sports injury rehabilitation process. Muscles, ligaments and tendons journal, 7(3), 435-441. doi:10.11138/mltj/2017.7.3.435

Dr. Laura on Mould and Indoor Air Quality

Mould is very important factor in indoor air quality. If you are chronically ill and can’t seem to shake it, test the places you spend time.

Mould Related Health Issues

  • nasal stuffiness
  • throat irritation
  • coughing or wheezing
  • eye irritation
  • skin irritation

The Centre for Disease Control and Prevention  is firm about the removal of any visible mould. Health impacts vary from person to person. Mould, once inhaled, can grow in the lungs and upper respiratory tract. It also has the potential to spread through the rest of the body.

Where is Mould found?

Mould is found where there is moisture, on just about any surface and can be tracked from place to place. Be sure to check basements, bathrooms, laundry room, kitchen, roofs and around leaky pipes. A professional can be hired to investigate anything beyond a visual check. Or if you are up to it, there are some at home kits available. The Amazon DIY Mold kit (Americans spell it without the “u”) or try the Canadian option, which includes air tests at http://www.CanadaMoldTestKits.com‎ (they must sell to Americans!)

What’s the proper indoor humidity?

Too dry and your nasal passages can dry out and make you more susceptible to infection. Too humid and the dampness can be a breeding ground for mould and mildew.

Indoor humidity should be kept around 45-50%.

A humidity reader, also called a hygrometer, is available at any local hardware store. Review and compare some of the best hygrometers evaluated in 2018.

De-humidfiers are helpful in damp spaces. Their filters should be kept clean and collection bins rinsed with white vinegar every couple of weeks. Humidity in Ontario is generally higher spring through fall and drier once the indoor heating starts.

 Health issues persist?

Long term exposure to mould means you need some serious detoxification. If health related mould issues persist, a visit with Dr. Laura may help you clean up the damage and get clear of the problems.

Dr. Laura M. Brown, ND

Dr. Kyle: Can Changes in Weather Predict Pain?

 

 

I always thought my grandma was crazy when she’d say I can “feel” a storm coming as she’d rub her knees. To my surprise, her knees were often better at predicting the weather than our local news. How come?

It’s believed that changes in barometric pressure can lead to increases in musculoskeletal pain. In particular, for individuals suffering from osteoarthritis. But what’s surprising is most of the research is either inconclusive or there’s little evidence to support these claims.

After hearing a number of my patients describe similar changes in pain levels due to the changes in weather, I thought I’d take a further look at these claims.

In one survey by Von Mackensen et al., one to two thirds of patients with rheumatoid arthritis believed their symptoms were weather-sensitive (1).

Other studies found an increase in barometric pressure or a drop in ambient temperature are both associated with an increase in pain (2).

At first glance it appears there may in fact be some credible evidence to support this strange phenomenon, but why?

Joint Pain in Scuba Divers

Have you ever swam to the very bottom of a pool in the deep end and felt your ears pop? This sudden change in pressure is similar to what scuba divers experience but on a smaller scale.

Sudden changes in tissue gas tension surrounding the joints can cause fluid shifts and interference of joint lubrication. When divers go deep, their joints may hurt as there’s not as much fluid surrounding their joints. This becomes worse if severe osteoarthritis exists (3).

Why Your Joints Hurt More on Colder Days

Colder temperature and its association with increased pain is much easier to explain. We know that cold temperature reduces inflammatory markers, changes the viscosity of the fluid in our joints, and can decrease the strength and support of our muscles around joints (4). Patients tend to experience more severe joint pain during the cold winter months.

Show Me Your Search History and I’ll Diagnose Your Pain

I still recommend an in-person consultation but we’re close to this becoming a reality. A recent study found an association with local weather and rates of online searches for musculoskeletal pain symptoms.

Searches for arthritic related symptoms are significantly more common in climates closer to -5 degrees Celsius than 30 degrees Celsius. Although this doesn’t explain WHY osteoarthritic patients suffer more pain, it gives us a better idea of WHEN they experience worse symptoms and under WHAT conditions (5).

Well there you have it folks. There are still many uncertainties and unknowns on why joint pain increases when the temperature drops or pressure rises. But if you can sense the next snow storm or torrential downpour from your knees and not the news, you may be experiencing some underlying osteoarthritis.

1. Von Mackensen S, Hoeppe P, Maarouf A, Tourigny P, Nowak D.
Prevalence of weather sensitivity in Germany and Canada. Int J
Biometeorol. 2005;49(3):156-166.

2. McAlindon T, Formica M, LaValley M, Lehmer M, Kabbara K.
Effectiveness of glucosamine for symptoms of knee osteoarthritis:
results from an internet-based randomized double-blind controlled
trial. Am J Med. 2004;117(9):643-649.

3. Compression pains. In: US Navy Diving Manual. Revision 4 ed. Naval
Sea Systems Command; U.S. Government Printing. 1999:3-45.

4. Golde B. New clues into the etiology of osteoporosis: the effects of
prostaglandins (E2 and F2 alpha) on bone. Med Hypotheses. 1992;
38(2):125-131.

5. McAlindon T, Formica M, Schmid CH, Fletcher J. Changes in barometric pressure and ambient temperature influence osteoarthritis pain. The American journal of medicine. 2007 May 1;120(5):429-34.

Dr. Laura on Detoxification

Detoxification is a continual process. This happens at a cellular level throughout the body especially in the liver, kidney, lungs, skin, gastrointestinal tract and emotions.

Cellular toxins

When a cell encounters a toxin, be it too much sugar or alcohol, pesticides, BPA, lead, mercury, cadmium, arsenic, nickel, chemical flame retardants, phthalates, viruses, bacteria, fungi or parasites it mounts a cell danger response (CDR).  This load triggers a series of protective reactions that slows the transport of   goods across the cellular membrane. The membrane walls thicken just like our ancestors ravaged in war, built their walled cities for protection. This response to cellular danger is a fundamental component of innate immunity and can be helpful in times of distress.

Seasonal influence on detoxification

There comes a time when things must come and go from this walled city.  Seasonal influence provide an important basis for organ focus. For example, in the height of summer, the emotions, digestive and energy movement are most active. Autumn is more a time for the lungs and large intestine.  Winter brings the kidney and bladder centre stage. Finally in spring the liver and gallbladder are most ready to clear out the build up from the cold winter months.

Long term effects of toxic exposure

Long term toxic exposure with little support leads to chronic disease. This is when the cells continually want to keep their walls of protection. This is not healthy. Garbage builds up, and the inward flow of nutrients slow down. We also get this feeling after the long, cold winter months as we have hibernated inside, put the heat on and slowed our movement in and out of the house. It is always interesting what tends to happen at human levels of behaviour are also reflected at levels of cellular behaviour.

With this in mind, it might be proactive to think about more outside activities to keep your cells and energy from becoming too stagnant. The kidneys and urinary bladder are likely more open to accept attention in the winter time.  The urinary bladder is pretty straight forward in its function; eliminating water soluble waste that has been prepared by the supporting organs in the body. The kidneys themselves are responsible for blood filtration, mineral and acid base balance. They decide what gets filtered out and what gets recycled back into the body. In Chinese Medicine, the kidneys include the adrenals, our body’s organs that help us adapt to stress.  It is important through the winter months to also ensure the adrenal glands are well supported.

Near the end of one season and the beginning of another, during equinox, the need for the organs shift. So in late winter, early spring, the stage prepares for the kidneys, adrenals and bladder to fade and the liver and gallbladder begin to take centre stage. If the flow of energy through these organs is not smooth, it generally results in a lack of creativity and feelings of irritability and nagging frustration.

Organ System Screening

Electro dermal screening (EDS) can provide insight into the health of your detoxification organs. Much like an EKG on the heart or EEG on the brain, nervous system conductance related to each organ may be captured at peripheral points of the nervous system on the hands and feet. The onsite EDS equipment at Forward Health is German engineered, precise and needle free. 

Detoxification Plan

Together with sensitive body biofeedback from the EDS equipment and understanding what’s bothering you, Dr. Laura M. Brown, ND can create a clear detoxification plan to help you relax those walls you and your cells have built, and get the river of life flowing smoothly once again.

Resources:
Teeguarden, Ron. 1984. Chinese Tonic Herbs. Japan Publications New York.
Naviaux, Robert. 2013. Metabolic Features of the Cell Danger Response. Mitochondrion Volume 16, May 2014, Pages 7-17 https://doi.org/10.1016/j.mito.2013.08.006.

 

Tips for Snow Shovelling

 

Don’t Let the Snow Get You Down

Winter weather can pack a punch and, with the season’s heavy snowfalls, injuries often result. Improper snow shovelling is often to blame.

But shovelling out after a storm doesn’t have to leave you stiff and sore. With a little know-how, you can clear your driveway without the all-too-common back, neck and shoulder pain cramping your style. Here’s how:

Before You Start:

  • Drink plenty of water. Dehydration is just as big an issue in the winter months as it is in the summer.
  • Dress in several layers so you can remove a layer as you get warm.
  • Wear proper footwear. Shoes and boots with solid treads on the soles can help to minimize the risk of slips and falls.
  • Pick the right shovel. Use a lightweight, non-stick, push-style shovel. A smaller blade will require you to lift less snow, putting less strain on your body. An ergonomically correct model (curved handle) will help prevent injury and fatigue. Also, if you spray the blade with a silicone-based lubricant, the snow will slide off more easily.
  • Before beginning any snow removal, warm up for five to 10 minutes to get your joints moving and increase blood circulation. A brisk walk will do it.

All Set to Go

PUSH, DON’T THROW.

Push the snow to one side and avoid throwing it. If you must throw it, avoid twisting and turning — position yourself to throw straight at the snow pile.

BEND YOUR KNEES.

Use your knees, leg and arm muscles to do the pushing and lifting while keeping your back straight.

WATCH FOR ICE.

Be careful on icy walkways and slippery surfaces. Intermittent thaws and subsequent freezing can lead to ice building up underfoot, resulting in nasty slips and falls. Throw down some salt or sand to ensure you have a good footing.
Once you’ve mastered safe snow shovelling techniques, you’ll be free to have fun and stay fit all winter.

 

Call and book an initial assessment with Dr. Kyle Aram today!

 

Dr. Phil Shares: Should You Work Out With a Cold?

Should You Work Out With a Cold?

When you’re feeling under the weather, does activity help or hinder?

Most experts agree you can still work out when you’re sick — as long as you listen to your body and not push it.

Keep in mind, everyone’s tolerance level for colds and sniffles varies — one person feels like they can sustain a normal workout routine, while another feels too draggy to even consider it.

“Studies show that exercise is beneficial because it can boost your immune system before, during and after sickness,” says Nicola Finely, M.D., integrative medicine specialist at Canyon Ranch in Tucson.

Note: If you have a chronic health condition, such as asthma, you may want to consult your doctor first before exerting yourself.

Does Exercise Boost the Immune System?

“Exercise allows your white blood cells to circulate faster throughout the body, and white blood cells are the immune warriors that fight off infections,” explains Finely.

The American College of Sports Medicine backs that up, too, stating that regular and moderate exercise lowers the risk for respiratory infections and that consistent exercise can enhance health and help prevent disease.

In one study in the American Journal of Medicine, women who walked for 30 minutes every day for a year had only half the number of colds as those who didn’t bust a move.

Working out almost daily at a moderate pace can help keep your immune system strong.

But overtraining and pushing yourself too hard for too long can decrease the levels of IgA, which are antibodies on the mucosal membranes, such as the respiratory tract. These antibodies are needed to battle bacteria and viruses.

According to The American College of Sports Medicine (ACSM), moderate physical activity done every day, such as yoga or jogging, is the most effective way to keep the immune system strong.

Should-You-Work-Out-With-a-Cold

Experts Recommend Exercising With a Cold If:

  •  You have a garden-variety cold but no fever. Exercise can help relieve you from stuffiness by opening up your nasal passages, says the Mayo Clinic.
  •  Your symptoms are above the neck like a runny nose, nasal congestion, sneezing or a slight sore throat.

“Keep the intensity at a moderate-to-low pace,” cautions Finely.

For example, if you typically go for a 30-minute run every day, take a brisk walk instead. And if you start to feel worse with exercising, then you should stop, she says.

Skip Exercise With a Cold If:

  •  You have a fever, discomfort in your chest, or difficulty breathing.
  • Your symptoms are below the neck, such as chest congestion, a hacking cough or an upset stomach.
  • You’re tired, you’re running a fever, or you’re especially achy. “I’d suggest any patient refrain from exercise if fever is higher than 101.5 degrees Fahrenheit,” says Finely, who points out that a fever is considered any temperature over 100 F. Exercising during this time increases the risk of dehydration, and can worsen or lengthen the duration of your cold, she explains.

A 2014 study in the journal Sports Health found that fever can have harmful effects on muscular strength and endurance.

There’s no great advantage in tiring yourself out when you’re feeling ill. After all, you don’t want to risk making yourself sicker, and taking a few days off shouldn’t affect your overall performance. “When you get back to exercise, make sure to gradually increase your level as you begin to feel better,” Finely advises.

Exercising during a cold can be beneficial, but don’t push it.

Remember, it can help flush bacteria out of your lungs and airways and reduce your overall chances of getting a cold in the first place.

The important thing is to listen to your body.

Shared by Dr. Phil McAllister @ Forward Health Guelph

Dr. Laura: Why Estrogen Makes You Stressed

How estrogen impacts stress

High levels of estrogen might increase your levels of stress. It clogs up the detoxification pathways and leaves neurochemicals in the body for too long. A build up of neurochemicals can make a person angry, irritable, anxious or exhibit compulsive symptoms.

The detoxification processes affected by high levels of estrogen:

  1. Methylation
  2. Breakdown

Methylation

Methylation keeps cells from oxidizing, aging, or simply “going bad”. Too much or too little methylation is linked to multiple diseases and cancer. Methylation aids in DNA and RNA synthesis, cell differentiation, neurotransmitter synthesis and metabolism, detoxification, hormone clearance, energy production, nerve conduction and histamine clearance.

Methylation is provided by foods that offer sources of B6,B12, zinc and folate (lots of vegetables, fruits, seafood, red meat, nuts & seeds). The MTHFR (methyl folate reduction) gene’s activity is observed through genetic and organic acid tests. Homocysteine can also be a blood biomarker for how well the methylation cycle works.

Breakdown of neurotransmitters

COMT Catechol-O-Methyltransferase (COMT) is one of several enzymes that degrade the neurotransmitters dopamine, epinephrine, and norepinephrine. COMT is heavily influenced by levels of estrogen. When the estrogen is high, the COMT is slowed down.

MAO, or monoamine oxidase, is an enzyme that affects the neurotransmitters dopamine, norepinephrine, and serotonin.

When we think of estrogen, we often think of females with Premenstrual Syndrome (PMS) and peri-menopausal women. These are times when the estrogen surges and drops, inflicting mild to severe mood swings.

Estrogens are not only a female concern. There are increased levels of estrogens in males and females due to environmental factors.

Xenoestrogens are not natural forms of estrogen and the body has difficulty eliminating them. Xenoestrogens come in the form of birth control pills, flame retardants, BPA, pesticides, heavy metals, aluminum, lead, mercury, arsenic and cadmium.

Increased xenoestrogens puts an increased toll on our COMT and MAO. When the COMT and MAO are busy with excess estrogen and  xenoestrogens it makes it more difficult for them to do their everyday job of clearing catecholamines, or brain chemicals like dopamine and adrenaline. When dopamine and adrenaline hang out for too long, the body endures long standing experiences of stress. This is why estrogen detoxification and support of methylation, COMT and MAO activity in general can lead to less anxiety and aggravation.

How well does your methylation, COMT and MAO work?

Find out how your hormones influence your levels of stress through blood,  dried urine, and salivary tests available with Dr. Laura:

Dr. Laura M. Brown, ND works with her patients to help them understand their genetic tendencies and educates on how to prevent disease, reduce experiences of stress and live with energy.

Dr. Phil Shares: 5 Quick + Easy Ways To Incorporate Wellness Into Your Week

With all of the go, go, go that comes with being a busy, working woman, sometimes our own health falls to the wayside. We get it, not everyone has the time to hit a two-hour Pilates class every day…we certainly don’t! We’re all about striking a balance here and figuring out simple ways to improve our health on the daily. Let’s keep it simple and dive right into our five quick and easy wellness tips to improve your week.

easy wellness tips

Increase Your Intake of Hydrating Foods

Every wellness article you read is going to tell you to drink your body weight in water, and you should! But just in case you’re not the best at guzzling gallons of water in one sitting, try snacking on it! Foods like cucumbers, watermelon, strawberries, tomatoes and zucchinis are about 95 percent water. Increase your intake of these tasty snacks and you’ll kill two birds with one stone. We also love mixing in a shot of this hydrating inner beauty boost into our water!

Micro-Dose Your Vitamin D

Set a timer on your phone, write it on your to-do list, do whatever you need to do to incorporate fresh air into your day. Before lunch each day, head outside for a 15-minute walk and soak up the sunshine. Fifteen minutes may not sound like much, but it’s enough to get your blood pumping and also shift your mindset. Pencil in a minimum of one walk per day, but if you can swing more, do it!

Eat Mindfully

So many of us (*guilty hand raised*) eat like it’s just something else to check off our to-do list. We often eat our lunch at our desk in front of a computer, or at home in front of the television. This often leads to overeating or mindless snacking! When it’s time to eat a meal, choose somewhere intentional to sit that doesn’t involve devices with screens. This will help you feel mindful as you eat, breathing between bites, and taking note of when your body is satisfied.

Try Dry Brushing

Never heard of dry brushing? It has a surprising number of benefits, including lymphatic system stimulation. The lymphatic system is responsible for collecting and transporting waste to the blood. Dry brushing can stimulate the lymphatic system as it stimulates and invigorates the skin. It helps with everything from improving the appearance of skin to supporting digestion. Try our favorite brush here

Do Bedtime Yoga

This is one of our favorite ways to end the day. You literally do yoga in your bed, what could be more relaxing? We follow this routine, but feel free to find one that you look forward to doing each night!

Shared by Dr. Phil McAllister @ Forward Health Guelph