Dr. Laura: Opioids have lasting affect on the microbiome

Pain medications that include opioids have a lasting negative affect on the gut microbiome. Have you ever taken a Tylenol #3 with codeine? Had an operation and needed pain killers like meperidine (Demerol) or morphine? Or a prescription for oxycodone (OxyContin®) or hydrocodone (Vicodin®) to help relieve intense pain? Opioids are a class of drugs that also include the illegal drug heroin, synthetic opioids such as fentanyl.

Consequences of opioid use are well known. If overdosed, it suppresses breathing function. Also commonly experienced at prescribed levels are: constipation, nausea, vomiting, bloating and “leaky gut” (gut barrier dysfunction). There is an evident change in bacterial colonies and bile acid production is also affected. Bile acids are used to break down fats and digest food. Gut barrier dysfunction can lead to multiple food sensitivities and chronic inflammatory patterns like headaches, joint pain and brain fog. All of this disruption can increase risk of infectious disease.

Support of the microbiome with probiotics is key to health maintenance. Research continues on which would be most beneficial during opioid therapy. Critical is the restoration of a healthy microbiome post surgery, opioid pain medications or even addiction.

Naturopathic doctors excel in identifying food sensitvities, removing unwanted microbes, repairing and restoring gut function.

Dr. Laura M. Brown, ND is a registered naturopathic doctor with a Functional Medicine approach.  She has advanced training in pharmaceuticals, is a certified HeartMath Practitioner and a Certified Gluten Practitioner  and holds the designation of ADAPT Trained Practitioner from Kresser Institute, the only Functional Medicine and ancestral health training company.

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827657/

https://www.ncbi.nlm.nih.gov/pubmed/26906406

https://www.ncbi.nlm.nih.gov/pubmed/27895265

Dr. Laura: Is Your Thyroid Tired ?

Perhaps your thyroid needs a check-up? It does if you feel sluggish, tired, constipated, have difficult concentration, and are a wee bit depressed.

Subclinical hypothyroidism is when a patient with sluggish digestion, cognition, fatigue and weight issues has a high TSH but normal T4. It is important to look at the reasons for the symptoms, which could have multiple causes, before reaching for the thyroid hormone replacement drug.

Don’t let the sunset on your thyroid…

What nutrients help the thyroid?

Nutrition is a factor. Consider levels of zinc, iodine, selenium and iron as they all play a role in thyroid function. B12 is also an important one to look at and easy to run the labs to determine its status.  Also the health of the gut microbiome and liver needs to be healthy as a large amount of the inactive T4 converts to the active T3 thyroid hormone in the liver and the gut. So many people have issues with the balance in their microbiome.  

Does stress play a role?

Another area of thyroid health to consider is the stress axis. This involves the hypothalamus, pituitary and adrenal, or HPA. Chronic long term stress can make it difficult for optimal thyroid function. In addition to mineral level attention, it is highly important to support the adrenals and provide opportunities for stress management.  

Are there natural thyroid medications?

Finally, there are other options to synthetic thyroid. Natural desiccated thyroid (NDT) may be something to consider if diet and lifestyle changes don’t break through the fog. NDT provides both T4 and T3, which is good if there is an issue with conversion.

How can a naturopathic doctor help?

Naturopathic doctors are medical trained and naturally focussed. They can run labs for the nutrient levels, thyroid stimulating hormone (TSH), T4, T3, and any antibodies to help rule out autoimmune thyroid disease. This helps determine what nutrients might be missing and what foods or nutraceutical dose to suggest and for how long. Naturopathic doctors with education in pharmaceuticals are able to prescribe natural desiccated thyroid. They are also very good at stress management and adrenal (HPA-axis) support with both nutrition, lifestyle and stress management programs.

Dr. Laura M. Brown, ND is a board certified naturopathic doctor with advanced training in pharmaceuticals, functional medicine and stress management. She is a Heart Math Certified Practitioner, a graduate of the Kresser Institute’s Adapt Level 1 functional medicine training and is a Certified Gluten Practitioner.

Dr. Laura: Drugs that affect the microbiome

Drugs are one of the major factors that affect the microbiome. The impacts vary depending on the drug and duration of treatment.

The environmentfoodstress and drugs  all contribute to changes in the microbiome. This is why it is important to recognize and address any contributors that cause troubles.

Clinical intake and tests flushes out root causes and provide clarity. 

Why should I care?

Unique patterns in the microbiome link to different diseases. An unhealthy microbiome links to depression, anxiety, autistic disordersvitamin and mineral status (nutrient absorption)hormone production,  eczemadiabetes, obesity, arthritis and inflammatory bowel psoriasis and other autoimmune, conditions, heart healthcholesterolnon-alcoholic fatty liver disease (NAFLD), diseases.  Research continues to expand this list.  

What is the microbiome?

The human microbiome exists in the gastrointestinal/urogenital tract and the skin. The trillions of cells that make up our microbiome actually out number the human cells that we have in our body by tenfold. Are we microbes having a human experience?

Healthy microbiome?

A healthy regular stool is not always indicative of a healthy microbiome. History of autoimmune conditions, food sensitivity, sugar cravings, gas, pain, bloating, bad breath, candidiasis, brain fog, mood changes, weight issues, skin issues, joint pain, trauma, stress, headaches, use of birth control or other hormones, frequent use of antibiotics and certain drugs can all be factors or indicators of microbiome disruption. 

What drugs affect the microbiome?

Your microbiome may be out of balance if you are currently, or have history of taking, any of the following drugs:

  • Antibiotics
  • Cancer Therapies
  • Antihistamines
  • Antidiabetic drugs
  • Anti-inflammatory drugs
  • GI disorder drugs
  • Non-steroidal Anti-inflammatory drugs
  • Anti-psychotic drugs
  • Anti-coagulants
  • Hormones: estrogen, birth control, thyroid hormone

Find out more…tests available

One helpful test to look at the key players of the microbiome is the comprehensive stool and parasitic analysis. Knowledge of the landscape certainly helps streamline the treatment. 

Food sensitivities often rise when the microbiome is off balance. It is important to recognize the foods that are bothersome. Then remove them for a while and do the work to remove unwanted microbes and replace with healthy ones while repairing the gastrointestinal tract lining. Protocols are patient specific based on the microbiome the lining of gastrointestinal tract and the overall health of the patient. 

Dr. Laura M. Brown ND is a Naturopathic Doctor with a functional medicine approach. She is a Certified Gluten Practitioner, a HeartMath Certified Practitioner and is a graduate of Adapt Level 1 at Kresser Institute of Functional Medicine. Essentially, Dr. Brown helps people better digest their food and the word around them. More at www.naturalaura.ca and  www.forwardhealth.ca

Comprehensive Food Sensitivity Testing in Guelph

Food Sensitivities

Electro Dermal Screening (EDS) Food Sensitivity Testing is done in-house at Forward Health. Please note the EDS is not a Health Canada approved device and does not treat or diagnose any condition. The results can be useful as a guided elimination diet tool. For scientifically backed blood testing, there are many options to test for food sensitivity. When you work with Dr. Laura she will help you choose what test best suits your needs and how much each of the tests cost.  Laboratory tests may be completed by taking a paid requisition for blood draw to a local laboratory and the results will be subsequently reviewed in an appointment with Dr. Laura. 

 If you are a new patient, Dr. Laura will need to see you first to evaluate the the food sensitivity test that best suits your needs. 

Often sensitivities go undiagnosed because the reaction is gradual and will happen within 3 minutes to 3 days. This makes it more difficult to pinpoint which food is the trigger. Being sensitive to a food may mean the person needs to avoid it completely, or be able to have a small amount occasionally. Sometimes after months of abstinence, a food may be reintroduced without an issue. Symptoms of food sensitivity can be variable and may involve:

SKIN: eczema, skin rashes, dark circles under the eyes, puffiness

JOINTS: pain, inflammation

BRAIN: difficulty concentrating, fatigue, depression, hyperactivity

GI: damage to the mucosal lining, perforation & “leaky gut”. This can make it difficult for nutrients and vitamins to absorb into the body and the person over time can become deficient in things like iron, zinc, and B12. It can also rear itself as IBS (Irritable Bowel Syndrome), constipation, diarrhea, nausea or vomiting.

WEIGHT GAIN: always good to rule out food sensitivities when there is unexplained weight gain.

photo from health nest nutrition

Who is at risk?

  • Often affiliated with autoimmune disease (SLE/lupus, thyroiditis, Rheumatoid Arthritis (RA), toxic exposure to heavy metals, molds & family history.
  • Aggravated by alcohol, strenuous exercise and NSAIDs (Advil, Ibuprofen)
  • History exogenous hormone exposure (birth control pills, pesticides, plastics), antibiotics

What foods typically cause IgG reactions?

  • Dairy, wheat, egg, sugar, corn & soy
  • Some with RA find the nightshade family harmful: (potatoes, tomatoes, bell peppers, eggplant)

How do I learn if I have an sensitivity?

IgG testing can be accessed through your health care practitioner via a blood draw test. Electrodermal screening will provide information suitable as a guided elimination diet tool. Call for availability.

What’s the difference between food sensitivity and food allergies?

Food sensitivities are a delayed response 3 minutes – 3 days later, as discussed above. Food sensitivities are not an immediate threat to life.  Food allergies are an immediate (within 5-10minutes of ingesting the food) IgE immune response that can be life threatening.  Once a food allergy (often shellfish or peanut) are identified, the body amps up its response at every subsequent exposure. Mast cells and basophils release proinflammatory mediators in response to allergen exposure. This is why it is important for people with food allergies to carry an EPI pen, use it when needed and get themselves to a hospital if they are exposed to the particular food. Symptoms of food allergy can be variable and may involve:

MOOD: feeling of doom or very unwell.

SKIN: hives, urticaria (pale red raised itchy bumps), swelling or flaring of atopic dermatitis (skin irritation)

RESPIRATORY: wheezing, asthma symptoms, allergic rhinitis symptoms, throat tightness, and trouble breathing.

GI: nausea, vomit, pain, difficulty swallowing

Combined together in a very fast response, the person may experience ANAPHYLAXIS, a serious and potentially life threatening allergic reaction. Note that aside from food, insect bites, stings, medications can also be a trigger.

What foods typically cause IgE reactions?

  • Peanut, Pollen (could be on fresh fruit), shellfish, fish, sesame seeds, tree nuts, soy, dairy, eggs, and wheat.
  • Made worse with alcohol, exercise, NSAIDs (Advil, ibuprofen)

What if someone is experiencing these symptoms and has a known food allergy?epipen

  1. Ask if they have an EPI pen and where they keep it. It will administer epinephrine which will increase their heart rate and open their airways.
  2. Ask if you can get it for them
  3. Allow the person to administer the EPI pen themselves. It should be placed at the thigh and pressed into the muscle.
  4. If no EPI, consider a dose of Benadryl
  5.  Get the person to the hospital immediately.

How do I learn if I have an allergy?

IgE testing can be done by your health care practitioner via skin prick or blood test. A naturopathic doctor may order some IgE blood tests for food allergy and it is usually an immunologist who will do the skin prick test to diagnose and provide an EPI pen prescription if need be. Feel free to call Forward Health and book an appointment to discuss your concerns and needs and to obtain the appropriate requisition via Dr. Laura.

Yours in Health,

Dr. Laura M. Brown, ND

Dr. Laura: Anxiety Antidotes

Is there a solution to anxiety, feeling uneasy, overwhelmed, or difficulty concentrating?

We can feel anxious for just about anything. How does this happen? What is going on in the body while this happens? How do you make it stop?

Anxiety disorders are the most common mental illness in North America as stated by the Anxiety and Depression Association of America  and the 2014 Survey on Living with Chronic Diseases in Canada. According to this Canadian Survey:

  • More than a quarter (27%) reported that their disorder(s) affected their life “quite a bit” or “extremely” in the previous 12 months. Basic activities and the ability to work are challenging for many.
  • While the majority consulted a health professional about their disorder(s) in the previous 12 months, almost a quarter (23%) did not.

Anxiety Antidotes

September 19, 2018

6:30-8:00pm

Goodness Me! classroom

If you suffer from anxiety, feel uneasy, overwhelmed, or have difficulty concentrating, this complimentary session is for you. Dr. Laura M. Brown, ND will explore mental, emotional, spiritual, and physical aspects of anxiety. Learn what nutrients and habits may contribute to your healing and take home some next steps to ease your angst. Register Now!

anxiety

anx·i·e·ty
aNGˈzīədē/
noun
  1. a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.
    “he felt a surge of anxiety”
    synonyms: worry, concern, apprehension, apprehensiveness, uneasiness, unease, fearfulness, fear, disquiet, disquietude, inquietude, perturbation, agitation, angst, misgiving, nervousness, nerves, tension, tenseness; More

    • desire to do something, typically accompanied by unease.
      “the housekeeper’s eager anxiety to please”
      synonyms: eagerness, keenness, desire

      “an anxiety to please”
    • PSYCHIATRY
      a nervous disorder characterized by a state of excessive uneasiness and apprehension, typically with compulsive behavior or panic attacks.

an·ti·dote

ˈan(t)iˌdōt/

noun

  1. 1.

a medicine taken or given to counteract a particular poison.

synonyms: antitoxin, antiserum, antivenin

“the antidote to this poison”

o   something that counteracts or neutralizes an unpleasant feeling or situation.

“laughter is a good antidote to stress”

synonyms: remedy, cure, nostrum

“laughter is a good antidote to stress”

Dr. Laura M. Brown, ND is a registered naturopathic doctor with a Functional Medicine approach. She has advanced training in pharmaceuticals, is a certified HeartMath Practitioner and a Certified Gluten Practitioner, and holds the designation of ADAPT Trained Practitioner from Kresser Institute, the only Functional Medicine and ancestral health training company.

Dr. Laura: Organ System Screening

Organ System Screening

Detection of internal events by electrical changes in the skin is a well accepted tool in medicine.   Most are aware and have used one or more of the following medical measurement devices:

Electrocardiogram (EKG) – electrical conduction of the heart

Electroencephalogram (EEG) – electrical conduction in the brain

Oximeters- pulse-rate monitors- electrical conduction at the finger tips/ nail bed

Digitized blood pressure devices- electrical conduction at the arteries

 

Electrodermal Screening

There are also numerous points on the skin that correspond to other organs.  Acupuncture uses this theory regularly as small openings in the fascia expose a wealth of nerve fibres that can be stimulated to correct imbalances in the corresponding organ. This system of medicine has been used to bring balance in health for thousands of years.

Dr. Reinhold Voll helped advanced this theory in the 1950’s when he applied a small electric current to acupuncture points and received a similar response to acupuncture. Dr. Voll mapped numerous sites on the skin to their corresponding organs  and called the process electro dermal detection, or electrodermal screening (EDS); electromagnetic waves transferred from the site of origin of the frequency, to the detection site on the skin.

Electrodermal detection is simply a biophysical method of measuring skin resistance and electromagnetic conductance. 

In his practice and research, Dr. Voll noted that when the current passed through the body without interference, the indicator stayed balanced. While most people balance at fifty units, some may balance higher or lower, based on individuality. Generally when measuring the skin conductance at a site related to a particular organ, an indicator rising above seventy suggests inflammation, and an indicator below 40 suggests organ degeneration. A measurement that comes through but cannot be held and continues to drop indicates disruption in the cellular health of the corresponding organ. A indicator drop suggests a withdrawal of electrons. There are over 500 points where organ health can be measured on the skin. Even using the top 40 main detection sites can give a strong over all organ system screening.

Identify causes, restore balance

Introducing different electrical signals to a point can also reveal a change in conductance, which can be helpful to detect both the substance responsible for the indicator drop, and the substance that may help restore balance.

Identifying the disruptor and the balancing signals has become easier to attain through digitized codes of thousands of signals. Coded signals include pharmaceuticals, herbals, homeopathics, sarcodes and nosodes, metals, toxins, nutrients, foods, metabolic substances and many others.

Food Sensitivity Testing

One form of food sensitivity testing is to use electrodermal screening. A wave form of the food is passed through the acupuncture meridian to see if there is resistance in the body. A number of foods can be introduced and corresponding measurements and indicator drops noted. A food that measures in excess of seventy, or declines past forty should likely be avoided for one to three months, then reintroduced one at a time. Foods that fall between sixty-six and seventy should likely be reduced for a period of time to help bring balance back into the body. Foods measuring between forty-eight and sixty-five can, in general, be eaten regularly without causing strain on the body.

Electrodermal screening is a clinically useful tool in a guided elimination diet.

Knowing your food sensitivities can help reduce:

  • headaches
  • joint pain
  • heartburn
  • bloating
  • gas
  • pain
  • nausea
  • fatigue
  • constipation
  • diarrhea
  • anxiety
  • brain fog
  • skin rashes like eczema, psoriasis, hives

References:

Speckhart, V. 2004.  An Electrodermal Analysis of Biological Conductance. Biological Conductance Inc. Virginia Beach, VA

Dr. Laura M. Brown, ND 

Dr. Laura: Wheat & Gluten Sensitivity Testing

WHEAT & GLUTEN SENSITIVITY TESTING

There are over 100 proteins in wheat, which includes gluten, but is not limited to gluten.

Every time any of us eats gluten, some damage is done to the small intestinal lining. For most, it recovers and repairs in about twenty minutes . For those who are genetically susceptible it may take up to five hours. Then the next meal comes. Over time, repeated meals containing gluten repeat the damage, with little time of repair and recovery and eventually the body cannot keep up. Some trigger point of stress or illness may make it more difficult for the recovery. Then the signs and symptoms may show up. Not everyone has traditional symptoms of fatigue, weight gain, bowel issues, pain, gas, or bloating. Some have apparently no symptoms at all.

Gluten sensitivity plays a role in things like:

  • Attention Deficit Hyperactivity Disorder (ADHD)
  • autism
  • schizophrenia
  • cerebellar ataxia
  • depression
  • anxiety
  • fertility
  • autoimmunity
  • celiac disease
  • dermatitis herpatiformis
  • polymyalgia

 

A lot of gastroenterologists know how to screen for celiac disease, they’ll typically test for antibodies to alpha-gliadin, transglutaminase-2, maybe if they’re current with the scientific literature they’ll also screen for antibodies to deamidated gliadin and endomysium.

If some of these tests are positive, then they might do a biopsy to determine if there is damage in the small intestine. If the tests are negative, the patient’s generally told that they don’t have celiac or gluten intolerance and that’s as far at it goes.

However, research shows that people can and do react to several other components in wheat above and beyond alpha-gliadin, the fraction of wheat that is involved in the pathogenesis of celiac disease, and these include other epitopes of gliadin like beta-gliadin, gamma-gliadin and omegagliadin; glutenin, which is the other major half of the wheat protein; wheat germ agglutinin, which is a lectin in wheat; gluteomorphin; and deamidated gliadin. What’s more, people can react to other types of tissue transglutaminase, aside from tGT-2, including type 3, which is primarily found in the skin, and type 6, which is primarily found in the brain and nervous system tissue.

If this is you, the gluten you eat may affect your brain or your skin, or maybe your muscle, but you will be completely missed by conventional testing. I emphasize – just because the two markers your conventional doc tests your for come back negative, it does not mean you are not free from wheat related damage. Also, just because you do not have symptoms you think are related to wheat, doesn’t mean you are free from its (potential) body-wide damage.

How do I find out?

Enter Cyrex Array 3 testing. It is the most comprehensive form of wheat sensitivity testing available today. It involves a simple blood test and will test for the two markers your conventional doctor sends for plus 22 other markers.  You’ll have to confirm this at time of testing as pricing can vary. You will need an appointment with Dr. Laura M Brown, ND, Certified Gluten Practitioner, before and after your test. Dr. Laura will help interpret the test and proved direction for next steps. Dr. Laura has extended training in diagnosing and treating gluten related disorders.

Now it is important to note that Cyrex Array 3 will not diagnose Celiac, only the gold standard of positive intestinal biopsy will prove that, but it can tell you how strong the markers related to Celiac or other forms of non-celiac gluten sensitive (NCGS).

 

Here’s what the test results look like:

 

Test Prep:

 

This is a blood test that measures antibodies. As such, in order to improve the accuracy of

your test results, you must ensure adequate exposure to wheat beginning 25 to 30 days

before you schedule your blood draw.

Exposure to wheat allows your body to form antibodies if you do have sensitivity. Avoiding wheat before this test could cause a false negative result, meaning that the test states you are not sensitive to wheat when you actually are intolerant.

 

 

For more information visit www.cyrexlabs.com or book an appointment with Dr. Laura M. Brown, ND at Forward Health.

 

Dr. Laura: Is it aging or low B12?

B12 deficiency has been estimated to affect about 40% of people over 60 years of age, and about 40% of the general population are on the lower end of normal.

Vitamin B12 deficiency can look like the signs and symptoms of diseases that are commonly associated with aging such as Alzheimer’s, dementia, cognitive disorders, multiple sclerosis, Parkinson’s, and other neurological problems; depression and anxiety; cardiovascular disease; cancer; and low libido. If someone you love has these symptoms, best to get their B12 levels checked and supplement if help reduce the symptoms.

Supplementing with an active form of B12 can help reduce inflammation, which has improved symptoms of arthritis and eczema.

Vitamin B12 works with folate to make DNA, red blood cells and the insulating sheath around the nerves to help with nerve signalling. This is why when I inject B12, I always include folate with it.

Causes/Risks of B12 deficiency

  • Vegan/vegetarianism
  • Intestinal malabsorption due to low stomach acid
  • Celiac disease
  • Crohn’s disease
  • Pernicious anemia (an autoimmune condition affecting our ability to absorb B12)
  •  Atrophic gastritis (usually H. pylori infection in the elderly)
  • Long term use of Proton Pump Inhibitors (PPI’s)
  • People on Metformin therapy

If someone you know or love fall into any of these categories, best they get tested even if they don’t have symptoms, as deficiency can start before the symptoms show up.

Symptoms of B12 Deficiency

  • not much if  it’s mild
  • weakness
  • fatigue
  • strange sensations
  • numbness, or tingling in hands, legs, or feet
  • difficulty walking such as staggering or balance problems
  • anemia
  • a swollen, inflamed tongue
  • yellow skin
  • jaundice
  • difficulty thinking and reasoning
  • memory loss
  • paranoia or hallucinations

Testing for B12

It is easy to run a B12 test, however there are other blood and urine markers that can provide a more complete picture, such as methylmalonic acid (MMA) and homocysteine. Homocysteine may be more sensitive and accurate for detecting the early stages of B12 deficiency. When I run tests, I look at things from a functional medicine perspective and this may involve the more complete profile.

If there is an absorption issue suspected, we need to identify and correct that, if possible. Further testing and treatment may be required to do that.

The results of the tests are also interpreted differently when you come to see me. I look at things from a functional range – your optimum level of performance- not the point at which you have disease. The conventional medical system in North America regard a low B12 to be below 200 pg/mL. This is the point where irreversible neurological damage can happen. I prefer to go at the guidelines set out by Europe and Japan – somewhere over 550 pg/mL.

Supplementing

Best to get B12 from animal based sources – strongest providers are the organ meats (liver, kidney) and seafood like oysters and clams. To get ahead quickly or to supplement a vegan or vegetarian diet, you will need activated B12, so hydroxy or methyl based cobalamin are the best. If there is intestinal absorption issues, then you’ll need a pill to dissolve under the tongue or an injection to provide the boost. What I carry in the clinic is an activated form of B12/B complex so it absorbs easily and we see good results on the before and after blood work, or we can go for the injection – usually weekly for a month and then once a month for a few months. Then we re-test.

Dr. Laura M. Brown ND is a Naturopathic Doctor with a Functional Medicine approach. She is a Certified Gluten Practitioner, A HeartMath Certified Practitioner and is engaged in ongoing education with the Kresser Institute of Functional Medicine.

Dr. Laura: Is your thyroid to blame?

One in eight women will develop thyroid disease in her lifetime and 15 Million women have a dysfunction, but don’t even know it. Men can have issues too, although at a less rate than women.

Environmental toxins are largely to blame for the rising rates of thyroid disease. Years ago, it was mostly iodine deficiency and this is why iodine was added to salt. Now we point the finger more often at the rising rates of hormone mimickers in our environment like BPA’s and their alternatives in plastics, cadmium, circadian light disrupters, pesticides, herbicides and more.

Untreated thyroid dysfunction can lead to feelings of:

  • Fatigue and exhaustion
  • Brain fog, difficulty focusing thoughts
  • Unexpected weight gain, and with it increased risk of obesity, diabetes, and heart disease
  • High LDL cholesterol – the thyroid plays an important role in fat metabolism
  • Depression – as many as 15% of women on antidepressants have an undetected thyroid problem as the root cause of their depression –but their problem hasn’t been fully investigated. When I check thyroid I check more than the TSH (thyroid stimulating hormone).  I look sub functioning gland by checkin TSH, T3, T4, thyroid antibodies and look for how well cortisol is clearing on the DUTCH hormone test.
  • Anxiety – often because cortisol is not clearing
  • Increased risk of cardiac arrhythmias and congestive heart failure due to the regulatory control of this hormone has on heart rate and rhythm.

Troubles in the digestive track and liver can lead to poor activation of the T4 to T3 hormones. When I work with patients I am always looking for clues in the skin, stress, and sleep and how well the micro biome functions. A good clue to micro biome function is the Comprehensive Stool Analysis by Doctors Data.

If you suspect you may have a thyroid issue, get it tested!  I’ll look at results from a functional medicine perspective, which mean optimal performance, not disease levels of lab markers.

From the heart and research of Dr. Laura M. Brown, ND.

Carb Cravings? 5 easy tips

Craving carbohydrates and don’t know how to get them under control?

Here are 5 easy steps to help put you back in control.

  1. Test your Candida levels.
  2. Eat a meal with protein and healthy fats
  3. Eat within your 30 min glycemic window after exercise
  4. Eliminate processed foods
  5. Deal with your stress.

Candida?

If your Candida abicans levels are out of balance, you will find you have an insatiable sweet tooth, always need something sweet after a meal and suffer from a mix of possible symptoms like brain fog, headaches, sinusitis, join pain, skin rashes, bloating, gas and diarrhea. These crazy critters can actually yank on your nervous system chain, send messages to your brain saying “I want sugar”!! So, don’t blame your self wholly, however it is you who has to take responsibility. Just like saying to a child “no, you can’t have a cookie right now” you have to put your foot down and say the same to yourself. Or those terrible little Candida critters who are running your world right now. How do you know if it’s you or them? How do you get rid of them?

A simple 15 minute test in our clinic will help you get a sense for your levels of Candida. Email drlaura@forwardhealth.ca. Getting your micro biome back in balance will also reduce inflammation and restore nutrient absorption. With scientifically proven therapies, my patients are able to reduce Candida albicans levels and re-set many micro biomes within 1-3 months of therapy.

Boost Nutrient Density

Sometimes when we crave sweets we actually need to eat something with protein and healthy fat to increase nutrient density and satiation. For example, try eating a handful of almonds and an apple or a slice of chicken or turkey with some avocado – then wait 5-10 minutes and see if you still crave the sweets.

30 Minute Glycemic Index

After an intense workout, you have depleted the glycogen stores in the muscles. To optimize energy for your next workout and balance your carb intake later, eat something with carbohydrates in it within thirty minutes of working out. For some this means a quick protein drink with some carbs in it, an orange or a banana or a healthy homemade nutball. Eating a full balanced meal with in two hours of your workout will also help balance your blood sugar and keep you from craving carbohydrates.

Ditch the Processed Foods

Processed foods often have little fibre and a lot of sugar. This means the sugar from the food gets quick access to your blood stream. what results are spikes in your blood sugar levels, triggering an influx of insulin to quickly get the levels under control. Consequently,   your blood sugar quickly drops and you feel like you need to have more to eat. On it goes, the sugar craving roller coaster. Instead, try to eat foods high in fibre, with some proteins and healthy fats so your blood sugar levels are more regulated.

Get Stress Under Control

Serotonin and dopamine are feel good neurotransmitter which get depleted in stress. Eating carbohydrates helps boost these neurotransmitters. This is why, when we feel stressed, we crave comfort foods, which are carbohydrate based. Secondly, elevated cortisol will increased the demand for carbohydrate consumption because it blunts the desire for proteins and vegetables. Learn how to emotionally regulate and manage your stress and you will find it easier to naturally make healthier food choices.

From the heart and mind of Dr. Laura M. Brown, ND