Dr. Laura: Is Fasting Safe?

Fasting is part of the human existence for thousands of years. As you will learn in this article, not only is it safe, it has numerous health benefits.

Image result for empty plate

What is fasting?

There are many ways people approach a fast. It is simply a period of not eating. It may be done weekly until you reach your health targets, seasonally, or a couple times a year. Water intake is necessary during periods of fasts, as our bodies can do without calories, but not without water. Many choose to fast overnight (most common) from dinner to breakfast, or 7pm to 7am – a 12 hour fast. Then “break-fast” is just that, it breaks the fast. Recently it has gained more popularity and there are different lengths of fasts.

  • intermittent fast, lasting 12-20 hours
  • 24 hour fasts
  • 36 hour fasts
  • extended fasts

Sometimes on the intermittent fasts, people will have a coffee or tea and water while they are not eating. If you truly wish to detoxify, caffeine free is the way to go. So herbs in water or  lemon certainly is less stimulating. For others they choose to incorporate bone broth, which really has proteins and fats in it, but can be suitable for introductory fasting and digestive rest.

Are there benefits to fasting?

  • weight loss
  • reset insulin sensitivity
  • digestive rest
  • more powerful than low carb, ketogenic diets alone
  • protects from illness and maintains wellness
  • provides spiritual cleansing or purification
  • no cooking, cleaning, or grocery shopping!
  • mental clarity
  • overcome stubborn weight plateaus

Will I get hungry?

Hunger may set in, same as if you were at work and didn’t get a break and had to wait to eat, same experience – you push it through till it’s time to eat. But you should never feel nauseated, ill, dizzy or faint. If you do really feel the intense need to eat, it’s easy – you eat. Then you could try the fasting again next week.

Fasting will switch you body to burn fat instead of carbohydrates. If your body is primed to burn carbs, you will need to get over the initial bout of strong carb cravings before the fat burning kicks in.

What do I eat when I am not fasting?

What you eat when you are not fasting depends on the reasons for your fast. If you are trying to loose weight or reset your insulin sensitivity, then a ketogenic diet may be best. For those on a digestive fast, re-introduce with easy to digest and simple combinations of foods. A spiritual fast? Then you likely just go back to your regular way of healthy eating. Regardless, you do no want to eat to make up for the time you fasted: that’s counterproductive. If you are doing one or two 24 hours fasts per week (having a couple one meal a day kind of routine), then when you are eating regular on the other days, eat the most healthy vibrant life-filled food that you can. Avoid things that are packaged or processed to get the most nutrition you can on the days you eat.

When is fasting not safe?

Fasting is not safe for the following people:

  • children aged 18 or under
  • pregnancy
  • breastfeeding
  • thin, weak or feeble
  • nutritionally deficit

Fasting needs to be medically monitored for the following people:

  • those with gout
  • those taking medications
  • if you have type 1 or 2 diabetes
  • those with gastro reflux disease

For questions or advice on what kind or whether fasting is right for you, book an appointment to review with Dr. Laura M. Brown, ND. (519) 826-7973.

References:

Fun Jason. 2016. The complete guide to fasting. Victory Belt Publishing. Las Vegas.

Dr. Laura: Ear Wax Facts

Earwax, (medically known as cerumen auris) is a protective normal secretion from a skin gland in the external ear canal. Some people make more earwax than others. Certain habits or careers may put an individual more at risk for earwax impaction.

 

Do you wear earphones, earplugs hearing aids or use Q-tips?

Do you have dizziness,  ear pain, itchy ears, or hearing loss?

If so, you may have earwax impaction.

Image result for ear wax impaction
picture from hearingaiddoctors.com

What is earwax?

  • 60% skin cells that have shed from the area
  • 12–20% saturated and unsaturated long-chain fatty acids
  • 6–9% cholesterol

What is the purpose of earwax?

  • Lubricates the external auditory canal
  • Protects particles from reaching and damaging the eardrum
    • Traps dust, small particles and insects
  • Provides antimicrobial protection (acidity, fatty acid and lysosome)
    • Protection bacteria and fungal infections

What is earwax impaction?

Image result for ear wax impaction

  • Earwax impaction is one of the most common ear problems
  • When earwax accumulates in the canal and, on otoscopic inspection, blocks the view of the external canal or tympanic membrane
  • When the use of ears swabs or other devices in effort to clear the ear push the earwax deeper into the ear
  • Chronic use of hearing aids, earplugs, headphones, can also push the earwax further into the ear and prevent the natural migration outward
  • Excessive earwax production can also worsen with anxiety, fear and stress, and aging
picture from journals.sagepub.com

What are the symptoms of earwax impaction?

  • Irritation of the ear
  • Sensation of an ear blockage
  • Reduce sense of hearing
  • Earache
  • Noise in the ear or head
  • Dizziness

How to clear out earwax?

Image result for tympanic membrane
healthy ear canal and tympanic membrane
  • DO NOT use Q-tips! They tend to push the ear wax deeper into the canal.
  • Naturally, the earwax dries up and there is a migration of skin cells that helps port the dried up was out of the external canal, much like a conveyor belt
  • Assisted action of clearing out by the action of chewing and talking
  • There are products that may soften the wax however this should only be done under medical supervision.
  • It is best to have the ears looked at with an otoscope to see if there is indeed a build up and if the tympanic membrane is intact
  • Candling is not recommended as it has not shown to be overly effective and can often lead to burns, wax left behind in the ear, irritation of the external ear canal and occasional temporary hearing loss.
  • Ear irrigation is a safe and effective way to clear out earwax, so long as the tympanic membrane is intact.
  • Professional irrigation can be more effective than self-irrigation as it include the visualization of the health of the external canal and tympanic membrane before and after treatment.

Laura M. Brown, ND

provides a basic ear inspection and ear irrigation service

within a 15 minute appointment. Call (519) 826-7973

Image result for ear wax irrigationpicture from earwax treatment.com

References

Adegbiji WA, Alabi BS, Olajuyin OA, Nwawolo CC. Earwax Impaction: Symptoms, Predisposing Factors and Perception among Nigerians. Journal of Family Medicine and Primary Care. 2014;3(4):379-382. doi:10.4103/2249-4863.148116.

Daniel F. McCarter MD, A. Ursulla Courtney, MD, and Susan M. Pollart, MD, University of Virginia Health System, Charlottesville, Virginia. Am Fam Physician. 2007 May 15;75(10):1523-1528.

Rafferty J, Tsikoudas A, Davis BC. Ear candling: Should general practitioners recommend it? Canadian Family Physician. 2007;53(12):2121-2122.

 

Dr. Laura Shares: GUT Viruses Implicated in Parkinson’s Disease

This article on the link between viruses found in the gastrointestinal tract and Parkinson’s Disease is from www.medscape.com

Gut Viruses a Potential Trigger for Parkinson’s Disease?

Pauline Anderson

July 19, 2018

Shifts in gut bacteriophages, viruses that infect and replicate within bacteria, are implicated in the pathogenesis of Parkinson’s disease (PD), new research suggests.

“Most likely, bacteriophages are previously overlooked triggers for the development of Parkinson disease in some patient populations,” lead author George Tetz, MD, PhD, head of R&D at the Human Microbiology Institute, a not-for-profit scientific research organization in New York City, and of the Tetz Laboratories, told Medscape Medical News.

Dr George Tetz

Although the results need to be confirmed, they open the door for discussing bacteriophages as a novel therapeutic target and diagnostic tool for patients with PD, said Tetz.

The study was published online July 17 in Scientific Reports.

Incidence Rising

The incidence of PD is on the rise in the Western world, with a higher prevalence among white men.

PD symptoms of tremors and motor symptoms are mainly related to depletion of dopamine in the striatum. The hallmark pathological signs of PD are Lewy bodies, which have a main component of α-synuclein protein.

While genetic risk factors contribute to PD, about 90% of PD cases are attributed to environmental factors. Up to 75% of patients have gastrointestinal (GI) abnormalities that can precede motor symptoms by many years.

Given the influence of gut bacteria on human health and the early involvement of GI microbiota in PD, the concept that the microbiota-gut-brain axis plays a role in PD has recently emerged.

The human GI tract houses bacteria, archaea, fungi, and viruses, including bacteriophages, which outnumber other viral and bacterial species.

How bacteriophages negatively affect health has recently gained scientific interest.

“These bacterial viruses can lead to the death of bacterial populations,” said Tetz.

He and his team previously showed that bacteriophage administration can cause shifts in mammalian microbiota, leading to increased intestinal permeability and triggering chronic inflammation.

Gut bacteria may be implicated in PD through several pathways. One such pathway outlined by the authors involves the enteric nervous system (ENS), which  that is in constant direct communication with the brain through the vagus nerve.

Vagus Nerve a Disease Pathway?

According to the model of gut-originating, inflammation-driven PD pathogenesis, PD starts in the ENS and spreads through the vagus nerve to the central nervous system.

This concept is confirmed by the presence of α-synuclein aggregates in myenteric neurons of the ENS before the onset of PD motor symptoms, the authors note.

An unrelated 2016 study, reported by Medscape Medical News, showed that truncal vagotomy, or removal of the vagus nerve, was associated with a reduced risk for PD.

The authors of that study concluded that this finding suggests Parkinson’s pathology may ascend from the gut to the brain via the vagus nerve.

In the new study, Tetz and colleagues note that changes in the composition of gut microbiota may cause alterations in the intestinal barrier function and permeability, affecting both the immune system and the ENS.

The new analysis was based on another study that included 31 patients, mean age about 65 years, with early-stage PD and 28 sex- and age-matched people without PD.

The patients with PD had not yet been treated with L-dopa. This, said Tetz, is very important.

“It’s well-known that the administration of dopamine in Parkinson’s disease patients leads to a significant shift of the microbiome.”

Patients with chronic and inflammatory GI diseases and those using laxatives, immune suppressants, or antibiotics in the past 3 months were excluded from the study.

To analyze the study participants’ fecal samples, researchers used metagenomics analysis and a unique algorithm developed by the authors to quantify bacterial and phage content. They also examined the phage/bacteria ratio.

Environmental Origin?

Under normal circumstances, this ratio is 1, which means one bacterium has one bacteriophage inserted in its genome, said Tetz.

“Alterations of this ratio represent an increase of bacteriophages, and as a result, lead to a decrease of bacterial populations that are killed by these bacteriophages.”

The investigators found a significant between-group difference in the phage/bacterial ratio for Lactococcus (lactic acid bacteria). There was more than a 10-fold decrease in Lactococcus species  in patients with PD compared with controls.

Lactococcus plays an important role in the metabolism of neurotransmitters, including dopamine. It also regulates intestinal permeability, another factor implicated in PD pathogenesis.

Despite the “striking” depletion of Lactococcus species in patients with PD, the total number of respective Lactococcus phages was about the same between the PD and control groups, the investigators report.

To investigate this discrepancy and a possible role of bacteriophages in the depletion of Lactococcus, the researchers divided Lactococcus phages into two clusters: strictly virulent (lytic), which can lead to the death of bacterial populations, or temperate. They compared the distribution of these two types between patients with PD and controls.

In the control group, the number of the lytic and temperate phages was similar, whereas in the PD group, most lactococcal phages were strictly virulent.

Tetz noted that the increase in these strictly lytic phages was accompanied by a decrease of Lactococcus bacteria. This, he said, suggests that the depletion of Lactococcus in patients with PD could be caused by lytic phages.

It’s not clear why the patients with PD had increased levels of lytic phages — whether, for example, it was from diet or a particular genetic susceptibility. This question must be addressed in further experiments, which are already in the planning stages, said Tetz.

However, he believes that the appearance of these lytic phages is most likely due to some external factor. The fact that these phages are lytic, meaning they enter microbiota, lead to the death of the bacterial population, and don’t persist for long in the gut, “would suggest that it’s something that originates from the environment.”

Dairy to Blame?

He noted that the type of phages that were increased in patients with PD in the study are found in yogurt and other dairy products. But he said it’s too early to conclude that such products play any role in PD.

The investigators believe that boosting Lactococcus bacterial species, or preventing a drop in levels, may prove useful in halting the development of PD.

But he stressed the importance of “diagnosing the death of the Lactococcus population at the appropriate time — before and not after the development of the disease.”

While it’s still unclear whether changes in dairy food consumption, or use of supplements, would change the gut Lactococcus population, fecal transplants are an intervention under active investigation.

However, Tetz believes that to be successful, such transplants would likely need to involve a limited number of bacterial species.

“There are a lot of drawbacks to regular fecal transplants, especially in the elderly population,” said Tetz. “It can lead to unpredictable shifts of the microbiome,” so new methods and new algorithms need to be developed “to make it safer.”
In light of these new results, bacteriophages should be added to the list of possible factors associated with the development of PD, the authors note.

They add that gut phagobiota composition may serve as a diagnostic tool as well as a target for therapeutic intervention.

The research team has also investigated the role of bacteriophages in type 1 diabetes. Tetz said the results “have revealed a striking difference” in children with this autoimmune disease.

Gaining Momentum

Commenting on the findings for Medscape Medical News, Michael S. Okun, MD, professor and chair of neurology, University of Florida, Gainesville, and medical director, Parkinson’s Foundation, said the idea that change in the gut microbiome and bacterial content may be important to PD is “gaining momentum.”

The new study, which is “novel” in that it analyzed the phage/bacteria ratio in study participants, contributes useful information on the topic, said Okun.

“There were possibly important shifts in the phage/bacteria ratio in lactic acid bacteria potentially important to dopamine and to intestinal permeability.”

The depletion in Lactococcus was “intriguing” as previous studies have linked dairy products to development of PD, said Okun.

However, he warned that the new study needs to be interpreted carefully because all the patients with PD were drug naive and there were only 31 of them.

Okun agreed with the authors that it would be “speculative” to use this information “as a direct link” to the cause of or potential treatments for PD.

“Understanding the microbiome in Parkinson may unlock new diets or treatment approaches, or even help current medications and therapies work more effectively, but much more research will be required.”

Tetz and Okun have disclosed no relevant financial relationships.

Sci Rep. Published online July 17, 2018. Full text

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Dr. Laura’s Veggie Wraps

Veggie Wraps: Easy Quick and Simple Lunch

 The collard greens make great wraps, warm or cold.

Ingredients:

Sprouted Mung beans, cooked according to package.

Quinoa, cooked according to package

2 tbsp olive oil.

Collard leaf greens

Cooking Quinoa:

Generally quinoa needs twice the amount of water to cook. You bring it to a boil without the lid, then turn it down to a simmer, add the olive oil, cover the pot and give it 15 min or so.

Quinoa is high in protein and, for most, very easy to digest. Gluten free quinoa grown in Canada is available at Costco and most local grocery stores.

Cooking Mung Beans:

Sprouted mung beans should be rinsed in a sieve with water, placed in the pot and then covered with three times the amount of water than beans. Bring them to a boil with out the lid, then turn down and let simmer for about 30 minutes. Drain and rinse again.

Mung beans are a cooler neutral food with a sweet flavour. Mung beans detoxify, improve digestion and alleviate inflammation in the body. They are also useful in the treatment of edema (swelling) of the lower extremities, high blood pressure, impatience and restlessness. I found sprouted mung beans by the Sasha Bread Co. at Longo’s in Guelph, and they are commonly available at most local grocery stores.

The quinoa and mung beans may be mixed, then placed into small jars like the one pictured above. these can be stored in the fridge for up to 3 days or frozen for up to a month. Easy to grab and go for lunch.

Collard Greens

Collard greens are a part of the cabbage family and therefore are helpful to detoxify. They help both phase I and II liver detoxification and provide a good source of fiber. It’s a dark leafy green so a good source of magnesium as well. Break off the end and eat it or tuck it up into the quinoa and mung bean mix and make your wrap. They can be eaten raw, or lightly steamed. To steam, rinse then place on a plate and put in microwave for 30 seconds.

Plastic Free Beeswax Wrap

I make wraps travel well in a beeswax dipped cotton cloth. It’s a bit sticky so it sticks when you fold it. Mine was a gift. I’ve seen them at Goodness Me! and Stone Store in Guelph, and also found a great recipe to make your own plastic free food wrap.

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

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: 5 Major Factors in Menopausal Weight Gain

Menopausal weight gain is troublesome and annoying.

Menopausal weight gain can increase risks for cardiac events and insulin dysregulation.

5 Major factors in menopausal weight gain:

  • Genetics
  • Sex hormone changes
  • Sleep
  • Depression
  • Stress
  • Diet

Figure out what’s going on in your body!  Learn how hormone levels, including the thyroid estrogen and progesterone, sleep hygiene, physical activity, diet and stress play a role in menopausal weight gain.

Sex hormone changes trigger menopausal weight gain

  • When the years leading to menopause set in, ovulation slows down before it stops. Ovulation is required before progesterone can be released. If you don’t ovulate, it creates irregular balances of estrogen and progesterone in the body.
  • Chemicals like BPA (plastics), cadmium, phthalates (soaps, detergents), and pesticides contribute to estrogen dominance.
  • Low progesterone against pre-declining estrogen makes for relative estrogen excess compared to progesterone. This means estrogen dominance for a time.
  • Estrogen dominance leads to poor thyroid hormone availability, reducing metabolism
  • If thyroid function is sluggish, this leads to poor estrogen clearance, more estrogen builds up in the body
  • Poor thyroid function can lead to weight gain and increase in LDL cholesterol. Elevated LDL cholesterol is linked to increase risk in cardiovascular disease.
  • As menopause progresses, estrogen declines. Estrogen decline leads to deposition of fat around the mid section.

Contributing factors to thyroid dysfunction:

  • Sagging adrenals (chronic stress)
  • Estrogen dominance
  • Low iron, selenium, iodine or zinc
  • Poor liver function
  • Poor intestinal flora.

Factors in sleep disturbance that contribute to menopausal weight gain

Poor sleep leads to disruption in balance of hormones and time for healing in the body. Lack of sleep itself can contribute to weight gain. The years of menopause are riddled with hurdles to a good night sleep:

  • decline in estrogen can disrupt sleep due to hot flushes
  • Hormone rhythm imbalance from changes in LH, FSH, estrogen and progesterone are thought to contribute to disrupted sleep patterns.
  • From a Chinese Medicine point of view, the Liver Yang rises in menopause, which explains why the sleep is typically disrupted between the hours of 1-3 am. This is why, naturopathically, we look to calm the liver, cool the body and build Yin. Acupuncture and specially blended plant medicines can be very helpful.
  • sleep apnea (in you or your partner) more prevalent in those who are overweight
  • too much technology before bed, or worse yet, in the bedroom inhibits natural melatonin let down. Relative excess of cortisol as it is unopposed by melatonin disrupts sleep and contributes to midsection weight gain

Factors in depression that contribute to menopausal weight gain

Low mood and lethargy generally lend to poor motivation for exercise and healthy habits, which leads often to weight gain.

Here are some common factors in depression and menopause:

  • declining estrogen
  • sluggish thyroid
  • poor nutrient intake
  • imbalance in the intestinal bacteria
  • inflammation in the brain (usually as a result of imbalance in the intestinal bacteria)

How  Stress Relates to Menopausal Weight Gain

In menopause, the ovaries retire and  hand over their hormone duties to the adrenal gland. This is why it is important to support the adrenals at this time. How healthy the adrenals are will dictate how well our bodies will manage the stress and the change in hormone levels. Areas we may not think about in stress that could contribute to adrenal fatigue:

  • sleep disruption
  • inflammation from infections, intestinal dysbiosis, autoimmune conditions
  • too much or too little exercise
  • poor eating habits
  • conditioned stress response (post traumic stress disorder)
  • relationships with others
  • alcohol intake
  • medications and drugs
  • overwork
  • not enough fun & play time

How diet affects menopausal weight gain

  • Generally with age, metabolism slows down and less caloric intake is required. If activity slows or stays the same and intake is not adjusted, subsequent weight gain is likely.
  • Our intestinal tract flora changes as we age, and this changes how estrogen is metabolized.

It is evident that menopausal weight can happen for a lot of reasons. Some of it is a bit of a chickened an egg, like the estrogen dominance and poor thyroid function. It doesn’t matter what comes first, but if not corrected, they build on one another.  A naturopathic doctor’s role is to look at the individual as a whole, remove obstacles, rebuild the body and stimulate natural mechanisms of healing. Women who maintain a healthy habits, hormones and weight will help stave off risks for osteoporosis, cardiovascular disease and cancer.

Solutions to menopausal weight gain include healthy diet, exercise, sleep hygiene, hormone balancing with acupuncture and plant medicines, nutritional and hormonal supplementation.

Dr. Laura M. Brown, ND

References:

Jung SY, Vitolins MZ, Fenton J, Frazier-Wood AC, Hursting SD, Chang S. Risk Profiles for Weight Gain among Postmenopausal Women: A Classification and Regression Tree Analysis Approach. Hsu Y-H, ed. PLoS ONE. 2015;10(3):e0121430. doi:10.1371/journal.pone.0121430.

Franklin RM, Ploutz-Snyder L, Kanaley JA. Longitudinal changes in abdominal fat distribution with menopause. Metabolism. 2009 Mar; 58(3):311-5.

Gietka-Czernel M. The thyroid gland in postmenopausal women: physiology and diseases. Przegla̜d Menopauzalny = Menopause Review. 2017;16(2):33-37. doi:10.5114/pm.2017.68588.

Van Pelt RE, Gavin KM, Kohrt WM. REGULATION OF BODY COMPOSITION AND BIOENERGETICS BY ESTROGENS. Endocrinology and metabolism clinics of North America. 2015;44(3):663-676. doi:10.1016/j.ecl.2015.05.011.

Williams LT, Hollis JL, Collins CE, Morgan PJ. The 40-Something randomized controlled trial to prevent weight gain in mid-age women. BMC Public Health. 2013;13:1007. doi:10.1186/1471-2458-13-1007.

Zheng Y, Manson JE, Yuan C, et al. Associations of Weight Gain From Early to Middle Adulthood With Major Health Outcomes Later in Life. JAMA. 2017;318(3):255-272. doi:10.1001/jama.2017.7092.

Karvonen-Gutierrez C, Kim C. Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition. Parthasarathy S, ed. Healthcare. 2016;4(3):42. doi:10.3390/healthcare4030042.

Dr. Laura: Root Cause Medicine

Root Cause Medicine

 

How do you get to the root cause of your health problems?

Welcome a medical professional who:

  • Goes over the underlying patterns identified in your recent blood work, imaging and lab reports.
  • Considers laboratory values within ranges and patterns to achieve optimal health, not necessarily waiting until there is frank disease.
  • Collects a detailed health history.
  • Reviews medication side effects
  • Performs an in-clinic physical health screen to look for patterns of cellular health deficits and nutritional decline.
  • Appreciates a medical consideration of how your body, emotional, cognitive and spiritual systems orchestrate and integrate.
  • Knows how to guide you to use food and plants as medicine.

 

Doctor as Teacher

You, at any time, can ask questions. Learn about your condition so you can make an informed decision about your health. You are living in your body 24/7 – so it’s your temple abode. You help your practitioner understand your experience and your practitioner helps you understand why you might feel the way you do.

It is not a one or the other mentality.  You may choose to see your family doctor, your specialist and your naturopathic doctor.

The fist appointment with a naturopathic doctor is about an hour. Based on what is discovered in the first appointment, a treatment plan is created. Things like sleep hygiene, understanding how stress affects the body, diet tips and detoxifying naturally are a part of the general plan, made are made specific to the individual needs.

Recommendations for further testing may be made. Further testing may include things like comprehensive hormone panels, stool analysis, organ system testing, organic acid testing, genomic, nutritional or cardiac profiles, food sensitivity analysis or environmental toxicity.

You may choose to engage in a specific program which helps stimulate your body’s natural mechanisms of healing. These programs may be executed in follow-up sessions that last about 30 minutes and may take place once a week for 4-6 weeks, or may be spaced out more or less, depending on the needs of the individual.

Upcoming Free Educational Seminars

Location: Goodness Me! Guelph

Wednesday April 25, 6:30-8:00pm Simplifying Stress

Wednesday May 16,  Beautiful Botanicals

Wednesday June 13, GUT Circadian Rhythm

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 world around them. www.forwardhealth.ca

 

Dr. Laura: Get your GOOD Carbohydrates: Easy Roasted Veggies

FRESH, WHOLE & NATURAL

Our bodies are designed with a blueprint made many hundreds of years ago.  Our lifestyles and environment have changed a lot since then, but our bodies have not.  We need whole, real foods. This means preparing ahead, especially things like our complex carbohydrates. We need to look to root vegetables more and breads or packaged/fast food less for our carbohydrate intake.

  • Ultra-processed foods contribute over 90 percent of all added sugars to the diet
  • A 10% increase in the consumption of ultra-processed food leads to a 12% increase in the risk of cancer.

CARBOHYDRATES

Carbohydrates provide energy to think, move and build our body. Focus on slow carbs, not low carbs. This means selecting carbohydrate foods rich in fibre, a critical nutrient that slows the release of sugars into our bloodstream and helps us eliminate waste. Skip the gluten– research is clear is affects most all of us to one extent or another. It’s not always about the intestinal tract – gluten can affect skin, brain and muscles too.

Good sources of carbohydrate & fibre: Hummus/beans/lentils, sweet potato, yucca, yam, quinoa, coconut, teff, psyllium, flax, wild and brown rice, squash, celery, gluten free oats, and whole fruits like berries, apples and pears.

Preparing  roasted vegetables is one of my favourite ways to get my good carbs into my daily routine. I’ll do a tray like the above about 2x a week. Then I can place the veggies in a pyrex container and pull a few from it and chop up to top a salad or warm up to have with fresh steamed greens and my pick of protein. It’s really quiet easy- wash them up, chop them how you’d like and toss in a little olive oil. Throw a sheet of parchment paper (I buy mine at Costco) on the cookie tray for easy clean up. Place the veggies on the tray and put some salt and pepper on them. Sometimes I will add Italian spice, rosemary or maybe some fennel seeds. Convect bake at 350F for 30-40 minutes (depends on your oven and how much you liked your veggies cooked).

Pretty cool that if you eat the cooked and cooled potatoes – white or sweet – you will not affect your blood sugar the same as if they are hot. This is because a potato cooked and cooled forms a resistant starch which slows the stream of sugars into the system. The resistant starch is fantastic food (prebiotic) for the good bacteria in your gastrointestinal tract too! So even more reasons to chop and put on some greens and take for lunch. Also the asparagus is good prebiotic as well.

PLANT POWER

There are more than 5,000 phytochemicals identified plus many we suspect still remain unknown. Turns out, Mother Nature has packed a punch of power in the plant kingdom. Many plants contain one or more of these 5,000 nutritional perks that helps us:

  • Defend against pathogens, parasites, and predators.
  • Protect against chronic disease, including cardiovascular disease, neurodegeneration, and cancer.
  • Purify and renew the blood
  • Nourish & cleanse body of toxins
  • Stimulating effects
  • Relaxing effects
  • Anti-inflammatory
  • Provides many vitamins and minerals

 

From the heart and kitchen of 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: PSA Rising? Read This.

Recent research and clinical evidence shows we can slow the doubling time of PSA and reduce the risks of prostate cancer.

What’s so Important About PSA?

The role of Prostate Specific Antigen (PSA) in the prostate gland is not clear. In addition to a digital rectal exam, the level of PSA is used to screen and monitor risk of prostate cancer.

Overall the PSA specific activity within the prostate gland is relatively low. However, when the amount of this enzyme starts to rise, the activity is significant.

PSA can break apart the Galactin 3 molecule. So, the more the PSA, the more Gal -3 cleaved, the more tumour activity of Gal-3 that occurs.

Experimental data available today demonstrate an association between galectin-3 (Gal-3) levels and numerous pathological conditions such as heart failure, infection with microorganisms, diabetes, and tumour progression- including that of prostate cancer.

  • The cancer-free control patients have lower levels of galectin-3 in the serum.
  • Serum galectin-3 concentrations were uniformly higher in patients with metastatic prostate cancer.

A large and fast-growing body of clinical research shows that controlling Gal-3 is an essential strategy for long-term health. Gal-3 is an active biomarker that impacts organ function, normal cell replication, immunity, joint mobility and more.

According to the research, Modified Citrus Pectin (MCP) is the only available solution that can successfully block the effects of elevated Gal-3 throughout the body. By providing a safe and effective Gal-3 blockade, MCP is shown to safeguard and support the health of numerous organs and systems. This is the reason independent researchers and health professionals are increasingly interested in this nutritional supplement.

MCP appears to pretend it is Galactin -3 for the Galectin-3 receptor sites, keeping the real Galactin -3 from activating the receptor. In effect it keeps the tumour cells from building up and growing. This is reflected in the slow rate of rise of the PSA marker, and a reduced risk of tumour development.

References available upon request.

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