Diet Products

Do you drink diet soda or use diet products?

Aspartame is the technical name for the brand names NutraSweet, Equal, Spoonful, and Equal-Measure. Aspartame accounts for over 75 percent of the adverse reactions to food additives reported to the FDA. A few of the 90 different documented symptoms listed in the FDA report as being caused by aspartame include: headaches/migraines, dizziness, seizures, nausea, numbness, muscle spasms, weight gain, rashes, depression, fatigue, irritability, tachycardia, insomnia, vision problems, hearing loss, heart palpitations, breathing difficulties, anxiety attacks, slurred speech, loss of taste, tinnitus, vertigo, memory loss, and joint pain. Aspartame is made up of three chemicals: aspartic acid 40%, phenylalanine 50%, and methanol 10%. Aspartic acid from aspartame has the same deleterious effects on the body as glutamic acid (MSG). The exact mechanism of acute reactions to aspartame is currently being debated but as reported to the FDA, those reactions include: headaches/migraines, nausea, abdominal pains, fatigue (blocks sufficient glucose entry into brain), sleep problems, vision problems, anxiety attacks, depression, asthma/chest tightness. One common complaint of persons suffering from the effect of aspartame is memory loss. Ironically, in 1987, G.D. Searle, the manufacturer of aspartame, undertook a search for a drug to combat memory loss caused by aspartic acid damage. Phenylalanine is an amino acid normally found in the brain. Persons with the genetic disorder phenylketonuria (PKU) cannot metabolize phenylalanine. This leads to dangerously high levels of phenylalanine in the brain (sometimes lethal). It has been shown that ingesting aspartame, especially along with carbohydrates, can lead to excess levels of phenylalanine in the brain even in persons who do not have PKU. Methanol (wood alcohol) is a deadly poison. Some people may remember methanol as the poison that has caused some “skid row” alcoholics to end up blind or dead. Methanol is gradually released in the small intestine. The absorption of methanol into the body is sped up considerably when free methanol is ingested. Free methanol is created from aspartame when it is heated to above 86 Fahrenheit (30 Centigrade). This would occur when aspartame-containing product (e.g. Diet Coke) is improperly stored or when it is heated (e.g. as part of a “food” product such as Jello). Methanol breaks down into formic acid and formaldehyde in the body. Formaldehyde is a deadly neurotoxin. An EPA assessment of methanol states that methanol “is considered a cumulative poison due to the low rate of excretion once it is absorbed. They recommend a limit of consumption of 7.8 mg/day. A one-liter (approx. 1 quart) aspartame-sweetened beverage contains about 56 mg of methanol. Heavy users of aspartame-containing products consume as much as 250 mg of methanol daily or 32 times the EPA limit.
As a side note; shortly after the Commissioner of the FDA, Arthur Hull Hayes, Jr., approved the use of aspartame in carbonated beverages, he left for a position with aspartame manufacturer G.D. Searle’s public relations firm.

For more information go to www.mercola.com and search ‘aspartame’

Healthy Digestion

Healthy Digestion
To a Naturopath, healthy digestion is the cornerstone to health. “You are what you eat” and “You are what you don’t eliminate.” Digestion, absorption, and elimination are what makes up our body, what fuels our metabolism, metabolic processes, and what creates our immune system.
Optimal digestion depends on adequate enzyme production in the stomach and small intestines, a healthy mucosal cell lining in the G.I. tract including adequate immune cell protection, proper assimilation, and elimination.
When digestion is inadequate it robs the body of vital nutrient building blocks for all vital processes. Proteins are needed to build tissue and are the building block for neurotransmitters, the communication system of the nervous system. All cells have an outer lipid (fat) membrane which is the control panel for all metabolic processes. Fat also provides the myelin surrounding nerve cells and is responsible for nerve conduction. All hormones begin with a fat molecule in the form of cholesterol. How hormones function and the efficiency as to how they are broken down is dependent on the amount and quality of fat in the diet and how well it is absorbed. Carbohydrates are broken down to glucose and provide energy.
What is not broken down and absorbed must be eliminated from the G.I. tract and what is not eliminated or absorbed efficiently becomes a source of toxic waste for the body to deal with. Food may sit in the digestive tract too long when enzyme production is inadequate, absorption is inadequate, and transit time is too slow. As a result the rotting food gradually becomes a source of irritation to the cells lining the digestive system. Inflammation can begin weakening the intestinal lining that normally maintains a barrier to keep large molecules from entering the blood stream. The term that has been used to describe this is “leaky gut syndrome.” As large food molecules gradually make their way into the blood stream it becomes a stress on immune system to clean them up and break them down. Food proteins can be recognized as foreign and stimulate the production of antibodies. An overproduction of antibodies has been hypothesized as a possible contributor to food allergies and autoimmune diseases. Antibodies produced from abnormal proteins of digestion in some way get confused and begin to set up an attack on various tissues of the body. Another stress these abnormally large molecules create is to the liver. The liver is the organ of detoxification and anything in the blood that is not supposed to be there is broken down and eliminated through complex chemical reactions that require a large source of nutrients and energy. As the liver already has a big job protecting us from toxic exposure in the air, water, and foods we eat, undigested food proteins become a burden that often over-saturates its capacity. Toxins that cannot be handled end up stored in fat cells. Weight gain is often not always the result of eating the wrong food or even too much food but of an ineffective digestive system.
Poor digestive function and overwhelmed liver function cause a cascade of problems and stress to other organ systems and functions in the body such as stress to the adrenal and thyroid glands which regulate metabolism, stress hormones, and blood sugar. An overactive immune system and excess proteins in the blood stream can create acidity which contributes to inflammation everywhere, there again contributing to problems like arthritis and heart disease.
Conditions that indicate the digestive system is impaired include heartburn or reflux, ulcers, irritable bowel, constipation/diarrhea but also can be associated with other problems like inflammatory joint disease and allergies. Working on improving digestion, healing and strengthening the mucosal cells lining the digestive tract, and eating a diet that promotes good digestion and metabolism are some of treatment goals for almost any digestive complaint or condition. Optimizing digestive function and health will also prevent the chronic progression of many other disease processes. Digestive enzymes are a good place to begin improving digestive function and health. The stomach uses primarily hydrochloric acid to begin the breakdown of primarily protein. Making an acid in the body that tightly regulates pH requires a huge amount of energy and bimolecular resources. People who are depleted, consistently eat a poor diet, and have other health stresses are often deficient in HCL. Inadequate HCL will cause food to sit in the stomach too long where it ferments and causes irritation to the stomach lining. This is one of the most common reasons for heartburn. The small intestines use alkaline enzymes from the pancreas which complete the digestion of proteins, carbohydrates, and fats. They are also natural anti-inflammatory support for the body. Lower abdominal bloating, cramping, and mild nausea are often symptoms of insufficient pancreatic enzymes.
Dr. Mikel’s experience and education help her formulate individualized treatment approaches, including diet assessment and education for your specific symptoms and underlying cause. Digestive health can be a cornerstone to your future health and ability to heal.Teacher Andrew Cohen made the following observation about the liberating challenge of spiritual evolution:
Evolution is a messy process. So anybody who really wants to make the effort to strive for something new is going to have to be willing to make mistakes, take wrong turns, even to fail, but never give up. The simple truth is this: if not failing is more important to you than genuinely succeeding, you’re never going to make it. If you really want to succeed, then you have to have the big heart, heroic will, tenacity, courage, and commitment to fearlessly engage with the evolutionary process until something profound, mysterious, and extraordinary happens that cannot be undone.

Osteoporosis and Bone Health

Osteoporosis and Bone Health

Osteoporosis means that there is loss of bone mass and that bones are thinner. It does not necessarily mean that they are more prone to breakage. At the same time, good bone mass does not guarantee bones will not break. The American College of Physicians says: “The majority of women with hip fracture have a density of the hip that is within the normal range.” However, most people see a loss of bone mass after age 40. Women see the greater percentage of decline usually around peri and post menopause. To quote Susan Weed’s Menopausal Years the Wise Woman Way: Alternative Approaches for Women 30 – 90: “For a post-menopausal woman to ask, ‘Osteoporosis, how can I prevent it?’ is like asking ‘How can I prevent the sun from setting each evening?’ When we try to prevent the natural flows of life, we begin to think that these natural processes (such as bone thinning with age and menopause itself) as problems, which we are told we need to ‘cure’ by technological means.” The point is that there is some natural rhythm to this process and some degree of change is “normal.” However, to optimize bone health, especially with the increased possibility of falls as we age and remain active, it is important to look at how to keep bones as healthy as possible!

Weight-bearing exercise can reverse bone loss and increase density. Walking for an hour four times/week and lifting weights can improve bone mass.

Women between 40 and 50 should consider a DEXA or bone density screening test.

Eat Foods Rich in Calcium and Other Minerals To Build Healthy Bones

Green leafy vegetables: Some of the best sources of calcium, as well providing vitamin K and boron needed for healthy bones. Other good sources of minerals include broccoli, lettuce, cabbage, spinach, green tea, sea vegetables, yogurt or whey, and seaweed such as kelp.

Micronutrients: selenium, chromium, strontium, copper, boron, silicon, zinc, and cobalt. Good sources: seaweeds, nettles, dandelion, and organic grains and produce.

Good herbs to consider for mineral support: horsetail, nettle leaves, red clover blossoms, raspberry leaves, alfalfa, sage leaves, oat straw seed, and uva ursi leaves.

Avoid soft drinks: Phosphates in soda interfere with calcium solubility in the blood making calcium less available to make bones, teeth, and other structures. Limit pop to a special treat for you and your kids!

Garlic, onions, and eggs: good sources of sulfur and are also needed for healthy bones.

Vitamin D at 1000 to 3000 iu’s per day: assists in calcium utilization for bone.

B6, folic acid, and B12: needed in combination to maintain proper homocysteine levels which is associated with less risk for atherosclerosis and osteoporosis.

A Note About Calcium: Proper levels of stomach acid are necessary for calcium absorption. People with low stomach acid should take enzymes or at least use lemon juice or apple cider vinegar to acidify their stomach and help with absorption. Anyone on acid blockers (see me fast to get off them!) will have compromised calcium absorption. People on thyroid medicine should not take their medicine with calcium supplements and those on thiazide diuretics may need to keep supplementation a little lower.

The dose of calcium is individual depending on the form of calcium you use to supplement, your digestive health, age, risk factors, and general health. Magnesium is also needed in generous amounts often 1:1 ratio with calcium.

Recommened Products for Bone Health:

Calcium Lactate (from beets most easily absorbed calcium to the blood) from Standard Process
(avoid calcium carbonate it is not easily used and may cause calcifications)
Cal Ma Plus from Standard Process
Biost, Biodent, or Ostraplex from Standard Process
Cal Mag Plus D from Priority One
Trace minerals, Organic Minerals, Min Tran (from sea kelp and alfalfa)
Sun D 3000 from Priority One
High quality fish oil, tuna oil, or flax seed oil

Come in for a thirty minute visit to customize your bone health treatment plan!

Related Articles / Sources

Menopausal Years the Wise Woman Way: Alternative Approaches for Women 30 – 90 by Susan Weed

The Clinician’s Handbook of Natural Medicine by Pizzorno, Murray, Joiner-Bey

Finding Meaning

Finding Meaning

A professional peer gave me an assessment to complete that asked me to quantify from 1-10 where I scored in relation to my diet, sleep, digestive health, stress, water intake, life purpose, weight, and physical health. With the objective numbers I saw I could certainly improve a couple areas but was pleased to see more that half near the optimal number. Life purpose was near the top and I reflected on how that got to be there and why it is such a passion of mine to empower my patients to find their life purpose and the passion that evokes in their lives.

Most of you have lives that are filled with responsibilities, opportunities, stress, and delights. For many of you finding health enables you to better participate in and appreciate your life. However, those who engage in naturopathic medicine emerge into a more sophisticated model of health that is less mechanistic but involves a deeper attention to how the body interacts with emotion and consciousness. If we view health solely from a mechanistic model then we deny the mystery of healing. The mind has a hard time grasping mystery. It is my belief we are not human beings in a spiritual world but spiritual beings in a human world!

Twenty five years ago someone told me I had a purpose and a light bulb went on. Somewhere deep within me it awakened something I knew was true. It gave me permission to live following what felt right for me instead of trying to please everybody else. I read a book called Love is Letting Go of Fear and it was a catalyst for yet another shift. I decided to live as close to the Presence of God as possible and that God was Love. This small simple book made me look at all my emotions as evolving from either love or fear. If I was angry it might be because I was afraid of being hurt or not getting “enough”. I began to practice challenging those fearful feelings because deep within me I knew I was loved and could trust a larger natural spiritual essence of life to guide me. My purpose in practicing the Presence of God became simply to learn to love better.

I read the following in an article by Dr. Rachel Naomi Ramen:

“I had a man in my practice with osteogenic sarcoma of the leg, which was removed at the hip in order to save his life. He was 24 years old when I started working with him and he was a very angry man with a lot of bitterness, a deep sense of injustice and a very deep hatred for all the well people, because it seemed so unfair to him that he had suffered this terrible loss so early in life. After working with this man for a couple of years I saw a profound shift. He began ‘coming out of himself’. He began visiting other people in the hospital who had suffered severe physical losses and he would tell me the most wonderful stories about these visits. Once he visited a young woman who was almost his own age. It was a hot day in Palo Alto and he was in running shorts so his artificial leg showed when he came into her hospital room. The woman was so depressed about the loss of both her breasts that she wouldn’t even look at him, wouldn’t pay any attention to him. The nurses had left her radio playing, probably in order to cheer her up. So, desperate to get her attention, he unstrapped his leg and began dancing around the room on one leg, snapping his fingers to the music. She looked at him in amazement, and then she burst out laughing and said, ‘Man, if you can dance, I can sing.’

Now I want to tell you something that happened at the end of this man’s therapy. At the end of therapy you do a review—people talk about what was significant to them and you share what was significant to you as a therapist working with someone. We were reviewing our two years of work together; I opened his file and there folded up were several drawings he had made early on. I wanted to return these to him, so I unfolded them and handed them to him. He looked through them and said, ‘Oh, look at this.’ And he showed me one of the earliest drawings. I had suggested to him that he draw a picture of his body. He had drawn a picture of a vase, and running through this vase was a deep black crack. This was his image of his body and he had taken a black crayon and had drawn the crack over and over and over. He was grinding his teeth with rage at the time. It was very, very painful because it seemed to me that this vase could never function as a vase again. It could never hold water.

Now, two years later, he came to this picture and looked at it and said, ‘Oh, this one isn’t finished.’ And I said, extending the box of crayons, ‘Why don’t you finish it?’ he picked a yellow crayon and putting his finger on the crack he said, ‘You see, here—this is where the light comes through.’ And with the yellow crayon he drew light streaming through the crack in his body.

We can grow strong at the broken places.”

She also retells a story by Dr. Bernie Siegel about John, a landscaper. He was a man who wanted, in spite of his cancer, to make beauty in the world. Rachel surmised in her article “One can serve purpose with impaired health. One might even regain health through serving purpose as John did!”

Reach out to those you love. Make decisions that feel right for your well-being and wholeness. Trust there is an invisible power of which we are all a part that is supporting your life. Live like there is no tomorrow. This is it! This is not a dress rehearsal! Don’t burden yourself with regrets! Remember “All is Well” and act accordingly. You will empower your loved ones to do the same but it has to start with you!

The Nature of Suffering

The Nature of Suffering

Michael Jackson’s surprising death reminded me, as death does, that life is short so we need to make the most of it. He certainly did! Wasn’t it amazing to see all those clips of his life and to see his spirit infused into his work and his art with as much of his heart as talent? Yes, Michael had some things that haunted him. We all do. In this newsletter I will share a paper I wrote a year after the death of my husband in 1998. He died from lung cancer. It was a very difficult and painful time but also a time that brought the meaning of my life into greater focus.

The Nature of Suffering

I have experienced suffering as have most people, so it is only from my experience and nature that I can describe and relate to it. When I talk about it with my daughter or friends, I am even more aware how personal and unique it is. There are aspects of it, though, that are trans personal, like archetypes, a common human experience. Coming upon the completion of the first year of my husband’s death seems a time to reflect on this quality of humanness with some hope that there is purpose and meaning to it as there is to most emotion.

In our Christmas letter this year I reflected that it seemed pain and suffering did prepare us and allowed us to be willing to let go of Chuck, even though our hearts were still hanging on. Suffering can be on so many levels but mostly it means to me that I am disconnected from the nature of my soul. My first thoughts about it were that it meant losing someone you love . . . like my true love . . . or losing a special friend, or job, or thing that can’t be replaced. It seemed to be about what we are attached to. Then, I thought about suffering with Chuck and my daughter at times . . . hurting with their hurts physically and emotionally. I thought about my physical pains and health challenges that require attention at times and suffering. Suffering with loneliness, worry, defeat, sadness, and weariness. Suffering from an emptiness at times that could seemingly engulf me and then suffering because it doesn’t and I am still here to face this life that brings suffering.

I have worked with my dreams for over ten years and this past year my Jungian therapist said something that especially caught my attention. He reflected that the dream life often connects with the numinous. It is that glimpse into our soul that provides the perspective of what we are cut off from. I think that is what brings suffering . . . being cut off consciously from our soul. The other side of that is union with our soul is where we find meaning and joy. Union with our soul is what love seems to reflect. Relationships often allow us to experience a connection to the Self or our soul. We may project it on to the person of our affection and say they bring us love but really it is the relationship that awakens love in us. The dreams and goals we pursue, I have come to believe, are our soul calling us deeper and more intimately into our whole Self. These dreams and goals bring us into roles that foster our contact with more sides of our self and realization of our soul’s expression. A good example is my mother-daughter relationship. It brings me into the mother archetype and the capacity to experience love that only Mothers can know. But, it also touches a place in the numinous that reflects the nature of creation. I have experienced it through my body during pregnancy and in bringing forth of life. I continue to experience more aspects of motherhood as my nurturing supports my child’s growth and development. I appreciate that this archetypal role serves to heighten an awareness of a mystery and wonder that is greater and more meaningful than myself.

Suffering is not being one with this mystery and feeling the absence and loss of its presence and potential. I have felt this mystery in my relationships but have suffered when I have lost them. I have felt suffering with my body, with physical pain, with loss of vitality and disease. For me, however, it is the suffering that continues to motivate me to search for the meaning that exists even in the pain. My soul is not satisfied with the state of suffering, I must seek meaning or greater purpose in the feelings and somehow I know and have experienced the transformation that comes through the not denying and even accepting the state of suffering. As this capacity for acceptance grows there is room for forgiveness, compassion, humility, and a growing ability to receive from others and from God. It seems a paradox that with acknowledgement, experience and acceptance of most feelings there is then the release from their hold and an ability to move on in the process we call Life.

I have extensive professional and personal experience in death and dying so feel free to contact me if you need support in this area. Michael Jackson’s death, like the death of a loved one, may trigger feelings of past losses. Support is available so reach out.

Childs Art
A picture my daughter drew of herself at 6 years old, one year after her father’s death.

Cold and Flu Natural Approach

Colds and Flu Natural Approach

Many of my patients are asking my opinion on flu vaccination and prevention. I would like to present a little more information to balance the media’s hype that tends to provoke fear and anxiety.

In an interview with the Cape Coral Daily Breeze, Dr. Erika Schwartz, medical director of Cinergy Health in Miami reminds us that, “More people died from the side effects of the vaccine [in 1976] than the swine flu. If we don’t pay attention to history, then we are bound to repeat it.” She goes on to say that while each year approximately 36,000 people die from influenza, there have only been 555 deaths in the United States from swine flu. She also emphasizes prevention over vaccination, pointing out that even after getting the shot it is still possible to get sick.

At this point, the swine flu vaccinations are still in the trial stage and their efficacy has not yet been determined. In 1976, the swine flu vaccine actually killed more people than it helped and despite this there are recommendations for even children to be vaccinated.

Vaccinations carry risks and I advise people to research those risks to make an informed decision about whether or not to participate in vaccinations. I will support whatever decision my patients make about vaccinations but feel it is my responsibility to provide information that presents the risks of vaccinations such as flu like symptoms, neurological damage, autoimmune diseases, and possible contamination from metals, chemicals, and other viruses.

References:

CDC downplays estimates on flu deaths, infections
How dangerous is the swine flu?
Flu Vaccine
Should you get the flu shot?
Swine flu ‘debacle’ of 1976 recalled
The last great swine flu epidemic
Swine Flu 1976 & Propaganda

Natural Protection

Susceptibility to colds and flu are in direct relationship to the strength of our immune system and internal hygiene. Viruses and bacteria will not thrive or take hold if our internal hygiene is balanced and healthy. For example, diets that are too high in refined carbohydrates, chemicals like pesticides or preservatives, and heavy metals can create too much acidity. Diets too low in enzymes can create environments too alkaline. Stress can weaken our adrenal system impairing our immune anti-inflammatory response.

Each system of the body is intricately connected with the health of the whole organism so when we discuss mechanisms and systems it is very complicated to break them down in isolation. Each of these recommendations has benefits to more than one system in the body but in combination they support that balance and homeostasis that supports health and optimal resistance to infection and disease.

1. Get enough sleep. Your immune system functions much better when you get enough sleep. Most people need about 8 hours per night for optimal health. If your body is tired your immune system cannot mount an adequate immune reaction such as the production of antibodies and numerous immune cells and anti-inflammatory molecules.

2. Exercise regularly. Exercise helps keep your immune system strong. Exercise increases respiration and higher oxygen content in the body deters the proliferation of bacteria, viruses, and cancer cells and boosts the production of macrophages that attack viruses and bacteria as well as increasing circulation to move white blood cells to where they are most needed.

3. Avoid sugar. Even small amounts of sugar can significantly impair your immune function, making you more susceptible to a flu infection. Sugar molecules look similar to vitamin C and compete with the vitamin C needed in macrophage cells that gobble up viruses and bacteria. Think of it this way: when you eat sugar think of your immune system slowing down to a crawl.

4. Drink lots of pure water. Keeping your mucous membranes well-hydrated helps optimize the mucous membranes of the mouth, ears, and nose. This is your first line of defense where immune cells reside to capture and prevent further entry into the body.

5. Wash your hands often.

6. Eat Vegetables. Vegetables contain huge amounts of the array of nutrients the body needs for health. The nutrients to metabolize energy, support detoxification by the liver, and to support a strong adrenal or stress response are loaded in fresh foods. Chicken soup made with fresh vegetables works for a reason!

Each person’s symptoms reflect systems of the body that are usually deficient. Even toxicity is a limitation in the body to maintain optimal balance. Digestion, liver support, adrenal support, and immune support cannot really be separated as their influence on one another is so complex and interrelated. Your best protection comes as we treat the body as a whole and work together to bring the body into optimal balance and health.

Naturopathic Treatments for Cold and Flu Symptoms

The best treatment for colds and flu is prevention! Here are some tips to help you stay healthy this winter:

Eat your vegetables and fruits strengthen your immune system.
Avoid sugar which weakens the immune system.
Avoid dairy which causes an overproduction of mucous and may aggravate the immune system.
Don’t over heat your home as dry air dries out mucous membranes. (Mucous membranes are loaded with enzymes, immune cells, and lymph glands designed to catch viruses/bacteria and are our first line of defense against infection!)
Keep rooms a moderate temperature and consider using a humidifier to keep air moist.
A HEPA filter in bedrooms is a great way to minimize dust and toxins, thereby reducing the burden to your immune system.
Wash hands frequently and avoid putting fingers in mouth, eyes, nose, and ears.
Drink plenty of fluids, get enough rest, and exercise to balance stress.

If you do happen to catch a cold or come down with the flu, consider the use of vitamins, herbs, and homeopathics. They are best used at the onset and can help lessen their severity and prevent secondary infections. Unlike antibiotics, which are not effective against viruses and work by preventing the replication of bacteria through one or two mechanisms, herbal products work by many mechanisms. For example, they may directly kill bacteria, stimulate white blood cells, stimulate circulation, or prove vitamins and minerals that nourish glands involved in the anti-inflammatory response. The more ways an herbal product works, the less likely resistance can develop! Homeopathics work as an energetic catalyst to stimulate the body to overcome symptoms. They can be extremely effective and have no side effects and are usually taken as small pellets under the tongue.

I often recommend the herbal/vitamin combinations Bio Vegetarian and Super Bio Vegetarian from Priority One in big doses the first day or two to beat a cold. A homeopathic remedy I recommended for the flu is Oscillococcinum which can be used safely alone or with other medications. Homeopathics are very safe for children.

Call at the first sign of a cold or flu or for a recommendation specific to you about what products to keep on hand.

Stay well and enjoy the season!

Please contact me if you would like to discuss products to have on hand to enhance immunity and for cold and flu prevention including Standard Process whole food supplements, homeopathic remedies and herbal medicines. I also love to hear about your progress so feel free to email me if you run out of product or if you need a change in your treatment plan. Often such changes can be made without an office visit. Your feedback is needed to keep you in good health and on a progressive program. We are changing health care one person at a time as we take responsibility for educating ourselves about good health. Education empowers us to make the right choices. It’s a process so stay open, keep learning, and congratulations on the changes you’ve already made!

Estrogen Dominance

Estrogen Dominance

This topic comes up with nearly every woman I see. The very common symptoms for women that we attribute to hormones are most often a result of imbalance between estrogen and progesterone. Estrogen promotes growth of tissue (i.e. the uterine lining in the first half of our cycle). But most women know breast tissue also can increase in size, we can gain weight, tissue can swell a bit, and mood can be affected. Progesterone helps to moderate these effects of estrogen, including the growth effects.

Here are some symptoms of estrogen not balanced well by progesterone:

PMS Breast tenderness
Excessive menstrual bleeding and cramps
Early onset of menstruation
Fat gain, especially around the abdomen, hips, and thighs
Hot flashes
Perimenopause sleep disturbance
Depression and anxiety
Fibrocystic breasts
Hair Loss
Irregular menstrual periods
Water retention, bloating
Low or absent libido
Infertility
Insomnia
Polycystic ovaries
Uterine cancer
Uterine fibroids
Cervical dysplasia
Breast cancer

Women make estrogen in their ovaries, adrenal glands, and fat cells. During the first two weeks of our cycle, estrogen is the hormone secreted to promote the growth of the uterine lining for implantation. After ovulation, the ovulating egg produces progesterone to maintain the lining and vascular system. If an egg is implanted, progesterone continues to be increased for this uterine sac to maintain the growth of an embryo. If the ovulated egg does not become fertilized, then the progesterone production falls off and the uterine lining is not maintained and it sluffs off with our monthly bleeding.

Women become out of balance with their total estrogen/progesterone hormones for several reasons. One reason is that we are being exposed to a huge number of chemicals that mimic estrogen in our body. These chemicals actually sit down on estrogen receptors and mimic the effects of estrogen.

These chemicals come from many places including:

Birth control pills
Hormone replacement drugs
Additives in lotions, shampoos, make up, and deodorants
Plastics and cookware
Growth hormones found in factory-farmed animal products beef, chicken, and fish
Pesticides and herbicides on foods and in the environment
DDT
PCBs – polychlorinated biphenyls
Foaming agents in soaps and detergents

Sometimes, women produce too little progesterone when under stress because the precursor hormone to make progesterone gets used to make the stress hormone cortisol. Cortisol is produced by the adrenal glands to help us fight or flee. It raises blood sugar, keeps us mentally alert, and heightens our immune system among other responses. Many of us under pressure at work or home or due to psycho/emotional stress maintain high cortisol and, over time, this depletes the resources to make adequate progesterone thus promoting the estrogen dominance or imbalance with progesterone.

Peri menopause is a time when we start missing some ovulations. Remember it is the ovulating egg making progesterone so a few missed cycles and our total load starts to be reduced. This often initiates the start of menopause symptoms like hot flashes, sleep disturbances, and anxiety or moodiness. The balance may have been leaning in that direction from chemical exposures or stress but with the missed ovualtions the imbalance is exacerbated and new symptoms or exaggerated symptoms develop.

The last thing I’d like to address are the functions of the liver and how they relate to estrogen dominance. The liver is the organ responsible for degrading toxins and our hormones. The liver is working hard for most people because of diets high in chemicals, environmental exposure, topical exposures, poor diet, and so on. The liver is sometimes at or past its capacity to do its job or under functioning because it lacks the nutrients from a healthy diet to work properly. Toxins that cannot be completely processed end up being stored in fat cells, including toxic estrogen. Estrogen that is only partially degraded and stored in fat cells can be recycled and has a higher growth promoting potential than regular estrogen. This creates a combined effect of more fat cells as a result of storing toxins that can potentially make even more estrogen.

What can we do?! Our past detox groups reviewed this information repeatedly to emphasize the benefit of improving diet and liver function to help remove toxins including toxic or excessive estrogen. Amazingly, almost all women see improvement in estrogen dominance symptoms – decreased hot flashes, improved sleep, lighter periods, easier premenstrual week, and they feel more calm and at ease.

Basic Recommendations to improve estrogen dominance:

Stop eating processed foods with chemicals.
Eat more vegetables and fruits, along with hormone/antibiotic free protein.
Eat at least one serving cruciferous vegetable a day. A specific sulfur chemical in these vegetables enhances the livers capability of degrading estrogen.
Reduce your exposure to xenoestrogen. A good list can be found here.
Join the next detoxification group in the new year.
Find support and learn ways to decrease your stress.

Dr. Mikel has a host of whole food products that enhance these recommendations and, depending on your symptoms can prescribe the right ones for you. SP Green Food, for example, is a combination of Brussel sprouts, kale, and alfalfa sprouts that many women love! This product has the vegetables that help the liver detox estrogen so they lose weight, have lighter periods, diminished hot flashes, and sleep better. Determining what is a appropriate for you and the cause of your imbalance will lead to the correct treatment. Salivary hormone testing is sometimes done and very useful in some cases. In my experience, 9 out of 10 salivary tests show some degree of estrogen dominance. Hormone supplementation is seldom needed for estrogen dominance if some of these other recommendations are maintained. Adding hormones for estrogen dominance may suppress symptoms by artificially balancing estrogen/progesterone but they can elevate both to alarming levels which increases the load of work on the liver which is why they often lead to weight gain from storing the by-products away in new fat cells.

There is hope and many women are finding safe and effective treatment for their complaints. I give this talk over and over and I have found that this information needs to be heard a few times in order to “get it.” Successfully using these suggestions to improve symptoms and overall health is really the best way to learn.

Resources

http://goodbyepms.com/fail.htm

http://www.sensiblehealth.com/Journey-04.xhtml

Estrogen dominance and men: http://www.greendivamom.com/2009/04/19/how-men-can-avoid-estrogen-dominance/

Are Endocrine Disruptors making us fat & making our children sexual mutants?

Spirituality and Medicine

Spirituality and Medicine

The belief and trust in the healing power of nature implies a belief in some higher power or force we are a part of, working through us in our lives.

This power is found in religion for many people but it is also found in nature, in relationships of love, and in our passions and dreams.

As one becomes aware of this power there is a realization that it is always bringing us toward wholeness. Sometimes this is through increased physical health or sometimes through emotional growth.

An ability to recognize, experience, and express thoughts and feelings is important because it is the limitations in our thoughts that create the emotions that often contribute to our illnesses. Emotions create an energy that needs release. When not attended to, it may become internalized within the body.

Our symptoms may sometimes be metaphors for what wants attention emotionally or spiritually. Holistic medicine implies attention to underlying cause.

An infection may represent an internal conflict or we may be vulnerable to infection because of the energy depletion holding the conflict within.

Allergies may represent an internal constriction in response to the world indicating some fear or learned lack of trust.

Digestive symptoms may indicate some aspects of a relationship that are difficult to “swallow“ and the feelings may be difficult to let go of.

Back pain may represent how we are holding up under the emotional pressures of life.

There is always a story to be revealed when one explores the metaphors. Realizing that they have something to tell us about our emotional and spiritual life will begin the healing process that entails balance. By the very awareness and attention to their connection, we attain more balance between our physical, emotional, and spiritual lives. If we can identify and express our feelings, we have an opportunity to then look at the underlying belief they represent – from not trusting someone you love and feeling as though you aren’t good enough to have success to feeling that you are loved unconditionally and the universe provides what you need.

Illness does not have to be something we fight. “He battled courageously with cancer,” for example, implies there is a force in nature that is against us. Everything in life, even illness and death can turn into a blessing if we turn with faith and guidance to realize its gift. Grace is the healing that occurs when there is willingness to surrender to our emotion, explore what it is we really believe, and to then find acceptance or the courage to make corrections and live from a perspective that is more congruent with our faith, even our desire to have faith!

Physician means literally “friend of the soul.” A good doctor may help facilitate not only physical well-being but perhaps be a companion on a journey that brings a person into those qualities and balance needed to experience love for oneself and others.

I continue to be dedicated to this intention of being a good physician through 2010! May we all find our inner healer and let them take us to health, wholeness, happiness, and peace!

Healthy Digestion

Healthy Digestion

To a Naturopath, healthy digestion is the cornerstone to health. “You are what you eat” and “You are what you don’t eliminate.” Digestion, absorption, and elimination are what makes up our body, what fuels our metabolism, metabolic processes, and what creates our immune system.

Optimal digestion depends on adequate enzyme production in the stomach and small intestines, a healthy mucosal cell lining in the G.I. tract including adequate immune cell protection, proper assimilation, and elimination.

When digestion is inadequate it robs the body of vital nutrient building blocks for all vital processes. Proteins are needed to build tissue and are the building block for neurotransmitters, the communication system of the nervous system. All cells have an outer lipid (fat) membrane which is the control panel for all metabolic processes. Fat also provides the myelin surrounding nerve cells and is responsible for nerve conduction. All hormones begin with a fat molecule in the form of cholesterol. How hormones function and the efficiency as to how they are broken down is dependent on the amount and quality of fat in the diet and how well it is absorbed. Carbohydrates are broken down to glucose and provide energy.

What is not broken down and absorbed must be eliminated from the G.I. tract and what is not eliminated or absorbed efficiently becomes a source of toxic waste for the body to deal with. Food may sit in the digestive tract too long when enzyme production is inadequate, absorption is inadequate, and transit time is too slow. As a result the rotting food gradually becomes a source of irritation to the cells lining the digestive system. Inflammation can begin weakening the intestinal lining that normally maintains a barrier to keep large molecules from entering the blood stream. The term that has been used to describe this is “leaky gut syndrome.” As large food molecules gradually make their way into the blood stream it becomes a stress on the immune system to clean them up and break them down. Food proteins can be recognized as foreign and stimulate the production of antibodies. An overproduction of antibodies has been hypothesized as a possible contributor to food allergies and autoimmune diseases. Antibodies produced from abnormal proteins of digestion in some way get confused and begin to set up an attack on various tissues of the body. Another stress these abnormally large molecules create is to the liver. The liver is the organ of detoxification and anything in the blood that is not supposed to be there is broken down and eliminated through complex chemical reactions that require a large source of nutrients and energy. As the liver already has a big job protecting us from toxic exposure in the air, water, and foods we eat, undigested food proteins become a burden that often over-saturates its capacity. Toxins that cannot be handled end up stored in fat cells. Weight gain is often not always the result of eating the wrong food or even too much food but of an ineffective digestive system.

Poor digestive function and overwhelmed liver function cause a cascade of problems and stress to other organ systems and functions in the body such as stress to the adrenal and thyroid glands which regulate metabolism, stress hormones, and blood sugar. An overactive immune system and excess proteins in the blood stream can create acidity which contributes to inflammation everywhere, there again contributing to problems like arthritis and heart disease.

Conditions that indicate the digestive system is impaired include heartburn or reflux, ulcers, irritable bowel, constipation/diarrhea but also can be associated with other problems like inflammatory joint disease and allergies. Working on improving digestion, healing and strengthening the mucosal cells lining the digestive tract, and eating a diet that promotes good digestion and metabolism are some of treatment goals for almost any digestive complaint or condition. Optimizing digestive function and health will also prevent the chronic progression of many other disease processes.

Digestive enzymes are a good place to begin improving digestive function and health. The stomach uses primarily hydrochloric acid to begin the breakdown of primarily protein. Making an acid in the body that tightly regulates pH requires a huge amount of energy and bimolecular resources. People who are depleted, consistently eat a poor diet, and have other health stresses are often deficient in HCL. Inadequate HCL will cause food to sit in the stomach too long where it ferments and causes irritation to the stomach lining. This is one of the most common reasons for heartburn. The small intestines use alkaline enzymes from the pancreas which complete the digestion of proteins, carbohydrates, and fats. They are also natural anti-inflammatory support for the body. Lower abdominal bloating, cramping, and mild nausea are often symptoms of insufficient pancreatic enzymes.

Dr. Mikel’s experience and education help her formulate individualized treatment approaches, including diet assessment and education for your specific symptoms and underlying cause. Digestive health can be a cornerstone to your future health and ability to heal.