PCOS: The causes, consequences, and how to reverse it

PCOS, or polycystic ovarian syndrome, is the most common female hormonal imbalance today. PCOS has far reaching consequences, including an increased risk of autism in offspring. The good news it may be reversible through diet and lifestyle changes.

PCOS is a condition in which an imbalance in estrogen, progesterone, and testosterone causes cysts to grow on the ovaries. While this can be painful, the consequences of PCOS can be severe, including a 60 percent increased risk in giving birth to a baby who will develop an autism spectrum disorder (ASD).

The symptoms of PCOS

Consider the symptoms of PCOS, below, which reflect how pervasive this disorder is on the body as a whole.

Here are some symptoms:

• Infertility
• Irregular menstrual periods
• Ovarian cysts
• Acne, oily skin, or dandruff
• Obesity and excess weight, usually concentrated around the abdomen
• Male pattern baldness
• Dark, thick patches of skin on the neck, arms, breasts, or thighs
• Skin tags
• Anxiety or depression
• Sleep apnea

PCOS causes male attributes

The hormonal imbalances associated with PCOS cause higher levels of the male hormone testosterone. This in turn leads to the development of such male attributes as male pattern balding, facial hair growth, deepening voice, and perhaps a more aggressive or indifferent personality.

What causes PCOS?

It’s no accident that symptoms of PCOS are similar to those of high blood sugar and diabetes. Although genetic predisposition plays a role in PCOS, the diet and lifestyle factors that cause insulin resistance (high blood sugar) and type 2 diabetes also cause PCOS: a diet high in sugars and processed carbohydrates, lack of plant fiber, overeating, and lack of exercise.

The upside to this is that switching to a whole foods diet that is free of sugar, lower in processed carbs, and high in vegetables and adding in daily physical activity can help reverse not only high blood sugar but also PCOS. For younger women this paves the path to a smoother transition through perimenopause and menopause, a period in life that can be made miserable by blood sugar imbalances.

The vicious cycle between PCOS and blood sugar

Standard lab markers that can identify PCOS include a fasting blood sugar of over 100 and elevated triglycerides and cholesterol, especially if triglycerides are higher than cholesterol. Not surprisingly, these are also markers found with insulin resistance, or pre-diabetes.

Insulin resistance is a condition in which the body’s cells become less sensitive to insulin due to a high-sugar, high-carbohydrate diet, over eating, and sedentary lifestyle.

This leads to high testosterone and PCOS in women (and elevated estrogen in men).

Unfortunately, elevated testosterone causes cells to become more resistant to insulin, thus creating more testosterone in a vicious cycle.

If you would like advice on managing PCOS naturally, ask my office for advice on functional medicine strategies to balance your blood sugar and hormones.

Do you need supplements if you eat a good diet?

It’s a common argument: “You don’t need to take supplements if you eat a good diet.” Although a good diet is foundational to good health, supplements play an instrumental role in various health conditions.

People who don’t understand the value of supplements think they exist only to profit off of “suckers for snake oil.” To be sure, those products exist.

Others view them as dangerous and unregulated compounds that should be taken off the market. Those products exist as well.

The United States is unique compared to the rest of the west in terms of of the freedom of our supplement market. Supplement availability in Europe and Canada is severely limited compared to the United States.

With this comes pros and cons.

How to be a smart supplement shopper

The key to understanding supplements is to understand the underlying causes of your condition.

For instance, ten different people can each have a different cause for leaky gut, insomnia, pain, depression, and so on. Buying a “depression supplement,” or an “insomnia supplement,” can result in failure and frustration.

Also, quality matters. Supplements from your local chain supermarket are not going to meet the same standards of quality, care, specificity, and educational support of supplements sold through a practitioner.

The good news about our supplement market is we have access to high quality supplements and education.

Why you may need supplements

Here are some reasons you may need supplements even if you eat a pristine whole foods diet.

Because you are aging. As we age certain functions start to diminish, such as digestion, brain function, recovery time, hormone balance, and more.

Digestive supplements support diminishing hydrochloric acid and pancreatic enzyme support. Brain nutrients help support oxygenation and activity of the brain (although they won’t compensate for poor diet and lifestyle). Various herbs support hormone balance and energy production.

Because we live in a stressful, toxic world. We are dealing with extreme levels of stress and toxic chemicals in our food and environment. This contributes to such conditions as chronic pain, inflammation, autoimmunity, and brain dysfunctions. Many supplements are designed to buffer the effects of the stressful and toxic burdens we deal with daily.

Because many of us grew up eating a crap diet. You may eat a good diet now, but if you grew up on junk food and a sedentary lifestyle, you may have sustained metabolic damage, such as unstable blood sugar, hormonal imbalance, poor stress handling, chronic inflammation, autoimmunity, and more. These don’t always reverse themselves through diet alone.

Supplements geared toward stabilizing blood sugar, supporting stress handling, and taming inflammation can super charge your whole foods diet.

Because our foods are compromised. Even if you eat the perfect diet, studies show our foods aren’t as nutrient dense as they were in the past. You still may benefit from at least a good multi-vitamin and multi-mineral supplement.

“Supplements” have a long history of use

This is a broad overview of ways supplements can help. Most supplements consist of herbs and other natural compounds that have sound scientific support and have been used throughout humanity around the globe. While pharmaceuticals have been a vital boon to medicine, they are also relative newcomers.

Ask my office for advice on how to supplement smartly.

Is your diabetes diet worsening your diabetes?

If you have diabetes, whether it’s type 1 or type 2, your doctor likely recommended a diet endorsed by the American Diabetes Association. But did you know the diabetic diet recommends foods that could be slowly worsening your diabetes condition?

Turns out there is more to a diabetic diet than grams of carbs and sugar, although those are vitally important.

For people with type 1 diabetes and for an estimated 20 percent of people with type 2 diabetes, diabetes is an autoimmune disease.

This means the immune system is attacking and destroying the parts of the pancreas involved in insulin production and regulation. Over time destruction is severe enough the body can no longer adequately regulate blood sugar.

Certain foods on the diabetic diet, such as gluten and dairy, have been shown to both trigger autoimmunity and make it worse.

Many type 2 diabetics have autoimmune diabetes

People with type 1 diabetes, which begins in childhood, understand diabetes is an autoimmune condition.

However, many people with type 2 diabetes can go for years without knowing there is an autoimmune component to their diabetes, which generally sets in during adulthood.

This type of diabetes is called type 1.5 diabetes, latent autoimmune diabetes of adults (LADA), or even double diabetes.

Type 1.5 diabetes involves the lifestyle components of being overweight or obese and eating a diet that promotes high blood sugar, along with the autoimmune component that slowly destroys the insulin-producing abilities of the pancreas.

Where the diabetic diet fails

Although grams of carbs and sugars are vital considerations for people with all types of diabetes, what is overlooked is the immune reactivity of foods.

Research shows a link between certain foods and the triggering or exacerbating of autoimmune diseases such as type 1 and type 1.5 diabetes.

If you have an immune reaction to certain foods and consume them daily, they are going to keep the immune system in a constant state of inflammation and attacking body tissue. This makes blood sugar continually difficult to manage, despite careful consumptions of carbs and sugars.

Foods to avoid with autoimmune diabetes

The two top foods to avoid if you have autoimmune diabetes are gluten and dairy. Both have been linked to a number of autoimmune diseases, including diabetes.

Gluten has been shown to trigger an autoimmune attack against the GAD enzyme  which plays a role in insulin regulation and brain function. Casein, the protein in dairy products, has also been linked with autoimmune diabetes.

If you have a sensitivity to these foods or other common immune reactive foods, it is worth getting tested or doing an elimination diet  Knowing which foods are provoking an autoimmune attack can help you better manage your type 1 or type 1.5 diabetes.

Ask my office for more advice on ways to tame inflammation and manage your autoimmune diabetes. If you have type 2 diabetes, it’s important to rule out autoimmunity.

Crash in the afternoon but wide awake at 3 or 4 a.m.?

Are you often wide awake around 3 or 4 a.m., your mind racing with anxiety, but then collapsing into a near coma in the late afternoon? This maddening cycle of waking up and falling asleep at inconvenient hours is often relieved by managing low blood sugar.

Why you’re wide awake at 3 or 4 a.m.

Although sleep is a time for the body to rest, your brain is still busy working on repair and regeneration, transforming the day’s impressions into lasting memories, and keeping you entertained with dreams.

The brain demands more fuel than any other organ, about 20 percent of the body’s total supply. These needs don’t abate during sleep, when your body is fasting.

In the absence of food, the body keeps the brain going by gradually raising the adrenal hormone cortisol, which triggers the production of glucose to feed the brain through the night.

At least in theory.

Chronic low blood sugar breaks this system down because it skews cortisol rhythms and release. When your brain starts to run low on fuel during the night, cortisol may lag in triggering glucose release.

The brain cannot wait until breakfast and perceives this lack of fuel supply as an emergency. As a result, the body releases more urgent “fight-or-flight” adrenal hormones, which raise blood sugar back to safe levels.

Unfortunately, these adrenals hormones are also designed to help you either flee from danger or fight it. This does not bode well for a sound night’s sleep and explains why if you wake up at 3 or 4 a.m., it’s usually with a mind racing with worry.

Meanwhile, 12 hours later when you could really use the energy to finish a work project or deal with after-school duties, you crash and can barely function thanks to blood sugar and cortisol levels bottoming out. Reaching for that shot of caffeine may pull you through, but in the long run it’s only compounding the problem.

How to fall asleep if you wake up at 3 a.m.

If you wake up at 3 or 4 a.m. with a racing mind, eating a little something may feed your brain and calm your mind so you can fall back asleep. But do not eat something sugary, which will spike blood sugar and perpetuate the cycle. Instead, eat some protein and fat.

Examples include nut butter, a little bit of meat, boiled egg, or a coconut snack. Have these prepared ahead of time and even next to your bed so you don’t have to go into the kitchen and turn on bright lights. You will not feel hungry because adrenal hormones are appetite suppressants, but you don’t need to eat much.

How to avoid the afternoon crash

To avoid the afternoon crash without caffeine you need to stabilize blood sugar as a way of life. Eat frequently enough to avoid sending blood sugar into a nose dive, and avoid foods that cause blood sugar to spike and crash: Sugar, caffeine, energy drinks, too many carbohydrates, and starchy carbs.

How do you know if you have low blood sugar?

Low blood sugar symptoms include:

• Sugar cravings
• Irritability, lightheadedness, dizziness, or brain fog if meals are missed
• Lack of appetite or nausea in the morning (this is caused by stress hormones)
• The need for caffeine for energy
• Eating to relieve fatigue

A variety of nutritional compounds can further support your blood sugar handling and stress hormone functions so you sleep better. Ask us for advice.

The key to staying youthful is to embrace aging

Aging can cause us to feel invisible and unwanted in a society that worships youth. However, the key to staying youthful into your latter years doesn’t lay in the hands of your hair stylist or medical spa, but instead in your attitude.

Research shows internalizing negative stereotypes about aging harms your health, which speeds up aging. However, having a positive attitude toward aging can boost immune function, promote healthy behaviors, and help you feel in control of your life.

Embrace aging for the following benefits

Here are some benefits researchers have found to a positive perception of aging, such as feeling useful and happy with yourself:

• Positive perception of aging has been shown to be more important than cholesterol, blood pressure, weight, and even exercise when it comes to improving longevity.
• One study found positive self-perception around aging lowered the risk of aging-associated disability and preserved daily function and ability.
• Positive aging improves preventive behaviors such as sticking to a good diet, exercising, and following through with check-ups.
• Expecting to lose your memory has been shown to increase cognitive decline by up to 30 percent compared to thinking positively about your brain function.
• And of course, a negative perception of aging has been shown to increase the risk of heart disease. A startling find, however, was that developing a positive aging attitude can reduce the risk of heart disease by up to 80 percent.

How to positively embrace aging

Although you might not be able to embrace aging overnight, it can be done, even in this culture. The first step is to survey your attitude about aging and what you believe old age holds in store for you: Senility and disability? Or wisdom and vitality?

Beyond that, turn your attention away from a cultural philosophy that values people based on their work productivity and instead toward one that values aging as socially valuable and even a time of renaissance.

Some nuts and bolts of healthy aging

A positive attitude has been shown to be vital to good health. However, it’s important to pay attention the nuts and bolts of good health, too.

Regular exercise is regarded as somewhat of a magic bullet by researchers. People who exercise regularly throughout their lives age better and enjoy better brain function throughout their lives.

Along with that that comes a diet low in sugars and processed carbs — chronically high blood sugar is behind many chronic diseases and brain degeneration. In fact, some researchers call Alzheimer’s disease type 3 diabetes because of the links between high blood sugar and brain degeneration.

Avoiding other inflammatory foods (besides sugar, gluten and dairy are the most common inflammatory foods) while loading up on fresh veggies is another preventive dietary approach.

Lastly, healthy aging depends on a healthy, nutrient-dense diet that is rich in fresh vegetable as well as healthy fats.

Ask my office for more advice on how to age in a healthy, positive way you can embrace.

How to use functional medicine to boost your libido

We often think of good health in terms of blood pressure or cholesterol levels, but your libido is also an important indicator. If yours has gone missing, it could be a red flag that important underlying health issues need to be addressed.

People who turn to functional medicine for other health issues, such as low thyroid function, an autoimmune disorder, or depression, often report a boost in their libido thanks to their protocol.

Of course, it’s natural to expect low libido following a major stressor or during an unhealthy relationship, but if it’s chronically absent, investigate why.

Common causes of low libido

Below are some common causes of low libido that can be addressed through functional medicine:

Blood sugar imbalances. Many people eat more carbohydrates than their body can handle, they skip meals, or they consume too much caffeine. Eating habits that send blood sugar constantly soaring and crashing will eventually lead to fatigue, irritability, sleep problems, and depression. All of these make zoning out in front of Netflix more tantalizing than a roll in the hay.

Adrenal fatigue. Your adrenal glands secrete stress hormones to help you manage life’s daily ups and downs. Most people are so stressed out from not only their lifestyles, but also their diets, chronic inflammation, gut health problems, and other health issues that adrenal function is fried. This is one of the primary causes of hormonal imbalances in men and women, delivering a double whammy to libido.

Leaky gut. Leaky gut means inflammation has made the lining of the small intestine too porous, allowing undigested foods and other pathogens to escape into the sterile bloodstream. This causes inflammation throughout the body, which typically leads to pain, fatigue, depression and other unsexy symptoms.

Food intolerances. Can a gluten or dairy intolerance really cause low libido? Yep. When you constantly eat a food that triggers an immune reaction, you send your body into an inflammatory tailspin. How you react depends on your genetic makeup. Symptoms include flare ups of your autoimmune disease, skin rashes, gut problems, joint pain, depression, migraines, anxiety, fatigue, brain fog, and, you guessed it, no desire for sex. You can run a food panel from Cyrex Labs to figure out which foods rob you of vigor, or follow an autoimmune diet for at least a month before reintroducing foods.

Diminished brain function. They say the biggest sex organ is the brain and it’s true. Many people today suffer from a brain that is aging too fast, besieged by inflammation, not getting properly oxygenated, struggling from poor fuel supply, or suffering from poor activity of brain chemicals called neurotransmitters. Although all of these issues can often be addressed with the functional medicine basics I just mentioned, various nutritional compounds can also help boost brain function and, as a result, libido.

These are just a few underlying causes of low libido. Sometimes, of course, it’s more complicated, especially if you are unhappy in your relationship, suffer from low self-esteem, or run yourself ragged putting others’ needs before your own.

However, don’t shrug off low libido as no big deal. You could be missing out not only on the health benefits of regular sex, but also on the opportunity to address an underlying health concern.

Glutathione: A power tool in autoimmune management

Our bodies have to work hard to deal with hundreds of toxic chemicals in our daily environment, in our food, and our water. Even if you eat a clean, organic diet and use non-toxic products, it’s impossible to completely avoid them. Thankfully, certain natural compounds can boost levels of our most powerful antioxidant, glutathione, in our bodies.

Glutathione is a powerful defense against toxins and inflammation. It protects the body’s cells from damage, it helps detoxify the body, and supports optimal immune function.

When glutathione levels drop too low, this makes you more susceptible to autoimmune disease, multiple food sensitivities, chemical and heavy metal sensitivities, chronic inflammatory disorders, leaky gut, and other immune-related issues.

By ensuring your glutathione levels stay at robust levels, you provide your body with an army of soldiers ready to “take a bullet” and shield your cells from the destructive forces of toxins and inflammation.

Things that deplete glutathione

In an ideal world, we have plenty of glutathione. Our bodies make sufficient amounts and the glutathione system is not overly taxed. Sadly, the modern world is far from ideal. Chronic stress, environmental toxins, diets low in nutrients but high in inflammatory triggers, sleep deprivation, smoking, sugar, excess alcohol, and other stressors slowly deplete glutathione levels. Glutathione levels also decrease naturally as a result of aging.

A straight glutathione supplement is not effective taken orally. Instead, people can take glutathione through a liposomal cream, nebulizer, suppository, IV drip, or injections. S-acetyl-glutathione, reduced glutathione, and oral liposomal glutathione are forms that are absorbable orally. These methods will help raise glutathione levels and your general antioxidant status, which can reduce inflammation and improve health.

Another method that raises glutathione uses precursors to boost levels and recycle glutathione within cells.

Glutathione recycling helps guard against autoimmunity

Recycling glutathione entails taking existing glutathione the body has already used in self-defense and rebuilding it so it can work for us again.

Research shows a link between poor glutathione recycling and autoimmune disease. In other words, if you’re not recycling glutathione well you’re at more risk of developing autoimmune disease. Healthy glutathione recycling is a vital tool in managing autoimmune disease.

Glutathione recycling helps repair leaky gut

Glutathione recycling also helps repair leaky gut and protect it from permeability. Leaky gut can lead to or exacerbate autoimmunity, multiple food sensitivities, and chronic inflammation. When glutathione recycling is insufficient, a person is more prone to developing leaky gut and all that maladies that accompany it. Glutathione recycling is vital to good gut health.

How to boost glutathione recycling

The most important first step to boost glutathione recycling is to remove the stressors depleting glutathione levels to the best of your ability. Look at your life around sleep deprivation, smoking, foods that cause inflammation, sugars and processed foods, excess alcohol, and other factors.

In addition to addressing lifestyle factors, you can take a variety of nutritional and botanical compounds that have been shown to support glutathione recycling. They include:

• N-acetyl-cysteine
• Alpha-lipoic acid
• L-glutamine
• Selenium
• Cordyceps
• Gotu kola
• Milk thistle

Booting your glutathione levels with an absorbable form and then supporting glutathione recycling can significantly help you manage autoimmune disease, inflammatory disorders, chemical sensitivities, food sensitivities, and more.