Star Trek’s Zoe Saldano needs better Hashimoto’s info

Star Trek’s Zoe Saldano recently revealed she has Hashimoto’s hypothyroidism, a thyroid disease affecting millions of women that causes weight gain, fatigue, depression, cold hands and feet, brain fog, constipation, and many other symptoms.

Hashimoto’s is an autoimmune thyroid disease. Autoimmunity is a condition in which the immune system attacks and destroys body tissue, in this case the thyroid gland. It is one of the most common autoimmune diseases, affecting an estimated more than 23 million people.

The thyroid gland governs metabolism in the body and produces thyroid hormones, which are needed by every cell in the body, including brain cells.

This is why a thyroid disease such as Hashimoto’s causes a person to gradually lose function, feel run down, lose brain function, and find it impossible to lose weight (although not in Saldano’s case.)

Saldano’s unusual explanation for Hashimoto’s

When asked about her Hashimoto’s hypothyroidism diagnosis, Saldano said, “Your body doesn’t have the energy it needs to filter toxins, causing it to believe that it has an infection, so it’s always inflamed.”

This is an unusual and narrow explanation for autoimmune diseases such as Hashimoto’s.

Research shows multiple factors play into the development of an autoimmune disease, including:

• Genetic susceptibility (Saldano’s family members have Hashimoto’s)
• Imbalanced immunity
• Inflammation from food sensitivities
• Environmental toxins
• Leaky gut
• Chronic stress
• Pregnancy
• Gender (autoimmunity primarily affects women)
• Hormone imbalances
• Blood sugar imbalances
• Chronic inflammation
• Viral or bacterial infection

In a nutshell, rarely can we point to one defining trigger of autoimmune diseases such as Hashimoto’s hypothyroidism. Typically, a person experiences a number of chronic health issues that go undiagnosed until the overburdened immune system tips into an over zealous attack on the body.

What Saldano is doing right for Hashimoto’s

Although her explanation for Hashimoto’s hypothyroidism may be a bit off base, Saldano otherwise puts forth some good lifestyle examples.

For starters, she follows a gluten-free and dairy-free diet. Studies link these foods with autoimmunity, including Hashimoto’s hypothyroidism.

She also talks about the stress reducing techniques of not being too hard on herself and surrounding herself with the support of loved ones.

How to find out if you have Hashimoto’s

Hashimoto’s hypothyroidism often goes undiagnosed in the conventional health care model. This is because doctors often only test for TSH (thyroid stimulating hormone) to prescribe medication.

About 95 percent of hypothyroid cases are due to Hashimoto’s. It’s important to check for TPO and TGB antibodies  which tell you if you have autoimmunity. Managing Hashimoto’s goes far beyond using thyroid medication as you must work to balance and regulate the immune system so it stops attacking the body.

For more information on identifying and managing Hashimoto’s hypothyroidism, contact my office.

How stress is hard on the body and what to do about it

Most cases of chronic disease can be linked to stress, even if that stress is more physical than psychological. About two-thirds of doctor’s visits are for stress-related complaints.

How does stress causes disease? The body responds to stress by making adrenal hormones (such as epinephrine, norepinephrine, and cortisol  that cause the “fight or flight” response. This response raises blood pressure, increases the heart rate, and sends blood to the limbs in preparation for action. The sweaty palms, quickened breathing, and jitters before a job interview, first date, or big test? That’s from stress hormones.

A healthy body quickly returns to normal after a stressful situation. The problem with life today is stress is ongoing and many people never return to “normal.” Chronic financial worries, a stressful job, or a bad relationship keep us locked in fight-or-flight.

Stress doesn’t have to be only related to lifestyle. In fact, stressors to the body are more insidious and can be more damaging. These include a diet high in sugar and starchy foods, not eating enough or eating too much, gut problems, food intolerances, high or low blood sugar, diabetes, anemia, autoimmune disease, chronic pain, and environmental toxins.

How stress damages your body

Unrelenting stress causes continual production of cortisol  Cortisol is known as the aging hormone because it breaks us down more quickly. Chronic high cortisol is linked to:

• depression
• insomnia
• increased belly fat
• diabetes
• insulin resistance
• high blood pressure
• low energy
• suppressed immunity
• reduced libido
• bone loss
• heart problems

Symptoms of chronic stress

You might think this is a no-brainer — a symptom of chronic stress is feeling stressed out.

This is true in many, but not all cases. Other lesser-known symptoms that indicate stress is robbing you of health include: constant fatigue, energy crashes, difficulty recovering from stressful events, headaches, trouble falling and staying asleep, trouble waking up, emotional mood swings, sugar and caffeine cravings, irritability, lightheadedness between meals, eating to relieve fatigue, dizziness upon standing, and gastric ulcers.

How to buffer damages of stress

The most important first step in addressing stress to better manage chronic disease is obvious: remove the stressors. This can mean a diet and lifestyle overhaul.

It also means adding in activities that lower stress and release chemicals and hormones that lower inflammation and improve overall health of the body and brain.

These include plenty of sleep, meditation, daily physical activity, hobbies, socializing, laughter, a healthy whole foods diet, avoiding junk foods, and more.

Herbal adaptogens help the body cope with stress

Daily stress is a way of life for the average American. Just the toxic chemicals we encounter in our environment are considerably stressful. Urban life, traffic, raising children, and existing illnesses are examples of potent stressors you can’t simply jettison.

Adaptogens are herbs that help tame inflammation, sustain energy, boost brain function, and regulate sleep patterns. They include panax ginseng, Siberian ginseng (eleuthero), astragalus, rhodiola, ashwagandha, licorice root, holy basil (tulsi) and schizandra.

Phosphatidylserine is a nutritional compound that helps normalize cortisol levels and protect the brain from the damages of stress.

For more information on how to identify and manage adrenal stress, contact our office.

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.