Regular crafting helps undo damage from screentime

If you’re like most people today, you spend hours a day in front of a screen. Americans now spend at least half their lives in front of a screen, five times as long compared to 50 years ago. This excessive screen time has been linked with neurodevelopmental issues in children and “digital dementia” in adults, not to mention depression, isolation, sleep disorders, and anxiety.

While the answer is to spend less time using screens, the problem is screen time also appears to be uniquely addictive for us all.

Is there an antidote? Studies show spending time working with your hands crafting, building, gardening, etc. can provide unique qualities that boost your physical and neurological health. If you’re working to manage a chronic condition such as autoimmune disease of gastrointestinal disease, regular craft time can be a fun and beneficial tool in your health toolbox.

For instance, knitting, crocheting, sewing, and other textile crafts have been shown to have the same neurological benefits as meditation and mindfulness.

Regular knitters have reported knitting makes them feel happy and they are drawn to the craft for its stress relief and anti-anxiety effects. People who knit three or more times a week reported more benefit than those who knitted less frequently.

What’s more, people who knitted in a group or did some other type of group craft activity were even happier than those who knitted solo, thanks to the proven health benefits of socialization.

About three quarters of patients with anorexia nervosa reported knitting distracted them from obsessive, ruminating thoughts about food and weight and helped them feel more relaxed.

Oncology nurses reported knitting reduced compassion fatigue and stress in one study, and another found people with chronic fatigue, depression, and other chronic health disorders experienced increased positivity and well being engaging in textile crafts.

While these crafts are associated primarily with women, research has also found traditionally male crafts, such as woodworking, repair jobs, and “tinkering” impart the same benefits.

The benefits of crafting are believed to be derived from the “flow state” of repetitive mindful action crafts require.

Working with your hands is good for the brain

Although crafting delivers psychological benefits that translate into biochemical mood boosts, there is another important aspect of crafting — working with your hands is great for the brain.

In an era when many of us use our hands primarily for texting, typing, and swiping, handiwork and crafting can activate long dormant areas of the brain. And healthy brain activity in one area, such as the “hands” area, will help improve activity throughout the rest of the brain, contributing to overall improved brain health.

Working with your hands on something physical boosts reward circuits in the brain in ways working abstractly only with your brain doesn’t. This in turn triggers a cascade of neurochemical reactions that improve motivation and self-esteem and relieve depression.

The repetition, memory, and learning required when engaging in a task keeps the brain engaged in a mindful manner while freeing up the “thinking” centers of the brain that are engaged for knowledge tasks. This is not only calming and therapeutic for anxiety and obsessive thoughts, but many people report that this cognitive brain break allows problem solving and creative solutions to spontaneously arrive while crafting.

Knitting, woodworking, scrapbooking, and other crafts may seem like an odd recovery tool when you’re working to manage autoimmunity, gastrointestinal disease, or other chronic health disorders, but once you understand their physical and mental benefits, it makes perfect sense to ditch the screen for some handiwork on a frequent basis.

Hair dyes and relaxers linked to significant cancer risk

It is hard being a woman in a society that disapproves of aging women and favors straight hair. In fact, coloring and straightening hair is regarded as “professional,” “good grooming,” or “taking care of yourself.” But at what a cost — a new study shows hair dyes and relaxers are significantly associated with breast cancer…especially for black women.

The Journal of Cancer article showed the results of a study that tracked more than 45,000 women over eight years. Black women who regularly used permanent hair dyes had a 60 percent higher chance of developing breast cancer than black women who did not. White women had an 8 percent higher chance.

Women who used chemical hair straighteners were 30 percent more likely to develop breast cancer. While some white women straighten their hair, in the study three quarters of the black women straightened their hair.

Why the cancer link? The researchers pointed to toxic compounds in hair dyes known as “endocrine disrupters.” This means these compounds mimic hormones and interfere with normal hormone function, thus causing imbalances and an increased risk of cancer.

The chemicals used in products geared towards black women may be more “hormonally active,” according to researchers.

Women are increasingly being encouraged to choose health and longevity over toxic cosmetic options. For instance, a movement is under foot to embrace silver and gray hair and black women are encouraged to embrace their natural hair, with one state so far banning discrimination against black people who wear their hair naturally (many employers discriminate against black women who forgo chemical straightening).

Black women bear the brunt of toxic hair products

Although most commercial women’s hair and body products are laden with toxins, hair products aimed at black women contain a disproportionate amount of chemicals linked with early puberty, obesity, asthma, and cancer.

A 2016 study showed black women’s bodies contained higher burdens of the toxic chemicals found in hair products than in women of other ethnicities.

Researchers have so far identified more than 70 harmful chemicals in relaxers, root stimulators, and anti-frizz products.

Toxins in these products (and in other beauty products in general) have been shown to have the following impacts on health:

• Parabens and phthalates disrupt hormone function and are linked to early puberty and pre-term births.
• Nonylphenol is linked to obesity and cancer.
• Formaldehyde is linked to miscarriage risk and respiratory issues.
• Various compounds irritate the eyes and skin, burn and blister the scalp, damage hair follicles, cause hair loss, and cause respiratory disorders.
• Hair relaxers are linked to uterine fibroids in black girls and women at a rate two to three times higher than in other women. Uterine fibroids affect up to 80 percent of black women during their lifetime.
• Cosmetologists exposed to these products during pregnancy experienced twice the rate of miscarriages.
• Breast cancer is a leading cause of death among black women; they generally have a more aggressive forms of cancer compared to white women.

Just one product alone can contain 30 different toxic chemicals. How these chemicals affect human health when in combination with one another has not been studied.

Toxic hair products could help explain why black women suffer from more endocrine disorders than white or Hispanic women.

While these products harm black women, the Black Women for Wellness Report also points to the complexity and conflict between harmful hair products and the positive role of hair salons in black communities.

Ask my office for advice on how to lower your toxic burden, buffer your body from the effects of toxins in our everyday lives, and improve your overall health and well being.

New study shows mold triggers brain-based issues

Landlords dismiss it, friends and family think you’re making it up, and doctors have no idea what you’re talking about — but mold illness is often an unsuspected trigger of chronic health problems. The recent revelation of a string pediatric deaths at a Seattle hospital due to mold in the air system brought national attention to the gravity of mold illness.

Newer construction methods and materials, water damage that was not properly addressed, high indoor humidity levels, and genetic susceptibility are all factors that play a role in whether a person becomes sick from mold. Estimates vary, but some research shows up to 85 percent of building inspected had past water damage.

A new study found that people affected by mold illness experienced:

• Brain inflammation in the hippocampus, the area of the brain that governs memory, learning, and the sleep-wake cycle.
• Decreased neurogenesis, or the formation of new brain cells.
• Impaired memory.
• Increased sensitivity to pain.
• Increased anxiety.

The study also noted that the mold spore alone is not necessary to trigger mold reactions and mold illness. We’ve long known that mycotoxins, toxic compounds produced by mold spores small enough to pass through most materials, are the primary trigger in mold illness.

The study also found that mold spore skeletal elements and other mold metabolites also cause symptoms of mold illness.

Researchers link mold-triggered immune activation with these symptoms in the brain and the body, concluding that mold causes symptoms and illness through its inflammatory effects.

Symptoms of mold illness

Symptoms of mold illness vary from person to person, although mold has been correlated with a significant increase in asthma.

People who live, work, or go to school in moldy buildings complain of pain, fatigue, increased anxiety, depression, and cognitive defects such as memory loss. Researchers say the symptoms are similar to those from bacterial or viral infections, due to the inflammatory cascades mold triggers.

The effects of mold illness on the brain have gone largely dismissed by the standard health care model due to insufficient research on the neurological effects of mold illness.

However, this study demonstrates what people with mold illness already know — it messes with your brain. Hopefully similar studies will follow.

In the study, researchers observed that mice inoculated with mold spores showed increased inflammation in the hippocampus, causing notable losses of memory, increased pain, and more anxious behavior compared to mice inoculated with saline.

Addressing mold illness

If you suspect you suffer from mold illness, a variety of in-home tests can show whether the building has high levels of mold and which kinds. Lab testing can show whether you are dealing with high mold mycotoxin levels and if so, which molds are the culprits.

It’s important to have this information because the type of mold you’re dealing with will help determine the best course of action for recovery.

You must take action to deal with mold illness. Sometimes this can mean dramatic changes, such as moving or leaving a job. If the mold contamination is advanced, it can also mean getting rid of all your belongings. However, without action, the inflammation will continue to ravage your system and progressively damage the brain and body. Mold can also trigger or exacerbate autoimmune diseases such as Hashimoto’s hypothyroidism, multiple sclerosis, vitiligo, and more.

Ask my office how we can help you address possible mold illness.

New study links inflammation with brain fog

A new study has shown what we have known for some time in functional medicine: Chronic inflammation causes brain fog and mental sluggishness — many people with chronic health conditions report these symptoms.

In the study, 20 healthy young male volunteers received a salmonella typhoid vaccine, which temporarily spikes inflammation. On separate days they received a placebo shot of saline and did not know on which day they received the vaccine.

They were then given cognitive testing in areas challenging alertness, prioritizing sensory information, and the ability to make executive decisions when presented with conflicting information.

The results showed that the area affected by the inflammation from the vaccine was alertness. The other two areas did not change.

The researchers suggested that inflammation impacts brain networks involved in mental alertness and that anti-inflammatory drugs may be warranted.

Functional medicine approaches to brain inflammation and brain fog

Fortunately, functional medicine offers solutions for brain fog and mental sluggishness. The key is to find and address the source of chronic inflammation.

But first, do you suffer from these symptoms associated with brain inflammation?

• Brain fog
• Unclear thoughts
• Low brain endurance
• Slow mental speed
• Loss of brain function after trauma
• Brain fog and fatigue and poor mental focus after meals
• Brain fog and fatigue from chemicals, scents, and pollutants
• Brain fog and fatigue from certain foods
• Depression

While the brain can become inflamed, we may not necessarily know it as we don’t feel pain from brain inflammation (headaches are caused by other mechanisms although brain inflammation can play a role).

Instead, brain inflammation most often manifests as brain fog and sluggish brain function.

This is because brain inflammation hinders energy production in neurons, making it harder for them to communicate with one another. This causes the brain to slow down and fatigue more easily. Things like reading, working, concentrating, or driving for any length cause fatigue.

The brain has its own immune system made primarily of microglia cells. In the past they were considered nothing more than glue that held brain cells together, but now we know they are very important and outnumber neurons ten to one.

The brain’s immune cells do not have a built-in off switch like the body’s immune cells. As a result, brain inflammation can burn through brain tissue like a slow-moving fire, worsening brain function over time. We see this often in people suffering from symptoms from a brain injury they had years ago.

Also, when not fighting inflammation, the microglia cells carry out very important and necessary “housekeeping” work that keeps the brain healthy and functioning.

Healthy microglia get rid of dead neurons, beta amyloid plaque, and other debris that interfere with nerve communication. They also support neuron metabolism and synapses.

This is especially true in children, whose brain immune cells help “prune” developing neural pathways so that the brain develops as it should. Children whose brains are besieged by inflammation suffer from glitches in these pathways and their brain does not follow healthy developmental patterns.

Brain inflammation not only causes brain fog and mental sluggishness, it also accelerates the degeneration of the brain. This raises the risk of neurodegenerative conditions such as dementia, Alzheimer’s, Parkinson’s, multiple sclerosis, and more.

In fact, brain aging is linked more to brain inflammation than simply getting older.

What leads to brain inflammation and brain fog?

Basically, chronic inflammation anywhere in the body can inflame the brain. This can include chronic joint pain, infections from bacteria, viruses, or parasites, leaky gut or gut inflammation, or an undiagnosed and unmanaged autoimmune condition.

Inflammation in the body releases immune cells called cytokines. These cytokines can trigger inflammation in the brain.

Brain inflammation is now being recognized as a primary cause of chronic, unresponsive depression. After all, antidepressants do not address brain inflammation.

If you have brain fog or mental sluggishness, see if any of these factors could be contributing:

• Diabetes and high blood sugar
• Poor circulation
• Lack of exercise
• Chronic stress
• Heart disease
• Respiratory issues
• Anemia
• Previous head trauma
• Neurological autoimmunity
• Gluten and dairy intolerance
• Alcohol and drug abuse
• Environmental pollutants
• Systemic inflammation
• Autoimmune diseases
• Hypothyroidism
• Inflammatory bowel conditions
• Leaky blood-brain barrier

Taming brain inflammation

If you start to feel more mental clarity when addressing underlying causes of brain fog, that means you’re on the right track.

While working on the dietary and lifestyle factors that trigger brain fog, the following compounds can also help dampen brain inflammation:

• Rutin
• Catechin
• Curcumin
• Apigenin
• Luteolin
• Baicalein
• Resveratrol

The amount you take depends on the degree of brain inflammation. Ask my office for more information.

Exercise shown to improve autoimmunity outcomes

Exercise may seem like a bad idea when you feel run down, in pain, or fatigued from an autoimmune disease. Autoimmunity, a disease in which the immune system attacks and destroys body tissue, can make exercise feel like an impossible feat when you’re not feeling good. However, studies show daily physical activity improves outcomes and helps manage symptoms compared to not exercising at all. This even extends to patients who may stop exercising due to pain, such as in the case of rheumatoid arthritis. No matter how small the effort, something is better than nothing when it comes to regular physical activity and autoimmunity.

Exercise guidelines for autoimmunity

Exercise has many general benefits, the best perhaps being that it simply makes you feel better. People who engage in regular physical activity report less depression and better self-esteem, and are happier. These benefits alone support autoimmune management as a positive mindset is more anti-inflammatory compared to a negative one.

However, when it comes to autoimmunity, exercise delivers specific immune benefits. In fact, you’ll never reach your full potential at managing an autoimmune condition unless regular physical activity is part of your protocol.

In studies, regular exercise has been shown to help dampen autoimmunity in patients with lupus, rheumatoid arthritis, multiple sclerosis, inflammatory bowel disease, and other conditions. Studies have also shown that sedentary patients have higher incidences of autoimmune diseases than more active patients.

Research also shows that as a trend, patients with autoimmune disease tend to be more sedentary. This is understandable — autoimmune disease can make you feel poorly much of the time and our cultural depictions of exercise make it seem unattainable. The pressure to be a hard-bodied athlete who flips tractor tires and runs up stadium stairs can lead to resignation instead of physical activity.

But the benefits of physical activity for autoimmunity don’t have to come from intense workouts at a CrossFit gym, long runs, or two-hour weightlifting sessions to deliver benefits. Your fitness level, symptoms, and energy levels will determine what is appropriate for you.

To be effective in managing autoimmunity, exercise can be as simple as a short walk around the block if you’re just getting started. If chronic pain is an issue, exercising in water or on a recumbent stationary cycle may be more appropriate. If you’re feeling good and have been building your fitness, daily high-intensity interval training (HIIT), which activates a wide number of anti-inflammatory and immune-modulating mechanisms, can super charge the autoimmune-dampening benefits of your workouts.

While it’s important to exercise regularly, equally important is to not overdo it. Overtraining increases inflammation and can and lead to exercise intolerance, a condition in which exercise makes you feel worse, takes an unusual amount of time to recover from, or triggers a relapse or flare.

Exercise intolerance stems from compromised mitochondria related to chronic inflammation associated with autoimmunity.

Also, for some people with autoimmunity, there are days where they are bedridden with flu-like symptoms and barely able to function, much less exercise. Approach your physical activity habit with common sense and self-compassion — some days it just won’t be appropriate and that’s ok. Ease back into it when you feel better.

Why exercise is good for autoimmunity

The primary benefit of exercise with autoimmunity is that it lowers inflammation and stabilizes immune function. Because inflammatory flare ups provoke autoimmune relapses and tissue destruction, keeping inflammation down and immune function stable is paramount.

Physical activity increases the activity of regulatory T cells. These cells are critical when it comes to managing autoimmunity. As their name implies, they help regulate the immune system when it comes to increasing or dampening inflammation. Exercise has a profound impact on regulatory T cells.

Exercise also shifts the balance between the pro-inflammatory Th1 system and the anti-inflammatory Th2 system to be less inflammatory and more balanced.

It also promotes the release of messenger immune cells called IL-6, which help dampen inflammation.

A study on the effects of exercise on women with lupus showed that three months of regular aerobic exercise modulated immunity and did not trigger inflammation.

Patients with rheumatoid arthritis show milder symptoms and improved joint mobility with regular exercise.

In patients with multiple sclerosis, physical activity enhanced mood and mobility. Exercise lowers the risk of neuropathy in type 1 diabetes patients.

Many people feel they can’t exercise due to pain, but research has shown it reduces pain in patients with fibromyalgia and other chronic conditions that cause pain.

If you feel too unwell to exercise, ask yourself what you feel you can reasonably do and start there. Ask my office for more advice on using physical activity to address autoimmunity.

Autism presents much differently in girls than boys

The popular perception of autism is a very male version — girls and women with autism spectrum disorders (ASD) can have very different symptoms than males. This not only leads to many girls and women never being diagnosed, but it also creates a life filled with confusion, mystery, and frustration over an inability to function like most people. In fact, a recent study showed that people who were diagnosed with autism in their 50s spent their lives thinking they were bad people because of how their brains worked.

ASD appears to affect primarily males, however, many girls are not receiving diagnoses because their symptoms have not been studied to the same degree. As it turns out, girls have very different than boys. In fact, girls with autism often behave more like neurotypical boys than boys with autism.

Girls and women with ASD are frequently diagnosed with depression, anxiety, borderline personality disorder, bipolar disorder, or ADHD. Female ASD also more easily lends itself to eating disorders such as anorexia and bulimia, and obsessive-compulsive disorder (OCD).

The intense focus associated with autism is believed to be behind anorexia, dieting, and body obsession. Researchers estimate about 20 percent of women with anorexia also have autism.

There are many reasons why so many girls go undiagnosed. One reason is girls are much better at “masking,” or hiding their symptoms and mimicking neurotypical behavior. This is believed to be due to girls’ greater desire and ability to connect socially. However, masking takes an enormous mental and physical toll in the way of chronic stress and exhaustion. This can lead to the sensory overloads and “meltdowns” typical of the disorder.

The diagnostic criteria for autism were derived from studies on boys. Primary symptoms in boys include difficulties with socialization and communication and repetitive, inflexible behavior patterns. Girls with ASD do not typically exhibit these behaviors to the same degree.

Studies also show that only girls with more extreme ASD symptoms received a diagnosis, leaving many girls on the milder side of the ASD spectrum undiagnosed but still struggling.

Some studies show girls with autism are more like neurotypical boys

Brain scans show girls with ASD process social information much differently than neurotypical girls and more like neurotypical boys. In tests assessing friendship quality and empathy, ASD girls scored closer to neurotypical boys than to neurotypical girls or boys with ASD.

In the book Aspergirls, the author explains how most girls and women with ASD feel they are sometimes more like boys than girls, or half and half.

Girls and women with ASD often labeled as “too intense”

The book Aspergirls goes through a number of symptoms that girls and women diagnosed with ASD commonly share. One of the most common underlying ones, and one that has so many growing up with shame, is always being described as too sensitive, too intense, and so forth.

This stems in part from the hypersensitivity and sensory overload associated with the disorder.

Autism can make girls more vulnerable to bullies, depression, and isolation

Unfortunately, symptoms of autism, such as not understanding social cues and being very literal, can make girls more vulnerable to bullies and predators.

Social discomfort and awkwardness also make girls and women with ASD more prone to isolation.

ASD girls are also more likely to suffer from anxiety, low self-esteem, social isolation, and depression. In fact, mild autism is associated with a significantly higher risk of suicide. Two-thirds of women with milder forms of ASD report suicidal thoughts.

The role of brain inflammation in autism

Diagnosis is extremely important in girls and women with ASD. This is because it can relieve years or decades of shame and anxiety around feeling like such an outsider to the rest of the world. Knowing why they feel and act the way they do can bring enormous relief from feeling like they are constantly failing.

Autism is increasingly being linked with inflammation and autoimmunity in the brain that began in infancy and affected brain development. Studies show maternal autoimmunity, high blood sugar, or infections are linked with an increased risk of giving birth to a child who will develop ASD. When the developing child’s brain is fighting inflammation, it does not have the resources to appropriately “prune” synaptic pathways.

Strategies to dampen autoimmunity and brain inflammation have helped many people tame the symptoms of autism that can cause suffering, such as being too easily overwhelmed. Ask my office for ways to dampen brain autoimmunity and inflammation.

Coffee enemas can help manage Hashimoto’s

The first time you hear about coffee enemas can leave you feeling confused and a little weirded out. But the truth is, coffee enemas have been associated with the following benefits:

• Pain relief
• Increased energy
• Depression relief
• Improved mental clarity
• Reduce die-off symptoms during detoxes
• Helping eliminate parasites
• Helping improve digestion
• Helping improve liver and gallbladder function
• Helping stimulate the vagus nerve and brain function

These qualities can make regular coffee enemas a boost to managing autoimmune Hashimoto’s hypothyroidism.

Enemas have been used therapeutically since 1500 BC. Coffee enemas, however, have been used in medical settings since around the 1920s. They were once so accepted that the Merck Manual of medicine listed them as a treatment until 1977 — they were removed simply due to lack of room in the manual.

How Coffee Enemas May Help When You Have Hashimoto’s hypothyroidism

Modern life is stressful and toxic and hard on our bodies. Toxins are now in our air, water, food, and everyday products we use.

The liver is a primary detoxification organ and it is overwhelmed in many people today, which contributes to inflammation and autoimmune disorders such as Hashimoto’s hypothyroidism.

The liver metabolizes many toxins and eliminates them in bile first through the gallbladder and then the colon. Bile is recycled by the liver up to 10 times. With today’s toxic burdens, this system can become over burdened.

Coffee Enemas Can Support Detoxification in People with Hashimoto’s hypothyroidism

Coffee enemas have long been known as a tool for detoxification:

• Liver Detox: Many people these days have sluggish liver and gallbladder function and thick bile. Caffeine from a coffee enema dilates the liver’s bile ducts, helping eliminate toxins from the liver.
• Blood and Colon Detox: The lower large intestine absorbs liquids from waste in the colon. It is here where coffee is absorbed and goes to work. Coffee contains palmitic acids that travel from the large intestine to the liver through the portal vein system. These palmitic acids are believed to boost the production of glutathione, the body’s most powerful antioxidant. Your body’s blood supply passes through the liver every three minutes. Because a typical coffee enema last about 15 minutes, this antioxidant boost helps eliminate toxins, cleanse the blood, and prevent the recycling of toxic bile.
• Improves Tone of the Colon and Motility: It is believed a compound in coffee called theophylline dilates blood vessels in the large intestine, thus boosting blood flow and improving muscle tone and motility. 
This can help people with constipation and sluggish digestive function.
• Improves Vagus Nerve and Brain Health. Believe it or not, coffee enemas can boost your digestive health by improving your brain health. The act of holding the enema stimulates the vagus nerve, a large nerve that runs between the organs and the brain. This in turn not only helps improve brain health, but also improves overall digestive health and function through improved gut-brain communication. The coffee also stimulates cholinergenic receptors, which support contraction of the gallbladder and intestinal muscles.

Does a Coffee Enema Cause a Coffee Buzz?

While the palmitic acid and other helpful nutrients from coffee travel to the liver, the coffee stays in the lower colon until it is eliminated and typically does not generate a coffee buzz. Most people who get too jittery from drinking coffee feel fine after a coffee enema, if not more relaxed and calmer (probably because of the vagus nerve stimulation). However, people who are fragile and have Hashimoto’s hypothyroidism should start with a very diluted coffee solution and perform the enema in the morning in case it overstimulates their system.

How do you perform a coffee enema?

Ask my office for directions on how to perform a coffee enema. We can guide you in how to get started to help  make the experience successful. If you’re like most people, you’ll come to enjoy the benefits of coffee enemas as part of your Hashimoto’s hypothyroidism protocol.

How to avoid autoimmune flares during holiday travels

As if managing an autoimmune condition isn’t hard enough, traveling and holiday schedules can make it downright daunting. Staying with relatives, life on the road and in airports, trying to prepare a good meal in a hotel room, and constantly being offered foods that will throw your autoimmune symptoms into a tailspin all present constant challenges. However, sticking to your autoimmune protocol and diet as much as possible will help prevent flares and relapses so you don’t spend the holidays crashed in bed.

So how do you manage? First, check in with your stress levels. Stress is one of the most potent triggers for flare ups, so commit to a no-stress, can-do attitude. You simply need to invest in a little advance planning and strategic thinking.

Following are tips to stick to your autoimmune protocol and diet while traveling.

Don’t let yourself get too hungry! Letting yourself get overly hungry is the biggest saboteur of the best laid plans. It’s only natural to want to eat when your energy is flagging and you’re starving. This will make you more likely to eat trigger foods, such as gluten or dairy.

Map out your options at your destination before you arrive. Is there a Whole Foods or other health food market in the area? Will your hotel room have a fridge?

You can also travel with frozen food you have insulated to heat up at your destination. Some people even bring their own hot plate and cookware.

Also, make sure you have plenty to eat on long flights, such as beef jerky, celery, sardines, olives, coconut meat, and other filling snacks.

Pack plenty of anti-inflammatory support. Traveling during the holidays is stressful. As much as we love them, sometimes our family members can be stressful. Make sure to save space in your check-in luggage for your go-to anti-inflammatory supplements, such as liposomal glutathione, resveratrol, and turmeric. Glutathione is the body’s most powerful antioxidant and essential for preventing and taming autoimmune flares. Liposomal resveratrol and turmeric in high doses are also great.

Early morning flights, long travel days, overstuffed flights, Aunt June’s air freshener, uncomfortable guest beds, and so on — these stressors can deplete glutathione and raise inflammation, so have your arsenal handy.

Effective anti-inflammatory supplements include glutathione precursors such as N-acetyl-cysteine, alpha-lipoic acid, cordyceps, and milk thistle. You can also take s-acetyl-glutathione, or an oral liposomal glutathione. Note that taking straight glutathione is not effective. You also may want to bring a bottle each of a powerful liquid liposomal resveratrol and turmeric — ask my office for more info.

Search ahead for unscented hotel rooms. Sadly, some hotel rooms can knock you over with the sickly perfume stench as soon as you walk through the door. Or the rooms are dusty and stale. Look for hotels that offer scent-free, allergy-friendly rooms with hypoallergenic bedding, air purifiers, and windows that open. Or at least ask them to air out the room for you before you arrive.

Carry a mask to avoid inhaling triggers. Sometimes you’re simply trapped in an environment that is overly scented, smoky, or potentially triggering in some other way. Just in case the woman next to you on the plane reeks of perfume, keep a face mask with you so you can breathe safely. Invest in a quality face mask that allows you to breathe comfortably. If you wear glasses look for one that won’t fog them up. Some companies also make face masks  for children.

Schedule in alone time, time away, and time to rest. It’s too easy for a vacation to feel like an overbearing job. Make sure you take naps, read, meditate, or go for peaceful walks. Stress is one of the most powerful inflammatory toxins, so create and enforce boundaries to keep yours as low as you can.

What leaky gut is and why you should care

If you have been researching how to improve your health, you may have heard of leaky gut, also known as intestinal permeability. If that conjures an unpleasant image of your gut contents leaking into the rest of your body — that’s not too far off the mark.

Leaky gut happens when contents from the small intestine spill into the sterile bloodstream through a damaged and “leaky” gut wall. This contamination of the bloodstream by not only partially digested foods but also bacteria, yeast, and other pathogens begins to create a foundation for chronic inflammatory and autoimmune health disorders.

Symptoms and disorders linked to leaky gut include fatigue, depression, brain fog, skin problems, joint pain, chronic pain, autoimmune disease, puffiness, anxiety, poor memory, asthma, food allergies and sensitivities, seasonal allergies, fungal infections, migraines, arthritis, PMS, and many more. Basically, your genetic predispositions will determine how leaky gut manifests for you.

Leaky gut is referred to as intestinal permeability in the scientific research. It means inflammation has caused the inner lining of the small intestine to become damaged and overly porous. This allows overly large compounds into the small intestine. The immune system recognizes these compounds as hostile invaders that don’t belong in the bloodstream and launches an ongoing attack against them, raising inflammation throughout the body. Also, some of these compounds are very toxic (endotoxins) and take up residence throughout the body, triggering inflammation wherever they go.

At the same time, excess intestinal mucous and inflammation from the damage prevents much smaller nutrients from getting into the bloodstream, which can lead to nutrient deficiencies and poor cellular function.

Leaky gut is increasingly being recognized as a common underlying factor in most inflammatory symptoms and disorders.

Medicine finally recognizes leaky gut

Conventional medicine has long ridiculed leaky gut information and protocols as quack science and alternative medicine folklore, but newer research now establishes it as a legitimate mechanism. In fact, pharmaceutical companies are even working on drugs to address leaky gut.

Research has established links between leaky gut and many chronic disorders. It’s good this long-known information is finally being validated in the dominant medical paradigm as the gut is the largest immune organ, powerfully influencing the rest of the body, as well as the brain.

Current studies link intestinal permeability with inflammatory bowel disorders, gluten sensitivity, celiac disease, Crohn’s disease, type 1 diabetes, depression, psoriasis, and other chronic and autoimmune conditions. Given what we know about the connection between gut health and immunity, it’s vital to include a gut repair protocol in overall treatment of inflammatory and autoimmune disorders.

How to mend leaky gut

Sometimes, repairing leaky gut can be as simple as removing inflammatory foods from your diet. Other times it’s more complicated. Most importantly, you need to know why you have leaky gut. Either way, however, your diet is foundational.

Many cases of leaky gut stem from a standard US diet of processed foods and excess sugars. Food intolerances also contribute significantly, especially a gluten intolerance. A leaky gut diet, also known as an autoimmune diet, has helped many people repair intestinal permeability. Keeping blood sugar balanced is also vital. If blood sugar that gets too low or too high, this promotes leaky gut. Stabilizing blood sugar requires eating regularly enough to avoid energy crashes. You also need to prevent high blood sugar by avoiding too many sugars and carbohydrates. Regular exercise is also vital to stabilizing blood sugar and promoting a healthy gut.

Also, failure to eat enough fiber and produce leads to leaky gut by creating a very unhealthy gut microbiome, or gut bacteria. Our intestines (and entire body) depend on a healthy and diverse gut microbiome for proper function. A healthy gut microbiome comes from eating at least 25 grams of fiber a day and a wide and rotating variety of plant foods.

Other common things that lead to leaky gut include antibiotics, NSAIDs such as ibuprofen, excess alcohol, hypothyroidism, and autoimmunity.

A leaky gut protocol can help you improve your health, relieve symptoms, boost energy, make you happier, and clear your brain fog. Ask my office for advice on improving your well being through a leaky gut diet and protocol.

Why it’s important to filter your drinking water

Although tap water is treated to prevent waterborne diseases, you still need to filter your tap water for truly clean water. Treated water protects us from things like Cryptosporidium and Giardia, yet municipal water supplies are loaded with chemicals used for treatment in addition to the hundreds of pollutants that contaminate our water supplies.

The most common chemicals used to treat drinking water are chlorine and chloramine. Chlorine has long been used to treat most water supplies. Chloramine, a combination of chlorine and ammonia, is less commonly used. Unlike chlorine, chloramine stays in the water longer and cannot be removed through boiling, distilling, or letting water sit uncovered.

Both chlorine and chloramine are effective in killing disease-causing organisms, however they are somewhat toxic themselves. Chloramine corrodes pipes, increasing the exposure to lead in older homes. Water that is treated with chloramine should also not be used in fish tanks, hydroponics, home brewing, or for dialysis.

Toxic pollutants in our water supplies

Although chlorine and chloramine prevent water-borne diseases, they unfortunately create carcinogenic compounds by reacting with organic particles ordinarily found in water.

The byproducts they create in this process are more toxic than the chlorine or chloramine alone. Research shows these compounds cause cancer in lab animals, produce inflammatory free radicals, irritate the skin and mucus membranes, impact the nervous system, and are linked to birth defects. Some researchers believe these byproducts are also associated with thousands of cases of bladder cancer each year.

Chlorine, chloramine, and the toxic byproducts they trigger are only part of the picture — our water supplies are contaminated by an estimated more than 100,000 industrial chemicals and heavy metals. These toxins come from car exhaust, pollution, farming, and industrial waste.

Treated drinking water has also been found to contain almost 40 different pharmaceutical drugs. There is no regulation on pharmaceutical drugs in drinking water and experts warn they could accumulate in people’s bodies, potentially interact with medicine people are taking, or contribute to antibiotic resistance.

Water bottles also contain contaminated water

Many people think drinking bottled water is the safe solution but bottled water is contaminated too. It also leeches harmful BPA chemicals from plastic bottles and sends them straight into your system. BPA is a hormone-disrupting chemical linked to multiple health disorders. Plastic water bottles also create serious pollution, particularly of our oceans.

Use a filter for healthier water

Filtering your water with a quality water filter can help reduce your exposure to industrial chemicals, their toxic byproducts, and pharmaceuticals. Invest in a heavy-duty carbon filter, one that will remove particles 0.8 microns or under. Check if your water has chloramine, and if so, look for filters designed to remove it as it is harder to remove.

Also, consider filtering water coming from your bath faucet and shower head. Your skin is very permeable and also absorbs toxic chemicals. Whole-house filters are a good option for this. People who filter their shower water often report improved skin and hair condition.

Do you have autoimmunity or brain inflammation and suffer from exercise intolerance?

If there were just one magic bullet to feel and function better, it would probably be exercise. Countless studies show the numerous benefits of exercise. Our bodies and brain were designed for constant physical activity and perform at their best when we provide that. Exercise releases chemicals that boost your overall energy and dampen inflammation.

But what to do if exercise actually makes you feel worse? Some people battling autoimmunity or brain inflammation suffer from exercise intolerance and see their symptoms worsen after physical activity.

Many autoimmune and brain inflammation patients see multiple doctors before receiving a diagnosis. Most of these doctors will tell a severely compromised patient they just need to exercise more. This advice can actually worsen a patient’s symptoms until they start bringing their inflammation under control.

What is exercise intolerance?

In the conventional medical model, exercise intolerance is most often associated with heart disease, particularly from the heart not filling adequately with blood. As a result, insufficent blood is pumped out to the rest of the body.

However, in functional medicine we frequently see exercise intolerance in people struggling with autoimmunity and brain inflammation.

It’s normal to feel sore or tired after a tough workout, but people who suffer from exercise intolerance experience more severe and unusual pain, fatigue, a flare up of their autoimmune symptoms, nausea, vomiting, or other negative effects that go beyond normal muscle tiredness. Some “crash” for a day or more with flu-like symptoms, feeling unable to get out of bed or function normally.

Exercise intolerance can be very emotionally distressing for people who care about their health and are working to improve it. Afterall, we are constantly bombarded with images of uber athletes and messaging about intense workouts.

What causes exercise intolerance?

When exercise intolerance is related to autoimmunity or brain inflammation, exercise intolerance is a result of compromised mitochondria.

Mitochondria are known as the “energy factories” insde each cell, as their role is to take nutrients and oxygen and turn that into energy.

Unfortunately, mitochondria are also very sensitive to inflammation and will under function when the body is struggling with intense inflammation. This means the cells don’t function well, the brain under functions, and you generally feel crappy and fatigued.

How to exercise if you have exercise intolerance?

One of the most common mistakes people make is to push themselves too hard and over exercise. Over training spikes inflammation and can make an autoimmune or brain inflammation condition worse.

Also, when you have an inflammatory condition, you must realize your immune system is never at a constant. Stress, viruses, diet, and myriad other factors keep our immune systems in a constant state of fluctuation.

People with autoimmunity or brain inflammation must always tweak and adjust their activity level to not overburden their immune system or neurological health.

If you are used to working out a certain level and then suddenly notice your workout make you feel worse, it could be an outside factor flaring up inflammation. So you need to dial it down or even take some time off. Listen to your body.

For instance, someone who does high-intensity interval (HIIT) and weight traning four or five days a week suddenly feels fatigued and lethargic the day after each class. They may need to reduce the duration, the intensity, or the frequency of those workouts, or substitue in something that doesn’t push their inflammation over the edge, like a brisk walk.

Forget about cultural messaging around fitness

Managing autoimmunity and brain inflammation is highly individulaized; no two people will have the same protocol. You must always be tuned in to what your body says. This can be difficult in our hyped-out fitness culture.

After all, for some autoimmune or brain inflammaton folks, the mildest workouts can be triggering. The goal is to find what works for you and makes you feel good. When we stimulate blood flow through movement, it sends more oxygenation to our bodies and brains and triggers the relase of beneficial chemicals. If it feels good, it’s lowering inflammation and helping you manage your autoimmunity and brain inflammation.

Autoimmune appropriate exercises for building exercise tolerance could be walks, light weight training, gentle yoga or stretching routines, water aerobics — explore and find what works for you. You are the ultimate expert on what’s right for your body. As you start to feel better you will naturally feel inclined to take on more.

Start low and slow so that you are able to stay consistent and keep it up on a daily basis. Once you have established that, then gradually increase intensity and duration.

Ask my office for more advice on managing autoimmunity or brain inflammation.

How you were born could shape the rest of your life thanks to the effects of bacteria at birth

Whether you’re fat or thin, anxious or relaxed, sickly or resilient — this could all stem from the way you were born thanks to the effects of bacteria in our first few seconds of life. Babies born via c-section are shown to have less desirable gut bacteria, or a gut microbiome, compared to babies born vaginally, who have healthier microbiome “signatures.”

Results from the largest study of the newborn microbiome were recently published. The study found that newborns delivered via c-section lack the healthy gut bacteria found in vaginally delivered babies. Their guts also contain strains of harmful microbes — Enterococcus and Klebsiella — commonly found in hospitals.

In fact, the lead researcher said the levels of harmful hospital bacteria in the c-section newborns was “shocking.” These babies were also deficient in the healthy bacteria that made up most of the guts of the vaginally born babies.

The difference was so profound that he said he can tell you how the baby was born simply by analyzing the bacteria in their stool.

C-section babies missing strain vital for health, weight management, and immune resilience

After several months the gut microbiomes between the two set of infants became more similar with one striking difference — the c-section babies had significantly lower levels of Bacteroides, a strain vital to human health.

Bacteroides are a key strain when it comes to health challenges modern societies face. A number of studies have shown Bacteroides levels are lower in people with obesity. Studies in both mice and humans show that when gut bacteria from thin subjects are transplanted into the colons of obese subjects, most subjects lose weight.

Bacteroides has also been linked with preventing anxiety, and boosting and regulating immunity to prevent inflammatory disorders. This may explain why people who were born via c-section are at increased risk for obesity and asthma.

The study is part of a larger Baby Biome study that is following thousands of newborns through childhood.

Why method of birth affects the gut microbiome

Research suggests that the vaginal canal imparts beneficial bacteria to the infant during birth, while c-section babies are deprived of that and instead immediately exposed to the bacteria of the hospital and the people attending the birth. Studies are underway in which babies born via c-section are swabbed with the mother’s vaginal microbes.

Other factors to consider beyond birth

It may not just be the birth that determines a c-section baby’s poorer microbiome status. Women who undergo c-sections also receive antibiotics, which may transfer to the newborn through the placenta and later through breast milk. These babies also tend to stay in the hospital longer and thus are exposed to more hospital bacteria.

How to develop healthy gut bacteria

Developing good gut bacteria is not neccesarily as simple as taking probiotics. You may also be overrun with detrimental bacteria that need to be “weeded.”

Perhaps most important is whether your diet supports a healthy gut microbiome.

What the gut microbiome needs most is an ample supply of vegetables and fruits on a regular basis in a wide, ever changing variety. Eating a diverse and abundanat array of plant foods will help create a diverse and abundant gut microbiome.

Ask my office for more advice on how we can help you improve your gut microbiome and overall health.

Why is MTHFR and why should you care when you have Hashimoto’s hypothyroidism or brain-related issues?

Have you been googling for ways to improve your hypothyroid or brain condition and come across suggestions to test MTHFR. What is MTHFR and what does it have to do with hypothyroidism or the brain? If you are one of the 60 percent of people with a genetic defect in the MTHFR gene, it could affect your ability to successfully manage Hashimoto’s hypothyroidism or brain-based symptoms.

MTHFR is the acronym for methylenetetrahydrofolate reductase, an enzyme involved in processing folate, or vitamin B9, into a usable form the body can assimilate. It’s also necessary to metabolize folic acid, a synthetic form of folate used in supplements.

Thanks to the popularity of gene testing, people can now learn whether they have a mutation in the MTHFR gene. If so, it means their methylation pathways are impacted and contributing to health challenges.

Methylation pathways govern detoxification and many important metabolic processes in the body, which makes a MTHFR defect something worth paying attention to. If you are struggling to manage your Hashimoto's hypothyroidism or brain-based symptoms such as brain fog, fatigue, or depression, you may find the MTHFR test valuable.

Methylation is a process of adding a methyl group to a molecule. Methylation’s roles jobs include the following:

• Turning genes on and off
• Detoxifying chemicals and toxins from the body
• Building brain neurotransmitters
• Metabolizing hormones to maintain hormonal balance
• Building immune cells
• Synthesizing DNA and RNA
• Creating cellular energy
• Producing a protective coating that sheathes the nerves
• Metabolizing histamine
• Supporting eye health
• Burning fat
• Supporting liver health

Proper methylation means one can efficiently make proteins, use antioxidants, metabolize hormones, enjoy more balanced brain chemistry, detoxify toxins and heavy metals, and dampen inflammation. All of these factors are vital to managing Hashimoto's hypothyroidism and brain-based symptoms. 

However, if you’re one of the 60 percent of people with a MTHFR genetic defect, you may not be able to properly break down folate in foods or folic acid in supplements.

An inability to properly process folate can raise levels of homocysteine. Homocysteine is an amino acid in the bloodstream that can be dangerous when levels are too high. High homocysteine is linked to an elevated risk of heart disease and Alzheimer’s.

Poor methylation also impacts another vital process — the production of glutathione, the body’s main antioxidant. When we become deficient in glutathione, we lose our natural defenses and are at higher risk of developing autoimmune diseases, food sensitivities, and chemical sensitivities.

An MTHFR defect can also impair the body’s ability to synthesize important brain neurotransmitters, so that brain-based disorders may arise. An MTHFR defect has been linked to depression, anxiety, brain fog, ADHD, bipolar disorder, and even schizophrenia.

Because methylation is involved in so many important processes in the body, an MTHFR gene defect has been associated with many health conditions, including:

• Heart attack
• Stroke
• Venous thrombosis
• Cancer
• Birth defects
• Inflammatory bowel disease
• Mental and mood disorders
• Autoimmune disorders such as Hashimoto’s hypothyroidism

If you are trying to manage a condition like Hashimoto's hypothyroidism or brain-based symptoms, it’s imperative that you be able to dampen inflammation and raise glutathione levels. An MTHFR defect can work against you.

Fortunately, it can be easy to address.

First of all, you can test for MTHFR gene mutations through genetic testing companies such as Spectracell or 23andme.com, and get an interpretation at geneticgenie.org.

More than 50 MTHFR genetic mutations exist, but the two considered the most problematic are C677T and A1298C (written as just 677 and 1298).

Also, keep in mind gene defects don’t always become activated. If you show those genes on a test it doesn’t necessarily mean they have been expressed and are causing symptoms.

To address a MTHFR enzyme defect, support your methylation pathways with methylfolate and methylcobalamin (methyl B12). Avoid supplements with folic acid, boost your glutathione levels with high quality oral liposomal glutathione, and minimize your exposure to toxins. These are also beneficial strategies to aid in the management of Hashimoto's hypothyroidism and brain-based symptoms.

Positivity is good for health, but so is appropriate negativity — how to avoid “toxic positivity”

If you are working to manage your Hashimoto’s hypothyroidism or other chronic or autoimmune disorder, you may have heard a positive attitude is good for your health. And it’s true — positive thinking, gratitude, and healthy socialization have all been linked to better health outcomes. However, chasing a positive attitude can have a dark side.

It’s common to be hear “just think positive,” “focus on the good,” “don’t dwell on the negative,” and so forth. But the truth is, sometimes life circumstances are awful and sometimes people do horrible things to others.

The demand for a positive attitude when it’s not appropriate is known as toxic positivity. Avoiding or denying negative emotions only makes them bigger and more persistent — and hence more inflammatory for your system if you have an autoimmune condition such as Hashimoto’s hypothyroidism.

Also, negativity exists as a survival trait. It alerts you to danger, or if something isn’t right.

In fact, telling someone who is suffering that they just need to be positive is referred to as spiritual bypassing or gaslighting. Spiritual bypassing is an attempt to use false positivity to bypass a difficult issue, and gaslighting occurs when someone tries to make you feel like you’re crazy when you express uncomfortable thoughts or feelings.

Many autoimmune patients have felt gaslighted by doctors who insinuated they were making up their symptoms or just seeking attention.

Practice mindfulness, not just positivity

It’s normal to want to avoid negative and unpleasant emotions because they are uncomfortable and distressing. As such, we think of them as “bad.” But they are not there to be banished us but rather to guide us through life and help us make decisions that protect and support us.

Instead of denying them through forced positivity or drowning them out through whatever addiction or bad habit is our go-to, psychologists say we should listen to what they reflect about a current situation.

For instance, if you’re frustrated and angry about your health, it means you care about yourself and being able to participate in life. Allowing and accepting our negative thoughts and feelings can help us understand who we are and make good choices.

Resilience and self-care are the bedrocks of positivity

In self-help circles some tout the theory that bad things happen if you think negative thoughts, but the truth is bad things happen to everyone on a regular basis. Positivity isn’t about feeling good all the time, but rather about practicing resilience and positive self-talk in the face of adversity.

Do you practice these negative self-talk habits?

• You filter out the good parts of an experience and dwell on the bad.
• You think you are to blame for when things go wrong, or that it’s only happening to you and other people are luckier.
• You catastrophize and make problems out to be much bigger than they really are.
• You polarize things into very good or very bad and fail to see that most things in life have a grey area.

Practicing positivity through bad things means avoiding the temptation of despair and hopelessness and instead becoming your own cheerleader and coach.

Positivity is a practice, not a destination

Perhaps the most important thing to understand is that positivity is something that takes ongoing practice and application. It is like playing an instrument or a sport — you have to keep up with it to be proficient.

This is the concept of neuroplasticity in how the brain works. By applying yourself regularly to the practice of positivity, you hardwire new neural pathways into your brain, which makes you more efficient at positivity over time. And if you have a chronic autoimmune condition such as Hashimoto’s hypothyroidism, every time you practice positivity you also release anti-inflammatory chemicals in your body that help tame inflammation and modulate immunity.

Try these tricks at learning how to be a more resilient, positive thinker who can also handle the negative aspects of life:

• If an area of your life is constant major stressor, whether it’s a job or relationship, start strategizing on how to change it.
• Check yourself throughout the day to see if your thoughts are negative or positive.
• Seek out humor. Laughing at life reduces its weight and lowers stress.
• Follow a healthy diet to lower inflammation. Many studies now prove what we eat affects how we feel. Eat food that feeds a good mood.
• Exercise at least 30 minutes a day. Generating feel-good endorphins through exercise beats any addictive substance or habit. It makes it easier to practice positivity and weather the storms.
• Surround yourself with positive people. Although we all have down days and need to vent, incessantly negative people can make it hard to stay positive. Seek out and cultivate friendships with other people who also practice positivity.
• Pay attention to how you frame things. We all say things that can be reframed more positively. For instance, if you make a mistake, instead of saying, “I’m such an idiot,” reframe it to something like, “Whoops, I’ll see if I can get it right next time.”
• Talk to yourself the way you would talk to someone you care about. Chances are you would never talk to someone you love the way you talk to yourself. Make self-respect and self-care a priority in your self-talk.

Some people were taught healthy positive self-talk in childhood by their parents and teachers. Others have to learn it later in life. Either way, it’s a skill that simply takes awareness and practice in order to develop the resilience to see you through the tough times of dealing with an autoimmune or chronic health disorder such as Hashimoto’s hypothyroidism.

Are you getting enough of this dementia-prevention nutrient on a vegan or vegetarian diet?

Eating a vegetable-based diets has loads of proven health benefits, including enriching your gut bacteria diversity, loading you up with plant vitamins and minerals, and ensuring you get plenty of fiber. However, if your plant-based diet is strictly vegan or strict vegetarian you may be missing out on this essential dementia-fighting nutrient: Choline.

Choline is only found predominantly in animal fats and is a vital brain nutrient that helps prevent dementia and Alzheimer’s.

In addition to supporting the brain — which is made of primarily fat, by the way — choline also supports healthy liver function. Good liver function is necessary to not only keep the body detoxified, but also to keep chronic inflammation in check. A choline deficiency raises the incidence of fatty liver.

Choline is also an essential part of cell membranes in the body and brain; cell membranes act as the cellular command center in directing cell function and communication.

Choline is found primarily in meats, fish, dairy, and eggs. Significantly smaller amounts are found in nuts, legumes, and cruciferous vegetables. The liver is able to manufacture a small amount, though not enough to meet the body’s needs.

Experts say that in order to meet the brain’s needs for sufficient choline, it needs to come from dietary sources rich in choline.

Most people are choline deficient

The bad news is most people aren’t getting enough choline, and some people are genetically predisposed to a deficiency. Research shows the rising popularity of vegan and vegetarian diets is raising rates of deficiency.

The recommended daily intake of choline is about 425 mg a day for women and 550 mg a day for men.

The two richest sources of choline are beef liver and egg yolk. Research has shown that people who eat eggs regularly have higher levels of choline (we can assume most people aren’t eating liver these days).

In fact, pregnant women who consume at least one egg a day are eight times more likely to meet choline intake recommendations compared to those who don’t.

Beef liver capsules can be a good source of choline if you don’t prefer to eat straight liver. Most products recommend 6 capsules a day. Look for a grass-fed source that has been tested for purity.

Choline is vital for the fetal and infant brain

The choline recommendation for pregnant and breastfeeding women is about 930 mg — choline is vital for the developing child’s brain.

Choline is vital for the adult brain

Choline is also recognized as a vital brain nutrient for the adult brain. In a study of mice bred to have Alzheimer’s like symptoms, a choline-rich diet resulted in improvements in memory and brain function in the mice and their offspring.

Choline protects the brain in several ways. First, it reduces homocysteine, an inflammatory and neurotoxic amino acid if levels are too high. High homocysteine levels are found to double the risk of Alzheimer’s disease. Choline prevents this by converting homocysteine to the helpful compound methionine.

Choline also reduces the activation of microglia, the brain’s immune cells that cause inflammation and damage to brain tissue when triggered.

Choline is an essential component of acetylcholine, a brain chemical known as the memory neurotransmitter. Sufficient acetylcholine is vital for memory and healthy brain function.

Choline also helps regulate gene expression.

Choline is just one of the many essential nutrients necessary for healthy brain function. Ask my office how we can help you support your brain health.

New research provides more clues in PANDAS

Children who recently had a strep infection and then go on to suddenly develop symptoms of obsessive-compulsive disorder (OCD), Tourette’s, tics, odd behaviors, emotional instability, and other psychiatric and neurological disorders are believed to have PANDAS.

PANDAS stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.

In some children, a strep infection appears to trigger an autoimmune attack against the brain, causing a sudden onset of neuropsychiatric symptoms.

PANS, or Pediatric Acute-Onset Neuropsychiatric Syndrome, is similar, except environmental factors or other infections trigger symptoms.

PANDAS/PANS isn’t believed to be fully credible by many experts or doctors, in part because it must be diagnosed by symptoms and because the supporting research hasn’t been very strong. Instead, they diagnose affected children with conditions such as OCD.

However, recent research sheds new light on the disorder and why it affects some children and not others.

PANDAS/PANS causes inflammation in an area of the brain called the basal ganglia, which helps govern emotions and motor control. When the immune system creates antibodies to the strep infection, these antibodies mistakenly attack tissue in the basal ganglia as well.

In 2018, researchers isolated cells in the basal ganglia, called cholinergic interneurons, which are affected by the immune attack. Previous research has shown these cells are depleted in Tourette’s syndrome.

These cholinergic interneurons fire less when strep antibodies attach to them, which is believed to cause the symptoms associated with PANDAS/PANS.

Normally, antibodies would not be able to cross the blood-brain barrier to cause immune attacks in the brain. However, research shows the spike in inflammatory immune cells called TH-17 from a strep infection can cause the blood-brain barrier to open up. This is commonly called leaky blood-brain barrier and can allow strep antibodies and other pathogens to enter into the brain.

It has been found that most of these TH-17 cells pool in the olfactory bulb, an area of the brain that receives signals from the nasal passages.

This creates a path through which antibodies can enter, especially with repeat strep infections.

Genetic susceptibility has also been found to be a link in PANDAS/PANS.

PANDAS diagnosis criteria

• Significant obsessions, compulsions, tics
• Abrupt onset of these symptoms or relapsing and remitting symptom severity
• Onset prior to puberty
• Association with strep infection
• Association with neuropsychiatric symptoms, including PANS symptoms

PANS diagnosis criteria:

Abrupt, dramatic onset of OCD or severely limited food intake and the addition of at least two of the following:

• Anxiety
• Emotional swings and/or depression
• Irritability, anger, oppositional behavior
• Regression
• School performance deteriorates
• Sensory or motor abnormalities
• Sleep disturbances, urinary frequency, bed wetting

Functional medicine for PANDAS/PANS

Functional medicine strategies can help reduce inflammation and autoimmune attacks in PANDAS/PANS and support immune and brain health.

Functional medicine strategies may include removing inflammatory triggers from the diet and the environment; nutritional therapies to lower inflammation and support brain health; addressing blood sugar, gut health, and toxicity; supporting neurotransmitters; and repairing mitochondrial function and the blood-brain barrier.

Quick action can improve outcome. For more information, contact my office.

Google is censoring valid health information; opt for alternate search engines for better results

Anyone who has learned how to manage Hashimoto’s hypothyroidism or another autoimmune condition will tell you they had to learn it on their own. The vast majority of doctors either do not test for or do not adequately treat Hashimoto’s, an autoimmune disease that attacks and damages the thyroid gland, causing weight gain, hair loss, fatigue, depression, and other symptoms. Now, the ability to find health advice backed by peer-reviewed, scientific literature is seriously compromised due to censorship, or blacklisting, by Google. Google is increasingly censoring legitimate information and instead sends people to conventional medical, pharmaceutical-oriented sources of information such as WebMd.

Most doctors do not adequately test for or treat autoimmune disease such as Hashimoto’s hypothyroidism because there is no drug for autoimmunity. True, people are prescribed thyroid hormone replacement medication, which is frequently necessary. However, it does not address the ongoing and progressively worsening immune attack on the thyroid gland. That is why many people do not feel better when they begin taking thyroid hormone.

The lack of adequate autoimmune care in conventional medicine means millions of people go misdiagnosed or undiagnosed. In most cases, autoimmune destruction has to be advanced and severe before an autoimmune disease can be diagnosed and treated with steroids, surgery, or other methods that are invasive and riddled with side effects and problems. For instance, nerve damage has to be significantly advanced before conditions such as multiple sclerosis or type 1 diabetes are caught, while patients suffer for years.

Add to this studies that show the inherent sexism in conventional medicine. Women account for more than three-quarters of autoimmune patients. Yet when women go their doctors with complaints of autoimmune symptoms, most are not adequately tested. Instead, they are told they have depression or anxiety, that they need to lose weight and exercise, that they are making it up, or that it’s just aging.

Until now, millions of people have been able to successfully learn how to manage their Hashimoto’s hypothyroidism and other autoimmune conditions through online sources based on peer-reviewed science. They have also been able to find healthcare practitioners who are knowledgeable in how to apply this science to help manage chronic conditions.

Please note that just because something is in the published scientific literature, that does not mean your local medical doctor is either aware of it or supports it. There is a huge gulf between the scientific literature and the doctor’s office, with pharmaceutical companies wielding significant influence over doctors’ practices and education.

Now, Google is limiting our access to legitimate information and redirecting searches toward conventional sources, which are extremely limited when it comes to chronic illness.

True, opportunists and snake oil salesmen abound on the internet and consumers must do their due diligence in rooting out valid sources of information and good communities to help them on their health journey.

Vitriolic corporate-driven public controversies lend a hand in the Google censorship. Rather than looking at the peer-reviewed literature on the links between environmental toxins and brain inflammation in the developing child’s brain for instance, complex neuroimmune topics have been reduced to crude black-and-white arguments that have no basis in relevant neurophysiological mechanisms.

While Google is penalizing many science-backed integrative health sites so they no longer show up on the first page, other search engines such as Bing, Yahoo, DuckDuckGo, and Ecosia (a search engine that plants trees based on searches) still rank sites legitimately.

About one billion health questions a day come through Google. Now, they are routing those searches away from such well-known sites as Mercola, PaleoHacks, Bulletproof, GreenMedInfo, Self-Hacked, Kelly Brogan, and many more.

Instead, seekers are routed to sites such as WebMD, Healthline, Mayo Clinic, and other institutional sites. While these sites offer worthwhile information, they are not yet caught up to the science surrounding the many chronic illnesses that have become so common today. They even provide false information in some instances, especially in regards to nutritional compounds.

Google is unfairly throwing its weight around in other industries as well, and the EU levied its third antitrust fine against Google earlier this year.

Don’t let Google bully you into Big Pharma’s pipelines. If you are looking for sources of legitimate health information that have been blacklisted by Google, try alternative sites such as Bing, Yahoo, DuckDuckGo, and Ecosia.

In the meantime, we attend educational conferences to stay up to date on the latest research and clinical protocols to help manage autoimmune and chronic conditions such as Hashimoto’s hypothyroidism. As the field is ever evolving, it’s important to stay abreast of developments. Contact my office if you need help managing your chronic health condition.

The American Diabetes Association finally recommends low carb; still recommends foods that promote diabetes

Although they are more than a couple of decades behind functional medicine, the American Diabetes Association (ADA) is finally recommending lower carbohydrate diets for people with diabetes.

In functional medicine, we have long seen the deleterious effects of carbohydrate-laden diets on not only blood sugar, but also on chronic inflammatory disorders, weight, hormonal balance, and brain function.

High blood sugar disorders such as type 2 diabetes and insulin resistance, or pre-diabetes, not only make you feel worse, they also significantly raise your risk of numerous chronic health disorders, including heart disease, stroke, autoimmune disease, and Alzheimer’s. In fact, some researchers call Alzheimer’s type 3 diabetes because high blood sugar is so damaging to the brain.

While it’s heartening that such a large and official organization is finally making dietary recommendations to stabilize blood sugar, their list of recommended foods remains problematic. Some foods on the ADA list have been shown to trigger autoimmune attacks on the pancreas, worsening type 1 diabetes and increasing the risk of developing autoimmune diabetes in people with type 2 diabetes, a lifestyle-induced disease.

The ADA’s new recommendations for carbohydrate consumption

Previously, the ADA warned against diets under 130 grams a day of carbohydrates because people would be deprived of essential nutrients. They also stated the brain needs more than 130 grams a day to meet its energy needs.

However, given the success of lower carb diets in not only reducing the need for insulin but also in lowering heart-disease risk, the ADA has adjusted its recommendations to support a lower carb diet.

In what may eventually prove to be a sea change in government recommendations, the ADA bases the new recommendation on findings that a low-carb diet better manages health than a low-fat diet.

It also states that dietary recommendations should depend on the patient and that a “one-size-fits-all” diet should not be given to every patient.

They do not recommend a low-carb diet for women who are pregnant or breastfeeding, people who have eating disorders or at risk of developing eating disorders, people with kidney disease, and for those taking SGLT2 inhibitor medication.

ADA guidelines on low-glycemic foods fail to consider foods that trigger autoimmune attacks

It’s a step in the right direction that the ADA is finally recognizing the vast amounts of research and the countless case studies linking lower carb diets with better health.

However, they have yet to recognize the science showing that some ADA recommended low-glycemic foods trigger autoimmune attacks on cells that cause type 1 diabetes.

The most prevalent triggers are gluten and dairy, although other foods also cross-react with cells involved in type 1 diabetes. This does not mean that these foods trigger an autoimmune attack in all people, but research shows certain foods raise the risk of exacerbating autoimmune diabetes.

For the person with type 1 diabetes it’s especially important to be aware of which foods may trigger autoimmune attacks that worsen their condition. You can screen for these foods with testing from Cyrex Labs.

However, research also shows that about 10–20 percent of people with type 2 diabetes, which is lifestyle induced, also have undiagnosed type 1 diabetes. This is referred to as type 1.5 diabetes.

Should you go on a low-carb diet?

The average American eats more processed carbohydrates than the human body was designed to handle. The incidences of inflammatory disorders related to high blood sugar are crushing the healthcare system — diabetes, obesity, heart disease, chronic pain, depression, dementia, and neurodegenerative diseases are just a few.

However, this doesn’t mean every person should be on the same diet. For some, a very low-carb ketogenic diet is highly therapeutic. For others, such as those with compromised brain function that has caused dysregulated metabolic and neurological function, a ketogenic diet can be disastrous.

Although finding your optimal carbohydrate consumption may take some trial and error, it’s safe to assume you do not need sugar, high fructose corn syrup, processed carbohydrates, and industrial oils. Instead, the bulk of your diet should come from a diverse array of ever changing vegetables and fruits (be careful not to go overboard on fruits), and healthy fats and proteins.

It’s also safe to assume the human body was designed for daily physical activity, time outdoors, and healthy social interaction.

Ask my office for help on customizing and diet and lifestyle plan designed just for you.

Floss your teeth daily to reduce your risk of stroke

You may be familiar with common stroke-prevention strategies: Exercise regularly, eat plenty of vegetables, minimize stress, and keep inflammation at bay. But did you know taking good care of your teeth and gums is a major way to lower stroke risk?

A new study has found a significant link between stroke and oral bacteria. An analysis of blood clots from 75 ischemic stroke patients found almost 80 percent of them had oral bacteria DNA concentrated in the blood clots that weren’t found in other blood samples from the same patient.

The presence of oral bacteria in blood clots rounds out a much larger picture that shows the role gum disease and oral bacteria play in cardiovascular and neurological health.

The same research team has also found that blood clots containing oral bacteria cause heart attacks and brain aneurysms, that thromboses in the leg veins and arteries contain oral bacteria, and that oral bacteria is linked to heart infection.

Other research has linked oral bacteria from gum disease with an increased risk of Alzheimer’s. The bacteria produce toxins in the brain that give rise to the misfolding of proteins in the brain that is the hallmark of Alzheimer’s.

An ischemic stroke occurs when a blood clot starves a part of the brain of blood flow and vital oxygen, causing massive tissue damage. It is commonly caused by the narrowing and hardening of the arteries from plaquing, or atherosclerosis.

There is evidence that oral bacteria activates platelets and speeds up the development of atherosclerosis and blood clotting.

Here’s a tip to motivate you to floss

We get it, flossing is tedious and annoying. You just want to brush your teeth and be done.

Here’s a little tip that may motivate you to floss and brush more regularly: After you floss between a couple of teeth, smell your floss. If it has a foul odor that’s a sign you’ve got oral bacteria accumulating on your teeth and gums. This is also a sign your breath probably stinks as well! Smell check your floss after flossing each section of teeth — you may find areas that need extra attention.

Reacquaint yourself with healthy flossing and brushing habits and consider investing in a water flossing device. These devices use water to deliver extra cleaning power to the teeth and to stimulate gum tissue, so it stays healthy. However, please note that a water flosser should be an adjunct to flossing and not a substitute. Water flossing is not as effective as using dental floss.

Use functional medicine to prevent strokes

Healthy teeth and gums also depend on a healthy diet and lifestyle. This ties in with general stroke prevention strategies — 90 percent of strokes are caused by dietary and lifestyle habits.

Strokes are the third leading cause of death in the United States and the leading cause of disability.

Studies have found the following factors are the most common causes of strokes:

• High blood pressure
• Smoking
• Poor diet
• Lack of exercise
• Excess alcohol
• Stress and depression
• Diabetes
• Excess abdominal fat
• Heart disorders

As research continues, poor oral hygiene may get added to this list.

Functional medicine strategies to prevent stroke

Focus on whole foods, plenty of vegetables, and healthy fats. Ditch the sodas, desserts, sweet coffee drinks, and processed foods. It might be hard at first, but you’ll start to feel heaps better.

Stabilize blood sugar

High blood sugar from too many sweets and processed carbohydrates causes chronic inflammation, which damages and thickens arterial walls and promotes the formation of arterial plaques and blood clots. Type 2 diabetes and insulin resistance, or pre-diabetes, increase your risk of stroke by two to four times.

Regular exercise prevents strokes and makes you feel awesome

Exercise is a magic bullet when it comes to preventing strokes and promoting a healthy brain. Regular physical activity keeps blood vessels strong, improves oxygenation of the brain, and increases your metabolism. Exercise after a stroke also significantly reduces the severity of the repercussions and improves recovery.

Ask my office how we can help you lower your risk of stroke and support your brain health.

How to reduce your toxic burden and protect immunity

We live in a sea of toxins and we all carry significant amounts of heavy metals and environmental toxins in our bodies. Even if you eat all organic foods, drink filtered water, and use non-toxic home and body products, you will still come in contact with numerous toxins as a part of daily modern life.

Thankfully, we can support our health and buffer the impact of these toxins on our bodies. Strategies include a diet that helps your body detoxify regularly and that minimizes toxic exposure, anti-inflammatory protocols to buffer the inflammatory effects of toxins on your body, supporting the pathways of elimination, and including binders in your regular protocol to “sponge up” toxins in your system.

Anti-inflammatory diet

Toxins are inflammatory to the body. One of the best things you can do is reduce your inflammatory load with an anti-inflammatory diet. Although even organic foods are shown to contain toxins these days due to air, water, and soil contamination, choosing foods that have not been produced with pesticides, hormones, or antibiotics will reduce your overall burden.

You also want to keep your blood sugar stable by avoiding sugars and foods that are high in processed carbohydrates. This means not letting yourself crash from low blood sugar and not overeating yourself into a food coma.

Especially important is to avoid the foods that trigger an inflammatory response in you. If you have a food sensitivity or intolerance, eating a food that flares your immune system will keep it in a state of constant red alert, stoking inflammation throughout your body. The most common immune reactive foods are gluten, dairy, soy, egg, and corn.

In addition to minimizing your dietary sources of inflammation, certain supplements can also tame and reduce inflammation.

Studies show taking larger doses of the antioxidants resveratrol and curcumin can help protect the body from the damage of toxins, especially if you take them together in a liposomal form.

Glutathione that is liposomal or in another absorbable form is another way to lower inflammation and protect your body. In fact, insufficient glutathione increases your risk of developing chemical sensitivities. In addition to taking an absorbable glutathione you can also raise glutathione levels inside your cells with n-acetyl-cysteine, cordyceps, Gotu Kola, milk thistle, L-glutamine, and alpha lipoic acid.

Binding toxins in your body

Taking nutritional compounds on a regular basis that bind with toxins for easy removal is another way to buffer your body. Binders can help remove heavy metals, environmental toxins, mycotoxins from molds, infectious bacteria, and fungal infections from your body.

Here are some examples of effective binders:

Modified citrus pectin: This is derived from citrus peel and processed in a way that it allows it to enter the bloodstream and bind with toxins for safe elimination from the body. Modified citrus pectin also serves as a great “prebiotic,” or a nutrition source for your good gut bacteria. A healthy gut microbiome is critical to helping protect you from toxins. Look for a source that is free of fillers.

Activated charcoal: Activated charcoal is a popular and affordable binder for toxins. It can also help soothe common digestive complaints.

Bentonite clay: Bentonite, montmorillonite, and illite (French clay) are used to bind toxins. When mixed with water, these clays develop a sponge like quality and take on an electrical charge to attract harmful compounds. Look for a quality product that does not have lead contamination.

Zeolite: Zeolite is formed from volcanic rock and ash and is a well-known binder for heavy metals and other toxins.

Chlorella: Chlorella is a blue-green algae that has an affinity for mercury and lead. It is also rich in B vitamins, minerals, and antioxidants. You may need to avoid chlorella if you take blood thinners.

Silica: Most people think of silica to improve their hair, skin, and nails, but it’s also good at binding metals such as thallium that are harder to detox.

You must support your pathways of elimination when you detoxify

Binders work great at latching onto toxins, but if your body’s pathways of elimination are faulty, you could make yourself more toxic. You also want to ensure you are sufficiently mineralized — heavy metals can bind to cellular receptors in the absence of necessary minerals.

Ways to support the elimination of toxins include supporting healthy liver and gallbladder function, supporting healthy bowel elimination, and making sure you stay hydrated and take care of your kidneys and bladder. Eating 25–38 grams of fiber a day, staying well hydrated, eating foods that are good for the liver (like bitters and greens), exercising regularly to stimulate the lymphatic system, and sweating regularly are some examples of how to keep toxins flowing out of your body.

Avoiding chemical sensitivities

Although we want to minimize our overall toxic burden, we especially want to avoid developing chemical sensitivities. In the end, your overall toxic burden may not matter as much as whether you have an immune reaction to these toxins. You can react to a toxin the same you can react to gluten or dairy. This is problematic as it’s much harder to eliminate a toxin from your environment than a food from your diet, especially if that toxin is prevalent in the air, such as benzene, or in plastics, such as BPA.

This is why it’s so important to live an anti-inflammatory lifestyle. If you already have chemical sensitivities, ask my office about methods to lower your sensitivity so you can better tolerate everyday life.