Thyroid Dysfunction and Fertility: A wrap on Thyroid

Having a Baby is a Desire of Many,

But what happens with thyroid dysfunction and Infertility?

As described in previous two blogs, the Thyroid controls metabolism, Heart rate, Body Temperature, Sleep Cycles, and cognitive functions. In this final blog on thyroid, i want to talk about an issue that affects 13% of all couples annually.

Infertility

This is defined by the CDC as trying for a period of 1 year to become pregnant without success, in women over the age of 35 it is a period of 6 months (3). It affects approximately 15%  of women between the ages of 15-44. Interestingly, the CDC covers Thyroid, Hypothalamus and Pituitary dysfunction as causes of infertility for men, but not women. If you look at the previous sources sited from previous blogs, Thyroid function is basically essential for life to be sustained. If you can not sustain you, how do you expect to sustain growing another human inside of you?

In a blog from August of 2020, endocrine.web talks specifically about how a pregnancy may be difficult to obtain and sustain with thyroid dysfunction. This can happen because TSH is abnormal, thereby effecting the ovulation cycle. Without ovulation, there is not chance to fertilize an egg. It can also happen because there is a lack of  luteal phase and, even if a woman has an egg fertilized, it will likely not implant in the uterus and be sloughed with menses. If it is not sloughed during the menstrual cycle, the likely hood for miscarriage is elevated due to improper implantation of the egg or developing placenta. (4)

Thyroid Dysfunction in Men

Men have thyroid issues too, and they go undetected typically longer than women. This is primarily because men visit the doctor less often between the ages of 18-35, when a thyroid condition is likely to develop. Many believe that if they have hair loss, it is a family trait, so they don’t look for it as a symptom. They also are less likely to think of brain fog, because we as women have always told them we are better multitaskers. We give men an out for their forgetfulness, lack of ability to complete a task without a list, etc. And Ladies, That is Our Fault! Thyroid Dysfunction in men can lead to oddly shaped sperm, decreased sperm motility and decreased sperm count. All of these things may cause your Man to have increased difficulty helping you to get your family started.

How do we decrease risk of infertility?

Full Thyroid Normal vs. optimal Ranges

If you are considering family planning, and you are looking to conceive, Talk to your spouse/partner about getting a full physical. This is needed for BOTH of you. You should both be evaluated for a full thyroid panel. (see left insert on optimal versus normal ranges).

You should also consider testing for vitamin D3 as 25(OH)-VitD, Iodine, Zinc, selenium and B vitamins. Consider doing a full comprehensive hormone panel like the DUTCH test, which can also test how your adrenal glands are functioning. It will tell you which pathway your estrogen is going,  testosterone total, testosterone Alpha and Beta. The Comprehensive Cycle Mapping test  can also tell you best time during the cycle to try for a baby. This test is part of a DUTCH panel if requested.

Some of these tests will not be covered by insurance, but they are still less expensive than most fertility treatments. The rate of infertility and lost pregnancy due to thyroid dysfunction is reported by infertility.org to be as high as 5% of all persons trying to conceive

What Can I do about Thyroid Naturally? (1)

  1. Take a Quality Muti Vitamin 
  2. Take Extra Vitamin D and Know your levels (25OH-VitD should be between 50-80, 30 is considered normal)
  3. Get 15 Veggies and 5 fruits Daily
  4. Get Enough Protein (1.9kg/pound females; 2.4g/pound males)
  5. Get some Protein from collagen
  6. Sleep 8-10 hours daily
  7. Eat iodized salt
  8. Eat crustaceans (selenium, iodine and zinc all support thyroid).
  9. Eat Brazil Nuts (4/day for selenium requirements)
  10. Get tested Early and Often.
  11. As young as 18 but before age 24. (normally recommended at age 32)
  12. Run a FULL Thyroid panel (most only run TSH and Total Thyroid)(2)

 

  1. 1. https://www.endocrineweb.com/news/thyroid-diseases/thyroid-conditions-hair-loss-help#:~:text=What%20does%20thyroid%20hair%20loss,hair%2C%20and%20eyelashes%2C%20too.
  2. https://thyroidpharmacist.com/articles/need-know-thyroid-disease/
  3. https://www.cdc.gov/reproductivehealth/infertility/index.htm
  4. https://www.endocrineweb.com/thyroid-disorders-fertility

Weight Loss: Tried and Failed Goals Part 3

Poop

How does Pooping affect my weight?

In the last blog on the 25th of February, You may have noticed that I mentioned regular bowel movements as a way to loose weight. Or that not having 3 bowel movements a day can cause weight gain. So Why is this?

Constipation is the Devil when it comes to Detoxification

Constipation occurs when our food bolus byproducts move through the intestines too slowly. This can be caused by a bunch of different factors, so let’s go over a few.

  1. Dehydration:

    1. Your Body needs between 80-120 ounces of non-caffeinated Fluids a day, mostly from water.  You can have 4-6 ounces of juice or lemonade. Even the occasional Sprite or decaf root beer. But mainly, it should be water
    2. water helps bulk up stools so they can pass easier through the intestines
    3. Sticky materials move slower, so hydration makes them less sticky.
    4. Hydration is key daily throughout the, not all in one day or all at one time. I’ve heard many people say they drink 90% of their water before lunch, yet they still eat dinner. That meal has trouble making it through because less water is still available to move it.
  2. Poor Gut Microbiome:

    1. If your gut flora is out of balance you will crave more calorie dense, nutrient deficient foods
    2. The poor ability to have balance in the gut doesn’t allow certain types of foods to be broken down properly, thus poor nutrient absorption
    3. Poor nutrient absorption leads to Whole Food Pieces being present in the stool, making it stickier
    4. Can lead to IBS

How does Pooping decrease my weight

  1. Toxic Load is no longer High

    1. the number one reason you can not loose weight is that your body is storing toxins as fat.
    2. The environment, Food, Stress daily causes toxins to increase.
    3. Bowel movements, along with perspiration (Sweating) and Urination are the number one ways to eliminate Toxins
  2. You stop STORING that weight of your Poop.

    1. Some individuals carry up to 20 pounds of poop inside them
    2. Gas is not longer trapped, causing you to weight less, because the poop is exiting as well.
  3. Decreased Inflammation

    1. If you get rid of the toxins in your poo multiple times a day, there is less to cause inflammation
    2. You dont strain to go to the bathroom, decreasing the risk of inflammation, hemorrhoids and fissures in the colon/anus.

What other things cause constipation?

A variety of things can cause more constipation that the list above. Some of those include viruses. In June of 2016, the Yale Daily News reported finding that herpes type viruses, including shingles, epstein-barr and chicken pox, could cause constipation.

The Westchester Health Blog indicated that parasites are often linked with constipation. Bloating and gas as well as 8 other symptoms could indicate that you have a parasite.

A slow gallbladder can also cause constipation.

What should my Bowel movement look like?

Remember too that constipation can look a variety of ways. Difficulty going, not going enough, rabbit like pellets, stools that have lines, cracks or fissures.

Your Stool should be somewhere between the texture of a ripe banana to soft serve ice cream. It should take you less than 10 minutes to complete a bowel movement. You should not have to “bear down”, grunt or hold your breathe. And it should occur no less than 3 times a day, but optimally 4 times daily.

If you are interested in improving your Gut health and Poop Health, Schedule a Discovery Visit

Weight Loss: Tried and Failed Goals Part 2

What are other factors that affect weight Gain?

How many of you have tried a “detox”, “Cleanse” or a “reset”?

How many of you gained weight during that time?

I did. Every February for a decade, I did a 4 week detox and reset. I focused on getting 15 servings of vegetables, 3 servings of fruit, and 3 6ounce servings of Protein a day. I skipped the caffeine, cut out sugar and had NO PROCESSED FOODS.  The last two years that I did that cleanse I gained 12-14 pounds of fat in 28 days.

How do I know it was fat?

None of my pants fit. which meant it was abdominal weight gain. That weight gain is ALWAYS fat around the organs. It is also the most dangerous type of fat. Because it causes metabolic disorders like: Heart Disease, PCOS, Diabetes, Infertility, Menopause, Kidney dysfunction, Fatty Liver syndrome, etc.

So Why did it happen?

If you remember from last summer, I wrote a blog about Lemon water and detoxification. That Blog is important because it contains information about why we gain weight.

“The solution to pollution is dilution”

Your body only knows one way to “dilute” toxins. Toxins come from all over the place. The air, the food that we eat, The Body products we loose, The STRESS we don’t manage. IF your body can not get rid of the toxins, it will store it. The place it stores best, because it is the most binding area, is FAT CELLS. If your toxic load is too high, you will store in the fat cells.

If you are unsure what Toxic load is, Please read this blog 

What other things make you hold onto your fat, instead of burning it?

  • NOT Pooping 3 times a day

    • Failure to defecate a few times a day causes the toxins to be re-absorbed into the blood stream.
  • Hormone imbalance.

  • If your hormones are out of balance, particularly if you are estrogen dominant, No Nutrition Plan will work. IT is important to get hormone testing done each year after the age of 30, First Pregnancy, or infertility issues. So what hormones?
    1. Estrone (E1)
    2. Estrodial (E2)
    3. Estriol (E3)
    4. Testosterone Total and Free
    5. TSH
    6. T3 Free and Total, reverse
    7. T4 Free and Total
    8. TG Antibodies
    9. TPO antibodies
    10. DHEA-s
  • Vitamin D Insufficiency.

  • In 2011-2012, it was estimated that 82% of the poulation had vitamin-d deficiency. Why so prevalent? Insurance companies don’t cover the testing, but it should be done yearly starting at age 20 according to this study
    1. Vitamin D deficiency was labeled as having 25(OH)D3 less than 50nmol/L.
    2. In Functional medicine, we would like to see this number closer to 70nmol/L;
    3. but most physicians say that 33nmol/L is adequate because it falls in “normal range”.
    4. VitD is the number one vitamin used to repair ALL tissues and is the Backbone for every hormone produced in the body, including thyroid.
  • Thyroid dysfunction that is Misdiagnosed.

    1. Most physicians don’t order a TPO antibody test. This test can indicate AUTOIMMUNE thyroid, which requires a different medication than Synthroid
    2. Many people on Thyroid meds still suffer from poor sleep, foggy brain/memory, thinning hair and eye brows.
    3. Thyroid isn’t tested regularly, even with a family history, until age 32. If you have family history, start asking for it to be tested annually at age 20 or if you have irregular or heavy menstruation; Difficulty loosing weight, fatigue that seems excessive.
    4. Don’t settle for Normal ranges. The Clinical Range is too wide. The optimal range is much narrower:
      1. TSH 0.5-2.0 uIU/L (clinical 0.2-5.5)
      2. Free T4 15-23 pmol/L (clinical 9-23)
      3. Free T3 5-7 pmol/L (Clinical 3-7)
      4. Reverse T3 11-13 ng/L (clinical 11-21)
      5. TPO antibodies <20 IU/L (clinical <35)
      6. TG Antibodies <2 IU (clinical <35 IU)
  • GENETICS.

  • Your genetics can cause obesity for a variety of reasons. In this blog I cover some of the reasons. What is the most important thing to know? Only 5% of the world actually has a FAT gene. But, other genetic factors can lend to increased weight/mass on the body.
    1. Oxidative stress: In the world outside our bodies that looks like rust. On us it looks like dry, dull skin, wrinkles, inflammation and weight gain
    2. Inability to Methylate: your body uses B vitamins to produce and recycle some hormones so that your body has less stress. It also uses B vitamins as a methyl donor for Glutathione. This is the most important antioxidant that you can use in the body for tissue repair.
    3. Poor Detoxification Methods: Sometimes we are genetically set up to fail in Detoxification through the liver. This organ does 87% of detox in the body, so it’s important to support these pathways.
    4. Poor Lipid metabolism: some of us are predisposed to have the ability to burn fat and eliminate cholesterol. The only way to manage this is with a LOW FAT diet and exercise. These people DON’T respond to cholesterol medications.
  • Parasites, Mold, Heavy Metals

  • When most of us do a cleanse, we focus only on foods, but we forget things like metal fillings in our mouth. We forget that Parasites can come from ANYWHERE and can pass undetected until they cause a health crisis. Mold creates so much dysfunction in the body that it can not work on healing, it can only focus on fighting.
    1. It takes a different type of cleanse to get rid of these types of infections
    2. Lyme disease can be included here
    3. epstein-barr can be cleared through this type of cleanse.

If you have more questions about doing an in-depth cleanse, Let’s Talk. Set up a Discovery Visit Here.

Weight Loss: Tried and Failed Goals

Today, I want to talk about weight loss and health goals.

3/4 people set a goal of weight loss each January

According to consumer reports, 75% of Americans want to loose weight each year. 68% of them report they will use cardio to do it. But, as we should all well know by now, running on the treadmill won’t get the results you want.

Why Cardiovascular activity isn’t enough:

Let say that in a day, you take in 1800-2500 calories. Those calories start with a 480 calorie drink from Starbucks and some egg bites or an egg sandwich. Near 10 am, you have s light craving so you wander to the break room (read kitchen currently in this pandemic) and look at what’s available. You choose the one donut that is left.  At lunch time you think you’ll eat a bit healthier, so you grab a salad with a hardboiled egg, some bacon and avocado. Then you put on the ranch or blue cheese dressing that comes in the package. You also have a cookie at the end of lunch, because, hey, you ate healthy. you can cheat, Right? Then for dinner you have chicken and rice.

You calorie intake: closer to 2900; Fat intake: 108 grams; Carb intake: 178 grams; Sugar intake: 98 grams (15 is daily requirement); Proteins intake: 81 grams

This is the standard American diet (SAD for future reference).

“You can’t out run a bad diet”

This statement is more than true, but what is a good diet? How do I make adjustments? What Diets are not fads?

  • KETO: According to Wikipedia, the diet is high fat, adequate proteins,  low carb diet used in medicine to treat epilepsy. The diet brings the body into ketosis by having the liver convert fatty acids into ketone bodies that cross the blood brain barrier. Ketosis occurs in the absence of carbohydrates transitioning into glucose. The diet originated in the 1920s.
    • This brings up the question: what is adequate protein? Answer: 1 gram of protein for every pound body weight at a healthy weight. Avg female is 115g-145g/day Avg male 145g-190g/day. Keep in mind the body only absorbs between 28-40 grams at a time. And that can be based on activity level. After a strenuous workout your body will use more.
    • What is low carb: 75-100 grams.
    • Calories: 1 gram of fat = 9 calories; 1 gram of carb or protein = 4 calories.
    • Who should NOT do this diet: people that already have ketones in their urine due to diabetes, or other metabolic disorders. People with Kidney dysfunction, kidney stones, or kidney and bladder infections. People who lack a gallbladder, have high cholesterol or have pain after 30 minutes to 2 hours after eating.
    • When and how long might i do this diet: 6-8 weeks maximum to train to the body to burn fat for fuel. Then switch to High Protein Nutrition plans.
  • Calorie restrictive: 1200kcal
    • This diet again should be maintained for short periods of time because it can have health benefits, but also detriments.
    • You must focus on hitting your protein goal daily and not eating processed foods so that you can eat plenty of vegetables and 3 servings of fruit per day.
    • This Type of eating should be “Cycled” in a fashion of 6 weeks on 6 weeks off or 12 weeks on 12 weeks off, depending on how much weight you have to loose.
    • Daily goals: Protein 125, Carb 100 or less, fat 35-45 depending on carb intake.
  • Paleo: goal of 1800-3500kcal per day depending on fitness, age, sex
    • Originally posited as a healthier way to eat in 1890; Made famous in 2002 with the book “The Paleo Diet”
      • 5 Previous books also exist.
    • Goal is to eat absolutely No Processed foods, No Dairy, No Alcohol, No Salt, No Processed Oils, No Coffee, No Grains, No Sugar and No Legumes.
    • You can eat Honey and Pure maple Syrup when In Season only (think spring/summer.)
    • Fairly similar to the Mediterranean diet when looked at overall. Think 15 servings of veggies and fruit, 6 oz protein each meal. Almost no processed food. (although does allow alcohol and 2-3 oz espresso daily).
  • Mediterranean Diet: Goal of 1600-3500kcal daily based on activity levels and Weight loss goals.
    • Consume 6-8 oz of vegetables 3-4 oz of fruit 1-2 ounces of yogurt or cheese and 4-6 oz of fish, lamb, or bird (Chicken, Turkey, pheasant, quail, etc) each meal.
    • Snacks are fruit or vegetables, including olives and nuts
    • You can have 6 oz wine daily. 2-3 oz of espresso, without sugar and milk, daily
    • 1 serving of grains (unrefined) per day or 1/2 cup
    • Started as research in the 1960s regarding why Americans have more health concerns like heart disease, obesity, diabetes than Mediterranean European Counter parts.
    • Also shown to reduce risk of Depression, Alzheimer’s, Seizures, Cognitive decline.
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  • Intermittent Fasting: around since 1915, there are a variety of options: Calorie goals should still be 1600kcal-3500kcal on the feeding times based on activity levels, weight loss goals, age and sex.
    • 8:16: you limit eating to an 8 hour window and fast for 16. Many recommend starting to eat later in the day as dinners out are more likely social events than breakfast. You should still stop eating 3 hours prior to bed time, or 7pm; which ever comes first. So daily you would eat between 11am-7pm.
    • 5:2 You Pick 2 days out of the week to fast, not back to back in the beginning, and then eat in a 10 hour window on the other 5 days. (See Proposed Schedule below)
      • Sunday eat between 10am-6pm
      • Monday Fast
      • Tuesday Eat between 10am – 6pm
      • Wednesday Eat between 10am-6pm
      • Thursday FAST
      • Friday Eat between 10am-6pm
      • Saturday Eat between 10am-6pm
    • 6:1 This way has you fasting for 14 hours, eating for 10 hours for 6 days, complete fasting for 1 day.
      • Sunday eat between 10am-6pm
      • Monday Fast
      • Tuesday Eat between 10am – 6pm
      • Wednesday Eat between 10am-6pm
      • Thursday eat between 10am-6pm
      • Friday Eat between 10am-6pm
      • Saturday Eat between 10am-6pm
    • 2019 study showed reduced risk of
      • Obesity
      • Heart disease
      • Insulin resistance
      • Diabetes
      • High Cholesterol
      • High Blood Pressure and
      • inflammation.
    • Important things to note:
      • If you have a sweet tooth, don’t keep sweets in the house. You will pop those in your mouth first after a fast and undo the good you did by fasting.
      • Diabetics should always consult physician and monitor numbers regularly (every 2 hours) until the body adjusts to the schedule
      • Exercise will likely be impacted

Strength training is the best way to loose FAT

I am sure you have heard the saying “Muscle weighs more than fat”. Well, that is inaccurate. The truth is muscle takes up less room that fat of the same weight. By almost half. So if you want to loose fat and be healthier, you have to build muscles.

Another misnomer is that strength training makes women bulky. NOT TRUE. Strength training, when done correctly, can actually trim you down at the waist, bicep, thigh and calf. Instead of focusing on a lot of weight, spend 6 days a week doing weights with 4/6 2-3 sets of 15-20 reps. You will get great tone, no bulk and improved strength. I can attest to this. I’ve been lifting heavy 3 days a week for the last 18 months. My thighs have lost 1/2″, but I have gained strength in my squat, Hamstring curl and dead lift. The other 3 days I focus on lots of reps with very little rest. I also do no less than 20 min cardio to warm up each session. Did you see that? 20 Minutes. Then, on day 7 I do a recovery cardio day.

Recovery includes family bike rides, hikes, walks. A light easy swim, Walk on a treadmill if the weather is bad, Rowing machine. All of it at “conversational pace”. Meaning I could sing the national anthem while still doing the activity without much effort.

One TRUTH that you need to hear: Muscle takes energy to maintain. That means that even at rest, the more muscle you have, the more calories you burn.

Where Do I start with strength Training then?

I use an app where a coach guides me through a series of questions to determine the right programming. The app allows me to take pictures, Measurements, Weigh in, Track food, Track Reps and sets with weights of each activity prescribed. I can also write notes about sleep, how I felt, what stressors were present, etc.

There are a bunch of these fitness apps. Mine is $50/year. If you want the link, email me

YouTUBE. There is so much stuff out there. You can find a workout with sheets as the resistance. No other equipment required.

Ask a friend who already works out

Search fitness on instagram or FB

What about the TIME it takes?

If you can not carve our 40 minutes a day for yourself, look at your priorities. I own a business, work 50 hours a week, run an online business, have twin boys in separate sports, cook a family dinner EVERY night and I still exercise EVERYDAY. I don’t do much social media and I don’t watch TV. I am an avid reader (2-3 225 page books/week).

Health is My Priority. What is yours?

 

 

 

Vaccination, Injury Reports, Schedules and Allergies

Vaccines are NOT an attempt to harm our children

That being said, you can find a group for everything. 

There are people who believe that vaccines have caused autism, birth defects, and behavioral issues in all children and should be removed from the market. 

The truth is that some vaccines are causing a problem in SOME people. I am NOT an anit-vaxer, I am a firm believer that the schedule should be changed though. 

Vaccine Schedule Birth to age 18

According to the schedule, there are 26 vaccines prior to 18 months of age. 

As a new mom, I found this terrifying. Particularly because I had premature white male twins. One had a kidney problem at birth that we were aware of. The other was low birthweight, in the NICU and on Oxygen. There is a syndrome that has been nicknamed “Wimpy White Boy” that is due to a collection of data on premature babies. In the case studies, they found that premature white males of low birth weight or other complications were less likely to breastfeed, More likely to need interventions, More likely to have complications in later toddler years. 

What is wrong with the schedule?

Everything. Some of them specifically recommend not getting them if allergic to things like dairy or poultry. Yet these things are not introduced in the diet until one year of age. Why then, are we giving a vaccine at 3 months old?? How would you know if your child has an allergy if they have never had the product? Some of the vaccines also have mercury based preservative. Mercury thermometers were removed from the market because of the danger of ingestion. But we inject it into our children?? We are told to avoid fish while pregnant because the mercury content is too high. But we inject it into our children??

Mercury is known to have significant negative side effects on the development of children. It can cause neurological conditions. It has significant negative effects on the digestive tract and immune systems. Mercury has also been reported to negatively affect Lungs, kidneys, skin and eyes. Yet we inject them with this substance 26 times before 18 months. 

What is Herd Immunity?

Herd immunity is the tipping point at which the “herd” is protected because a specific number is vaccinated for/against or has had a virus. This innate protection comes because the carrier’s bodies fight off the disease and can then protect those unvaccinated. 

The rate at which herd immunity is achieved varies by disease and ranges from a need of 33% to 95%. That is a big number on the high end. The other problem is that Anti-Vaxers will tell anyone who will listen that Herd Immunity is only achieved by obtaining the disease, not through vaccination according to studies in cattle. 

If Herd immunity is needed to eradicate disease, what are the follow ups?

Vaccine Schedule Adult 19+

Did you know you should be re-vaccinated? Multiple times? Did you know there was a schedule? If you are pro vaccination, did you get your most recent shot? Did you ask your primary care doctor what was recommended? Did you talk about family planning and when you should or should not get certain vaccines? 

Maybe it’s time. 

You can have a test called a titer test run to see if you are lacking antibodies for specific vacinatable diseases. The question is, Will you?

If you have a child under age 5 did you require everyone coming into contact with your child to get the whooping cough vaccine? I did. And thank goodness. When the Twins were 5, my in laws both contracted the disease from friends. Luckily my husband and I as well as our twins were vaccinated against the respiratory illness. 

Fast Tracked Vaccines. 

Are they safe? I am not so sure either way. What I can say is that most of the vaccines in circulation today have lots of testing behind them. Some of the researchers of a specific vaccine have said they’d rather chance the disease than the vaccine. The vaccine was pushed to market too quickly. This one for COVID-19 will be a true test of the medical system because our Frontline Workers will be the first to be given the vaccine. The second round will be the elderly over age 65. Then they will look at who is next. I am not sure I will say yes to this one. I say no to the flu vaccines. I do that because the last time I had one, I was hemorrhaging 12 hours later and almost miscarried. With a previous flu shot i was not so lucky. I have already contacted the kids school to opt out of this vaccine for them as well. 

This is a serious decision you need to make for you and your family. 

This blog is not an attempt to profile anyone. It is an attempt to educate. If you are not sure what vaccines are safe for you and your family, ask. If you are unsure what steps you should take, set up an appointment and ask the tough questions. 

Do Your Research! From websites that are giving facts, not social media. 

Stay healthy out there!!

References:

Please be sure to FACT Check all information that you see. 

Most information for this blog was taken from the CDC WebSite. 

FDA.gov/media/140161/download

FDA.gov/media/143737/download

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862331/#:~:text=The%20most%20significant%20of%20these,intervals%20averaging%20approximately%2040%20years.

Incentivized Payments in This Pandemic

There is a Huge Argument between Healthcare and Sickcare in the United States.

Many Americans are having trouble distinguishing what healthcare actually is. They pay for an insurance company to cover the bills that they have regarding health, but every year it covers less and less. They don’t feel like they have options to choose providers that are listed as being the best. They feel like they are strangled in choosing a procedure, prescription, and even if they should get testing done to see if a medication or procedure is necessary. The hoops one must jump through to achieve a diagnosis take longer and longer each year. The insurance layers to gain access to appropriate care or the prescription that the physician recommended instead of some other brand or different drug has affected the ability to recover.

Unfortunately, SARS-COV2 may be even worse.

On March 27th, 2020 information was released that was part of the COVID19 Stimulus Bill. It reported that facilities would receive 20% more than typical reimbursement for positive COVID19 cases. If such a case ended up on a ventilator, the increased in reimbursement with be $39,000. 3x’s the normal reimbursement. Senator Jensen of Minnesota said in a statement on April 8th,

“Nobody can tell me after 35 years in the world of medicine that sometimes those kinds of things impact on what we do.”

He did later say that he doesn’t believe that all decisions were made based on this reimbursement, but he believes that cases are over reported. There were some indications that he believes that the Point of Care cases were over reported and flu cases under reported.

IF you remember the blog from Nov 30th, I talked about the different types of tests. The most common test done does not rule out the common cold or flu. It simply tests for all coronavirus.

So, if this is true…..the number of cases of the flu are under-reported, cases of SARS-COV2 are over reported and we are not being cared for the way we need or expect as the American Public.

A Nurse comes Forward

On May 5th a nurse from Nevada, who had willingly traveled to New York to help relieve some of the stress of overwhelmed medical providers, put a video up on YouTube.

In the video she claims that they are murdering people in the most affected low income, minority hospital in New York. She talks about the fact that people were being defibrillated while they still had a pulse of 40BPM. This is significantly contraindicated and will cause cardiac arrest (heart stop). She states that a patient died waiting for an x-ray because the ventilator tube was not in place. They could not breath on their own. She told the anesthesiologist and the warning went ignored. There is also the discussion about the pressures on the ventilators being higher by 20% than they should be given normal human lungs. Reporting on a case where a feeding tube was placed into the lungs instead of the stomach as well. The mother of two traveled from Nevada to New York to assist. Like hundreds of others. She said that they had plenty of assistance by the time of the video and yet mistakes that were being blamed on over worked and too tired were simply negligence and mismanagement.

This woman was not the only one affected. The protocols placed by administration of the hospitals were not what most of the providers thought were a good idea. There have been an increase in Medical Provider suicide since the start of COVID-19 protocols.

Protocols to improve Finances don’t always mean Best Care

This past decade has brought about more and more Direct to Patient Care, Concierge or Hybrid type Practices. There are some who will say that this shift was due to the ACA Healthcare Bill, but as a provider, I Know it is about more. I have had the opportunity over the past 4 years to interview physicians and other providers who have made the switch. The common theme among them is that they have to see too many people and they don’t actually get to practice medicine anymore. The Popularity of Alternative Medicine currently also paints the picture of what Americans Desire.

Physicians don’t want to see 30 patients a day, neither do physical therapists, surgeons, cardiologist, chiropractors, etc. Yet with declining reimbursement, more hoops for pre-authorization and less autonomy when recommending medication and protocols, this is reality. That is why so many are jumping ship and quitting the profession entirely or moving to concierge direct to patient models.

What happened to that new disease Vaping Lung? or even Influenza?

Do you remember back to January of 2020 the stories of vaping lung disease that was affecting young people. Particularly those who used flavored vape pens? What ever happened with that? My guess is that some of the negative tests where people have died of respiratory symptoms, have been attributed to COVID19, even if it was this instead. Senator Jensen believed this was the case of a 38 year old male who tested negative twice, did admit that he vaped, died of respiratory symptoms, but cause on Death Certificate was attributed to COVID-19.

It also seems that no one has the traditional flu anymore, even though we can trace influenza A and B outbreaks back to 1889 with certainty, and likely back 500 years.

 

Do Your Research! From websites that are giving facts, not social media. 

Stay healthy out there!!

 

References:

Please be sure to FACT Check all information that you see. 

Most information for this blog was taken from the CDC WebSite. 

 

FDA.gov/media/140161/download

FDA.gov/media/143737/download

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862331/#:~:text=The%20most%20significant%20of%20these,intervals%20averaging%20approximately%2040%20years.

Voted Best of Greenwood Village 4th Year Running!

Press Release

FOR IMMEDIATE RELEASE

Agility Physical Therapy and Sports Medicine Receives 2020 Best of Greenwood Village Award

Greenwood Village Award Program Honors the Achievement

GREENWOOD VILLAGE July 14, 2020 — Agility Physical Therapy and Sports Medicine has been selected for the 2020 Best of Greenwood Village Award in the Doctors of Physical Therapy category by the Greenwood Village Award Program.

Each year, the Greenwood Village Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Greenwood Village area a great place to live, work and play.

Various sources of information were gathered and analyzed to choose the winners in each category. The 2020 Greenwood Village Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Greenwood Village Award Program and data provided by third parties.

About Greenwood Village Award Program

The Greenwood Village Award Program is an annual awards program honoring the achievements and accomplishments of local businesses throughout the Greenwood Village area. Recognition is given to those companies that have shown the ability to use their best practices and implemented programs to generate competitive advantages and long-term value.

The Greenwood Village Award Program was established to recognize the best of local businesses in our community. Our organization works exclusively with local business owners, trade groups, professional associations and other business advertising and marketing groups. Our mission is to recognize the small business community’s contributions to the U.S. economy.

SOURCE: Greenwood Village Award Program

CONTACT:
Greenwood Village Award Program
Email: PublicRelations@2020-communitybestinformation.com
URL: https://www.2020-communitybestinformation.com

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Toxic Load: What is it and How Do I Fix it?

Toxic Load refers to the Accumulation of toxins in the body from ingesting them in the air we breath, food we eat, water or other things we drink and exposure to chemicals from lotions to cleaners. Toxic load is further affected by Genetics. If we have failed or broken Toxic removal pathways, Our ability to tolerate toxins is lower.1

What does that mean for you? Well, A lot of people don’t realize that they are exposing themselves daily and what to do to reverse exposure. If you use pesticides, household cleaners from a brand store and eat non-organic GMO food, you are exposing yourself. You also expose yourself to toxins if you live in an area with high radiation, overhead power lines, poor air quality and Highly dense cities. People who live in the mountains and countryside have fewer daily toxin exposures from city persons, but they may use chemicals in farming or farming equipment that cause a toxin load to increase. =

Toxin Build Up in the body has been linked to cancer, autism, neurocognitive decline and Mental health issues.3 It also leads to chronic autoimmune conditions. Many people can reverse simple disorders with doing a full metabolic detox. The most

common thing to start with is increased water intake. If you have high exposure to toxins in your environment, You should aim to drink 100 oz of water a day. If you are exercising, particularly outside with poor air quality, aim for 120oz per day.

Let's talk about Bathroom habits:

Many people think it is not a problem that they only poop 1-2 times a week, but that lack of excretion causes a lot of toxins to build up in the gut.(4) The gut bacteria then start to grow out of control for the bacteria that make you crave more unhealthy foods and sugary drinks. They can actually tell your brain that you don’t like vegetables. Unbelievable right? Read the book the Gut Brain. It goes in detail about healthy gut bacteria and healthy brain function. There is even some research to suggest that people with poor gut bacteria

are more likely to be overweight than people with good gut bacteria.7

Urine is a great way to get rid of toxins as well. Your kidneys filter out some things that are not processed by the liver and things that are processed by the liver and concentrate the urine to get rid of the un-needed items. They also have the ability to filter out toxins and concentrate them into the urine and push it out. Going Pee, every two hours is a normal amount, which means that you need to drink enough water to get to the bathroom every two hours.

So what if we could help you with Bathroom habits and Detox and get your body supported in a Natural way?

Digestive enzymes are a great way to improve bathroom habits. A lot of people have concerns about probiotics, because they have heard mixed reviews about them. The problem with probiotics is this: Not all are created equal, just like supplements. You want to go with a refrigerated Probiotic in most cases. One that is not stored in Sugar (think yogurt). If you don’t want to go Probiotic route, go with digestive enzymes and Prebiotics. These things help break down food so you can better absorb it. This then makes it so that you can ease bathroom habits.

Another Way to detox is drinking Lemon in the water, particularly in the morning and keeping it warm. Not hot, But warm. Lemon has high levels of limonene in it, which helps the liver detox well. Another way to help with detox is to do a cleanse. That cleanse can be for the Gut, the Liver or the Kidneys, but typically they all go hand in hand. A typical cleanse can go from no less than 10 days up to 90 days. It depends on the toxic load. 10 days can help you clean out, 23 helps you actually detox and form habits, 90 days will restore your health. This is the primary way that you start to reverse damage to the body.

The hardest part about a cleanse is Budget. Whether it is time or money, budget is the most common complaint. Often, I will also hear “I can not eat like that because my family doesn’t like it”. Well, If your family is eating the same as you are right now, what is their toxic load? Are you wanting to start the family out with poor health or great health? 90 days to change the eating habits and health of your ENTIRE FAMILY. Can you imagine the benefits? Less physician visits. Less medications. What does that cost you?

Essential Oils can also help with Detoxification as well. Lemon,

grapefruit, Cinnamon, Peppermint, Anise, fennel, Ginger, Caraway, coriander and Tarragon all help with Digestion motility. Increasing Digestive motility increases the body getting rid of toxins.

So what detox is right for you?

That is subjective, but in general, the goal should be to eat 100 grams of protein, 5 servings of fruit (½ cup each) and 7 servings of vegetables (½ cup each) with most being organic. Also, 100-120oz of water daily. Snacks to a minimum and healthy fat like a ¼ cup of nuts or ½ avocado with salsa.

Message me for more information about regaining your health.

References:
  1. Nutr Today. Author manuscript; available in PMC 2017 Jul 1.
  2. 1) Jones OA, Maguire ML, Griffin JL. Environmental pollution and diabetes: a neglected association. Lancet. 2008 Jan 26;371(9609):287-8./li>
  3. (2) Lang IA, et al. Association of urinary bisphenol A concentration with medical disorders and loratory abnormalities in adults. JAMA. 2008 Sep 17;300(11):1303-10.
  4. (3) Environmental Working Group “Study Finds Industrial Pollution Begins in the Womb” (www.ewg.org/reports/bodyburden2/newsrelease.php)
  5. (4) McCallum, J.D., Ong, S., M Mercer-Jones. (2009) Chronic Constipation in Adults: Clinical Review, British Medical Journal. 338:b831
  6. (5) National Institutes of Health (https://digestive.niddk.nih.gov/ddiseases/pubs/constipation/)
  7. (6) Crinnion, WJ (2011) Sauna as a Valuable Clinical Tool for Cardiovascular, Autoimmune, Toxicant-induced and other Chronic Health Problems, Alternative Medicine Review 16(3): 215-225
  8. (7) Published in final edited form as:Nutr Today. 2016 Jul-Aug; 51(4): 167–174. doi: 10.1097/NT.0000000000000167 The Gut Microbiome and Its Role in Obesity. Cindy D. Davis, Ph.D.

Lemon Water: The Good, The Bad and The Ugly

What are the benefits and Negatives of Drinking Lemon Water daily?

 

 

Research suggests that the average female needs 91 oz of water while the average male needs 125oz of water daily,  But it’s so bland. So how do you get it in? What about flavored water or water with something added to it? 

 

The most common fruit placed in water is Lemon, and with good reason. The question is, is it for your betterment or does it cause harm. Well, just like anything, too much of a good thing is too much. Use best Judgement and guidance from multiple providers, including your dentist. 

 

So what is Lemon Water Used For? 

Ayurvedic medicine has long stated that lemon in the water plays a role in detoxification, hydration, weight loss, digestion, improved skin quality, prevention of kidney stones, and it’s a good source of Vitamin-C.  But which of those hold water?

Turmeric powder,Turmeric in Mortar Grinder drugs and ingredient herbs on wooden background

It turns out that most of it is correct. In a study published in 2016, they looked at the benefits of using lemon water with honey in it to decrease lipid profiles. 50 people participated and the results were conclusive. The Fat weight of the person decreased, Triglyceride levels went down and Free Fatty Mass decreased. The questions for the researchers that I have is in part around the fasting and in part around subject numbers. Intermittent fasting is also shown to improve Free Fat Mass and triglycerides, so is it a side effect of just that, or is it actually the lemon in the water? 

 

If i was not convinced that it had to do with the lemon in the water, a 1014 study with 100 participants showed similar results. They added daily walking for 20 minutes as a component of their study though, and took out fasting. 

 

The most conclusive results that I could find were in a 2019 study looking at changes in the gut microbiome and longevity. That study showed that microbial activity of bacteria that help the body break down and digest food was increased by 10% -30% depending on the individual’s microbiome at the start of the study. They showed that the persons had more energy and then they also were looked at over a period of ten years. They tested at younger ages via blood work, mental cognitive tests and agility than same aged peers. 

 

So why do some think it is harmful to drink lemon water? The answers might surprise you. 

Most of the time, we don’t think about washing fruits that we peel, but they can be a significant host for things like e.coli, staph and MRSA. One study of 20 restaurants across the US showed that almost all of the oranges and lemons contained at minimum E. Coli on the skin. You don’t want to stick that in your water (or beer).When it comes to restaurant lemons and oranges, Squeeze them into the drink, but leave the fruit on the plate please. 

 

Lemons are acidic in nature, so they can irritate the skin, gums and cold sores or canker sores. The American Dental association recommends that you stay away from them in those instances. Also, if you have weak tooth enamel or start to notice your teeth feel rough when you run your tongue over them, re-consider your flavor of water. That acidity may also play a role in GERD. While some people get a benefit for their heartburn from lemon water, others can suffer because the pH balance in the stomach is upset by trying to balance out the acidity of the lemons. 

The last thing you may want to consider is about migraines. If you are unsure of your triggers, check citrus fruits specifically when you know you have some down time. Getting a migraine at work because you drink lemon water is not a good plan.

 

That’s all for now, Check back later for more health news!

 

Effects of Lifelong Intake of Leon Polyphenols on aging and intestinal microbiome; Shimizu et al. sci rep. (2019)9;3671
Effects on 8P of Daily Lemon intake and Walking. Y.Kato et al. J. Nutr. Metab. (2014)2014:912684
Does Short Term Lemon Honey Fasting Have Effect on Lipid Profile and Body composition. J. Ayurveda Integ Med (2016)Mar; 7(11-13).

What Role do Genetics Play in Pharmacology?

Ever Had a bad experience with a Prescription?

Ever thought it was an allergic reaction to a medication?

In 2017 I had a significant abdominal surgery that required me to take pain medication, anti-inflammatories, and Antibiotics. The Surgery was supposed to help with a significant abdominal umbilical hernia. It occurred on a Wednesday, and by Monday, I was having a significant reaction to the Pain medication, where my FACE went NUMB. Talk about scary.

Leading up to the surgery, I had taken part in 2 appointments where I discussed previous bad reactions to the pain medication and talked about my concerns. They told me it was a necessary evil in this case so that I could sleep. The Morning of Surgery, After long discussion with the Anesthesiologist, He asked If I had testing done to look at my response to different drugs. At that time, I didn’t even know that was a thing that could be done.

The News media and Medical Media lately has talked a lot about epigenetics, Epigenomics and now, we are starting to hear about pharmacogenetics. Pharmacogenetics can be done through DNA testing to specifically look at your genetics and how they might react to specific types of drugs. They can allow for better dosing, Better drug choice, so there is less guess work, And over all better outcomes. Pharmacogenetics can also help in looking at how some people may become addicted and others not to things like Marijuana, which the Prop 64 group in Colorado would have us believe is not possible.

Pharmacogenetics can also let us know when it might be time to change a drug, because the Epigenetics/Epigenomics, or the Environmental Factors that cause the genes to change, may have been affected over long term use of specific drugs. These drugs can be related to addiction treatment, Pain Management, Mental Health Disorders (Bipolar, Schizophrenia, Depression), Autoimmune Logical Drugs including Chemotherapy.

Along the line of Epigenetics/Epigenomics, there is a specific testing that can be done that supports your DNA sections. IT looks at what will optimally support your health and with that information, we can create a supplement that is SPECIFIC to you. Repeating the test about 6 months after initial testing and consuming of those supplements is recommended due to the changes you could potentially make. Then every year.

 

Why would you need a DNA specific supplement? Colorado has one of the highest levels of radiation exposure in the continental US. Specifically, We have a lot of naturally occurring Uranium and Radon. Both of those are known carcinogens. Also, think about how much and what type of sunscreen you apply every year in Colorado while enjoying the outdoor lifestyle you love. Chemical Barriers are more likely to interact with the radiation from the sun to create mutation of cells. It starts at the Skin level, But Quickly spreads to the body as the skin is an organ that ABSORBS things you put on it.

 

If you have questions about how DNA Testing can improve your health, life and longevity, Don’t Hesitate to reach out!

 

References:

*https://dnalife.academy/dna-health/

*Recent developments in genetic/genomic medicine, Rachel H. Horton and Anneke M. Lucassen, Clin Sci (Lond). 2019 Mar 15; 133(5): 697–708.Published online 2019 Mar 5. Prepublished online 2019 Feb 27. doi: 10.1042/CS20180436

*Pharmacogenomics in the treatment of mood disorders: Strategies and Opportunities for personalized psychiatry; Azmeraw T. Amare,1 Klaus Oliver Schubert,1,2 and Bernhard T. Baune1; EPMA J. 2017 Sep; 8(3): 211–227.Published online 2017 Sep 5. doi: 10.1007/s13167-017-0112-8
*Future Trends in the Pharmacogenomics of Brain Disorders and Dementia: Influence of APOE and CYP2D6 Variants; Ramón Cacabelos,1,2,* Lucía Fernández-Novoa,1,2 Rocío Martínez-Bouza,1,2 Adam McKay,1,2 Juan C. Carril,1,2 Valter Lombardi,1,2 Lola Corzo,1,2 Iván Carrera,1,2 Iván Tellado,1,2 Laura Nebril,1,2 Margarita Alcaraz,1,2 Susana Rodríguez,1,2 Ángela Casas,1,2 Verónica Couceiro,1,2 and Antón Álvarez1,2Pharmaceuticals (Basel). 2010 Oct; 3(10): 3040–3100.Published online 2010 Sep 29. doi: 10.3390/ph3103040
*Some observations on the role of environment and genetics in behaviour of wild and domestic forms of Sus scrofa (European wild boars and domestic pigs)S Robert, J Dancosse, A Dallaire – Applied Animal Behaviour Science, 1987 – Elsevier