Tuesday 20 November 2012

Could A Leaky Gut Be Making You Fat?




Weight control is a major health issue. Not only can it be emotionally stressful (as body image is so closely tied to how we feel about ourselves) but being overweight is a major risk factor for all chronic illnesses, including heart disease, diabetes, arthritis, and cancer. 
Many people trying to lose weight notice that diets work for a short time but often the restrictions become unrealistic to maintain for life. We can only calorie cut, point count, and carbohydrate avoid for so long. Then we fall off the wagon – HARD – and quickly put back the pounds we’ve lost and sometimes more.
Is there a way to enjoy food without stressing about every single morsel we put in our mouths and still maintain a healthy body weight? Can healthy foods contribute to weight gain?
The digestive tract is a hollow tube from the mouth to the anus. Each organ and tissue along the tract is designed to perform a specific function – the upper structure (mouth, tongue, teeth) help break food down into smaller portions. Saliva is produced to help moisten the food and allow for passage thru the esophagus to the stomach. The acidic juices of the stomach mix with these food particles, breaking them down even more. Enzymes from the pancreas and bile from the liver and/or gallbladder target specific macronutrients (fat, carbohydrates, protein), helping to break them down to their simplest forms. In the small intestine, the simple nutrients are absorbed thru the lining of the digestive tract. A healthy small intestine is equipped with a variety of mechanisms to protect the body from unwanted invaders. Mucous production and an army of healthy bacteria are especially important defenses. From the small intestine, the remaining indigestible food stuff enters the large intestine where water is absorbed. The formed waste is eventually eliminated with a bowel movement. 
The balance of this intricate system can be thrown off by a variety of things. Infections, food poisoning, medications such as NSAIDs, acid inhibitors, and antibiotics, and FOOD SENSITIVITIES negatively influence enzyme and mucous production and can disrupt the level of healthy bacteria. They also trigger inflammation in the lining of the digestive tract. Without proper enzyme production, larger food particles get into the small intestine. Without the mucous lining and helpful bacteria, the small intestine is left defenceless and the food particles are able to irritate the cell lining. Then we add more irritation from food triggers/sensitivities. We eventually end up with a vicious cycle and a syndrome known as Leaky Gut.
Remember that the small intestine is where most absorption occurs. If the lining of the small intestine is disrupted and the spaces between the cells increase, larger food molecules are able to get into the blood stream. Not only can we experience symptoms on a local level (heartburn, stomach pain, bloating, diarrhea or constipation), we can also experience more systemic complaints (headaches, fatigue, pain, weight gain). 
Big surprise: most of us have some degree of leaky gut. This is true even for those of us who eat “well”. If we do not heal the gut and identify our food triggers, the cycle will continue and the weight may never come off.
Food sensitivities are typically mild reactions to food that are hard to identify. Symptoms such as bloating, digestive complaints, and puffiness can be related to food sensitivities. Generally, however, weight loss can be extremely difficult, if not impossible, until food sensitivities are identified and eliminated.
5 WAYS TO HEAL A LEAKY GUT AND ACHIEVE HEALTHY WEIGHT
  1. Chew. Chew. Chew. Become conscious and considerate of your digestive system. Do what you can to support it. The more mechanical breakdown we do with our teeth, the more help we offer to the rest of our digestive organs. Eat mindfully. Enjoy your food.
  2. Support digestive enzymes. Enzymes are essential for proper food breakdown and for protection against microbes that enter the digestive system with our food. Digestive bitters, such as gentian root, lemon juice and peel, dandelion, and artichoke, stimulate enzyme production.  Enzymes are also available in capsule as a supplement.
  3. Support mucous membranes. The lining of the digestive tract is a barrier to the outside world. We really only want essential nutrients to pass thru, and therefore, need to support the protective mucous membrane. Soothing herbs such as slippery elm and aloe vera are wonderful mucous supports. 
  4. Support good flora. Our helpful bacteria are essential for life – they are necessary for proper digestion, immune function, and defence from opportunistic infections such as Candida. Fermented foods such as kefir, unpasteurized sauerkraut, tempeh, and miso are good sources of probiotics. Good bacteria feed off fibre, so having a high fibre diet will maintain optimal levels.
  5. Avoid irritants/trigger (NSAIDS, antibiotics, food sensitivities). It’s not always possible to avoid medications, however identifying food sensitivities and following the above guidelines will reduce the need for them. In non-emergency situations, it is always helpful to discuss natural alternatives with your Naturopathic Doctor. In the case of food sensitivities, there are 2 ways to identify problem foods: 
    • Many labs offer blood tests. One that we use at The Pear Tree is Rocky Mountain Analytical IgG test. This test does not identify food allergies but food sensitivities. Food sensitivities involve the immune system as IgG antibodies attach themselves to food proteins and create a complex. Normally, our immune system can handle and remove these complexes without much of a problem. If the system is overwhelmed (ex. continuing to consume the trigger food, consuming in large quantities OR in combination with a leaky gut) the immune system cannot remove them effectively and they begin to accumulate. An accumulation of these complexes in our tissues cause inflammatory processes which have been linked with a variety of chronic health concerns. IgG food sensitivities have been implicated in migraine headaches and irritable bowel syndrome (alternating diarrhea and constipation). Bloating and indigestion are also common food sensitivity reactions, as is fatigue. Continued consumption of reactive foods may contribute to weight gain and/or difficult losing weight. 
    • Because IgG food reactions take hours or days to develop, this makes it difficult to determine which food is responsible for the reaction without doing testing, however, another common method used to identify food sensitivities is an elimination diet. This diet works by removing more common triggers (wheat, sugar, dairy for example) for a period of time and then reintroducing the foods one at a time. Both approaches have pros and cons that you can discuss with your naturopathic doctor.

Achieving healthy weight is an essential part of any wellness program and involves much more than calorie counting. Identifying food triggers as well as becoming informed about healthy food and lifestyle choices must be part of the plan. Although these changes aren't necessarily easy, having individualized information about what foods work best for you can take some of the bumps out of the path. Speak to your naturopathic doctor about options that will continue to work for you long-term.

Thursday 15 November 2012

A Naturopathic Approach to Seasonal Affective Disorder


It is hard to deny it - weather impacts mood. We are more likely to feel happy on a sunny day and “blue” on a rainy one. 

Every change of season brings with it factors that influence our mental and physical health. Time change, shorter days, temperature shifts, pollen release, etc. 

Perhaps the most significant seasonal change for Canadians occurs as fall ends and winter begins. 

Our bodies respond to light in many ways - seasonal variations in light directly impact our internal biological clocks. These clocks regulate neurotransmitters, hormones, and other messengers in the brain that control sleep, mood, and appetite. During the winter months, shorter days and less time outdoors can disrupt these messengers, and can lead to a condition known as Seasonal Affective Disorder (SAD).

None of us are immune to these seasonal changes and it is estimated that as many as 1 in 5 people suffer from some form of season mood disorders. Mild symptoms may be known as the “winter blues”, however some Canadians develop more severe signs including depression, fatigue, weight gain, and irritability. 

The secretion of two brain messengers, serotonin and melatonin, are of particular importance in terms of Seasonal Affective Disorder. Serotonin is the “happy hormone” and has a direct influence on brain cells related to many body functions, including mood, appetite, sleep, and libido. Melatonin is best known for its influence on sleep. The concentration of melatonin in blood is dependent on light exposure - light actually slows or stops melatonin production, while darkness boosts levels. It is thought that many of the symptoms associated with SAD are the result of too much melatonin and not enough serotonin. 

A basic naturopathic approach works to support balance between the two.

1) Exercise - stimulates endorphin and serotonin secretion. Endorphins are a group of neurotransmitters that activate opiate receptors in the brain. The response includes feelings of euphoria and pain reduction. To get the most out of your exercise, choose activities you enjoy (yoga, swimming, dance classes, etc).

2) Sleep Routine - Unwinding before bed and setting the intention for a restful sleep are important steps as part of a sleep routine. Darkness during sleep is essential. We are constantly exposed to a number of artificial light sources (computers, TVs, indoor electricity) that can disrupt our melatonin cycles. To ensure you get the best quality sleep (during winter months or otherwise), support appropriate melatonin production by avoiding exposure to artificial light sources near bedtime and by making your bedroom as dark as possible.

3) Get outside - aim for a minimum 20 minutes per day of outdoor time, ideally just after sunrise, to help boost serotonin levels and vitamin D production. Vitamin D is the sunshine vitamin that is produced by the body in response to UV rays from the sun. Vitamin D is directly linked to serotonin production and plays an important role in mood balance.

4) Acupuncture - a time tested technique shown to boost endorphins and bring the body into balance. Acupuncture is a safe and effective way to address many of the symptoms associated with SAD, including anxiety, depression, irritability, and food cravings.

5) Diet and Supplements - Omega 3s, Vitamin D, Probiotics, and melatonin boosting foods and supplements are helpful in reducing the symptoms of SAD. For an individualized plan, consult your Naturopathic Doctor.


Although, especially as Canadians, the shift to winter comes with the most significant seasonal changes, mood changes are possible during other times of the year. A wellness journal is a great way to pick up patterns in your health, which you can then discuss with your Naturopathic Doctor.

Dr. Melissa Blake is a licensed Naturopathic Doctor with a family practice at The Pear Tree Naturopathic Clinic in Dieppe, NB. She is passionate about educating her patients so they are able to make informed decisions about their health and wellness. She is a member of the Canadian Association of Naturopathic Doctors and Vice President of the New Brunswick Association of Naturopathic Doctors. She can be reached at 506-857-1300 or by email: thepeartreenaturopathicclinic@gmail.com. She also maintains a wellness blog: http://drmblake-nd.blogspot.ca

Monday 5 November 2012

Family "Treats"


**Note: sometimes I focus on what we shouldn't be doing (ie. my last post on Halloween...major theme: don't eat sugar). There are so many positive things happening in our local communities. Let's make that the focus :)


“Treats” For You and Your Family
It’s interesting how quickly children associate food with fun – think Halloween, Easter, Christmas. Here are some fun ways we can reward our children (and ourselves) with non-food treats:

·         Fall walk – bring a rake and even if it’s not in your own yard, make a pile of leaves to jump in. Take a few leaves home and make a craft. http://www.momtastic.com/parenting/activities/170411-10-fall-leaf-crafts-to-do-with-kids

·         Carve a pumpkin and toast the seeds for a tasty snack


·         Halloween or not, always have costume items on hand (aka tickle trunk) for dress-up fun. Adults love this too!

·         Make play-dough


·         Start an indoor herb garden


·         Using the herbs you’ve grown, make your own massage oils and give each other foot and/or back rubs J


·         Visit a local farm



·         Check out an event at the YMCA or other community centers in your area.





·         Visit your local farmers’ market





·         Take pictures of any of the activities above and start/add to a scrapbook.


 

 

Thursday 1 November 2012

Not to be a party-pooper but....

This Halloween was the first that I’ve had where my daughter was actually able to participate with awareness and it’s official, I’m not a fan. In truth, I never been a big fan of the holiday - other than attending a costume party with friends, we were the house with the lights off. As a Naturopathic Doctor it just didn’t feel right to hand out sugar loaded treats to young children during the peak of cold and flu season and my interest level wasn’t high enough to put an effort into healthier alternatives (and risk the egg throwing that may come afterwards). 

I didn’t see any costume this Halloween season that is scarier than a concerning health trend: diabetes. It bugs me that we as a society continue to promote trick or treating while kids (and our health care system) are suffering because of it. 

Normally, when we consume food, our bodies digest the food items into their most simple forms. In the case of carbohydrates the end result is glucose. Once glucose is absorbed into the blood stream, the pancreas produces a hormone known as insulin. Insulin is the signal for cells in the body to open their doors to glucose. Our cells use glucose as energy. 

Type 1 diabetes occurs when the pancreas does not produce insulin. This causes a build up of glucose in the blood. High levels of glucose in the blood stream can damage a number of body tissues, especially brain, kidney, and eyes. Type 1 diabetics require diet/lifestyle modifications as well as medication to treat their disease. The specific cause of Type 1 diabetes is unclear, however, it is not linked to lifestyle and diet factors in the same way as Type 2. 

In Type 2 diabetes, the same process happens - glucose is not getting in to the cells like it should. However, the reasons are different. Type 2 diabetes is progressive and preventable. In the beginning, it is usually the result of too high blood sugar too often. The pancreas “burns out” and slows its production of insulin. The cells also become immune to the insulin message and begin to ignore the signal. The pancreas becomes overstressed and eventually stops working. 

Type 2 diabetes was once considered an adult disease, hardly ever occurring in children. Today however, the number of adolescent and childhood cases of Type 2 diabetes is growing. Recent research suggests that one in every three children born in North America after 2000 will be diagnosed with diabetes in their lifetime. Even more alarming is that in the next 15 years, it is anticipated that the global incidence of type 2 diabetes in children will increase by up to 50 percent! For a disease that was once only seen in adults, these statistics are scary. 

The development of type 2 diabetes is closely related to obesity; about 95 per cent of children with type 2 diabetes are overweight at diagnosis. Given that the proportion of Canadian children who are overweight has tripled in the last 30 years (now approx. 1 in 4 kids under 17 are overweight), it is not surprising that incidence of type 2 diabetes among youth is rising. The exciting news is that Type 2 diabetes is preventable! With basic lifestyle and diet modifications, we have the ability to change these statistics. 

Follow the steps below to reduce your risk of Type 2 diabetes: 
1) Get moving. Exercise prevents obesity and helps lower blood sugar levels. Kids need exercise as much as (and maybe more than) adults. Ensure 1 hour of activity every day. 

2) Get adequate Vitamin D. Low vitamin D levels are linked to Type 2 diabetes and insulin resistance. If it’s not possible to get your dose from sunshine, ask your Naturopathic Doctor on how best to supplement this essential vitamin. 

3) Reduce sugar intake. Try to avoid all refined sugar (candy, pop, chocolate bars). Sweeten with applesauce and other fruits or use honey in moderation. 

4) Add blood sugar regulating foods to your diet. Cinnamon sprinkled in yogurt or added to a smoothie, apple cider vinegar used in salad dressing, and blueberries on your oatmeal are helpful at reduce blood sugar levels. 

5) Choose whole foods and refer to the glycemic index (a tool used to identify how quickly foods turns to sugar in your body). www.glycemicindex.com 

I’m not saying that Halloween can’t be fun or that the occasional candy is going to cause diabetes. I just think we need to come together and make some changes - give your children and trick-or-treaters healthier options (www.nourishingmeals.com is a great resource) OR plan a fun activity (bobbing for apples, pumpkin carving, costume party) that is unrelated to food. Treats don’t always have to come in packages. 


Dr. Melissa Blake is a licensed Naturopathic Doctor with a family practice at The Pear Tree Naturopathic Clinic in Dieppe, NB. She is passionate about educating her patients so they are able to make informed decisions about their health and wellness. She is a member of the Canadian Association of Naturopathic Doctors and Vice President of the New Brunswick Association of Naturopathic Doctors. She can be reached at 506-857-1300 or by email: thepeartreenaturopathicclinic@gmail.com . She also maintains a wellness blog: http://drmblake-nd.blogspot.ca