fasting Archives - Dr Shawn

08/Oct/2024

An Introduction to NAFLD

Non-alcoholic fatty liver disease (NAFLD) is more than just a medical term; it’s a growing health concern that’s capturing the attention of health enthusiasts, medical professionals, and patients alike. With its rising prevalence, it’s crucial to understand what NAFLD entails and why it’s being increasingly recognized as a major health issue.

NAFLD refers to a range of liver conditions affecting individuals who drink little to no alcohol. It’s characterized by an excess accumulation of fat in the liver. Unlike alcoholic liver disease, NAFLD occurs in people who consume minimal or no alcohol, making it somewhat paradoxical. This distinction is important and underscores the need for awareness and understanding.

Statistics reveal a concerning trend; NAFLD is one of the most common liver disorders globally. In the United States alone, it’s estimated that about 25% of adults are living with this condition. With such widespread prevalence, it’s no wonder that awareness and education about NAFLD are more important than ever.

Understanding the Causes

Grasping the causes of NAFLD is vital for both prevention and management. At the heart of NAFLD lie several primary causes and risk factors that contribute to its development. The most common culprits include obesity, insulin resistance, and metabolic syndrome.

Obesity is a significant driver of NAFLD, with excess body weight leading to fat accumulation in the liver. This is particularly concerning given the global obesity epidemic. Insulin resistance, often associated with type 2 diabetes, is another key factor. It disrupts the body’s ability to regulate sugar and fat metabolism, contributing to liver fat buildup.

Genetic predisposition also plays a role in NAFLD susceptibility. Certain genetic variations can increase the risk of developing this condition. These genetic factors, combined with lifestyle choices, create a complex web of influences that can lead to NAFLD. Understanding these factors is crucial for those seeking to mitigate their risk.

Symptoms and Diagnosis

Recognizing the symptoms of NAFLD can be challenging because it often presents with few, if any, noticeable signs. Many individuals with NAFLD remain asymptomatic, making early detection difficult. When symptoms do appear, they can include fatigue, discomfort in the upper right abdomen, and unexplained weight loss.

Diagnosing NAFLD involves a series of tests and evaluations. Physicians typically start with blood tests to assess liver function and rule out other liver conditions. Imaging studies, such as ultrasound or MRI, can help visualize fat accumulation in the liver. In some cases, a liver biopsy may be necessary to confirm the diagnosis and assess the extent of liver damage.

Early diagnosis is crucial for preventing the progression of NAFLD to more severe liver conditions. Regular check-ups and vigilance for risk factors can aid in catching the disease before it advances. Patients should work closely with healthcare providers to monitor liver health and implement appropriate management strategies.

Complications of NAFLD

While NAFLD itself may not always cause immediate harm, its potential complications are concerning. One of the most serious complications is non-alcoholic steatohepatitis (NASH), an aggressive form of fatty liver disease. NASH can lead to inflammation, liver cell damage, and fibrosis, significantly increasing the risk of liver cirrhosis.

Cirrhosis, a condition where healthy liver tissue is replaced by scar tissue, is a grave consequence of untreated NAFLD. It can impair liver function, leading to liver failure and an increased risk of liver cancer. Understanding these potential outcomes underscores the importance of early intervention and vigilant management of NAFLD.

Complications of NAFLD extend beyond the liver. Research suggests that individuals with NAFLD are at a higher risk of cardiovascular disease and type 2 diabetes. These associations highlight the interconnectedness of metabolic health and emphasize the need for comprehensive care.

Treatment and Management

Managing NAFLD requires a multi-faceted approach that addresses both lifestyle changes and medical interventions. One of the most effective strategies is weight loss, which can significantly reduce liver fat and improve liver function. A combination of diet and exercise is often recommended to achieve and maintain a healthy weight.

Dietary modifications play a crucial role in managing NAFLD. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help reduce liver fat. Some studies suggest that intermittent fasting and omega-3 fatty acids might have positive effects on liver health. Consulting a healthcare provider or registered dietitian can provide personalized guidance.

Medical treatments for NAFLD are still evolving. While there are no specific medications approved for NAFLD, some treatments target underlying conditions like diabetes or high cholesterol. Clinical trials are ongoing to explore new therapeutic options. Patients should work closely with their healthcare providers to develop a tailored management plan.

Prevention of NAFLD

Prevention is the best strategy when it comes to NAFLD. Adopting a healthy lifestyle can significantly reduce the risk of developing this condition. Maintaining a balanced diet, engaging in regular physical activity, and managing weight are essential steps in prevention.

Dietary choices play a critical role. Reducing the consumption of saturated fats and sugars can help prevent liver fat accumulation. Incorporating foods with anti-inflammatory properties, such as garlic and curcumin, into the diet may also offer protective benefits.

Regular exercise is equally important. Engaging in aerobic activities like walking, jogging, or cycling can improve insulin sensitivity and promote weight loss. Combining exercise with strength training can further enhance metabolic health and prevent NAFLD.

The Future of NAFLD

The future of NAFLD management holds promise as research continues to uncover new insights and treatments. Scientists are exploring novel approaches, including advanced imaging techniques and biomarkers, for early detection and monitoring of NAFLD. These advancements could revolutionize how we diagnose and manage this condition.

Pharmaceutical research is also making strides in developing targeted therapies for NAFLD. Some medications are showing promise in clinical trials, offering hope for more effective treatment options in the future. These breakthroughs have the potential to change the landscape of NAFLD management.

Public health initiatives are essential in raising awareness and promoting prevention strategies for NAFLD. Education campaigns and community outreach programs can empower individuals to make informed lifestyle choices. Collaborative efforts between healthcare providers, researchers, and policymakers are crucial for tackling this growing health challenge.

Conclusion

In conclusion, NAFLD is a prevalent and potentially serious liver condition that affects millions worldwide. Understanding its causes, symptoms, complications, and management options is essential for individuals seeking to protect their liver health. By adopting a healthy lifestyle, engaging in regular check-ups, and staying informed about the latest research, we can all take proactive steps to combat NAFLD.

For those living with or at risk of NAFLD, it’s important to remember that you’re not alone. Support from healthcare providers, family, and friends can make a significant difference in managing this condition. Together, we can raise awareness, promote prevention, and encourage healthier lives.

Next Steps

If you or someone you know is concerned about NAFLD, take action today. Share your experiences, ask questions, and seek professional advice for any health concerns. Together, we can work towards better liver health and a brighter future for all.

Book a consultation today!

DoctorShawn

03/Jan/2024

Men today face many challenges when it comes to their health. From stress and pollution to poor diets and sedentary lifestyles, many factors can contribute to a decline in overall health and well-being. One area where men can be proactive is in optimizing virility and longevity. Naturopathic medicine offers many solutions that can help men achieve optimal health in these areas. In this blog post, we’ll explore some of the best ways to optimize virility and longevity using naturopathic medicine.

The Power of Diet and Exercise

Regular exercise and a balanced diet can play an imperative role in maintaining men’s health and well-being. The current health statistics for men reveal some alarming figures, highlighting the urgent need for a healthier lifestyle.

According to the Centers for Disease Control and Prevention (CDC), 13.8% of men aged 18 and over were in fair or poor health as of 2022. Moreover, 350,000 men lose their lives to cardiovascular disease each year, and men are 1.5 times more likely to die of heart disease, cancer, and respiratory disease.

The Impact of Diet

A healthy diet is a cornerstone of good health. In particular, the Mediterranean diet and intermittent fasting have shown promising results in improving men’s health.

The Mediterranean diet, rich in fruits, vegetables, whole grains, legumes, nuts, and lean proteins, has been linked to lower levels of heart disease, certain cancers, diabetes, and cognitive decline. Intermittent fasting, a pattern of eating that includes periods of eating and fasting, has been associated with weight loss, improved markers of health, and longevity.

Implementing these diets in everyday life might seem challenging at first, but with careful planning and commitment, it can become second nature. Start small, make gradual changes, and be consistent.

The Power of Exercise

Physical activity is equally important for men’s health. Regular exercise helps control weight, reduces the risk of heart diseases, manages blood sugar and insulin levels, improves mental health, and strengthens bones and muscles.

Men should aim for at least 180 minutes of moderate-intensity (Zone 2) or 75 minutes of vigorous-intensity (Zone 3-4) aerobic activity per week, along with strength training exercises on two or more days a week. Incorporating cardiovascular workouts, strength training, and flexibility exercises can provide comprehensive fitness benefits.

What is Zone 2 Cardio?

Learn more about the benefits of daily stretching

The Synergy of Diet and Exercise

Diet and exercise are not mutually exclusive; they work best when combined. Regular exercise can help you maintain a healthy weight, which is crucial for overall health. At the same time, a balanced diet provides the nutrients your body needs to perform physical activity.

The importance of diet and exercise cannot be overstated for improving men’s overall health and well-being. By adopting healthier eating habits and incorporating regular physical activity into daily routines, men can significantly improve their health statistics. It’s never too late to start making healthier choices!

Testosterone

The Role of Hormones

As a naturopathic doctor, I’ve observed that maintaining hormonal balance is a cornerstone of men’s health, vitality, and longevity. Hormones like testosterone, estrogen, DHEA, and many others play a pivotal role in regulating various aspects of male health, including sexual function, energy levels, muscle mass, and bone density. However, imbalances in these hormones can lead to a plethora of health issues. Let’s delve deeper into understanding these imbalances and how we can naturally enhance virility and longevity.

Common Hormonal Imbalances in Men

Hormonal imbalances are not uncommon in men and can result in symptoms such as fatigue, erectile dysfunction, loss of muscle mass, and decreased bone density.

Testosterone, the primary male sex hormone, is vital for libido, muscle mass, and bone density. A decline in testosterone levels can lead to fatigue, reduced sexual desire, and erectile dysfunction.

Estrogen, although known as a female hormone, also plays a crucial role in men’s health. Excessive levels of estrogen can lead to weight gain, mood swings, and even contribute to erectile dysfunction.

DHEA is a hormone produced by your adrenal glands and acts as a precursor to sex hormones, including testosterone. A decrease in DHEA levels can lead to fatigue, depression, and a gradual loss of endurance and muscular strength.

Check out this article on hormone testing

Enhancing Hormonal Health Naturally

To maintain optimal hormonal health, a balanced diet, regular exercise, and smart lifestyle choices are key. Here are some tips to help you on this journey:

Nutrition: Incorporating nutrient-dense foods into your daily regimen can significantly impact your hormonal health. Zinc, magnesium, vitamin D, and Omega-3 fatty acids are particularly beneficial. They support testosterone production, improve sleep (which in turn aids hormone regulation), enhance mood, and boost overall health.

Exercise: Regular physical activity, particularly resistance and high-intensity interval training, can stimulate hormone production and help maintain muscle mass and bone density.

Avoid Harmful Habits: Smoking and excessive alcohol consumption can adversely affect your hormonal balance. It’s best to limit these habits to promote better hormonal health.

Stress Management: Chronic stress can wreak havoc on your hormonal balance. Practices such as meditation, yoga, and deep-breathing exercises can help manage stress levels.

Vitamin D

Supplementation

Many natural supplements can help men optimize their health and increase their longevity. Some of the most effective supplements for men include omega-3 fatty acids, vitamin D, zinc, magnesium, creatine, and adaptogens. These supplements can help to support healthy immune function, improve heart health, boost energy levels, and promote healthy hormone balance.

Omega-3 Fatty Acids: Omega-3 fatty acids are essential fats that have been shown to have numerous health benefits. They are particularly beneficial for heart health, reducing inflammation, and even supporting cognitive function. A systematic review published in the British Medical Journal revealed that omega-3 fatty acids could lower mortality rates and risks associated with cardiovascular diseases.

Vitamin D: Often referred to as the “sunshine vitamin,” Vitamin D is crucial for bone health and immune function. It aids in the absorption of calcium, which can help prevent the onset of osteoporosis, a common concern as men age.

Zinc: This mineral is vital for men as it plays a significant role in testosterone production. Adequate zinc levels can help maintain optimal testosterone levels, thereby promoting virility.

Magnesium: Known for its multiple health benefits, magnesium can support healthy sleep patterns, muscle function, and mood – all of which contribute to overall vitality and longevity.

Creatine: Creatine is a well-researched supplement known for its ability to improve strength and lean muscle mass. It can be particularly beneficial for aging men looking to preserve muscle mass.

Adaptogens: Adaptogens are a unique class of healing plants that have been used for centuries to help balance, restore, and protect the body. They can help the body resist physical, chemical, or biological stresses, thereby boosting overall health and well-being.

Stress Management

Stress is a major contributor to poor health, and it can have a negative impact on everything from sleep quality and immune function to hormonal balance and cardiovascular health. Naturopathic medicine offers many solutions for managing stress, including:

Relaxation Techniques: Methods such as deep breathing, meditation, yoga, and progressive muscle relaxation can help reduce stress and promote relaxation.

Acupuncture: This ancient Chinese technique, involving the insertion of very thin needles through the skin at specific points on your body, has been shown to help reduce stress and anxiety.

Infusion Therapy: Infusion therapy, which involves delivering substances directly into the bloodstream, can be used to administer nutrients and vitamins that support the body’s stress response.

Natural Supplements: Certain natural supplements, like ashwagandha and magnesium, have been shown to help manage stress. Ashwagandha, an adaptogenic herb, can help the body resist stressors and reduce anxiety and depression symptoms. Magnesium plays a role in regulating the body’s stress-response system and is often used as a natural remedy for anxiety.

When it comes to optimizing virility and longevity, men have many options available to them. Naturopathic medicine offers a holistic approach to wellness that can help men achieve optimal health in these areas. By focusing on key areas like diet and exercise, hormone health, supplementation and stress management, men can take control of their health and achieve optimal virility and longevity for years to come. Consult with a trained naturopathic doctor to learn more about the best ways to optimize your health naturally.

drshawn

11/Jul/2022

Fasting for six years

I thought it was a good time for me to personally reflect on the last six years of intermittent fasting. Yes, for the last six years I have been following a relatively strict program of fasting for 16-20 hours of the day. Usually this means having my last meal of the day around 6pm and my first meal the following day at 11am.

I remember first hearing about the benefits of intermittent fasting (IF) at a medical conference organized by the Association for the Advancement of Restorative Medicine back in 2016. After Dr. Denis Wilson M.D. spoke about all the clinically supported benefits of IF as well as his own personal journey with IF, I was sold!

Fasting and Climbing

That was around the same time I started to take rock climbing seriously. A was training 2-3 days per week and for around 2 hours each session. I decided it would be an interesting experiment to combine IF with my morning training. I was hitting the gym while in a fasted state (usually around 16 hours at that point) and would train as hard as I could.

When the body is in a post 14 hour fast it starts to convert fat into an energy source called ketones. This is because all the sugar stored in the body has been used up. Exercising while fasting speeds up this process. I was amazed to see how quickly this combination of fasting and exercise transformed my body and my health. Over the course of a year I lost 15lb and went up several grades in my climbing. My climbing partners couldn’t believe I was able to climb hard on an empty stomach, but I actually felt lighter and clearer. I would try to have my first meal of the day within an hour after workouts for optimal protein metabolism to build muscle. I would regularly get comments from familiar faces at the gym asking if I’m doing anything special outside of the gym. I simply told them that I’m fasting and climbing. Pretty simple but very effective.

Finding the right program

Over the following 5 years I had short 2-3 week periods where I would take a break from IF but would soon return as I felt my best, looked my best and climbed my best while on a pretty strict IF program. I have since recommended IF to dozens of patients, the majority of whom see results within a few months. One of my biggest supporters and now followers of IF is my dad. He saw such dramatic results that IF is now a regular lifestyle habit for him as well.

I dabbled a few times with doing pretty long fasts (20-23 hours) and eating only one meal per day but I found that this was a bit hard on my body. I was getting irritable and was not performing very well at the gym. I now have a pretty good understanding of how many hours my body likes to fast for and how many meals per day is best.

Everyone is going to find a sweet spot for themselves. I don’t recommend forcing the body into a particular program but to try fasting for different lengths of time and see what feels and works best. It does take a little getting used to at first but it is important to remember that this is a very natural state for the human body.

It’s only natural

Through most of human evolution humanity had to go for extended periods of time without food. In fact, an abundance of food at our beck and call is likely contributing to a lot of chronic disease in our modern way of living. Many religious traditions still practice fasting in order to clear the mind, body and spirit. Centuries of cultural practice as well as hundreds of recent studies are in support of fasting in one form or another. It is one of the cheapest, simplest and most effective medical programs I can recommend for a patient.

What lies ahead

Looking ahead to the next decade, I don’t see myself giving up IF anytime soon. There are a few other lifestyle changes I would like to implement but IF will continue to be the backbone of my personal health and wellness program. There are some individuals including in pregnancy where IF is not recommended. I encourage those of you curious about IF or trying it out, to at least have a consultation with a health professional like myself. The benefit of being supervised by a Naturopathic Doctor is the peace of mind that your are practicing something that is safe for your body, you have someone to answer questions as they arise and even to run blood tests if necessary. If I have inspired at least a few people to give IF a try then I have passed along a valuable lifestyle tool as it was passed to me six years ago. Happy fasting everyone!

DoctorShawn

12/Sep/2017

Intermittent fasting is a different way of thinking about eating.

I’m suggesting that the majority of people have been eating too much and too often. I’m suggesting that breakfast is not the most important meal of the day. By following a few simple guidelines my readers can loose weight, feel great and be healthier than ever before. The guidelines are:

“6 to 8 and feel great”
“Eat what you need”
“Respect your food, respect yourself”

6 to 8 and feel great

Everyday eat within a 6 to 8 hour time frame. If you eat breakfast at 7:00am then your last meal of the day should not be later than 3:00pm. If you eat lunch at 12:00pm then your next and last meal should be no later than 8:00pm. In the first scenario you are basically skipping dinner and in the second scenario you are skipping breakfast. Water, tea, and even coffee are allowed outside of the 6-8 hour allotted time frame as long as there is no added calories, i.e. sugar, milk and or cream. There is also no snacking outside of your 6-8 hour window.

Now let me tell you why and how intermittent fasting works. Immediately after eating, a hormone in your body called insulin rises. Insulin tells your body to burn carbohydrates (sugar) for energy and to store whatever hasn’t been used in your liver and fat cells. This process continues for approximately 4 hours after eating. After 4 hours insulin drops and your body begins to dip into stored sugar and fat reserves for energy; or in other words that’s when you start burning fat.

It’s common practice for most people to eat 3 times a day with snacks in between, this means that we almost never dip into our fat stores. Therefore you would have to do some intensive daily exercise or eat incredibly small portions to loose weight. By following the 6-8 rule; you can almost be certain that you will be burning fat for approximately 10-12 hours per day. The only thing keeping you from shedding excess pounds is by being excessive with portion size and calorie intake, which brings us to the next guideline “eat what you need”.

Eat what you need

This guideline basically translates to portion control. One advantage about using the 6-8 methodology is that you will start becoming more in tune with your body and more aware of hunger and satiety. It is a great feeling to eat when you are actually hungry rather than out of habit. When we experience hunger, food is digested better. Hunger causes your gastrointestinal tract to prepare for food, including ample amounts of stomach acid aiding in the proper breakdown and absorption of nutrients.

Pay close attention to the point at which you no longer feel hunger and you are adequately satiated. Do not overeat. Eat to a point that you feel satisfied but not heavy and bloated. You may notice that portion sizes become smaller. Now, because we are eating only two meals per day, it is also important that when we eat, we eat nutritious food and a variety of foods. Which brings us to the next guideline.

Respect your food; respect yourself

This guideline is about what kind of food you eat and how you eat it. As mentioned in the previous section, since we are essentially eating only twice per day, we want to be putting high quality foods into our body. Fresh, local and organic foods are what you want to focus on. The great thing about this diet is that it there are no restrictions on foods, it’s more about quality. Try to have meals that have a good quality protein, and complex carbohydrates such as veggies and whole-grains.

While making healthy choices is very important, it is also just as important not to stress over your food. Do your best to cook healthy while acknowledging that sometimes you will find yourself eating out, ordering fast food, and having desserts. Don’t beat yourself up about the choices you make, love whatever it is your eating, own it and do your best to eat healthy most of the time. Love your food and love yourself.

Final Thoughts

The guidelines I have purposed, although expressed in an original way, are not new concepts. Eating within a 6-8 hour window is also known as intermittent fasting; a lifestyle and medical intervention that shown to have a multitude of health benefits including lowering blood pressure, staving off cardiovascular disease and improving longevity. Presenting these ideas in away that is easy to incorporate into a daily routine can help to improve the lives of many people. I encourage you to try it out, give it a few weeks and let me know how you feel.

Fitness trainer Mike O’Donnell (2 meal mike) does a great job of further explaining intermittent fasting and how to easily incorporate it into your daily routine. I encourage you to visit his site http://www.theiflife.com

NAFLD Uncovered The Silent Liver Condition Impacting Millions