iStock-890741034-scaled-1-1200x675.jpg
20/Feb/2024

I recently had a female patient come in with some concerns related to her menstrual cycle and fibroids. I decided to run a full panel of blood tests and discovered a low vitamin D level but a high calcium level. This is an unusual finding as calcium tends to be normal or low with a low vitamin D level. I immediately sent the patient for a serum Parathyroid Hormone test and it turned out to be elevated. That is what inspired me to write todays blog article.

In the intricate orchestra of human physiology, the parathyroid gland is a minuscule yet fundamental player. Despite its small size, this tiny gland, nestled within the larger thyroid, wields significant influence over a critical aspect of human health: calcium regulation. This comprehensive guide aims to cast a bright, educational spotlight on the parathyroid, offering insights into its anatomy, functions, associated disorders, diagnostic methods, and essential roles in maintaining overall health.

Chapter 1: The Parathyroid Gland Unveiled

Understanding Its Anatomy

The parathyroid gland is typically made up of four small, pea-sized nodules located behind the thyroid gland in the neck. These glands, rich in vascular tissue, are integral in the body’s calcium homeostasis, ensuring that levels of this crucial mineral are maintained within the narrow range necessary for normal cell function.

The Vital Role in Calcium Regulation

Calcium is a multi-functional mineral; it’s ubiquitous in the body, integral for nerve conduction, muscle function, blood coagulation, and bone health. The parathyroid hormone (PTH) is the orchestra conductor that maintains the body’s calcium levels, doing so through interactions with the bones, kidneys, and intestines.

Chapter 2: Parathyroid Disorders

Hyperparathyroidism: When Too Much of a Good Thing Goes Awry

Occurring when the parathyroid glands produce too much PTH, hyperparathyroidism can lead to hypercalcemia, a high level of calcium in the blood. This condition can result from a benign tumour on the gland or be a consequence of kidney failure, which impairs calcium excretion.

Hypoparathyroidism: The Paradox of Calcium Insufficiency

Conversely, hypoparathyroidism entails underproduction of PTH, which results in hypocalcemia, or low calcium levels. Autoimmune diseases, injury to the glands during surgery, or genetic disorders can be underlying causes of hypoparathyroidism, leading to symptoms like muscle spasms and mood changes.

Chapter 3: Diagnosis and Treatment

Identifying Parathyroid Disorders

The intricate balance of calcium regulation means that symptoms can be as varied as the diseases themselves. Blood tests to measure PTH and calcium levels, along with imaging studies such as neck ultrasounds, and CT scans, are standard diagnostic tools to elucidate parathyroid issues.

Restoring Balance: Treatment of Parathyroid Disorders

Treatment for parathyroid disorders can range from watchful waiting to managing symptoms with medications. In severe cases, surgical removal of the affected gland, known as a parathyroidectomy, may be the necessary recourse to restore optimal calcium balance.

Chapter 4: The Parathyroid’s Influence on Overall Health

The Bone of Contention: Parathyroid and Skeletal Health

Parathyroid disorders not only discompose the orchestra of calcium balance but have specific ramifications for bone health. Hyperparathyroidism, in particular, can cause weakened bones, a condition known as osteoporosis, affecting an individual’s mobility and overall quality of life.

Building the Big Picture: The Parathyroid’s Interaction with Other Organs

The parathyroid isn’t an island. Its intricate interplay with other organs, particularly the kidneys and the thyroid, further underscores its crucial role in maintaining the complex health harmony within the body. Understanding these interactions sheds light on the far-reaching effects of parathyroid disorders.

Chapter 5: The Future of Parathyroid Research and Health

Advances in Understanding and Treating Parathyroid Disorders

Research and advancements in parathyroid health are crucial as they pave the way for better diagnostic tools and more nuanced treatment options. Genetic studies and the development of targeted therapies are high on the agenda, promising a brighter outlook for those battling parathyroid disorders.

The Power of Prevention and Awareness

Empowerment through knowledge and awareness is the key to preventing and managing parathyroid disorders. Efforts to promote healthy lifestyle choices, regular health screenings, and the dissemination of information on early warning signs can significantly impact the management of parathyroid disorders.

Chapter 6: External Resources and Further Reading

For those interested in further exploration, a wealth of resources is available, including academic journals, medical databases, and reputable health organizations. The complexity and importance of parathyroid health demand continual learning and a collaborative approach among healthcare professionals, patients, and researchers.

Hyperparathyroidism

Parathyroid Research

In conclusion, the parathyroid gland may be petite, but its position as a regulator of calcium and a pivotal player in human health underscores its colossal importance. Its impact extends beyond its modest physical frame, making it an organ worth acknowledging and understanding in the broader tapestry of the human body.


beach-2216615_1920-1200x1807.jpg
27/Jun/2023

Summer is always a great time to enjoy the great outdoors and soak up some vitamin D. However, it is all too easy to get too much sun exposure which leads to the painful effects of sunburn. Sunburn is not only painful but it can lead to skin damage and, in the long run, increase your risk of skin cancer.
if you’re one of the many who’ve been lounging outside without sunscreen, or maybe you were negligent with reapplication, you’re probably feeling the burn! Luckily, there are natural ways to moisturize and nourish the skin after sunburn. But before we get to those natural remedies it is important to know what the first steps should be after a sunburn.

So let’s review sunburn first aid:

  1. Move Out of the Sun: As soon as you notice signs of sunburn, such as redness or pain, move to a shaded area or indoors immediately to prevent further skin damage.
  2. Cool Down Your Skin: Apply cold compresses to the sunburned area or take a cool (not cold) bath or shower to help soothe the skin and reduce inflammation.
  3. Hydrate: Drink plenty of water to prevent dehydration, which can occur after excessive sun exposure and can worsen your sunburn symptoms.
  4. Moisturize: Apply a moisturizing lotion or aloe vera gel to the affected area. This can help soothe the skin and prevent it from drying out and peeling.
  5. Avoid Further Sun Exposure: Stay out of the sun until your sunburn heals to prevent further damage. If you have to be outdoors, wear protective clothing and use a broad-spectrum sunscreen with an SPF of at least 30.

Now let’s review some natural moisturizers and topical treatments to help protect and repair the skin after sunburn:

1. Aloe Vera: Aloe vera is one of the most effective natural treatments for sunburn. Aloe vera has been used for centuries as a medicinal plant because it contains powerful compounds that work to reduce inflammation, stimulate skin growth, and has a cooling effect on the skin. Slice open an aloe vera leaf and apply the gel directly to your sunburned skin. Do this several times per day, and you should see a reduction in redness and pain in no time.

2. Oatmeal Bath: An oatmeal bath is another effective way to soothe sunburn. The anti-inflammatory properties of oatmeal combined with cool water can help to reduce redness and inflammation, which will make you feel better fast. Simply grind up some oats in a blender or food processor to create a fine powder. Add the oatmeal powder to a cool bath and soak in it for at least 20 minutes.
3. Green Tea: Green tea is packed with antioxidants that can help to repair sun-damaged skin. When you apply chilled green tea bags to your sunburned skin, the catechins found in the tea work to reduce skin inflammation and soothe the pain. Soak several green tea bags in cool water, and then apply them directly to the affected areas of your skin.
4. Shea Butter: The moisturizing qualities of shea butter can replenish the hydration lost in your skin due to sun exposure and help prevent peeling that often accompanies sunburn healing. Furthermore, shea butter contains fatty acids and plant sterols, such as oleic, palmitic, stearic, and linolenic acids. These oils are absorbed by the skin and used to reduce inflammation and soothe the skin. Shea butter is also rich in Vitamins A and E, which are known for their ability to repair damaged skin and improve skin conditions. In particular, Vitamin E is an antioxidant that can help neutralize free radical damage caused by sun exposure. Additionally, shea butter has reported healing properties that can be beneficial for repairing skin damage caused by sunburn
5. Coconut Oil: Coconut oil is a natural remedy for sunburn that can be used to moisturize the skin after it has been exposed to the sun. Coconut oil is full of natural antioxidants that help to protect the skin and prevent damage from UV rays. Apply it liberally after a shower to moisturize and soothe sunburnt skin.
Sunburn is painful but luckily, there are natural remedies that can help alleviate the pain. Aloe vera, oatmeal, green tea, apple cider vinegar, and coconut oil are all great natural ways to ease the symptoms of sunburn. But remember, prevention is better than cure. Avoid sunburn by using sunscreen, seeking shade during peak hours of sun, and covering up with hats and clothing. Keep safe this summer and enjoy the outdoors!

tick-482613_1280-1200x800.jpg
22/Jun/2023

Almost every outdoor enthusiast has faced a tick bite once in their lifetime. These tiny creatures might seem insignificant, but they can cause provoking health issues. Lyme disease is one among them that are caused by tick bites. Therefore, it’s essential to know what to do if you find a tick on your skin.
Here’s your ultimate guide on tick removal and prevention of Lyme disease.

Step 1: Remove The Tick

Tick removal is the first step towards your prevention of Lyme disease. To remove the tick safely, you need to have essential tools, such as fine-tipped tweezers or a tick removal tool.
Now, use these tools to grasp the tick as close to the skin’s surface as possible. Pull the tick upward with steady, even, and controlled pressure. Try not to twist the tick or jerk it, as this can cause mouth parts to remain in the skin. If the mouth part remains, use tweezers to remove it.
After removing the tick, clean the area with rubbing alcohol or soap and water.

Step 2: Save The Tick

It might sound strange, but saving the tick can help you to test for diseases and know better about the treatment. So, always save the tick in a clean plastic bag or a small container with a lid. Write the date when you were bitten and where the tick most likely bit you on the container so you don’t forget later.

Step 3: Monitor Your Symptoms

After tick removal, it’s important to monitor symptoms and seek medical attention if necessary. Lyme disease can present with nonspecific symptoms like fever, headache, muscle aches, fatigue, and a circular, reddish skin rash. Symptoms of some other tick-borne diseases may not show up for weeks or months.
If symptoms appear, seek medical attention immediately. Remember to tell your healthcare provider that you have been bitten by a tick and when and where the bite occurred. The more details you can provide, the easier it is for your doctor to determine if you need further testing or treatment.

Step 4: Prevention Of Lyme Disease

The best way to prevent Lyme disease is to avoid being bitten by ticks. Wear light-colored clothing, so it’s easier to spot a tick on you. Tuck your pants into socks and your shirt into your pants, so ticks can’t easily access your skin. Use insect repellent when outdoors in areas where ticks are more likely to reside (wooded areas and tall grass).
DEET is an effective insect repellent however there are some potential hazards with excessive use such as: Skin irritation, allergic reaction, eye irritation, and neurological effects. Here is a list of DEET free insect repellents that work against ticks:
  1. Lemon Eucalyptus Oil: A natural repellent derived from the lemon eucalyptus tree, it is effective against mosquitoes and ticks.
  2. Picaridin: A synthetic repellent that resembles the natural compound piperine found in black pepper plants, it is effective against various insects and ticks.
  3. Geraniol: A natural alcohol found in many essential oils like geranium, citronella, and lemongrass, it repels mosquitoes, ticks, and other insects.
  4. Neem Oil: Extracted from the neem tree, it provides protection against various insects, including mosquitoes, but may be less effective against ticks.
  5. Cedarwood Oil: An essential oil derived from cedar trees, it is effective against mosquitoes, ticks, and other insects.
After coming inside from areas where ticks may be present (like grassy fields or wooded areas), take a shower to wash off any unattached ticks or use a lint roller on your clothing.

Step 5: Check Yourself And Your Pets For Ticks

Always check yourself, your kids, and your pets after being outside, especially in grassy and wooded areas. Pay special attention to hard-to-see spots like scalp, armpits, groin, and behind knees. Use a mirror for those hard-to-see areas, or ask a loved one to help.

Conclusion:

Tick bites can seem like a minor concern, but they can cause major health issues, such as Lyme disease. Knowing the right steps to take when bitten is essential to prevent long-term consequences. Remember to remove the tick correctly with tweezers, seek medical attention if necessary, and prevent tick bites by using insect repellent, checking for ticks, and practicing caution in tick-infested areas. Stay safe and enjoy the great outdoors!

mistletoe-berries-16395_1920-1200x900.jpg
09/Dec/2022

Mistletoe therapy is a type of alternative cancer treatment that can be administered through intravenous infusion, subcutaneous injection or injected directly into a tumor with special equipment.
Its use in cancer is based on the belief that mistletoe extracts can fight cancer cells and boost the immune system. These beliefs have since been supported by clinical trials documenting the immunomodulatory effects of mistletoe extracts. In this article, we will explore the history and benefits of mistletoe therapy and discuss whether or not it is an effective way to treat cancer.

The History of Mistletoe Therapy

The use of mistletoe as a medicinal plant dates back thousands of years, with its first documented use as a healing agent in ancient Greece. Throughout time, it has been used to treat various ailments from headaches to epilepsy. However, it wasn’t until the 1920s that mistletoe was studied for its potential anti-cancer properties in part thanks to the work of Rudolf Steiner. Since then, research has continued to explore the possible benefits of using mistletoe extract as an adjuvant therapy for cancer patients.

Rudolf Steiner

Rudolf Steiner was a key figure in the development of mistletoe therapy. He was an Austrian philosopher, scientist, and educationalist, who developed a holistic approach to medicine called Anthroposophic Medicine, where the inner spirit of the patient is taken into account as well as their physical body. He believed that some illnesses were caused by spiritual imbalance which could be balanced by using natural therapies such as mistletoe. Mistletoe therapy has been used since ancient times, but Steiner’s modernized version of it focused on use of preparations made from specific types of mistletoe found in Europe. These preparations contain different levels of active ingredients such as alkaloids, polysaccharides and flavonoids which are thought to have more effective therapeutic properties than regular mistletoe extract. The main aim of this therapy is to balance the immune system so that it can fight off infection and other diseases more effectively. Rudolf Steiner’s ideas about mistletoe therapy have been backed up by studies which show that its use may help reduce inflammation and improve the overall health of patients with various conditions including cancer.

Benefits of Mistletoe Therapy

Mistletoe extract contains compounds such as polysaccharides and lectins that are believed to have anti-inflammatory and immunomodulatory effects. This means they can help reduce inflammation in the body and enhance the activity of certain immune cells so they are better able to fight off infection or disease. Additionally, these compounds may also stimulate apoptosis (cell death) in certain types of cancer cells while leaving healthy cells unharmed. Animal studies have shown that mistletoe can decrease tumor size in lab models and improve survival rates when combined with traditional treatments like chemotherapy or radiation therapy.

Is Mistletoe Therapy Effective?

Although there is promising evidence suggesting that mistletoe extracts may have anti-cancer properties, more research is needed to solidify its role in conventional oncology. In the meantime, due to its excellent safety record and documented benefits, holistic practitioners, naturopathic doctors and functional medicine practitioners continue to offer it as a complimentary therapy in a range of diseases including cancer. It is important to note that many health professionals caution against relying solely on alternative therapies like mistletoe since they are best used in conjunction with traditional treatments like chemotherapy or radiation. Ultimately, if you are considering using mistletoe therapy for yourself or someone you know who has been diagnosed with cancer, it’s important to consult with an experienced practitioner to make sure it’s safe and appropriate for your individual situation.
For more information on complimentary and alternative treatments for cancer click here

Conclusion

In summary, there is evidence that suggests mistletoe extract holds promise as a supportive treatment for certain types of cancers. If you are considering trying mistletoe therapy either on its own or alongside traditional treatments such as chemotherapy or radiation therapy, it’s important to talk with a doctor experienced in using mistletoe therapy first so you can make sure it’s safe and appropriate for you or your loved one’s individual situation.

woman-2197947_640.jpg
11/Sep/2022

Intro

According to the National Sleep Foundation, “insomnia is defined as repeated difficulty with sleep initiation, maintenance, consolidation, or quality that occurs despite adequate opportunity and circumstances for rest,” and it affects approximately 30-35% of adults. If you’re one of the millions of people struggling to get a good night’s sleep, know that you’re not alone—and there are naturopathic treatments that can help!

Sleep Hygiene

One of the best things you can do to improve your sleep is to practice good sleep hygiene. This includes habits like avoiding caffeine in the afternoon and evening, avoiding alcohol before bed, Establishing a regular sleep schedule, and avoiding screens in the bedroom. Creating a relaxing bedtime routine can also be helpful; consider taking a bath or reading a book before climbing into bed.

Nutraceuticals

There are also a number of nutraceuticals—or nutrients that have medicinal properties—that can help improve sleep. Melatonin is a hormone that helps regulate the body’s natural sleep-wake cycle, and supplements can be effective in treating insomnia. 5-HTP is another nutrient that can be helpful in treating sleeplessness; it works by increasing levels of serotonin, a neurotransmitter that plays an important role in regulating sleep. Other nutrients that have been shown to be effective in treating insomnia include gamma-aminobutyric acid (GABA), valerian root, and passionflower.

Traditional Chinese Medicine Moxabustion
Moxabustion

Traditional Chinese Medicine

Traditional Chinese Medicine (TCM) offers another treatment option for those struggling with insomnia. Acupuncture is one of the most well-known TCM treatments; research has shown that it can be effective in treating insomnia by promoting relaxation and improving sleep quality. Herbal medicine is another TCM modality that can be helpful in treating sleeplessness. Traditional Chinese herbs that have been used to treat insomnia include jujube seed, ziziphus seed, longan fruit, tianma root, ginseng root, and magnolia bark.

Cannabis

Cannabis is another treatment option that is gaining popularity for its ability to effectively treat insomnia. THC, the primary psychoactive compound in cannabis, has been shown to increase slow-wave sleep—the deepest stage of sleep—while CBD has been shown to reduce REM sleep density, which may lead to more restful sleep. For those who are interested in trying cannabis for their insomnia but are worried about the potential for addiction or abuse, CBD-only products may be a good option as they do not have any psychoactive effects.

Conclusion

If you’re one of the millions of people affected by insomnia, know that you’re not alone—and there are treatments out there that can help! Sleep hygiene practices like avoiding caffeine and screens before bed can make a big difference, and nutraceuticals like melatonin and 5-HTP can also be effective in treating sleeplessness. Traditional Chinese Medicine modalities like acupuncture and herbal medicine can also offer relief from insomnia; cannabis is another treatment option gaining popularity for its ability to improve sleep quality. Talk to your naturopathic doctor about which treatment option may be right for you!

Book an appointment today!


smoothies-3809508_640.jpg
15/Aug/2022

Do you feel like you’re always getting sick? Are you constantly battling colds and the flu? If so, you may need to boost your immunity. Luckily, there are a number of natural treatments that can help. In this blog post, we will discuss some of the best ways to improve your immune system naturally.

Vitamin D for immunity

Vitamin D is essential for a strong immune system. It helps the body to produce antibodies, which fight infection. Vitamin D can be found in fatty fish, eggs, and fortified milk. You can also get Vitamin D from exposure to sunlight.

Trouble keeping up with vitamin D supplements and worried about sun exposure? Not to worry, at my clinic we offer the option of a vitamin D injection. Under professional supervision, this is a safe and effective way to boost vitamin D levels quickly.

Vitamin C for immunity

Another important nutrient for immunity is Vitamin C. Vitamin C helps the body to create white blood cells, which fight infection. Vitamin C can be found in citrus fruits, tomatoes, bell peppers, and broccoli.

Intravenous vitamin C is a great way to get a high dose of Vitamin C. By bypassing digestion, IV vitamin C can boost levels quickly. Intravenous vitamin C can also increase blood concentrations at levels that directly kill pathogens and inhibit cancer growth.

Zinc for immunity

Zinc is another important mineral for immunity. It helps the body to create new cells and enzymes that fight infection. Zinc can be found in oysters, beef, pork, chicken, and beans.

Zinc can also be added to intravenous infusions for an added immune system boost.

Elderberry Syrup

If you’re looking for a kid friendly and great tasting way to boost your immunity, elderberry syrup is a great option. Elderberries are rich in Vitamin C, Vitamin A, and antioxidants. They have been shown to reduce inflammation and fight infection. You can find elderberry syrup at most health food stores.

Ginger for immunity

Ginger is another great option for boosting your immunity. Ginger is a natural anti-inflammatory and can help to reduce congestion. It can also help to soothe a sore throat. You can find ginger in the form of capsules, tea, or syrup.

Garlic for immunity

Garlic is another excellent food for boosting your immunity. Garlic is rich in Vitamin C, sulfur, and antioxidants. It has been shown to fight infection and reduce inflammation. You can add garlic to your food or take it in supplement form.

Selenium for immunity

Selenium is a trace mineral that is important for immunity. Selenium helps the body to produce antibodies, which fight infection. It can be found in Brazil nuts, tuna, shrimp, and eggs.

Selenium can also be added to an intravenous infusion for an added immune boost.

Vitamin A for immunity

Vitamin A is an important nutrient for immunity. Vitamin A helps the body to produce white blood cells, which fight infection. Vitamin A can be found in sweet potatoes, carrots, dark leafy greens, and squash.

Probiotics for immunity

Probiotics are live bacteria that are good for your gut health. Probiotics help to keep the balance of good and bad bacteria in your gut. This can help to improve digestion and boost immunity. You can find probiotics in yogurt, kimchi, sauerkraut, and kombucha.Probiotic supplements are also available.

There you have it! These are just a few of the best ways to boost your immunity naturally. By including these foods and supplements in your diet, you can help to keep yourself healthy and avoid getting sick. In individuals requiring an extra boost, injection and intravenous treatments are available and effective. Do you have any other favourite natural immunity boosters? Share them with us in the comments


cbd-oil-5358409_640.jpg
13/Aug/2022

Cannabinoid therapy for sleep

I have noticed consistently good results using cannabinoids for sleep disorders. I am often asked what are the top indications for cannabis therapy in my practice and insomnia would always be in the top three.

I first started to gain an interest in cannabis and cannabinoids back in 2015. One of the most common reasons that my patients were using cannabis was for various types of insomnia. Most of these patients were having very good results. That really peaked my interest because I too suffered from insomnia for a large part of my life.

I had used various natural sleep aids but needed a change as my current medication was producing some inconvenient side effects. After receiving my medical cannabis prescription I started using a balanced THC:CBD oil which improved my sleep latency and nighttime wakeup’s within a few days. Cannabinoid therapy is now one of my most recommended treatments for various types of insomnia as it is safe, inexpensive, fast acting and effective.

Cannabis can have calming or stimulating effects depending on the preparation, dose and mode of administration. I really wanted to find out what made cannabis effective for sleep and what would be the optimal way to use it for sleep. My research pointed towards a few mechanisms through which cannabinoids likely have sleep promoting effects: GABA, Serotonin and Endocannabinoid modulation.

GABA

GABA is an inhibitory neurotransmitter that generally promotes a relaxation response in the central and peripheral nervous system. It is well established that activation of GABA receptors favours sleep and many pharmaceutical drug classes, including benzodiazepines, act on GABA receptors.

Both animal and human studies have demonstrated that cannabidiol (CBD) has a modulatory effect on GABA activity. CBD can both increase and decrease GABA activity depending on neurotransmitter activity levels (if there’s too little it increases, if there is too much it decreases). This makes CBD useful for sleep disorders resulting from too little GABA activity (think of the overactive brain) without the addictive potential of GABA stimulating pharmaceutical preparations.

Serotonin

Serotonin is a neurotransmitter that is involved in mood and sleep/wake responses. Many antidepressant medications specifically target serotonin activity. Research from the early 2000’s by Bambico et al demonstrated that cannabinoid receptor agonists (things that stimulate cannabinoid receptors) have the ability to modulate serotonin activity. Low doses seemingly to raise serotonin activity while high doses have little effect.

Both endogenous cannabinoids (cannabinoids we make ourselves) and phytocannabinoids (THC, CBD etc..) seem to have the ability to modulate serotonin activity via stimulation of our cannabinoid receptors. This may explain some of the physiology involved in the sleep promotion and anti-anxiety effects of cannabis preparations. CBD seems to be particularly useful through its interplay with our endocannabinoid system.

The Endocannabinoid System

All species, with the exception of insects, have an endocannabinoid system. The endocannabinoid system is our bodies harm reduction system, keeping chemical and electrical singling in balance. Overall, stimulation of the endocannabinoid system has a calming effect and a known modulator of our sleep/wake cycle.

Many chronic diseases that have been linked to disruption in the endocannabinoid system (Fibromyalgia, Migraine, Inflammatory Bowel Disorder) have a sleep disruption comorbidity. This sleep disruption can usually be helped with a prescription of cannabinoids such as CBD. It is certainly plausible and empirical evidence supports the theory that patients with sleep disorders have endocannabinoid disruption. Therefore, phystocannabinoids like CBD can be helpful to restore endocannabinoid tone and subsequently better sleep.

Dosing Considerations

Cannabis is a unique medicine as it cannot be prescribed based on age and weight. Everyone has an individual response to cannabinoids due to the fact that everyone has unique  endocannabinoid tone and metabolism.

Cannabinoids like CBD and THC can interact with particular medications and preexisting conditions. Some preparations of cannabis are very different in their effect and duration. Smoked cannabis has a very fast acting effect but a short duration. Edible cannabis can have a slow onset of effect but last for a long time.

Therefore it is highly recommended to have a healthcare professional knowledgeable in cannabinoid therapy work with you for the initial stages of treatment. This will ensure a safe and effective dosing strategy with minimal chance for adverse effects. With that being said cannabis is a very safe medication and when prescribed correctly can make a significant difference in those suffering from sleep disorders. Check out the Cannabis Therapy page for more information.

References

Pretzsch CM, Freyberg J, Voinescu B, Lythgoe D, Horder J, Mendez MA, Wichers R, Ajram L, Ivin G, Heasman M, Edden RAE, Williams S, Murphy DGM, Daly E, McAlonan GM. Effects of cannabidiol on brain excitation and inhibition systems; a randomised placebo-controlled single dose trial during magnetic resonance spectroscopy in adults with and without autism spectrum disorder. Neuropsychopharmacology. 2019 Jul;44(8):1398-1405. doi: 10.1038/s41386-019-0333-8. Epub 2019 Feb 6. PMID: 30758329; PMCID: PMC6784992.

Gottesmann C. GABA mechanisms and sleep. Neuroscience. 2002;111(2):231-9. doi: 10.1016/s0306-4522(02)00034-9. PMID: 11983310.

Moreira FA. Serotonin, the prefrontal cortex, and the antidepressant-like effect of cannabinoids. J Neurosci. 2007 Dec 5;27(49):13369-70. doi: 10.1523/JNEUROSCI.4867-07.2007. PMID: 18057193; PMCID: PMC6673093.

woman-5941896_640.jpg
26/Jul/2022

What is PCOS?

Finding an effective treatment for Polycycstic ovarian syndrome (PCOS) is important to me for two distinct reasons. 5-10% of woman are impacted by PCOS in their lifetime making PCOS a common and treatable condition in my Naturopathic practice. The second reason is that it is a condition that my wife has struggled with for many years therefore making it a syndrome that hits close to home.

PCOS is a bit of a misnomer as it is a continuum of symptoms and doesn’t necessarily have to include ovarian cysts. It is however characterized by several common objective findings including irregular periods, infertility, shifts in hormone balance (DHEA, Testosterone, LH, FSH), hirsutism (hair growth on the lip, chin and abdomen), Hair loss (Male pattern head hair loss), acne (typically on the lower jaw), high levels of insulin due to insulin resistance, and unexplained weight gain (especially around the abdomen).

Although we still do not know all the mechanisms involved as to why some women develop PCOS, there does seem to be a genetic component. Environmental toxins such as BPA seem to play a role, and gastrointestinal dysbiosis (unfriendly bacteria in the gut) plays a role as well.

Conventional Treatment for PCOS

Some of the more common conventional treatments of PCOS include birth control pill (to regulate irregular periods and hormone levels), metformin (a insulin sensitizing drug that helps to control blood sugar levels commonly used in diabetes), and spironolactone (a diuretic that also has the ability to block a type of testosterone formation called DHT). While these treatments can be helpful in the short-term they do not always address the root cause of PCOS and therefore ultimately fail in the long term. Some of these causes include hormone disrupters in the environment and diet, and gastrointestinal dysbiosis (leading to the production of inflammatory compounds that compromise insulin function).

Holistic Treatment for PCOS

Luckily there are relatively easy and low cost solutions to many of the fundamental causes of PCOS. As a Naturopathic Doctor I have the privilege and ability to take a detailed medical history. Doing so can point me in the direction(s) as to where these foundational imbalances are occurring. For instance if the patient has a history of gastrointestinal concerns, (constipation, diarrhea, gastritis, colitis) that informs me to focus investigation on the gastrointestinal tract. If a patients main concern is infertility and irregular periods I will shift focus into hormone balance. It may also be the case that a patient has several concern at the same time, which is not uncommon in PCOS. Once I know where to focus we can run specialized tests such as comprehensive stool analysis, female hormone panels, nutrient level panels, food sensitivity testing and environmental toxins. This aids in narrowing down where to implement the bulk of the treatment protocol. There are some general recommendations that are sure to aid all women with PCOS such as exercise, reduced carbohydrate diets and lowering exposure to petrochemicals. However, the medical history and specialized testing can be a guide for more specific recommendations.

Functional Testing for PCOS

A nutrients panel test can help determine if there are specific nutritional deficiencies such as low levels of vitamin D, vitamin A and omega-3 fatty acids, which tend to be common in PCOS. A female hormone panel can determine if there are specific imbalances with sex hormones. These imbalances can potentially be corrected with dietary recommendations, bio-identical  hormone replacement, and nutraceutical supplements. Evidence of dysbiosis in gut from a stool analysis can be reversed with dietary recommendations that promote colonization of helpful butyrate producing bacteria. Nutraceuticals containing antibiotic herbs can preferentially kill harmful bacteria while protecting good bacteria. Probiotic supplements containing specific strains of bacteria and prebiotic fibre can be very effective. Food sensitivity testing can help confirm if there are specific foods in the diet that are activating an immune response, causing further inflammation in the gut. Environmental toxin analysis would shed light on high levels of exposure to particular toxins, most of which are known hormone disruptors. Even the simple testing of insulin levels and blood sugar can lead to recommendations for easily accessible compounds like inositol, L-carnitine and chromium which can effectively increase insulin sensitivity.

Conclusions

The take home message is that PCOS is an extremely common and often disruptive condition for a significant amount of women worldwide. The conventional treatment of PCOS often does not provide long term solutions and can have significant side effects. Simple and inexpensive solutions through dietary, supplement and lifestyle recommendations can address the root causes of PCOS and bring about significant symptom relief with long-term sustainability. I therefore encourage anyone suffering from PCOS who hasn’t found an effective solution to contact a local Naturopathic Doctor or Functional Medicine Doctor for an assessment. If you would like to contact me, you can do so through the appointment page by clicking the link in the menu bar. The sooner you start to address the root causes the easier and quicker long lasting symptom relief can be achieved. That being said, implementation of a functional medicine approach to PCOS will undoubtably be helpful at any stage and at any age.


man-6274651_640.jpg
30/Jun/2022

What is Long Covid?

Long Covid is defined as symptoms that present 12 weeks after infection and that persist for at least 8 weeks. The most common symptoms being: Fatigue, Shortness of Breath and Cognitive Dysfunction. There will be an estimated 150 million cases of Long Covid cases worldwide as of 2022. Long Covid has the potential to significantly impact the lives of a large portion of the population making day to day activities difficult or near impossible. Although there are ways to reduce the risk factors in developing long covid, there aren’t many proven conventional medications to treat Long Covid once symptoms set in.

We now know that viral fragments, lingering spike protein and persistent inflammation are all likely features of Long Covid. This chronic state of immune activation leads to heart and blood vessel abnormalities, lung impairment, neurological injury and autoimmunity. Luckily, functional medicine practitioners have been at the forefront in developing protocols that work to resolve the aftermath of COVID-19 infection.

Mitochondrial Dysfunction

There is evidence of mitochondrial dysfunction in Long Covid cases as seen through disruption in fatty acid oxidation and altered lactate production. This would also partially explain the chronic fatigue of Long Covid. Functional medicine has a long history of developing protocols to address mitochondrial dysfunction. Many of the compounds used have been showing promise in treating Long Covid. For example, there is evidence of reduced levels of Coenzyme Q10 in COVID-19 infection. CoQ10 is an important compound in mitochondrial function and energy production. Supplementing with this compound along with other mitochondrial supportive nutrients (Niacin, N-Acetyl Cysteine, Alpha Lipoic Acid) have been helpful in treating Long COVID associated fatigue.

Chronic Inflammation

We also know that there is a wealth of data to suggest high levels of inflammatory markers in Long Covid sufferers. Conventionally, steroids such as prednisone have been used to effectively treat Long Covid symptoms. However, steroids can not be used indefinitely as there are significant side effects associated with long term usage. In Naturopathic and Functional Medicine we have evidence of a number of naturally derived compounds that work to treat Long Covid associated inflammation including: Curcumin, Resveratrol, Cannabinoids, Luteolin, Omega 3, and Black Cumin.

Immune System Abnormalities

We also know that there is immune system dysfunction in Long Covid as evidenced in abnormal T-cell behaviour. One of the most important compounds regulating immune function is vitamin D. There is strong evidence that having adequate vitamin D status prior to Covid infection is protective toward Long Covid and giving large doses of vitamin D to both active Covid-19 cases and Long Covid sufferers can be therapeutic.

Gastrointestinal Symptoms

Long Covid cases also seem to have a higher incidence of prolonged gastrointestinal symptoms and intestinal dysbiosis with organisms that increase inflammation. One of the best ways to treat intestinal inflammation is by promoting the growth of intestinal organisms that produce the short chain fatty acid Butyrate. Food that is high in fibre typically help to promote beneficial species of intestinal organisms. Oats, Apples, Onions, Asparagus, Broccoli, Whole grains, underripe bananas, Legumes, and Berries are some excellent foods shown to promote butyrate production.

Cannabinoids

Cannabinoids, and more specifically cannabidiol (CBD) has been shown to have some interesting mechanisms in the treatment of Long Covid. Strains of cannabis containing high levels of CBD have been shown to block spike protein from entering the cell (via ACE-2 receptors), modulate ACE-2 receptor density on cell surfaces (less doors of COVID to enter) and reduce inflammation. Therefore cannabinoids are very exciting compounds currently being investigated for use in Long Covid therapy.

Conclusions

Long Covid is a multifaceted chronic disease with effects on various physiological systems. Drugs with a narrow therapeutic scope are not going to be as effective as complex compounds that effect multiple physiological processes at the same time. This type of therapeutic synergy is a hallmark of naturally derived medicines and therefore functional medicine is going to play a pivotal role in dealing with this prevalent and highly complex disease state. In my Toronto practice I have had several cases of long covid that only began to resolve once a functional medicine protocol was put into place. So if you know someone who is suffering from Long Covid I recommend connecting them with a local Naturopathic Doctor or Functional Medicine Practitioner.


couple-walking-1245848.jpg
18/Apr/2018

A Naturopathic Doctor can play an important role in managing CMT through dietary counseling, specialized testing and by offering relevant integrative therapies.

CMT is a hereditary disorder affecting the motor and sensory nerves.  It’s characterized by progressive loss of muscle tissue and sensation in various parts of the body. Currently CMT is incurable and is the most common inherited neurological disorder and affects approximately 1 in 2,500 people.

In terms of managing CMT, by far the most important goal is to maintain movement, muscle strength and flexibility. Often overlooked is the role diet, pain management and antispasmodics can play in CMT. Having a naturopathic doctor familiar with neurological conditions can be a valuable part of a healthcare team.

 

Sugar

Although sugar is sweet and delicious, at high concentrations it can become a poison for the nervous system. Uncontrolled blood sugar, including diabetes, will exacerbate nerve damage and peripheral neuropathy in CMT. A naturopathic doctor can test blood sugar in order to determine if it poses a risk. Dietary counseling, such as education around glycemic index and glycemic load, can help balance blood sugar levels. There are also effective strategies that can boost insulin sensitivity thus lowering blood sugar. These include; low impact exercise and supplements like chromium, berberine, agaricus mushroom, american ginseng, and vitamin B3.

 

Diet

A diet rich in antioxidants and anti-inflammatory compounds can greatly improve neuromotor and locomotor performance. Curcumin and vitamin C are two natural compounds that have been and are currently being investigated as potential therapeutic agents for CMT. One study demonstrated a decrease in neuron death and an increase in size and number of nerve sheath cells after administration of curcumin. Intermittent fasting is a diet strategy that promotes a 16 hour fasting period each day and has been shown to improve locomotor functioning in CMT patients after 5-months.

 

Nerve Pain

Nerve pain and neuropathy can be addressed through a few different approaches. Application of topical counterirritants such as capsaicin and menthol can work by overriding pain signals. Peripheral pain blockers work by re-routing pain signals locally at the source of the pain. Effective peripheral pain blockers include: acupuncture, electro-acupuncture, moxabustion and transcutaneous electrical nerve stimulation (TENS).  Central pain blockers block or override pain signals where they are interpreted, in the brain. Central pain blockers include cannabis, wild lettuce and california poppy.

 

Cramps and Spasms

There are many effective integrative therapies for cramps and muscle spasms. These therapies work by balancing electrical conduction at the muscle and stimulating inhibitory neurotransmitters. Some of the most effective therapies are: magnesium, acupuncture, GABA, valerian, cramp bark, skullcap, passionflower and cannabis.

 

Nerve-Protection

One of the largest areas a naturopathic doctor can serve as a crucial part of the integrative healthcare team is in offering strategies to prevent further nerve damage, and in some cases reversing existing nerve damage. Neuroprotectants generally belong to two main categories: antioxidants and anti-inflammatories. Neuroprotectant antioxidants include: alpha lipoic acid, glutathione, resveratrol, EGCG, flavonoids, Co-Q10, CBD and THC. Anti-inflammatory strategies include testing for food sensitivities, hormone levels and environmental toxins.  Anti-inflammatory supplements include Omega 3 fatty acids, curcumin, boswelia, and CBD.


dr_shawn

Patient focused integrative health care. Utilizing effective natural approaches designed to be used alone or to compliment conventional medical care.


Information

Address: 225 Duncan Mill Road Toronto, Ontario M3B3K9

Clinic: 416-490-8243

Fax: 416-490-9961

Mon-Sat 10am-3pm

Dr Shawn. All Rights Reserved. Developed by SEOGorillas