Natural Weight Loss

by Marcelle Pick, OB/GYN NP

Over the years I’m sure I’ve lost over 100 pounds — the same 10 pounds, 10 times! And so many of my patients tell me the same thing, I wonder how many American women (and their daughters) are on a diet on any given day. We spend billions of dollars a year on diets and weight loss products, yet nearly two-thirds of us are overweight — a trend that’s steadily inching upwards along with our waistlines!

Never mind that all these weight loss efforts don’t work, we are putting ourselves through hell to get nowhere. I’ve seen women willing to sacrifice just about anything to lose weight – even their health and well-being. But when I tell women I have a solution for them that doesn’t involve suffering or a magical pill, many say, “Oh, come on, Marcelle, can I really lose weight the natural way?”

The answer, I assure you, is “Yes!” I wholeheartedly believe you can lose weight, and that you can do it naturally without starving yourself, without eating food that doesn’t resemble food, without gimmicks, drugs or fad diets. You can do it and create balance, health, and well-being in your life while you’re at it.

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Overcoming weight loss resistance


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These are the systemic imbalances I see most often undermine weight loss efforts and create weight loss resistance:

  • Hormonal
  • Adrenal
  • Thyroid
  • Neurotransmitter

I’ve worked hard on this issue in my practice, and in over 25 years of clinical experience, I’ve developed a highly effective way to help women unravel the stubborn knot of issues surrounding unwanted excess weight. There are five essential areas to address:

  1. Systemic imbalances
  2. Raw materials (such as enough pure water and real, natural food that contains vitamins and minerals your body can use)
  3. Exercise
  4. Emotions
  5. Restoration

Weight loss in one word:  balance

Think of your body like your home. When everything is running smoothly in my house, I can create delicious meals in a well-organized kitchen, I can entertain and enjoy my guests, I can feel the sunlight beaming through the windows, I feel at peace yet poised to resolve a crisis if one should arise, I feel spontaneous and generous.

Even my family seems to get along better when the house is in order. This is also true of our bodies. When all the major systems are in balance, we not only feel good, but our adrenal glands are able to protect us, our hormones relay their messages smoothly, our digestive system can adequately nourish us, and we can efficiently get rid of or “detoxify” the things we don’t need. All of our systems depend on one another and if one is out of balance, the others can suffer, making weight loss a miserable uphill battle.

Discovering if you have a systemic imbalance in your body may be the missing piece to your weight loss puzzle. Whether it’s hormonal imbalance, adrenal dysfunction, neurotransmitter, digestive, inflammatory, or detoxification system imbalance, correcting it is key to natural and lasting weight loss — and to your overall health. Because once your body is restored to its natural balance, excess weight will come off.

Getting the right raw materials — nutrients your body can put to good use

Most of us were raised to think that if we only ate less and exercised more, we could easily lose weight. I found out the hard way that the calories in/calories out concept just doesn’t work for everyone. When I was just 19, I joined Weight Watchers to lose weight and followed all the rules — counting calories religiously and exercising vigorously — but only lost a half pound! It wasn’t until years later, after learning that I was gluten-sensitive that I was able to solve my personal weight loss puzzle.

No doubt we’ll continue to hear that it all comes down to calories and will-power. But the reality is, if you eat 1,200 calories of junk versus 1,200 calories of balanced nutrition, the messages your body receives are drastically different — no matter how much you exercise. Make that a lifelong pattern and over time — no matter what the Twinkie diet guru says — it’s going to make a huge difference to your wellness and your waistline.

Avocado & Pear Dip
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Adapted from The Core Balance Diet

  • 2 fresh ripe avocados, peeled and mashed
  • 1 fresh ripe pear, peeled and finely chopped
  • 2 fresh green onions, white and green parts finely chopped

Mix all ingredients until well-combined, season to taste, and serve.

What’s more, you can have the discipline of a saint, but if you are sensitive to a certain food and continue to eat it — whether knowingly or unknowingly — you are perpetuating a whole cascade of negative messaging throughout your body that contributes further to weight gain and illness.

But all this is just the start of why relying on restricting calories to lose weight can get you into trouble down the road. Food is a form of information, so the kinds of calories you eat really do matter. Make them worthwhile and eat as well as you can 85% of the time. This leaves room to treat yourself every once in a while. Here’s how to be sure you get the right raw materials:

  • Strive to eat whole, natural foods. Load up on vegetables and fruit, emphasize plant-based proteins like nuts and legumes, use whole grains in moderation rather than refined flours and sugars, and select high-quality meat and fish — the less processed the better.
  • Help your metabolism operate at full capacity with a high-quality multivitamin/mineral complex and a combination of nutrients to specifically support your metabolism and burn fat. This micronutrient and phytonutrient support will help ensure that your cellular pathways are continually supplied to function well each day.
  • Explore herbal formulas to help you get to the bottom of your weight loss resistance. If you have tried everything to lose weight, you may have a systemic imbalance blocking you from your best natural weight. Look into targeted phytotherapeutic herbs to bring your body back into balance.
  • Drink plenty of filtered spring water, mineral water, or freshly brewed or iced herbal tea or green tea each day, to help flush any built-up “clutter” from your system.

Exercise in any way that feels good to you

Just as supplying your body with the right raw materials helps weight loss efforts and benefits overall health and longevity, so does exercise – but there’s no need to knock yourself dead to get results. My patients are so sick and tired of hearing they should join a gym or make time every day for aerobic exercise.

For more information, see our articles on healthy weight, metabolism, and hunger hormones.

I just have two guidelines for exercise: try to fit some in four times a week and for goodness sake, do something you love to do! There are so many ways to exercise — some women I know fold exercise into their daily routines by biking or walking to work or playing with their children, while others prefer to set a specific time aside from their busy lives to exercise. Whether you go dancing with your partner, climb trails with your kids, train at the gym, attend a yoga class, or simply take a walk with your dog, exercise is a wonderful component to natural weight loss and essential for keeping it off.

For those who are already in the habit, consider bursting — taking your heart rate way up with increased physical exertion — a few times throughout your workout to get maximum benefits.

Sound nutrition combined with regular physical activity automatically keeps our body weight at a healthy set point: a predetermined body fat ratio within a 10–15-pound range. Your metabolism is designed to vigorously defend your set point by speeding up or slowing down if its thresholds are threatened.

Pay homage to your past and present emotional health

We often subconsciously equate food with love, and turn to the warmth of a hot meal or a lift from something sweet. I’ve seen hundreds of women whose weight loss issues stem back to childhood relationships with food and the family members that served it. These layers run deep, and may very well change the neurochemistry of the brain if unhealthy connections between food and love are reinforced over the years. This issue is so profound that I’ve written several articles about emotional eating, with suggestions to help you move past these blocks.

Another important piece to the natural weight loss puzzle is having adequate support. I’ve heard so many success stories from women who start their new weight loss program with a friend. They share recipe ideas, talk about what works and what doesn’t, and find encouragement when they need it. And it helps to know someone is there for you, someone who not only knows how to listen, but also who has the experience and training to help you with your personal weight loss challenges.

Restoration — refill your cup daily!

The fast-paced lifestyles women lead these days offer us very little down time. This can be a set-up for weight gain, even for those of us who love being on the go. We all need between six and eight hours of sleep every night to heal from the stress of the day. The reason this matters for natural weight loss has much to do with your adrenal glands. Please take the time to read our many articles about your adrenal health.

Start your transformation now
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You don’t have to wait until you lose weight to alter the way you look and feel. If you can, treat yourself to a couple new pieces of clothing — they don’t have to be big-ticket items — just things that make you feel wonderful the moment you put them on.

Give away any clothing that doesn’t make you feel good. Consider a trip to the hair salon or a restorative massage or retreat.

The better you feel, the more likely you are to stick with your natural weight loss plan. Even such small changes can provide the momentum you need to make bigger ones!

Your body needs to feel safe — emotionally and physically — in order to shed the extra padding it’s using to “protect” itself. Imbalanced adrenal glands (the glands involved in our fight or flight response, hormonal balance, blood sugar, and more) are a physical effect of our high-stress lives. I’m the first to admit it’s difficult to slow down, to sleep, and restore ourselves the way we are meant to, and this means stress hormones like adrenaline and cortisol run high, putting our adrenal glands in constant crisis mode. When stress hormones are high, the body feels anything but safe, and holds onto to fat in preparation for crisis.

Restoration is a very personal thing. What refills your cup may very well drain that of your friend or sister. Make a list of the things that help you feel more rested, relaxed, and at peace in your life, and try to practice at least one thing on your list every day. Naps count!

Come home to your body

Over the years I’ve learned that trying to apply the same old equation to every situation usually ends with women feeling badly about themselves. I sincerely believe that if women understand how to support the unique needs of their bodies, there should be no hindrance to naturally maintaining a healthy weight throughout their lives.

I hope you can get off the dieting merry-go-round and embrace our natural solution to weight loss. Above all, I encourage you to accept yourself for who you are right now — not the woman you once were or the one you hope to be. No matter what the scale says, let yourself be beautiful today!

Lymphoma and Lymphedema

by Marcelle Pick, OB/GYN NP

These words are similar, yet they describe two very different diseases of the lymphatic system.

Most of us first become aware of the lymphatic system as it pertains to cancer. We hear with dread that a friend’s cancer has “gone into her lymph nodes” or metastasized. The reason this is so serious is that the lymphatic system travels everywhere, so if undetected, cancer can move relatively quickly along this network, becoming increasingly harder to treat over time.

Once a cancerous tumor has been detected, practitioners will often remove and microscopically examine the lymph nodes closest to it to see if the cancer has migrated. Depending on what they find, they then rate the cancer in severity and determine the treatment most appropriate.

The most common cancers in both men (prostate cancer) and women (breast cancer) are related to primary lymph drainage channels in their bodies. In men the inguinal nodes, in the crease of the groin, filter and release accumulated lymph from the prostrate. In women the axillary nodes, located in the armpit, filter and release accumulated lymph from the breasts. In the process, these nodes may sweep up any cancer cells that break away from the original tumor, but do not always succeed in trapping them there. When cancer cells or pathogens spread from one part of the body to others they are said to metastasize.

Lymphoma

Lymphoma is different from other forms of metastasized cancer. This is a truly complex, minimally understood group of cancers, but generally speaking, lymphoma is a cancer of the lymphocytes. Lymphocytes are a type of white blood cell found in the bloodstream, the lymphatic system and the lymphoid organs. There are two major types, T-cells and B-cells, which work in concert with several others to regulate your immune system response. In lymphoma these lymphocytes begin to multiply uncontrollably.

The diagnosis of Hodgkin’s lymphoma (Hodgkin’s disease) or non-Hodgkin’s lymphoma (NHL) depends on which kind of lymphocytes start to proliferate. In Hodgkin’s lymphoma (the less prevalent disease), it is the B-cell lymphocytes that run rampant. While more common, NHL is more difficult to characterize because there are multiple subsets, involving B-cell or T-cell lymphocytes, natural killer (NK) cells, and other unknown cell subtypes.

There are many places where you can find further information on lymphoma. Visit the following websites to read more:

Lymphedema

Lymphedema (often spelled lymphoedema) is a condition in which lymph fluid pools in the spaces between cells, causing pain and swelling. This occurs most frequently in the arms and legs. If left unchanneled, the presence of so much lymph fluid interferes with the natural workings of both the cells themselves and the surrounding lymphatic vessels and nodes, backing them up and making the area prone to infection.

While its origins are still unclear, primary lymphedema is genetically linked, and can be present at birth or develop at the onset of puberty or in adulthood.

Secondary lymphedema, or acquired lymphedema, can develop as a result of surgery, radiation, infection, or trauma to the lymphatic system. It can also arise as a result of disseminated lymphomas, but the lymphedema itself is not malignant. When lymph nodes are surgically removed or altered, the risk of developing lymphedema in the surrounding tissues is greater.

A significant number of women who undergo surgery for breast cancer develop chronic lymphedema, but unfortunately there’s no simple formula to predict who will and who won’t. Some women have two nodes removed and get lymphedema, some have ten removed and experience no swelling at all.

Information On Menstruation

by Marcelle Pick, OB/GYN NP 

From puberty until menopause, a women’s biochemistry waxes and wanes to her own unique monthly rhythm, known as the menstrual cycle. The word menstruation is derived from the Latin word menses, which means month. Regular menstruation is a sign that the body is producing appropriate levels of hormones in a balanced fashion according to a rhythm established over millennia as optimal for human reproduction.

Each monthly period results from a sequential conversation between your brain, your adrenal, pituitary and thyroid glands, and your ovaries. This conversation tells your body to release an egg, which is then either fertilized and implanted in the uterus (conception) or shed in your menstrual flow along with the lining of the uterus. The sequence is orchestrated by a cascade of reproductive hormones, but the main actors are estrogen and progesterone.

Women generally begin menstruating between the ages of 11 and 13 – this first period is called menarche. Most of us will have more than 500 periods during our so-called childbearing years — the time frame between menarche and menopause, which is defined by the point in time when a woman has gone for 12 consecutive months without having a period. When menopause will occur varies for the individual, but the average age is 51. And just as there are gradual changes leading up to menarche, menopause is preceded by a gradual transition phase called perimenopause. Perimenopause is a premenopausal condition often characterized by irregular cycles, sometimes with heavy bleeding or skipped periods (amenorrhea), that can begin as early as the mid- to late-30’s.

One thing we’ve learned over the years is that no woman’s menstrual cycle is exactly like any other’s. While some sail through periods without much thought, others suffer with abdominal cramps (dysmenorrhea), excessive bleeding (menorrhagia), moodiness, and more. The range of symptoms that correspond with monthly cycles are sometimes called premenstrual syndrome or PMS, and this time of the month can be extremely difficult to get through for many women.

Oftentimes symptoms of PMS and PMDD (premenstrual dysphoric disorder, an extreme form of PMS) are the result of an underlying hormonal imbalance. And the good news is there are many natural solutions. No matter what their age, women have questions about their periods and PMS. And we’ve spent years talking to women about solutions for nurturing healthy menstrual cycles. We hope you’ll find the answers you’re looking for.

 

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How Thyroid Issues Affect Weight Gain

by Marcelle Pick, OB/GYN NP

When I talk with women suffering with unexpected weight gain, often one of the first questions I am asked is “Is it my thyroid?”

Sometimes, my answer is “yes” — after all, our thyroid hormones play a huge role in regulating our metabolism and how we use nutrients.

And research shows that even small changes to the thyroid function can cause weight gain. In fact, many women who have been told their thyroid test results are “normal” may still have a reduced thyroid function (subclinical hypothyroidism) that’s enough to cause weight gain and other bothersome symptoms.

At the clinic, I work with women suffering from a wide range of thyroid issues — from those just starting to suspect they have a thyroid problem to those already taking medication. And I tell each and every one of them how they can benefit from natural thyroid support and a holistic approach that considers thyroid function as part of overall hormonal balance.

The thyroid and unexpected weight gain: an early signal

Unexpected weight gain and difficulty losing weight may be one of the first noticeable signals that you’re struggling with hypothyroidism (a sluggish thyroid) or subclinical hypothyroidism. Many women tell me about their frustration with gaining five pounds every year and not being able to figure out why!

Reduced thyroid function may be the result of the thyroid’s impaired ability to produce hormones, or the body may have difficulty using the thyroid hormones. Either way, problems with your thyroid hormones may cause the rate at which you use nutrients (your metabolic rate) to slow down.

We are especially prone to thyroid issues and weight gain as women because the thyroid is linked to other systems that affect weight — including the proper functioning of our neurotransmitters, reproductive hormones, and adrenal glands.

Thyroid issues affect women of all ages

While we see women of all ages with thyroid issues, there are times in your life when your hormones fluctuate more and when the development of thyroid issues may be even more likely:

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If you experience PMS

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When you’re pregnant

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 During perimenopause and menopause

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High Blood Pressure — Lowering The Strain

by Marcelle Pick, OB/GYN NP

What makes your blood pressure rise to unhealthy levels, and what can you do to bring it back down naturally? Here’s our guide to the prevention and cure of hypertension.

  • What is blood pressure?
  • Conventional treatment for hypertension
  • Risks associated with high blood pressure
  • What causes high blood pressure?
  • Blood pressure and stress
  • High blood pressure in women
  • Diet, syndrome X, and high blood pressure
  • Salt and high blood pressure
  • How to prevent or treat high blood pressure with a healthy lifestyle

With one in four women in America being diagnosed with high blood pressure, chances are you or a woman you love will be affected. Cases of hypertension (the medical term for high blood pressure) in the US have jumped 30% in just the last decade. Though this doesn’t quite mean it’s an epidemic, numbers like this are cause for concern.

Just because you don’t have a diagnosis of high blood pressure now doesn’t mean you aren’t at risk. Hypertension is often thought of as a condition that doesn’t afflict women because until they reach menopause, their risk of developing it is much lower than males their same age. But once women lose the protection of estrogen after menopause, the incidence of high blood pressure rises sharply to reach levels similar to men’s.

Sadly, most people experience no discernable sign of high blood pressure until the damage is done and cannot be reversed. Chronic high blood pressure can shorten your lifespan by 10–20 years and is linked with some of our most entrenched degenerative problems, like type 2 diabetes and coronary heart disease (CHD). Ultimately, hypertension places you at high risk for stroke, heart attack, and renal failure.

So high blood pressure is a serious women’s health problem. If you are on medication or need to be, I fully support that as a starting point. But more women need to understand that hypertension is not an inevitable part of aging or genetic destiny. Nor is a lifetime of medication the only course of action!

The truth is that this is one area of your health that is fully modifiable if you are willing to commit to some positive changes in your diet and lifestyle. You can begin to prevent or treat your high blood pressure today. Let’s find out how.

What is blood pressure?

I like to associate the role blood plays in the body with the role many women play in the lives of those around them. Women shuttle between home, work, community and family, nourishing and nurturing, forming a conduit through which life is constantly protected and supported. Likewise, blood circulates tirelessly through the body, feeding and oxygenating our cells, removing toxins, and defending our organs from disease and degeneration.

Blood pressure is the force exerted by the flow of blood on the walls of major arterial blood vessels — similar to the flow of water through a garden hose. It is determined by the amount of blood being pumped by the heart in a minute (cardiac output) compared to the resistance of the arterial vessel walls.

This explains why both the amount of fluid in your arteries and the relative elasticity, or “hardening” of the arteries, are factors in high blood pressure. Again, think of a hose. If the water is turned on full blast and there is a kink in the tubing, the pressure builds up. Likewise, the higher the volume of blood and the stiffer the artery, the harder the heart has to work to pump the blood around your system.

Because blood is the foundation of life, nature is mainly concerned with a loss of blood pressure. If your blood pressure drops suddenly, during shock or in reaction to medication for example, our bodies have multiple protective measures to instantly restore homeostasis.

But nature has fewer mechanisms to address high blood pressure, so the best defense is a good offense. How do you know if you have high blood pressure? Up to a third of the people who have it don’t even know it. Since there are virtually no symptoms until hypertension is advanced, the best way to tell is to get regular blood pressure readings.

Conventional treatment for hypertension

If your doctor diagnoses you as prehypertensive, you will most likely be told to modify your diet and lifestyle. If no significant changes are seen at your next visit, or if your initial reading was above 140/90 mmHg, there’s a high probability you will be given a prescription for one of the many potent antihypertensives on the market. These medications continue to work only while you’re taking them. For many, this means a lifetime of drugs.

Antihypertensives work in one or more ways: by decreasing blood volume via increased urine production (diuretics); by facilitating blood flow through dilation of blood vessels (alpha-blockers, ACE inhibitors, and sympathetic nerve inhibitors); or by decreasing the rate and/or force of heart contractions, thereby decreasing volume of blood pumped through arteries (alpha-beta blockers, beta-blockers, and calcium channel blockers). Other drugs, like angiotensin blockers and mineralocorticoid receptor antagonists, block natural chemicals produced by the body to combat low blood pressure.

These medications treat the symptom of hypertension but do little to heal the underlying causes. Some may not even control your blood pressure over a full 24–hour period. They also come with their own side effects, such as annoying cough, dizziness, hyperglycemia, dangerously low blood pressure, kidney problems, and worsening congestive heart disease. In addition, some antihypertensives have adverse interactions with other conventional medications and medicinal herbs.

Because the dangers of high blood pressure are very real, I advise women with troubling high blood pressure to use medication to avert any immediate threat. But I proceed from there with the understanding that the medication is only treating the symptom of hypertension, not the root problem, and that by working on addressing the root, we can eventually come off the medication.

Risks associated with high blood pressure

High blood pressure does its damage over time by undermining the entire cardiovascular system and kidneys. Tight arterial walls stress not only your heart but all your major organs. The higher your blood pressure rises, the greater the stress on the blood vessels, leading to abnormal tissue deposits, clogging, hardening and narrowing (arteriosclerosis), congestive heart disease, enlargement of the heart, and other heart damage.

If arteries become stiff, inflamed, or blocked, or if too much fluid is trying to circulate, the heart must labor too heavily. Over time, circulation suffers, even though blood pressure stays high, putting the whole body into a deficit state. The heart must struggle to compensate. Poor circulation is one reason why women with high blood pressure often experience cold hands and feet. (This is also true for women with low blood pressure; they have poor circulation too, just for the opposite reason). Headaches, dizziness, palpitations and fatigue are other possible symptoms, but keep in mind that hypertension for the most part is asymptomatic.

As for graver risks, when the arteries serving your kidneys are affected, the kidneys must struggle to remove wastes and extra fluid from your body. Impaired kidney function and high blood pressure compound one another, and in severe cases, the kidneys give out in progressive renal failure. The retained fluid in your vessels raises blood pressure even higher, and now the situation is very serious. Does this seem extreme? Yes, but high blood pressure results in about 25,000 new cases of kidney failure per year in this country, more than double what it was in 1982.

What causes high blood pressure?

The major body systems and chronic high blood pressure affect one another in a highly complex and individualized way, and it has proven difficult to pinpoint the responsible mechanisms — but that doesn’t mean there isn’t one. Most practitioners agree that the renal (kidney), hormonal, nervous, and vascular systems are most highly involved, with input from various genetic and environmental factors.

Some factors that affect blood pressure can’t be helped, like age, race, heredity, and gender. Then there are other predominant factors, such as diet, lifestyle, environment and emotional state, that are just as important and wholly within your control. Being overweight, smoking, high alcohol intake, elevated cholesterol, inflammation, insulin sensitivity, and emotional history all affect the progression of high blood pressure — and you can change them.

Blood pressure is like a reflex, dependent on a wondrous interplay between your parasympathetic and sympathetic nervous systems. When activated, the sympathetic nervous system, which governs your fight or flight response, causes your heart rate to increase and blood pressure to rise. The role of the parasympathetic nervous system is to lower heart rate and blood pressure back to normal once the “threat” has passed. This elegant dance evolved over the millennia as an automatic survival mechanism. The problem is that such stress has become a constant in modern life.

Blood pressure and stress

For millennia, blood pressure was kept healthy by the nature of daily life: alternating periods of intense physical activity, stress, and rest; hard work for limited calories; and a restricted salt intake. All that has changed in the past 500 years. As our “civilization” developed so did chronic high blood pressure, rightfully seen as a rich man’s (and woman’s) condition because it was found almost exclusively in the developed world.

One study quoted in the Textbook of Natural Medicine followed residents of remote, agrarian areas in China, New Guinea, and Brazil (among others). Individuals showed almost no evidence of hypertension until they made the shift to industrialized societies. The incidence of high blood pressure then increased in proportion to changes in diet, lifestyle, environment, and body mass.

Some argue there is a genetic component involved. In poorer countries like Haiti and the Dominican Republic, high blood pressure is now rampant. But this may well be due to the stress of poor diet, poverty and crowding. In industrialized urban areas, African–Americans are four times as likely to have hypertension as their Caucasian counterparts. Here again, while a variant DNA sequence in these populations may be part of the picture, major studies have shown that it is exacerbated by environmental factors, including issues of class and racism. There are some cultures in Africa who have zero incidence of hypertension, and don’t even have a word for it.

Even if high blood pressure is the price many of us will pay for modern life, it is more important for you to remember that your blood pressure reading is not your destiny. It is just a number that will respond to any positive modifications you make. Even something as simple as learning how to breathe deeply can lower your blood pressure. Imagine what other changes might do!

High blood pressure in women

The prevalence of hypertension among men and women is closely correlated with age. At age 35, a woman is only one-third as likely to have high blood pressure, and fares better in her prognosis, than a man her same age. By age 65, this gap evens out, with women running the same risk as men.

Estrogen levels appear to play a significant role in modulating blood pressure, but this mechanism isn’t yet known. Many women with normal blood pressure readings throughout their earlier years develop hypertension after menopause. One element might be that when estrogen levels decline, arteries lose some of their elasticity. For more information, read our articles about women and heart disease.

The WHI study seemed to indicate that Hormone Replacement Therapy (HRT) mimics estrogen’s soothing effects on the cardiovascular system for a brief time following menopause. Within five years, however, HRT appeared to have the opposite effect.

Bear in mind that the WHI study was conducted with one-size-fits-all Premarin, a synthetic form of HRT that caused the participants’ estrone levels to skyrocket. Estrone is just one of three estrogen forms in your body. The question this begs for me is whether this is not more about hormonal balance than just estrogen: it is possible that a sprinkling of bioidentical hormones (including estradiol, estrone, and estriol, progesterone and testosterone), tailored to a woman’s own needs, may indeed prove to soften arteries over the long term. I think we’ll know the answer soon.

Diet, syndrome X, and high blood pressure

Being overweight or obese is a leading factor in high blood pressure. Fat that accumulates deep in the belly (visceral fat) has been linked with high blood pressure, high cholesterol, insulin sensitivity and heart disease.  If you are overweight and have high blood pressure, losing just five percent of overall body weight has been shown to significantly lower blood pressure. So don’t give up, thinking it’s impossible to make a difference — even a minimal decrease in weight will help.

The mechanisms behind weight gain and hypertension are complex. Almost every major system in the body plays a part. I believe inflammation plays a critical role too, and research has suggested how. Foods that lead to weight gain such as saturated fat, trans fats, simple carbs, and refined sugar, elevate levels of inflammation–provoking fatty acids in the blood. Inflammation is directly linked with atherosclerosis and other cardiovascular problems that stiffen and gum up arteries. In addition, a higher body mass stresses the heart, raising cardiac output.

Insulin resistance, type 2 diabetes and other endocrine concerns often co-exist with high blood pressure. The prevalence of syndrome X, also known as metabolic syndrome or MetS — marked by central obesity, elevated triglycerides and high blood pressure — has engendered a new field of study around the relationship between diet, metabolism, and blood pressure.

We are just beginning to understand how insulin resistance affects sodium retention and sympathetic nerve activity. It appears to reduce the elasticity of cellular walls by affecting the ion transport across the cell membranes, inadvertently increasing sodium and calcium levels and making the vessels more reactive.

A 1997 study called DASH (Dietary Approaches to Stop Hypertension) concluded that a diet high in fruit and vegetables and low-fat dairy products lowers hypertension, while a diet high in animal fat and simple carbohydrates does the opposite. The DASH diet, which is similar to a Mediterranean diet, has been found to significantly raise below-average potassium levels, and to decrease blood pressure. Interestingly, the blood pressure benefits of the DASH diet are most pronounced in individuals whose potassium intake was lowest, and in those whose sodium intake was highest.

This leads us to the matter of salt. Because after sugar and fat, what is the most common ingredient in the American diet? You guessed it — salt.

Salt and high blood pressure

In conventional medicine, salt is bad. This is too simplistic a view. Let’s start with understanding sodium, the essential nutrient in ordinary table salt.

On average, we humans need only about a gram of sodium (less than a half-teaspoon of table salt) per day to keep our systems functioning and ward off dehydration. Naturally, needs vary according to climate and how physically active we are, which govern how much we sweat. But between the huge amount of hidden sodium in processed food and liberal use of iodized table salt (sodium chloride, which is about one-quarter sodium), most Americans are getting four times their daily requirement per meal.

In most healthy people, the kidneys can manage all that extra sodium, but there are many people whose kidneys are unable to excrete salt efficiently. The result of keeping too much sodium on board is fluid retention, which raises blood volume and pressure. It is estimated that 20% of people with hypertension are “salt-sensitive,” particularly African-Americans and people of advanced age. This means that their blood pressure is highly sensitive to even small changes in sodium intake, rising 5 mmHg with each additional gram.

While you may or may not have a genetic predisposition to salt sensitivity, your chances of developing it become higher with age. An overabundance of salt in our diets, especially the hidden salt in processed foods, puts everyone at risk, and more so with each passing year. When our taste buds build up a tolerance to salt, we need more and more to get satisfaction. This can lead to salt sensitivity over time. Have you ever watched someone raining salt from the shaker down upon their food — sometimes without even tasting it beforehand?

Another point missing in the salt debate is that it is not just about the quantity of salt you consume, it is the type — and salt comes in many forms! Though we’ve been lectured ad nauseum that high sodium is the culprit when it comes to high blood pressure, we’re beginning to see that low potassium may play the more significant role. Supplementing with “good” salt while decreasing “bad” salt intake has been shown to successfully lower blood pressure.

So eat a diet high in potassium–rich foods. Good sources include avocados, bananas, and yogurt. Read the labels on your favorite packaged foods to check for hidden sodium forms of salt (e.g., MSG), which are often significant. And stick to a good quality sea salt when cooking and setting the table — you’ll get vital trace minerals without so much of the sodium and chloride found in ordinary table salt. By any and all means, substitute fruits, nuts, vegetables, and natural juices for low-potassium processed foods and soda.

In his book, What Your Doctor May Not Tell You about High Blood Pressure, author Mark Houston relates his amazing success at treating hypertension through diet, nutrient therapy, emotional techniques and biofeedback. As the DASH study shows, you can achieve many of the same beneficial effects on blood pressure through diet and lifestyle modification without resorting to drugs.

So don’t buy into the idea of a lifetime of medication without at least trying to change your diet first. But in addition to what you eat, it’s also important how you live.

How to prevent or treat high blood pressure with a healthy lifestyle

Managing blood pressure with a healthy lifestyle can be approached in many ways. Just take it one step at a time. You don’t have to fit everything in all at once to do yourself good. Real transformation takes place over time through small but steady changes.

  • Engage in some form of physical activity every day. 

When it comes to lowering blood pressure, exercise has proven as effective as medication. And you can start exercising right now! Get up and walk. Learn how BreathWalk can help lower your blood pressure by integrating walking with breathing. Try to exercise 30–60 minutes almost every day. Start out slowly, walking to the mailbox, taking the stairs, or leaving your car at the far end of the parking lot. Then, add time and distance as you build up strength and endurance. If that sounds too much like work, look into a ballroom dancing class or the neighborhood pool. It really doesn’t matter so much what you do, only that you enjoy it enough to stick with it over time.

Now if you think you can’t handle it, you should probably check in with your healthcare provider first. But consider the fact that for 99% of human history we were on the run, hunting and gathering — humans are adapted for endurance exercise! Vigorous physical exercise is the number-one way to prevent and treat hypertension. There are so many benefits to exercise that many practitioners regard it as the fountain of youth.

Regular exercise helps individuals maintain a healthy weight, lose fat, and build muscle. Exercise boosts metabolic function, which helps control insulin and other hormones. It soothes inflammation, supports detoxification, combats the stress response, boosts serotonin output, and wards off almost every age-related condition we know. What’s more, exercise purportedly makes artery walls more elastic. And that helps explain why it’s so great at reversing high blood pressure.

  • If you are overweight (BMI over 25) or obese (BMI over 28), try to lose ten pounds. 

Even a moderate amount of weight loss can really improve your blood pressure. Again, start slowly. Eliminate junk food and soda and try not to eat after 7:00 pm, earlier when you can. Keep some nuts or a yogurt to snack on so you won’t be tempted to binge on sweets and other carbs. Read about and follow our lifestyle and nutritional guidelines. This will ensure that you get an adequate amount of complex carbs, lean protein, healthy fats, and fiber to keep your blood pressure stabilized.

Here’s more good news for women: recent reports show that eating dark chocolate (over 70% cocoa) has a positive effect on blood pressure and insulin resistance — so go ahead and reward yourself with an occasional chocolate delight.

  • Practice emotional stress management. 

Poor stress management — or more accurately, emotional stress blockage — raises your risk of high blood pressure. Unexpressed emotions, particularly anger and fear, constitute a form of stress. Souring relationships, job strain, and childhood trauma all have negative health effects.

Many of us have been conditioned to discount or conceal our emotions. What we are not often taught is that emotions manifest themselves in a physiological way in the body, especially if they’re repressed. In addition, nearly everyone experiences some kind of emotional stress. Whether it makes us sick or not appears to be determined by how well we deal with it. Social support is certainly a factor. In one telling report, people with supportive spouses and a job they liked were found to have significantly lower blood pressure than those who did not, given the same amount of external stress. In another, loneliness was found to be associated with high blood pressure.

It’s clear that certain variables like family history and temperament, which can be codependent, can increase your risk (see our article about emotions and your health). There may seem to be no end to factors over which you feel powerless. The good news is that you can offset these legacies by learning how to calm your mind, support your physiology, and recalibrate your emotional responses.

  • Let’s revisit the autonomic nervous system for a moment.

We often regard the functions it regulates, such as heartbeat and blood pressure, as involuntary. But this is not entirely so. The age-old practices of yoga and meditation alter a number of autonomic functions, including heart rate and blood pressure. Visit the ABC-of-Yoga for poses and breathing exercises that can help you stabilize your blood pressure, or consider other modalities such as biofeedback or brain–heart integration systems like HeartMath. Other ways to get at the emotional root of your reaction to stress include talk therapy, which can help uncover hidden trauma and subconscious patterns that are blocking your ability to manage stress. Freeing yourself through the help of an experienced counselor will make it easier to learn a new tune! Look into EFT or the Hoffman Quadrinity Process for inspiration.

  • If you self-medicate, quit or wean yourself off. 

Women often turn to psychotropic substances to help them cope with the stress in their lives. Of these, the most common — alcohol, caffeine and nicotine — are all implicated in high blood pressure. These substances affect the nervous system, artificially stimulating or inhibiting the various neurotransmitters involved in the fight or flight response. Over time, higher dosages are needed to get the desired effect, which ultimately throws the nervous system off-balance and raises blood pressure. Alcohol and nicotine use can also accelerate the degenerative effects of high blood pressure once it’s in place.

You may want to consider a course of acupuncture, which has been shown to be very effective in reducing cravings, minimizing withdrawal symptoms, and breaking stubborn addictions. Look for a practitioner experienced with addictive behavior. Techniques like yoga and meditation can be used as adjunctive therapy to help calm your heart and quiet your compulsions.

  • Minimize environmental stress and toxic body burden. 

Everyone has a certain level beyond which the body ceases to be able to detoxify efficiently. The main organs of detoxification — the liver, kidneys, and skin — eliminate internal toxins through feces, urine, and sweat. If any of these organs become overburdened by toxins, many symptoms arise, and at the top of the list is hypertension.

The most direct way to eliminate toxins is through cleaning up your diet, drinking lots of filtered water, and adding certain antioxidant and supportive nutrients to your daily regime. So stay hydrated. Flush toxins and excess salt by drinking eight to ten 8–oz glasses of filtered water every day. This will assist your renal function and weight loss. Take a pharmaceutical-grade multivitamin every day to help compensate for and metabolize the toxic load. Make sure your multi contains calcium, magnesium, and potassium to offset sodium salts, as well as essential fatty acids to protect your blood vessels. For more information, read our articles on detoxification.

Lowering your blood pressure may take a combination of any or all of the above, depending on your individual biology. Always work closely with a trusted professional, especially if you have a family history or already show elevated readings, to monitor your response to conventional or integrative therapies.

I can’t underscore enough the real, measurable effect that optimal nutrition, physical exercise, and positive lifestyle habits have on your blood pressure. My father has hypertension and serious congestive heart disease. After several very scary experiences, he finally decided (at age 85) to commit to restructuring his priorities, cleaning up his diet and undertaking some nutrient and alternative therapies — including a heavy metal detox. After just a few months he went for an ultrasound and his condition was improved markedly. To me this is proof positive that holistic measures will work if you do the work — at whatever age.

If you are under a lot of pressure, serving as the lifeblood of your family, friends and community, doesn’t it stand to reason that your own blood vessels would mirror that pressure? So take the cue. Commit to small changes in a consistent way over time, and the happy culmination will be a healthier life and more ideal blood pressure levels. You, together with everyone around you, will thrive on your transformation.

For more information, please read our informative article, “Blood Pressure Readings – Taking Your Vital Signs.”

Digestive Health For Women

by Marcelle Pick, OB/GYN NP

When I started my practice in the early 1980’s, I was amazed by the number of women suffering from constipation, diarrhea, increased gas, bloating after eating, fatigue and the many other symptoms of gastrointestinal distress.

It wasn’t long before I realized this was a real women’s health issue. Research now indicates that gastrointestinal distress is more than twice as common in women as in men, that women have a greater incidence of complicating factors (like fibromyalgia, migraine and heartburn), and that for some women digestive health problems follow their menstrual cycle.

This kind of distress is considered a “functional condition” (meaning not a disease) by the conventional medical community, and as a result it is often not taken seriously. But from a holistic perspective, we know these GI symptoms indicate serious functional problems that can lead to disease.

Digestive problems often cause poor absorption of the nutrients our bodies need to maintain good health. The resulting nutritional deficiencies contribute to an increased risk of chronic disease (for more information, read our articles on health and vitamins). Resolving GI problems does not just improve your immediate quality of life by eliminating unpleasant symptoms — it also promotes long-term health.

Fortunately, there are many steps every woman can take to support healthy GI function and resolve digestive health problems. This section of our website is dedicated to helping women find relief from their gastrointestinal distress. Read our many articles that provide information about the digestive system, the symptoms and causes of common digestive conditions, and natural treatments for digestive problems.

 

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Diet Soda – How Healthy Is It?

It’s hot, and you’re thirsty, and if you are like most Americans the first drink you reach for will be a soda pop — a carbonated soft drink. If you’re worried about your sugar or caloric intake, your choice will likely be a diet soda. Companies have spent billions of dollars convincing all of us that diet soda is the healthier, lighter choice — that all we have to lose is the calories, ergo the weight. And since so many of us are struggling with weight gain, who can blame us if diet soda seems like a dream come true?

But in my experience, it’s actually a wolf in sheep’s clothing, fooling women into thinking they are doing something good for their bodies when they are actually sabotaging their own best efforts.

Diet soda may not have the sugar or calories of regular soda, but it’s chock-full of other health-draining chemicals, like caffeine, artificial sweeteners, sodium and phosphoric acid. This is even more concerning when parents give their growing — and chemically vulnerable — children diet soda in a noble effort to avoid sugar.

And while I admit that diet soda may have its uses in the short term — particularly if you are dealing with a sugar addiction — I encourage you to resist it as your default beverage, especially if you are trying to lose weight. Different studies have been flying around on this subject, but a majority show that diet soda may actually set you up to gain even more weight.

If you really want to do something good for your body and your BMI, exchange that can of diet soda for a cool glass of filtered water. If this sounds like deprivation to you, I can sympathize. Let’s discuss diet soda and how you can begin to give it less of a starring role in your nutrition.

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America’s love of soda

Americans buy and consume a tremendous amount of soda. According to Beverage Digest, overall sales of soda (sugar and diet) were 10.2 billion cases in 2005; that rounds out to be about 828 eight-ounce servings a year (or 2-½ servings per day) for every man woman and child. And that number is actually down from 849 last year, mostly due to the rise in energy drinks — which come with their own concerns. As a population, soda is our mainstay: caloric, non-caloric and “reduced-calorie”. Stand in the soda aisle of the supermarket and just try to count all the varieties — it’s staggering.

A regular 12-ounce soda contains the equivalent of nine teaspoons of sugar, usually in the form of high fructose corn syrup. Imagine drinking a 12-ounce glass of iced tea with nine teaspoons of sugar stirred into it, or eating nine teaspoons of sugar, one after another? That’s essentially what people do when they drink a sugared soda. It is liquid candy, ruthlessly advertised and manufactured to give our jaded taste buds an even sweeter sensation.

Is it any wonder that we are gaining unprecedented amounts of weight and even our children are developing type 2 diabetes? We have the dubious distinction of being the most overweight of all economically developed nations. With statistics like these, who wouldn’t believe that choosing a diet soda is the healthier choice? But consider this: we are also the number-one consumer of artificial sweeteners in the world.

No one can deny that a diet soda has fewer calories than a regular soda. If you get a disproportionate amount of your daily caloric intake from soda and then you switch to diet soda, you may lose weight. But I emphasize the word may, because it appears that artificial sweeteners can actually set us up to gain more weight.

The myth of artificial sweeteners and weight loss

There are many different views in this matter, but a host of scientists agree that artificial sweeteners may interact with our body’s sense of sugar satisfaction.

Some experts are now exploring the possibility that artificial sweeteners confuse our taste buds and all those brain measures of satiety upon which we base what we eat. Specifically, Sharon P. Fowler, MPH, and colleagues at the University of Texas Health Science Center in San Antonio have recently completed compilations of data that provided surprising results.

Fowler and her team studied more than 1500 people between the ages of 25 and 64, looking at whether each consumed regular or diet soft drinks. It was no surprise to find a correlation between the daily consumption of multiple cans of all soft drinks and obesity — which they did. But, as Fowler noted, “What was surprising was when we looked at people only drinking diet soft drinks; their risk of obesity was even higher” [than that of those drinking regular soft drinks]. In fact, Fowler found that for each can of diet soft drink consumed per day, the risk of obesity went up by 41%.

Other studies have found different variations, but a distinct pattern is emerging. Certain data indicate that the body learns to predict caloric intake by the taste and texture of certain foods. When artificial sweeteners are introduced into the mix, our body sends the appropriate sweet signals to the brain but never delivers the sugar punch.

The diet soda trade-off game

No expert is presuming that the diet sodas themselves are making people gain weight. But there does seem to be some connection, and what is being further explored is the idea that by offering our tastes buds something that seems sweet, and seems to signal other parts of our bodies that glucose sugars are on the way, we set ourselves up for cravings — to which we eventually and often unknowingly, give in. In other words, consuming artificial sweeteners that seem real just might be setting us up to eat more later on.

This supposition has been borne out in a study conducted on rats at Purdue University. Professors Terry Davidson and Susan Swithers found that rats that were fed artificial sweeteners consistently ate more than the group fed high-calorie sweeteners.

Of course, there’s also the possibility of our complicity in this trade-off, something Fowler and other researchers readily acknowledge. If we cut 150 calories here by opting for the diet soda instead of the sugared one, we may give ourselves permission for a little splurge along the way. (Think about how many times you’ve witnessed someone putting Sweet’n’Low in their coffee while tucking into an extravagant dessert.)

What’s more, the 150 calories and nine teaspoons of sugar you forego in a diet soda are replaced with a host of other additives enlisted to make the beverage taste good and still provide a boost.

The extras you get — and really don’t want

With diet drinks, not only do you miss out on any nutrients provided by the real sugars your body might find useful if consumed in reasonable quantities, you also get a laundry list of suspicious ingredients that work against your body’s effort to maintain healthy balance.

Foremost among these is caffeine. Many of the diet drinks are cola-based or otherwise have caffeine added. It’s part of the mix created by manufacturers to make soft drinks — particularly diet soft drinks — seem more substantial. Yes, it gives you a sugar-like “boost”, or seems to, but that caffeine buzz really isn’t giving your body anything it needs. And the complications of caffeine consumption and addiction are legion, with fatigue, chronic anxiety, insomnia, and worsening symptoms of hormonal imbalance topping the list.

Additionally, caffeine is a diuretic, so while you may be thinking that a diet soda quenches your thirst and helps keep you hydrated, the opposite is true. Diet soda often contains sodium, which exacerbates thirst, while the caffeine causes you to lose fluid.

All carbonated sodas also contain calcium-leaching phosphoric acid, and so much acid in your system can tilt your pH balance to an unhealthy level. Healthy detoxification takes place in a slightly alkaline environment. Too much acidity will sabotage the detox process.

If you think I’m being an alarmist, try this experiment: Fill a glass with soda, diet or regular, and drop a nail into the glass. Watch it over the course of an hour or two. You’ll find that the soda eats away at the nail in a surprisingly short amount of time. Now think of what it can do to living stomach tissue!

In Eastern medicine, overconsumption of soda — particularly diet soda — is considered to be highly corrosive to the GI tract and the root of many digestive disorders. This is particularly troubling to me when it comes to children, because their bodies are still maturing.

When is diet soda okay?

At my practice, I sanction the short-term consumption of diet soda when a patient is used to drinking several sugared sodas a day and has a real sugar addiction. The only other scenarios in which I find soda drinking to be the lesser of two evils is when you are traveling in areas where the drinking water is unsafe or when you are sick to your stomach. The old wives tale rings true for some: Coke and ginger ale do help soothe nausea.

In the case of sugar addiction, weaning off of sugar with the help of diet soda and other artificial sweeteners can really help — but you may still have to deal with an addiction to caffeine. This is a short-term solution; my ultimate goal is to switch all my patients over to water and decaffeinated herbal teas as their go-to beverages of choice.

Another useful substitute, particularly for children, is to dilute 1–2 ounces of fruit juice with carbonated mineral water, slowly decreasing the amount of fruit juice. Weaning yourself and your family from soda is really weaning them from the taste of sweet. No one is discounting how difficult this can be, but substituting diet soda won’t do the trick. It actually encourages the taste for sweet! Sugar itself is a fact of life — it runs all living things. But just as I recommend eating foods that closely resemble their original form, I also encourage you to drink naturally sweetened beverages — and always in moderation.

Xylitol — a good alternative

My medical experience shows without a doubt that naturally occurring sugars are better choices than refined sugar and artificial sweeteners because they are metabolized. I am very enthusiastic about the polyalcohol sugar xylitol, also called wood sugar or birch sugar. It has long been used in Europe and Asia as a popular sweetener, and is popular with diabetics. Many sugarless gums are sweetened with xylitol because it helps prevent tooth decay and, perhaps, bone loss (There is a study in Finland looking at xylitol as a preventative for osteoporosis). Xylitol has about half the calories of sugar (3 calories per teaspoon) but it tastes sweeter, so you’ll use less. However, it doesn’t tweak the insulin receptors and contains some nutritive qualities — much like maple syrup.

I also use stevia, but some of my patients have found they don’t like the taste. The point is, there are other healthy alternatives out there. Opt for a natural sweetener and you may find you have fewer cravings!

On the other hand, if you are like so many women and you simply can’t live without diet soda, have you thought of asking yourself why?

Breaking the diet soda habit

If you hardly ever drink soda or sweeten your beverages, I think it is fine — even preferable — to use real sugar or drink the occasional Coke. This can even be therapeutic if you have an upset stomach. If you must allow your children to have the occasional soda, I think “the real thing” is best here, too.

But, if you find you have a habit of reaching for a diet drink, you could be driven by the caffeine, or it could be a behavioral habit, the sort of thing where grabbing that soda is what you do when you stop to gas-up the car or take a break from work. But the physiological addiction to caffeine is very real, and habits can feed one another.

I encourage you to see your choice of beverages as an opportunity to tune in to your body. Chances are, if you have any degree of dependency on sugared or diet drinks, your body is sending you mixed signals and you react with mixed responses. So, the next time you reach for a soda, take a moment and think first: What can I drink to best serve my body’s needs?

It may be time to make a transition to the best of all possible drinks: water. With the hectic schedule so many of us keep, it’s possible that when you think you want a diet soda or sugary drink (or for that matter, an alcoholic beverage), you are simply thirsty.

Sometimes we forget how refreshing and satisfying a glass of cool water can be, particularly if your system is accustomed to drinks with all sorts of other ingredients. Water is also the key to weight loss. It not only hydrates all of the body’s systems, but it cleanses the body of toxins. (In fact, it’s probably flushing out some of the things left over from processing ingested artificial sweeteners!)

Water may not be all your body’s asking for when you reach for that diet drink. Are you hungry? Hungry is okay — we all need to eat. Even if you are trying to lose weight or otherwise monitoring your calorie intake, when you are hungry a healthy body will tell you so, and you should not be afraid to listen. Many of my patients are surprised to find that when they eat more of the right foods, they lose weight.

The bad, the better, the best — and balance

Here are a few strategies toward more healthful choices:

  1. One of the most fundamental strategies you can take to help your body deal with the demands placed on it by diet soda is to take a daily multivitamin, enriched with calcium, magnesium and essential fatty acids. Recognize that if you are trying to lose weight and eat a balanced diet, a multivitamin will serve you tremendously in your efforts. In modern life it is practically impossible to eat sufficient food to get the nutrients you need without overloading on calories — unless you happen to be a long-distance runner by profession or avocation. Most important, any weight loss you do achieve will cause you to release toxins stored in body fat, so you need to be sure to get the balancing vitamins and stay well-hydrated to wash those toxins away.
  2. Look for products sweetened with what are called sugar alcohols, particularly xylitol.
  3. Don’t skip meals and substitute a diet soda. It just doesn’t make any sense. You run the risk of eating more later on, and you really haven’t given your body any of the nutrients it needs.
  4. Consider delving further into when and why you turn to diet or caffeinated drinks. What else is going on in your life? Are there factors driving your dietary choices that have nothing to do with what you eat? Are you tired or stressed out? Do you habitually pair drinking soda with some other activity? Are you eating or drinking sodas because you’re bored? For purely social reasons? One sure way to find answers to these questions is to try going without diet drinks and caffeine for a couple weeks, while tracking how you feel.
  5. Drink at least eight 8-oz glasses of filtered water per day — sparkling or “still”, but at least half should be still. Try drinking half your body weight in pounds, but in ounces of water (if you aren’t extremely overweight). A 140-pound woman would drink 70 ounces of filtered water per day for weight loss. After a few days, you may find that with more water on board your craving for diet soda softens and slips away.

Consider what diet really means

The word “diet” means what constitutes the usual food and drink of a person or animal. For me, the most important part of that sentence is “usual” — not “diet”.  To sustain a healthy weight and a healthy body, you need to support your body’s natural balance. Chemicals and caffeine don’t do this, no matter what the soda manufacturers tell you.

If you find that you like the occasional sugared or diet soda, don’t be too hard on yourself. Try following the 80/20 rule: if you’re healthy and making smart choices most of the time, the occasional indulgence is perfectly fine. We all do the best we can for ourselves and families; the key is to make the “best” the “usual” — and avoid sodas as part of your daily routine. So take a few steps away from the habit of diet soda and see how you feel. Have a glass of cool clear water, then see if you really want that soda. Your vibrant health may be all the reward you need.

DHEA and Adrenal Imbalance

by Marcelle Pick, OB/GYN NP

Two months ago, Lisa, a 28-year-old mom, came to see me. She was so worn out from mothering two kids and working full-time she couldn’t get out of bed. Just driving to our practice took everything she had. Her tests revealed severe adrenal imbalance and, as so often occurs in these cases, very low levels of an important hormone called DHEA.

Many women are overwhelmed with lifeDHEA is a natural steroid and precursor hormone produced by the adrenals. It’s also available at health food stores and on-line as an over-the-counter supplement. Manufacturers hype it as a magic cure-all for many things: muscle loss, weight loss, osteoporosis, and depression — even menopause. Recently headlines have linked DHEA to athletes “doping” with steroids, leading to a lot of confusion about DHEA, it’s role in the body, and how it should be used. Now DHEA is being labeled everything from “fountain of youth drug” to fraud – and the very real benefits of DHEA, particularly for women, are getting lost in all the controversy. The truth is that — for the women who need it — adrenal support with DHEA supplementation can make a big difference. I’ve seen it help patients get going again when they feel like they’ve hit rock bottom. But it’s never as simple as just popping a pill. When used appropriately — in a therapeutic setting under medical supervision — DHEA is a critical component to jumpstarting hormonal balance.

Just ask Lisa. After two months of treatment that included lifestyle changes and adrenal support with low daily doses of DHEA, she feels like herself again.

So let’s give you more information about DHEA and it’s role in hormonal balance. Then you can talk to your healthcare professional and make the best choice for your individual needs.

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What is DHEA?

Dehydroepiandrosterone, or DHEA, is a steroid hormone synthesized from cholesterol and secreted by the adrenal glands. The adrenals are walnut-sized organs located right above your kidneys. The average adult makes about 25 mg of DHEA per day (some more, some less) with dwindling production as we get older. Men at all ages have more DHEA than women.

SS Woman Adrenal Glands Color FrontNatural DHEA production is at its highest in your twenties: by the time we reach seventy we only make about 20% of the DHEA we had when we were young. A decline in DHEA with the passage of time is clearly what nature intended — and as far as we know, a healthy process. This is only one of the major reasons we don’t recommend self-prescribing DHEA through over-the-counter products.

Another reason is that DHEA is a very powerful precursor to all of your major sex hormones: estrogen, progesterone, and testosterone. (It’s molecular structure is closely related to testosterone). We call it the “mother hormone” — the source that fuels the body’s metabolic pathway:

Deep Breathing — The Truly Essential Exercise

by Marcelle Pick, OB/GYN NP

Can you guess the health habit my patients find the hardest to follow? It’s regular exercise. Despite their best intentions, most of my patients allow exercise to fall by the wayside when life gets busy or stressful — which is all the time, right?

But there is a way to begin or renew your commitment to physical fitness, something that should come easily to every woman because you have to do it anyway.

The Secret Is Simply To Breathe… Deeply and Often

SS-Blond-Woman-Deep-BreathingWhether you are currently exercising or not, think about how your routine could be enriched by paying more attention to your breath. Mindful exercise that synchronizes movement and breath has the power to change more than how you look.

In a 2005 review and analysis of several studies, Richard Brown, MD and Patricia Gerbarg, MD reported that yogic deep-breathing techniques were extremely effective in handling depression, anxiety, and stress-related disorders. These techniques can serve as an excellent adjunct to conventional medical treatment — or in some cases as a suitable substitute — in treating myriad psychological disorders, as well as eating disorders and obesity.

I have noticed that a surprising number of my patients show irregularly high levels of carbon dioxide in their blood. Interestingly, the carbon dioxide level is often abnormal when all the others tests of the blood are fine. In fact, I probably see more abnormal tests for carbon dioxide than for standard glucose, kidney or liver tests.

While this is not life threatening, it does tell me that my patient is not inhaling enough oxygen or exhaling enough carbon dioxide, which can have consequences such as fatigue, mental fog and decreased tissue function. I often note “needs to breathe” on a patient’s chart. Not the shallow chest breathing many of us default into, but deep, meaningful breaths, or “belly breathing”.

So let’s discuss why and how you should learn to breathe for your health.

Breathing For Health

Fit middle aged woman relaxing after workoutAt Women to Women, many patients come through our doors knowing that diet and exercise form the cornerstone of good health. They want to “be better” about going to the gym but just can’t seem to stick with their exercise plan for more than a month or two. Most of my patients find it much easier to change their diet than their physical activity levels because they have to find time to eat — not so with exercise.

One of the reasons aerobic exercise is good for you (and is so good at clearing away mental cobwebs) is that it ups your heart rate and forces your lungs to take in more oxygen while expelling more carbon dioxide. This gives your heart a good workout — it is a muscle after all — and pumps a quick jolt of oxygen through your cells, even those that may have been operating at reduced capacity.

Shallow breathing (or chest breathing) causes a constriction of the chest and lung tissue over time, decreasing oxygen flow and delivery to your tissues. Deep, rhythmic breathing expands the diaphragm muscle, the cone-shaped muscle under your lungs, expanding the lung’s air pockets, invoking the relaxation response, and massaging the lymphatic system.

Stimulating the Lymphatic System

Breathing serves as the pump for the lymphatic system, just as the heart serves the circulatory system. Your cells must have oxygen to survive moment to moment. To thrive, they rely on a complex exchange between the circulatory system and the lymphatic system. Blood flow carries nutrients and ample amounts of oxygen into the capillaries, while a healthy lymphatic system carries away destructive toxins. Proper breathing is the moderator of this exchange.

We don’t often think about our lymph nodes unless we hear about someone with cancer, which is surprising, because we have twice as much lymphatic fluid as blood in our bodies.

Causes Of Inflammation

by Marcelle Pick, OB/GYN NP

Systemic or chronic inflammation has a domino effect that can seriously undermine your health. So how does it all begin?

The immune system and the inflammatory response

Inflammation Woman ShoulderMany experts now see inflammation as arising from an immune system response that’s out of control. When you catch a cold or sprain your ankle, your immune system switches into gear. Infection or injury trigger a chain of events called the inflammatory cascade. The familiar signs of normal inflammation — heat, pain, redness, and swelling — are the first signals that your immune system is being called into action. In a delicate balance of give-and-take, inflammation begins when pro-inflammatory hormones in your body call out for your white blood cells to come and clear out infection and damaged tissue. These agents are matched by equally powerful, closely related anti-inflammatory compounds, which move in once the threat is neutralized to begin the healing process.

Acute inflammation that ebbs and flows as needed signifies a well-balanced immune system. But symptoms of inflammation that don’t recede are telling you that the “on” switch to your immune system is stuck. It’s poised on high alert — even when you aren’t in imminent danger. In some cases, what started as a healthy mechanism, like building scar tissue or swelling, just won’t shut off.

Chronic inflammation and its roots in the digestive system

Are you walking around on simmer? Just yesterday I saw Nancy, a patient who has been with me for years. When she first came to see me, her triglycerides were sky-high (in the 400’s!), her cholesterol was elevated, and she was overweight, unhappy and stressed. Her face was flushed and chapped, her lips were dry, and she seemed fluttery and agitated. On the surface she looked like a heart disease candidate, but when I probed deeper I saw a woman on fire from the inside out.

Woman Lab TechnicianCurrently there is no definitive test for inflammation — the best that conventional medicine can do is measure blood levels of C-reactive protein (a pro-inflammatory marker) and the irritating amino acid called homocysteine. I use the high-sensitivity CRP test now available at most labs. Anything above 1 mg/dL with this test is too high in my book. With the older tests a reading of between 2–5 mg/dL was considered normal. (If you’ve been tested, be sure to ask your doctor for the results). Newer ways to assess risk early on for future inflammatory disease include markers such as the apolipoprotein B to A1 ratio (ApoB/ApoA-1). This and other tests are in experimental use and only available through a few labs.

When I first ran Nancy’s tests, I was surprised to see that her CRP levels were normal (this was before the high-sensitivity CRP test was widely available as it is today). This was good news for her heart, since elevated CRP and cholesterol increase your risk of heart disease threefold. But her homocysteine levels were high and all of her other symptoms pointed to inflammation. I prescribed an anti-inflammation diet, essential fatty acids, other anti-inflammatory supplements, and a daily exercise regime (for more information, read our article “Reducing Inflammation – The Natural Approach.”)  When Nancy next came in, her triglycerides were down by 200 points, her skin was clear, and her mood was much better. Later tests revealed her cholesterol had gone down, too.

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A year went by, and as Nancy entered a stressful period in her life, she again began snacking on unhealthy food and going for days without exercise. Her cholesterol crept back up and she started having irritable bowel symptoms. After a brief pep talk, she got back on track and today she’s feeling great. When I saw her yesterday she looked like a different person. Her blood tests all looked good and her inflammation was back under control. Nancy’s fires are well-tended now, and I feel confident she knows what to do if they start to flare up again.