The Full Range of Emotional Expression

by Marcelle Pick, OB/GYN NP

Feelings and sensations: awakening to the full range of emotional expression

Negative Feelings

Annoyed

  • bitter
  • edgy
  • exasperated
  • fractious
  • frustrated
  • impatient
  • irritable
  • irked
  • peeved

Discomfort

  • agitated
  • alarmed
  • discombobulated
  • disturbed
  • perturbed
  • rattled
  • restless
  • shocked
  • startled
  • surprised
  • troubled
  • turbulent
  • uncomfortable
  • uneasy
  • unsettled

Sad

  • depressed
  • despondent
  • disappointed
  • discouraged
  • disheartened
  • dismayed
  • gloomy
  • heavy-hearted
  • hopeless
  • troubled
  • unhappy
  • wretched

Angry

  • agitated
  • enraged
  • exasperated
  • furious
  • irate
  • outraged
  • quarrelsome
  • resentful
  • upset
  • vengeful
  • vindictive

Disconnected

  • ambivalent
  • apathetic
  • bored
  • complacent
  • distant
  • distracted
  • indifferent
  • numb
  • uninterested
  • withdrawn
  • “checked-out”

Stressed/Tired

  • burned-out
  • depleted
  • drained
  • drawn
  • edgy
  • exhausted
  • listless
  • overwhelmed
  • restless
  • spent
  • weary
  • worn out

Aversion

  • appalled
  • contempt
  • disgusted
  • dislike
  • disdain
  • horrified
  • repulsed

Embarrassed

  • ashamed
  • flustered
  • guilty
  • self-conscious
  • chagrined
  • humiliated

 Vulnerable

  • fragile
  • guarded
  • helpless
  • insecure
  • leery
  • reserved
  • sensitive
  • shaky

Confused

  • baffled
  • bewildered
  • dazed
  • dumbstruck
  • hesitant
  • lost
  • mystified
  • nonplussed
  • perplexed
  • puzzled
  • torn

Fearful

  • afraid
  • apprehensive
  • anxious
  • distressed
  • frightened
  • guarded
  • hesitant
  • nervous
  • panicked
  • paralyzed
  • petrified
  • querulant
  • scared
  • suspicious
  • tense
  • terrified
  • watchful
  • vigilant

Yearning

  • envious
  • jealous
  • longing
  • pining
  • wishful

Positive Feelings

Affectionate

  • compassionate
  • friendly
  • inclusive
  • kindly
  • loving
  • receptive
  • sympathetic
  • tender
  • warm

Grateful

  • appreciative
  • moved
  • thankful
  • touched
  • hopeful
  • encouraged
  • expectant
  • optimistic

Rested

  • alert
  • alive
  • energized
  • invigorated
  • refreshed
  • rejuvenated
  • relaxed
  • renewed
  • replenished
  • restored
  • strong

Interested

  • absorbed
  • alert
  • amazed
  • awed
  • curious
  • enchanted
  • engaged
  • fascinated
  • intrigued
  • inspired
  • invigorated
  • motivated
  • rapt
  • spellbound
  • stimulated
  • transported

Hopeful

  • confident
  • encouraged
  • expectant
  • optimistic

Glad

  • alive
  • amused
  • cheerful
  • encouraged
  • energetic
  • enthusiastic
  • excited
  • grateful
  • happy
  • hopeful
  • joyful
  • optimistic
  • pleased
  • thrilled
  • wonderment

Peaceful

  • balanced
  • calm
  • comfortable
  • centered
  • composed
  • content
  • equanimitous
  • fulfilled
  • relaxed
  • relieved
  • satisfied
  • serene
  • tranquil

Feelings based on the book by Marshall B. Rosenberg, PhD, titled Nonviolent Communication: A Language of Life, published in 2003 by Puddledancer Press.

Sensations

The following words are examples of sensation words, that is, a sense felt within the physical body more than felt as an emotional response. It is best to be alert to temperature, texture, movement, and/or image to determine the description of sensations.

  • bubbly
  • buzzy
  • chilled
  • clammy
  • cold
  • contained
  • expanded
  • flowing
  • gentle
  • hard
  • heavy
  • hot
  • icy
  • jittery
  • jumpy
  • loose
  • numb
  • quiet
  • pounding
  • pulsing
  • quiet
  • relaxed
  • rhythmic
  • rigid
  • ringing
  • settled
  • slow
  • smooth
  • snappy
  • soft
  • sparkly
  • stiff
  • still
  • stuck
  • streaming
  • tingling
  • twitchy
  • uplifted
  • vibrating
  • warm

Adapted with permission from the Hoffman Institute Foundation, based in San Rafael, California.

Anxiolytics: Anti-Anxiety Medications

by Marcelle Pick, OB/GYN NP

Listed below is a list of the most popular anti-anxiety medications (also known as anxiolytics) grouped by category:

Antidepressants. These drugs, particularly the selective serotonin reuptake inhibitors (SSRIs), are most frequently prescribed by health care practitioners for the treatment of generalized anxiety disorder, because they are not known to be addictive. For additional information and facts about these medications and drugs, please see our articles on antidepressants.

Antihistamines. Brand names: Atarax, Benadryl. These mild sedatives can be used to calm periodic anxiety. They are used off label when used in this way.

Azaspirones. Brand name: BuSpar. This medication is utilized in the therapy of generalized anxiety disorder. It reportedly has fewer negative effects than the benzodiazepines and will not worsen the effects of alcohol. It works steadily for the duration of a period of two to four weeks and it should be stopped gradually and steadily.

Benzodiazepines. Brand names: Ativan, Centrax, Dalmane, Klonopin, Librium, Paxipam, Restoril, Serax, Tranxene, Valium, Xanax. These medications are used to treat panic disorder, generalized anxiety disorder,and social phobia. They’re quite habit-forming, thus, long-term use is not encouraged, because of the addiction tendencies, which can result in dependency and withdrawal reactions when stopped. You should never suddenly stop taking these medications if you have been taking them for more than two weeks; It is suggested that you always taper off slowly and gradually. These medications preferably should be taken with appropriate supervision by a health-related professional. Side effects include drowsiness, dizziness, headache, and nausea. Don’t mix along with other medication without talking about potential hazards together with your health care provider. Be careful when operating machinery or heavy equipment if you are taking these prescriptions.

Beta blockers. Brand names: Inderal, Tenormin. These cardiac drugs counteract the effect of adrenaline and alleviate certain anxiety symptoms,such as shaking, palpitations, and sweating. These medications should only be used under direct medical supervision, as they reduce blood pressure and slow the heartbeat. Beta blockers are non-habit forming but should not be taken with other pre-existing medical conditions (such as asthma, congestive heart failure, diabetes, vascular diseases, hyperthyroidism, and angina). They are meant to be used for a short term for anxiety and they are not approved by the U.S. Federal Drug Administration (FDA) to treat anxiety, however they are sometimes prescribed for that purpose.

For additional info on slight to moderate anxiety, as well as on natural techniques to alleviate both severe and generalized anxiety, read our other articles about this topic.

 

PCOS And Fertility – Answers To Your Questions

by Marcelle Pick, OB/GYN NP

  • How does PCOS influence my fertility?
  • If I have PCOS, what will increase my chances of getting pregnant?

SS Stomach Flower“Can I still get pregnant if I have PCOS?”  We at Women to Women, hear this question all the time from women who have just learned they have Polycystic Ovarian Syndrome (PCOS). I am happy to say that the answer is YES! It may take some medical interventions but the answer is usually yes. Even though PCOS is the most common type of female endocrine (hormone) disorder and one of the leading causes of female infertility, there is certainly hope for women with PCOS. The interesting part to this is that often times it is an easy intervention. At Women to Women, we have seen many women with this form of hormonal imbalance improve their fertility — and go on to experience a healthy pregnancy! So let’s look at some of the most common questions and concerns we hear about the effects of PCOS on fertility, and see how a more natural approach like ours can help in your PCOS and fertility journey.

For an overview of what PCOS is, click here.

How does PCOS influence my fertility?

When you have PCOS, it changes the hormonal pathways in your body that produce eggs and prepare the uterus for pregnancy. The three most important reasons why becoming pregnant, or staying pregnant may be more challenging for women with PCOS are:

  • Women with PCOS often do not ovulate.
  • Women with PCOS tend to have irregular periods rather than “normal” predictable monthly cycles.
  • When and if an egg is released, the endometrium (lining of the uterus) may not be sufficiently prepared to sustain pregnancy.

You can learn more about the causes of PCOS in our articles about the causes and symptoms of PCOS. There is good news though— those complicated hormonal imbalances can often be changed to increase your chances of conception.

If I have PCOS, how can I increase my chances of getting pregnant naturally?

This is the question we hear most often. Now there are a number of treatment options out there — including both conventional and natural measures that can help to normalize your hormones and increase your chances for a healthy pregnancy. At Women to Women, we have found that nutritional and lifestyle changes are almost universally necessary for women with PCOS. Our approach includes the following natural measures:

SS Smiling Woman Rejecting Sweets

  • Follow a low-glycemic load diet. Years of experience has taught us that this step is vital to limit insulin resistance, balance sex hormones, and increase fertility. What we mean by “low-glycemic load,” is to limit carbohydrate intake to 16 grams of carbs per meal, and 7 grams per snack. That is the best way to start. For those of you that are more active a slightly higher carb intake may be necessary. In order to keep the glycemic load down, pair your carbohydrates with fiber, protein, and/or healthy fats. We recommend eliminating all high-fructose syrups, sugar, white flour, white rice, white potatoes, and other highly processed, refined sugars and starches.
 Carefully limiting refined carbohydrates is crucial to fertility because it reduces your insulin resistance, decreases androgens, and results in more regular ovulation and menses. This is basically what the drug metformin accomplishes, too — the difference is that our approach does this naturally. We so often see our patients come back after following this protocol having regular cycles for the first time in their lives. For more information, read our article, “Understanding Carbohydrates – Let’s Take Away The Confusion.”

Finding Your Healthy Weight

by Marcelle Pick, OB/GYN NP

As much as my patients know they should eat well, the concern that looms largest for many is their weight. Whatever their age and station, most women care deeply about what they look like. As a consequence, they battle with their weight, adopting any number of extreme unhealthy patterns over the course of their lifetimes to keep things “in check.”

The truth is that when your weight changes dramatically from what’s normal for you, or when it’s continually moving up or down no matter what you do to try to change it, it’s often a signal that something isn’t working right. It can be a red flag telling you you’re under physical or emotional stress of some kind — stress you might not even recognize! It could be something as simple as having too little time to eat regular meals, or it could be years of small imbalances piling up in your body until some added stress puts you over the top — it’s different for everyone.

From my point of view, whether a woman is overweight or underweight, the first thing she can do for herself is befriend her body. Women are often too critical of the weight level that their bodies find most comfortable. Whether you look in the mirror and see yourself as “too much” or “too little,” obsessing about the extra curves (or the lack of them) is a major obstacle to finding your healthy weight.

[banner id=”weight-management-system”]

The next hurdle to overcome is the “calories-in, calories-out” myth. Women who struggle with issues of unexpected weight change (whether it’s gain or loss) may intuitively know that something is out of balance in their bodies, but may not “hear” what her body is telling her over the social messages we get all the time. These messages tell us, If you’re gaining weight, it’s because you’re not trying hard enough to control yourself or If you’re that thin, you must have some kind of eating disorder (even as women who are every bit as thin are celebrated for their beauty on magazine covers).

For some women, stress and imbalance mean weight gain. Our bodies often hold extra weight when something is wrong — it’s a built-in protection that we evolved to ensure survival. Among our ancient ancestors, long-term stress was often related to scarcity of good food, so the body’s response of storing energy as fat could be life-saving. In the modern world, survival isn’t usually the issue, but our bodies still react as if it is. Ironically, this “life preserver” can, over the long run, threaten our health — we’ve all heard the long litany of diseases related to excess weight.

On the other end of the spectrum are the women whose core imbalance doesn’t show up in excess weight but in an unhealthy level of thinness. The body does whatever it needs to in order to maintain homeostasis, and these women are often carrying such high levels of stress, worry, and adrenal overload that they burn up everything they take in. Overly thin women struggle to provide their bodies enough nutritional support to build muscle, keep their bones strong and healthy, and fight off infections. It’s sad but true that these women are just as unhealthy, or even more unhealthy, than women carrying too much weight.

We can hold extra weight — or be unable to gain weight — during periods of hormonal imbalance, adrenal fatigue, digestive disorders, neurotransmitter imbalances, toxicity, and inflammation, just to name a few. Weight gain or loss can also be related to imbalance in our life choices. Exercising too much or too little, over — or under — emphasizing specific food groups so that we don’t have a balanced diet — even imbalances in our relationships or emotional lives can affect our weight!

Whether your goal is to lose weight or gain it, a key starting point is to recognize where your life and health are out of balance. Once you find and heal your core imbalance, your body weight will stabilize at the level that is comfortable for your body.

Tip for personal success:

Clean your colon. One of the best things you can do is to support your colon by using an occasional colon cleanse. Or add a fiber supplement, such as psyllium husks, to 8 oz. of apple juice in the morning and evening.

The happy news for many women is that achieving a natural and healthy weight is not about restricting yourself or testing your willpower. It’s about addressing any imbalances and giving your body what it needs: fresh, whole foods, plenty of restorative exercise and rest, and the foundational support of quality vitamins and minerals. Our patients and members tell us this approach beats any weight loss program or weight loss plan they’ve tried in the past.

Take a look at the information and articles we have on achieving your healthy weight, naturally. We hope your perspective on “dieting” — and eating in general — changes for the better.

 

 

 

 

 

 

Chronic Fatigue — Get Your Energy Back!

by Marcelle Pick, OB/GYN NP

As primary caregivers, working mothers and instinctive people-pleasers, women are extremely prone to fatigue. Every day I see patients who commute to work 40+ hours a week, SS Woman Balancing Demandsthen zoom home to the demands of children, aging parents, and running a household, remaining on the go throughout the day and getting little rest at night.

It’s no wonder women are tired. And I’m not talking about ordinary fatigue here — the kind that goes away after a good night’s sleep. For so many women, fatigue becomes a chronic condition that silently undermines their lives and eventually their health.

When women do seek treatment for fatigue, their healthcare providers will often assure them their symptoms are perfectly normal. In part that’s because medical practitioners are as inured to fatigue as their patients — they’re tired too! But it’s also because they don’t take it seriously: fatigue isn’t a disease, after all.

The problem with this indifference is that chronic fatigue is a serious problem. Women are left with no options to reverse its downward spiral, which leads to premature aging, compromised immune function and, ultimately, heightened risk of disease.

But you don’t have to be trapped in the downward spiral! Fatigue — be it mild, moderate or severe — can for almost all women be reversed completely. And it’s a joy for me too to see women get their energy back — to see their whole love of life restored. So let’s talk about how you can do that for yourself.

The downward spiral into chronic fatigue

Once you’ve ruled out any serious medical condition, chronic fatigue begins as a deceptively simple problem: the demands on your body are greater than the support it is getting. The pattern starts as mild fatigue, which goes away after a good night’s sleep and a little exercise. SS BW Sad Woman Looking DownwardBut chronic fatigue is not temporary – symptoms persist and usually worsen with time, and a good night’s sleep leaves you feeling as tired as before.

Sometimes the downward spiral is triggered by a particularly stressful event, a bout with the flu, or a prolonged stretch of insomnia. In other cases the initial causes are more mysterious, and potentially more troubling. Symptoms of chronic fatigue tend to slowly worsen over time. Women, who are excellent multi-taskers, often ignore their fatigue until it leads to other symptoms, like depression, binge-eating and weight gain. Alternatively, some women tune out their bodies’ signals until they become too loud to ignore — a case of the blahs turns into feeling bone-tired each and every day.

Symptoms of fatigue

Symptoms of fatigue tend to build, slowly worsening, until you feel like a hamster stuck on an exercise wheel. And fatigue can show itself in many ways. For many women these symptoms ebb and flow with their monthly cycle. But in real fatigue they last for weeks or more. Eventually the symptoms are nearly constant. They include:

  • Feelings of exhaustion (mental and physical)
  • Being tired in the morning, even after a full night’s sleep
  • Feeling rundown or overwhelmed
  • Inability to bounce back or recover from illness or stress
  • Headaches
  • Joint pain
  • Uncharacteristic muscle soreness after physical exertion
  • Depressed mood, loss of energy, or “blah-ness”
  • Poor short-term memory, confusion, irritability
  • Lightheadedness or a “spacey” feeling
  • Strong food cravings (particularly for sweets or other carbs)
  • Dependence on caffeine, sugar or alcohol, especially in the afternoon and early evening
  • “Second winds” after 6:00 pm

Vitamin D Testing And Treatment – What You Need To Know

by Marcelle Pick, OB/GYN NP

To test or not to test – recommendations for people who choose to get vitamin D testing – and some guidance for those who don’t

  • Woman With QuestionsHow do I know if I need testing?
  • What if I decide not to get tested?
  • What specific test should I request from my healthcare provider?
  • Do I need to schedule my vitamin D test at a certain time, or together with other tests?
  • What levels are optimal when I get my vitamin D tested?
  • How much does a vitamin D test cost?
  • Is testing worth it? What do I get in return for my investment?
  • How do I know how much vitamin D to take to get replete?
  • Should I be worried about vitamin D toxicity? How can I prevent vitamin D toxicity?
  • What are the symptoms of vitamin D toxicity? Can someone be just hypersensitive to vitamin D?
  • What about retesting? Do I need it?
  • How can I maintain my vitamin D levels once I get them up to where I want to be?

How do I know if I need testing?

Today we know the prevalence of vitamin D deficiency is widespread, and for this reason feel testing is easily justifiable for all people. Everyone stands to benefit from knowing what their levels are and, if not optimal, supplementing their vitamin D3 intake. But we also recognize that for whatever reason, not everyone will choose to get tested.

Still, at the very minimum, people who have or are at higher risk of the following health concerns should seriously consider getting their vitamin D levels tested:

  • Family history or personal history of cancer
  • Hypertension (high blood pressure)
  • Schizophrenia
  • Depression
  • Migraines
  • Epilepsy
  • Osteoarthritis
  • Autoimmune conditions (such as lupus, ankylosing spondylitis, multiple sclerosis, rheumatoid arthritis)
  • PCOS (polycystic ovarian syndrome)
  • Diabetes mellitus (both types 1 and 2)
  • Fibromyalgia
  • Osteoporosis/osteopenia

[banner id=”single-product-vitamin-d-2000-2″]

In addition, anyone who experiences symptoms of:

  • Musculoskeletal pain, including joint pain and low back pain
  • Muscle weakness
  • Poor balance
  • Systemic inflammation

What if I decide not to get tested?

As we explain at some length in our full article on vitamin D, “Is Vitamin D Deficiency Casting A Cloud Over Your Health?,” there is a wealth of health benefits to be enjoyed when we are vitamin D replete. One way to get there knowingly is through periodic testing and vitamin D supplementation. But if you choose not to get tested, all the benefits of the sunshine vitamin are still available to you. You have two options:

SS Mature Woman Sun BeachNatural vitamin D production. The freest, most natural way is nature’s own: through limited exposure of your skin to the sun. Without sunblock, your skin can manufacture on average 10,000–15,000 IU vitamin D in a single “pinking” exposure. But this route has its limitations, too. Most obviously, if your skin is very, very light, or if you are at risk of or have a history of melanoma, or if you’re fearful of sun exposure for any reason, this is not a workable option for you. (Note that sunblock with an SPF of 15 or higher will block 100% of vitamin D production.) In addition, sun exposure doesn’t work equally well for everyone. It’s a given that the darker your skin, the more melanin pigment it contains, and the more prolonged sunshine exposure you will need to produce adequate vitamin D.

Is Vitamin D Deficiency Casting A Cloud Over Your Health?

by Marcelle Pick, OB/GYN NP

I just returned from a conference where everyone was discussing vitamin D. It’s been a hot topic in both conventional and alternative medicine lately because vitamin D deficiency is widespread and seems to be related to so many health concerns: osteoporosis, depression, heart disease and stroke, cancer, diabetes, parathyroid problems, immune function — even weight loss.

Many of today’s conventional clinicians received little to no training in medical school for this problem. They may not be in the habit of testing for vitamin D deficiency or, if they are testing their patients, familiar with treatment. But practitioners from both sides of the aisle are seeing more cases of vitamin D deficiency and awareness is on the rise — one colleague reported that 85–90% of his patients don’t get enough D. And that’s consistent with what we see at Women to Women.

For more information, read our article, “Vitamin D Testing and Treatment – What You Need To Know.”

How can this be happening? And what should you do about it for you and your family? The answer isn’t as simple as drinking more fortified milk.

We’ve been testing and treating patients for vitamin D deficiencies for many years, and I know there are effective, natural strategies that work in most cases. Diagnosis is easy, and treatment with supplementation is easy, safe, affordable, and can bring wonderful results. So let’s explore vitamin D’s role in your health and how to determine what you should do.

What does vitamin D do for the body?

This essential nutrient is called a vitamin, but dietary vitamin D is actually a precursor hormone — the building block of a powerful steroid hormone in your body called calcitriol. It’s been known for many years that vitamin D is critical to the health of our bones and teeth, but deeper insight into vitamin D’s wider role in our health is quite new.

Vitamin D works in concert with other nutrients and hormones in your body to support healthy bone renewal — an ongoing process of mineralization and demineralization which, when awry, shows up as rickets in children and osteomalacia (“soft bones”) or osteoporosis (“porous bones”) in adults.

Researchers are discovering that D also promotes normal cell growth and differentiation throughout the body, working as a key factor in maintaining hormonal balance and a healthy immune system. It appears that calcitriol actually becomes part of the physical composition of cells, assisting in the buildup and breakdown of healthy tissue — in other words, regulating the processes that keep you well.

What’s more, evidence from studies tracking the prevalence of disease by geography and nationality shows clear links between vitamin D deficiency and obesity, insulin resistance, heart disease, certain cancers, and depression. Since most of these problems take many years to manifest, vitamin D deficiency has been overlooked by many providers for a very long time. I test all of my patients, and have been surprised to find that more than 85% come up with a vitamin D deficiency.

Your body can’t create vitamin D on its own. Instead, it’s designed to make it through sun exposure. In theory, you can make an ample supply of vitamin D with as little as a couple of hours per week in the sun — provided the UVB rays are strong enough. You can also ingest D through food, especially fatty fish like wild–harvested salmon. Plus, lots of foods are fortified nowadays, so vitamin D deficiency should be an easy problem to solve, right? But the truth is, we’re just not getting enough, and so many of us aren’t even close.

For more information, read our article, “Vitamin D — The New Giant For Bone Health And Overall Disease Prevention.”

Major vitamin D functions

  • Supports key mineral absorption and metabolism (especially calcium and phosphorus in the blood and bones)
  • Regulates normal cell differentiation and proliferation (e.g., prevention of cancer)
  • Promotes insulin sensitivity and blood sugar regulation (insulin secretion)
  • Regulates over 200 genes through binding to vitamin D receptors throughout the body

Vitamin D requirements

The growing awareness of how much our bodies rely on vitamin D has raised concern that the dietary recommended daily intake values (DRI’s) are woefully obsolete — 200 IU (International Units) a day for adults 19–50 years old, 400 IU for those 51–70, and 600 IU for those over 70. Experts now agree that the DRI’s for vitamin D are way too low, particularly for people who don’t get sufficient sun exposure.

Some studies have shown that adults need 3000–5000 IU per day, and others indicate healthy adults can readily metabolize up to 10,000 IU vitamin D per day without harmful side effects. The European Union’s Scientific Committee on Food lists 2000 IU per day as the safety cut-off, as does the US Food and Nutrition Board. But the latest science strongly suggests most adults should be taking more. What gives? We agree that unless you have testing and monitoring, there is wisdom in keeping the safe upper intake at 2000 IU per day. On balance, the point here is that vitamin D at doses far higher than today’s daily intake values (DRI’s) appears to be safe, to promote optimal health, to reduce the risk of many serious diseases, and even to speed healing for serious health concerns.

Vitamin D supplementation appears beneficial throughout our lifespan, from in utero to advanced age. A recent long-term study indicates that we are at less risk of developing osteoporosis later in life if our mothers had adequate stores on board while pregnant. Another age group needing ample vitamin D is teenage girls living in northern climates, who for much of the year cannot get enough sunlight to make enough vitamin D naturally. Optimal bone growth and accumulation during puberty may be a factor in preventing osteoporosis later on in life, and a new, higher daily recommendation for teenage girls (2000 IU — up from 200 IU) would be wise, particularly in winter.

It’s important to note that we lose some of our ability to synthesize and absorb vitamin D as we age. As we grow older and our skin thins, the amount of the vitamin D precursor (a derivative of cholesterol) in it decreases, too. Women entering perimenopause and menopause, when there can be accelerated bone loss, can slow bone loss by getting enough vitamin D on board. The elderly, who are at increased risk of falls and fractures, also stand to benefit from taking vitamin D. Some studies in the US indicate that supplementation with vitamin D and calcium significantly reduces bone loss and incidence of nonvertebral fractures in women 65 and over. Even in sunny Australia, a two-year study conducted among the elderly showed that supplementation with vitamin D reduced incidence of falls and fractures. But supplements alone are not enough to protect your bones for life — see our Bone Health section for more guidance.

Another consideration is that not all forms of vitamin D are created equally — some are more readily usable (bioavailable). The average healthy body can naturally synthesize about 10,000–15,000 IU of vitamin D3 in the skin within just minutes of sun exposure, without ill effect. We have natural checks and balances that shut off vitamin D build-up once we get enough. When we eat sources of vitamin D, they enter the lymphatic system through the intestines, bypassing the skin’s natural shut-off valve. Nevertheless, recent studies suggest the body can use large periodic doses of oral vitamin D3 every few weeks or so and not become toxic. Still, this is a practice reserved for the therapeutic setting, where the individual is being closely monitored.

Getting back to what happens in the body, both sunlight-generated and dietary vitamin D forms go into circulation and are passed along to the liver, where they get converted into calcidiol. This is the circulating form of vitamin D (25[OH]D, or 25-hydroxyvitamin D) that gets measured by testing labs when you have your blood drawn for a vitamin D test.

Next, calcidiol is converted in the kidneys and other organs into calcitriol. This is biologically active form of vitamin D, also known as vitamin D3 (or 1,25[OH]2D; or simply cholecalciferol). This is the form that goes to work by attaching itself to vitamin D receptors present throughout the body. Today we know there are vitamin D receptors in some three dozen different target organs in the body! Researchers have also recently found that in addition to being converted in the kidneys to this active form, calcidiol is converted into calcitriol in about ten other organs in the body — the lymph glands and skin tissue, too, for example. These discoveries are exciting because they lead us to understand how important vitamin D is for whole-body wellness, not the least of which include prevention — and treatment — of certain types of cancer.

But you don’t need to remember a lot of forms and formulas to appreciate what this powerhouse vitamin/hormone has to offer you. The bottom line is, we still don’t fully understand all the mechanisms behind vitamin D’s actions and forms in the body — we just know our bodies rely on a certain amount and that many of us aren’t getting enough. The truth is that adequate levels are probably highly individualized and depend on a variety of factors. To know whether you’re vitamin D deficient, you need to get a blood test from your healthcare practitioner. For more information, read our article about vitamin D testing.

How do I know if I’m getting enough vitamin D?

Awareness of vitamin D first took center stage in the early part of the 20th century, although it was described in medical writings as early as the 17th century. Children with vitamin D deficiency developed rickets, a condition where the body fails to mineralize bone. This led to the daily dosing of children with cod liver oil, and a movement to fortify milk and cereal with vitamin D as well. By the 1960’s, rickets had become a relatively rare disease.

These days, most commercial milk suppliers fortify their products with vitamin D in the form of ergocalciferol (also known as D2) or cholecalciferol (D3). Some orange juice makers are doing the same, and like many food fads, you can soon expect to see lots of other products claiming to be good for you because they’re fortified with vitamin D. While the amount in these beverages is enough to ward off malnutrition, you’d have to drink gallons a day to reach optimal levels. That’s just too much milk or juice for most adults. And, while a tablespoon or two of cod liver oil a day is still a superb idea, many people won’t touch it — you could say it’s an acquired taste!

In reality, there really is no sufficient dietary source. But let’s not write off vitamin D-fortified foods altogether. A bakery here in the US recently created a new vitamin D-fortified bread, but it contained so much vitamin D they had to go to Europe to test it, where allowable limits are more progressive. The recipe also included calcium carbonate, and the bread was reported to increase lumbar bone mineral density in the elderly patients consuming it. Fortified bread isn’t the way to go for everyone, of course, but it could provide a dietary option to weakly fortified milk and orange juice.

As we now know, sun exposure was critical for sufficient vitamin D to our ancestors. Until modern times, human beings spent a great deal of time outdoors. The origin of our species was subtropical, meaning we naturally got enough sun exposure to generate vitamin D. But as Homo sapiens migrated to less temperate climes this changed. Over many generations, the shift from a hunter-gatherer to an agrarian-based to an increasingly industrialized society also meant less and less time in the sun. Today many of us work inside sealed buildings with glazed windows, and we wear sunblock and drive everywhere in cars instead of walking outdoors. Any glass windows or sunblock with an SPF above 15 will block the UVB rays necessary for vitamin D conversion.

If you live in a region above latitude 40 (a horizontal line that runs from just below New York City west to northern California), then the sun is only strong enough between May and September to trigger the vitamin D conversion (or the converse in the Southern Hemisphere). This means that a large percentage of the population is at significant risk much of the year for vitamin D deficiency. For all these reasons we recommend 2000 IU per day for anyone at or above this latitude, at least from the fall through the spring months. But the ideal course of action is vitamin D testing, since there is so much individual variation. You would really need to see your practitioner and have your vitamin D levels tested before upping your supplemental dose beyond 2000 IU per day.

Vitamin D deficiency symptoms

Vitamin D deficiency may be characterized by muscle pain, weak bones and fractures, low energy and fatigue, lowered immunity, depression and mood swings, and sleep irregularities. Women with renal problems or intestinal concerns (such as IBS or Crohn’s disease) may be vitamin D deficient because they can neither absorb nor adequately convert the nutrient.

Vitamin D, menopause, and osteoporosis

As we age, our bodies slowly lose the ability to mobilize vitamin D, a process that lowers our calcium absorption rates. This creates a higher risk of osteoporosis, particularly in post-menopausal women.

We’re not sure how sex hormones affect vitamin D conversion, but women seem to have a harder time stimulating the mechanism that builds bone tissue when their estrogen levels are reduced.

Calcium is clearly an important co-factor to vitamin D, and may lose efficacy if vitamin D is deficient or estrogen levels are low, as vitamin D appears to be the more critical factor in bone health. A recent study by scientists at the University of Massachusetts found that a diet rich in calcium and vitamin D can help control some symptoms of PMS, such as tearfulness, anxiety, and irritability.

What does this mean? No one knows for sure, but it is more evidence that all the systems of the body are connected and we can’t look for easy answers in one place.

Vitamin D and weight loss

I’m sure many of you have seen the “diet with dairy” ads launched by the American Dairy Council. Some studies have shown that weight loss does occur with an increase in calcium intake, while others appear to refute this. Since vitamin D is directly involved in calcium absorption, it stands to reason that vitamin D is also a factor in how the body regulates weight.

Moreover, people who have a reduced capacity to mobilize vitamin D often weigh more and have more body fat than those with full capacity. In the past 20 years multiple studies have shown a correlation between higher blood levels of vitamin D and leaner body mass.

To my thinking, what seems essential for us to understand here is the vitamin D connection with insulin resistance. Vitamin D deficiency may contribute to the wide set of disorders associated with metabolic syndrome (syndrome X), as well as to Polycystic Ovarian Syndrome (PCOS). In a study published in 2004, the authors saw a 60% improvement in insulin sensitivity in healthy, vitamin D replete adults — and concluded vitamin D was more potent than two prescription medications commonly used to treat type 2 diabetes! But the cadres of drug reps spread out across America are not likely to be reminding your healthcare practitioner about this study. They are not likely to have heard about it!

For more information, refer to our extensive article list in our Insulin Resistance section.

Clearly, vitamin D seems to be very important in regulating our weight, but we don’t yet understand the mechanism involved or how it relates to our environment and individual biochemistry. Still, there seems to be a correlation between rising rates of obesity and vitamin D deficiency. If you are having difficulty with insulin resistance or weight gain — or can’t keep the pounds off once you lose them — you may want to have your vitamin D levels checked by your healthcare practitioner.

Vitamin D and cancer

Evidence is mounting that vitamin D may protect against some cancers, particularly breast cancer, prostate cancer, and colorectal cancers. In fact, over 60 years of research have shown vitamin D supplementation or sunlight-induced vitamin D conversion to be associated with lower incidence of cancers.

There is also a higher incidence of breast cancer in northern climates, but whether that is associated with lower levels of vitamin D is still speculation. Vitamin D deficiency most certainly affects your immune system because calcitriol actually helps regulate cell division, so adequate levels may help sustain normal cell growth. And stress and other physiological markers can disrupt the function of vitamin D receptors, among others, making us more susceptible to unusual cell activity.

Vitamin D and depression

Another area of vitamin D research is its relationship to depression. Seasonal affective disorder, or SAD, is a situational mood disorder brought on by decreasing daylight in the winter months. High doses of vitamin D during these months have proven to be a very effective natural remedy for SAD, leading most practitioners to believe that normal neurotransmitter function depends in part on adequate vitamin D synthesis.

Vitamin D levels are inversely related to those of melatonin, another mood-regulating hormone. Melatonin helps modulate your circadian rhythms, with darkness triggering melatonin secretion by the pineal gland within your brain, bringing you down gently at night for sleep. Insomnia, mood swings and food cravings are influenced by melatonin. Sunlight shuts melatonin production off, while triggering release of vitamin D — that’s why doctors recommend getting outdoors as a remedy for jet lag.

Most of us can sense the positive influence of sunlight in our own lives by the immediate lift we get from taking a walk outdoors on a beautiful sunny day. Now there may be many factors at work that brighten our mood in such cases, but sun exposure is almost certainly a critical piece. Soaking in the warmth of the sun is one of the most relaxing activities we share with all living creatures — just watch a cat dozing in a beam of sunlight.

Healthy sunbathing — is it possible?

Our bodies are remarkably efficient. During the summer months, even as little as 15 minutes in the sun (without sunblock!) in the early morning and late afternoon is enough for most light-skinned individuals to create an ample supply of vitamin D. Skin with more pigment (melanin) may require up to 40 minutes.

But some say we are trading our longer lifespan for an increased risk of skin cancers, so don’t throw away your sunblock! It’s still important to protect your skin, particularly on your face and scalp, during the sun’s peak hours (11:00 AM – 2:00 PM) by using a lotion with SPF–15 (or higher), preferably PABA–free. Melanoma is a serious condition, and I’m not in favor of increasing your risk with unhealthy sun exposure.

This means taking care, not to be out in the sun unprotected for more than 15 minutes twice a day, in the early morning and late afternoon. If you begin to turn red before 15 minutes, cover up completely or go inside. It is never a healthy practice to burn your skin. It is also not safe to rely on tanning beds as a primary source of vitamin D, because their lamps are usually calibrated to favor UVA rays, not the UVB rays that stimulate vitamin D production. For more information, read our article, “Vitamin D And Tanning Beds.

I do believe from what I see in my patients here in Maine that the problem is on the rise. But it just makes good “body sense” to allow your skin to do what it already knows how — produce vitamin D with sunlight. What’s more, unlike with supplements, it’s impossible to get a vitamin D overdose from sun exposure.

Understanding your own individual needs and levels of tolerance for vitamin D are important parts of healthy self-care. I would like to think that you wouldn’t just assume that because you live at a far northern (or southern) latitude, or work indoors and don’t get much sun exposure, you’re vitamin D deficient and need supplements. To fully answer that question you would need to see a medical professional and get a blood test. See our article on vitamin D testing and treatment for more information on testing and avoiding toxicity.

What you can do to prevent vitamin D deficiency

Vitamin D deficiency may be a pervasive problem — one that we treat with specific therapies at our medical practice — but the best way to protect yourself from any deficiency is to build your health from the bottom up and let your body balance itself. We acknowledge the controversy over whether our primary source of vitamin D should be the sun, diet, or supplements. Which combination is best for you depends on many variables, including your age, nutritional status, and geographic location. In a world where so many of us are at risk of vitamin D deficiency, we recognize each of these sources as valuable. With this in mind we recommend the following steps to prevent vitamin D deficiency:

  • Allow yourself limited, unprotected sun exposure in the early morning and late afternoon (no more than 15 minutes for light-skinned individuals, 40 minutes for darker skin) — particularly between May and September if you live in anywhere higher than about 35–40° latitude. (See the World Atlas to check out your latitude!)
  • Eat a diet rich in whole foods. Nutrient-dense, fatty fish like mackerel and sardines are good sources of vitamin D. Egg yolks, fortified organic milk and other dairy products, and some organ meats (like liver) are also reasonably good natural sources of D. Because vitamin D is still somewhat of a mystery, we’re not sure which co-factors are important for its absorption, but we can surmise they are most fully present in wholesome food.
  • Take a top-quality multivitamin every day to fill in any nutritional gaps, preferably one that includes fish oil.
  • Take a vitamin D supplement. Supplement additionally with vitamin D3 at 1000–2000 IU daily if you do not get testing (or higher with testing, under the care of your healthcare practitioner). For a long time, vitamin D therapy was being prescribed as vitamin D2. To our thinking, this form has more potential for toxicity and is much less effective than natural vitamin D3. Nowadays vitamin D3 supplements are widely recognized as the superior, more bio-ready form for use in the body. How much you need really depends on your particular needs, so testing is really the best way to go for most people.
  • Check with your healthcare professional about vitamin D testing. If you think you may be suffering from vitamin D deficiency, get a blood test and ask for the results. I like to see an optimal value of 50–70 ng/mL. A conventional doctor might think anywhere from 20–50 ng/mL is normal, but that recommendation will soon change as the newest research becomes incorporated into the standard of conventional care. Please see our article on testing and treatment for guidelines and precautions.
  • Discuss adding a vitamin D supplement to your diet with your healthcare provider. If you don’t get out in the sun every day for 15 minutes in the early morning and late afternoon, consider supplementing with 1000–2000 IU per day — at least during the winter months! But you may need higher levels to reap all the long-term health benefits vitamin D has to offer you, so talk it over with your healthcare provider. This is so important for women of all ages — especially those over 50. Then be sure to get follow-up testing to monitor your response.

Women to Women offers these high-quality, pharmaceutical grade supplements to enhance your health.  Click here to see what we have to offer.

And keep in mind that in the end, optimal health is never about just one thing. Vitamin D is just one component of an ever-changing picture — your health is a work in progress that needs your consistent attention and support.

It may turn out that vitamin D is the key everyone’s been looking for, or more likely an important part of a far greater whole-health picture. But what matters most is how you feel and what works for you. I encourage you to investigate your personal vitamin D level with your medical practitioner as part of a comprehensive approach to your whole health.

For more information, please read our other articles about vitamin D.

Women’s Alternative Health Care — Make It Work For You

by Marcelle Pick, OB/GYN NP

Alternative Health Care Choices Questioning WomanMost of the women we see at our medical clinic aren’t really sure they’re making the right choices about their medical care. They come to us because they have an intuitive sense there must be a better way, something healthier. And they’re right!

Why alternative medicine?

Many are frustrated with conventional health care, but leery of alternative medicine because their doctor may not approve. Many are pursuing alternative health care but don’t feel comfortable telling their doctor about it. And quite a few are interested in a different approach but can’t tell truth from hype when it comes to what really works or how to find a good practitioner.

Not surprisingly, a lot of women feel lost in or abandoned by the conventional medical environment. But the truth is that the medical system is going through a period of revolutionary change — for the better — as the conventional and alternative systems begin to merge into what is called “integrative medicine.” You are an agent of that change.

The good news is that by understanding your options and a few guidelines you can enjoy better health than you ever imagined in this new medical environment. We know that because we’ve helped pioneer this new integrative approach to healthcare with our own patients over the past 25 years. We can assure you — it’s what you’re looking for.

So let’s discuss how to bring integrative medicine into your life, right now, so you can begin to enjoy all it has to offer you.

Tips for Personal Success

Practice being still. As little as ten minutes a day spent in quiet meditation can give you numerous physical, mental, and emotional benefits. Focus on deep breathing, which allows oxygen to reach the tissues and quiet the mind, allowing space for your inner voice to emerge and guide you in your life.

What are alternative, complementary and integrative medicine?

First of all, let’s get some terminology straight. It can add to the confusion if you don’t know what your practitioner is talking about.

Conventional or traditional Western medicine is what most of us grew up with: if you get sick, feel a lump or have an accident, you go to the doctor. The physician treats that particular problem — usually through prescription drugs or surgery — and you go home.

This has been a remarkably successful system that has rid the world of diseases and infections that were the scourge of our ancestors. Up until recently, however, little attention was paid to prevention. Preventative medicine is now a buzzword with the insurance companies, meaning eat less, exercise more and take an aspirin or other “safe” drug every day.

Scientific advances like the mapping of DNA may change this approach in the future, but for the most part traditional doctors are rigorously trained to address trauma or disease, not the complexities of how the patient got that way.

Alternative, natural, and holistic medicine are widely used terms for a variety of healing therapies, some of them ancient. Generally speaking, its practitioners look at the “whole” person — mind, body and spirit — to identify underlying imbalances that cause disease. They believe in the body’s own vital energy and its natural restorative powers; most alternative therapies are meant to be preventative.

Treatment occurs in the least invasive, most natural way to foster a well-balanced, well-nourished body that will resist disease, fight infection, heal faster, age gracefully and rarely if ever need more radical intervention.

When we began Women to Women 25 years ago, alternative practitioners were not well-regarded by the medical establishment. I’m happy to report that the National Institute of Health now funds over $100 million of research every year in alternative medicine, and there is a tenured professor in the field at the Harvard Medical School. So we’ve come a long way.

When alternative medicine is used as part of a conventional treatment protocol for a medical condition, the combination is called complementary medicine. Many leading hospitals now offer what they term complementary and alternative medicine. But both camps felt the term implied there was something missing on one side or the other, so it is falling out of favor.

Integrative and functional medicine

Integrative medicine is a newer term that is more encompassing because it conveys that the practice of traditional Western medicine and alternative therapies must be integrated. I can say with confidence that integrative medicine is the future of healthcare. Integrative medicine is now a part of the curriculum at 28 major medical schools around the United States. This is great progress, but unfortunately, as we will discuss in a moment, what is being taught in medical schools is far ahead of what most doctors are telling their patients.

A branch of integrative medicine, called functional medicine, is the guiding principle of our practice at Women to Women. Using evidence-based, proven methods from both the alternative and conventional approaches, we look at the individual core physiology of each woman, including her background and emotional state — whether she is symptomatic or not.

Why is integrative medicine important to your health?

The main reason to bring integrative medicine into your life is simple – you’ll be healthier. As I mentioned before, I’ve seen time and again that integrative medicine results in optimal health. Both traditional and alternative practices have their benefits and their limitations, but together they provide a synergy that can transform your health and fill you with vitality, naturally, for the rest of your life.

And that’s important. A recent eight-year study on U.S. adult health-related quality of life reports that we are living longer but feeling worse on a day-to-day basis — particularly women. Chronic diseases are on the rise and evidenced at younger and younger ages. And drugs have side effects that often diminish our quality of life, as well as shorten it.

In other words, traditional medicine may be keeping us alive longer, but we aren’t enjoying it.

At our practice we see this reality everyday. Women come in whose tests are “normal” by current medical standards but know instinctively that something is wrong. Often they have or are on the verge of developing a serious health condition — they just haven’t reached the disease threshold yet. Luckily, catching a developing condition early means a lot can be done to prevent its progression. Simply adding daily nutritional supplements and making positive changes in diet and lifestyle have altered the health trajectory of most of our patients.

Conventional medicine is very good at disease screening, and often effective in treatment of disease or acute conditions. It just isn’t structured to promote preventative health or support natural, less-invasive methods. So if you stay with the conventional approach exclusively, in our view, you make it more likely you’ll get sick.

How do I integrate my healthcare?

In the ideal world you would have a practitioner who is educated in alternative therapies and who would guide you to the best local specialist, as we do at Women to Women. This rarely happened in the past but it’s becoming more common — because women like you are demanding it. For many years now there have been more visits to complementary and alternative practitioners than to conventional practitioners — enough of a trend that doctors and insurance companies are taking notice.

At Women to Women we integrate these methods seamlessly. For example, we will often use visualization before surgery and affirmations afterwards with our breast cancer patients. These patients have less pain and go home earlier than most other breast cancer surgery patients.

Whether or not you’ve had experience with alternative health care, the best ways to get results from integrative medicine are straightforward:

Find a conventional practitioner you can talk to. Maybe you already have one. If not, ask your friends and family for references. Our article on talking about bioidentical hormones with your doctor provides some valuable advice about talking to a conventional practitioner. Some physicians will feel threatened by a patient’s desire to bring alternative practitioners onto their team. This is partly due to a lack of training (especially among older doctors) and partly a lack of openness to change. Proceed with the notion that knowledge is power and what matters here is your health, not your doctor’s authority.

If you can’t find a conventional practitioner who will work with you on an integrative basis, go anyway. You must not ignore the value of regular medical check-ups for disease screening; you must not self-diagnose.

Listen to your intuition. When it comes to your health, you are the authority, and your body is the expert. If you have a diagnosis but the plan of treatment sounds inappropriate to you — conventional or alternative — pay attention and discuss alternatives with your practitioner. If you know something doesn’t feel right but your conventional tests are normal, don’t ignore your body’s wisdom. This is a perfect time to begin experimenting with alternative medicine.

Remember, neither the conventional nor the alternative methods are guaranteed to help everyone with a given condition. People are simply too unique. You have to find what works for you. Sometimes what’s best is to use the conventional approach (for example, medications) as a bridge until natural methods (for example, dietary changes and nutritional supplements) have time to get traction.

Do your due diligence. The best way to find a good alternative practitioner is through the referral of a doctor or health practitioner you trust. If that isn’t possible, ask your friends and family for a personal reference. Do some research into different alternative treatments and consider what you feel most comfortable with. For a list of treatments we’ve used successfully with our patients, see below. Look up your state’s requirements for certification in the field you are interested in. Read as much as you can. Ask questions. Only take supplements from well-recognized, tested sources.

Finding the right alternative treatment

There are so many alternative medical treatments to choose from. Some, such as acupuncture, are very well established. Many others have at least some supportive studies. Others we have found to be useful in the hands of the right practitioner.

Unfortunately, many alternative therapies don’t adapt well to standard, double–blind placebo controlled studies developed to test pharmaceuticals, and there aren’t the kinds of funds for this research that drug companies spend routinely.

That being said, the following is a list of alternative practices that have been effective for our patients:

Acupuncture
Aromatherapy
Ayurvedic medicine
Bach flower essences
Bio-feedback
Chelation therapy
Chiropractic
Emotional Freedom Techniques
Guided imagery
Herbal remedies
Homeopathy
Hydrotherapy
Hypnosis/self-hypnosis
Massage
Meditation/visualization
Movement and exercise therapy
Naturopathy
Nutrition therapy
Osteopathy
Reiki/energy medicine
Relaxation response
Spiritual healing/healing through prayer
Therapeutic touch
Traditional Chinese/Oriental Medicine (TCM/OM)

There are other forms of alternative medicine, such as iridology, that are more controversial. Please proceed cautiously if you are interested in such lesser-known techniques until more is known about them.

Finding an alternative practitioner

There are unqualified or ineffective practitioners in both conventional and alternative medicine, so be cautious whenever you choose any health care provider. There are studies that indicate that medical error is among the top ten causes of death in America. Outright quacks are rare, but they exist too. Beware of extravagant claims for any treatment.

One of the problems is that certification standards vary so much from state to state. But almost every state now has some kind of certification process. Look for the following:

  • Trained, licensed and certified in their particular field
  • Recommendations from other practitioners or friends
  • The atmosphere and the practitioner feel safe and comfortable to you
  • Your opinion is valued and your questions are fully answeredG
  • Guidelines for the technique and length of the procedure are set at the first visit
  • Some verifiable evidence of successful results in the treatment of your concern
  • Ability to work with other healthcare professionals in your life

You can do it!

You may run into obstacles, but they can be overcome. If you live in a remote area, don’t have health insurance, or find that your health insurance doesn’t reimburse for alternative care, there is still a lot you can do to integrate your healthcare simply by activating your body’s own curative powers through nutrition and lifestyle. Taking a high-quality, daily nutritional supplement, getting moderate exercise, and reducing your stress is an affordable foundation we all need.

In addition, use your computer or your local library to research other ways to expand your healthcare options. Books and articles abound on how to naturally reduce stress, relax and balance your life right at home. We have provided information on a range of topics related to women’s health right here on our website, and we are adding new material every week. Browse our list of our articles, and/or sign up for our newsletter!

Some women are chagrined when they hear us advocate that you take control of your own healthcare. It can seem like more work, and leave them longing for the simpler times when they just did what their doctor told them to do. But if you take the path we suggest, you’ll find yourself back in touch with your body, feeling better than you ever have, and getting what you want. Your health will become the core of strength that supports all the other things you want to do and enjoy in your life. We’re here to cheer you on and help make it happen.

 

 

Health Benefits of Tea

by Marcelle Pick, OB-GYN NP

Tea time—12 amazing ways that tea helps keep you young

  • Protection against stress and depression
  • Protection against weight gain and diabetes
  • Protection against infections and chronic disease
  • Support for heart and bone health

Take a walk with me into a department store, and let’s see all the shelves of expensive anti-aging products. The media (written and electronic) constantly reminds us that we should look younger. Girls and women are given the impression that they should look a certain way, have a certain kind of body, and often are found trying hard to look like someone that they are not. Let’s change that!

I don’t think it’s as much about how we look, as it is about how we feel! I want to have a healthy balance in my life. I want to feel good as I age, and I want to participate in activities that keep me engaged and passionate. It is possible for us to live to be 90 years old and be living a life that we want. And the good news is that there is something simple and inexpensive to help us do that.

As a practitioner, I was thrilled to find out that the latest medical discovery for healthy aging is actually a remarkably commonplace substance. It’s tea! This is the same kind of tea found in your local grocery or health food store—readily available in a variety of kinds and flavors, and it is reasonably priced. Let’s take a look at this remarkable substance.

Tea, known as Camellia sinensis, has been revered by many cultures for thousands of years, plenty of time to make note of its positive effects on health. But now there is evidence that drinking tea truly does help you live a longer, better life: recent research show that tea (black, green, oolong, and other varieties—and the different ingredients each can contain), has distinct effects at the cellular level that enhance health and slow down the natural aging process. And of course the ritual of drinking it is also very helpful to calm the nervous system.

Let’s review the power that tea has – it can:

  • Relieve certain health-related symptoms
  • Reduce the risk of developing, and dying from, a long list of illnesses
  • Prevent chronic diseases, and those related to lifestyle, by reducing inflammation
  • Promote wellness and improve quality of life

You might ask, how could it be that something as simple as tea has such important health benefits? Well, in truth, the list of molecules in various teas is lengthy, and their interactions with the body are quite complex. Researchers have pinpointed a number of individual elements as responsible for tea’s wide-ranging health advantages, and now, a tremendous amount of new research is filling in the details.

More than cozy comfort: tea warms physically and emotionally

Drinking tea is refreshing, comforting, and relaxing, so a direct correlation between tea consumption and better health just adds new benefits to this habit. The newest scientific inquiries are helping define the specific actions that tea has on our bodies and our longevity.

Let’s start with the effects that you can feel, because in some ways those are the most noticeable and immediate benefits. While we’ve learned from experience that a nice, hot “cuppa” can help calm and relax us, research shows that black tea actually promotes quicker recovery from stress events at a physiological level. Because this effect is measured by the speedier return to normal levels of stress hormones, it could also confer significant downstream benefits, such as reduction of adrenal imbalance and risk of heart disease.

If you drink several daily cups of green tea—a common practice all across Asia—you may have less psychological stress overall. And studies on older people show that green tea can also reduce the prevalence of depressive symptoms and even improve psychological well-being. Green tea has also been found to help with the livers detoxification abilities which become that much important as we age.

Health span effects you can measure—and weigh

As the prevalence of obesity and diabetes increases, it’s a relief to know that tea can help with both conditions. While a study of instant tea showed it can help stabilize blood sugar, other research indicates another type of tea—oolong—helps control the blood sugar effect that carbohydrates have on people with type 2 diabetes.

Green tea contains some caffeine, like most teas, but it also contains phytochemicals with powerful antioxidant properties called catechins. Researchers think that both these substances can help increase your ability to lose abdominal fat while exercising and may even reduce triglyceride levels in people who don’t exercise at all! Most detoxification programs encourage the use of green tea on a daily basis.

Green tea is liver-friendly. It helps you metabolize fats, and may even stop the build-up of fatty deposits in the liver. But I think the most interesting and youth-preserving effect is how green tea can improve your body’s all-important ability to detoxify.

The catechins found most abundantly in green tea (but also present in black, oolong, and white teas) increase levels of key protective enzymes. The protective effects of catechins need more exploration, but to date these enzymes have been found to help balance the two stages of liver detox (phase I and phase II), reduce toxic effects of reactive intermediate substances created during the detoxification process, and neutralize certain cancer-causing molecules.

A teakettle-full of immune support

We all try to avoid catching seasonal illnesses, such as colds and flu, but it still happens. When I’m achy or have a scratchy throat, I find a soothing cup of hot tea hits the spot. But now there is scientific proof that this benefit transcends the psychological. Green tea can actually reduce cold and flu symptoms and get you back on your feet faster. In fact, people who drink green tea just seem to get fewer colds overall.

The tea plant contains ingredients that work individually to help you fight germs and bugs, like L-theanine, which is thought to activate the infection-fighting T-cells in your immune system. Theanine is found most abundantly in fine green teas that are shade-grown, but again, in all types of true tea. Theanine is also helpful as a support for the neurotransmitters.

Other tea ingredients have effects that are anti-inflammatory and antiviral—polyphenols or catechins, such as epigallocatechin gallate (EGCG). In theory, the ability to suppress inflammation may translate into less autoimmune activity in cells exposed to EGCG, accounting for lower incidence of autoimmune diseases, such as dry mouth (xerostoma) and rheumatoid arthritis in green tea–loving populations.

When taken with antibiotics, green tea has been found to effectively supercharge them and help knock out “superbugs” and bacterial strains previously resistant to treatment. White tea can also protect against bacterial infections.

Tea can shrink your risk of chronic disease

In Japan, where even the preparation of tea is an ancient and beloved ritual, green tea is a household staple. Several studies there focus on its health effects offer encouraging results: along with helping prevent cells from becoming cancerous, green tea may also help prevent recurrence of the disease in cancer patients. Emerging research around the globe points to the power that green and black teas may have to prevent gastric cancer, and cancers of the blood, breast, ovaries, colon, mouth, and prostate.

Drinking tea regularly may help ease another common fear many of us have about aging: loss of cognitive function. Research shows that both black and green teas protect against Alzheimer’s disease (AD), and guard against the memory loss that is a telltale hallmark of AD.

In the prevention and treatment of Parkinson’s disease (PD), a degenerative disorder of the central nervous system, black and green teas both have value. Black tea decreases your risk of getting PD by a staggering 71%, while green tea is able to slow down the progression of this devastating disease. The research is still not quite clear on the exact mechanism for the action.

Tea for the heart: more than an ounce of prevention

If you’ve followed recent health trends, you know that the greatest overall threat to women’s longevity is cardiovascular disease. After menopause women’s risk of heart disease almost approximates that of men. We’ve learned a lot about how diet and lifestyle can contribute to this degenerative condition, and now we’re starting to pinpoint effective ways to help prevent it. Tea fits right into a healthy lifestyle focused on avoiding cardiovascular disease.

For people who drink lots of green tea, such as the Japanese, there is a measurable reduction in the risk of death from heart disease. The polyphenols in green tea have the ability to facilitate blood flow through the vessels, and this circulatory effect can actually reduce the incidence of cardiovascular disease and the risk of dying from it.

Stronger bones for longer life

Natural bone health also enhances a woman’s health span as the years advance. Again, tea comes to the rescue with well-documented, bone-conserving benefits. For starters, drinking tea is linked to higher bone mineral density (BMD), a reduction in hip fractures, and preservation of the hip structure in general. And tea helps protect against bone loss even after menopause.

Bone tissue is intended to naturally break down and build back up throughout your life. Green tea can perform double duties in this process because it helps stimulate mineralization to generate bone formation, while simultaneously inhibiting the formation of osteoclasts, the cells that remove bone tissue.

Can tea make you younger?

A large amount of recent, cutting-edge science has focused on the factors that influence our ability to grow old gracefully. Now, tea is not a “fountain of youth,” but it might make a difference in the rate at which you age. Several studies show that black tea, and especially green tea, can help protect your DNA’s telomeres. Telomeres cap the ends of your chromosomes, protecting the genetic information they contain, and by preserving them from fraying, ingredients found in tea can, in essence, help you stay “younger” than your chronological years.

Additional studies show that tea can support healthy aging by promoting eye health and oral health. Specifically, tea has been associated with the preservation of retinal function in glaucoma and ischemia and protects against gum disease.

Invite tea into your lifestyle

The body of scientific evidence proving the health advantages of tea continues to blossom more each year. As a practitioner, I think it’s been fun to watch this familiar, everyday drink—enjoyed for thousands of years and revered as an elixir of longevity—morph into the latest medical marvel. But it makes perfect sense! When we look at the cultures where tea drinking has been most embedded throughout human history, the distinct health benefits of tea are apparent.

Many of us have been told—by our practitioners, families, or society itself—that we are too old to change; or that weight gain, exhaustion, and a loss of energy are the inevitable companions of aging. But both the research I have reviewed and the patients I have treated offer ample evidence that this is simply not true. You’re never too old to change. You’re never too old to lose weight, regain your energy, and face life with a sense of wonder and delight. You may be able to make several changes quickly, or you may need to dig in for a long haul. Either way, if you are determined to make things better for yourself, you absolutely can.

We as women want to become braver and clearer about the path that is right for us. We can choose to follow a better diet that will bring renewed health and vigor. We can choose to support one another in a partnership of growth. And with aging, we will bring the wisdom to make a difference in our lives and the lives of others.

So today, why not choose one of the many varieties of tea, invite a friend to join you in a cuppa, and sit back and enjoy the moment. What a great way to naturally get a balance in your life! This preventive lifestyle habit might be one that helps keep you as young as you feel. Here’s to your health!

Tea, breathing, and lung health

Green tea

  • Helps limit lung damage caused by cigarette smoke
  • Limits the mental impairment that may result from obstructive sleep apnea

Black tea

  • Prevents oxidative damage (from free radicals), inflammation, and cell death associated with exposure to cigarette smoke

(References)

Tea’s effects on arthritis

It used to be thought that arthritis was an inevitable fact of life for us as we grew older, but there is a lot more to the equation, including a strong inflammatory component.

Studies show tea consumption can protect against autoimmune arthritis, delay the onset of rheumatoid arthritis, and reduce joint damage and inflammation in those who already have it.

(References)

Top 12 health benefits of tea

  1. Stress recovery and relief from psychological distress
  2. Insulin regulation and weight maintenance
  3. Arthritis prevention
  4. Immune system support and cold/flu relief
  5. Reduction in risk of certain cancers
  6. Protection against Alzheimer’s and Parkinson’s diseases
  7. Reduced risk for cardiovascular disease
  8. Bone health promotion
  9. Prevention of lung damage
  10. Healthier aging
  11. Detoxification benefits
  12. Enhances parasympathetic changes

Doesn’t tea contain caffeine?

Yes. Tea’s caffeine content varies according to the variety and steeping time. It’s perfectly fine for most people to have a daily 8–10 ounce cup (or two) of tea or another caffeinated beverage—just don’t overdo it.

  • Black tea: 6 oz—50 mg caffeine
  • Green tea: 6 oz—30 mg caffeine
  • Coffee: 6 oz—110–170 mg caffeine

Goitrogens And Thyroid Health — The Good News!

by Marcelle Pick, OB/GYN NP

  • What is a goitrogen?
  • What foods contain goitrogens?
  • Enjoy your goitrogens with a sprinkling of common sense

My patients with hypothyroidism sometimes ask about stories they’ve heard in the news or seen on-line about the effects of certain foods on their thyroid health. Soy is their most common concern, but broccoli, peanuts, strawberries, kale, and other vegetables are also on this list. The message my patients hear, unfortunately, is that if you have any sort of thyroid dysfunction, you shouldn’t consume these foods — ever. And that’s a shame, because this all-or-nothing approach means that women with thyroid problems remove healthy, nutritious foods from their diet when they really don’t have to.

It’s true that there are certain foods that contain goitrogens, which are compounds that make it more difficult for the thyroid gland to create its hormones. However, the piece of the puzzle that’s missing in the advice to “avoid” this food or that one because it contains a goitrogen is that you can limit or even eliminate the harmful effects of these compounds in so many ways — either by limiting the amount you consume, or by preparing the food in such a way as to break down the goitrogenic compounds. Sometimes eliminating the goitrogen is as simple as steaming your vegetables before you eat them!

So let’s look at what goitrogens are, where they occur in our food, and how we keep them from affecting our thyroid function so we can enjoy our favorite healthy foods without concern for our thyroid health.

What is a goitrogen?

Most goitrogens are naturally-occurring chemicals that are ingested in foods or drugs. These chemicals can interfere with thyroid function in different ways. Some compounds induce antibodies that cross-react with the thyroid gland; others interfere with thyroid peroxidase (TPO), the enzyme responsible for adding iodine during production of thyroid hormones. Either way, the thyroid isn’t able to produce as many of the hormones that are needed for regulating metabolism. See my other articles on nutrition and thyroid health for more on how this works.

For people with healthy thyroid function, the thyroid simply compensates and makes more of the hormones as they’re called for. But in some people whose thyroid function is already compromised, the thyroid gland may actually grow more cells as it tries to make up for inadequate hormone production, eventually forming a goiter (a swelling or enlargement of the thyroid gland).

What foods contain goitrogens?

You may be surprised by how many common foods contain goitrogenic compounds, but the good news is, in most cases you don’t have to cross them off your grocery list. Let’s take a look at some of them and discuss how you can keep them in your diet, even if you have hypothyroidism.

  • Gluten. It may surprise people to see gluten at the top of my list of potential goitrogens, but the truth is that gluten sensitivity contributes to a wide range of autoimmune responses aside from celiac disease (the one for which it’s best known). Gluten sensitivity has been found to go hand-in-hand with autoimmune disorders such as type 1 diabetes, Addison’s disease, Sjögren’s syndrome, rheumatoid arthritis, and autoimmune thyroid disease. I commonly recommend that my patients consider eliminating gluten from their diets, particularly if they already have an autoimmune disorder. If you have autoimmune hypothyroidism, you might want to consider limiting your intake of wheat, barley, and rye, or even going completely gluten-free (we have a lot more to say about this in our article about gluten). I also suggest that women with autoimmune thyroid disease consider screening for celiac disease, because undetected celiac can be one reason that women continue to have hypothyroid symptoms despite higher and higher doses of thyroid replacement hormone.

If you’d like to keep gluten in your diet but you’re concerned about your thyroid, try scaling back on how often you eat it. Be aware that gluten is included in a great many processed foods, so it may help if you look for those varieties that advertise as gluten-free. And instead of having wheat bread or baked goods with your meal, consider substituting gluten-free grains or saving them for the occasional treat. You may find after awhile that you don’t miss gluten nearly as much as you may have thought (but if you find yourself craving bread or pasta, it could be a sign of gluten sensitivity).

  • Soy isoflavones. Soy is a very healthy food that has been demonized by various groups, something we discuss in our article on the soy controversy. One legitimate concern these groups raise is the fact that soy does contain goitrogenic compounds, specifically the soy isoflavone genistein. This compound, just like thyroid hormones, accepts iodine molecules from the thyroid peroxidase (TPO), which again, is the enzyme that also transfers iodine to the thyroid hormones. Some researchers have suggested that genistein and similar isoflavones may compete with thyroid hormones for iodine or alternatively may “block” the action of TPO, but recent studies indicate that as long as an individual has sufficient iodine in the diet, soy isoflavones do not adversely impact thyroid function. “If one begins with poor iodine nutrition, removing goitrogens from one’s diet will not restore iodine nutrition.”

— Dasgupta, P., et al. 2008. Iodine nutrition: Iodine content of iodized salt in the United States. Environ. Sci. Technol., 42 (4), 1315–1323.

The other good news is that the goitrogenic activity of soy isoflavones can be at least partly “turned off” by cooking or fermenting. With soy foods, you may want to favor fermented, cultured, or otherwise “aged” soybean products such as tempeh, soy sauce, miso, and natto. These methods of processing soybeans alter the activity (goitrogenicity) of the phytochemicals they contain. If you do eat whole soybean foods such as edamame or tofu, eat them cooked or steamed.

The goitrogenicity of soy can also be offset by pairing it with products containing iodine. I tell my patients with thyroid problems that if they already eat soy products and wish to continue, they should be sure to include additional iodide in the diet, in the form of seaweed products such as kombu or nori. For people who don’t already use soy regularly, I suggest that they simply continue whatever limited usage they already have and not worry about it too much, as such small amounts aren’t likely to impact the thyroid too greatly — but keep in mind that if you eat processed foods containing certain soy-based additives like soybean oil or hydrolyzed soy protein, they could be a “hidden” source of soy isoflavones that many hypothyroid woman could probably do without!

So unless you have a true soy allergy, I wouldn’t worry too much about every little soybean or soy shake you consume. More importantly, if you do include soy in your diet and have concerns about your thyroid function, it’s worthwhile to have your iodine levels checked by your practitioner, who can (if necessary) offer you supplemental elemental iodide in amounts that are correct for your profile. We also recommend that people with thyroid problems who consume soy regularly include good dietary sources of selenium — and be sure to continue monitoring thyroid hormone levels regularly with their practitioner.

  • Isothiocyanates. These compounds are primarily found in cruciferous vegetables, such as cabbage, Brussels sprouts, broccoli, broccolini, cauliflower, mustard greens, kale, turnips, and collards. Isothiocyanates, like soy isoflavones, appear to block TPO, and they may also disrupt signaling across the thyroid’s cell membranes. But no one would argue that these vegetables are bad for you, given that they are filled with vitamins, minerals, antioxidants, and a variety of nutrients we all need (aside from being delicious!). Women with thyroid problems definitely should not avoid them — instead, enjoy them steamed or cooked, as the heat alters the isothiocyanates’ molecular structure and eliminates the goitrogenic effect.

Are there more? Maybe… Certain “potentially goitrogenic” compounds are also present in small amounts in peanuts, pine nuts, millet, peaches, strawberries, spinach, and cassava root, among others. I tell my patients who are concerned about these foods that unless they’re consuming them in high amounts on a continual basis, they’re not likely to have undue impact on their thyroid health, because the possible goitrogens are present in such minute quantities.

I’d like to emphasize that these foods won’t pose a problem for people with healthy thyroid function, nor will they be harmful when used in moderation by those whose thyroid function is impaired, but excessive use of foods containing goitrogens may trigger or exacerbate a thyroid problem. This is all the more reason to make sure your diet contains a variety of delicious, healthy, whole foods — we weren’t meant to eat the same thing over and over!

Enjoy your goitrogens with a sprinkling of common sense

I’m always dismayed when women are told they have to avoid a healthy food when there isn’t a very good reason for it (a food allergy, for instance). It would be a shame if women with thyroid problems avoided these goitrogenic foods altogether, because most of what I’ve listed above contain beneficial micronutrients and have strong value as healthy foods that support digestive, skeletal, cardiovascular, and immune function. It just doesn’t make sense to deny the rest of our body the benefits of these foods when the threat they pose to our thyroid is so slight and can be eliminated so easily! So I suggest that we all use a little common sense when it comes to goitrogens and our thyroids — steam, cook, or ferment your vegetables to reduce the goitrogenic compounds, rotate your choices so that you’re not eating the same foods every day, and above all,enjoy them as part of a richly varied diet of wholesome foods.

[banner id=”thyroid-health-system-banner-1″]