Integrative Family Health Clinic in Bolton and the Greater Caledon Area
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Preventing Burnout Over the Holidays

As the holiday season approaches, many people will shift their focus towards giving and caring for others. Many people feel overwhelmed and stressed, struggling with their personal health goals. Caring for yourself and spending time with loved ones should be the number one priority during the holiday season! Let’s talk about it.

What is Burnout?

Burnout may feel like being emotionally, physically, and mentally worn out. It often happens when stress builds up over time, especially in high-pressure jobs or when you have too many responsibilities. If you’re feeling burned out, you might notice that you’re constantly tired, irritable, or having trouble sleeping. You may also find it hard to stay focused or remember things, and you could even experience physical issues like headaches or stomach problems.

If burnout isn’t dealt with, it can lead to more serious mental health challenges like anxiety or depression. You might start feeling detached from your work and personal relationships, which can make you feel lonely. It’s really important to recognize the early signs of burnout and take action. This can include practicing self-care, reaching out for support, and possibly changing your workload or daily routines to help manage stress. Taking these steps can make a big difference in both your work life and your overall well-being.

What Holiday Stressors Can Look Like

Holidays can be a joyful time, but they often come with stressors that impact our bodies and nervous systems. 

  1. The pressure to find perfect gifts can lead to anxiety, while packed schedules might result in fatigue. The constant rush can trigger headaches or muscle tension.
  2. Financial worries can elevate stress levels, affecting sleep patterns, digestion, pain levels, and more. 
  3. Crowded gatherings might overwhelm you, causing sensory overload and further stress.

It’s important to recognize these signs and find ways to balance the festivities with self-care.

Preventing Burnout Over the Holidays

To navigate this busy period more smoothly and maintain your well-being, consider these strategies:

1. Set Realistic Expectations

Often, we pressure ourselves to create the "perfect" holiday experience, which can lead to stress. Instead, focus on what truly matters: spending quality time with loved ones. Accept that not everything has to be flawless and prioritize activities that bring you joy rather than stress. Make a list of “must-dos” and allow flexibility for everything else. Physiologically, this means better cortisol regulation and less stress overall.

2. Prioritize Sleep

Amidst holiday preparations, it’s easy to stay up past our usual bedtime chipping away at work obligations and/or holiday activities. Maintain a healthy bedtime routine that can include reading, exercising, or a relaxing bath. Good quality sleep helps maintain your energy levels and mood, making it easier to handle stress.

3. Use Your Health Benefits/Schedule Wellness Appointments

Make sure to stay in good health during this demanding season by booking in with your health care team — therapist or counselor, naturopathic doctor, massage therapist, etc. Consider booking a massage or acupuncture session to relieve physical tension and promote relaxation. Additionally, a nutritional consultation may help you make healthier food choices amidst holiday indulgence. By proactively organizing these wellness appointments, you can create a supportive framework that helps you navigate the holiday season with greater ease and joy.

4. Limit Commitments, with Intention

It’s tempting to say yes to every invitation, but overcommitting can lead to exhaustion. Be selective about the events you attend and prioritize those that bring you joy. Politely decline or propose alternative, less stressful interactions, such as a casual coffee meet-up instead of a large party.

5. Stay Connected

At the same time, the holidays can sometimes feel isolating, especially if loved ones are far away. Make an effort to connect with family and friends who enrich your life, be it through phone calls, video chats, or letters. These interactions can boost your mood and remind you of the support network you have.

By incorporating these strategies, you can create a more relaxed and enjoyable holiday experience. Remember that the essence of the holidays lies in connection, joy, and gratitude, not in perfection or excess.

In Summary

The holiday season, often filled with festivities and joy, can also bring about stress and disruption to one’s health routine. However, maintaining balance and staying on track with health goals is achievable with a few mindful strategies: Prioritizing self-care is essential; ensure you get adequate sleep, stay hydrated, and maintain a nutritious diet amidst the indulgences. Incorporating regular physical activity, whether through a brisk walk or a dance session, can help alleviate stress and boost endorphins. Mindfulness practices, such as meditation or yoga, can also aid in maintaining mental wellness. It’s important to set realistic expectations and allow yourself some flexibility. By planning ahead, such as preparing healthy meals in advance, booking appointments with your health team, and setting boundaries for commitments, you can navigate the holidays more smoothly. Ultimately, by supporting your body and mind with these practices, you can emerge into the new year feeling balanced and ready to continue pursuing your health objectives.

Natural Treatments for Ehlers Danlos Syndrome

What is Ehlers Danlos Syndrome?

Ehlers Danlos Syndrome (EDS) is a group of genetic connective tissue disorders that is classified into 13 subtypes. A variation in our genetic code causes our body to improperly form connective tissue, such as collagen. Collagen and other connective tissue help form our joints, skin, and ligaments. 

Common Symptoms of EDS 

Symptoms typical of most EDS subtypes include joint hypermobility, for example, being able to fold your finger back to touch your arm or being double jointed. Skin hyperextensibility is also a symptom of EDS, where the skin is extra stretchy. People with EDS may also have tissue fragility, which results in easy bruising, cuts, and scarring. 

EDS patients often develop a group of seemingly related conditions of which their connection is still not fully understood. These conditions are dysautonomia (including POTS, postural orthostatic tachycardia syndrome), gut dysmotility, mast cell activation syndrome as well as small fiber neuropathy. These conditions can bring about many issues around pain, sleep, digestion, fatigue and energy just to name a few. These symptoms can lead to a vicious cycle of pain and sleep exhaustion. 

Conventional Treatment for EDS

Conventional treatments for EDS and its associated conditions may include physiotherapy, surgery, over-the-counter pain medications, and corticosteroids, though these aren’t the only treatments available. 

Natural Ways to Support EDS

A natural approach to EDS may involve botanical medicines, nutraceuticals, diet and lifestyle medicine, hydrotherapy and physical therapies such as physiotherapy and chiropractic care. When seeking physical therapies, it is essential to work with a health professional who understands EDS and hypermobility. Overstretching and overexertion are serious considerations and if neglected or misunderstood can cause harm. 

Botanical Medicine and EDS

Botanical medicine utilizes the healing properties of plants and may be used to support people with EDS and its comorbidities. Many of the medicines and over-the-counter medications we have today have their origins in natural substances. For example, aspirin is a common pain reliever and its active ingredient is acetylsalicylic acid (ASA). ASA comes from salicylic acid,  first extracted from willow bark. We first knew of willow bark as a pain reliever from the ancient Egyptians who wrote about it some 3,500 years ago. 

A large body of evidence now exists that explains how botanicals can be used to treat and manage our health. Chamomile is a good example of this, as it can be used in numerous ways to treat many conditions. Evidence has shown that chamomile can help relax the muscles on the intestine, reduce cramping, protect the intestinal lining against the formation of ulcers, and the herb has an antidiarrheal effect. When used topically or in an ointment, it can help improve the healing of wounds, and can be used in the treatment of hemorrhoids and eczema.  Studies have even shown that it can be used in the treatment of sleep, anxiety and diabetes. 

Ginger is another botanical with many uses. It is commonly used to help with nausea and upset stomach and is commonly used during pregnancy to help with morning sickness. 

Supplements for EDS

Nutraceutical medicine is the use of vitamins and minerals in a therapeutic manner. A very popular nutraceutical many people are familiar with is melatonin. Melatonin occurs naturally in nature and even in humans. Melatonin plays a role in the management of our sleep cycle and circadian rhythm. Research suggests that melatonin may play a much greater role in our health and wellbeing. Small fiber neuropathy, a feature of EDS, can result in neuropathic pain. Research has suggested that melatonin may play a role in the modulation of neuropathic and inflammatory pain as well as improve the healing of damaged nerves.

Hydrotherapy for EDS

Hydrotherapy is a term used to describe the use of water in a therapeutic manner. For example, a common form of hydrotherapy is contrast showers. If you are interested in learning how to have a contrast shower at home you can follow a guide on my social media @allie.wellness for instructions.

Evidence has shown that hydrotherapy plays a role in strengthening aspects of our nervous system and blood flow. This can help patients manage symptoms related to blood pressure and pain.  

Lifestyle medicine for EDS

Lifestyle and diet modifications (LDM) are another treatment modality utilized in EDS care. This modality is where I feel most people appreciate what individualized care is. EDS is on a spectrum and may not present the exact same for everyone. Part of the approach is to understand what the unique factors that affect you are, how they affect you and what you can change or modify in your own life to improve your quality of life and daily living. 

Some people may find eating a specific food may cause a flare up of MCAS (mast cell activation syndrome) or result in the sudden onset of fatigue. We cannot always avoid certain triggers, but understanding the way they affect us allows us to better plan to mitigate their effects. It isn’t always about harm reduction. Learning about ourselves and which changes improve our symptoms is also an important part of this modality. 

Working with a health professional knowledgeable on EDS is crucial to overall care. Treatments need to be individualized so that they are appropriately, effective and safe for each individual.

Nothing mentioned above should be taken as medical advice and any changes to your health should be done so under the guidance of a primary health provider. 

If you think you have EDS, POTS or MCAS book a discovery call to learn about how I can help you manage your condition. If you care to learn more about EDS, chronic disease and living healthy follow me on my social media for more @allie.wellness.

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Best Lab Tests for Digestive Issues

Digestive health can be compromised as we encounter stressors, infections, processed foods, and a multitude of other factors throughout life. Although digestive health is a key component of overall wellness, it is easy to fall victim to fad diets, detoxes, and other treatments in pursuit of digestive relief. 

While it isn’t abnormal to have an irregular bowel movement here and there or a stomach ache after a night out drinking, it is abnormal to suffer from digestive upset more days than not. If your bloating, constipation, diarrhea, gas, etc. is significantly impacting your quality of life, then it’s time to address it and start making informed decisions about your health. 

This article will shed light on the many tests that naturopathic doctors (NDs) offer to help address your digestive issues and get you feeling better sooner.

Best Lab Tests for Digestive Issues

Food Sensitivity Testing

  • Type of test: Blood draw
  • Symptoms you may have: Bloating, gas, changes in bowel movements, abdominal pain, migraines, headaches, fatigue, hives, asthma, unexplained weight changes, sinus congestion, joint pain, hair loss, and more.
  • Conditions it may be good for: Chronic acne, eczema, IBS, IBD, autoimmune disorders, etc.

The IgG food sensitivity test is a blood test that is used to detect the level of IgG antibodies against certain foods that are consumed within the diet. This information can help determine what foods within the diet may be causing your symptoms and which are likely safe to eat. To clarify, IgG food sensitivity tests do not diagnose a food allergy as those are mediated by IgE antibodies. Instead, they look at food intolerances/sensitivities which are believed to be prevalent in up to 20% of the general population. 

Breath Tests

  • Type of test: Breath test
  • Symptoms you may have: Bloating, gas, abdominal pain, heartburn, diarrhea, nausea/vomiting, unintentional weight loss, loss of appetite, and chronic bad breath.
  • Conditions it may be good for: Small intestinal bacterial overgrowth (SIBO), H.pylori infection, IBS, and lactose intolerance.

A breath test measures the concentration of specific gases in a given sample of exhaled air. This information can help determine whether certain bacteria have overgrown in the digestive system or whether our body struggles to break down certain carbohydrates in the diet. 

Depending on the type of breath test, patients will usually need to fast for a specific amount of time and then provide a baseline breath sample. After ingesting a test solution (in some cases) you would then provide subsequent breath samples which involve blowing air into a breath collection device. 

An H. pylori breath test is often called the urea breath test as you are instructed to drink a solution containing urea. H.pylori break down urea into carbon dioxide and therefore excess carbon dioxide in the breath can be a sign of infection. SIBO, on the other hand, can be diagnosed with a hydrogen breath test. Patients are instructed to drink either a glucose or lactulose beverage and then breath samples are tested for hydrogen or methane levels to determine a diagnosis.

Stool Tests

  • Type of test: Stool test
  • Possible symptoms: Bloody stools, chronic diarrhea, constipation, ongoing/severe abdominal pain, unexplained weight loss, persistent gas/bloating, mucous-y stools, pale or dark stools, etc.
  • Conditions it may be good for: Infections (bacterial, parasitic, viral), inflammatory bowel disease (IBD), colon cancer, pancreatic insufficiency and more.

Several types of stool tests exist though each involve collecting a tiny amount of stool and sending it off to the lab. The FIT test, otherwise known as the fecal immunochemical test, looks for tiny amounts of blood in the stool which may or may not be associated with colorectal cancer. This test is often conducted with your family doctor or specialist. 

Other types of stool tests like a stool culture determine whether you have an infection and whether the cause is a bacteria, parasite, or virus. This is especially indicated if you have recently travelled outside of the country and/or have other signs and symptoms of an infection. 

Naturopathic doctors sometimes employ the use of more in-depth stool testing like the GI-Map. This test looks at inflammatory and immune markers, digestive markers, antibiotic resistance genes, commensal bacteria, and opportunistic bacteria as well. 

Blood Tests

  • Type of test: Blood draw
  • Possible symptoms: Blood or mucous in stool, fatigue, abdominal pain, changes in bowel movements, rashes, etc.
  • Conditions it may be good for: Crohn’s disease, ulcerative colitis, celiac disease, H. pylori/peptic ulcer disease, thyroid disorders, and more.

Many are aware that our yearly blood work can give us a lot of insight into our bodies and how well they function. What many don’t know is that blood tests can actually be used to help diagnose certain gastrointestinal disorders. For example, there is an entire celiac disease panel that measures antibodies such as anti-tissue transglutaminase to determine whether you have an autoimmune reaction to gluten. In addition, measuring antibodies against H.pylori can help determine if there is an infection causing your digestive issues.

Why Test?

Testing removes the guesswork from treatment and gets you better faster. Even with the help of an experienced healthcare provider, it is virtually impossible to know what is going on inside the body without actually testing to see. 

Testing helps avoid unnecessary trial and error, wasted supplements, costly dietary changes, and precious time spent in visits. Although testing can be an investment, it is the fastest way to determine the root cause of your health concern and how to best address it. It also ensures that no changes are made to worsen your current condition or masks symptoms that need attention right away.

Naturopathic Approaches to Digestive Issues

In order to determine which test is best suited for you, a licensed naturopathic doctor (ND) would need to complete a medical intake to evaluate your medical history, what tests may have been completed prior, and any signs and/or symptoms you currently suffer from. 

Some tests may be diagnostic and others can give us clues as to what foods you may be sensitive to or what digestive enzymes you may require. Contrary to popular belief, there is not always a clean-cut answer as to why a person suffers from certain digestive disorders and others do not. The good news is that NDs are best suited to offering the options that can help. 

Do you have questions about how to navigate testing or how this would impact your treatment plan? Book in with Dr. Angelica, ND to learn more! 

Do you have questions about how to navigate testing or how this would impact your treatment plan?

Hormone Therapy: Is it Right for You?

Women often become curious about hormone therapy (HT) or hormone replacement therapy (HRT) as they experience symptoms associated with hormonal imbalances. These symptoms can vary widely but commonly include hot flashes, night sweats, mood swings, fatigue, stubborn belly fat and changes in libido. For women going through the changes that come with menopause, these symptoms can be particularly bothersome and disruptive to daily life and work.

Concerns about HT often revolve around its safety, potential side effects, and whether it’s suitable for particular health conditions. Some worry about the long-term implications of hormone use, such as increased risk of certain cancers or cardiovascular issues. Others are unsure if they are the right candidate for HT, wondering if their symptoms are severe enough to warrant treatment.

This article aims to provide clarity on what hormone therapy entails, who might benefit from it, and what to expect in terms of benefits and risks. By addressing these concerns, it helps women make informed decisions about managing their hormonal health effectively.

What is Hormone Therapy? 

The term “hormone replacement therapy” or “HRT” is no longer used for menopause because it suggests that there is a hormone deficiency that requires correcting. However, menopause is a normal part of female aging and there is a natural reduction in hormones as the ovaries no longer ovulate and cycle month to month. Therefore it does not require correction or to “replace” anything.

The overall goal of hormone therapy is to provide a small amount of hormone to reduce the distressing symptoms of menopause (i.e., hot flashes) and to protect certain organs that are very sensitive to the loss of cycling hormones in menopause. The idea is not to go above normal limits, but rather to achieve a balance where symptoms are improved and protect the long term health of bone, uterus, bladder and brain. 

HT can be tailored to individual needs and may involve estrogen, progesterone, testosterone, or a combination depending on the specific issues being addressed.

Types of Hormone Therapy

 

Estrogen

Progesterone

Testosterone

Common Conditions Treated and Prevention

Perimenopause 

Menopause

Osteoporosis and low bone mineral density 

Perimenopause

Menopause

Recurrent miscarriage

Perimenopause

Menopause

Common Symptoms Treated

Hot flashes/night sweats

Insomnia

Heavy menstrual bleeding

Vaginal dryness

Overactive bladder 

Painful intercourse

Hot flashes/night sweats

Insomnia

Heavy menstrual bleeding

Low libido

Fatigue

Mood changes

Common Side Effects

Endometrial hyperplasia 

Breast tenderness 

Headaches

Nausea

Fluid retention

Unpredictable menstrual bleeding

Mood changes

Breast tenderness 

Headaches

Nausea

Fluid retention

Changes in libido

Acne

Mood changes

Unwanted hair growth 

Fluid retention

Insomnia

Need Prescription?

Yes

Yes

Yes

Who It’s Not For (Contraindications)

If you have:

  • a high risk of cancer
  • a clotting disorder 
  • certain types of cardiovascular disease.

Those with a history of Major Depressive Disorder

If you have known genetic mutations including BRCA1, BRCA2, PTEN and p53

*this is not an exhaustive list

Hormone Therapy for Menopause

Hormone therapy can come in the form of oral, injectable, and topical preparations. They can be effective and impactful tools to help achieve balance. 

Different forms and preparations of hormone therapy may be recommended over others and therefore confer different benefits vs risks. For example, in a woman who experiences vaginal dryness she may be recommended the vaginal estrogen which can better help without the unwanted effects of estrogen in the rest of the body. It is important to discuss your healthcare concerns with your healthcare provider in order for them to best assess what therapies, and what forms, are better for you. 

Menopause

During menopause, hormonal changes, particularly a decrease in estrogen and progesterone levels, lead to symptoms like hot flashes, night sweats, mood swings, and vaginal dryness. Hormone therapy can alleviate these symptoms by adding in the hormones that the body no longer produces in the ovaries. It helps restore hormonal balance, easing discomfort and improving quality of life for many women.

However, hormone therapy is not appropriate for everyone, especially those with a history of certain cancers (like breast cancer), blood clots, or cardiovascular disease. Furthermore, women with known genetic mutations that include PTEN, p53, BRCA1 and BRCA2 may require a more nuanced approach to hormone therapy on a case by case basis. 

Overall, individual health factors and risks should be carefully considered and discussed with a healthcare provider before starting hormone therapy. 

Hormone Therapies and Naturopathic Medicine

Naturopathic doctors (NDs) take a comprehensive approach to hormone therapy, beginning with thorough testing and assessment to understand the individual’s hormonal profile and health status. This typically involves detailed blood tests to measure hormone levels and assess overall health markers. NDs also consider lifestyle factors, nutrition, stress levels, and environmental influences that may impact hormone balance.

Baseline testing includes routine tests on your annual blood tests, relevant hormones as well as an assessment of metabolism including blood sugar, cholesterol and liver/kidney function tests. Based on where in the menopausal transition women are experiencing symptoms, more nuanced testing may be used such as the DUTCH test. 

What sets ND care apart is the emphasis on natural and holistic approaches. NDs may recommend lifestyle modifications, dietary changes, herbal supplements, and other natural therapies alongside or instead of conventional hormone therapy. They aim to support the body’s natural ability to balance hormones and alleviate symptoms, often with a focus on long-term health and prevention.

Patients undergoing hormone therapy with an ND can expect a personalized treatment plan that addresses their unique needs and preferences, with regular monitoring to adjust therapies as necessary. The scope of practice for NDs in Ontario includes bio-identical hormones which are analogous to human hormone (not equine hormone which is conventionally used). The approach often integrates traditional medical knowledge with natural healing practices to promote overall well-being.

Alternatives to Hormone Therapy

Metabolic Reset Program

It is a known phenomenon that women will have an increase in abdominal fat by the time they are menopausal. This stubborn belly fat happens partly due to changes in metabolism, hormones and a sedentary lifestyle. 

The Metabolic Balance program is a structured dietary and lifestyle intervention designed to address metabolic changes, particularly targeting abdominal weight gain often associated with menopause. Developed in Germany, this program focuses on optimizing metabolism through personalized nutrition plans that consider individual dietary needs and nutrient requirements based on your blood work. By emphasizing healthy eating patterns, the program aims to promote weight loss, particularly around the abdomen, and improve overall metabolic health, including high cholesterol, high blood pressure, fatty liver and prediabetes .

Those following in the Metabolic Balance program can expect guidance on portion control, food choices, and meal timing tailored to their metabolic needs. There are 4 phases to this program where the last phase is lifelong sustainable eating for your health. There is no fad dieting here! 

Find out more about whether you are a good candidate for the Metabolic Balance program.

Botanical Medicine

Botanical medicine, also known as herbal medicine, offers an alternative approach to menopausal hormone therapy. Plants like black cohosh, red clover, and dong quai are commonly used to alleviate menopausal symptoms such as hot flashes and mood swings. 

Pros

Cons

While botanical medicine offers a natural and potentially safer alternative for managing menopausal symptoms, its effectiveness and suitability should be carefully evaluated in consultation with a qualified healthcare provider. Botanical medicines can interact with medications or other supplements, so it’s crucial to consult a healthcare provider before considering its use for menopause.

Stress Management

Stress management techniques provide a non-drug approach to alleviating menopausal symptoms, focusing on reducing stress levels that can exacerbate symptoms like hot flashes, mood swings, and sleep disturbances.

Pros

Cons

In summary, stress management techniques offer a valuable alternative or complementary approach to hormone therapy for managing menopausal symptoms, focusing on improving overall resilience and well-being through lifestyle adjustments and psychological support.

Other Therapies that Support Hormonal Changes

Cognitive-behavioral therapy (CBT) helps manage hot flashes and night sweats in menopause by teaching techniques to challenge and change negative thought patterns and behaviors that may exacerbate symptoms like hot flashes and night sweats. It promotes relaxation, stress reduction, and adaptive coping strategies, improving overall symptom perception and management.

Acupuncture helps alleviate symptoms in menopause by regulating hormonal balance, reducing sympathetic nervous system activity, and enhancing endorphin release. This ancient Chinese therapy involves inserting thin needles at specific points to restore energy flow, promoting relaxation and potentially reducing the frequency and intensity of hot flashes and night sweats.

Want to learn more about hormone replacement therapy? Our hormone experts are ready to chat!

Do Probiotics Help for Clear Skin?

Probiotics are live, active microorganisms like bacteria and yeast that are naturally occurring in the body. When dysbiosis or infection occurs, harmful microbes propagate and flourish while our “friendly microbes” that keep us healthy, die off. This can cause an array of problems ranging from gas and bloating, to reduced immune function, and even skin concerns. Yes, the skin! Acne, eczema and psoriasis or plain old itchy skin and bumpy rashes can be a result of changes in your microbial composition.

Although probiotics are typically used to support gastrointestinal health, recent studies have shown that introducing probiotic rich foods and supplementation may also benefit the skin. Incorporating probiotics as part of a whole-person, professional-led plan may positively impact the gut-skin relationship and provide relief for stubborn dermatological disorders.

The Microbiome-Skin Connection

Similar to the digestive system, the skin harbours a complex ecosystem of bacteria, fungi, and viruses which each serve a very important purpose. Our bodies constantly exchange microbes with our environment and our microbes may change with hormones fluctuations or with age. This “skin microbiome” has been known to impact our gut microbiome in many ways through what researchers call the gut-skin axis. 

For instance, disruptions in the gut microbiome can trigger an immune response and the release of inflammatory mediators that then disrupt skin physiology. What does that look like? Irritated, angry skin!

Probiotics and Skin Conditions 

Different probiotic strains confer different effects on the skin environment, so knowing what strains to pick can be crucial when shopping for your probiotic. For instance, Lactobacilli and Bifidobacterium can help mediate skin inflammation and are great for conditions like atopic or allergic contact dermatitis. If you want to be even more specific, Lactobacillus acidophilus is great for rosacea since it has a calming effect and can soothe irritation or redness of the skin. 

When in doubt, opting for a broad-spectrum probiotic with a variety of strains is a great option to ensure you are covering your bases. A broad-spectrum probiotic is a supplement with multiple strains of beneficial microbes. 

If you have any of the following concerns listed below, probiotics may be a helpful option for you to consider:

      • Acne
      • Eczema
      • Psoriasis
      • Rosacea
      • Hives
      • Dermatitis
      • Wound healing
      • Wrinkles
      • Scleroderma

Probiotics and Acne

Acne can be caused by dietary triggers, stress, sleep disruptions, androgens, and more. Though probiotics can benefit many cases of acne, not all acne is rooted in the digestive system. Furthermore, probiotics as a stand-alone treatment might not be enough to treat severe, cystic, treatment-resistant acne. It’s important to set expectations and know that probiotics can be a great part of a treatment when choosing the right dose, the right strains, and the right delivery. 

So what does that mean? What does the research say? Well, probiotics have been studied in patients with mild-moderate acne and have been shown to successfully improve the skin’s clarity and reduce breakouts.

We know that the bacteria Propionibacterium acnes lives on the skin and can cause acne (along with other bacteria). The wonderful thing about probiotics is that it can help control the growth of these acne-causing bacteria through the gut-skin axis. These helpful microbes have antibacterial proteins and substances that kill off bad bacteria and reduce inflammation on the skin—a win-win!

Recent trials show that both oral and topical probiotics may have a positive effect on the skin. One of the main advantages to taking an oral probiotic is that it can help influence the intestinal microbiota and it can also work on metabolic pathways involving insulin. In addition, the vast majority of the research on probiotics has been using oral formulations rather than the topical preparations. For this reason, one might be more inclined to use an oral supplement or probiotic rich foods rather than applying probiotics in a cream or gel form.

Probiotic-rich foods that you may want to consider for clear skin include:

      • Yogurt
      • Kefir
      • Sauerkraut
      • Kimchi
      • Miso
      • Tempeh
      • Kombucha

Naturopathic Care and Skin Health

Addressing skin health can be complex and probiotics may not be that silver bullet for you. It’s important to consider all of the factors that contribute to our digestive, hormonal, immune, and skin health before jumping blindly towards treatments that may or may not work. 

Part of working with a naturopathic doctor is getting a holistic perspective on how each system of the body influences the next. Without addressing the foundations of health like exercise, sleep, diet, and stress it’s hard for any treatment to work effectively. The body and the mind need to work together in harmony.

My work as a naturopathic doctor involves an in-depth intake and comprehensive testing, where appropriate, to narrow down the root cause of your skin concern. Through this process, I can help develop a targeted treatment plan that supports the gut-skin axis through herbs, acupuncture, supplements, and food. Using my expertise I can also help guide you away from products that may be worsening your skin or failing to address what’s really going on. Or, I may swap out certain probiotic strains for others to ensure that we are using evidence-based recommendations for the best possible outcome. Ultimately, there are a lot of treatments for clear skin out there, but knowing which one is right for you may require some help.

If you are interested in starting your journey towards healthy, clear skin,
then book in to learn more!

How Naturopathic Doctors Support Your Hormones

Naturopathic doctors (NDs) are like your hormone BFFs. Whether it’s for wonky periods, thyroid troubles, or feeling like you’ve been hit by a hormone hurricane during menopause, naturopathic doctors have your back. 

NDs help you navigate the rollercoaster of health by creating personalized treatment plans that incorporate nutrition, stress management, herbal supplements, and acupuncture to rebalance hormonal fluctuations. Through comprehensive assessments, naturopathic doctors seek to address the root causes of hormonal imbalances and promote sustainable health improvements.

If you’re ready to kick those hormone woes to the curb and reclaim your groove, grab your green smoothie and let’s dive into how naturopathic doctors work their magic on your hormones.

Common Conditions Affected by Hormones

When hormones are balanced, life just feels right. You’re in sync with your body, radiating vitality, and ready to take on whatever comes your way! On the other hand, when they are off, you wake up feeling like you’ve been hit by a truck, you are breaking out like a teenager again, and your mood swings are giving you emotional whiplash. 

We use the analogy of trying to navigate a stormy sea without a compass. But fear not, there’s always a way to find balance and ride out the hormonal waves!

Common conditions influenced by hormones include:

      • Thyroid disorders

      • PCOS

      • Adrenal fatigue

      • Infertility

      • Insulin resistance 

    The Naturopathic Medicine Approach to Hormones

    Naturopathic medicine is a form of alternative medicine that focuses on using natural remedies and holistic approaches to promote healing and wellness. Licensed naturopathic doctors (NDs) emphasize the body’s inherent ability to heal itself and strive to identify and address the root causes of illness.

    It is key to note that naturopathic doctors often work in collaboration with other healthcare providers to provide integrative care for their patients.

    Herbal medicine

    Naturopaths employ herbal medicine (plant based extracts) to restore hormone balance, utilizing plants with properties to support the endocrine system. Herbs like black cohosh, chaste berry, and dong quai are known for easing menopausal symptoms and regulating menstrual cycles. Adaptogenic herbs such as ashwagandha and rhodiola help manage stress, while maca root may enhance fertility.

    Herbs may seem safer, but it’s important to know that not all herbs are suitable for every individual. Naturopathic doctors tailor herbal remedies to individual needs for effective hormone balancing at your life stage. They also consider your whole health history, allergies, sensitivities, and other medications in order to maximize the benefit of your treatment.

    Acupuncture

    This isn’t your typical joint-pain-type acupuncture. Naturopathic doctors are trained in the Traditional Asian Medicine (also known as Traditional Chinese Medicine, TCM) style of acupuncture.

    Acupuncture is a key tool used by naturopathic doctors for hormone balancing, which involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing. In the context of hormonal balance, acupuncture is believed to influence the endocrine system, which regulates hormone production and cycling.

    Targeted Nutrition

    Do you need more healthy fats? Or more proteins? Maybe both!

    Naturopathic doctors can use targeted nutrition to help you reach your goals faster but also sustainably. After a thorough assessment, your ND customizes dietary recommendations to support hormone balance and overall metabolism. This approach significantly influences hormone production, metabolism, and function within the body. Eating right for your body addresses the root causes of health issues and is paramount to maintaining hormonal freedom.

    How Long Does Naturopathic Medicine Take?

    The duration of naturopathic treatment varies depending on individual health concerns, baseline health status, and the body’s response to therapies. Typically, patients can expect to see improvements in their health over time, with some experiencing relief from symptoms within weeks, while others may require several months of consistent care to achieve optimal results.

    For hormonal support, patients can expect a comprehensive assessment of their hormone levels, lifestyle factors, and overall health. Naturopathic doctors may recommend dietary adjustments, herbal supplements, stress management techniques, and other natural therapies tailored to rebalance hormones and alleviate symptoms such as irregular periods, fatigue, mood swings, and hot flashes. Treatment plans are individualized to address each patient’s unique needs and may require ongoing monitoring and adjustments to achieve long-term hormone balance and wellness.

    Get started with Dr. Salwan, ND or one of our NDs at Wildflower Health and Wellness today.

    Ready to take control over your menopausal symptoms? Join our 8-week program with expert guidance every step of the way.

    How to Perfect Your Spring-Summer Detox 

    Detox, detox, detox.  

    Detoxing has become quite the fad, both online and in the health community. Many of us think that we need to be on a plethora of detox supplements or laxatives and that we need to be doing long hours (sometimes days) of fasting in order to do it “properly” and to “cleanse” our systems completely of all waste and toxins.  

    But here’s the reality of it: Yes, those things may help accelerate the process. Yes, they may help in the short term. But that is not all of what a detox is, and it is important to note they’re not always the safest either, especially not for long periods of time. As a naturopathic doctor, I would highly advise doing these under direct supervision of your health care  provider.  

    What’s a Detox? 

    A true detox involves supporting our essential detox organs, which are our:  

    These organs help to eliminate toxins, waste, and hormones (and hormone byproducts, called metabolites) from the body. They help filter out the “good” from the “not so good.” However, these organs can become “sluggish” or  backed up (i.e. not functioning optimally) when there is a large toxic load, which can be due to poor lifestyle choices or high environmental exposures.  

    Common signs and symptoms of your detox organs not functioning optimally include:  

        • Fatigue  
        • Water retention or swelling  
        • Bloating  
        • Digestive upset  
        • Constipation  
        • Chronic cough  
        • Getting sick frequently  
        • Excess congestion
        • Allergies and sensitivities
        • Skin concerns  
        • Increased acne or breakouts  
        • Increased pain or inflammation  
        • Brain fog  
        • Weight loss or gain  
        • Hormonal concerns, etc. 

    Many of us may experience one or more of the above symptoms. Note that we can easily support these detox organs in our day-to-day life through nutrition, lifestyle, supplements, and with botanical medicine as well.  

    Top Tips for Supporting Detoxification

    The top 7 things to remember when doing your yearly detox:  

        1. Drink enough water! This can be up to 2-3 litres, depending on the individual.  
        2. Increase your vegetable and whole foods intake. Reduce processed foods!
        3. Increase protein and healthy fats.  Swap out for more plant-proteins, olive oil, and avocado oil.
        4. Eliminate alcohol, smoking, sugar, caffeine, and coffee.  
        5. Increase exercise, and encourage daily sweating – whether with movement or a sauna.
        6. Prioritize sleep, and ensure you are getting at least 7–8 hours of well rested sleep everyday. 
        7. Manage your stress — do something that helps you relax everyday!  

    These are the foundations of health, and are essential to maintaining a healthy body, and supporting our detoxification systems. The reality is, if we do not optimize our food, our movement, our sleep and our stress, no amount of detoxing or products from the health food store will do us any good. If anything, the effects will be short-lived, and you will be back to feeling unwell soon after.

    We are what we consume, and this applies to our food and what we ingest, but also to what we consume socially, from the media, from our relationships and from any such negativity or toxicity in our  lives too.  

    I encourage you to be mindful and try the tips above. Notice how you feel after doing so for 1–2 weeks, and the impact it has had on your daily life and functioning.

    If you have any other questions on how to support your body or health via naturopathic medicine or botanical medicine, feel free to  book a free 15 minute discovery call with me.  

    Let’s work to restore your health in all aspects — mentally, emotionally and physically! 

    Wishing you all nothing but good health and positive energy. 

    Menopause Dos and Don’ts According to Our Experts

    Menopause can be confusing for many women due to its wide array of symptoms and the variability in how they manifest. These symptoms  can interfere with daily activities, work, relationships, and overall quality of life. Dealing with these disruptions while trying to understand and manage the changes can be overwhelming.

    What is menopause?

    Menopause marks the end of a woman's menstrual cycles and is defined as the absence of menstruation for 12 consecutive months. The average age of natural menopause in women is around 51, but it can occur earlier or later. 

     In addition, because there is considerable overlap with other health problems it is hard to attribute symptoms strictly to menopause. For example, women may attribute mood swings or fatigue to stress rather than hormonal changes associated with menopause. Menopause is still a topic that isn’t always openly discussed, leading to a lack of awareness and understanding. Without proper information, women may feel lost or confused about what they’re experiencing.

    We find there are a lot of questions around menopause treatment options, from IUDs and antidepressants to more natural options like lifestyle changes, and naturopathic medicine. But here’s our menopause do’s and don’ts regardless of the treatment options you explore. 

    Don’t – Ignore Your Symptoms

    Ignoring menopause symptoms can worsen discomfort, impact quality of life, and lead to further health risks such as osteoporosis and cardiovascular disease. Prompt attention allows for effective management, reduces distress, and prevents complications later on in life. Consulting a naturopathic doctor ensures personalized guidance and treatment which will improve your current and long term health during this natural transition.

    Do – Get Your Hormone Levels Checked

    Getting your hormone levels checked is like peeking behind the curtain of menopause symptoms. It helps figure out what’s really going on in your body so you can tackle those hot flashes and mood swings head-on. Don’t guess, know for sure! Naturopathic doctors offer a variety of menopause testing such as simple blood work but also the DUTCH test which comprehensively shows the hormone cascade in your body. Working with a licensed naturopathic doctor can get you the answers you need for your body and mind during menopause.

    Don’t – Try Just Any Pink Supplement

    Those pink supplements might look appealing, but they’re not a one-size-fits-all solution for menopause symptoms. They are often not addressing the root cause and can be risky if combined with other medications you may be taking. It’s better to talk to a healthcare professional for safe and effective options tailored to your needs. Don’t gamble with your health; go for what’s tried and true.

    Do – Get Individualized Treatment Recommendations 

    Menopause isn’t one-size-fits-all, so why settle for generic solutions? Getting personalized treatment recommendations from a naturopathic doctor is like finding the perfect fit for your body’s needs. It’s all about tailoring the approach to YOU and your lifestyle. Whether you need more energy to keep up with your family or help dealing with work-related stress, your menopause journey needs your attention. Don’t just wing it; get the guidance that’s made for you.

    Don’t – Overeat Soy 

    While soy can be the solution for some it may not help with your symptoms. Depending on other aspects of your body, for example your thyroid, it may not be the right move in managing your symptoms. Moderation is key; overdoing it could bring more harm than help. It’s cool to sprinkle some soy into your diet, just don’t go overboard – your body will thank you.

    Do – Commit to a Health-Promoting Lifestyle

    Regular exercise, balanced eating, and stress management can dial down those frustrating/annoying symptoms and boost your overall well-being. For some women adopting healthy habits may get them a complete resolution of symptoms and for others it gets them the majority of the way there. Plus, it’s a long-term win-win for your overall health. 

    In Summary

    Navigating menopause can be confusing, but it’s crucial to approach it with clarity and care. Avoiding quick-fix supplements and excessive soy consumption, while committing to a health-promoting lifestyle, forms a solid foundation to support your hormone transition. Seek individualized treatment recommendations and get hormone levels checked to tailor solutions to your needs. With the right approach, you can tackle menopause confidently, ensuring a smoother transition and better quality of life.

    Get help with building a plan that supports your health now.

    Book an appointment with one of our knowledgeable naturopathic doctors.

    5 Things You Should Know About Menopause

    Menopause, a pivotal life transition, marks the end of a woman’s menstrual cycles and signifies the conclusion of her reproductive years. The menopausal shift gives rise to a spectrum of physical and emotional changes, ranging from hot flashes and night sweats to mood swings and changes in bone density. 

    Beyond the physiological aspects, menopause also carries psychological and emotional dimensions, impacting a woman’s sense of identity and well-being. Navigating this transformative period involves understanding the diverse manifestations of menopausal symptoms, exploring available treatment options, and embracing lifestyle adjustments to promote overall health and resilience. 

    What is Menopause?

    Menopause is a natural part of a woman’s life that occurs when the ovaries stop releasing eggs and producing the hormones estrogen and progesterone. 

    There are a few phases to menopause, starting with perimenopause and ending in postmenopause: 

    Perimenopause

    Perimenopause refers to the transitional stage leading up to menopause, typically beginning in a woman's 40s but sometimes starting earlier.

    During perimenopause, hormone levels, particularly estrogen and progesterone, begin to fluctuate, leading to irregular menstrual cycles and various symptoms such as hot flashes, night sweats, mood swings, fatigue, and changes in libido.

    Perimenopause can last for several years, and the duration varies from woman to woman. It ends when a woman has not had a menstrual period for 12 consecutive months, marking the onset of menopause.

    Menopause

    Menopause marks the end of a woman's menstrual cycles and fertility. It is defined as the absence of menstruation for 12 consecutive months.

    The average age of natural menopause in women is around 51, but it can occur earlier or later. Factors such as genetics, smoking, and certain medical conditions can influence the timing of menopause.

    Postmenopause

    Postmenopause refers to the stage of life after menopause has been reached. It begins the day after a woman has gone 12 months without a menstrual period.

    During postmenopause, hormone levels, particularly estrogen, remain at consistently low levels. As a result, women may continue to experience symptoms such as vaginal dryness, hot flashes, and mood changes.

    Postmenopausal women are at increased risk of certain health conditions, including osteoporosis (due to decreased bone density), cardiovascular disease, and cognitive changes.

    Understanding the stages of menopause can help women navigate the physical and emotional changes associated with menopause and make informed decisions about their health and well-being.

    Hormones in Menopause

    The hormonal changes during menopause involve more than just a decrease in estrogen. The interplay of hormones from various glands, including the thyroid, pancreas, adrenals, and ovaries, is intricate and dynamic. It is crucial for your provider to understand how each hormone interacts and compensates for one another in order to help you achieve hormonal balance during menopause.

     

    Here are some key hormonal glands that your healthcare provider may consider:

    1. Thyroid gland – Thyroid disorders can mimic peri/menopausal symptoms such as weight gain, mood changes, fatigue, hair loss and sleep disturbance.
    2. Ovaries – Ovaries are the primary reproductive organs responsible for producing estrogen, progesterone, and small amounts of testosterone. During menopause, ovarian function declines, leading to a decrease in estrogen and progesterone production.
    3. Pancreas – The pancreas produces insulin, which helps regulate blood sugar levels and may influence weight management during menopause.
    4. Adrenals – Chronic stress during menopause can lead to dysregulation of adrenal function, resulting in symptoms such as fatigue, mood swings, and sleep disturbances. The adrenals are responsible for the stress response and take over production of estrogen, progesterone and testosterone in menopause.

    Five Things You Need To Know About Hormones in Menopause

    Here are five ways that hormones can impact your health during the different phases of menopause: 

    1. Hormones Fluctuate During Perimenopause:
      Perimenopause is characterized by fluctuating hormone levels, particularly estrogen and progesterone. These fluctuations can lead to irregular periods, hot flashes, mood swings, and other symptoms as the body adjusts to changing hormone levels. During this phase, testing for hormones can be a moving target. Collaborating with your healthcare professional can help avoid the trial-and-error approach when experimenting with various products and supplements.

    2. Low Hormone Levels in Postmenopause:
      After menopause, women experience a significant decrease in estrogen and progesterone levels, leading to various changes in the body. These changes can include decreased bone density, increased risk of cardiovascular disease, and changes in cognitive function.
    3. Hormones Impact Bones, the Brain, and the Cardiovascular System:
      The decrease in hormone levels postmenopause can have profound effects on bone health, brain function, and cardiovascular health. Estrogen plays a crucial role in maintaining bone density, so low estrogen levels can increase the risk of osteoporosis. Additionally, estrogen has neuroprotective effects and helps regulate the cardiovascular system, so its decline can affect brain function and cardiovascular health.
    4. Menopause is More Than Just About Estrogen and Progesterone:
      Menopause involves a complex interplay of hormones beyond just estrogen. While estrogen levels decline, other hormones such as progesterone, testosterone, and hormones produced by the adrenal glands also play a role in menopausal symptoms and overall health. Understanding how these hormones interact and compensate for each other is essential for managing menopausal symptoms and promoting overall well-being.
    5. Balancing Hormones Isn’t A One-Size-Fits-All:
      Achieving hormone balance during menopause involves more than just replacing estrogen. It requires a comprehensive approach that considers the interactions between various hormones and addresses individual symptoms and health concerns. This may involve lifestyle changes, hormone therapy, nutritional support, and other interventions tailored to each woman’s needs.

    By understanding the complexities of menopause and its impact on hormone levels, women can take proactive steps to manage symptoms, support their overall health, and navigate this important life transition more effectively.

    How Naturopathic Doctors Help

    Naturopathic doctors (NDs) take a holistic approach to assess and treat menopausal symptoms and related health concerns. They consider the interconnectedness of various bodily systems and focus on addressing the underlying causes of symptoms rather than merely managing them.

    Menopause is a significant life transition that can bring physical, emotional, and psychological changes for women. Naturopathic medicine offers holistic approaches to assess and treat menopausal symptoms, emphasizing individualized care, lifestyle modifications, natural therapies, and mind-body interventions. If you’re experiencing menopausal symptoms or approaching menopause, consult with a licensed naturopathic doctor to explore safe and effective treatment options tailored to your needs and goals.

    Get started with Dr. Salwan, ND or one of our NDs at Wildflower Health and Wellness today.