Posts Tagged ‘hyperthyroid’

Protecting Your Skin In The Winter Months

protecting your skin in the winter monthsYou may have noticed this past week your skin is feeling a little “rougher around the edges.” Not surprising with temperatures taking a rapid nose drive. There are steps you can take for protecting your skin in the winter months.

Eczema flare-ups can worsen in the winter. Eczema is a condition where the skin becomes red, itchy and inflamed. The word “eczema” is derived from a Greek word meaning “to boil over.”

While eczema is not contagious, it can cause debilitating discomfort that can affect one’s self esteem and create social embarrassment.  According to National Eczema society, “while the exact cause of eczema is unknown, researchers do know that people who develop eczema do so because of a combination of genes and environmental triggers. When an irritant or an allergen “switches on” the immune system, skin cells don’t behave as they should causing an eczema flare-up.”

Some of the symptoms of eczema may include:

  • Dry, sensitive skin
  • Red, inflamed skin
  • Very bad itching
  • Dark colored patches of skin
  • Rough, leathery or scaly patches of skin
  • Oozing or crusting
  • Areas of swelling

In cases of severe eczema, the itch gets so bad that people scratch it until it bleeds, which can make your eczema worse. This is called the “itch-scratch cycle.”

Dry air combined with indoor heating systems can dry out your skin. Eczema flares up because the skin can’t stay moist on its own. Flare-ups can also be caused by wearing too many layers of clothing, taking hot baths, or using too many bed coverings.

While there are no cures for eczema, treatment includes:

  • Knowing your triggers (ie cold, animal dander, foods, medications etc)
  • Keeping clean hygiene
  • Topical OTC and prescription creams
  • Phototherapy
  • Immunosuppressants
  • Natural remedies

But for those of you that don’t have eczema, here are some ways to keep your skin healthy this winter season:

  1. Avoid prolonged hot baths/showers. Heat can cause skin to dry out. So instead, use warm water, and bathe less frequently. You can also add moisturizing bath products such as oatmeal blends. While drying off, pat the skin. Rubbing with a towel can exacerbates the “itch-scratch cycle.”
  2. Use gentle products. Look for soaps and detergents that are made for sensitive skin free of dye, alcohol and fragrance.
  3. Avoid contact with certain materials. Wool and nylon cause overheating which can irritate the skin and lead to an eczema flare up. Choosing cotton materials and breathable fabrics and avoid wearing multiple layers allows for cooling on the skin.
  4. Keeping the skin hydrated with good lubrication, such as petroleum jelly, goes a long way in healing. Lotions have been shown not to be as effective in winter months. Apply immediately after bathing on damp skin.
  5. Vitamin D supplements. Taking vitamin D supplements in the winter may improve eczema flare-ups. According to a study conducted by Massachusetts General Hospital looked at 100 Mongolian schoolchildren and found that the children treated daily with vitamin D supplements saw a reduction in winter eczema symptoms. Alternative option includes using ultraviolet light to stimulate vitamin D production.
  6. Alternative remedies. Although the safety and effectiveness of many complementary and alternative medicine therapies are uncertain, the use of  home-made concoctions may prove to be the best treatment of all.  Some of these include:
    1. Topical Coconut Oil. Coconut oil is known to have weak anti-bacterial properties and when applied may help calm the skin.
    2. Topical Sunflower oil. Although the mechanism appears unclear, topical application of sunflower oil appears to have soothing relief of symptoms.
    3. Probiotics.   “In October 2012, The Journal of Allergy and Clinical Immunology, found that supplementation with strains of Lactobacillus rhamnosus and Bifidobacterium longum or Lactobacillus paracasei and Bifidobacterium longum in combination reduced the risk of developing eczema in infants.” The initial theory thateczema was caused from microbial imbalances leading to immune suppression is now proving to be true. And therefore maintaining homeostasis of gut flora may lead to integumentary control.

Despite the unknowns, the skin remains the largest organ of our body. Just as we are mindful of keeping our heart and lungs healthy, ultimately the outside is a reflection of inside health. Treat the skin like the warm blanket that protects you from the brutal external conditions.  Hydrate, eliminate processed foods, maintain gut health, sleep and stay strong and hopeful. No better treatment than that!

Dr. Raman’s Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.

For more information or to schedule an appointment with Dr. Raman, please contact us today.

Why Am I So Tired? The Truth Behind an Improperly Functioning Thyroid

There are so many articles out there about an improperly functioning thyroid, it is hard to know where to begin! Let’s start at the top. How many of these symptoms describe you?Improperly Functioning Thyroid

  • Extreme fatigue
  • Weight gain
  • Irritability
  • Muscle aches
  • Depression
  • Rapid hair graying
  • Decreased libido
  • And too many other “little issues attributed to aging”

These little issues could be caused by a small gland with some big responsibilities. That gland is your thyroid.

The thyroid gland produces and stores hormones through an integral and complex pathway that is directly linked to your hormones and adrenals. The thyroid plays a part in EVERYTHING AND EVERY CELL IN YOUR BODY. It is butterfly-shaped and is found in the lower part of the neck, wrapped around the trachea.

Hypothyroidism: A Common Condition, But Frequently Misdiagnosed

Hypothyroidism is a condition where the body, for various reasons, doesn’t produce enough thyroid hormone or is unable to utilize the thyroid at a cellular level. No matter what the cause, this diagnosis has debilitating and frustrating consequences.

Being diagnosed with hypothyroid myself in 2002, I have spent the last 13 years researching, studying,
and understanding the complexity of this “little gland.”

According to the U.S. Department of Health and Human Services, about 4.6 percent of the U.S. population (approximately 18 million people) age 12 and older has hypothyroidism. As prevalent as hypothyroidism is, most people are not correctly diagnosed when they first present symptoms to their doctors because there is not a standard interpretation criteria for screening tests—meaning that one doctor may think a slight dip below the normal range is acceptable while others would argue otherwise.

Your thyroid can be affected if your adrenals are not balanced or if your hormones are constantly fluctuating. Due to the minute-to-minute variability of ALL the hormones in your body, patients are often under-diagnosed.

A single thyroid level test is insufficient to make the determination of hypothyroidism.

Many other thyroid levels also need to be checked. These could include TSH, Free T4, Free T3, Thyroid Peroxidase Antibody, Thyroglobulin Antibody, Magnesium, Iron, Zinc, Vitamin D, Hormones and Cortisol.

A patient who self-educates and self-advocates is in the best position to work collaboratively with his or her doctor to determine the best course of treatment for the symptoms and diagnosis of hypothyroidism. Self-advocacy is much easier when you choose a doctor who has experience in recognizing the symptoms of hypothyroidism as well as other hormonal conditions such as diabetes and adrenal gland issues.

Treatment of Hypothyroidism

Once hypothyroidism is diagnosed, there are many treatment options that need to be considered. Synthetic thyroid (Synthroid or Levoxyl) medication is not the only option. There are T3-only medications such as Cytomel or combination of T4 and T3 medications such as Armour Thyroid or Nature Thyroid. Patients even have the option of having their thyroid medication compounded with an accredited compounding pharmacy.

Hypothyroidism is not a cookie-cutter diagnosis and neither should be the treatment.

It is extremely important to work closely with your physician to monitor symptoms and continue to regularly check your thyroid levels.

The discussion of thyroid disease is more extensive than I can capture in a single blog post. In my 15 years of practicing primary care, I have diagnosed and corrected misdiagnoses of many patients with hypothyroidism. I understand and have experienced every symptom you may be having. I know the frustrations, I understand the suffering and I continue to live with this diagnosis everyday.

If you are suffering from any symptoms that are interfering with your life, Please contact our office today to schedule an appointment.

Dr. Raman’s Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.

For more information or to schedule an appointment with Dr. Raman, please contact us today.

6 Tips For Healthy Zen Living

healthy zen livingYou know the saying “prevention is better than cure”? Well, in this month’s blog, we will be discussing prevention from a whole new perspective: it’s called healthy zen living. It will take us to a level that is so deep, that healing can only be understood by experiencing the change.

As I took advantage of these beautiful spring days, I planted myself under the majesty of the beautiful “Great Oak”. When I gazed upwards, I noticed the ease with which the branches flowed to protect me against the fury of the sun’s rays. The leaves were so content in their simplicity that they happily danced to the occasional breeze that would sweep in. I wondered just how content and healthy they must be feeling. With a little love, light and hydration, they live a life free from disease and suffering. It was then I began to question, since we are all made up of the same divine cells, shouldn’t we be able to live a healthy disease free life also?

Yes!! While we can’t prevent 100% of ailments, we can do everything in our understanding to TRY and prevent 100% of the diseases that quite possibly could come our way. I took a step back and began to reflect on my own journey. A journey that has taken me from illness to healing.  From confusion to clarity. From desperation to resolution. Could I have done something more to prevent my conditions? Should I have given up processed foods sooner? Or lifted heavier weights more often ? Or limited myself to one episode of ‘Friends’ instead of three before bedtime? Or surrendered what I couldn’t control?

The fact of the matter is that it doesn’t matter. All the choices I have made have taught me more than the decades spent in education. I have come to believe with a 100% certainty that the years I spent worrying about things that ultimately wouldn’t have mattered left the door open for cellular mutations to occur, not realizing my body was going through hormonal disruption, chemical depletion, and ultimate cellular catastrophe. As I was working so hard on following all the nationally accredited health guidelines, little did I know all the sleepless nights I spent worrying about the future were counteracting all the “good” I was doing during the day.

In 2016, I began my journey into the world of energy healing. I devoured books on quantum physics, chakra balance, the healing properties of crystals, nutritional science, reiki practice, vibrational music therapy. The more I read, the more I craved.  Now keep in mind, I am a person of science. I needed proof, facts, case studies and data to convince me this stuff could really help in physical healing. Much to my surprise, most all of the books I read were backed by documented research studies, many of which were written by highly acclaimed and respected practicing physicians. With some reservations, I decided to trust the process and begin using these practices in my own healing.  A few months after I began, I was humbled to see how much my body began to respond to energy balance. My thyroid stabilized after 16 years.  The severity of my food sensitivities decreased after four years. The exhaustion, I attributed to everything and anything, started to lift. I am by no means an expert (but hope to be one day)  in this field, but what little I have learned excites me to pay it forward.

Here are a few energy healing tips: (Please consult your physician before trying these)

  1. Himalayan salt lamp. True Himalayan salt lamps are made from salt harvested from the Khewra Salt Mine in Pakistan. Although there is no conclusive studies on the benefits of the Himalayan salt lamp, it’s suggested that they may produce ions by attracting water particles that evaporate off as a salt solution when heated by the lamp, forming mostly negative ions. These negative ions have been theorized to aide in healing. More research is still needed.
  1. Reiki. According to Reiki.org“ Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing. It is administered by “laying on hands” and is based on the idea that an unseen “life force energy” flows through us and is what causes us to be alive. If one’s “life force energy” is low, then we are more likely to get sick or feel stress, and if it is high, we are more capable of being happy and healthy.”

  2. Brain tapping. Based on information from tappingsolutionfoundation.org“The basic technique requires you to focus on the negative emotion at hand: a fear or anxiety, a bad memory, an unresolved problem, or anything that’s bothering you. While maintaining your mental focus on this issue, use your fingertips to tap 5-7 times each on 9 of the body’s meridian points. Tapping on these meridian points – while concentrating on accepting and resolving the negative emotion – will access your body’s energy, restoring it to a balanced state.”

    Freedom Techniques (EFT) lowered the major stress hormone cortisol significantly more than other interventions tested. In a randomized controlled trial 83 subjects were randomly assigned to a single hour-long session of EFT, talk therapy, or rest. Their cortisol levels were measured via a saliva test before and after the session. Cortisol was measured because it is known as the “stress hormone” of the body. As stress goes up, cortisol levels go up.

  1. Meditation. Meditation can be defined as, “a practice where an individual uses a technique, such as focusing their mind on a particular object, thought or activity, to achieve a mentally clear and emotionally calm state.”  Most think of meditation as sitting in stillness for hours at a time. If you are anything like me, I am unlikely to make it past 3 minutes. Through my healing, I truly learned that meditation is anything that brings you peace of mind, even if that thing is not being in one place. For me, running, dancing and playing instruments is my happy place. You try to get me to sit still, and I can tell you my cortisol will increase ten-fold. What’s your go to meditation practice?
  1. Nutritional eating. Food is fuel. Food is also earth’s natural medicine. We have talked extensively in previous blogs about the overwhelming contamination of our food source. The manipulation that goes into our crops has made us vulnerable to a weakened immune system. By becoming educated on the origins of our food, we understand how massive of a role nutrition plays in our healing.
  1. Chakra balance. Without going into too much detail here, chakra balancing is the process of restoring a harmonious flow of energy across the chakra system. The effect of well balanced chakras often translates into a feeling of well-being, relaxation, centeredness, increased vitality and embodiment of oneself. There are many online resources that describe what the chakras are, how they play a role in healing and what you can do to realign yourself.

I realize this article has veered away from the confines of conventional medical healing. But there are many facets of the human body that the eye cannot see. I truly do believe that a blend of eastern and western medicine is a powerful formula to ultimate health.

We must simply trust the process and allow healing to go into the crevices of the unknown. Because it is in this space of uncertainty, completeness lies.

Dr. Raman’s Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.

For more information or to schedule an appointment with Dr. Raman, please contact us today.

The Root Causes of Cravings – And What To Do About Them

Root Causes of CravingsMerriam-Webster’s dictionary defines cravings as, “an intense, urgent, or abnormal desire or longing.” We know that feeling all too well. Salivating at the commercials that lure us inside those restaurant doors, whiffs of free samples handed by sweet little ladies in the grocery aisle, or my personal favorite –  the buy one get one free trick.

It seems whichever direction we turn, we cannot get away from the altered nutrition we call food. No wonder it is so hard to stay healthy. But it doesn’t have to be! Before going head to head with these temptations, it is first important to understand the root causes of cravings, and then we will discuss solutions.

While the reasons are many, here are few explanations that may shed light on the mysteries of our palate and what you can do to help curb those temptations.

  1. Conditioning: Much like the analogy of Pavlov’s response to a bell, we too have been conditioned to associate certain foods to environmental triggers. How many times have you sat down at home to watch a movie and had a sudden craving for popcorn? How about at the ballgame where you hear the pretzel and hot dog calling your name? Or when the summer carnival days has you longing for the cotton candy and funnel cakes? We, as consumers, absorb the silent suggestions of marketers. We subconsciously create a link between their product and our environmental familiarity.

    Solution: When we become aware of our thoughts, we begin to question whether we truly want to indulge or if it is just a Pavlov’s response to a past experience.

  1. Stress: Under the umbrella of stress includes emotional, physical, psychological, and spiritual triggers. Stressors cause a disruption in the adrenal glands which elevates cortisol. Surges of cortisol signal that an attack is occurring on your body. As a defense mechanism, the body searches for sources of fuel that can be broken down easily and quickly. Hence, under stress we crave sugar and salt.

    Solution: Get help. Deal with the stress head on. Don’t try to resist and fight the cravings. It is there for a reason. The cravings aren’t the issue. Whatever is causing the stress is the issue. See your doctor, therapist, spiritual confidant or a friend.

  1. Leaky Gut: It always appears to come back to the gut, doesn’t it? This has been a recurring theme in multiple, if not in all, health conditions. The gut is a source of serotonin production – our feel good hormones. In a weakened GI tract, there is decreased serotonin release leading to an increased cravings for processed foods

    Solution: Heal the gut. Begin by going on a 21 day gluten, soy, dairy, grain and sugar elimination. Our taste buds have memory. It takes 21 days to reset the palate. This is not a diet or calorie deprivation technique. This is simply to take out what shouldn’t be there in the first place.

  1. Leptin resistance: Leptin is a hormone produced in fat cells. Its primary role is to stimulate appetite and signal fullness. An increase in body fat and a diet high in sugar triggers an overflow of leptin release. This causes the brain to feel hungry even when it is not. The continuous cycle of leptin production eventually leads to leptin resistance. It is this resistance and the breakdown of communication within our system that causes insatiable cravings.

    Solution: Limit processed foods. Even decreasing by 10% has significant healing on the body.

  2. Dehydration: Even a 1.5% drop in water can be felt in the body. According to Dr. John Higgins, M.D., Associate Professor of Cardiovascular Medicine University of Texas in Houston and Chief of Cardiology at Lyndon B. Johnson General hospital, “Dehydration can make it difficult for the liver, which uses water, to release glycogen. That can lead to food cravings.” Dehydration also interferes with brain levels of serotonin.

    Solution: Divide your weight by 2 and that is the number of ounces of water needed per day.

I am a firm believer that we must enjoy the indulgences life offers, but moderation is key! Containing cravings has less to do with weight and more to do with living. When you heal, you live. When you live, you awaken. And when you awaken, health and happiness is all you will ever know.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance.  For more information on natural ways to relieve stress, CONTACT  our office today to schedule your appointment.  You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.

Over The Counter Medicine Safety

Over The Counter Medicine SafetySince getting over the counter medicine has never been easier, over the counter medicine safety should be at the forefront of everyone’s mind. From the GI relief of the PPI’s to the cold remedies of antihistamines, the choices are endless. But these self-prescribed options need to be used with caution and care. Many symptoms we often experience can be a sign of something more serious. A little Tylenol for headaches or Zantac for heartburn or Zyrtec for alleriges may seem innocent enough. However, being vigilant with your body’s responses to these medications can prevent catastrophic outcomes.

If your symptoms are new or different from previous times, or you have never used an OTC medicine before, it is worth putting in a call to your doctor for advice. Many of these medications have interactions with prescription medications. So only use them if no other options exist.

First and foremost, find out what is the actual CAUSE of your symptoms. Don’t merely medicate them. Identify the trigger and begin to remedy that cause. Medications temporarily bandage the immediate issues, not always fix the root problem.

I have known many patients to use OTC meds on a daily basis “just because” or “that’s how they have always done it.” Just because you don’t need a doctor’s authorization to purchase these drugs, doesn’t mean they don’t come without the same risk as prescription meds.

Here are some staggering OTC Statistics:

  • Approximately 5 BILLION OTC drugs are purchased annually.
  • This number accounts for 60% of all health-related drug purchases.
  • Teenagers are 18 times more likely to fatally overdose on OTC medications than illicit street drugs.
  •  40% of US teens think OTC medicines are safer than illegal drugs.
  • Almost one-third of American teenagers think that it is perfectly safe to occasionally abuse OTC drugs.

According to Consumer Med Safety, here are the top 5 most commonly abused OTC medications:

  1. Dextromethorphan:

This is an active ingredient in more than 100 OTC cough and cold medicines. Side effects include impaired judgment, vomiting, loss of muscle movement, seizures, blurred vision, drowsiness, shallow breathing, and a fast heart rate. Dextromethorphan is also addictive and can cause withdrawal symptoms, including depression and difficulty processing thoughts, when the drug is stopped.

  1. Caffeine:

OTC caffeine pills such as NoDoz or pain relievers with caffeine have been abused for the buzz or jolt of energy they seem to provide. If these pills are taken with high caffeine energy drinks, the effects are felt even quicker. Large doses of caffeine can cause serious dehydration, gastric reflux disease, panic attacks, and heart irregularities that have occasionally been linked to accidental deaths, particularly in those with an underlying heart condition. 

  1. Diet Pills:

Although the FDA has banned several of the most dangerous stimulants commonly found in OTC diet pills—phenylpropanolamine, ephedrine, and ephedra—other ingredients in these OTC products can also be dangerous. Bitter orange is a common ingredient that acts much like ephedrine in the body. It can cause nervousness and tremor, rapid and irregular heartbeat, high blood pressure, stroke, heart failure, and death. The FDA ban on ephedra pertained only to diet pills considered dietary supplements, not herbal remedies such as teas and Chinese preparations.

  1. Laxatives/Herbal Supplements:

Laxatives and herbal diuretics (including uva ursi, goldenseal, dandelion root, rose hips) can cause serious dehydration and life-threatening loss of important minerals and salts that regulate the amount of water in the body, acidity of the blood, and muscle function.

  1. Pseudoephedrine:

This nasal decongestant and stimulant is found in many cold medicines. Its similarity to amphetamines has made it sought after to make the illegal drug methamphetamine. This medicine has also been taken as a stimulant to cause an excitable, hyperactive feeling. Abuse may be less common with pseudoephedrine than with other OTC medicines due to a federal law requiring it to be kept behind the pharmacy counter, limiting the purchase quantity, and requiring photo identification prior to purchase. However, people have taken pseudoephedrine to lose weight, and athletes have misused the medicine to increase their state of awareness and to get them “pumped up” before a competition. Dangerous side effects include heart palpitations, irregular heartbeats, and heart attacks. When combined with other drugs, such as narcotics, pseudoephedrine may trigger episodes of paranoid psychosis.

No doubt that having medications available to us at the 11th hour has certainly made life easier. But as prescription drugs continue to become readily available on shelves throughout the world, we must err on the side to be even more diligent and mindful of its risks. Due to the ease of accessibility of these meds, we must remain guarded to prevent overuse and abuse.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance.  For more information on natural ways to relieve stress, CONTACT  our office today to schedule your appointment.  You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.

 

Tips For Eating Healthy While Eating Out

eating healthy while eating outEating out is fun, and with a little planing, you can still be eating healthy while eating out. And why wouldn’t you? Gathering around for a meal has long brought families together for hours of conversation over endless bowls of our favorite dishes. Once in a while it is nice to shut down the kitchen and give Mom and Dad a break from chopping, stirring and cleaning.

Trying out great new restaurants or visiting your old favorites is no doubt exciting, relaxing and rejuvenating. However, what we don’t often realize is how excited our palates become when these tasty treats in their most perfect presentation are brought out in front of us. Before we know it, we have devoured the last bite consuming more calories than imagined.

Enjoying good food is a must. Enjoying new food is a necessity.

So if you are one that loves restaurant hopping, keep at it!! Life is too short not to enjoy the simple pleasures! To avoid spiraling down an unhealthy lifestyle, plan ahead!

The following may seem like simple suggestions, but I assure you simplicity will bring about longevity!

  1. Decide the restaurant early. Knowing what type of food will be ordered will help you be aware of the amount of carb, protein, and fat in that item. If you anticipate a great Italian Bistro where carbs are in very selection, plan to decrease carb intake couple days prior to the outing. Most restaurants offer apps that allow you to search the menu as well as nutritional values. Making good choices comes from being educated.
  1. Hydrate.This should be your staple even when you don’t plan to go out. 90 oz of water /day helps keep cellular function performing at optimal levels. Avoid any water substitutes and go for the plain H2O.
  1. Eat a small protein snack one-two hours before anticipated meal time. Protein intake helps keep the balance of insulin and glucose. This results in longer satiety and decreased cravings. Good examples are almonds, string cheese, fruit, slice of meat, peanut butter, hummus etc.
  1. Check out the menu beforehand. If you know you will not be leaving that table until you have had that favorite 1000 calorie dessert, then scale back on appetizers and entrée. Yes you can have your cake and eat it too, but only in moderation. You don’t want to wake up the next morning with a sugar laden hangover.
  1. Don’t be afraid to ask the server. Ask the server how the food is being prepared. Ask them if they use butter, cream or any other high fat substitutes to give it that rich mouthwatering flavor. Ask to speak to the chef if you are not satisfied with the answer. Even if they think you are one of “those” customers, it doesn’t matter because ultimately, you are only accountable to yourself. So take ownership and be ok asking!
  1. Avoid “low carb” options and high carb temptations. Anything that claims “free or low carb,” STAY AWAY! To take something out and still have it taste so good, means something else has to be put in. That something else is likely to be highly processed ingredients that do you no good. Better to go for the real stuff in smaller quantities. Also skip the bread basket. It’s not worth it!
  1. Double the veggies. Just because it doesn’t say it on the menu, doesn’t mean you can’t ask. Ask for double quantity of veggies-steamed or broiled, NOT FRIED. Even if it costs a few pennies more, it is well worth it.
  1. Watch out for the salad temptation. Of course the vegetables in the salad are healthy, but the croutons, cheese, dressing, not so much. Salad toppings may seem insignificant, but what we may not realize is that these innocent munchies turn out to be the biggest culprits of our weight gain. Have you seen how many grams of fat are in ONE tablespoon of dressing? A LOT! You know they don’t stop at one tablespoon. So is it really worth ruining all of your hard work with something that is not even the main meal? Ask for dressing on the side.
  1. Skip the alcohol. Alcohol consumption causes an increase appetite and not to mention increase in empty calories. If you absolutely must have a drink with your meal, choose red or white wine limited to 1x glass. For every one sip of wine, take 3-5 large gulps of water. Chances are you won’t even be able to finish that one glass. Avoid the fruity cocktails. Choose your calories wisely.
  1. Dress up nicely. Who would have thought right? Research has shown when you take the time and effort to dress nicely and are happy with what you see in the mirror, you will be less likely to make poor dietary choices. If dressing up is a time consuming process for you, you may not be keen to put in the effort just for going out. And in the long run, less eating out means less consumption of unwanted calories.
  1. Walk off the guilt. If your willpower happened to get the best of you, don’t sweat it. We are all human. We all have cravings. It’s ok! If you still can’t shake the guilt, take a brisk walk outside and breathe knowing you can start over with the next meal. We ALL go through these times when we know better, but we choose otherwise. Following the 80-20 rule can help with any feelings of guilt. Focus on mindful eating 80% of the time and look forward to the other 20% when you know you’ve earned it!

Indulgences are part of life’s greatest joys. Don’t deprive yourself of a little happiness. Eating out is more than just about watching calories. It is the opportunity to kindle relationships and foster new ones.

Food is nourishment. It is our greatest ally, not our worst enemy. Savor each bite because you know you have earned it. And when you have taken that last bite, set yourself back on that right path until you can look forward to it again!

Why Am I So Tired? The Truth Behind an Improperly Functioning Thyroid

How many of these symptoms describe you?hypothyroidism-symptoms

  • Extreme fatigue
  • Weight gain
  • Irritability
  • Muscle aches
  • Depression
  • Rapid hair graying
  • Decreased libido
  • And too many other “little issues attributed to aging”

These little issues could be caused by a small gland with some big responsibilities. That gland is your thyroid.

The thyroid gland produces and stores hormones through an integral and complex pathway that is directly linked to your hormones and adrenals. The thyroid plays a part in EVERYTHING AND EVERY CELL IN YOUR BODY. It is butterfly-shaped and is found in the lower part of the neck, wrapped around the trachea.

Hypothyroidism: A Common Condition, But Frequently Misdiagnosed

Hypothyroidism is a condition where the body, for various reasons, doesn’t produce enough thyroid hormone or is unable to utilize the thyroid at a cellular level. No matter what the cause, this diagnosis has debilitating and frustrating consequences.

Being diagnosed with hypothyroid myself in 2002, I have spent the last 13 years researching, studying,
and understanding the complexity of this “little gland.”

According to the U.S. Department of Health and Human Services, about 4.6 percent of the U.S. population (approximately 18 million people) age 12 and older has hypothyroidism. As prevalent as hypothyroidism is, most people are not correctly diagnosed when they first present symptoms to their doctors because there is not a standard interpretation criteria for screening tests—meaning that one doctor may think a slight dip below the normal range is acceptable while others would argue otherwise.

Your thyroid can be affected if your adrenals are not balanced or if your hormones are constantly fluctuating. Due to the minute-to-minute variability of ALL the hormones in your body, patients are often under-diagnosed.

A single thyroid level test is insufficient to make the determination of hypothyroidism.

Many other thyroid levels also need to be checked. These could include TSH, Free T4, Free T3, Thyroid Peroxidase Antibody, Thyroglobulin Antibody, Magnesium, Iron, Zinc, Vitamin D, Hormones and Cortisol.

A patient who self-educates and self-advocates is in the best position to work collaboratively with his or her doctor to determine the best course of treatment for the symptoms and diagnosis of hypothyroidism. Self-advocacy is much easier when you choose a doctor who has experience in recognizing the symptoms of hypothyroidism as well as other hormonal conditions such as diabetes and adrenal gland issues.

Treatment of Hypothyroidism

Once hypothyroidism is diagnosed, there are many treatment options that need to be considered. Synthetic thyroid (Synthroid or Levoxyl) medication is not the only option. There are T3-only medications such as Cytomel or combination of T4 and T3 medications such as Armour Thyroid or Nature Thyroid. Patients even have the option of having their thyroid medication compounded with an accredited compounding pharmacy.

Hypothyroidism is not a cookie-cutter diagnosis and neither should be the treatment.

It is extremely important to work closely with your physician to monitor symptoms and continue to regularly check your thyroid levels.

The discussion of thyroid disease is more extensive than I can capture in a single blog post. In my 15 years of practicing primary care, I have diagnosed and corrected misdiagnoses of many patients with hypothyroidism. I understand and have experienced every symptom you may be having. I know the frustrations, I understand the suffering and I continue to live with this diagnosis everyday.

If you are suffering from any symptoms that are interfering with your life, Please contact our office today to schedule an appointment.

From A to Zinc

ZincThis month truly focuses on one of the most critical elements to our functioning. You can’t walk through an isle of a store without coming face to face with one supplement or another. Each one promising to be the miracle cure for all of your ailments. But how much has science really proven the benefits of these pills? Do we really understand their benefits or are we just loading the shopping carts because it happened to be Dr.Oz’s drug of the week?

I absolutely believe and advocate supplementing our already deficient diet. The more help the better right? Maybe or maybe not.

The flavor of the month for May is Zinc. Zinc has earned rave reviews for its healing properties for the nagging cold or the sore that just won’t heal. What if I told you Zinc holds greater power than just helping with the sniffles?

The past 4 months have tail spinned me into the worst thyroid relapse I have had since I was diagnosed with hypothyroidism 12 years ago. I really felt I had a handle on the understanding of the thyroid, its functions, its nuances and its treatment. But when my symptoms came raging forth in April of this year landing me in the ER, I realized I have only begun to understand the true depth of the thyroid. After running a battery of tests, my Zinc levels were depleted to a staggering low of 45 (Optimal 100-150). This Zinc deficiency brought me to the worst hypothyroid symptoms I have ever experienced-severe fatigue, excruiating muscle pain, massive hair loss, unbelievable weight gain, extreme acne (I could have been a spokesperson for Proactive).

Because of the zinc deficiency, my thyroid took a direct hit and ceased to do any of its required functions. I began taking Zinc supplements over the last month and am only now slowly starting to see a mild improvement. With these recent events, I delved deeper into areas of the thyroid and I clearly underestimated the impact it has on our lives.

Several reports and documented studies suggest that zinc deficiency is a cause of subclinical hypothyroidism. If you have gone through your symptom check list and find a lot, if not all, mirror the symptoms related to thyroid but your thyroid levels register “normal”, zinc deficiency could very well be hindering optimal thyroid balance.

Zinc deficiencies are more prevalent in well-developed countries. Because zinc is a natural element found in muscles and everywhere on earth, eating a diet that includes lean red meats can help increase the levels of zinc. However, in many well-developed countries where health conscious individuals shun red meats, zinc deficiencies are a commonality

Significant relationships between thyroid volume and serum zinc levels showed low release of TSH, T3 and T4 as well as increasing thyroid antibodies in patient’s with autoimmune hypothyroidism.

Now before you go and start popping Zinc, request your doctor to check your levels. Although serum and plasma concentrations of Zinc are often times not 100%, it will at least give you a baseline. With Zinc, MORE IS NOT BETTER. Zinc toxicity actually worsens hypothyroid. Start with caution and monitor levels every couple of months. True Zinc deficiency often takes 4-6 months to balance. Patience, as with anything else, is key. You can’t rush optimization!

So all supplements are not bad and all supplements are not needed. Understand why you take what you take. Ask the questions and listen to the answers and if you are not content with those answers, ask again. Knowledge is power and understanding is key!

And of course, if you have any questions, do not hesitate to contact my office.