Corona virus, COVID-19, Education and Newsletters, Francie Silverman, Master of Science in Nutrition

Sleep your way to Better Immunity

I would argue that sleep is THE most essential thing you can do for a healthy immune response, yet insomnia is one of the biggest issues I see in practice, and it often derails even the best efforts to achieve weight loss and other health goals.

The optimum 7-9 hours of sleep can be broken down into 5 stages:

  • Light sleep, which is actually divided into two stages, and transitions the body into
  • Deep sleep, which is also divided into two stages, and finally,
  • REM (rapid eye movement), the stage where most dreaming occurs

Deep sleep is when a lot of crucial processes take place:

  • Waste is flushed away from the brain
  • Bones, tissues and cells grow and are repaired
  • Hormones, such as growth hormone, are released from the pituitary
  • Blood pressure drops
  • Blood flow increases to the muscles, promoting energy restoration
  • Brain glucose metabolism increases, supporting short and long-term memory and learning
  • The immune system releases cytokines, some of which promote sleep
  • Infection-fighting antibody production is enhanced by deep sleep

These things are skimped on when you don’t get sufficient amounts of deep sleep.

Because the body is most vulnerable during deep sleep, it prioritizes this stage of sleep early in the night so you can get to a rested place sooner, should danger arise. This is why you’ve heard you can’t “catch up” on sleep; deep sleep stages decline in frequency and length of time as you move into early morning hours.

A common issue I’ve seen in practice is ignoring the fatigue that sets in around 9- 9:30pm.  Most patients find they don’t sleep as well when they delay bedtime in order to “get more done.”  This is because the adrenals must respond with cortisol output to give you that “second wind.” Cortisol should be at its lowest at bedtime, allowing for more restful sleep; once cortisol has been released into the system, it has a half-life….this means it will take a few hours to completely clear the system, interfering with the deeper, more restorative stages of sleep.

During REM sleep, the brain is very active, yet the body is very inactive. Sufficient REM is critical for:

  • Robust immune response
  • Forming new memories
  • Stimulating/balancing the central nervous system
  • Restoring brain chemistry to a normal balance

REM sleep loss is associated with:

  • Higher susceptibility to viruses and other infections
  • Increased inflammatory responses
  • Increased risk for obesity
  • Short and long-term memory problems

Sleep apnea,often associated with a complete or near-complete loss of REM, is associated with an increased risk for CVD, diabetes, obesity and depression.

So how can you improve sleep, and therefore immunity, among other aspects of vibrant health?

  • Make sure you exercise. But do it in the morning as the resulting endorphin rush can interfere with sleep.
  • Limit caffeine or cut it out altogether. At the very least, limit consumption to morning since many of us are slow metabolizers of caffeine.
  • Stage some white noise (fan, soft music or other) if noises inside or outside tend to wake you during the night.
  • Have a calming routine 1-2 hours prior to bedtime. Dimmer lights, relaxing music, a hot bath, whatever you can be consistent with.
  • Avoid blue light after 8pm.  Blue light from screens (TV, computer, tablet or cell phone) suppresses melatonin production.  Many devices now have a feature that allows you to schedule blue light to turn off at a specific time, or you could consider purchasing blue blocker glasses, easily found online.
  • Avoid simple carbs and sugar just before bed since this can boost energy, soon followed by a drop in glucose levels, which triggers cortisol release. (Some healthier ideas are below.) Remember the half-life issue with cortisol from earlier in this article.
  • The sleep/wake cycle is important too. Try to stay consistent with your bedtime as this improves sleep quality.
  • Lastly, supplements can help.  A few of my favorites, with dosing, are below.

Ideas for a balanced snack before bed:

  • Sunflower butter and 1/2 apple
  • Hummus and raw veggies
  • Portion of protein bar or protein shake
  • Whole grain crackers w/sunflower butter, hummus or guacamole
  • Guacamole and celery or other veg for dipping

Dosing info on our favorite sleep supplements:

Melatonin

3-6 mg for most, though dosing up to 20 mg is safe (higher doses are commonly used with cancer)

Melatonin has antioxidant effects and blocks inflammatory cytokines, two reasons it has been shown to reduce the severity of COVID. It’s usually my first recommendation at this time for these reasons, as well as affordability.

Normally produced by the pineal gland in response to waning daylight, melatonin readies the body for sleep.  Bright lights and blue light from TV, phone, iPad, etc can interfere with production, as can traveling to different time zones.  Taking too much melatonin, or taking it too late in the evening, can result in morning grogginess, so adjust your dose and/or timing accordingly.

Alpha GABA PM

Take 1-2 capsules near bedtime

Each capsule contains 3 mg melatonin, 400 mg l-theanine (naturally calms brain waves by boosting GABA), valerian, lemon balm and 5HTP (precursor to melatonin and calming to the brain).

L-Tryptophan

500-1500 mg near bedtime, on empty stomach or with a small snack.

This amino acid is a precursor to 5HTP and serotonin, both of which support healthy sleep.

Perfect Sleep (available in drops and tabs)

Take 10-30 drops or 1-3 tabs at or near bedtime. Some people get their best results if they begin dosing with dinner and get 2-3 doses in before bedtime.  This gets ahead of cortisol production that takes hours to clear from the bloodstream.

Magnesium glycinate

500-1000 mg taken at bedtime (this form should not impact bowels)

Cerenity PM

2-4 caps at or near bedtime

Cerenity PM is a blend of vitamins, minerals and amino acids that support sleep.

CBD

At Leaves of Life, we’ve been using CBD with our patients for over 4 years, and what we’ve learned is that different plant profiles affect people differently.  While some companies producing CBD products utilize the leaves and stalk, some utilize the leaves and flower, or the flower only, each of which produces a different plant profile.  The message here is that if you’ve only tried one brand of CBD and it’s been unsucessful, you should certainly give CBD another try.

For information about dosing for different goals, as well as an in-depth dive into how CBD works, click here to read our previous blog series.

I hope this information soon has you sleeping soundly!

 

Corona virus, COVID-19, Kelli Cuda, Masters in Science, Family Nurse Practitioner, Leaves of Life Practitioners

Bolstering Immunity: Nourishing Spirit

I used to be an avid runner. When I was in college, I’d run everywhere. I guess that’s the beauty of an open college campus with sidewalks that never end.  I’m not really sure why I stopped running, other than learning to appreciate the comradery of group fitness, however with everything happening in the world lately, group anything, just isn’t an option. Over the last few weeks there has been this heaviness in my chest, and while I’ve debated, “Is this COVID-19 paying me a personal visit?” what I’ve realized is that this pandemic has a much bigger burden than just physical illness. So, in all fairness to my mental health, I decided to pause the research and lace up my running shoes.

Despite my favorite playlist blaring, the world was quiet. I saw folks fishing at the pond by themselves, others walked their dogs, a few flew kites with their family, while neighbors talked amongst themselves from their front lawns. I began to appreciate that despite the distance that has been wearing on all of us, we stand together.

There IS something beautiful about a shared struggle.

Even though the heaviness was still there thinking about all of my friends and colleagues on the front lines, everything else slowed down. I could appreciate the collective efforts being made to win this battle.  So, while most have been inundated daily, with emails and news updates on our current global pandemic and as we, at Leaves of Life, have worked together to sort through the rapid developments and new information daily, today I felt the need to step away from the details of COVID-19, and focus on the effect that this has had on our mental health and well-being.

For most of us, life today looks much different than it did just a few weeks ago. There is an uncertainty that has left us all wondering what the next few weeks and months will hold. We’ve been asked to make changes that have never been asked of us before. We are a social species and this physical separateness seems very unnatural. For many, this change means homeschooling children and trying to balance multiple work schedules from home. (I for one have never been so appreciative of our teachers!) For others, that means working around the clock to serve in some capacity in this crisis, or perhaps leaving a job, without knowing when the next paycheck will come. No matter how this has affected our day to day, collectively we are all carrying the burden of these shifts in our economy, our healthcare, and certainly in our stress levels.

What I do know, is that despite what we are faced with, we are growing every day. We’re mobilizing resources in ways most of us have never imagined. We’re witnessing the most innovative movements in medical history. We’re being called to stand up or stay home, BOTH of which have a significant impact. There CAN be clarity in chaos.  In all of this, it’s equality important to support one another in optimism, resiliency, and nourish our physical and mental health.

Follow along, as we offer ideas on how to keep calm and carry on, in these uncertain times, and remember, some of the best things in life are not canceled.

  1. Friends and family time: Stop looking at the calendar…soccer is still canceled! Put your phone down and embrace the quiet.
    • Play a board game
    • Write a hand-written letter to someone
    • Plan a “movie-marathon” of oldies but goodies
    • Plan a scavenger hunt for you family on your evening walk
    • Create your own “talk show” or YouTube channel with your family
    • Make a meal together or try out one of these healthy desert recipes
    • Read a new book together
    • Have a “camp-out” in your living room
    • Do an impossible puzzle together
    • Build a camp fire on a nice night
    • Go for a family bike ride or hike
    • Build a scrapbook together
    • Plan and plant a garden together
  1. Togetherness: Even though we are all practicing physically distancing, we are still united in cause and can interact socially. So, put your nice shirt on and grab a glass of wine when you are camera ready.
    • Get your zoom on with a virtual gathering (Zoom Cloud Meetings)
    • Share your afternoon funnies or inspirational quotes on social media
    • Kids can use Flip-grid (school) https://info.flipgrid.com or kids’ messenger to connect with one another
    • Meet your friends at an empty parking lot and chat from your cars
  1. Community:
    • Organize a neighborhood event from your front yards; (for ex; every day there is a themed craft to display in your window)
    • Write a letter of gratitude to Governor Mike DeWine, Dr. Amy Acton, Lt. Governor Husted or other first responders.
    • Buy a gift card or even just a greeting card to thank a delivery team, janitor, waste management crew, grocery employee, etc.
    • Share some of your favorite recipes with neighbors
    • Chalk some inspirational driveway quotes
    • Utilize deliveries or pickup and support local businesses
  1. Optimism:
    • Identify acts of heroism and heroes of optimism
    • Have a positive start to your day
    • Set short term goals
    • Embrace creative outlets
    • Start a gratitude journal. My favorite; https://www.amazon.com/Five-Minute-Journal-Happier-Minutes/dp/0991846206
    • Add value and positivity to someone else’s life
    • Move your large muscles
    • Reframe your negative experience into a more positive one
  1. Cultivating Joy: We’re most joyful, when we’re helping others.
    • Volunteer where you can
    • Drop off groceries to an elderly neighbor
    • Tell someone you love them
    • Give someone a hug
    • Commit a daily act of kindness
  1. Personal Growth
    • Exercise
    • Gardening
    • Cooking and baking
    • Listening to music
    • Reading
    • Dancing
    • Learning a new skill or language
  1. Mindfulness and Meditation

I know these are challenging times and our days ahead will not always be taken with ease. I myself am not immune to this worry and at times have found myself tangled in the fog of this uncertain beast. We have to be forgiving. You will ponder, “How many days CAN I wear these sweats?” “Why is common core even a thing?” “Is it that hard to change the toilet paper roll?” To which I respond, “three days, just carry the one, and be lucky you even have it.” You will worry about bills, the health of a loved one, our essential workers, and on and on. But in those times, remember, we are in this together. If we do it right, getting back to normal will look different.  We’ll rise up and do better. For now, hold your loved ones tight, embrace the quiet, share your gifts any chance you get, appreciate those who are working tirelessly in this fight, and maybe…lace up those running shoes.

In good health,

Kelli

Caitlin Pfeil, FMCHC, CPT, NCAA Personal Trainer, Corona virus, COVID-19, Education and Newsletters

Bolstering Immunity by Eating Well

             Eat a rainbow!

The immune system is an incredibly complex network of cells, organs, and tissues that work together, and what you eat directly impacts your immune system’s ability to fight. Eating whole, unprocessed foods is one of the most significant ways to support a healthy immune system, and the more variety you have in your diet, the better.

Once upon a time, I got sick with some type of infection twice a year, in the spring and fall…allergies that often led to a bad sinus infection, or the flu.  Looking back now, I can see the connection to my diet: I was eating artificial and processed foods — mostly simple carbs and sugar, ie, the Standard American Diet.

When I began learning about the importance of good nutrition, I changed my diet to whole unprocessed foods, and I stopped getting sick. I’m happy to say I haven’t been sick in over five years! I take charge of symptoms right away with immune-boosting nutrition, dramatically decreasing the time it takes to fight off infection.

Below are my top evidence-based tips to help strengthen your immune system through good food!

Sip on bone broth. Chicken soup when you get sick isn’t just an old wives’ tale! It’s great for prevention, too. Real bone broth (not bouillon cubes) helps heal and seal the lining of our intestines which is important since 70-80% of the immune system resides in the GI tract. It may also reduce the overgrowth of harmful microbes while providing tons of bio-available nutrition that is readily and easily absorbed by the body, like protein, collagen, and gut-building glutamine. Want to learn more? Check out a previous post on bone broth here.

Increase natural, whole-food Vitamin C, like rosehip tea, papaya, strawberries, broccoli, brussels sprouts, and sweet or bell peppers (particularly yellow, which have double the amount found in green!). Though there are vitamin C supplements available for purchase, getting all vitamins from our food – if possible – remains best.

Eat more fresh, whole foods and less processed, sugary foods. Vitamin and mineral-rich whole foods provide your body with an array of nutrition needed to build a robust immune system, whereas processed and sugary foods weaken your immune system and lead to health problems. These may include increased inflammation, reduced control of infection, increased rates of cancer, and increased risk for allergic and auto-inflammatory disease.

Prioritize protein. It’s very important to consume enough high-quality protein because it breaks down into amino acids, the building blocks needed for tissue repair, building muscle, and antimicrobial activity. Lysine and cysteine are two notable antiviral amino acids. The antioxidant N-acetyl-L-cysteine (NAC) has been shown to help respiratory conditions and inhibit virus replication and virus-induced pro-inflammatory responses. NAC has also been shown in vitro to limit lung inflammation and damage associated with viral growth. Foods that readily contain these important amino acids include chicken, turkey, eggs, sunflower seeds, red meat, fish, and spirulina.

Eat more nuts and seeds. Nuts and seeds are rich in powerful immune-supporting antioxidants. They contain healthy fats that help to absorb fat-soluble vitamins like Vitamin D, which is incredibly important to immune health. It’s easy to add nuts like almonds, pecans, and walnuts to your favorite salads, or as a healthy snack.  We suggest avoiding peanuts because of their mold content, and rotating which nuts you’re consuming so you don’t develop sensitivity.  For instance, we’re seeing almonds showing up quite frequently now as a sensitivity because they’re being over-consumed (almond milk, almond flour, almond butter, almonds)!!

Eat fermented foods for probiotic support. The good bacteria found in fermented foods stand strong like soldiers to crowd out and fight off pathogenic microbes. Fermented foods include raw sauerkraut, kefir, kimchi, low-sugar kombucha, and beet kvass. However, if you have an overgrowth of bacteria like SIBO or other GI issues, fermented foods may exacerbate symptoms. This does not mean they’re harmful, they just may not be the right probiotic strains to address that particular imbalance.

Increase antiviral and antimicrobial foods and herbs — fresh ginger, oregano, sage, basil, and fennel. Raw crushed garlic is known for it’s potent antiviral and antimicrobial activity. If you can’t eat two garlic cloves straight up, try making a chimichurri, where it’s balanced with EVOO and fresh green herbs like parsley, cilantro, and sage.  Chimichurri is delicious as a topper for veggies or minimally processed gluten-free crackers. Another way to incorporate garlic is to chop and mix it into salad dressing (shallots, garlic, EVOO, fresh lemon juice, S&P is one of my go-to’s). Coconut Oil is another great addition: it contains lauric acid and monolaurin, both known for their antiviral activity.

Drink more water! Hydration plays a vital role in your health in general and especially your immune health! Drinking water helps your blood carry oxygen to all of your systems. It also allows your kidneys to do their job of removing toxins that would otherwise build up and weaken your immune system. Water also helps to digest and assimilate foods. Another huge perk of hydration is keeping your eyes and mouth moisturized — this helps repel dust, phthalates, nanoparticles, and other harmful things that can cause infection.

I know that’s a lot of information! As a Functional Medicine Certified Health Coach, I’m here to help educate and to work with you to create sustainable change in your day-to-day life. I suggest taking two or three of these and building them up until they slowly become second nature. I used to set alarms to drink more water, but now my body lets me know. So go put a pot of bone broth on, curl up with a cup of rosehip tea, and eat well to stay well!

Meet Caitlin Pfeil, FMCHC, CPT, NCCA Personal Trainer

Corona virus, COVID-19, Education and Newsletters, Patty Shipley, RN, Naturopath

Bolstering Immunity: Updated Info on COVID-19

Natural Treatment and Prevention of COVID-19

Updated Nov 24, 2020
While we’re NOT experts in treating this virus, we’ve had many years of experience working with patients to treat a variety of infections, as well as more recently, patients and loved ones who have contracted COVID-19.  We’ve decided to turn this post into a “living blog” that is updated as we continue learning about this novel virus.

ACE2 Receptors Key to Viral Entry

This virus utilizes ACE2 receptors on cells to gain entry. Different substances interact with these receptors, including Vitamins A and D, Zinc, ibuprofen and anti-hypertensive drugs.  Cardiovascular disease, diabetes and hypertension are associated with worse outcomes, as they can increase the number of these receptors/entry points on the cell surface.  Sites for these receptors are especially abundant in the epithelia of the lung, small intestine, kidneys and blood vessels, giving rise to some of the common symptoms associated with COVID-19.
There is now evidence that Vitamin D increases soluble ACE2, which would not increase viral access to cells, but instead act as a decoy, as described in this article from the journal Clinical Science.

A Look at Vitamin D and Other Supplements

Vitamin D

If you’ve been living north of Georgia for the past 6 months, and you’re not taking vitamin D, you’re likely deficient, and should consider taking enough supplemental vitamin D to achieve a sufficient serum level to support overall immunity (60-80 ng/mL, which usually requires 3000-5000 IU daily).  If just starting vitamin D, it may make sense to double the suggested dosing range for 3-4 weeks to achieve sufficiency more quickly.  Some patients do better with higher dosing less often. For instance, taking 50,000 IU every 10-14 days, since vitamin D is fat-soluble and stored in the body.  We offer emulsified liquid and capsules ranging from 1000-50,000 IU per serving to allow for individualized dosing.  We’ve learned that taking 50,000 IU daily for the first few days of infection can effectively bump up immune response, lessening symptoms and shortening duration of illness.
Recent small group studies have shown decreased cases of severe illness, duration of hospital stays and death rates in those with higher levels of vitamin D.  Larger studies are needed, but optimizing your vitamin D levels is inexpensive and has a litany of other health benefits.  Here is a link that summarizes the most recent emerging science on vitamin D.
Vitamin D Supreme 5000 IU, 60caps by Designs for Health: $30
Bio-D-Mulsion Forte 1 fl oz, 2000 IU by Biotics Research: $21

Vitamin A

Vitamin A is important for the health of the respiratory tract and mucus membranes, both of which play a central role in overall immune response However, in practice, we only see vitamin A deficiency in maaaaybe 5% of the nutrient tests we review, and vitamin A has as yet unknown interaction with ACE-2 receptor sites, so aside from what’s in your multivitamin, we don’t recommend taking additional vitamin A unless there is a proven need.
Vitamin A 10000 IU, 100 gels by Carlson: $7.50

Zinc

It appears zinc can benefit in two ways: by lowering the virus’s ability to enter cells through ACE2 receptors and also inhibiting replication once it’s gained access. (Read about these important roles here.)  We recommend 30-50 mg/day, increasing the dose to 100-200mg daily at the first classical signs of illness (shortness of breath, cough, loss of taste and smell).
Zinc Supreme 30mg, 90 caps by Designs for Health: $17
Zinc Lozenge 60 loz, 23mg by Davinci: $11.50
Reacted Zinc 60C 54mg by Ortho Molecular: $18

Probiotics

Our favorites here for coronavirus prevention (Ultra Flora Immune Booster and Ultra Flora BiomePro) include specific strains that benefit the respiratory system, the system that is of utmost concern in severe cases.   Take 1-2 per day, preferably away from food.
Ultra Flora Immune Booster, 1 billion live organisms, 30 caps by Metagenics: $34
Ultra Flora BiomePro, 105 billion CFU, 30 caps by Metagenics: $70

Vitamin C

Because vitamin C is water-soluble, it’s important to divide your dosing up into 2-3 doses minimum per day.  Liposomal vitamin C can be dosed twice daily for round-the-clock vitamin C protection.  Vitamin C helps stimulate production and function of white blood cells, and helps your body produce important proteins that bind invading microbes (antibodies) to neutralize them.  If you experience loose stools or diarrhea when taking vitamin C, you should back the dose down.
Of note: In Wuhan, doctors have been using high dose intravenous vitamin C for those who are sick as well as for those in the hospital. Nearly all patients with symptoms received 50-100 mg/kg/day for mild symptoms and 100-200 mg/kg/day for severe forms.  Many hospitals in the US are now using intravenous vitamin C in the ICU.
Liposomal Vitamin C 1000 mg, 60C by Mercola: $19
Ultra Potent-C 1000 90T by Metagenics: $32
Stellar C 600mg, 90 caps by Designs for Heatlh: $30
Chewable C 250mg  90T by Nature’s Sunshine: $22.50
Power Pak Tangerine 30 packets, 1200mg each by Trace Minerals: $19

Astragalus Max by Douglas Labs

Astragalus stimulates white blood cells to engulf and destroy invading organisms and cellular debris as well as enhance the production of interferon (a key natural compound produced by the body to fight viruses).  We recommend 1 daily for prevention and in cases of infection accompanied by fatigue, shortness of breath or spontaneous sweating, to increase the frequency of dosing to 2-3 times daily.
Astragalus has been shown to have additional benefits of lowering blood sugar with type 2 diabetes, improving blood flow to the kidneys, promoting apoptosis in various types of cancer cells and acting as an adaptogen during times of stress. In China, it’s one of the most frequently used herbs for management of diabetes.
Astragalus Max-V 60 vcaps by Douglas Labs: $27.75

Andrographis Plus by Metagenics

Over the years, we’ve trialed other brands of andrographis without the same success, so this is the only andrographis we typically stock. Patients often report that if they’re able to start taking this immediately at the first sign of infection, after 3-5 hourly doses, symptoms are completely resolved.  This is one I keep in stock at home since it’s most effective in the earliest stages of infection.  When I’m able to start this as soon as I feel the symptoms of an infection, I can knock it out. Every. Time.
Andrographis Plus 30T by Metagenics: $24.75
Essential Defense 30T by Metagenics: $19.75

NAC

Used in hospitals to treat acetaminophen poisoning, NAC is also used as a mucus thinner that targets the lungs, improving respiration.  Dosing is typically 600-3000 mg 1-3 times daily, and in hospitals, if available, it can be administered as an IV or taken orally, as an aerosol spray.
N-ACETYL-CYSTEINE 900mg 120T by Designs for Health: $36.50
NAC 600mg 90C by Pure Encapsulations: $30

Silver

Silver is an earth element that has broad-spectrum effects when targeting infections.  Most brands taste like water, so it’s an easy thing to add, especially with kids. We’re now using 3 brands of ionized nano-particles of silver with good success: Smart Silver from DesBio, Silver Shield from Nature’s Sunshine and Silvercillin from Designs for Health.  We recommend 1 tbsp twice daily at first signs of infection (none of these brands will cause blue skin – this is a condition associated with colloidal forms of silver taken excessively over prolonged periods of time).
There is now data showing that masks with an ionized silver coating can inactivate the virus completely, a wonderful demonstration of the efficacy of silver against viral particles. I’ve done a lot of searching for any trials using ionic silver spray on your own to increase efficacy of masking, and while that is a tantalizing idea, there don’t seem to be any trials yet done to determine if this would cause the mask fibers to break down in non-cloth masks, and no studies done to determine if applying to cloth masks confers any increased protection, so for now, I’m unsure about taking this approach.  I do see that baking your mask at 150-160 for 30 minutes will inactivate any microbes, but washing with soap and water is still your best option for cloth masks because soap dissolves the fatty envelope around the virus, making it inactive.
We DO recommend spritzing the back of the throat and using ionized silver as a nasal wash for added protection against infection, or during active infection. We carry Silvercillin spray and have $3 nasal spray bottles to pair with the spray.
Silver Shield 4 oz by Nature’s Sunshine: $38
Silvercillin Liquid Spray, 4floz by Designs for Health: $21.50
Silvercillin Liquid 16oz, 75mcg by Designs for Health: $58
Smart Silver 32 oz. by Desbio: $112
Amber Nasal Spray Bottle 1oz: $3

Melatonin

Many researchers now believe one of the reasons younger people are not as affected by this virus is their melatonin status.  Melatonin is a hormone that declines with age, which could explain some of why the risk of death with COVID-19 increases with age.  Melatonin has been used for years as a natural therapy for cancer (dosing is usually 10-30mg) because of its anti-inflammatory and anti-oxidative properties, not to mention that it can help with sleep, the loss of which impacts the immune system.  We recommend using a dose that helps improve sleep, but doesn’t cause drowsiness the following morning, and we offer a variety of doses to allow for this individualization, ranging from 3mg to 20mg.
Melatonin 60T, 3mg by Xymogen: $16.25
Melatonin Time Release 5mg by Bioclinic: $10.25
Melatonin 10 mg, 180T by Bioclinic: $53
Melatonin 20mg 60vcaps byPure Encapsulations : $31.50

Nebulized Hydrogen Peroxide (H2O2)

Having now supported several patients through severe respiratory COVID symptoms, we can say with confidence that nebulizing hydrogen peroxide can help significantly.  While updating this newsletter, I’ve also seen where some doctors are recommending this to prevent the virus from moving into the lungs.

H2O2 should first be diluted in normal saline (which can be purchased or made from 1/2 tsp salt to 1 cup purified or distilled water).  We stock 3% food grade H2O2 (don’t use the brown $1 bottles found at drug stores since they contain stabilizers, that when inhaled, can be harmful to the lungs). Dilute the 3% H2O2 in the normal saline at 1/4 tsp to 7-1/4 tsp of normal saline.  This mixture should be refrigerated to help it maintain stability and potency.

Put 1/4-1/2 tsp in the nebulizer cup and nebulize 3-4 times daily.  The mist can be inhaled into the lungs and/or sinuses.

Innospire Nebulizer System $50
Hydrogen Peroxide 16 fl oz, 3% FOOD GRADE: $10

What can you do for a Fever?

Since fevers are your body’s natural response to infection, most functional medicine healthcare professionals wouldn’t recommend treating a fever unless it rises above 103 degrees, though temps up to 107 degrees are not associated with any lasting damage to the body, according to Medline Plus, a service of the Natural Institutes of Health and U.S. Library of Natural Medicine.  Some natural ways to address a fever are: drinking cool water and putting cold packs under your arms, or sitting in a lukewarm bath.

For those in the early stages of infection, drinking hot chamomile or peppermint tea can promote sweating, which works with the body’s natural immune response.

 

 

Ibuprofen

Some observational studies have demonstrated an increase in ACE2 receptors with ibuprofen use, however, additional recent studies have not shown increased negative outcomes with its use during active infection.

Acetaminophen

Acetaminophen depletes a crucial antioxidant: glutathione.  In fact, we feel acetaminophen should be severely limited for any condition because it has a poor safety profile in general.

 

Aspirin

Researchers at the University of Maryland School of Medicine (UMSOM) found that aspirin takers were less likely to be placed in the intensive care unit (ICU) or hooked up to a mechanical ventilator, and they were more likely to survive the infection compared to hospitalized patients who were not taking aspirin.  Long-term use of aspirin can impact the GI lining, so use with caution beond short-term.

 

What About Cytokine Storms?

When this particular virus gets going in your body, it can create what is called a cytokine storm, which is when your immune system reacts vigorously and releases an enormous amount of chemicals (cytokines) and free radicals to destroy the virus. This is generally a good thing, however, what is concerning is that in some people, COVID19 triggers an extreme cytokine storm, causing (among other things) acute respiratory distress (ARDS) and lung injury.

Until we have firsthand knowledge of what works here, we are leaning on experience from Dr. Nathan Morris, a once-local physician who recently recovered from a severe bout with COVID-19 using Vesisorb hemp, a patented lipid-based delivery system that increases the bioavailability of fat-soluble compounds. Each gel contains 25 mg of full-spectrum CBD, and dosing is 1 gel twice daily while symptoms of inflammation are present.

Hemp extract VESIsorb 30sg by Pure Encapsulations: $80

But what about Quercetin, Vitamin E, Green Tea, Etc?

Many other remedies are worth considering here, but there is no way to make this into an exhaustive list, so we’re including a focused list that prioritizes the remedies we feel are most important.   For The Institute for Functional Medicine’s recommendations that include quercetin, curcumin, PEA, green tea, resveratrol and others covered in this post, click here.

Quercetin 250mg, 120C by Pure Encapsulations: $40

 

 

Wrapping it up

With so many options, many patients have asked me what I do for myself as prevention and how would I address symptoms if they were to appear.  For prevention, I’m currently taking liposomal melatonin since it is essentially time-released, zinc (Reacted Zinc by OrthoMolecular shows superior absorption on micronutrient testing), liposomal vitamin C, vitamin D and UltraFlora BiomePro, a probiotic geared toward respiratory health.
I’ve also begun to nebulize H2O2 once daily since I’m continuing to consult in-office and it’s a bit chilly now for open windows to dilute the air in my office.
Andrographis Plus is the herbal formula that helps me the most and the quickest when I’m fighting infection. At the first sign of infection, I begin taking 1 andrographis hourly, and I pair it with 1 tab of Essential Defense from Metagenics.  For sore throat, and for COVID concerns, I use Silvercillen as well as Herbal Throat Spray (HTS) from Medi-Herb (as often as I think about it when I’m fighting a sore throat or am concerned about COVID, since both are antiseptic and HTS has a lovely numbing effect from the clove oil it contains).  I find vitamin C drinks soothing (I prefer LiquiMins Power Pak over EmergenC because it’s buffered with minerals and electrolytes, tastes great and only contains 1g of sugar, with zero artificial sweeteners and 1200 mg vitamin C).

Treating Severe, Active Infection

Many stories are emerging on natural interventions that may help shorten the duration and severity of COVID19.  We’re including links here to ensure that you’re able to access important information if you or a loved one becomes ill and/or hospitalized with COVID.

The EVMS Medical Group is providing guidance for healthcare providers treating COVID-19 patients. This approach to COVID-19 is based on the best (and most recent) available literature and the Shanghai Management Guideline for COVID. Their continually updated article can be found here.

Jill Carnahan, a well known functional medicine doctor, pulls together information from many sources that illuminate what we are learning about how this virus behaves in the body.  She is also continually updating her blog that can be found here.

Lastly, for now, here is a link to the clinical trials currently underway to determine effective treatments, including MANY natural interventions! It’s exciting to see.

I hope you find this article helpful.  Please feel free to reach out by email, phone, or  below with questions or comments.  And above all, stay safe and well!
Corona virus, COVID-19, Dr. Emily Roedersheimer, Education and Newsletters, Karen Bush, NBC-HWC

Bolstering Immunity by Managing Stress

Stress… We use this word so often that we don’t even take it seriously anymore.

Stress occurs when life’s events surpass our ability to handle them. It comes in many forms: rush hour traffic, unexpected bills, your boss yelling at you, your kids fighting, or worst yet, there’s no toilet paper to be found in central Ohio! Add the corona virus to this list and our stress levels are boiling over. During this time in history we need our immune systems to be ready for anything and one of the best ways to help with that is to decrease stress.

Why? Because believe it or not, stress lowers immunity.

Fight or Flight

The immune system is a complex network of cells and proteins that defend the body against infection. Think of it as an army poised and ready to go to war for you if needed to prevent infections of all kinds – viruses, bacteria – and even cancer cells.  This army works best when we’re in a calm, rested state.

You’ve likely heard of the “fight or flight” response that kicks in when we’re under stress. This system is uniquely designed by our bodies to prepare us to flee or fight if we’re attacked. Now with our modern day “attacks” being more ongoing (work, bills, kids, TP, etc) we tend to stay in the fight or flight state. In preparation to fight or flee, our body shuts down the less important functions (ie, immunity) that aren’t needed in what should be a short-term stress response. Who cares about that cold virus or cancer cell if we’re about to be eaten by a tiger?! Unfortunately, with our current pace of life in America, most of us tend to stay in that fight or flight state all the time. So, we tend to get sick much more easily than our non-stressed friends (if you have any of those!)

Responding to stressors

How we handle our stress will determine the impact it will have on our immune system. Some situations cannot be changed – an ailing loved one, paying taxes – but we can change how we respond to these stressors. If we can consider stress reduction to be something we need to work on daily (like healthy eating, sleep and exercise), then we can help to change our body’s response to stress and maintain a healthy immune system. Given the right information, environment and directions, our bodies will choose healing over disease any day!

My health coach, Karen Bush, has offered some of her wisdom on how to handle stress in our lives.

From Karen Bush:

Often, we don’t even realize what symptoms of stress look like. It doesn’t have to be a significant worried or anxious feeling. It can simply be feeling unfocused with tasks, leaving things half done, going on social media too often during the day, reaching for food when you aren’t hungry or not eating enough, moodiness, procrastination and persistent fatigue. Once we see and recognize it, we can start to create change around us.

Let’s start with daily consistent practices and then move into things you can do right in the moment when you’re triggered into stress, anxiety or worry.

Consistent practices that support your health and well-being around stress should be a daily practice, not just something we reach for when we’re stressed or in a stressful situation.

Here are a few places to start:

Create a morning routine

Create a simple morning routine that starts the day out in a calm, contemplative and intentional way. Here are some examples:

    1. Drink 16 oz of water upon rising to replenish hydration after 8 hrs of loss while sleeping.
    2. Take 5 minutes to do some breathing – in for 4 seconds, hold for 4 seconds, out for 4 seconds, hold exhale for 4 seconds and repeat.
    3. Take 5 minutes to follow a guided meditation or journal. Meditations can be found on apps such as Insight Timer, Calm or Headspace.
    4. Do some sort of movement for at least 10-15 minutes to get your day started: Walking outside, doing a short yoga sequence (on YouTube with Adrienne or “Do yoga with me”), or even going up and down the stairs 3-4 times!

Set a schedule

Now that we’re all home more during this time it is more important than ever to set a schedule around what we are doing to feel more grounded. Even if you aren’t functioning at full capacity at work, set up your day with things you want to accomplish and include time for white space or down time.

    • Schedule times to do work
    • Set up times to be with kids, doing schoolwork and/or play time
    • Plan time for stress relief – breathing, exercise, meditation, prayer, alone time, time outside, mindful walks, walking outside on the grass with shoes off (grounding).
    • Really take a look at your day and take an honest assessment of what you’re spending your time focusing on. What could be contributing to stress? What you give attention to is strengthened. With that in mind, some questions to ask yourself:
      • How much time are you spending reading or watching the news?
      • How much time are you in conversation about anxiety-producing things you have no control over?
      • How often does your mind go to negative or worrying thoughts?

Make a shift

Now that you’ve taken a look at what your day looks like and what your habits may be in a day, you can make a few choices to shift to things that are healthier.

Here is a way to shift your mindset and gather some awareness around your thinking.

    • The practice of consistent breath work/meditation/prayer makes you more aware of your thinking.
    • Decide how much time you want to spend paying attention to the news and balance that out with joyful, happy activities.
    • When you catch yourself thinking in a way that produces stress, pause…take a moment to breathe.
    • Take the negative or stressful thought and shift to a thought around gratitude or appreciation.
    • Shift language:
      • Instead of anxious, breathe in CALM
      • Instead of stress, breathe in EASE
      • Instead of Bored, breathe in RESPONSIBILITY
      • Instead of Judgment, breathe in TOLERANCE
      • Instead of Anger, breathe in EASE TO COOL DOWN
      • Instead of Financial worries, breathe in ABUNDANCE/GRATITUDE
      • Instead of Lonely, breathe in CONNECTED and APPRECIATED
      • Instead of self-pity, breathe in DIGNITY

Remember that it takes time to shift behavior, so don’t expect it to happen overnight or even in 21 days! But daily practice leads to overall changes and what better time to start than now!?

To help you along these lines, Karen Bush and I are leading a free online stress support/meditation class this Wednesday, March 25, at 7 pm. Click the link to join us! We hope to see you there!

Education and Newsletters, Uncategorized

Robusting Your Immune Response: Supplement Strategy Basics

Many patients are asking what they can do to boost their immune system.  While none of us have encountered this particular Coronavirus previously, we do know the fundamentals of shoring up immunity.

Because 70-80% of immune function is found in the GI tract, any issues there should be prioritized.  This starts with a healthy diet, with a particular focus on lots of veggies, some fruits and avoidance of high glycemic and especially refined carbs.  Healing there can be assisted by probiotics, antimicrobials, colostrum, mucosal barrier support and other specifics based on individual concerns.  An advanced stool test like the one we use here at Leaves of Life is a great way to know exactly what needs addressed to help optimize the largest part of your immune system.

Also important is managing stress, since our immune system can be inactivated during times of high stress.  This is an adaptation carried over from the days when we had natural predators…it’s not important, after all, to fight a cold or flu virus if we’re about to be eaten for lunch.  Managing stress can be easier said than done when infection and death tolls are being discussed on every newscast.  It’s important to remember that this virus is much like other infectious agents…the healthier you are and the stronger your immunity, the less vulnerable you are. This can empower you to calmly take protective measures.

Sufficient sleep is essential for optimal immune function.  If you’re practicing good sleep hygeine and still have trouble sleeping, consider seeking help from a professional.  We get great results here with several different products: Perfect Sleep (DesBio), CBD, Melatonin and Alpha GABA PM.

Stay hydrated.  This includes making sure your environment has a good level of humidity since bugs spread and persist more easily in dry air.  The optimal level of hydration is 40-60% and can be tested and adjusted by purchasing a hygrometer for $10 or less. Hygrometer link here.

Aside from addressing GI concerns, eating healthy, managing stress and optimizing sleep and hydration, there are also natural products that can help enhance your immune response.  Here are some of our favorites: (We’ve included many options because some of these are or will go on backorder as companies try to meet the demand.)

Vitamin D

If you’ve not been taking vitamin D and you live north of Georgia, you’re likely deficient and should start with 10,000 IU daily for the next 3 weeks.  At that time, we would suggest testing your blood level to determine dosing going forward.  Your goal is 60-90 ng/ml.  In my opinion, Vitamin D is one of the most crucial elements of protecting immunity.  Here are a couple of studies from  British Medical Journal and Scientific American that support that advice.

Andrographis Plus AND Essential Defense by Metagenics

Technically, the Essential Defense is meant to be taken when you’re fighting a new infection, and Andrographis Plus for once you’re actually sick, however, we find that they work best when taken together at the first sign of illness, 1 of each every hour.  Often after 3-5 doses, patients are no longer sick.  We suggest continuing to dose until you are symptom-free, though you can take less often as symptoms begin to abate.

Herbal Throat Spray, Propolis Throat Spray or Silver Throat Spray

Begin use at the first symptom of sore or tickly throat.  Spray directly at the back of your throat 2-4 times every 1-2 hours or as needed for symptom relief. This can also be backed down as symptoms resolve.

Silver (we use Smart Silver from DesBio-dosing may vary based on ppm of silver)

1-3 tsp daily for prevention and increase to 1 tbsp 3 times daily if symptoms appear, lowering as symptoms resolve.  You can also add silver to a spray bottle to use as a throat spray, add it to a neti pot for sinus rinsing, or apply it topically to disinfect wounds.

Ultra Flora Immune Booster

Helps with frequency, intensity, duration and onset of upper respiratory illness. Take one per day.

Vitamin C

There are many different kinds of vitamin C to choose from, and you should know that taking too much can create diarrhea.  This will quickly resolve if you lower your dose.  Some doctors recommend dosing to bowel tolerance (just below the dose that would create diarrhea), while others recommend 1-3 grams daily.  Whatever your strategy, know that vitamin C is water-soluble (unless labeled as liposomal) and will wash out within a few hours of ingestion.  Liposomal provides a time-released, constant blood level, or you can simply divide your water-soluble vitamin C into several doses throughout the day.

Zinc

We have several products to choose from – your provider can assist you in making the best selection for you, but be aware that chronic ingestion can cause imbalances in other minerals.

Elderberry, Viracid and Immucore are several more options should any of the options above be out of stock.  

Our providers are available if you have questions or concerns surrounding symptoms or prevention.  Let’s get through this together!

Education and Newsletters, Kelli Cuda, Masters in Science, Family Nurse Practitioner, Uncategorized

Everyone Should Detox!

What does it mean to detox?

We define detox as the body’s physiological process of reducing internal toxicity.

Every day the liver, kidneys, colon and skin are working to eliminate toxins, with the liver being the main driver of detox, via 2 phases of detox pathways. In phase I, the liver uses the cytochrome P450 enzyme system to convert toxic substances into intermediaries that are then fully processed for elimination in phase II. Phase III is the final, crucial step where toxins leave the body via stool, urine or sweating.

There are many critical nutrients needed to run phase I and II liver detoxification pathways. These include B-vitamins, antioxidants and amino acids (which come from protein). A diet high in organic fruits and vegetables as well as clean sources of protein and fiber will go a long way in supporting detoxification. Your healthcare practitioner can also guide you in providing your body with additional, tailored detoxification support.

Although our bodies are continuously working to combat toxins, if our total toxic burden is too great and/or we are lacking the proper support, chronic illness lurks just around the corner.

 Did you know?

  • The average adult carries over 700 toxins in their body
  • The Toxic Control Act, responsible for regulating industrial chemicals, was last updated in 1976!
  • Proper sleep hygiene allows our brain to clear out harmful waste products, possibly helping to reduce risk for developing Alzheimer’s
  • The average newborn baby has 287 known toxins in his or her umbilical cord blood

Common symptoms and conditions indicating a need to detoxify:

  • Digestive issues
  • Ongoing fatigue
  • Allergies
  • Obesity
  • Type II diabetes
  • Metabolic syndrome
  • Skin issues
  • Hormonal imbalance
  • Difficulty losing weight
  • Bad breath
  • Insomnia
  • Brain fog
  • Joint pain
  • Difficulty managing stress
  • Anxiety/depression
  • Cold sores
  • Cancer
  • Fatigue
  • Infertility
  • Behavioral and mood disorders
  • Allergies
  • Neurological symptoms (tremor, headache, brain fog, Parkinson’s and Alzheimer’s)

Testing to optimize detoxification capacity

Three of the main factors affecting our total toxic burden are:

  • The amount and types of toxins we’re exposed to in our diet and environment
  • Our genetic ability to produce detoxification enzymes for processing and eliminating toxins
  • Whether our diet provides sufficient nutrients necessary for supporting detoxification pathways

For some patients, it can be helpful to understand what types of toxins are present, what critical detoxification nutrients may be insufficiently present and whether there is genetic compromise in the ability to detoxify.  Your provider can work with you to determine what testing would be best in your specific circumstance.

Actionable Steps:

  • Choose organic whenever possible – refer to ewg.org to find the dirty dozen (a list of the 12 most heavily contaminated fruits/veggies that should be avoided)
  • Remove inflammatory foods such as trans fats, refined carbs, sugar and processed foods
  • Drink plenty of clean, filtered water to enable to kidneys to remove toxins
  • Work up a sweat regularly (exercise, hot baths, sauna, etc)
  • Consume plenty of fiber to ensure regular bowel movements to carry toxins out
  • Get rid of plastics as much as possible
  • Work on cleaning up your personal care and other products -the environmental working group has a healthy living app that can help
  • Minimize EMF exposure
  • Work to lower stress levels
  • Eliminate toxic relationships as much as possible
  • Get regular deep sleep – shoot for around 8 hours per night
  • Work with a functional medicine provider if you need more guidance

Beyond detox support, a functional medicine provider:

  • Sees the body as a whole
  • Looks for the root cause
  • Takes a thorough history from birth to present day
  • Focuses on body systems and how they are connected
  • Lays the foundation for health by addressing lifestyle factors
  •  Does targeted testing as necessary
  • Creates an individualized care plan with the client as a partner
  • Is not limited by time constraints imposed by insurance companies

Interested in meeting with one of our providers?  We suggest reading the bios on our webpage to see who would be the best fit for you.

 

 

Education and Newsletters, Kelli Cuda, Masters in Science, Family Nurse Practitioner, Patty Shipley, RN, Naturopath, Uncategorized

Thyroid Health Lecture

On Thursday, May 30, I co-presented with Patty Shipley, our Naturopath, on the common causes of chronic fatigue.  Patty’s talk covered some of the unusual layers that patients and their doctors may be unaware of, and I took a deep dive on thyroid imbalance since that is one of the most common layers to chronic fatigue in our practice.

Our goal in lecturing was to help patients who have already addressed the more easily identified layers (such as healthy diet, exercise, sleep) to move forward with some more advanced information. Feedback on our talk ranged from “most was way over my head” to “wonderful lecture with lots of great, new info” and “please allow more time on these complex topics!”. Clearly, in future lectures, we should cover the basics before moving into the more advanced information and stick to one main topic.  We appreciate those who attended and their willingness to share input!

For those of you who wanted access to the information presented, here are links to my presentation and handouts. Patty’s presentation on Common Causes of Chronic Fatigue and her handouts can be found here.

Let us know if you have questions or additional feedback!  We’re busily planning upcoming events with all your feedback taken into consideration.

Click Here for the Thyroid Lecture Powerpoint Presentation

Handout from the lecture:

Tips for a Healthy Thyroid

Education and Newsletters, Kelli Cuda, Masters in Science, Family Nurse Practitioner, Patty Shipley, RN, Naturopath, Uncategorized

Common Causes of Chronic Fatigue

On Thursday, May 30, I co-presented with Kelli Cuda, our Functional Medicine Nurse Practitioner, on the common causes of chronic fatigue.  My talk covered some of the unusual layers that patients and their doctors may be unaware of, and Kelli took a deep dive on thyroid imbalance since that is one of the most common layers to chronic fatigue in our practice.

Our goal in lecturing was to help patients who have already addressed the more easily identified layers (such as healthy diet, exercise, sleep) to move forward with some more advanced information. Feedback on our talk ranged from “most was way over my head” to “wonderful lecture with lots of great, new info” and “please allow more time on these complex topics!”. Clearly, in future lectures, we should cover the basics before moving into the more advanced information and stick to one main topic.  We appreciate those who attended and their willingness to share input!

For those of you who wanted access to the information presented, here are links to my presentation and handouts. Kelli’s presentation on Thyroid Imbalance and her handouts can be found here.

Let us know if you have questions or additional feedback!  We’re busily planning upcoming events with all your feedback taken into consideration.


Click here for the Powerpoint presentation

Handouts from the lecture:

Tips for Improving Energy

What Every Patient Should Know about Lab Testing

 

 

Education and Newsletters, Kelli Cuda, Masters in Science, Family Nurse Practitioner, Uncategorized

Thyroid Health Uncovered

What is the Thyroid Gland?

The thyroid gland is a butterfly-shaped endocrine gland that sits just below your Adam’s apple. It is a master gland that secretes hormones and is responsible for regulation of metabolism, growth and development, and influences nearly every physiologic process in the human body. When thyroid levels are out of balance, so is our health and well-being.

How Does the Thyroid Gland Work?

In order to create balance, the thyroid communicates with two other glands in the brain, the hypothalamus and the pituitary gland. The hypothalamic-pituitary-thyroid axis (HPT axis for short) aka thyroid homeostasis, is an entire neuroendocrine system responsible for the regulation of metabolism. One might imagine the hypothalamus as the person who regulates the thermostat. It releases Thyrotropin-releasing hormone (TRH) and tells the pituitary gland where the thyroid should be set. The pituitary gland (the thermostat), then releases Thyroid stimulating hormone (TSH) to the thyroid gland, which acts as the furnace, producing thyroid hormones, Triiodothyronine (T3) and Thyroxine (T4). Thyroid hormones are like heat. When there is enough heat, the thermostat turns off, the room cools (thyroid hormone levels drop) and the process starts again as a negative feedback loop.

The thyroid gland itself uses iodine to produce the two main hormones, T4 and T3. The thyroid produces 80% T4 (inactive) and 20% T3(active). The body must convert the inactive hormones into an active, unbound, usable form.  Certain conditions, factors, and nutrients must be present, not only for the thyroid to produce these hormones but for this conversion to take place.

What Are Symptoms of a Malfunctioning Thyroid?

A wide array of symptoms can stem from either an under or over-functioning thyroid gland. Nearly every system in the body can be impacted so symptoms should not be ignored.

 

How to Treat a Thyroid Disorder

Often times when a thyroid condition is diagnosed, little is done to determine the underlying insult to this essential “master gland” of our body. Rather, treatment often stops at replacement hormones without determining where the imbalance has occurred. Simply replacing hormones, does not address the immune system dysregulation, which is often the root cause. Some considerations in a thorough work-up include;

  1. A FULL thyroid panel. Many times, only TSH, T3, and T4 are tested.  A full panel would include the following markers: Free T3, Free T4, Total T4, TSH, Anti-thyroglobulin Ab, Anti-TPO Ab, Thyroglobulin, Thyroxine-Binding Globulin (TBG) and Reverse T3
  2. Thyroid lab ranges vary. “Normal” can be a wide range with optimal functioning in a narrower window.
  3. Assess for specific nutrients that facilitate thyroid health
  4. Assess for potential factors (lifestyle, toxins, medications, etc.) that inhibit thyroid
  5. Heal the gut! Over 70% of the immune system originates in the gut. Gut bacteria also assist in hormone conversion
  6. Determine the most appropriate replacement hormone based on the patient’s specific needs

Want to optimize your thyroid and overall health? Kelli is currently accepting new patients. Call us to schedule! (614) 888-HERB (4372).

 

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