Category: Functional Medicine

5 INFLAMMATORY TRIGGERS you should know about

Posted on by Arianne Missimer

Do you suffer from chronic conditions such as chronic pain, joint stiffness, muscle stiffness, digestive issues, skin issues, delayed onset allergies that have seemed to haunt you later in life, or perhaps any other chronic health condition you’ve been suffering from? In this case, you may have what we refer to as systemic inflammation, where your body had a loss of tolerance and it is not able to manage inflammation well on its own.

Seventy-five to ninety percent of all human disease is linked to excessive or persistent inflammation, so it is really important to figure out what may be inflammatory for you in your body. Let’s discuss five different categories of inflammatory triggers.

5 Different Categories of Inflammatory Triggers

1) Food

The Standard American Diet (SAD) is a western-style diet filled with rich, processed foods, fatty foods, and sugary foods. It is the classic pro-inflammatory diet that a large majority of Americans consume. Additionally, there are also 12 potentially inflammatory foods that could be driving your health conditions.

Some of these foods may seem healthy and very well can be, however that doesn’t mean they are healthy for everyone. This could be anything from soy, peanuts, processed meats, red meat, shellfish, and the list goes on. Your friend may be able to eat gluten, but you may not be able to.

2) Bugs

This could be a parasite that is causing an infection and ongoing inflammation in your body. It is really important to be tested for this especially with chronic health conditions that you’re trying to determine what the root cause is and a comprehensive stool test including a parasite test will evaluate for that specifically. This could also be something like a tick-borne illness contributing to an ongoing infection that your body is trying to manage.

3) Toxins

This can include internal toxins as well as external toxins. External toxins are things like herbicides, pesticides, and cleaning chemicals. We also have it in the products that we use on our bodies. On average, a woman uses 168 chemicals before they leave the house in the morning and a male uses 87. A female teenager uses even more than that. So, we want to think about the toxins that we are exposed to in our daily environment but also in our outside environment.

Mold is a common example of a toxin that many people are exposed to without knowing. We can also have internal toxins. Yeast overgrowth, for example, is an internal infection your body may be trying to manage or small intestinal bacterial overgrowth (SIBO). There’s a lot of toxins that we are exposed to in our environment, even if we try to control what we can control.

4) Trauma

This can be anything from chemical trauma, mechanical trauma, or emotional trauma. One of the biggest aspects of trauma is going to be stress. Stress is one of the number one things that contribute to inflammation in the body. There is also physical trauma.  You could roll your ankle or hurt your knee while you’re running, etc., which can cause acute inflammation. If your body can’t manage it, then it can become systemic inflammation.

5) Hormone Dysfunction

Oftentimes we think of just the sex hormones when we think about hormone dysfunction. However, the hormone dysfunction that typically is the kick starter for most people is our stress hormones (think cortisol!) and especially right now in life. This is such a challenging time for so many of us that the stress hormones really can drive thyroid issues and other sex hormone issues such as estrogen dominance or progesterone and testosterone deficiency.

Everything works in a hierarchy. Don’t forget about our hunger hormones, too. Leptin is a hormone produced by the fat cells in your body. Its main role is to regulate fat storage and how many calories you eat and burn but not if it’s dysregulated. Weight gain anyone? If you are consuming too many carbohydrates and sugar, insulin can also become dysregulated.  Hormone dysfunction is complex, multifactorial, and can surface in many ways.

What happens if one of these categories light up?

You will have a greater inflammatory response when more of these receptors from all these different categories light up. Think of this as molecular signaling. So if you are a person that is eating inflammatory foods, you’re under a lot of stress. You already have a thyroid issue, then your inflammatory response is likely going to be greater. Therefore, you will lose tolerance and you will have systemic inflammation which puts you at great risk for many diseases.

This can range from heart disease to cancer to neurodegenerative diseases like Parkinson’s, MS, and Alzheimer’s. You want to think about how you can manage these five categories, and looking at all of them clearly and carefully to determine what are the driving forces for you that are contributing to you not feeling your best.

At the end of the day, that’s what it’s all about…feeling your best. How can you optimize your health, how can you take ownership of your health, and make sure that you are living with vitality and not just skating through the world? You CAN feel energized, motivated, and live you’re best life.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

For more content, make sure to subscribe to our YouTube channel here.

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Are you in tune with your body? | INTEROCEPTION

Posted on by Arianne Missimer

Did you ever wonder why some people are so much more in tune with their emotions and their bodies than others? Did you ever wonder how in-tune you are with yourself?

Interoception, otherwise known as your internal awareness is also referred to as the eighth sense, one that we’re a little less familiar with. It also tells us about our autonomic function, such as respiration, digestion, our heartbeat, and even our emotions. We have visceral receptors that are constantly giving us information about our internal senses, but often times we don’t listen to them.

At the most basic level, interoception allows us to ask the question, how do I feel? Am I hungry? Am I safe? or Am I full? Am I sad? Do I have to go to the bathroom? Being in tune with what is happening inside your body is an amazing skill to have and has been shown to improve emotional regulation.

Interoception helps us to be able to manage our bodies, listen to signals, and take action. Having this greater sense of internal awareness helps us to be able to manage our emotions as well.

We often tend to stuff our emotions and push them away as if they don’t exist. When we can be in touch with our own body, emotions, feelings, and be able to learn how to express them, we can have a better quality of life. This also decreases our risk of chronic disease and illness that is associated with not being in tune with all of those things.

So you may be wondering, how can I test my interception?

A simple heart rate test: You can do this by sitting in a chair with your arms down to your side. 

Close your eyes or keep them open and without actually putting your hands on your body try to take your pulse. You want to attempt to sense your pulse, your heartbeat, for one minute.

After you record your number, then you will actually take your pulse. To do this, you will use your pointer finger and middle finger and put them on your wrist on the thumb side to feel your radial pulse. You can also use those two fingers and put them right behind your jawline to feel your carotid pulse.

You want to use very gentle pressure, and you should not need to dig in. Take your pulse for one minute and record your findings. You’ll wait two minutes, and then you repeat the test. Then, average the results of both the actual pulse and the sensed pulse.

Now to complete the following calculation:

1- ((Average heart rate – estimated heart rate)/ average heart rate) = _______

For your results: a result of .80 or higher indicates that you are very intercepted aware.

A score of .60 to .79 indicates you’re moderately self-aware.

Lastly, a result of less than .59 indicates that you have poor interoception.

Although this is not the only way to measure your self-awareness, it is a good starting point. If you find that you have poor self-awareness, that is okay. There are lots of ways that you can begin to improve your internal awareness.

Mindfulness is one of the best ways to become more in tune and aware of your emotions, thoughts, physical sensations, surroundings, and become present in your own life. Many times, we are anxious about the future or we may be depressed about the past, when in fact being present is actually a really wonderful place to be.

Hopefully, you will appreciate how important it is to develop and integrate these interoceptive skills in your life so that you can be fully present and enjoy everything life has to offer.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

For more content, make sure to subscribe to my YouTube channel here.

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How to Map Your Own Nervous Sytem: The Polyvagal Theory

Posted on by Arianne Missimer

With anxiety, depression, and stress on the climb, have you ever wondered how you can understand your reactions to life’s challenges and stressors? Or maybe you wondered how you can become more resilient? Did you know that you can map your own nervous system?

This is such a powerful tool that can help you shift the state of your nervous system to help you feel more mindful, grounded, and joyful during the day, and more importantly during your life. Before we discuss how to map your nervous system, let’s break down the autonomic nervous system a bit more.

The terms “fight or flight” and “rest and digest” are typically what we refer to when discussing this autonomic nervous system. However, there are different aspects of the nervous system referred to as the polyvagal theory, developed by Dr. Stephen Porges. The vagus nerve, referred to as the wandering nerve in Latin, is one of the longest nerves and is a cranial nerve that originates in the brainstem and innervates the muscles of the throat, circulation, respiration, digestion, and elimination. The vagus nerve is the major constituent of the parasympathetic nervous system and 80 percent of its nerve fibers are sensory, which means the feedback is critical for the body’s homeostasis. Pretty amazing, wouldn’t you say?

When we are in this stressed state or potentially anxious state, then we cannot be curious, or be empathetic at the same time. In addition to not being able to be empathetic or curious, we are also not able to break the prefrontal cortex, the part of the brain responsible for executive function,  communicating, guiding, and coordinating the functions of the different parts of the brain, back online. This essentially means that we are not able to regulate our attention and focus. Sound familiar?

Three Nervous System States

  1. First, our “fight and flight” response is our survival strategy, a response from the sympathetic nervous system. If you were going to run from tiger, for example, you want this response to save your life. When we have a fight response, we can have anger, rage, irritation, and frustration. If we are having a flight response, we can have anxiety, worry, fear, and panic. Physiologically, our blood pressure, heart rate, and adrenaline increase and it decreases digestion, pain threshold, and immune responses.
  2. Second, we have a “freeze” state, our dorsal vagal state, which is our most primitive pattern, and this is also referred to as our emergency state. This means that we are completely shut down, we can feel hopeless and feel like there’s no way out. We tend to feel depressed, conserve energy, dissociate, feel overwhelmed, and feel like we can’t move forward. Physiologically, our fuel storage and insulin activity increases and our pain thresholds increase.
  3. Lastly, our “rest and digest” is a response of the parasympathetic system, also known as a ventral vagal state. It is our state of safety and homeostasis. If we are in our ventral vagal state, we are grounded, mindful, joyful, curious, empathetic, and compassionate. This is the state of social engagement, where we are connected to ourselves and the world. Physiologically, digestion, resistance to infection, circulation, immune responses, and our ability to connect is improved.

Rather watch or listen than read? Click here

polyvygal chart
Adapted by Ruby Jo Walker with permission

As humans, we have and will continue to experience all of these states. We may be in a joyful, mindful state and then all of a sudden due to a trigger, be in a really frustrated, possibly angry state, worried about what may happen to then feeling completely shut down. This is the human experience. We are going to naturally shift through the states. However, when we stay in this fight or flight or this shut down/freeze state, that is when we begin to have significant physiological effects and also mental/emotional effects. As I mentioned earlier, this could be an emergency state. This can also be a suicidal state if we are in this shutdown mode for too long. If we are in a fight or flight state, we can have constant activation of our stress pathway, also known as the HPA axis, and we can really impact our stress hormones, sex hormones, our thyroid, etc. This stress will have significant inflammation effects on the body as well. All of these states can have a considerable effect on our overall health, positive or negative, of course. Also, you can not get well if you are not in your “safe” state. No treatment intervention or professional will help you if you are not safe. This is why it’s really important to identify the states for each of you.

How can you map your nervous system? Deb Dana, in her book, The Polyvagal Theory in Therapy, shares with us a simple and effective approach to do this.

1. Identify each state for you.

The first step is to think of one word that defines each one of these states for you. For example, if you are in your ventral vagal state, this is also called the rest and digest state, you could say that you feel happy, content, joyful. etc.

When you are in your fight or flight state you could use the words worried, stressed, overwhelmed, etc.

In the freeze state, you could use the words shut down, numb, hopeless, etc.

The first step is identifying the word that you correlate with each of those three states. This is really important because then you’re able to recognize which state you are in and identify with it quickly. This will allow you to really tune in to your body and understand how you feel in that state, so you can help yourself get out of it.

2. Identify your triggers and glimmers.

You’ll want to identify triggers for your fight/flight state as well as your freeze state. These could be things like a fight with your boss, an argument with your spouse, the death of a loved one, if someone cuts you off while driving, etc. It is whatever things that cause you to feel stressed. You want to eventually have at least one trigger, if not many, written down for each of those states.

Glimmers are the things that bring you to that optimal nervous system state. It could be something as simple as petting a dog or something bigger like going on a vacation.

For more on Deb Dana’s work and her Polyvagal resources visit: www.rhythmofregulation.com

Summary

Once you can identify what those states are for you, then you can recognize what your triggers and glimmers are for that state. You can really begin to make a profound difference in your nervous system state. You can take ownership of what’s happening to your body, you can tune in to what’s happening, and know how to regulate your emotions and your responses to stress.

Ultimately, this is how we can begin to develop resilience. This means being able to have responded appropriately to life’s challenges, go to that fight or flight state for a short period, and then return back to your state of social engagement. That should happen a few times a year not multiple times a day, or every day for that matter. To truly enjoy life, returning to your state of safety where you are mindful, grounded, and joyful, is a practice. It can start with mapping your own nervous system.  

If you need help on your journey, please reach out!

For more content, make sure to subscribe to my YouTube channel here.

References:

Dana, D., & Porges, S. W. (2018). The polyvagal theory in therapy: Engaging the rhythm of regulation. W.W. Norton & Company.

Porges, S. W., Porges, S. W., & Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. First Edition ; the pocket guide to the polyvagal theory: The transformative power of feeling safe. first edition. W.W. Norton & Company.

ROSENBERG, S. T. A. N. L. E. Y. (2019). Accessing the healing power of the vagus nerve: Self-exercises for anxiety, depression, trauma, … and autism. READHOWYOUWANT COM LTD.

Beat anxiety with curiosity

Posted on by Arianne Missimer

We all know that anxiety and chronic stress are on the rise, especially with young adults, older adults, and even children. This is why it is really important to understand this powerful concept that can be possibly life-changing for someone — beat anxiety with curiosity.

When we are in a stressed state, our limbic system, our brain’s emotional center is going to detect a threat, specifically the amygdala in the brain. When this happens, we activate the hypothalamic-pituitary-adrenal axis (HPA axis). Once this axis, i.e. stress pathway is activated, it induces the pituitary gland (located in the brain) and the adrenal gland (located above the kidney). This signals a cascade of stress hormones. A little of this here and there is normal, however, it is commonly overactivated in many people.

When we are in this stressed state or potentially anxious state, then we cannot be curious, or be empathetic at the same time. In addition to not being able to be empathetic or curious, we are also not able to break the prefrontal cortex, the part of the brain responsible for executive function,  communicating, guiding, and coordinating the functions of the different parts of the brain, back online. This essentially means that we are not able to regulate our attention and focus. Sound familiar?

How can you beat anxiety with curiosity?

So, how can we use curiosity to help decrease anxiety?

When we are curious that means we are also able to be empathetic, turn the prefrontal cortex back online, and able to regulate our attention. We can accomplish this in a few different ways:

Rather watch or listen than read? Click here.

1) Be curious about your anxiety

Ask yourself what sensations you feel in your body? Tension, warmth, coolness? Explore what you are feeling. You can totally flip the script by exploring how it feels in your body.

2) Seek out new knowledge

Become curious about something new. It can be finding a completely new skill, hobby, information, that can make you curious about learning.

3) Mindfulness

This is one of the best ways to regulate attention, be aware, attentive, and present. Check out Three Informal Mindfulness Practices. Also, if you are already meditating, check out Three Tips to Improve your Meditation Practice. It’s a practice that needs to be cultivated, but that practice of being aware and being attentive can assist you in exploring your own body and your own needs. Practicing this on a regular basis can be profound in once again regulating attention, which means that you’re being curious, and you cannot be anxious.

4) Improve interoception, otherwise known as self-awareness

Remember Maslow’s Hierarchy of needs? The bottom of the pyramid is our basic physiological needs. For example, are you hungry or are you full? Do you need to go to the bathroom or did you hold it for too long?  Do you need to rest today or can you push it a little harder in your workout? Tune in to what’s happening from an internal standpoint, not necessarily just external. We want to think about what are we feeling on the inside.

Summary

Bonus! Curiosity can significantly enhance learning and retention of information over time!

Seeking out new knowledge, cultivating mindfulness, and tuning into to what is going on in your own body can have profound impact on decreasing anxiety and also preventing anxiety, and potential undue stress.

If you need help on your journey, please reach out!

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

For more content, make sure to subscribe to my YouTube channel here.

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What do NSAIDs do to your gut?

Posted on by Arianne Missimer

Are you a person that takes Advil or Aleve for any common cold symptoms, aches or pains, or headaches that you experience? If you do, you are like most Americans. These are some of the most widely taken drugs in America. In fact, we have 16,000 deaths per year just from non-steroidal anti-inflammatories.

In case you’re wondering what falls into this category, here’s a list of common NSAIDs:

  • Advil / Motrin (ibuprofen)
  • Aspirin
  • Aleve (naproxen sodium)
  • Celebrex
  • Naprosyn (naproxen)
  • Lodine (etodolac)
  • Mobic
  • Nalfon (fenoprofen)
  • Daypro (oxaprozin)
  • Ansaid (flurbiprofen)
  • Cambia / Cataflam / Voltaren (diclofenac)
  • COX-2 Inhibitors

Impact of NSAIDs

Not only do we have 16,000 deaths a year, but we also have well-recognized side effects that sometimes people ignore—damage to your gut lining. According to a study done by the National Institute of Health (NIH), all of the conventional NSAIDs were shown to affect small intestinal inflammation. This is one of the common findings with NSAID use, especially chronic NSAID use. It is affecting the integrity of the gut mucosa. This can contribute to a condition called leaky gut, or intestinal permeability.

Leaky Gut

Leaky gut or intestinal permeability allows undigested food particles, viruses, and pathogens to enter the bloodstream, which in turn causes an immune reaction and inflammation in our body. This can again contribute to many different symptoms from headaches to digestive issues to chronic pain, and so on. In addition to damaging the gut lining, it can also exacerbate symptoms of inflammatory bowel disease and can contribute to colitis which can resemble inflammatory bowel disease. Older individuals are at higher risk, but it can affect anyone.

But, is Tylenol okay?

Although current guidelines suggest taking no more than 4,000 milligrams of acetaminophen daily, a study published in 2006 by the American Medical Association, stated that this dose for four or more days frequently causes elevated ALT, a liver enzyme, and marker for injury. This continued even after it was discontinued.

There are a 3.7 times increased risk of bleeding in the upper GI tract with chronic consumption of acetaminophen of doses greater than 2000 milligrams. Overdose of this can also continue to leaky gut. Lastly, it can deplete one of your master antioxidants, glutathione.

Summary

Figure out why you’re having pain, headaches, or any other symptoms. I would recommend seeking out a rehabilitation professional, functional medicine practitioner, or dietitian to determine why you’re having headaches, chronic pain, or chronic sickness. This will help you address the root of the problem, the chronic injury cycle, and the chronic medical cycle that you’re going through, so that you don’t need to mask it with something that is negatively impacting your gut health, i.e. your immune health. Remember, 70 to 80 percent of our immune system is in your gut, so every time you take an NSAID, you can be impacting your immune system and your ability to regulate your mood and emotions. Ninety percent of our serotonin, “our feel-good neurotransmitter” is in our gut.

So, next time you want to take an NSAID think about all this information and how it could make your health worse, not better. You might feel better in that moment, but overtime it can take a huge toll on your body. There are many other options to getting yourself back to a pain-free, healthy life.

Are you ready to feel great again? Reach out to schedule an evaluation.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

For more content, make sure to subscribe to our YouTube channel here.

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How to Start a Fitness Program or Step up Your Game

Posted on by Arianne Missimer

Who’s excited for the New Year? You may be thinking “new year, new me,” so you want to either start an exercise program or step up your game. I am here today to help you with that! This is a time when so many people get injured because they are trying to start a fitness program for the first time or they’re trying to step it up too quickly. And nearly 80 percent of New Year’s resolutions fail.

Let’s take this as an opportunity to help you think about some different aspects of fitness, so you can prevent injury and get the most out of your fitness and your health this year.

Know your baseline

The first and most important thing is knowing your baseline. Are you a beginner, intermediate, or advanced fitness enthusiast? Do you have any pain or discomfort, or any potentially old injuries that you’re dealing with? What is your mobility/ stability, or functional movement, baseline? Working with a qualified professional to properly screen and know exactly what your starting point is highly recommended.  

If you don’t have that opportunity, then you really want to be able to seriously reflect on your true baseline, your starting point, so that you know how to systematically progress safely from there. Once you figured that out, now we can jump into what to include in your fitness program.

Rather watch or listen than read? Click here.

1) Warm-up and prepare

This does not mean jumping on the treadmill for five minutes to get your body warmed up for your workout. It means taking the time to tune into your body. Notice what pain or tension you might have that day. Are you tired? Did you eat well that day?  Really take a deep inward look to see how you are feeling that day and how that will affect your workout. Once you’ve established that, then you can think about how can you prepare yourself best for the demands of the activity that you are about to embark on.

If you are going to do strength training for example, then doing some static stretching, ie holding a stretch for 30 seconds, is not beneficial. Instead, think about how you can prepare your body for the demands of the activity. For example, instead of jumping on a treadmill and walking for five minutes, you could do lunges with a reach. This will help to activate and wake up your whole body and nervous system, so you are fully prepared for your workout. 

2) The systematic progression of your activity.

For this to be successful, it is vital to have a preparation period. One to three months preparation time is recommended to prepare for it so that you can just go into it with ease. The last thing you want it to do is to create stress, ie. Inflammation, on your body.  You’ll want to make sure it is the right time in your life and things are relatively calm. It is extremely challenging to eat out when you are on the Elimination Diet. Lastly, it’s often easier if you slowly work out one to three foods at a time and find replacements for them before you begin. You want to be fully prepared, which is why it is strongly recommended to work with a professional to guide and support you through the process.   

How to do this for a running program

If you are just starting out with a running program, running for 30 minutes three times a week is unrealistic, especially if you haven’t done that in months or years. That will set you up for injury. When, starting a running program, or any program for that matter, you won’t put stress on your body, and then take it off, put stress on your body, and take it off, and so on. This will create an adaptation, which means you are getting your body familiar with a certain exercise or training program through repeated exposure. This will help to create fascial elasticity in our body, like a rubber band, which can really aid in preventing injury.

If you want to start a running program, make sure that you can walk for 30 minutes three times a week first without any symptoms before you progress to running in any capacity. You encounter 1-1.5 x your body weight in force with walking and almost double that with running.

When you’re symptom-free and ready to progress, you would slowly start with a walk-jog interval. You could start with one minute of walking and one minute of jogging. I would suggest starting at five minutes total, so it’s only a few minutes total running time. Once you feel comfortable with that, then you can slowly progress to 10 minutes, and then 15 minutes, and so on. This is going to take weeks to months to get you to 30 minutes of running.

On the other hand, if you’ve already been running, and you want to step it up you could follow the same protocol, but you would just have a different baseline than a beginner does. For example, if you want to go from 20 minutes to 30 minutes, then every other day you can add a few more minutes to your run assuming there are no symptoms, pain, discomfort, or injuries. You can continue to progress that way to achieve whatever goal you have.

How to do this for a strength training program

If you’re strength training for the first time, I would suggest starting at two sets of eight to 12 repetitions two times a week. Then you can slowly progress that towards three sets of 10-12 repetitions three days a week.

How to do this for a yoga program

There are a lot of different yoga classes out there, but you need to make sure that it’s a yoga class that you can do safely. For example, a Hatha yoga class may be more appropriate for a beginner as opposed to a power yoga class. It doesn’t mean that you can’t ever do that, it just means to start with something where you can learn how to control your body and coordinate your movement with your breath first before you go into something more advanced.

How to do this for a HITT training program

Please reference the video for the pros and cons of HIIT training here or read the blog post here. For the intermediate to advanced fitness enthusiast, this can be a great way for you to step up your program. Beginners have a higher injury risk because they really need to develop a basic fitness or strength baseline before they move into something more advanced like HITT training.

3) Cool-down

A cool-down is different for every person. It could be a short walk, stretching, basic breathwork, or even meditation. It can also be a great way to reflect on what happened in that session. That means reflecting on what went right and what didn’t go as well.  Does your body feel energized and revitalized or does it feel kind of worn down and sore? Did you work too hard or not hard enough? Use this information as an opportunity to change your next session.

Summary

Fitness is a journey, no matter if you are a beginner, intermediate, or advanced. You are always fine-tuning, and reflecting on how to maximize what you are doing.  Do you need to add yoga in because you’re doing too much strength and HITT training? Do you do too much yoga and need to add in strength and power exercises? I definitely encourage you to reach out to a professional that can help you reach your goals while staying injury-free. It is important to take ownership of your health and movement to be able to continue to stay pain-free for a lifetime.

If you are interested in feeling your best and need help, reach out to schedule an appointment to get you started on your journey.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

For more content, make sure to subscribe to our YouTube channel here.

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How to do an elimination diet

Posted on by Arianne Missimer

Have you been experiencing fatigue, chronic pain, allergies, sinus issues, depression, anxiety, bloating, cramping, abdominal pain, diarrhea, and/or constipation? Or maybe you just aren’t feeling your absolute best? If so, you might want to consider the elimination diet. The elimination diet is the gold standard for uncovering food sensitivities and food intolerances that are frequently overlooked as a major contributor to a whole host of inflammatory conditions. It’s been used by allergists and registered dietitians for decades and is currently used frequently in functional medicine.  It can be extremely valuable in finding information.  It uncovers foot triggers that can help you determine what foods are best for you…and of course, what foods are not. There is no one-size-fits-all.  Everyone is unique.

What does the elimination diet do?

The elimination diet helps to decrease inflammation, identify food triggers, reduce intestinal permeability i.e. leaky gut., decrease inflammation, reduce toxic burden, and it is high in phytonutrients and it is not calorie restrictive. If you have already been diagnosed with leaky gut, autoimmune, or any other inflammatory condition (nearly 90% of all conditions), then this would be something that is highly recommended to initiate a gut healing protocol to remove these potentially inflammatory foods. It is not a calorie-restricted plan, so it is not meant to be a weight-loss diet. Instead, it is meant to be an “information diet”, which means it is not a forever plan. This diet is comprised of all whole natural foods, there’s nothing processed. You are eliminating all of the potentially inflammatory foods. Some of those foods include coffee/tea, alcohol, corn, soy, peanuts, processed meats, red meat, gluten, dairy, and so on. (See below) You would be eliminating these foods for at least four weeks.

What foods do you eliminate?

  • corn
  • dairy
  • gluten
  • eggs
  • peanuts
  • white sugar
  • shellfish
  • soy
  • beef
  • processed meats
  • pork
  • coffe, tea, chocolate

How to prepare

For this to be successful, it is vital to have a preparation period. One to three months’ preparation time is recommended to prepare for it so that you can just go into it with ease. The last thing you want it to do is to create stress, ie. Inflammation, on your body.  You’ll want to make sure it is the right time in your life and things are relatively calm. It is extremely challenging to eat out when you are on the elimination diet. Lastly, it’s often easier if you slowly work out one to three foods at a time and find replacements for them before you begin. You want to be fully prepared, which is why it is strongly recommended to work with a professional to guide and support you through the process.   

How to reintroduce

The reintroduction phase is the most important part and many people fail to do this. They sometimes get frustrated and eat something that has multiple inflammatory triggers like pizza that includes gluten, dairy, and tomato sauce. Then, they don’t feel their best and don’t really know why. Was it gluten? The dairy? The tomato sauce with all the preservatives? This is why it’s really important to do a very careful and systematic reintroduction of foods. To give you an example of how that looks, you would do the elimination diet for 30 days. Then, on day 31 you choose a food that you really want to bring back into your life. Let’s say it’s eggs. So, what you would do is have eggs on day 31 in the morning and in the afternoon. You would wait four days, and you would see what kind of symptoms or adverse reactions you may have. A food reintroduction tracker is very helpful for this information. You might have nausea, bloating, abdominal pain, joint pain, etc. If you have negative or adverse symptoms within that four-day window, then eggs, right now, are a ‘no go’. You would wait at least three months before you reintroduce them again. This might mean that your gut needs more time to heal or that eggs are never going to be part of your diet. You can then make a conscious decision to include this in your life knowing the effects it has on you, or now that you have that information, limit or eliminate it. The goal is to find this information, so you know exactly what is helping you feel your best. That means having energy and living with vitality, versus feeling like crap every day, but not really knowing why.

Summary

The elimination diet is extremely valuable when you’re dealing with multiple medical symptoms. It is very challenging for many because they don’t realize just how many of the foods they are consuming on a regular basis. Most people need a lot of support and guidance through the process.  So, again I strongly encourage you to reach out to a registered dietitian or functional medicine doctor to help you through this process.

If you are interested in feeling your best and you need help, reach out to schedule an appointment to get you started on your journey.

Pros and Cons of HIIT

Posted on by Arianne Missimer

With the holidays coming around, many of you may want to get fit as fast as you can. We all know deep down that’s not the best solution. But, part of improving your fitness quickly probably includes some kind of speak of high intensity interval training (HIIT). As with anything, there are pros and cons of HIIT and I’d like to educate you on making an informed decision of whether or not it’s appropriate for you.

What is HIIT?

You may be asking yourself what is HITT ? It is essentially a vigorous activity, followed by a low to moderate intensity activity in an interval format that is often done between five to 30 minutes, and the intervals can range from 15 seconds to two to three minutes. There are many options to perform HITT such as using bodyweight, calisthenics, free weights, or even a machine like an elliptical or stair climber.

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Pros

First, it can help to decrease body fat, as well as improve overall metabolic rate. Metabolic rate is really important because it helps you to burn more calories throughout the course of the day when you’re not working out, which is really powerful. Second, it can help improve oxygenation, which is the muscles ability to use oxygen. This means if you do 60 minutes of HITT training versus 120 minutes of steady state cardio you can have the same benefits. This leads me to my next point, which is that you get maximum benefit for decreased time investment. Since we are all super busy and stressed for time, and can’t find the time in the day to exercise, this can be very valuable. It has been shown to also increase muscle growth, however, that is not the gold standard of muscle building.  Strength training always wins. Even though there has been shown some benefit, it’s not the most valuable way to build muscle.

Cons

Let’s shift gears now and talk about some of the disadvantages. First, it can lead to a higher injury risk. Some of the reasons why I think this happens is because many people that choose to do HITT training are often deconditioned at first and they think ” this is a fast way to get in shape”. So, they begin doing it at a high volume, high intensity and often do not have a solid movement foundation, or even a fitness foundation to support it. This is why I would recommend starting out slow and then gradually building yourself up. Second, recovery time is always important in exercise, but it is especially important in HITT training. This is because it is a physical stressor on your body, so you need more time to recover. HIIT four to six days a week is extremely high because the it may take two to three days to recover from a session.  I typically recommend my patients and clients do it no more than two to three days a week if they are an appropriate candidate. Lastly, if you are training for a sport or a movement skill, you need to make sure that you’re really focusing on the specificity. HITT training is not geared towards specificity whatsoever. It is general conditioning, so you may want to consider that with your training goals.  

Other considerations:

  1. Stress? Are you experiencing a tremendous amount of acute or chronic stress in your life. If so, I do not recommend HITT training, because again, it is a significant stressor, a physical stressor. This can contribute to a constant cascade of stress hormones which also can further impact hormonal and immune health.
  2. Beginner? If you are a beginner, I do not recommend HITT training. Learn how to develop the proper movement patterns, learn about your body, and really understand what’s happening to be able to recognize if you are feeling discomfort or pain. Tune in through mindful movement and develop a basic level of fitness first before volume and intensity is added.
  3. Intermediate to Advanced? If you have been working out for a while and you want to take things to the next level to really boost your cardiovascular fitness and fat loss, then I think HITT training can be really valuable.

Summary

Nothing is black and white. It’s really about understanding the different pros and cons of this or any other fitness program to see if it is appropriate for you at this time in your life. If it is not appropriate for you at this time in your life, then just hold off and revisit it later.  It will always be there.  Movement is a skill that you keep refining your whole life. There’s so much to learn. You really want to continue that journey forever, so there’s always room for improvement.

If you are not sure where to start, please reach out to schedule a private session to begin your movement journey.

3 Simple Informal Mindfulness Practices

Posted on by Arianne Missimer

Let’s chat about some informal mindfulness practices that you can do in your day to day life to become more aware, more present, and more connected. Often times we think about meditation as sitting in a meditative seat for 30 to 45 minutes. You might think, “how on Earth and I am going to do that?” I want to reinforce how important that practice can be in an overall mindfulness practice, however, that’s not for everyone. There are many things that you could do in your daily life to become more present in your own life, become more connected, more aware and hopefully help you to live your best life.

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Three Informal Mindfulness Practices

  1. Find an anchor.
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How to decrease sugar cravings in 3 days

Posted on by Arianne Missimer

With the holidays in full gear, many of us struggle with those darn sugar cravings. Some people suffer with some type of sugar craving or even a so-called sugar addiction all year long.

We know that sugar cravings cause a dopamine response as well as other neuro chemicals that ultimately creates a biochemical and neuro chemical response in the body. The addiction of sugar can cause a similar response in the brain as in drugs, alcohol or cigarettes.  However, there’s a little bit more to sugar cravings than just that.

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Sugar Cravings and Gut Bacteria

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