Is your anxiety or depression coming from your gut?

Is your anxiety and/or depression coming from your gut? So many people are suffering from anxiety and/or depression, so it’s important to look at the connections between the gut and the brain, and the gut’s influence on mood and behavior. This is an important aspect of looking at mental health and addressing some underlying physical causes. 

The gut-brain connection is fascinating, and it is essentially our bidirectional communication between our gut and brain. It has multiple pathways, including the hormonal, immune system, and nervous systems. For the purpose of today, let’s focus on two aspects: the hormonal and nervous systems.

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The hormonal connection is based on neurotransmitters which are essentially chemical messengers; we also refer to them as hormones. They are signaling from the gut to the brain and the brain to the gut. We have 90% of our serotonin, which is our hormone that provides feelings of happiness, located in our gut. 50% is the dopamine in our gut, which is our feel-good hormone. We also have GABA, gamma amino butyric acid, which decreases feelings of stress and anxiety. All of these are located in our gut! Therefore, gut issues, infections, inflammatory diets can influence our mood and behavior. 

Our gut bacteria form these neurotransmitters, so different strains of bacteria will influence these different neurotransmitters. For example, Streptococcus and Enterococcus produce serotonin. Escherichia produces norepinephrine, dopamine, and serotonin. Bacillus species also produce norepinephrine and dopamine. Bifidobacterium produces GABA. Lactobacillus species influence our acetylcholine, which is important for relaxation response, and GABA. 

The nervous system pathways of the gut-brain connection, on the other hand,  primarily exist through the vagus nerve. The vagus nerve originates from the brainstem; it’s the 10th cranial nerve, and it’s actually a pair of nerves. It innervates muscles of the face, throat, heart, respiration, digestion, and our entire elimination track. It is one of the most important nerves of our digestive system. Therefore, we are influencing this gut-to-brain connection when we are either stimulating the gut from a viscera and/or probiotics or vagus nerve stimulation exercises such as breathing. 

It is imperative that we begin to look more closely at these powerful connections and that we look beyond the genetic and environmental components to see why someone may be experiencing anxiety and depression or other mental health issues. Things such as leaky gut, SIBO (small intestinal bacterial overgrowth), systemic inflammation, inflammatory foods, and the standard American diet will undoubtedly influence these neurotransmitters and the vagus nerve. This attributes to changes in our serotonin, dopamine, and GABA levels, thereby impacting our mood and behavior. 

What can you do about it? Find a functional medicine provider to help you navigate the physical causes of anxiety and depression. You could also start with testing: leaky gut, SIBO, stool testing to look at your microbiome. 

You can also start by making small changes. Focus on eating an anti-inflammatory diet, optimizing your sleep, and working on stress reduction connections.

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

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Other things that may interest you:

WHY DO YOU HAVE CRAVINGS | 4 reasons

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What To Eat To Improve Your Nerve Health | 10 NUTRIENTS

4 REASONS YOU SHOULD RECONSIDER NSAIDS

Do you have arthritis and you’ve been told by your physician that you should be taking some kind of anti-inflammatory and/or pain medications? You’ve maybe settled on Ibuprofen, or perhaps you have tried some prescription medications. Well, let’s talk about why we may want to reconsider.

Let’s start by saying that osteoarthritis is an inflammatory condition. It is important to recognize all the potentially inflammatory triggers that could be impacting your pain and function: food, bugs, toxins, trauma (both physical and emotional), and hormone dysfunction. Let’s not forget the movement compensations over many years that are also contributing to your painful patterns. It is not simply that you have poor genetics, or you played football when you’re younger, or you hurt your knee many years ago. Those may play into it but they are definitely not the only driver and you do not need to be debilitated by your pain and function. There are many negative side effects of NSAIDs.

1. Impacts the GI System

It can significantly impact your GI system. It can affect the lining of the GI system, even in the stomach, and can contribute to GI bleeds. Now let’s remember that 70 percent of your immune system is in your gut. If you are negatively impacting your gut lining by taking NSAIDs regularly, then you are impacting your ability to regulate inflammation. Remember, osteoarthritis is inflammatory.

2. Linked to Heart Issues

NSAIDs have been linked to more heart attacks, strokes, and other heart-related conditions.

3. Affects Kidneys

It can impact your kidneys and the blood flow to the kidneys.

4. Decreases Pain Threshold

Your pain threshold is lower. So, what may have just been a little bit of pain, such as a one or two out of 10 is now a five or six. This is because you cannot manage or process pain as you could before with chronic NSAID use.

This goes without saying but physical therapists are the best way to improve your overall function, decrease pain, and help you to do exactly what you want to do. Please reach out to us we would love to help you. Also focusing on things like breathing, yoga, meditation, all of the things have been shown to help with being able to manage pain more effectively.

I know that you think I might suggest ice or heat, but we’re going to ditch those. Neither one of them is going to have a positive or therapeutic impact on your arthritis. It may feel good, but it is not doing anything to help. When you’re using ice it’s decreasing blood flow to the area creating vasoconstriction, so it does not decrease inflammation despite what people think. Also, heat can potentially bring a little bit of blood flow to the area, but it’s such superficial heat that it’s very minimal. Although it might feel good once again it is not necessarily doing anything to improve your function. You want to try to move as much as possible because that has been shown over and over again through research that is the most effective treatment for arthritis.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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WHY DO YOU HAVE CRAVINGS | 4 reasons

Did you ever wonder why you get cravings and why these cravings can be so overpowering they prevent you from sticking to your nutrition plan? There are four key reasons for cravings.

1. Dopamine response

You may have heard someone say they’re addicted to sugar or you may even be addicted to sugar. Sugar can cause a dopamine response, just like it can with things like alcohol, drugs, or cigarettes. This can cause a neurochemical and biochemical response in the body, therefore attributing to cravings. Think of it as a feed-forward mechanism.

2. Gut bacteria

We have a trillion different bacteria in our gut that all like different things like fiber, carbohydrates, and fat. When we don’t give them what they want they get pissed off. These specific bacteria are, in essence, seeking out certain foods so it’s important that we have a diverse healthy diet filled with lots of antioxidants and phytonutrients. If we feed it with exactly what it needs and wants, we won’t have cravings for other things, perhaps like carbohydrates, salt, or sugar.

3. Habits

You may go hours and hours without eating and without checking in with your body, and then all of a sudden, you are starving. This is a perfect example of how your habits and not being internally aware of what you need can attribute to your poor eating habits and choices. This will impact the cravings that you have for sugar, carbohydrates, and energy-rich foods that are giving you a quick burst of energy because you have let the tank stay empty way too long.

4. Blood sugar

This is really imperative in making sure that you are decreasing cravings. Let’s start with the basics. Every four to six hours you should be eating unless you are hungry. Now there are some exceptions if you are doing intermittent fasting. If there is already some existing blood sugar dysregulation, that would mean that you probably have to eat a little bit sooner than that, but ultimately that is our goal. Now to do that, we have to have a balance of nutrients; a protein, a healthy fat, and a fiber source. If we’re getting these balanced meals every four to six hours, then we should be able to keep our blood sugar stabilized. If you happen to just wake up, eat a bunch of sugar and carbohydrates such as oatmeal with honey and blueberries, our blood sugar is going to go way up, and then crashing down. Then, you will crave carbohydrates. So, make sure you are consistently incorporating a protein, a fat, and a fiber source in each of your meals to optimize your blood sugar control and prevent cravings.

In essence, being able to regulate cravings is within your control 100 percent. There are lots of ways to address it. Even if you have some preexisting health conditions, like insulin resistance, or dysregulation of your blood sugars, etc.; this could impact your cravings. However, try to work on these key fundamental things so that you can decrease your cravings and ultimately feel your best.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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What is SIBO?| Is this the cause of your digestive issues?

Have you heard about SIBO (small intestinal bacterial overgrowth) or perhaps you’ve been diagnosed with IBS (Irritable Bowel Syndrome) but you don’t know what to do about it? You may be wondering  if this is the cause of your digestive issues? Is this what’s making you feel so terrible? Let’s start by saying that SIBO is very complex and there is not one easy roadmap to treat SIBO. It is really important to understand what it is, the anatomy behind it, the risk factors, some of the symptoms that you could experience, and most importantly, the underlying causes. SIBO is exactly what it sounds like, an overgrowth of bacteria in the small intestine. It is not necessarily an imbalance between the good and bad bacteria, although it can be pathogenic, it is in essence, an overgrowth. The small intestine is meant for digestion and absorption of nutrients, where the large intestine is meant to house our beneficial bacteria. When we have a backflow of this bacteria into the small intestine, that’s when we can begin to overpopulate and have an overgrowth.

Let’s go over some brief functional anatomy so that you understand what’s happening. When you start chewing your food, you produce salivary enzymes to help begin the digestive process. The food is then passed through our esophagus, i.e. the food pipe, into the stomach. The stomach begins to produce hydrochloric acid (HCL) to break down the food even further. We have our gallbladder that releases bile to help break down the food moving into the small intestine. Our pancreas is also releasing enzymes to help further break down this food. Once the food moves into the small intestine which is 18 to 25 feet long, so it’s not small, digestion and absorption of nutrients occurs. The small intestine connect into our large intestine. There’s an ileocecal valve that prevents any backflow. From here, we then move the food into our rectum for waste removal. We can think of the large intestine as the house for the good bacteria and our storage for waste and excretion.

What symptoms can you have with SIBO?

One of the most frequent complaints is bloating. This is when the gases build-up from the bacteria eating the food. When the gas is releases, it causes pressure or distension in the abdomen. The small intestine is not made for any kind of buildup. When this buildup occurs and we’re not able to process it or digest it properly, this is when you can begin to have symptoms of nausea and acid reflux. The other two symptoms that are very common are constipation and/or diarrhea. You may have both and it could be alternating, or you could gravitate more towards one or the other. This can often be referred to as SIBO-C or SIBO-D. In addition to all the common digestive complaints associated with SIBO such as constipation, diarrhea, acid reflux, cramping, and abdominal pain, you can also have other health issues. This can range from skin issues to significant fatigue to anxiety or depression, and the list goes on.

What are the risk factors for SIBO?

1. Disease states. That can be an autoimmune disease or any other chronic disease that can be a driving factor.

2. Surgery. Specifically abdominal surgeries that create adhesions from scar tissue. This can impact the motility of the small intestine.

3. Medications. This can be any kind of pharmaceutical drugs or antibiotics that you may have been taking, chemotherapy, etc. All of these can drive SIBO.

Now, what are the underlying causes of SIBO?

This is often much more difficult to figure out, and sometimes requires a lot of investigation. The underlying cause essentially is when the system fails. When this protection mode and the normal process of digestion is not happening the way that it should. This can happen for various reasons.

1. If we do not have the appropriate amount of stomach acid in the stomach to be able to begin to break down food properly.

2. If there is an enzyme deficiency, which means that you do not have the capability of being able to break down food and absorb the nutrients.

3. The immune system. Seventy percent of the immune system is in our gut specifically in the gut-associated lymphoid tissue (GALT). You can appreciate that if this system begins to fail and our immune system becomes more heightened, this can be an underlying cause of SIBO.

If you have IBS or have chronic digestive issues, you may look into this as a possible cause. You can get tested for SIBO here.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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THE TRUTH ABOUT YOUR BELLY FAT

Do you have abdominal fat that you just cannot seem to get rid of? You’ve tried different nutrition plans and exercise programs, and it just won’t budge. You also know that there is a lot of risk of having abdominal weight gain, but you’re just not sure what to do about it. Although you may not want to hear this, abdominal weight gain is linked to high cortisol levels, which is one of our key stress hormones that is released during the hypothalamic-pituitary-adrenal (HPA) axis, our stress pathway. When we have chronic stress, we have chronic cortisol release, among other stress hormones that are linked to abdominal weight gain, obesity, and increased visceral and subcutaneous fat.

There are two types of fat that we’ll see in the abdominal region, one of which is subcutaneous fat, and two is visceral fat. Subcutaneous fat produces helpful hormones, one of which is leptin which suppresses your appetite and helps to burn fat. Two is adiponectin which helps regulate fats and sugars.  So, if there’s any increased abdominal fat, then this will impact the production and function of these hormones. The visceral fat will be found around the liver, intestines, other organs, and even underneath the abdominal wall. An interesting thing about visceral fat is that the more visceral fat you have, the harder and thicker it becomes. It becomes denser, so that’s when you may feel that your stomach feels hard and not as elastic as it once did. This of course can increase inches to your waistline. In addition to that, you also have increased cytokines in your visceral fat. There are more cytokines in the visceral fat than there are in subcutaneous fat. These proteins are linked to low-level inflammation and inflammation is linked to many chronic diseases. Lastly, it also releases more retinol-binding protein, which will contribute to more insulin resistance.

Based on research, having increased abdominal fat is linked to colorectal cancer, dementia, asthma, cancer, and cardiovascular disease. Just remember that abdominal weight gain does not discriminate among genders. So, men and women both can get abdominal weight gain. Women are more susceptible to it after they’ve gone through menopause because their estrogen levels have decreased, which is linked to high cortisol levels over time and chronic activation of the stress pathway.

Now, what can you do about it?

1) Stress management: This could include practicing mindfulness, meditation, journaling, speaking to a counselor, and trying to be aware of your responses during your day to day actions of life. We cannot get rid of stress, but we can learn how to respond to our stressors more effectively. We can respond with clarity and creativity, rather than reacting. When we can begin to do this we can shift our nervous system into a state of more social engagement, safety, a grounded, mindful state rather than in a fight or flight or freeze state.

2) Anti-inflammatory diet: This can be very challenging for many people. The Standard American Diet (SAD) is filled with processed, high sugar, high fat foods. Aim to have a diet low in sugar, processed foods, and try to eat more clean and natural whole foods.

3) Exercise. First, determine what level of exercise is appropriate for you. If you are in a state of chronic stress, then doing high-intensity interval training is not appropriate because that is also a stressor that can put you into a state of complete overload. Identify the appropriate level of exercise, be consistent with your exercise, and remember that exercise is not the same as movement. We exercise 30 minutes a day, but we should be moving all day long. We should be consistently increasing our movement levels, which means sitting for no more than 20 to 30 minutes at a time before we get up and move our bodies. Our bodies are meant to move, they crave movement, and if we don’t do it, we lose it.

4) Sleep. Sleep is more important than nutrition and exercise combined. Aim for seven to nine hours a night.  But, It’s not only about how much sleep you’re getting but it’s about the quality of sleep you’re getting. How much REM and deep sleep are you getting? Are you giving yourself enough time to down-regulate your nervous system before you go to sleep, are you using your phone up late at night or watching TV and stimulating your nervous system as opposed to calming it down and preparing for a restoration process? If you are chronically sleep deprived, this will increase the stress response in your body and contribute to weight gain, specifically around the mid-section.

Good luck in addressing your abdominal weight gain, i.e. stress belly.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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GUT-BRAIN CONNECTION 101

The gut-brain connection is so powerful in your immune health, hormonal health, and nervous system. If you’ve ever had a gut feeling then you know exactly what the gut-brain connection is. The gut-brain connection is a bi-directional communication between the gut and the brain. The gut, meaning our second nervous system or our enteric nervous system, and our brain, our first nervous system. This bi-directional communication happens through multiple pathways, including hormonal, immune, and our nervous system.  The objective of the gut-brain connection is to maintain normal gut function, as well as appropriate behavior.

The first brain has 100 billion neurons and our second brain, our gut has about 500 million neurons. You can see how powerful this neural connection is, and this neural connection happens primarily through the vagus nerve. The vagus nerve originates in the brainstem and then wanders down to the gut. It signals in both directions. For example, if you are getting anxious about a presentation that you have to give you might feel that in your stomach, but if you are eating some kind of inflammatory foods, then that can cause you to potentially feel anxious.

Now, the next connection is hormonal, and this is based on the neurotransmitters or the chemical messengers that we have that communicate between the gut and the brain. Ninety percent of our serotonin is located in the gut that is produced by the gut bacteria. Serotonin is provides us with a sense of happiness. We also produce 50 percent of our dopamine, our feel-good hormone, in our gut. Another hormone we produce is called GABA (Gamma-aminobutyric acid), which decreases feelings of stress and anxiety.

Last but not least, our gut-brain in connected via immune pathways. Seventy percent of our immune system is in our gut. So, when we have any kind of gut issue, we typically have an immune or inflammatory issue. In the case of leaky gut, for example, when you begin to have pathogens and toxins that are crossing the epithelial lining and moving into the bloodstream, this is going to cause an immune reaction. If this continues, this can cause a leaky brain because those pathogens and potentially undigested food can cross the blood-brain barrier causing inflammation in the brain feeling things like brain fog. So, as you can see there is a very strong immune system connection as well.

You may be asking, what can I do to optimize my gut-brain connection? The first thing you can do is try to eat an anti-inflammatory diet, which simply means a whole food, natural, clean diet. Make sure that there are lean proteins, healthy fats, and lots of vegetables and fruits. If you are experiencing any specific gut or health issues, please make sure to reach out to us we’d be more than happy to help you.  We can see you virtually or in person.

The next thing is to manage stress. Stress is one of the biggest things that can impact the gut-brain connection on both levels. You can help to decrease your stress through mindfulness, meditation, breath work, yoga, journaling, reading, or whatever is helpful for you, perhaps even speaking with someone.

Next, is making sure you’re getting enough sleep. Also make sure that you’re getting an optimal amount of sleep as well as quality sleep.

Lastly is movement. Instead of thinking of exercising 30 minutes a day, try to just move as frequently as you can throughout the day. This will help to optimize your immune system, nervous system, as well as your hormonal system by getting in regular quality movement.

I hope this helps you become more successful and achieving what you want in your life and your health.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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

IS YOUR IBS ACTUALLY SIBO?

Have you been experiencing abdominal symptoms? Bloating? Cramping? Indigestion? Abdominal pain? Or maybe you are experiencing anxiety and depression? If so, you should know about small intestinal bacterial overgrowth (SIBO), and how it is most often under-diagnosed as a source of irritable bowel syndrome (IBS).

Many individuals have a diagnosis of IBS that they have been given at some point in their lives by a doctor, and they are just trying to manage it on their own with no real solution to addressing the root cause. In most cases, IBS is in fact SIBO. 

SIBO is a serious condition affecting the small intestine and happens when bacteria that normally grow in other parts of the gut, grow in the small intestine.  When you are diagnosed with IBS it’s really important to make sure that you get the proper testing and determine if this is one of your root causes. Let’s now talk about how you can tell if your IBS is actually SIBO.

Symptoms:

If you’re experiencing anxiety, depression, bloating, digestive issues, constipation, diarrhea, abdominal pain, overall puffiness and discomfort around the abdomen, and even such symptoms as heartburn and acid reflux, it’s really important to get properly evaluated.

Testing:

You will have a breath test, which will determine if you have methane or hydrogen gas in your gut. The breath test will be over a series of a few hours.  After you ingest lactulose, depending on how it ferments in your gut, will determine what type of gas is produced and this will indicate whether or not you have SIBO.

Treatment:

If you have a diagnosis of SIBO or IBS, and you’re in the process of trying to determine how you can feel better, it’s highly recommended to go on a low FODMAP (fermentable oligosaccharides, disaccharides, and polyols) diet.  These are hard to digest fibers and sugars, and therefore do not pass through the small intestine well. In the colon, the high FODMAP foods will ferment and cause gas, and in the small intestine, they will pull water causing bloating and stretch in the intestinal area.

The first part of the low FODMAP plans a complete elimination of any moderate to high FODMAP foods. After the elimination phase, which can be anywhere from two to six weeks, then you can begin a reintroduction. You would reintroduce one FODMAP food at a time and see how your body tolerates it. After you’ve done that you can personalize your plan, and determine what foods are aggravating you and contributing to some kind of bloating, flatulence, abdominal pain, etc. The first goal of the program is to decrease inflammation and symptoms and try to settle your system down. Once you do that, you can begin to transition into the personalization of the food plan.

After you’ve determined you may have SIBO and you have initiated a low FODMAP plan, you want to follow a 5R protocol for restoration. So, that would be removing the inflammatory triggers, replacing the digestive enzymes, reinoculating with good bacteria, replacing any nutrients that you may be deficient in, and also rebalancing your lifestyle factors. After you have worked through a 5R protocol, there is a chance that you may need to take an antibiotic, whether that’s herbal or conventional. The research shows that both an herbal or conventional antibiotic can be equally effective. It does depend on if your body is ready to support it, and if you are well enough to be able to handle the antibiotic.

Summary:

If you are a person that has had a diagnosis of IBS, or you’re dealing with a lot of abdominal symptoms and you really want to get to the bottom of it; it’s really important to consider SIBO as one of the possibilities. You want to make sure that you’re using this as a possible diagnostic tool to rule in or rule out, and to treat the root cause, as opposed to just treating your symptoms.

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.

Other things that may interest you:

What do your gut bacteria do? | 10 Functions of Gut Bacteria | Microbiome

Is your anxiety or depression coming from your gut?

Understanding Your Pain

COULD YOUR ANXIETY and DEPRESSION BE COMING FROM YOUR GUT? | SIBO

Did you ever wonder if anxiety and/or depression was caused purely by psychological reasons or possibly from other causes? It absolutely can be caused from many different things such as systemic inflammation, leaky gut, hormonal changes, and your gut, specifically SIBO (small intestinal bacterial overgrowth), which is what we’ll focus on today. Surprising I know! Let’s dive into the gut-brain connection, the bacteria and neurotransmitters in your gut, as well as what you can do to improve that neurotransmitter function in your gut and brain to really help you improve your mood, feel better, and move through your life with ease.

Other causes for anxiety and depression

Anxiety and depression can come from many other physical causes. It can come from systemic inflammation or leaky gut. Leaky gut is where we have endotoxins released into the bloodstream coming through the epithelial lining of the small intestine and that creates an immune reaction. This can also lead to leaky brain. This is where those endotoxins cross the blood brain barrier and can contribute to things like mood changes and brain fog, etc. We can also have anxiety/depression related to hormonal changes. Last but definitely not least, we can have it from small intestinal bacterial overgrowth (SIBO).  In essence, the altered microbiome can be one of the biggest contributors to anxiety and/or depression.

Typical course of action in America

The typical course of action in America is that when you present with anxiety and/or depression, you are prescribed a selective serotonin reuptake inhibitor (SRRI). This can be something like Prozac, Paxil, or Lexapro. The reason these are prescribed is for low serotonin, our feel good neurotransmitter. Serotonin is one of our key chemical messenger that signals to the brain. This is formed by the bacteria in the gut, and guess what, 90 percent of our serotonin is in our gut! So, now we want to ask ourselves, why is our serotonin low? We may want to dive into what may be happening in the gut that could be contributing to this.

SIBO

SIBO, once again small intestinal bacterial overgrowth, can be one of the huge underlying factors in anxiety and/or depression. This is something that is definitely not looked at as frequently, and if you are experiencing something like bloating and other digestive symptoms, then this would be something to look into as one of the potential causes of your anxiety and/or depression. This happens when we have an overgrowth of the normal bacteria in the gut, and it creates a dysbiosis which means just an imbalance in the bacteria of the gut. This in turn will lead to things like nutrient deficiencies, malabsorption, and imbalances in the neurotransmitters. The gut-brain connection is a bidirectional communication between our gut and our brain. Our gut is our second nervous system. The bacteria in the gut is essentially what’s forming these neurotransmitters, our chemical messengers and communicators to the brain.

Testing for SIBO

Why is it so important to look at possible bacterial overgrowth in the gut and test it appropriately? When you are having any digestive issues like bloating, abdominal pain, any type of diarrhea, constipation, etc and it’s coupled with anxiety and/or depression, then you should absolutely be tested for SIBO. SIBO is tested using a breath test which is going to assess either hydrogen or methane gas. You ingest something called lactulose, and because it cannot be absorbed, it will be present in the small intestine. If it ferments with the bacteria in your gut, then you will exhale either a methane or hydrogen gas. If you’d like to order a test, click HERE.

Irritable bowel syndrome has been used as a diagnosis for many years, and now what we’re finding out is that IBS diagnosis is really SIBO in most cases. When you have this diagnosis, and you are experiencing anxiety and/or depression, it is going to be imperative that you address this as one of the potential root causes of your anxiety or depression because there’s no way that you can have the appropriate amount of serotonin, and even elements of dopamine if you are experiencing SIBO.

So what do you do about it?

1) The first thing is to make sure you get properly tested and evaluated.

2) Include a low FODMAP diet.

It is important to remove any type of inflammatory foods or triggers that could be aggravating this condition. FODMAP stands for “fermentable oligo-, di-, mono-saccharides and polyols. Low fodmap foods are easily digested carbohydrates which is a really important aspect of a SIBO protocol. Also eliminate things like gluten which is found in wheat, a high FODMAP food, a big driver in leaky gut, a common complaint or comorbidity along with SIBO.

3) Supplementation.

Typically, supplementation is going to be required because you will likely have malabsorption issues. It doesn’t mean that you definitely will, but there is a strong possibility, especially is this has been going on for quite some time. You may have to take specific highly bioavailable nutrient supplements until your body can absorb a more effectively and be able to repair the gut lining in cases of leaky gut. Glutamine is one of the most abundant amino acids in the body for immune health and intestinal health. This will be one of the very important nutrients that you will want to ingest if you are diagnosed with SIBO. The recommendation is 15 to 21 grams a day.

4) You want to reinoculate with probiotics.

It is important to recognize that not all probiotics will work for every SIBO patient. Most commonly, spore-based probiotics seem to be best as some other probiotics could make you worse.

5) Antibiotics

Antibiotics are typically used to treat the SIBO. There are different protocols and philosophies on when the appropriate time is to give the antibiotic. However, it is going to be necessary in most cases, whether it’s an herbal antibiotic or a conventional antibiotic to kill the bacteria.

In summary, hopefully you can appreciate that there’s way more to anxiety and depression, then simply only psychological reasons. We’ve only scratched the surface of just one part aspect of this, but I wanted share with you about neurotransmitters, introduce the gut-brain connection, and hopefully just have you think a little bit deeper about how can you begin to address some of the root causes of why this could be happening to you or someone you love.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule.

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

Disclaimer: This is not intended to treat or diagnose. Please check with your physican or functional medicine practitioner to determine a specific plan.

What’s the deal with gluten?

So what is all this talk about gluten? You’ve seen more and more gluten-free items on the menu. Many of your friends, family, and colleagues are gluten-free. Gluten sensitivity? Gluten intolerance? Celiac?  You may be thinking, “Is this a real thing, and should everybody avoid gluten?” Let’s dive in.

Gluten is a protein that is found in wheat, barley, and rye. It’s in everything, it’s in sauces, breads, pastas, crackers, cakes, etc. We’re surrounded by it.

Celiac Disease

Let’s first talk about celiac disease. Celiac disease is associated with one percent of the population. It is an autoimmune disease. When you consume gluten or gluten-containing foods for quite some time, your immune system attacks itself.  It causes inflammation in the small intestine, and then people are not able to absorb or digest the gluten properly. This contributes to malabsorption and nutrient deficiencies which can lead to a whole host of problems.  

Non-celiac Gluten Sensitivity

What if you know that you are not in that one percent? Outside of that population, it is estimated that 13 percent of the population has a non-celiac gluten sensitivity. Although it may seem there are more than that, that is what’s reported at this time. Fifty percent of those people that are reporting a non-celiac gluten sensitivity experience either constipation or diarrhea on a regular basis. In addition to that, there are lots of symptoms that you could experience if you have a gluten sensitivity or intolerance.  See my video on adverse food reactions here. Some of these symptoms include bloating, abdominal pain, fatigue, joint and muscle pain, depression, anxiety, skin issues like psoriasis or dermatitis, iron deficiency or anemia, and neuropathy. These symptoms especially draw a red flag if you experience them right after you consume gluten or foods containing gluten.

When you’re experiencing these symptoms, it is very important to get properly evaluated by a doctor, registered dietitian or functional medicine practitioner. These symptoms can of course be associated with other conditions as well. This will help to determine if you have undiagnosed celiac disease, especially if you’re symptoms are a little more severe, or to see if you might have a gluten sensitivity or intolerance.

You can also evaluate if gluten is an issue for you by doing some form of an elimination diet. Please feel free to reference some of my other videos on adverse reactions, elimination diet, and inflammatory foods to understand how you would eliminate the food and then reintroduce it. The reintroduction is the most important aspect of it and one that most people forget about. That can provide insight into sensitivity. Of course, you can also determine if your symptoms resolve by removing your diet.

Leaky Gut and Gluten

Gluten can trigger the body’s release of zonulin, a protein that opens up the spaces between the cells of the intestinal lining. Because gluten can initiate the release of zonulin, it can contribute to leaky gut, otherwise known as intestinal permeability. When a leaky gut is present, the spaces between the cells open up too much allowing undigested food, pathogens, bacteria, viruses, and larger protein molecules to get into the bloodstream. This in turn causes an immune reaction. Once that happens, the body is constantly in defense mode, contributing to an overload on the liver and chronic inflammation.


So, what are some causes of increased zonulin and leaky gut?
1. SIBO (Small Intestine Bacterial Overgrowth)
2. Candida or fungal dysbiosis
3. Parasites
4. Gluten-containing foods – Gliadan Yes, gluten. Therefore, it’s important to recognize that gluten affects intestinal permeability (leaky gut) in everyone to different extents.  More importantly, if you have a thyroid condition, autoimmune disease, chronic disease, or leaky gut, it is HIGHLY recommended to be gluten-free.

But wait… don’t forget that when you eat other non-gluten grains like corn, rice, oats, etc. your body can detect it like gluten. It can have a cross-reaction and see them as foreign invaders.

But wait, why can you eat gluten in Europe?

Now here’s a quick, little fun fact.  Have you ever gone to Europe and eaten all the bread and pasta that you want and not had any issues, but when you’re here you have digestive issues, fatigue, and joint/muscle pain from eating gluten?  I’m sure if you haven’t, you’ve heard of somebody that has. Often, I tell my patients and clients not to worry about it when they are in Europe and just enjoy themselves. Eat the gluten and things will be fine. Sure enough, they are! So why is that?

There are a few theories behind it and nothing that’s clearly evidence-based at this time. One of the huge factors is that there are different types of wheat that are used in Europe versus the U.S. In Europe, there’s actually a lower gluten content naturally in the type of wheat they’re using. The other huge factor is glyphosate. I’m sure many of you have heard of glyphosate that is used in the pesticides and it’s been linked to non-Hodgkin’s lymphoma. It’s on infomercials everywhere. Glyphosate specifically has been linked to gluten sensitivity and is used everywhere in the U.S. We’re exposed to it constantly as it’s used in our produce, wheat products, and our surrounding environment. It is the first and center product that you see when you walk into big chain stores.  So, the question is, is it the glyphosate or is it the gluten that our bodies are having such a hard time with? In addition to that, there are GMO’s (Genetically Modified Organisms). In essence, a GMO is any organism whose genetic material has been altered using genetic engineering. In Europe, GMOs are highly regulated and illegal in some countries where in the US, more than 93 percent of the corn and soy planted is genetically modified in some way. We are not meant to eat genetically modified foods. We have a wonderful abundant food supply that we shouldn’t need to have genetically modified foods. Last but not least is preservatives. In the U.S. we have way more preservatives added to our food supply, specifically our wheat products than we do in Europe. Specifically, there are far more vegetable oils to preserve the shelf life of bread in the US.   All of these conditions factor into why our stomachs are not happy eating gluten in the U.S. compared to Europe.

Summary

Yes, it can be challenging to explore gluten’s effect on your health, but I strongly suggest that if you have a host of conditions, complaints, and medical symptoms,  that you explore gluten. For many people, it can be very beneficial and sometimes life-changing.  For others, not so much. It’s a valuable experiment to determine if this is an issue for you. If nothing else, it might just make you think a little bit more about what you’re eating and how it is affecting your health.  There is always a reason why you are feeling a specific way, and it’s just about figuring out what that is.

Summary

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Other things that may interest you:

Why you should consider eliminating gluten and dairy | Elimination Diet

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