Tag: nutrition

Nutrition Nail Exam

Posted on by Arianne Missimer

Did you know that your nails can be a great indicator of your nutritional status? Examining your nails will allow you to identify some preliminary nutrient deficiencies before you might even see it on lab work.

Let’s discuss the basic nail exam that you can perform to identify any potential nutrient deficiencies. That way, you can discuss this with your doctor, functional medicine practitioner, or dietitian, to make sure that you are assessing properly and getting potential lab work to confirm any findings.

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What You Need to Know About Nails

Nails take approximately six months to regenerate specifically the fingernail and approximately a year for the toenail. This is a living tissue that can provide a lot of pertinent information.

We’ll keep it fairly simple and we’ll look at things like the shape, color, lunula, texture/rigidity, strength, and capillary refill of the nail. For example, if there’s a postmenopausal woman who has brittle nails, it would be important to check for bone density because this can be a preliminary finding that we see.

Here is how to perform the nail exam.

6 Ways to Perform Nail Exam

1) Shape

When performing the nail exam, we will start by looking at the shape of the nail. We ideally want this to be a nice round shape. This can be different based on the individual choice of the person as well. Koilonychia, soft nails that spoon out, can be associated with iron deficiency anemia, hemochromatosis, zinc and sulfur deficiency, lupus, and Renaud’s. 

You also want to look for any clubbing in the fingers as this can be indicative of some type of systemic issue like cardiovascular disease, irritable bowel disease, mercury alcohol toxicity, etc.

2) Color

Next, you want to look at the color of your nails. You want to see a nice pink hue. When it’s a little bit paler, it can indicate an iron deficiency or anemia. If there are any brown lines that can be indicative of some arsenic toxicity. If there are any bluish hues that can be indicative of some copper toxicity. 

3) Lunula

Next, we’ll look at the lunula which is the little white, round part at the base of the nail bed. That should be present on all of the nails, but may be very small or absent on the pinky side and that is okay. The lunula is indicative of protein status, so you do want to see that on all the nails.

4) Strength

We want to check the strength of the nails. You can do this by feeling and testing how firm the nail is. Does it feel like it is easily breakable? Strength is also indicative of protein status. 

5) Texture

Is there any vertical ridging?  That is common as we age, so you do want to take that into consideration. If it is a little bit more severe that can be related to protein, iron, B12, or folic acid deficiency as well. 

6) Capillary Refill

Lastly, we will look at the capillary refill. Press down on the nail bed and release, and it will turn white. In one to two seconds, the blood flow should refill, and it should return to its pink color.  If it takes longer than three seconds, then that’s indicative of a circulation issue. That could also play into any type of related issue to alcohol, stress, gluten, protein deficiency, and/or zinc deficiency. 

This of course is just scratching the surface of a nutritional physical examination.  However, it is a start and it is a way for you to begin to assess your nails. There are lots of signs and symptoms that we see in our nails that we might not be totally aware of.

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

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Is your anxiety or depression coming from your gut?

Posted on by Arianne Missimer

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.

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

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Why you should consider eliminating gluten and dairy | Elimination Diet

Posted on by Arianne Missimer

If you haven’t considered eliminating gluten and dairy and you have health concerns, then read on. They may be contributing to your emotional, mental, and/or physical health issues. I’m sure you’ve heard a friend or family member say they’ve gone gluten-free or dairy-free, and they feel much better. Well, you simply don’t know if that will be the same for you until you eliminate it for yourself. And, doing a full or modified elimination diet versus doing a food sensitivity test can be way more valuable. Let’s discuss the different categories of adverse food reactions that you can have and how you could properly eliminate and reintroduce gluten and/or dairy.

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Food triggers are one of the most overlooked things that can be a major contributor to many different health concerns that you may be experiencing. Some common symptoms of gluten and/or dairy can be things like puffiness, bloating, digestive issues, joint pain, dark circles under the eyes, and general inflammation. Of course, these could be associated with other things, but this would be why you’d want to explore if them to see if they’re an issue for you. There are three adverse food reactions. 

1) Food Allergy

This is something you most likely would know that you had. This would be an immune reaction that could be mild to severe and it would happen immediately after you’ve consumed the food.

2) Food Intolerance

This could be something like lactose intolerance, for example, where it’s a non-immune reaction, but it means that your body does not have sufficient enzymes to be able to break down the food. 

3) Food Sensitivity    

This can happen from hours to days after you’ve consumed food that you might be sensitive to. This is where the GI system then impacts the immune system, causing all kinds of issues in your body from pain, sleep disturbances, puffiness, and so on.

How to do an Elimination

Foods stay in your system for different periods of time. Dairy stays in your system for approximately two weeks. Gluten stays in your system for approximately three weeks. So, the best way to do a modified elimination diet of gluten and dairy is to eliminate them both for three full weeks. That means not even a bite of bread or a beer or creamer in the coffee; zero of each of those foods for the entire three weeks.

How to Reintroduce

Then you will begin the reintroduction process which is the most important part. This is the part that most people forget, and it should be very intentional and be very structured. You would start with introducing one food at a time. Say for example you are going to reintroduce gluten, you would have a piece of bread in the morning and a piece of bread in the afternoon. Make sure to keep the ingredients very simple so it’s a clean source of whatever you’re reintroducing. Now you’ve had that twice on your first day, you’re going to wait an additional three days without having any more gluten. You will track all of your symptoms for the next three days; everything from digestive issues to pain and inflammation to sleep to mental and emotional health, and urinary complaints. That is going to tell you if you are sensitive to gluten or not.

If you have any kind of reaction, then you know that your body’s having a low level of immune response to that particular food. After you have finished that, then you would move to dairy. You would have it twice in one day, wait the three days, and determine if it is appropriate for you.

By doing this experiment of one, you are finding out the information yourself and know if these things are an issue for you. I think assessing food triggers is one of the most fundamental things that we should all do as part of evaluating what we’re putting in our body and how it’s impacting our health.

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

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Understanding Your Pain

What Should You Eat For Chronic Pain? | Nutrition for Chronic Pain

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What Should You Eat For Chronic Pain? | Nutrition for Chronic Pain

Posted on by Arianne Missimer

Do you suffer from chronic pain? Perhaps you’ve had pain for greater than three months, and you’re not sure how you can support nutritionally? Fortunately, there is so much high-quality evidence to support how diet therapy can make a profound difference in chronic pain.

Chronic pain is associated with pro-inflammatory states which are linked to peripheral and central sensitization. This is when the brain perceives that there’s pain, and even a heightened sense of pain with very little stimuli, yet there is no tissue damage.

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Additionally, the mitochondria, which is essentially the powerhouse of our cells, are also associated with chronic pain. The damage to the mitochondria can be driven by how we eat. Consuming pro-inflammatory foods, such as the Standard American Diet—the Western Diet—which is rich in sugary foods, alcohol, processed meats, and enriched grains, can contribute to inflammation and even damage the mitochondria. Therefore, with the Standard American Diet, there becomes an imbalance between our essential fatty acids, which we need for optimal health, and pro-inflammatory markers. That’s where a specific diet therapy comes in.

The first thing we want to do is address the inflammatory markers. The Mediterranean diet is one of the best and well-researched diets that has been shown to decrease inflammation. Think of a diet comprised of fish, legumes, olive oil, low in grains, and high in vegetables – also referred to as an anti-inflammatory diet.

5 ways that you address your chronic pain through diet

1) Decreasing Inflammation

The best way to do this is through an elimination diet. Eliminate the potentially pro-inflammatory foods for at least three weeks and then slowly reintroduce them, one at a time. These include gluten, dairy, sugar, alcohol, caffeine, coffee, tea, corn, soy, processed meats, red meat, chocolate, tea, coffee, and shellfish. If you don’t want to do a full elimination diet, you can do a modified version—eliminate gluten and dairy, for example. These two definitely can play a role in inflammation, and specifically chronic pain. If you’re eating a lot of sugar, this is also a great place to start. Sugar is a massive pro-inflammatory agent, so decreasing sugar in your diet would be very beneficial.

 2) Calorie Reduction

When we are consuming fewer calories than required by our basal metabolic rate, then we can not only increase our brain’s ability to generate new neurons by decreasing free radicals, but we can also increase ATP, the energy source of the cells, and we can increase our number of mitochondria. These all could play a huge role in inflammation and pain.

3) Intermittent Fasting

Intermittent fasting, an eating pattern that cycles between periods of fasting and eating, can help turn on genes that help cells survive by reducing inflammation. There are many different ways to include intermittent fasting in your life. Fasting from seven o’clock at night until seven o’clock in the morning would be a 12-hour fast. You can slowly increase that to a 16 hour fast, or you can do 24-hour fast two days a week. There are many options to suit your lifestyle and it is strongly recommended to start slowly.

4) Specific Nutrient Supplementation

Omega 3’s, vitamin D, vitamin E, vitamin B-12, and magnesium have all been shown to impact chronic pain. There are other nutrients that also help specifically with chronic pelvic pain, such as vitamin E, B1, and B3. 

5) Gut Health

Seventy percent of your immune system is in your gut. If there is an inflammation issue, we should start in the gut. So, do you need to include prebiotics, probiotics, or do you need a specific gut health protocol? If you are not managing gut health properly, then you are not managing chronic pain and inflammation well, either. 

These are just a few of the ways that we can use diet to influence chronic pain.  When we have that central sensitization of the nervous systems, our brain still perceives that there’s pain, yet there is likely no tissue damage. Our nervous system is heightened, and we can begin to associate chronic pain with pro-inflammatory markers. We can use diet to decrease inflammation and optimize our micronutrient, antioxidant, and phytonutrient profile to begin to bring our body back into a state of balance and healing. 

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

Posted on by Arianne Missimer

Everyone talks about the microbiome and gut bacteria, but why is it so important? What are the actual functions of the bacteria?

Before we get into the 10 functions of your gut bacteria, let’s talk a little bit about the anatomy. The small intestine which is 18 to 25 feet of our intestine, should be a relatively sterile environment. The large intestine, however, is where we house the majority of the bacteria, especially the beneficial bacteria. When we get something like a small intestinal bacterial overgrowth (SIBO), it is in essence where the bacteria have now been relocated and overpopulated into the small intestine where it is not supposed to be. We have trillions of bacteria in our gut, and we have a thousand different species. There are also 5,000 different bacterial strains. With that said, everyone is unique, however, there are combinations of collections of bacteria that are present in healthy individuals.

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10 Functions of Gut Bacteria

So, let’s get into the 10 functions of gut bacteria and why it is so important that you have an optimal balance.

  1. Nervous System Modification

This is a really powerful function of our gut bacteria. We want to think of three key neurotransmitters which are essentially are chemical messengers that are formed from the gut bacteria.

  • Serotonin: This is the key hormone that stabilizes our mood, feelings of well-being, and happiness. Ninety percent of our serotonin is located in our gut.
  • Dopamine: Fifty percent of our dopamine, our feel-good hormone, is located in our gut.
  • GABA (gamma aminobutyric acid): This is an inhibitory neurotransmitter that decreases feelings of fear and anxiety and produces a feeling of calm.

All of these are associated with this amazing gut-brain connection.

2. Breaks Down Food Compounds

Essentially, the gut bacteria metabolize the food and medications that we consume.

3. Pathogen Resistance

Think of our gut bacteria as one of our protective mechanisms. It will protect us from pathogens and toxins.

4. Protection Against Any Epithelial Injury

It protects against infections, just like it does with toxins and pathogens.

5. Bone Density Modulation

The gut bacteria can influence our bone density.

6. Promotion of Fat Storage

The gut bacteria can influence the hormones that store fat. Additionally, the Standard American Diet (SAD), that is, the western diet, is influencing gut bacteria, which has been linked to obesity.

7. Immune System Stimulation

Seventy percent of our immune system lies within our gut. So when we have optimal gut bacteria, this gut bacteria is influencing how our immune system responds to foreign invaders, toxins, and pathogens that they might be exposed to.

8. Promotion of Angiogenesis

When we have more blood vessels in the gut, this can be very powerful for future advances in treatments for gut infections.

9. Biosynthesis of Vitamins and Amino Acids

Water-soluble vitamins are plentiful in the diet, but also can be synthesized by the gut.

10. Metabolism of Therapeutics

This is ultimately how we process our medications and supplements. So keep in mind, that if you are planning to take things, you have to make sure that your gut is optimized so that you can metabolize these appropriately.

Now that you know the functions of gut bacteria, you know how important it is to optimize it. You can do that through numerous things, and you can see some other videos for different suggestions to optimize your gut health. But, we do want to think about everything from prebiotics, the fiber that the probiotics feed on, probiotics whether that’s through fermented food or supplementation, and then, of course, stress management, a high-fiber diet with 25 to 35 grams a day, drinking plenty of water, eating a whole, natural food diet to ensure that you are optimizing the diversity of your gut—that is one of the key things that your gut loves, diversity.

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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IS YOUR GUT PREVENTING YOUR WEIGHT LOSS?

Posted on by Arianne Missimer

Did you wonder how your gut and your gut bacteria can be impacting your weight loss? Research proves time and time again that the Standard American Diet (SAD diet) is something that promotes inflammation in our gut and changes the colonization of our gut bacteria and gut flora over time. Even as simple as one energy-rich meal such as a Big Mac and French fries can release lipopolysaccharides, an endotoxin, into the bloodstream, contributing to this immune response.

The second thing that we know for sure is that when you are in an inflamed state, your hormonal, lymphatic, and GI system will be greatly impacted. Therefore, it will affect your ability to lose weight.

In essence, you have to optimize gut health, balance the bacteria, and feed the gut good bugs, what it needs and craves, which is not the Standard American Diet. I’d like to go over five key things that you want to think about for optimizing your gut health so that you can lose weight.

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1) Decreasing Omega-6’s and Increasing Omega-3’s

Omega-6 fatty acids are a type of polyunsaturated fat found in vegetable oil, canola oil, and palm oil commonly found in packaged and processed foods. Even healthy food can contain these ingredients. These omega 6’s can impact your overall health and contribute to inflammation, therefore your gut. Not only do you want to decrease your omega 6’s, but you also want to increase your omega 3’s. Think of your fatty fishes, walnuts, and flaxseed. All of these can be beneficial and working on increasing these healthy fats will have a positive effect on your gut flora. Make sure to prioritize getting healthy fat with every meal.

2) Include Fiber

You want to consume 25 to 35 grams of fiber per day.  Most Americans fall short of this. If you are eating a high plant-based diet, and you’re getting some grains, seeds, and nuts in; you should be well on your way to getting the appropriate amount of fiber.  If you’re not, then supplementation would be advised.  Think of your fiber as your prebiotics. In order for us to have the positive effect of the beneficial bacteria of probiotics, they have to feed on the prebiotics.

3) Include Fermented Foods

That could be fermented sauerkraut, kimchi, or kefir. You do want to make sure that they contain active live cultures that have beneficial probiotic. If you are not consuming fermented foods regularly, you could consider supplementation to ensure you’re populating your gut with good bacteria.

If you already have existing gut issues, consult with a functional medicine practitioner to ensure you are taking the right one at the right time.

4) Eat More Plants

You want to make sure you have 60-70% of your plate coming from plants. This does not mean to exclude your healthy lean proteins, it just means eat more plants. Fill your plate with a variety of colors because this is exactly what the gut feeds on. This is what it wants and craves. Make sure that you are eating enough variety, because the more diversity in your foods that you have, the better your microbiome diversity will be.

5) Reduce Stress

Stress is one of the biggest drivers for gut bacteria changes. Not only is it well known that it causes inflammation in the body, but it is impacting the gut flora. Even just the thoughts that you have can impact your gut bacteria. Begin to identify what stressors you have and how can you manage stress in your life. You’re not going to get rid of stress, but how can you become more mindful and grounded? How can you respond with clarity and creativity? Use different techniques to be able to cultivate this in your life, so that you can manage the stressors that come your way.

So there you have it, five different ways that you can begin to influence your gut bacteria, microbiome, and 70% of your immune system in order to optimize weight loss. If you’re a person that has been dealing with weight gain, and you recognize that there are some gut issues, start here! It is imperative to have optimal gut health for everything else in your body to function well.

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

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

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What To Eat To Improve Your Nerve Health | 10 NUTRIENTS

Posted on by Arianne Missimer

Do you suffer from nerve pain? Whether it’s sciatica, median nerve tension, carpal tunnel, thoracic outlet syndrome, chronic nerve pain into the hands, or maybe it’s even chemotherapy-induced or diabetic neuropathy? It’s important to address the root causes of any nerve pain, and most importantly, optimize your nutrition so that you can improve your nerve health.

Here are 10 different nutrients that you can consume through foods or supplementation that can optimize your nerve health.

1. Vitamin B12

This is important for the myelin sheath, which is surrounding the nerve. It’s been shown that even high doses of vitamin B12 can potentially repair damaged nerves. Good sources of vitamin B12 are yogurt, fatty fish such as salmon, cod, and sardines.

2. Vitamin B6

We need vitamin B6 to be able to absorb vitamin B12. Rather than supplementing with B6, which can potentially cause damage to the nerves, you can get this through your foods. Good sources of vitamin B6 are tuna, salmon, chicken, and spinach.

3. Vitamin B1

This is important for our muscular system and nervous system. It also converts carbohydrates to energy in the form of ATP which is our energy source. This is something that we only get a small fraction of through the metabolism of it so this is something you could supplement with, in addition to getting it from foods. Good sources of vitamin B1 are navy beans, other forms of beans, green peas, and sunflower seeds.

4. Vitamin B2

This is necessary for the absorption of B6 and B12. Good sources of vitamin B2 are soybeans, spinach, almonds, and asparagus.

5. Antioxidants

This can be powerful to optimize the myelin sheath and prevent any damage to the nerve. Good sources of antioxidants are berries such as blueberries, blackberries, or raspberries, dark leafy greens, fatty fish, and walnuts. Try to eat a rainbow every day!

6. Ginger

This can be a powerful anti-inflammatory agent. Try using a couple of teaspoons in hot water or you can incorporate it into salads, soups, and stews. It is very helpful for nerve inflammation and pain.

7. Omega 3

This is important in repairing the myelin sheath that the nerve is wrapped in. Good sources of Omega 3 are fatty fish, walnuts, and flaxseeds.

8. Water

We are made up of 70% water. All of our nerves, bones, ligaments, and connective tissue is inside of our lymphatic system which essentially is water. It’s our aquarium. We want to make sure that we are well hydrated so that our nerves can function at their peak.

9. & 10. Magnesium and Potassium

Magnesium helps the nervous system to relax where potassium is helping to transmit those signals or messages efficiently. Good sources of potassium and magnesium are pumpkin seeds, quinoa, and fresh fruit.

These ten nutrients may not eliminate your nerve pain, but they can definitely help optimize your nerve health. Remember, you always want to get to the root of the issue.  You want to look at this from an integrative perspective and recognize that the nutrients that you are consuming or not consuming are going to impact how you are recovering from your nerve injury.

If you’d like to schedule a free 15-minute virtual discovery session, please email drarianne@staging.movementparadigm.flywheelsites.com or text 302-373-2394 to schedule. We’d love to help you get healthy again!

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

The truth about your thyroid

Posted on by Arianne Missimer

Are you a person that sets a New Year’s resolution every year, but doesn’t quite follow through with it? Maybe you know a lot of friends and family members that set goals, but by the end of the year, you ask them if they’ve done them

Did you know that one in seven adults is diagnosed with an underactive thyroid and 60% of the people with a thyroid condition are unaware that they even have an issue? Hashimotos thyroiditis is an autoimmune disease and affects 1-2 % of the population.  It is also more common in women than in men. It is really important to understand the common signs and symptoms, risk factors, proper testing, why do you get thyroid issues, and why is it so prevalent?

The thyroid is a butterfly-shaped gland that sits underneath the Adam’s apple. It is important for just about every organ system in our body. It secretes two hormones, T3 (Triodothyronine)and T4 (Thyroxine) and the thyroid impacts everything such as body temperature, metabolism, growth and development, brain development, among many other important essential functions in our body.

What are some things that can happen when the thyroid goes awry? The ten most common symptoms of an underactive thyroid are:

  1. Dry skin and hair
  2. Weight gain
  3. Fatigue
  4. Hair loss
  5. Menstrual irregularities
  6. Edema
  7. Muscle/joint aches
  8. Constipation
  9. Depression
  10. Cold intolerance

What are the things that disrupt the thyroid?

1. Stress

When we think about the hierarchy of how our thyroid might be affected, number one is always the adrenals. So when we have chronic activation of our stress pathway that means that we are chronically releasing cortisol. Cortisol negatively impacts our thyroid function. Our adrenals impact our thyroid which then in turn can impact our sex hormones. If we want to think about reverse engineering why you may have gotten a thyroid condition or how we would want to address the root cause, it’s important to always include stress management as part of the equation.

2. Toxins, infections, radiation, medications

Other things that will impact the conversion of T4 to T3 are things like infections, radiation, medications, trauma, and toxins. Examples of toxins are things like herbicides, pesticides, cleaning chemicals, and plastic water bottles.  Take the Toxic Exposure Questionnaire HERE. Medications such as Lithium, used to treat bipolar disorder, various cancer drugs, and Amiodarone, used to make the heart beat more regularly, can contribute to hypothyroidism.

3. Nutrient deficiencies

Some of our key nutrient deficiencies that will drive thyroid dysfunction because the thyroid needs these things for proper conversion are ferritin (iron), vitamin D, Vitamin A selenium, zinc, and iodine. These are all key players in making sure that we are identifying the root cause of the thyroid dysfunction and also treating it appropriately.

Testing

Now that you know the common symptoms and causes, let’s look at testing. As it relates to testing, the most common lab value that is tested is TSH, the thyroid-stimulating hormone. This is a reflection of the pituitary gland, the master gland, which is what secretes this particular hormone. When thyroid levels are low in the body. The pituitary gland will make even more TSH.  This can be totally normal and you can still have thyroid dysfunction. So, it is necessary, and critical, to have a full thyroid panel if you are suspecting symptoms. I would look at the patient’s history, clinical presentation, risk factors, and then determine if thyroid testing is appropriate. But, you need a full panel. That would include your TSH, Free T3, Free T4, total T3, reverse T3, TPO antibodies, and thyroglobulin antibodies. It is important to have all of those to get a full picture of what’s happening and you can look at specific ratios.

If you’ve been dealing with any of these issues please make sure to reach out so that we can help guide you on the right path.  Recognize that hormone replacement is appropriate, in many cases, and it’s just a matter of finding the root cause so that you’re not just simply putting a Band-Aid on what’s happening. That’s why it’s really necessary to figure out what nutrient deficiencies you may have and what potential toxins you have been exposed that are contributing to your condition. You want to make sure that you continue to work towards finding the underlying causes of your thyroid condition, so that you can continue to feel your best, and living the life that you deserve.

If you’d like to schedule a free 15 minute virtual discovery session, please email drarianne@staging.movementparadigm.flywheelsites.com or text 302-373-2394 to schdule. We’d love to help you get healthy again!

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

4 REASONS YOU SHOULD RECONSIDER NSAIDS

Posted on by Arianne Missimer

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@staging.movementparadigm.flywheelsites.com to schedule a FREE 15 minute virtual consultation.

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WHY DO YOU HAVE CRAVINGS | 4 Reasons

Posted on by Arianne Missimer

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; protein, 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, your blood sugar is going to go way up, and then crash down. Then, you will crave carbohydrates. So, make sure you are consistently incorporating protein, 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, 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.

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

Other things that may interest you:

Chew Your Food To Heal Your Gut

MINDFUL EATING 101 | Having a healthy relationship with food

12 Immune-Boosting Foods