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8/30/2024

The Role of Inflammation: Good and Bad

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Although there is a misconception that having inflammation is bad for the body, it is actually a normal, biological response that protects you and helps with your survival! Experiencing acute inflammation means that your immune system is performing its normal function which is to remove harmful stimuli and begin the body’s healing process from previous injury.1 Hence, inflammation is a defense mechanism that plays an important role in our health. Inflammation serves as a signal to the rest of the body that something is wrong, and without it, infection will remain unchecked, wounds would never heal, and tissues that have been damaged may remain as sores for life!

The Healing Role of Inflammation

Your inflammatory response follows a series of steps which is triggered by the presence of a foreign invader. It begins when cells in the injured tissues recognize that the foreign invader is actually different and can cause harm to your body! Signals then release substances to change the permeability of blood vessel wall cells, making gaps between endothelial cells and allowing entry of your protective white blood cells to attack the pathogen. Your blood vessels then allow the entry of special proteins to the location of the infection or the injured tissue. Once activated, your white blood cells and proteins destroy the foreign invader. This is precisely why your white blood cell count increases to high levels in blood and urine tests whenever you get bacterial infections! After destroying the foreign invader, substances to control the inflammation are then released, preventing your body from doing harm to itself. Ultimately, signals for repair are activated, ensuring traces of tissue damage are reduced and eliminated!
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​Causes of Inflammation

There are a variety of internal and external stimuli that can trigger the activation of your inflammatory response. Internal stimuli are those problems with the regulation of body processes caused by infections, growth of bad bacteria, immune reactions, or the death of tissue cells. On the other hand, external stimuli are those found in the environment, including harmful pathogens entering the body and exposure to toxic materials.
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Unwanted Consequences of Inflammation

While the inflammatory response is protective and acts as the body’s defense, it can also cause inevitable damage to the tissue. Fortunately, these harmful consequences are limited, normally heals once the inflammation dies down, and leaves zero to minimal permanent damage. The white blood cells eventually stop detecting inflammatory signals and stop going to the injured tissue. To prevent an acute inflammation from progressing into a chronic one, the inflammatory response must be regulated to prevent further tissue damage. 
 
When the inflammatory response is misdirected against other body tissues, the inflammation may attack your own healthy cells instead of protecting them, causing autoimmune disease. Allopathic treatments may help regulate the inflammation but also impair or disturb your immune system’s capacity to defend itself and remove foreign stimuli, which is why your body produces inflammation in the first place. Natural options, such as foods, herbs, and supplements, that manage inflammation have properties that help manage the harmful effects of inflammation while preserving its healthy, protective function.
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Acute vs. Chronic Inflammation

Acute inflammation is the first defense of the body against infections and tissue damage. It commonly starts within minutes or hours from the detection of harmful stimuli. Once the harmful substance is eliminated, the inflammation dies down within several hours or a few days. On the other hand, chronic inflammation develops when the acute inflammation fails to get rid of the stimulus. Once the inflammation eradicates the harmful agents, it begins the process of tissue repair. Healing happens when the injured tissue is replaced through the regeneration of surviving cells and connective tissue, forming a scar.
 
Chronic inflammation is persistent inflammation, usually lasting for long periods of months to years and may cause further complications.2 It may be caused by infectious organisms remaining in the body for long periods which develop resistance from the protective attack of your white blood cells, long-term exposure to harmful irritants and chemicals secondary to your work or home environment, autoimmune disorders causing your body to mistakenly identify healthy tissues as foreign and harmful, and defects in the cells responsible for regulating the inflammatory response of the body itself.2 Additionally, frequent bouts of acute inflammation may also lead to chronic inflammation, which is why you should help your body fight against the root cause of your health problems through making conscious and empowered decisions for your health.
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Complications of Chronic Inflammation

Although chronic inflammation is not always noticed, it is the main cause of most chronic diseases that affect the health of people. Inflammation is known to contribute to the development of the following diseases2: 
  • Cardiovascular disease
  • Cancer
  • Rheumatoid Arthritis
  • Inflammatory Bowel Disease (IBD) 
  • Diabetes Mellitus
  • Chronic obstructive pulmonary disease (COPD
  • Allergic Asthma
  • Alzheimer's disease
  • Chronic kidney disease (CKD)
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Reducing Chronic Inflammation

To minimize risks of having recurrent inflammation, changes in your food and lifestyle choices are important and may include: 
  • Eating meals low in simple, processed carbohydrates
  • Eating fiber and adding fruit and vegetables into every meal
  • Reducing intake of unhealthy fats
  • Eating healthy nuts, such as almonds which have anti-inflammatory properties
  • Drinking green and black tea
  • Exploring the anti-inflammatory benefits of curcumin, ginger, and other healing herbs
  • Incorporating fish oil, vitamin D, magnesium, vitamin E, selenium, and zinc into your diet, when appropriate
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Natural Pain RElief

Quality Fish OIl

reduce Inflammation​

Seeking Naturopathic Help

Naturopathic medicine offers a wide array of strategies for various uncontrolled inflammatory problems. By targeting the root cause of your health problems, rather than just masking your symptoms, naturopathic care takes care of your optimal and long-term health. Holistic options targeting your nutrition, lifestyle practices, exposure to triggers, and therapeutic regimens are employed, ensuring that you are able to help your body as it recovers and maintains balance. Discover naturopathic options for your health today!
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​Author

Kate Nemenzo studied in nursing school as an academic scholar. Her passion for holistic health has led her to become a registered nurse who promotes optimal care throughout her patient’s therapeutic journey. When not writing, she spends her time crocheting, watching Korean dramas, and playing the guitar!

This article is for educational purposes only and is not intended as medical advice. Please consult your licensed naturopathic physician or other licensed healthcare provider before making changes to your medications or supplements. Disclosures & Policies: This and other blog posts may contain affiliate links. Please view our disclosures page for more information. 
​

​REFERENCES:


1.  Baranwal N, Yu PK, Siegel NS. Sleep physiology, pathophysiology, and sleep hygiene.Prog Cardiovasc Dis. 2023;77:59-69. doi:10.1016/j.pcad.2023.02.005
​

​2. Garbarino S, Lanteri P, Bragazzi NL, Magnavita N, Scoditti E. Role of sleep deprivation in immune-related disease risk and outcomes. Commun Biol. 2021;4(1):1304. Published 2021 Nov 18. doi:10.1038/s42003-021-02825-4Write something about yourself. No need to be fancy, just an overview.

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8/27/2024

The Benefits of a Good Snooze: Why You Should Have Healthy Sleeping Habits

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Sleep is essential in nurturing our overall health and wellbeing. In fact, good sleep helps improve mental health, learning, immunity, memory, cardiovascular health, hormone balance, and reproductive health.1 However, many people sleep less than the recommended hours or suffer from sleeping problems that affect the amount and quality of rest they get from sleeping. More than 1/3 of people living in the United States sleep less than the recommended time, with 50-70 million adults diagnosed with sleep problems.1 This is a pressing concern because sleeping problems due to lifestyle and work habits, environmental conditions, or health issues can cause disease or exacerbate your already present disease conditions. Improving your sleep hygiene through behavior and lifestyle changes throughout the day helps improve the quality and duration of your sleep, protecting and nurturing your long-term health.
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​Sleep & Relaxation Support

​Probiotic & Herbal Formula

​Sleep & Restore

The Different Stages of Sleep

The stages of the sleep cycle have vital roles in nurturing cognition and healing after a whole day of work! It is important to note that you do not necessarily have to experience all sleep stages every time you lie in bed. However, the amount of sleep stages and sleep cycles determine the quality of your sleep, precisely why you may feel well-rested after a good night’s sleep, while feeling groggy when someone randomly wakes you up! The four stages of sleep are classified into non-rapid eye movement (NREM) or rapid eye movement (REM): 
  • Stage 1 NREM sleep (light sleep) begins from the moment you close your eyes until you fall asleep. Stage 1 is the entry to sleep and typically covers 5% of a full night's rest!
  • Stage 2 NREM sleep (slightly deeper sleep) occurs when there is lack of eye movement, slowed heart rate, and decrease in body temperature. Stage 2 covers 50% of a full night’s rest! 
  • Stage 3 NREM sleep (deep sleep) occurs during the early half of the night and covers 20-25% of your night’s rest. During stage 3, your body works wonders in conducting repairs and strengthening your immune function for another day of activities. The number of deep sleeps you experience actually lessens as you grow older. 
  • Rapid Eye Movement (REM) sleep follows deep sleep and consists of rapid eye movements with an absent tone of your skeletal muscle, preventing you from moving too much while you sleep. This is the stage of sleep where you experience dreams and memory consolidation! During this stage, you will have a faster heart rate and irregular breathing. REM sleep covers 20% of a good night’s rest.
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What is a Healthy Sleep?

A good night’s rest is achieved through repeated and rhythmic cycles between the four stages of sleep. Typically, your sleep is considered good when you experience 4-5 cycles of sleep stages. Each sleep cycle typically lasts for 90 minutes, with an episode of REM sleep in between light and deep sleep.1

What is the recommended duration of my sleep?

The amount of sleep you should get everyday depends on your age and underlying health problems. Sleeping for 8-10 hours is recommended for healthy teenagers, while healthy adults should rest for 7-9 hours each day. Healthy older adults, on the other hand, should sleep for 7-8 hours per day. ​
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THE Benefits of a Healthy Sleep Hygiene

  • Heart Health: While sleeping, your body experiences a relaxed state where your blood pressure lowers, heart rate slows, and your systems focus on rest and recovery. This much needed rest improves your heart health, while added stress from not getting a good night’s sleep increases your risks of developing heart disease.​
  • Brain Activity: Long hours of work and activities during the day produce waste products in the brain, causing us to feel tired and out of focus when we lack rest. To remove such waste and feelings of tiredness, the glymphatic system works wonders during sleep.1 Hence, lack of sleep and disruptions while resting minimizes the ability of the glymphatic system to remove waste products, making you feel extra tired the day after! 
  • Immune Function: Health sleep is vital to maintain the integrity of your immune system, nurturing your immune defenses against pathogens or inflammation.2 Depriving yourself of a good night’s rest could lead to the dysregulation of your immune response and inflammatory control, increasing your chances of having infection or worsening your current condition. 
  • Memory: Your memories become filtered and stabilized for long-term use while you sleep. During stage 3 of NREM sleep, your memories are gradually transformed and integrated into multiple areas of your brain, ensuring this information is kept and linked with the way you think, talk, move, and perceive, while your brain's activity during REM sleep assists in nurturing these events. 
  • Mental Health: A good night’s rest improves mood and concentration, while poor sleep can lead you to feel easily irritated and fatigued. In reality, sleep and mental health has a complicated two-way relationship. Mental health disorders and some medications can cause insomnia and disruptions between the stages of sleep, while insomnia and sleep problems may also trigger mental health disorders, such as depression. Additionally, poor sleep hygiene is associated with anxiety, addiction, and poor mental well-being. To learn more on how to achieve a good night’s rest, sign up for our Free Homeopathy for Insomnia Mini-Course.
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Common Sleep Disorders

Sleep disorders are significant predisposing factors that increase your risks of disease, along with poor work performance, problems in managing daily activities, unfortunate road accidents, and increased sensitivity to pain.1 Common sleep problems include: 
  • Insomnia: associated with difficulties falling asleep, remaining asleep, or both. Insomnia severely affects daytime activities and typically results from stress, noise, temperature, heavy light, travel, and work schedule. Symptoms of insomnia include daytime sleepiness, exhaustion, irritability, and problems with recall or concentration.
  • Obstructive sleep apnea (OSA): associated with blockage or compression of your airway with each breathing episode while you sleep, disrupting your sleep cycle and causing you to persistently get woken up in the middle of the night. The narrowing of your airway due to this condition may decrease your body's oxygen levels and could contribute to increased blood pressure, strokes, and heart attacks in the long run. 
  • Circadian rhythm disorders: occurs when your internal clock is not effectively synced with the light-dark pattern of your environment, which are typically experienced by people who work during night shifts. You may have difficulties trying to get quality sleep after working all night or feel like you have not rested at all! Symptoms of circadian rhythm disorders include insomnia, excessive sleep, emotional problems, and digestive issues. 
 
Intake of certain over-the-counter medications and psychiatric drugs, as well as existing medical conditions can also lead to poor sleep quality. Talking with your naturopathic medicine advisors in exploring natural options to achieve good quality sleep is an empowered step you can take to nurture your long-term health.
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Improving Your Sleep

Medication and alcohol intake have been an all too common practice to induce sleep and finally get a good night’s rest. Although effective temporarily, these impose long-term health risks as chronic use causes emotional and physical dependence, daytime sleepiness, increased risk for falls, and higher deaths.1 Nutrition and lifestyle changes that focus on following healthy sleep-promoting practices should be the leading options to consider to achieve quality sleep. You should:
  • Aim to sleep at least 7-9 hours every night. Sleeping less than 7 hours each night can severely impact your health, impair immune function, cause problems in your daily activities, increase the tendency to commit errors in work and school, and increase your risks of getting into accidents. In a similar way, sleeping more than 9 hours can impose several health risks in healthy individuals. 
  • Set a consistent time within the night for sleep. Sleeping and waking up during the same time each day, even during the weekends or when you are going on trips, is a good start to improve your sleep hygiene! Following a regular sleep schedule helps regulate your body's biological clock, improves daytime energy, and makes it less difficult for you to fall asleep at night and wake up in the morning. Additionally, synchronizing your body' internal circadian rhythm with the environment improves your mental health and bodily functions. 
  • Limit alcohol intake. Despite being a sedative which can help make you fall asleep faster; alcohol actually disrupts the quality of your sleep and can cause you to wake up in the middle of the night. Alcohol affects your overall sleep quality and duration by causing longer stage 3 NREM sleep, while delaying and decreasing REM sleep.1 
  • Avoid eating bulky meals and unhealthy foods close to your bedtime. If possible, you should avoid intake of food 2 hours before sleeping at night! Eating late eventually leads to sleeping late, shortened sleep, and weight gain. Additionally, eating shortly before falling asleep may cause acid reflux, since gravity becomes less effective in keeping your stomach acid in place while you lie down, increasing the possibility of backflow of this acid into the esophagus. 
  • Avoid naps during the late afternoon or evening hours. Naps help you relax, improve your mood, and help you become more alert. However, these naps should only be taken for 20-30 minutes during the early afternoon. Longer naps can cause you to become disoriented or groggy after waking up, especially when you enter deep sleep. If you experience insomnia, it may be best to avoid nap time as these may make it more difficult for you to sleep during your desired bedtime!
  • Engage in regular physical activity and exercise. Exercising moderately not only improves your physical and emotional well-being, but also helps you relax and sleep at night. The National Sleep Foundation recommends doing exercise anytime each day as long as it does not compromise your sleep schedule!
  • Avoid exposure to light or screens before bedtime. Unfortunately, it is best not to use your phone before sleeping! Melatonin levels typically rise during evening hours to prepare your body for sleep. However, exposure to heavy light reduces melatonin secretion, signaling your brain to stay awake. When you lack sleep, your alertness the next day becomes impaired. During evening hours, reducing your exposure to heavy light, and avoiding using your electronic devices as much as possible helps you sleep early and improves the quality of your sleep. Other practices to help minimize light exposure during the late hours include sleeping in a cool, dark room, wearing blue-light blocking glasses, or using your favorite sleeping mask to cover your eyes.
  • Avoid drinking coffee or beverages that contain caffeine in the afternoon or evening. Oh no! Caffeine from your favorite drinks actually delays sleep, reduces the span of hours you stay asleep, and impairs the overall quality of your sleep. Caffeine does this by blocking the adenosine receptors in your brain, which are meant to produce sedative effects and make you fall asleep. As the half-life of caffeine is 6-7 hours, minimizing its intake during the late afternoon or evening can help you get a good night’s rest. 
  • Practice mindfulness techniques. Mindfulness, healthy breathing patterns, and meditation activate the parasympathetic nervous system, helping your body with sleep initiation, rest, and digestion.1 Mindfulness techniques also help minimize your anxious and stressful thoughts, helping you get restful sleep!
  • Create an optimal bedroom environment for sleep. Making your room dark, cool, and quiet during bedtime and using ear plugs or tools that block out noise promotes deep sleep. Refraining from studying, working, or watching television on your bed can also prevent yourself from getting distracted before sleeping. Mattresses, beddings, pillows, and comfortable sleeping positions help promote quality sleep. However, you may have to avoid several sleeping positions when you are diagnosed with sleeping disorders or musculoskeletal problems.  ​
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The Naturopathic Approach to Healthy Sleep

Achieving a good night’s rest is important in helping the body recharge for its daily activities. Optimizing your lifestyle and environment, exploring botanical options, and following healthy sleep patterns are essential practices to consider to finally achieve and maintain quality sleep. Discover more about the naturopathic approach to achieving healthy sleep.
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Author

Kate Nemenzo studied in nursing school as an academic scholar. Her passion for holistic health has led her to become a registered nurse who promotes optimal care throughout her patient’s therapeutic journey. When not writing, she spends her time crocheting, watching Korean dramas, and playing the guitar!

This article is for educational purposes only and is not intended as medical advice. Please consult your licensed naturopathic physician or other licensed healthcare provider before making changes to your medications or supplements. Disclosures & Policies: This and other blog posts may contain affiliate links. Please view our disclosures page for more information. 
​
REFERENCES:

1.  Baranwal N, Yu PK, Siegel NS. Sleep physiology, pathophysiology, and sleep hygiene. Prog Cardiovasc Dis. 2023;77:59-69. doi:10.1016/j.pcad.2023.02.005
​

​2. Garbarino S, Lanteri P, Bragazzi NL, Magnavita N, Scoditti E. Role of sleep deprivation in immune-related disease risk and outcomes. Commun Biol. 2021;4(1):1304. Published 2021 Nov 18. doi:10.1038/s42003-021-02825-4

 

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8/23/2024

The Stress Response: TIPS FOR EFFECTIVE STRESS MANAGEMENT

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​Nearly everyone experiences daily stress to some degree. In fact, our bodies are equipped to counteract acute stress, but what happens as our bodies respond to continual stress over long periods of time?
​And how do we cope?

 

​Physiological Response to Stress

The body’s response to stress, also called general adaptation syndrome, includes 3 stages: alarm, resistance, and exhaustion.1 
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  • Alarm: The alarm phase incorporates the fight, flight, or freeze response through release of hormones, such as epinephrine and cortisol. This can cause symptoms such as fear, rapid heart beat, and anxiety.
  • Resistance: If the body cannot recover due to the continued presence of the stressor, the resistance phase increases hormone production to maintain high stress levels. This puts physical stress on the body and, over time, can exhaust its ability to be able to respond to stress appropriately. This phase may include feelings of frustration and limited concentration.​
  • Exhaustion: The exhaustion stage occurs when the stressor continues to alarm the body systems leading to chronic stress which weakens the body’s ability to fight off illness. In the exhaustion stage, one may experience depression, fatigue, anxiety, or burnout. Disease states related to chronic stress include stroke, coronary artery disease, stomach ulcers, type 2 diabetes, and Cushing syndrome.1​

Chronic stress can alter the way our genes are expressed and suppress the immune system. Many of the hormones released in the stress response limit the capacity of the immune system by reducing the function of white blood cells whose job is to fight off infections in the body. Inflammation is further accumulated in the gastrointestinal (GI) tract due to stress. Researchers have discovered a strong connection between chronic stress and irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD), for instance. In the cardiovascular system, stress increases heart rate and blood pressure, as well as the risk of clotting leading to an increased risk of heart attack and stroke.1 Over time, stress can also decrease sexual libido and sperm maturation, as well as irregularities in the female menstrual cycle.1
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Managing Stress

​Promote Resilience 

​Relax & Focus

Stress & Gentle Energy

We mentioned one of the major responses to stressors is to ‘freeze,’ which is not a weakness. It’s just another way that our bodies are wired to protect us. Notice when your body needs a break and take some time to recharge in order to prevent the build up of chronic stress. Learning to manage your stress response takes practice, but it’s important to integrate what works for you into your daily rhythms. Non-pharmacological therapies for stress reduction include regular exercise, healthy diet, and changes in lifestyle.2 Think about how some of the following ideas for stress management might fit into your lifestyle.
  • ​You don’t have to be a competitive athlete to reap the benefits of physical activity for stress relief. Any type of physical activity serves to release endorphins (the “feel-good” hormones). Examples of exercise include walking, biking, taking the stairs, or practicing yoga. 
  • Meditation and breathing exercises are beneficial in regaining a sense of calm. These practices can be done as you sit at your desk or while waiting in line. Several apps provide guided meditation or breathing! 
  • Taking time for positive social connection promotes stress relief. Volunteering in your community or getting coffee with friends can offer opportunities for support and encouragement.   
  • In the midst of a stressful schedule, sleep is often left on the backburner, but it is critical in managing the body’s stress response. Typically, an adult requires 7 to 9 hours of sleep nightly. If you’re tossing and turning thinking about your to-do list, creating a bedtime routine can help signal your body to prepare for sleep. Create a quiet, dark atmosphere and avoid using technology in the hour or two prior to sleep. Instead, pick up some light reading or listen to calming music.  
  • Creativity is an excellent outlet for stress, even if you don’t consider yourself to be a very creative person. Try making something with your hands! Cook a new recipe, read an interesting novel, or doodle in a notebook. 
  • Ever heard that laughter is the best medicine? It really does help to alleviate the body’s response to stress. Watching a funny go-to show or spending time with friends who always get you laughing could truly benefit your health. Check out this video for laughter yoga, too!  
  • Working with a therapist could be a great idea if you feel overwhelmed by stress despite trying different coping measures. A professional could help you identify the source of your stress clearly and provide alternative measures to manage it in daily life.  
  • Working with a naturopathic physician is beneficial for balancing hormones, including those involved in the stress response. A naturopathic doctor can also recommend supplementation and ways to support mood and nourish the adrenal glands so your body is better equipped to handle stress. ​
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Author

Daelyn Quinn is a graduate of the University of South Florida, Class of 2024. She studied Cell and Molecular Biology, as well as Spanish, and has been accepted into a nationally accredited Doctor of Naturopathic Medicine program. Outside of academic and professional pursuits, she enjoys exploring cities with friends and family, running outdoors, and reading next to one of Florida’s many bodies of water.

Edited by Kate Nemenzo.

​This article is for educational purposes only and is not intended as medical advice. Please consult your licensed naturopathic physician or other licensed healthcare provider before making changes to your medications or supplements. Disclosures & Policies: This and other blog posts may contain affiliate links. Please view our disclosures page for more information. 
​

References
  1. Chu B, Marwaha K, Sanvictores T, et al. Physiology, Stress Reaction. StatPearls [Internet]. Updated 2022 Sept 12. www.ncbi.nlm.nih.gov/books/NBK541120/
  2. Yaribeygi H, Panahi Y, Sahraei H, et al. The impact of stress on body function: A review. EXCLI J. 2017; 16: 1057-1072. Published 2017 Jul 21. doi.org/10.17179/exceli2017-480

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8/20/2024

The Wonders of Ashwagandha for Stress Relief

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Stress is a common phenomenon that all of us experience daily. Although beneficial in stimulating bodily processes and activities that will improve how we cope with everyday situations, long-term stress is detrimental for our health and may subject us to greater risk for disease. To prevent these long-term health risks, it is crucial to not only consider changes in your everyday activities, but also explore natural options that will assist your body in maintaining homeostasis despite the high number of stressors you are subjected to every day. Ashwagandha has long been used to promote “youthful vigor” because of its ability to improve muscle strength, endurance, and overall health.1 With its rich history of alleviating stress, ashwagandha may be the herbal remedy you are looking for to achieve stress-free days!


Understanding Stress

Stress is considered a normal psychological or physical response from internal or environmental triggers that test your capacity to adjust or adapt to different situations.2  Common stressors may include past experiences, pressure from work, heightened expectations, and other environmental factors. Aside from poor decision-making skills, stress may negatively affect your mental capacity, memory, sleep quality, and overall psychological well-being. All these negative effects of stress lead to the development of health problems that will inevitably affect your overall well-being. Physiologically, the unhealthy effects of stress to the human body begins as a quick reaction of the hypothalamic-pituitary-adrenal (HPA) axis which alerts a part of the brain called the adrenal cortex to produce more of a hormone called cortisol. In response to stress, cortisol triggers several changes in the body to make up for the additional demands, most of which may be detrimental when not regulated. 

​HPA Axis and Sleep

The HPA axis greatly affects the quality and duration of your sleep. The activation of your HPA axis results to disturbed and lighter sleep, while not getting enough sleep increases the activity of your HPA axis.2  This means that subtle changes in the activity of your HPA axis and environment influence the quality of your sleep and consequently affect your ability to think and become productive every day. Discover the importance of a good snooze for your health today!
​

Historical Background of Ashwagandha

Ashwagandha (Withania somnifera L.) is a small plant from the Solanaceae family that is commonly grown in South Asia, Central Asia, and Africa.1 A historical system of medicine in India, Ayurveda has been incorporating the use of ashwagandha to improve memory and mental cognition for millenia. With root and leaf extracts containing adaptogens as therapeutic ingredients, ashwagandha is also known as winter cherry or Indian ginseng.1 The term “ashwagandha” is derived from the word “ashwa”, which translates to “horse”, while the component used as an herbal remedy is its roots. It is thought that eating the root could give you horse-like powers! Interestingly, the word "gandha," refers to fragrance and talks about the smell of the herb's root. This is why at Natural Path to Wellness, we recommend it in capsule form rather than tea or tinctures. Aside from improving memory and mental cognition, ashwagandha also helps in managing stress levels, regulating the immune system, reducing inflammation, rejuvenating body cells, relieving arthritis, and preventing growth of tumors.2
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​Effects of Ashwagandha in Relieving Stress

With over 50 chemical compounds found in the different components of the ashwagandha plant that could contribute to your overall health and wellness, this herb could do wonders to assist in maintaining balance within your body. The major chemical ingredients found in ashwagandha that could explain its therapeutic effects include steroidal alkaloids and lactones, all together known as withanolides.1 The powerful effects of withanolides enable ashwagandha to regulate the activities of the hypothalamic-pituitary-adrenal (HPA) axis. In response to a stressor, your HPA axis increases cortisol levels to help your body cope up with stress. However, high levels of cortisol for prolonged periods may cause detrimental effects on your immune system: suppressing its function and increasing your risk of developing health problems. Ashwagandha reduces cortisol levels through regulating the balance of your HPA axis, making it less reactive to stressors. Because of its anti-inflammatory effects, ashwagandha is an effective form of alternative medicine that could be of great benefit to your body as it handles everyday stressors.
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Rejuvenate the adrenals
Promote mental relaxation
Promote resilience

Mechanism of action of Withanolides

​Withanolides help in preventing tumor growths, destroying damaged cells, reducing inflammation, regulating the immune response, preventing bacterial overgrowth, reducing stress levels, and preventing degeneration of neurons. WIthanolides are also beneficial for long-term health problems due to their unique ability to balance multiple signaling pathways in your nervous system, promoting the regulation of your body’s  inflammatory and immune responses.4 As an adaptogenic herb, withanolides regulate the HPA axis or stress response of the body, potentially modulating its physiologic reaction to stressors.
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Safety and Considerations

The rich historical roots of the use of ashwagandha as a form of health remedy is the best evidence of its effectiveness and benefits to the human body. However, it is vital to apply safety measures and consider other therapies you may be receiving, since the use of ashwagandha may not be recommended for everyone. Ashwagandha root contains methanolic extract, an ingredient that has reported effects on the dopaminergic neurons in the brain which plays an important role in the body’s movement, cognition, executive functions, reward, motivation, and the central nervous system in general.5 Hence, extreme caution should be exercised when using ashwagandha simultaneously with other drugs, especially medications from the benzodiazepine and barbiturate groups, to avoid over-enhancing their effects! 

Ashwagandha root may interact with anti-anxiety, sleep-promoting, muscle relaxant, and sedative medications, intensifying their individual effects and consequently cause problems with muscle coordination, weakness, tremors, headaches, and drowsiness.5  Knowledge and understanding on the proper use of ashwagandha is vital to ensure you are able to receive its full benefits, without putting yourself at greater risk for unwanted effects due to overdose and dysregulation of stress levels, which can occur when intake is not regulated and monitored. A licensed naturopathic physician with expertise in managing stress levels using natural options and botanical medicine will help you in exploring the benefits of ashwagandha and other medicinal herbs and monitoring therapeutic levels of the herbal remedies you take every day, ultimately guiding you in making conscious decisions for your health. 
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Regulating Your Stress Levels

Talking with your naturopathic medicine advisors is a vital step in helping you understand how stress affects your body, consider nutrition and lifestyle changes that will assist  you in avoiding triggers, and explore natural options that will help you regain and maintain balance despite exposure to unavoidable stressors every day. At Natural Path to Wellness, we are committed to assist you regain vitality through a comprehensive and personal approach that considers your unique needs and preferences. Discover how to maximize the beneficial effects of the naturopathic approach in reducing your stress levels today! ​
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Author

Kate Nemenzo studied in nursing school as an academic scholar. Her passion for holistic health has led her to become a registered nurse who promotes optimal care throughout her patient’s therapeutic journey. When not writing, she spends her time crocheting, watching Korean dramas, and playing the guitar!
​

REFERENCES:

1. Lopresti AL, Smith SJ, Malvi H, Kodgule R. An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract: A randomized, double-blind, placebo-controlled study. Medicine (Baltimore). 2019;98(37):e17186. doi:10.1097/MD.0000000000017186

2. Gopukumar K, Thanawala S, Somepalli V, Rao TSS, Thamatam VB, Chauhan S. Efficacy and Safety of Ashwagandha Root Extract on Cognitive Functions in Healthy, Stressed Adults: A Randomized, Double-Blind, Placebo-Controlled Study. Evid Based Complement Alternat Med. 2021;2021:8254344. Published 2021 Nov 30. doi:10.1155/2021/8254344

3. Smith SJ, Lopresti AL, Fairchild TJ. Exploring the efficacy and safety of a novel standardized ashwagandha (Withania somnifera) root extract (Witholytin®) in adults experiencing high stress and fatigue in a randomized, double-blind, placebo-controlled trial. J Psychopharmacol. 2023;37(11):1091-1104. doi:10.1177/02698811231200023

4. Mikulska P, Malinowska M, Ignacyk M, et al. Ashwagandha (Withania somnifera)-Current Research on the Health-Promoting Activities: A Narrative Review. Pharmaceutics. 2023;15(4):1057. Published 2023 Mar 24. doi:10.3390/pharmaceutics15041057
​

5. White PT, Subramanian C, Motiwala HF, Cohen MS. Natural Withanolides in the Treatment of Chronic Diseases. Adv Exp Med Biol. 2016;928:329-373. doi:10.1007/978-3-319-41334-1_14


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8/13/2024

Naturopathic Care for Hashimoto’s Thyroiditis

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Considered a common autoimmune disorder, Hashimoto’s thyroiditis is one of the leading causes of an underactive thyroid gland (hypothyroidism) in developed countries, affecting women 7-10x more than men.1  Hashimoto’s thyroiditis occurs when your immune system attacks your thyroid. The thyroid gland eventually becomes inflamed and damaged, leading to its impaired function. The mainstay allopathic treatment option for Hashimoto’s thyroiditis is lifetime thyroid hormone replacement therapy, which is not without risks. Exploring alternative options to manage the underlying cause of your problem and improve thyroid function are vital steps to consider in taking charge of your long-term health.


Understanding Hashimoto’s Thyroiditis

Normally, the thyroid gland works together with the hypothalamus and pituitary gland to regulate thyroid hormone levels in the body. When thyroid hormone levels in the body are low, your hypothalamus detects this problem and releases thyrotropin-releasing hormones. These hormones signal your pituitary gland to release thyroid stimulating hormone (TSH) which travels to your thyroid gland and causes it to produce thyroid hormones (T3 and T4), eventually regulating levels for optimal body function! 

In Hashimoto’s thyroiditis, antibodies released by your immune system against your thyroid disturbs this regulatory mechanism, causing low levels of thyroid hormones and symptoms associated with an underactive thyroid gland. Environmental elements and lifestyle factors may trigger the development of Hashimoto’s thyroiditis when you have genetic susceptibility to the disease. These factors include stress, sleep disturbances, infections, exposure to chemicals, cigarette smoking, and excessive intake of iodine due to supplementation or dietary intake.1  

What are the signs and symptoms of Hashimoto’s thyroiditis?

The clinical presentations of patients with Hashimoto’s thyroiditis typically vary depending on the severity of the disease. These signs and symptoms may not only affect your physical health, but also your holistic well-being. You may have:
  • scaly and dry skin
  • dry and brittle hair with slowed growth 
  • swelling of the face, tongue, hands, or feet
  • memory loss
  • intolerance to cold
  • muscle cramps
  • goiter (enlarged thyroid)
  • decreased sweating and difficulty regulating body temperature
  • heavy menstrual bleeding ​
​

Allopathic Treatment Options

Hashimoto’s thyroiditis has no known cure based on current scientific evidence. In the clinical setting, the condition is primarily treated through lifetime hormone replacement therapy with Levothyroxine sodium to replace depleted thyroid hormones and manage symptoms. Use of Levothyroxine is highly regulated as excessive intake may put you at risk for potentially fatal arrhythmias (irregular heartbeat) and osteoporosis.2 Surgical intervention may be considered if you experience increasing discomfort or breathing problems caused by a goiter. Immunosuppressants are sometimes used to suppress the immune system and prevent further damage to the thyroid. This causes increased risk of infection and illness. While necessary in some cases, conventional treatment options do carry risk and may cause detrimental side effects that may greatly affect your quality of life. 

The Naturopathic Approach

Rather than masking your symptoms or preventing the immune system doing its job of protecting your body from foreign invaders, the naturopathic approach for Hashimoto’s thyroiditis focuses on targeting the root cause of the problem, reducing inflammation, avoiding triggers, and supporting the optimal function of your thyroid gland. 
​

Nutrition and Lifestyle

Dietary management and lifestyle interventions are popular approaches to naturally manage Hashimoto’s thyroiditis and increase the likelihood of achieving remission. Since multiple trace elements are vital in maintaining normal thyroid function, dietary intake or, when necessary, appropriate supplementation of iodine, selenium, and zinc can promote the production  of thyroid hormones and reduce damage (oxidative stress) to thyroid cells.3  However, too much or incorrect supplementation can have detrimental effects on thyroid and overall health, so this should be carefully guided by your naturopathic physician. 

Dairy-free, gluten-free, and soy-free diets are known to reduce irritation and prevent migration of bacteria and food particles across your gut, since a leaky gut has been associated with autoimmune thyroid problems, such as Hashimoto’s thyroiditis.3 Managing autoimmune conditions through dietary changes is complex and should be individualized. Your naturopathic physician can help you determine which dietary changes are best for you, how to heal the intestinal lining to prevent future inflammation, and how to reestablish a healthy intestinal microbiome.  

Supplements to Support Thyroid Health

healthy thyroid function & Reduced Inflammation

optimal thyroid function with Ayurvedic Herbs

Healthy Balance of Inflammatory factors

Quality Sleep

As an essential factor for human health, getting restful sleep each day is important to regulate your bodily functions and processes. Particularly, sleep contributes to the production of almost all hormones in the body. Not getting enough quality sleep for a long time suppresses the secretion of your thyroid hormones, eventually affecting thyroid hormone levels and causing you to experience symptoms of hypothyroidism.4 On the other hand, symptoms associated with an underactive thyroid gland may affect the overall quality of your sleep and exacerbate your already present sleeping difficulties. In general, sleep and hypothyroidism share a bidirectional relationship. Following good sleep practices and exploring natural options to help with your sleeping problems are vital in assisting your body to maintain adequate thyroid hormone levels and relieve symptoms associated with Hashimoto’s thyroiditis. To learn more about how to gently support quality sleep, sign up for our Homeopathy for Insomnia Mini-course. 

Stress Management

Aside from physical symptoms, Hashimoto’s thyroiditis has severe effects on the mental health and quality of life of individuals diagnosed with the condition, owing to long-term weakness, irritability, problems with memory, and feelings of anxiety or depression. These multiple health and wellness concerns increase your chances of experiencing great stress, leading to more harm. Stress increases cortisol levels in the blood, eventually signaling your thyroid gland to reduce its hormone production and triggering hypothyroidism.5  Stress can also lead to inflammation, which can cause a relapse of your autoimmune symptoms or the acquisition of additional autoimmune diseases! Exploring relaxation techniques, managing stressors, and considering botanical remedies and supplements that will help alleviate your stress are vital options to consider for not only relieving symptoms of Hashimoto’s thyroiditis, but also for helping your body maintain homeostasis despite changes in your environment. 

Effectively utilizing alternative and integrative health options to manage your disease condition requires the guidance and support of an experienced provider whose expertise promotes the holistic approach. At Natural Path to Wellness, we are committed to fostering good health through the healing power of nature. Utilizing the gentlest effective approaches, we guide you in choosing the right choices for your holistic health. 
​
​

Improving Your Thyroid Health

Since it is responsible for many of your body’s metabolic processes, impaired thyroid health may have detrimental effects on your quality of life. Although advancements in conventional medicine target the regulation of your thyroid hormones, the standard therapeutic regimen is lifelong and without guarantee that your symptoms are effectively resolved. In addition to targeted treatments, dietary and lifestyle modifications for achieving optimal health are vital aspects of medical management for many disease conditions, such as Hashimoto’s thyroiditis.3  Following a comprehensive treatment plan and regular monitoring of your thyroid function are crucial factors in managing your thyroid health and increasing the likelihood that you can achieve remission.

Improving your thyroid health requires a holistic approach that not only manages your disease condition, but also promotes your well-being. At Natural Path to Wellness, we are committed to nurturing your holistic health through empowering your choices. Embracing the healing power of nature, we prioritize using the gentlest, most effective options to restore health, not just to mask symptoms.

Take charge of your health today! Click here to learn more about the natural path to managing Hashimoto’s thyroiditis.

Author

Kate Nemenzo studied in nursing school as an academic scholar. Her passion for holistic health has led her to become a registered nurse who promotes optimal care throughout her patient’s therapeutic journey. When not writing, she spends her time crocheting, watching Korean dramas, and playing the guitar!

REFERENCES:

  1. Klubo-Gwiezdzinska J, Wartofsky L. Hashimoto thyroiditis: an evidence-based guide to etiology, diagnosis and treatment. Pol Arch Intern Med. 2022;132(3):16222. doi:10.20452/pamw.16222
  2. Mincer DL, Jialal I. Hashimoto Thyroiditis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 29, 2023.
  3. Larsen D, Singh S, Brito M. Thyroid, Diet, and Alternative Approaches. J Clin Endocrinol Metab. 2022;107(11):2973-2981. doi:10.1210/clinem/dgac473
  4. Wang M, Lu X, Zheng X, Xu C, Liu J. The relationship between sleep duration and thyroid function in the adult US population: NHANES 2007-2012. PLoS One. 2023;18(9):e0291799. Published 2023 Sep 21. doi:10.1371/journal.pone.0291799

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8/5/2024

Healing from Within: Dietary and Lifestyle Tips for Celiac Disease

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One in 133 Americans has been diagnosed with celiac disease, making up nearly 1% of the population. But perhaps more concerning is that up to 83% of Americans with celiac disease remain undiagnosed or are misdiagnosed with other conditions. This is very alarming as celiac disease causes your small intestines to become inflamed and damaged, greatly affecting the overall health of your gut! Since it is responsible for absorbing essential nutrients from the food you eat everyday, a damaged small intestine can lead to deficiencies of vitamins and minerals your body needs to stay active and healthy. Globally, an estimated 50% of individuals with celiac disease are undiagnosed, and getting a correct diagnosis takes an average of 6 to 10 years! This highlights a critical need for greater awareness and understanding of this often-overlooked condition so that patients can advocate for themselves for diagnosis and better care.1 

If you or a loved one is diagnosed with celiac disease, it is crucial to understand the intricacies of the condition and how best to manage it. At Natural Path to Wellness, your naturopathic medicine advisors are committed to assisting you in learning the essentials of celiac disease and offering insights into its causes, symptoms, and effective natural management strategies suited to your preference and lifestyle. By eating nutrient-dense foods, incorporating anti-inflammatory ingredients, and following practical dietary tips, you can effectively manage your condition and improve your overall health.
​

What is Celiac Disease?

Celiac disease is an autoimmune disorder triggered by gluten intake that can affect individuals of any race or age, when you are genetically predisposed to the condition. For people with Celiac, eating food containing gluten leads to an immune response that can cause damage to the villi of the small intestine. Villi are tiny, finger-like projections that help in absorbing nutrients from the food you eat. Prolonged irritation of the intestinal villi can cause malnutrition and various health complications over time, inevitably affecting your overall well-being.
​ 

Causes of Celiac Disease

While genetics play a significant role, environmental factors greatly contribute to the development of Celiac Disease. Interestingly, some patients with genetic markers for celiac disease may never develop symptoms or may develop symptoms only after significant stressors, illnesses, environmental triggers, or traumas. If you have family members previously diagnosed with Celiac Disease, you should start becoming consciously aware of how the food you eat impacts your body and potential the triggers around you.
​

​Signs and Symptoms of Celiac Disease

Symptoms of celiac disease vary widely and may manifest differently in children and adults, precisely why it is challenging to diagnose the condition. You may experience symptoms seemingly unrelated to the gastrointestinal system or have no symptoms at all! Diarrhea, delayed puberty, short height, loss of appetite, and malnutrition are commonly seen in children with celiac disease. Adults, on the other hand, typically present with cramping, abdominal pain, diarrhea or constipation, and bloating with nausea and vomiting.2  

Celiac disease affects other organs in the body, if not properly managed, due to improper absorption of nutrients in the small intestine, putting you at greater risk of developing osteoporosis (brittle bones) and bone loss.2  This increases your risk of having fractures and affects your activities of daily living. Lack of healthy red blood cells due to malabsorption of iron (iron-deficiency anemia) may also develop, causing you to feel extra tired and experience hair loss, breathlessness, and weak muscles. Celiac disease may also affect your reproductive health.
​

Can Celiac Disease be Medically Treated?

​Despite its prevalence, there is currently no known cure for celiac disease and conventional medicine offers little support for diagnosed patients. Unlike allopathic management of other autoimmune conditions, which typically requires medication to weaken your immune system and surgery to remove or repair damaged tissue, managing celiac disease relies solely on complete avoidance of gluten-containing foods.3  Naturopathic medicine utilizes gluten-avoidance with the addition of various therapies designed to help reduce overall inflammation, restore intestinal health, correct nutrient deficiencies and damaged tissues, and prevent acquiring new autoimmune conditions.

​Gluten is a protein found in many grains, so this requires you to be conscious of the food you eat and avoid meals including, or contaminated with, wheat, barley, rye, and triticale. While this may seem daunting, it also means that the solution is within your control, potentially leading to lower healthcare costs and a more empowered approach to managing your own health.
​

Improving Your Intestinal Health

Dietary management and lifestyle adjustments offer an empowering approach to manage symptoms and improve overall quality of life. Strict adherence to a gluten-free lifestyle prevents irritation to your intestinal villi, allowing them to heal and reform. Over time, this can alleviate your symptoms and reduce risks of long-term complications associated with untreated celiac disease. By staying informed, proactive, and committed to a gluten-free lifestyle, you can take control of your health and live your best life everyday.
​

Beyond dietary changes, lifestyle adjustments are key factors to effectively managing celiac disease. By educating yourself about gluten-containing foods, reading food labels carefully to ensure its ingredients are processed in a “wheat-free” facility, and remaining gluten-free, you can alleviate your symptoms and prevent yourself from having sick days due to gut irritation. Additionally, advocating for your dietary needs in social settings is crucial to avoiding accidental exposure to foods that may contain gluten, making food choices more inclusive, and empowering others to take charge of their health. 

Guidance from your naturopathic physician is vital to assist you as you modify your food habits, reduce systemic inflammation, and foster an active and joyful lifestyle, ultimately achieving optimal health! Communicating openly allows for better understanding of the beneficial effects of gluten-free nutrition and receiving personalized recommendations suited for your needs and preferences, making these lifestyle changes easier to apply into your daily routine.

Foods that Support Gut Healing

Having strategic food choices that promote healing and reduce inflammation, in addition to avoiding meals containing gluten, helps in maintaining your body’s homeostasis (internal balance). Probiotic-rich foods are essential for gut health, as they introduce beneficial bacteria that aid digestion and support immune function. Fermented foods such as yogurt, kefir, kombucha, sauerkraut, and kimchi are excellent sources of probiotics that help restore gut flora and alleviate symptoms associated with celiac disease. Additionally, fiber-rich foods such as fruits, vegetables, legumes, and gluten-free grains, like quinoa and brown rice, promote regular bowel movements and support your digestive health.
​

Nutrient-Dense Foods to Correct Deficiencies

Celiac disease often leads to nutrient deficiencies, particularly in iron, calcium, vitamin D, and B vitamins. Iron-rich foods such as lean meats, seafood, spinach, and gluten-free whole grains can help address iron deficiencies. Adequate intake of calcium supports bone health, while vitamin D aids in its absorption and directs calcium to fortify your bones. B vitamins, on the other hand, are essential in producing energy for your body’s daily needs and delivering signals from your brain for your organs to function properly. Following a well-balanced diet rich in nutrient-dense foods, will help keep your bones healthy and body energized so you can do the activities you enjoy!
​

Anti-Inflammatory Ingredients

Eating anti-inflammatory foods can help reduce pain and inflammation associated with celiac disease. Ginger (Zingiber officinale), famous for its anti-inflammatory properties, can be incorporated into cooking or taken as an herbal remedy  to reduce inflammation and support immune function.4  Talking with your naturopathic physician will help you explore which anti-inflammatory options are best for your holistic health. You can even make your own fluffy almond flour banana pancakes at home!

Gluten-Free Whole Grains and Alternatives

While traditional gluten-containing grains are off-limits for patients with celiac disease, numerous gluten-free alternatives can provide essential nutrients for optimal body function. Quinoa, brown rice, buckwheat, and millet are versatile grains that offer fiber, vitamins, and minerals necessary for a well-balanced diet. These grains can be prepared into various dishes, from salads to soups, making sure you are able to enjoy a diverse, nutritious, and delicious meal. 
​

How Naturopathic Medicine Can Help You ​

Navigating Celiac Disease requires more than just avoiding gluten. It involves understanding the nuances of gluten-free living, managing nutritional deficiencies, reversing tissue damage, preventing future flares, and addressing potential complications. Naturopathic medicine offers a truly holistic health approach that can provide invaluable guidance as you heal from within. The combined benefits of personalized naturopathic and nutrition education and ongoing support to effectively support your gut health will not only help in alleviating symptoms of celiac disease, but also assist your body as it heals itself. 
​

At Natural Path to Wellness, we assist you in making empowered choices for your intestinal and overall health. All of our Naturopathic Physicians/Naturopathic Medicine Advisors hold doctorates in naturopathic medicine from CNME-accredited medical schools. Through their mentorship, you will learn natural approaches to health that will benefit your overall well-being, assisting you as you heal from within and address the root causes of your health issues. Our services include personalized education on diet and lifestyle, as well as supplements, botanical medicine, and other naturopathic modalities, tailored to meet your unique needs.

Whether you're newly diagnosed or seeking alternative approaches to manage celiac disease, our team is dedicated to empowering you on your journey towards wellness. Through personalized health education and ongoing support, we help you work toward your goals for optimal health and vitality through the healing power of nature. Discover how our team can assist you in restoring your optimal health and navigating life with celiac disease.
​

Supplements to Support Celiac recovery by helping to:

Repair intestines & Reduce inflammation
​

repair intestines & calm Immune response
(dairy-FREE)

repair intestines & calm Immune response
(contains dairy)

Author

Niño Vivares is a versatile writer and social media manager with a passion for helping people engage with new information. As a published author with two books, he has honed his expertise in writing and communications while collaborating on multidisciplinary projects globally.

Edited by Kate Nemenzo

REFERENCES:
  1. Celiac disease: Fast facts. Beyond Celiac. October 4, 2023. Accessed August 2, 2024. https://www.beyondceliac.org/celiac-disease/facts-and-figures/. 
  2. Tarar ZI, Zafar MU, Farooq U, Basar O, Tahan V, Daglilar E. The Progression of Celiac Disease, Diagnostic Modalities, and Treatment Options. J Investig Med High Impact Case Rep. 2021;9:23247096211053702. doi:10.1177/23247096211053702
  3. Posner EB, Haseeb M. Celiac Disease. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2023.
  4. Mao QQ, Xu XY, Cao SY, et al. Bioactive Compounds and Bioactivities of Ginger (Zingiber officinaleRoscoe). Foods. 2019;8(6):185. Published 2019 May 30. doi:10.3390/foods8060185

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8/1/2024

Healing the Intestinal Lining

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In a prior blog post, we explored the importance of the microorganisms in our intestines. Our bodies have a symbiotic relationship with the microorganisms in our gut, meaning that each party benefits from the other.1  Let’s take a closer look at how these important bacteria and viruses protect our intestines.
​
​
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A Balancing Act

The intestines function to break down food and absorb what is necessary for the body: the nutrients, water, and electrolyte contents. While absorbing the nutrients and water from the foods we eat is important, the intestines need to maintain a balance of permeability in order to regulate what comes in and out of the body.2  Permeability is a measure of how easily substances can pass through a type of barrier. In this case, nutrients must come in, but harmful bacteria and other pathogens must stay out.1 

The microbiota in the gut play an important role in maintaining the intestinal lining. When the balance is disrupted, or the intestines become increasingly open to harmful compounds, the body produces inflammation in order to combat the effects of these substances. The inflammation alerts the body’s immune response to try to fight the source. Long lasting inflammation can eventually lead to infections, food allergies, or intestinal disorders, including celiac disease and irritable bowel syndrome. Additionally, due to the gut-brain axis, the permeability of the intestines has connections with mental health disorders, like depression.2   

Maintaining Structure

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A way that the body prevents the development of disease is through the protective lining of the intestines. There are three primary layers that comprise the intestinal barrier, one being the epithelial layer. The epithelial layer is rightly named as it is made up of intestinal epithelial cells.2  Epithelial cells form the barriers inside and outside of the body, including the skin. There is a high turnover of the epithelial cells that form part of the intestinal barrier, meaning approximately every 5 days new cells are formed to line the intestines.1 

​Between these epithelial cells, proteins create tight junctions that regulate what enters and leaves the intestines, otherwise known as intestinal permeability.2  The tight junctions have selective permeability, which means that they decide to let some molecules pass through while blocking other types of molecules, like harmful bacteria or viruses.3  Infectious pathogens can bind to these proteins and interfere with the tight junction’s ability to control permeability, allowing more pathogens to be transferred through the intestines. This is commonly referred to as leaky gut syndrome, or intestinal hyperpermeability.2 


Supplements for Intestinal Health

Intestinal Repair Powder

Intestinal Healing probiotic

boost effect of akkermansia

Back in Balance

It is critical that the intestinal barrier serves its purpose to separate your body systems from potential microbial invaders or irritants present in your food. In promoting healing, it is important to address the underlying cause of the inflammation to prevent recurrence.3  For example, excessive consumption of alcohol and strenuous physical activity are risk factors for developing a leaky gut.2  Diet is another important factor in protecting the barrier in our intestines. Regularly eating foods high in inflammatory fats or processed carbohydrates, as is common in the Western diet, could contribute to the disruption of the microbiome that supports the lining.1  Ensuring that you are consuming enough vitamins in the foods you eat is an important first step in healing the intestinal lining. 

Vitamin A, in particular, contributes to the growth of the cells in the intestines so that they can be replaced every 5 days.1 Some food items are fortified with vitamin A in its preformed version known as retinol. Vitamin A supplementation, while available, can be unsafe and you should talk with a qualified professional before supplementing. We recommend whole foods that naturally contain vitamin A (often identifiable by their orange color), such as a variety of fruits and vegetables. Some examples are:

  • Leafy greens, like kale & broccoli
  • Squash, such as pumpkin or summer squash 
  • Other vegetables include tomatoes, red bell peppers, & carrots
  • Fruits, like cantaloupe & mango

Additionally, Vitamin D supports the intestinal barrier.1  Our bodies primarily produce Vitamin D in the skin after exposure to the sun, so enjoying time outdoors in the sunshine is another way to support the gut! However, there are ways to add Vitamin D to your diet if you are braving the winter months, spending a lot of time indoors, or have a darker skin pigment. Orange juice, dairy products, and cereals are examples of foods that may be fortified with vitamin D, but it is usually a lower quality, less bioavailable form (D2) than is available through practitioner-grade supplementation. Many people need to supplement, but you should ask your healthcare provider to test your level before starting a vitamin D3 supplement. Vitamin D naturally occurs in: 

  • Fish, including salmon, swordfish & tuna
  • Egg yolk 
  • Beef liver & cod liver oil

We can’t neglect the importance of the microorganisms in the intestines as we are discussing healing the intestinal lining. The microbiota maintain the intestinal lining in many ways, including by making short chain fatty acids (SCFAs). These SCFAs help regulate the tight junctions that fill the gaps between intestinal cells and regulate movement in and out of the intestines. SCFAs are produced by the microorganisms from the fiber in the foods we eat.1  Therefore, prebiotics and probiotics are a great way to support the health of the microorganisms in the gut. Check out our blog post “The Connection Between the Gut and the Brain” to learn more about how to include prebiotics and probiotics in your diet for overall gut health!
​

Author

Daelyn Quinn is a graduate of the University of South Florida, Class of 2024. She studied Cell and Molecular Biology, as well as Spanish, and has been accepted into a nationally accredited Doctor of Naturopathic Medicine program. Outside of academic and professional pursuits, she enjoys exploring cities with friends and family, running outdoors, and reading next to one of Florida’s many bodies of water.

Edited by Kate Nemenzo.

​This article is for educational purposes only and is not intended as medical advice. Please consult your licensed naturopathic physician or other licensed healthcare provider before making changes to your medications or supplements. Disclosures & Policies: This and other blog posts may contain affiliate links. Please view our disclosures page for more information. Write something about yourself. No need to be fancy, just an overview.

References
  1. Bischoff SC, Barbara G, Buurman W, et al. Intestinal permeability — a new target for disease prevention and therapy. BMC Gastroenterol. 2014;14:189. Published 2014 Nov 18. doi.org/10.1186/s12876-014-0189-7   
  2. König J, Wells J, Cani PD, et al. Human Intestinal Barrier Function in Health and Disease. Clin Transl Gastroenterol. 2016;7(10):e196. Published 2016 Oct 20. doi.org/10.1038/ctg.2016.54
  3. ​Odenwald MA, Turner JR. Intestinal Permeability Defects: Is It Time to Treat? Clin Gastroenterol Hepatol. 2013;11(9):1075-1083. Published 2013 Jul 12. doi.org/10.1016/j.cgh.2013.07.001

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    Natural Path to Wellness values community education and welcomes contributions from writers with a background in Naturopathic Medicine, natural health and wellness, herbalism, homeopathy, Nature Cure, and more. 
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    ​Marney Johnson, ND, MSCI-TS is a Naturopathic Doctor and Naturopathic Medicine Advisor with a background in allopathic (standard American medicine) medical research, Dr. Johnson, is uniquely qualified to evaluate current scientific research and offer insight to help you make sense of how you can integrate natural medicine into your health plan. She is passionate about the roles of Nutrition, Lifestyle, and Nature in health and constantly seeks new ways to make these accessible through food as medicine, encouraging new, healthy habits, and promoting interaction with Nature in its many forms. 

    Disclosures & Policies: This and other blog posts may contain affiliate links. Please view our disclosures page for more information. 

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