Sneezing, itchy, watery eyes, nasal congestion and sore throat – all signs and symptoms of having allergies – can make it difficult to enjoy the lovely Fall season. 

Allergies are essentially a reactive and unbalanced immune system which, sensing an “invader,” goes to town trying to destroy it.

The reason we end up with allergy symptoms like running nose and itchy, watery eyes, is usually due to high levels of histamine in the body. (Histamine is released from immune cells who are trying to protect the body from foreign invaders). One thing we can do is “stabilize” these immune cells so they are not so quick to release said histamine. In addition, we can work to balance the immune system as a whole, so the body is less reactive and more able to tolerate exposures without having a negative response.

For those of you suffering with seasonal allergies, here are some tips you can incorporate into your routine to help offer allergy relief.

External Environment:

Keep your living and sleeping space as “allergy-friendly” as possible. Look at your bedroom as an “oasis” from allergens, noise, distractions, electronics, etc. – consider it a peaceful room for relaxation and recovery, so you can do just that while you’re sleeping.  Use an air filter in your home, especially the bedroom. Electrostatic filters can be used in heating/cooling systems to remove dust from the air and stand-alone filters with a HEPA filter are also a great option. Make sure to clean ducts and replace filters regularly.  Use a HEPA vacuum cleaner to better trap and remove dust and other particles.

Reduce wall hangings, rugs and clutter as all will increase the amount of dust and allergen build-up. Wood or tile floors seem to work better.  Change pillowcases and bed sheets frequently to cut down on dust mites.  Shower and change your clothes after you get home for the day to remove pollen and other allergens from your skin and hair.

If you have pets, consider whether or not you are reacting to their dander and act accordingly. If you know you are reactive but are committed to your pets – try to at least keep them out of your bedroom and off the bed. (Again, think of the bedroom as a sanctuary and aim to get 8 hours of quality sleep in that environment to allow your immune system time to recover).

Keep humidity levels around 50% to reduce the growth of dust mites and mold. A dehumidifier and/or humidifier may be necessary, depending where you live.

Internal Environment:

Avoid food sensitivities in order to reduce inflammation and allow your system to calm. Some common aggravating foods when it comes to allergic rhinitis include dairy, wheat, chocolate, egg, soy, citrus, peanut, pork, trans-fats and chemical additives. Aim to eat whole, fresh foods like organic produce and high quality protein and fats. Make sure you stay hydrated by drinking plenty of water as well.

Bioflavonoids, such as quercitin, are the compounds that give fruits and vegetables their rich colors. They act as antioxidants and anti-inflammatory compounds in the body, helping to both mitigate damage from chronic inflammation but also preventing further inflammation. Quercitin also works as a stabilizer of cells that release histamine (i.e. it can reduce histamine release in the body), so it is particularly helpful with allergic conditions. Quercitin-rich foods include: onions, apples, citrus fruit, green tea, parsley, sage, grapes, dark berries (blueberry, blackberry) and dark cherries. You can also supplement with quercitin – usually 1500mg/day for adults is adequate.

Omega 3 fats help reduce inflammation and soothe mucous membranes – this includes fish, nuts (walnuts, almonds), seeds (flax, pumpkin) and olive oil. You can also supplement with EFAs in the form of Cod Liver Oil or Fish Oil. Make sure to get high-quality oils!

Fermented foods supply important beneficial bacteria which can help improve gut health and therefore reduce inflammation and calm the immune system. Foods to consider would be sauerkraut, kimchi, kefir and pickled veggies. It’s important to note that through the process of fermentation, these foods will also be naturally high in histamine, so some folks may find they cannot tolerate them. In that case, I would recommend supplementing with a probiotic for a period of time to balance gut flora.

Herbs are a wonderful addition to any allergy regime, as they often have a multitude of positive effects, such as toning and balancing the immune system, reducing inflammation and improving resistance. Some common herbs used for allergies include nettles, eyebright, khella, thyme, butterbur, feverfew, ginkgo, curcumin and yarrow.  Your Naturopathic Doctor or herbalist can custom-blend a formula for you, depending on your particular symptoms, triggers, etc.

Supplements such as Vitamin C and Vitamin E and minerals like calcium and magnesium can also be helpful during allergy season. Vitamin C is a powerful antioxidant and improves immune function.

Moderate exercise helps improve peripheral blood flow and lowers inflammation.  30 minutes, most days of the week is recommended. Plan to head outside at times/days when airborne allergen counts, like pollen, are on the lower end.

Additional support can often be found through homeopathic medicines and acupuncture, so consider these therapies as well.

A Note On Prevention:

Prevention is one of the foundational principles of Naturopathic Medicine. Consider taking local honey and/or a good amount of the herb nettles (as a tea or freeze-dried in capsules) during problem months, or for at least 1 month prior to allergy season to prevent or reduce onset of allergic symptoms.

Fall is a beautiful time of year and we happy to support you to ensure you are able to enjoy it.  To book an appointment with one of practitioners, contact our office at (804) 977-2634.

One of the greatest contributors of dis-ease and illness in today’s culture is a misalignment of ones circadian rhythm, resulting in inappropriate hormonal secretions, particularly human growth hormone, cortisol and melatonin, and significant imbalances in nocturnal sleep patterns.

Every single organism on the planet, from the most advanced homo sapiens right down to the simplest algae, has an intricate system of internal clockwork that establishes our hourly, daily, monthly and seasonal rhythms. This is called our Circadian Rhythm and without it we would quite literally be an out of control hormonal mess. Without this rhythmic control, hormones would run unregulated, our growth and development would be entirely askew, and our sleep patterns would be impossible to entrain.

Disruption of circadian rhythm:

I’m sure you’ve noticed that when you fly into another time zone (say from New York to California, or from Oklahoma to Australia), it takes several days to get into the sleep/wake cycle of your new destination. This is because our bodies have a strongly engrained rhythm (a 24 hour cycle) that will function inherently for several days before adjusting to this new rhythm. This circadian rhythm knows when to go to sleep at night, when to wake up in the morning, when to expect food, and most importantly when to perform essential endocrine functions. These endocrine functions include secreting Growth Hormone for our development and releasing melatonin and cortisol for sustainable sleep and regulated energy during the day. However, once we disrupt our circadian rhythm over and over again with lack of sleep, shift/night work, inconsistent eating times or high stress lifestyles (taxing on your cortisol production) and most detrimentally disconnecting from the outside world, all kinds of dis-eases arise.

Human beings are the only species on the planet that intentionally disrupt their sleep and circadian rhythm patterns on a daily basis. In today’s society we are obliged to be up and available at all hours of the day or night, with businesses functioning in 24 hour shifts, air and train travel available at all hours, and shift workers on hand to keep this busy society running. With the direct correlation of essential hormone secretion to a set circadian rhythm, what does one lose physiologically once this disconnect from the natural world is thrust upon our rhythms? When we no longer perceive sunrise or sunset in our walled in environments or we push our chronobiological limits past their natural timers, we become acutely disjointed in the way our body perceives the world and pathologies arise in the arena of global health. When the circadian system is disrupted, it is observed that a variety of health pathologies emerge, including sleep disorders, depression, glucose dysregulation, metabolic imbalance and obesity. Keeping the rhythm in tune involves maintaining the delicate balance of signaling pathways, hormones and appropriate environmental cues.

Restoring your body’s natural circadian rhythm:

Balancing the outside environmental signals (sunrise, sunset, seasonal changes, moon cycles etc) with internal biological signals (rising melatonin at night, rising cortisol levels in the morning, etc) is imperative in order to regain control of the body’s natural circadian rhythm. This is not an overnight alignment, but a process of realigning the body to function with the natural rhythms of the world, and requires significant changes to ones lifestyle for optimal results.

It has long been determined that herbal therapies provide tremendous support to the body during stages of transition, and a key understanding to an herbal approach is the appropriate timing of dosing to suit the specific chronobiology of an individual. Herbs may be used to support ones natural circadian rhythm by helping to promote sustained sleep with a downstream effect of enhanced melatonin or growth hormone secretion.  They may also be useful in helping the body to adapt to stress, with a downstream effect of supporting the natural rhythm of cortisol secretion from the adrenals. The desired pharmacological effects of herbs may only be biologically appropriate at specific times of the day or night depending on how the circadian cycle presents in the individual.

Lifestyle suggestions:

1.    Dim/turn down your lights 30 minutes before bedtime so your body has a chance to perceive darkness and prepare for melatonin release.

2.   Turn off the TV, computer or stimulating lights 30 minutes before bed. We all know this is a major contributor to poor sleep – make sure to do this!

3.   If waking up in the morning while it’s still dark outside, keep a dim lamp or salt lamp by your bed, Turn this on right when you wake up to perceive a “sunrise” so your cortisol can have some hints to start rising.

4.   Eat at the same time every single morning. The body expects food at certain times, and keeping meal time consistent (especially breakfast) helps the circadian rhythm all around.

5.   Enjoy the seasons and be outside. Our bodies are intimately intwined with the changing seasons, and connecting to the gradual changes will help the body gradually change also.

References:

Anders, T. (1982) Biological rhythms in development. Psychosomatic Medicine, 44 (1), 61-71.

Morris, C., Aeschbach, D., & Scheer, F. (2012). Circadian system, sleep and endocrinology.    Molecular and Cellular Endocrinology, 349 (1), 91-104.

Kascoh, B. (2000) The pineal gland and biological rhythms: Endocrine physiology. New       York, New York: McGraw Hill.

If you are struggling to get quality, restful sleep, please contact our office at (804) 977-2634 to learn how the practitioners at Richmond Natural Medicine can support you.

Obsessive compulsive disorder encompasses far more than a desire to have things in a particular order, wash your hands or be tidy. The “D” (disorder) in “O-C-D” is what defines this as an often debilitating condition.

“I’m so OCD about that” is becoming an increasingly popular phrase in which individuals are referring to their quirks, pet peeves and preferences as “their OCD.” While more than likely an innocent misuse of the term, referring to your alphabetical DVD collection or the way you prefer your laundry be folded as “your OCD” grossly misrepresents the seriousness of true obsessive compulsive disorder.  Individuals with OCD experience recurrent thoughts and/or actions that they can’t let go of or stop; even if they’re aware they are excessive or irrational. These obsessions and compulsions cause significant distress and can take up a large portion of the sufferer’s day, interfering with common daily responsibilities and functioning.

Obsessions and compulsions can present themselves in a variety of ways (see below) and may even go undetected by family, friends, and medical personnel for years due to the secret nature and drastic attempts of the sufferer to hide them out of fear, shame or embarrassment.

Common Misperceptions:

1. Everyone with OCD frequently washes their hands and cleans their house

False.

While hand washing, bathing and other cleaning rituals are common among OCD sufferers, (generally performed in response to exaggerated contamination fears), these are only a handful of the many common compulsions associated with OCD.

Examples of other common obsessions include:

• Fear of losing control
• Fear of harming someone
• Fear that something will happen
• Fear of forgetting or losing something
• Preoccupation with minute details and exactness

Compulsions that may be performed in response to these obsessions include:

• Repeatedly checking that nothing awful has happened
• Repeatedly checking that you didn’t harm someone or act “out of character”
• Continuously asking for reassurance
• Hoarding to be sure you do not dispose of something you might need at a later date
• Repeating activities to make sure you didn’t make a mistake such as recounting or rewriting
• Repeating certain tasks until they are done a “safe” number of times or until they “feel right”

2. If I don’t have clearly observable compulsions I don’t have OCD

False.

In addition to observable compulsions such as those listed above, a common yet less discussed form of compulsion is a mental compulsion. Some patients struggle with “Pure O” OCD, where they experience continuous doubting or “what-if’s”. They may also experience unwanted thoughts, impulses or mental images that are frequently violent, sexual, blasphemous or unethical in nature. These are particularly terrifying and distressing as they directly oppose the person’s morals or values, leaving them feeling confused and guilty. The individual may ruminate on these thoughts trying to make sense of them. They may continuously replay positive thoughts in their mind designed to counteract the negative ones, silently repeat ritualistic sayings or prayers to ensure they don’t act upon these thoughts or impulses, and often will avoid situations that may trigger these thoughts. For example, a person with OCD afraid of harming someone may avoid the use of knives in the kitchen. Someone who fears molesting a child may avoid situations where children are likely to be present.

3. OCD will go away as I get older without receiving treatment

False.

In general, OCD begins in childhood and worsens with age. Obsessions cause anxiety levels to rise. Acting on compulsions serves to decrease this level of anxiety, bringing temporary relief and reinforcing the compulsion. The problem is that this decline in anxiety is short-lived and once the obsession resurfaces, maybe seconds or days later, the compulsion must be carried out once more to decrease the anxiety. Over time this obsession and compulsion cycle becomes a deeply ingrained part of the daily routine, making it more difficult to identify and break.

4. I’ve tried medication and therapy without much improvement. I can’t be helped

False.

Roughly 40-60% of individuals do not respond to pharmacological management of OCD (often treated with selective serotonin reuptake inhibitors [SSRIs]). According to Stanford University School of Medicine, of those who do respond to treatment, only about half report a significant reduction of their symptoms.

“Exposure and Response Prevention” (ERP), a type of Cognitive Behavioral Therapy, has high potential to be a helpful treatment option, however several factors influence how successful the therapy actually is. ERP requires that individuals confront their worst fears and endure the associated anxiety. Since this is often too difficult, many people discontinue treatment.

OCD is a complex condition and one that often takes a multi-disciplinary approach to deal with but there is hope, there is help, there are other ways to live.  If you or someone you love is seeking naturopathic support for OCD, please contact our office at (804) 977-2634.

by Lindsay Kluge, Clinical Herbalist & Licensed Dietitian Nutritionist

Herbal medicine is an incredibly complex discipline, often requiring years of academic and clinical training.  Here is what to consider when choosing the right herbal practitioner for you and your needs.

Over the past several years, I have talked to hundreds of people who are interested in taking herbal medicines and even working with an herbalist, however, they have a strong hesitation for three big reasons:

1. There just aren’t many herbalists (if any at all) in their area;
2. There are absolutely no regulations about who can call themselves herbalists. The general public has no idea who to trust and who is reputable because there is no licensing, no national testing, and no uniform academic training. This is obviously a valid concern. I wouldn’t want to go and see a medical practitioner that has had minimal training and clinical experience, and;
3. Their doctors discourage using herbal medicines and put fear into patients about seeing alternative practitioners because the doctors are not trained (and have not studied the “evidence”) in herbal medicines themselves. It is simply not included in most medical programs.

This is the dilemma with practicing as an herbalist in America, and the major obstacle of choosing an herbal practitioner. Herbal Medicine is an incredibly complex discipline, often requiring years of academic and clinical training.

After a few years in the field, here is my honest answer about choosing an herbal practitioner that’s right for you and determining their level of skill:

1. Herbal medicine is inherently a folk traditional profession. It is grounded in grass-roots practice on a community level, with an emphasis on using what is local, using simple remedies and treating the whole person (not just symptoms). This is what ANY budding herbalist is taught, and what any program will teach us. This is herbal medicine on a small, community-scale and excellent for those who rarely travel, live in outlying rural areas and have access to surrounding botanicals. Herbalists in these communities are quite often second, third, fourth (and beyond) generation herbalists who have learned from their families and passed the tradition along, using their knowledge of what has worked in the past with success.

2. Several community herbal medicine schools have popped up throughout the country which provides people with local programs to study herbal medicine. These can range from weekend workshops to even a year-long (or more). Unfortunately, none of these are accredited and do not provide a recognized degree for these students to utilize. These community schools range quite a bit in their academic training, from shamanistic to very clinical and, quite often, are led by highly skilled and highly trained herbalists. Students coming out of these programs are often well trained on the therapeutic potential of plants and are an excellent resource for the general public in choosing between several herbal remedies. Some excellent schools include: Sacred Plant Traditions in Charlottesville, VA; The Blue Ridge School of Herbal Medicine in Weaverville, NC; The North East School of Botanical Medicine in Ithica, NY; The California School of Herbal Studies in Forestville, CA; and the North American Institute for Medical Herbalism in Portland, OR.

3. With today’s demand for highly clinical and scientifically validated medical information, herbal medicine programs are few and far between. The Maryland University of Integrative Health offers a 3 year, accredited Masters level degree program for Herbal Medicine that is heavily based in physiology, pathophysiology and also the traditional and scientific study of herbal medicine. From my experience, this is the most clinical program I have found that bridges the gap between modern western medicine and traditional herbal medicine. Herbalists who graduate from this program are often the best option for more complex medical issues and source their herbs from wider (sometimes global) sources including Ayurvedic, Western and occasionally even Chinese medicines. They are often able to communicate more effectively with your doctors and medical providers which can ease the tension between modern medicine and “alternative” medicine when we all speak the same language.

*Note, all of the above programs are specific to Western Herbal medicine, not Traditional Chinese Medicine.

As you can see, there is a huge range of options when choosing an herbalist, and no one training is better or worse than another. I have friends who have studied in some community herbal medicine schools that are amazing and highly skilled herbalists who I would not hesitate to see myself or refer a patient to see. I also know herbalists who have incredible academic training in even the most complex pathophysiologies and cancers who mainly utilize herbal medicines and nutritional therapies, sometimes in conjunction with modern medicines and pharmaceuticals.

In order to license any profession, there must be an overseeing, governing body of people who decide what is important to study and what is not in order to make the academic training uniform. The very unique thing about herbal medicine is that there are thousands of years and hundreds of beneficial ways to practice, each with their distinctive positive qualities. With universal licensing, some of these fields would be excluded, which in my opinion, would be a detriment to the field of herbal medicine.

The most important thing to consider when choosing an herbalist is that you feel comfortable with their level of training and ask them plenty of questions. Check out where they have studied and even get a second opinion. Herbs are also drugs and certainly have strong effects within the body.

It’s incredibly important to trust your herbalist, and also do some research yourself to ask informed questions. For further clarification, check out some Frequently Asked Questions about herbal medicine.

Trouble Sleeping? RNM’s sleep expert, Lindsay Kluge, can help you explore your sleep habits and improve your sleep quality.

Here at RNM, it’s not uncommon for most people to mention sleep troubles as part of their overall health picture. Sometime’s a bad night’s sleep is just an occasional thing, and other times it’s a chronic, on-going issue that may (probably) be contributing to their larger health concerns. Although each practitioner here has a slightly different approach to working with sleep imbalances, there are some foundational lifestyle factors that we all look into and address when sleep becomes an issue.

Here are five questions we may ask you (and how we go about addressing each one) in order to achieve a better night’s sleep:

1. What is your sleep routine?

Winding down at night is one of the most important factors to establish and support your circadian rhythm. Taking about 45 minutes to relax, calm down, and dim the lights can be hugely beneficial to get your hormones balanced for a more restful night’s sleep.

2. What is your morning routine?

Just like your nighttime routine contributes to helping you fall asleep, your circadian rhythm also needs support first thing in the morning. If you wake to an alarm before the sun comes up, your body needs that perception of light to trigger your hormones to actually get you out of bed. Try using a natural sun light alarm clock, or turn on a dim light first thing in the morning to nudge your body into daytime, slowly (like sunrise).

3. How is your energy in the morning and throughout the day?

If you’re severely lacking energy for an hour (or more) in the morning, there may be inadequate cortisol output in the morning when cortisol should be at it’s highest point. Cortisol also maintains our energy throughout the day, so if you lack energy all day, or at certain points during the day, it may be an indicator that your circadian rhythm is imbalanced due to hormone insufficiency.

4. Do you take naps in the afternoon?

Taking a 10 minutes cat nap is all fine and well, however if you feel the urge (or the necessity) to take a 1-2 hour nap every day, this can also confuse your circadian rhythm and make it more difficult for you to fall asleep, and stay asleep through the night. Again, this points to a potential cortisol imbalance.

5. What is your eating schedule?

Just as sunlight/darkness are triggers to maintain your circadian rhythm, food is another excellent way for your body to predict routine and energy every single day. Eating breakfast at the same time (or at least within the same hour) every morning is helpful for your body to sustain energy throughout the rest of the day, and help your cortisol levels peak at their most beneficial time.

It is always more complex than just taking a pill to solve a sleep problem. Lifestyle, stress, daily routines, and even some foods or drugs may be contributing to sleep troubles. Start to develop a sense of your own sleep habits and ask yourself some of these questions to see where you could use the most support or make changes.

The practitioners here at Richmond Natural Medicine can help you get to the bottom of solving almost any sleep imbalance.  If you are having trouble sleeping and are ready to make the changes for a better night’s sleep, contact our office at (804) 977-2634 or click here to schedule an appointment.

What is Functional Medicine and how does it differ from Naturopathic medicine? Below is a review of the similarities and differences between Functional Medicine and Naturopathic Medicine.

What is Functional Medicine?

Functional Medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, Functional Medicine addresses the whole person, not just an isolated set of symptoms. ¹

The Seven basic principles are underlying Functional Medicine:

1. Science-based medicine that connects the emerging research base to clinical practice
2. Biochemical individuality based on genetic and environmental uniqueness
3. Patient-centered care rather than disease-focused treatment
4. Dynamic balance of internal and external factors that affect total functioning
5. Web-like interconnections among the body’s physiological processes also affect every aspect of functionality
6. Health as a positive vitality, not merely the absence of disease
7. Promotion of organ reserve as a means to enhance the health span

How was Functional Medicine developed?

Dr. Jeffery Bland and his wife established the Institute of Functional Medicine in 1991.  Dr. Bland is a nutritional biochemist and registered clinical laboratory director.  He is a former professor of biochemistry at the University of Puget Sound, and a former Director of Nutritional Research at the Linus Pauling Institute of Science and Medicine. He was the first member of the Board of Trustees of Bastyr University, the first federally accredited university in the United States offering graduate and undergraduate degrees in natural medicine, and contributed significantly to its founding and accreditation.  ²

Dr. Bland was involved with Bastyr University, one of the accredited Naturopathic Medical Schools in Seattle, Washington before the development of functional medicine.  It is also known that the Institute of Functional Medicine has many Naturopathic Doctors on their staff holding positions such as educators, curriculum creation, and even on the board of directors.³

What is Naturopathic Medicine?

Naturopathic medicine is a distinct system of primary health care that emphasizes prevention and the self-healing process through the use of natural therapies. Naturopathic doctors (NDs) blend centuries-old knowledge and a philosophy that nature is the most effective healer with current research on health and human systems.

Naturopathic diagnosis focuses on identifying the underlying causes of disease, while naturopathic therapies are supported by research drawn from peer-reviewed journals from many disciplines, including naturopathic medicine, conventional medicine, European complementary medicine, clinical nutrition, phytotherapy, pharmacognosy, homeopathy, psychology, and spirituality.

The therapeutic modalities used in naturopathic medicine (including physical manipulation, clinical nutrition, botanical medicine, homeopathy, and hydrotherapy) integrate conventional, scientific and empirical methodology with the ancient laws of nature. ⁴

The philosophy and the therapies of naturopathic medicine, which have their origins in Hippocrates and the traditional and indigenous medicines of the world, first became a distinct profession in Germany in the mid-1800s. In 1896, Dr. Benedict Lust, MD, brought naturopathy to America and established the first naturopathic college, the Yungborn Health Institute in New Jersey. Naturopathic medicine has since been present in the US for over a century. ⁶

The following principles are the foundation of naturopathic medical practice: 5

• The Healing Power of Nature (Vis Medicatrix Naturae): Naturopathic medicine recognizes an inherent self-healing process in people that is ordered and intelligent. Naturopathic physicians act to identify and remove obstacles to healing and recovery, and to facilitate and augment this inherent self-healing process.
• Identify and Treat the Causes (Tolle Causam): The naturopathic physician seeks to identify and remove the underlying causes of illness rather than to merely eliminate or suppress symptoms.
• First Do No Harm (Primum NonNocere): Naturopathic physicians follow three guidelines to avoid harming the patient:
  • Utilize methods and medicinal substances which minimize the risk of harmful side effects, using the least force necessary to diagnose and treat
  • Avoid when possible the harmful suppression of symptoms
  • Acknowledge, respect, and work with individuals’ self-healing process
• Doctor as Teacher (Docere): Naturopathic physicians educate their patients and encourage self-responsibility for health. They also recognize and employ the therapeutic potential of the doctor-patient relationship.
• Treat the Whole Person: Naturopathic physicians treat each patient by taking into account individual physical, mental, emotional, genetic, environmental, social, and other factors. Since total health also includes spiritual health, naturopathic physicians encourage individuals to pursue their personal spiritual development.
• Prevention: Naturopathic physicians emphasize the prevention of disease by assessing risk factors, heredity, and susceptibility to disease, and by making appropriate interventions in partnership with their patients to prevent illness. ⁵

What are the similarities? And differences?

As you can tell, the two fields of medicine are similar in many ways including the incorporation of evidence-based medicine, patient centered care, a whole person approach, and treating the cause rather than just the symptoms.

What I believe has happened is that there has been an increase in demand for holistic, patient-centered care. This has lead MDs and DOs to further their education with functional medicine to broaden their scope of practice to incorporate nutrition and natural therapies as well as to perform functional testing.  All of which are part of the curriculum of accredited naturopathic medical programs.

The MDs and DOs obtain functional medical education after graduation to learn a more natural approach to medicine, whereas NDs are taught this natural approach throughout their medical training.

One of the major differences I have taken away from comparing the two fields of medicine is the naturopathic vitalistic principle, the healing power of nature.  This principle is what sets NDs apart.  NDs trust in and support the bodies’ innate ability to heal itself.  All naturopathic therapies work in concert with this vital force to enhance and support the healing capacity.  As naturopathic doctors, we simply facilitate this healing ability by removing obstacles to cure and giving the body what it needs.

Another difference lies within a similarity. While both fields aim to treat the cause, they have different ideas of the said cause.  From a functional medical standpoint, they are educated on eradication of the microbe leading to disease.  Whereas from a naturopathic standpoint, our education is based upon the evaluation of the terrain.  Terrain being the unique susceptibility of the individual based on lifestyle, environment, and constitutional aspects of the person.  This is the basis of why some people become ill while other do not have when exposed to the same microbe. ⁷

I hope this has been helpful in answering some of your questions regarding functional medicine and naturopathic medicine.  Overall, we do similar functional testing and have a similar approach to patients, with some differences in philosophy.  If you have more questions about what a naturopathic medical doctor can do for you, give us a call at (804) 977-2634.

Summer brings an abundance of new produce, all with amazingly bright colors and nutrients.

With more color comes more nutrients in our foods, and as a general rule of thumb if we can increase the amount of naturally occurring color in our diets, we often get an added boost of vitamins, minerals, nutrients and antioxidants. These include nutrients like lycopene, vitamin C, magnesium, potassium, riboflavin, folate, iron and of course fiber to name a few.

I know that juices and smoothies are really popular this time of year, and I would also encourage everyone to try eating their fruits and veggies in their whole form as well. Some of my favorite nutrient dense, colorful summer veggies include red and golden beets, purple and orange carrots, asparagus, red peppers, heirloom tomatoes, and rainbow chard. My favorite super fruits in summer are blueberries and blackberries which are mineral powerhouses, jam packed with antioxidants. With so much variety this time of year, I always recommend that folks do their very best to eat 5 different colors every single day.

Summer vegetables and their effects on organ systems:

Purple Fruits & Vegetables– Nourish the blood; Tones cardiovascular system; Contains anthocyanins to strengthen capillary tone; high in antioxidants.

Examples: eggplant, red onion, purple cabbage, beets, blueberries, blackberries

Red Vegetables – Contain lots of lycopene, lutein, zeaxanthin and are great for the heart and cardiovascular system.

Examples: Tomatoes, red bell peppers.

Orange Vegetables – Contain beta carotene which is important for the immune system and essential for cell-to-cell communication. Contain Vitamin C, Folate and Potassium.

Example: Carrots, golden beets

Green Vegetables – Especially the dark leafy & brassicas are important for multiple organ system detoxification; useful in hormonal imbalance; increases liver detoxification (gets rid of excess hormone supplies); LOADED with vitamins and minerals. Contains vitamin C, K, folate, iron, lutein and fiber.

Examples: kale, broccoli, bok choy, Chinese cabbage, spinach, swiss chard, beet greens, dandelion greens, mustard greens.

White/Green Vegetables – Extremely nutritive to immune and lymphatic system. Contain vitamin B-2 and allicin.

Examples: garlic, onions, leeks, chives, shallots

Challenge yourself this summer to get 5 different colors on your plate every single day! This can be colors from fruits, vegetables, eggs, whole grains, legumes, and of course wild foraged greens. You may be surprised at how lacking your color pallet used to be, but with this added awareness, you’re no doubt increasing your nutrient, vitamin and mineral intake with this simple tip!

About the Author:

Lindsay Kluge is a Clinical Herbalist & Licensed Dietitian Nutritionist and received her Masters of Science degree in Herbal Medicine from the Maryland University of Integrative Health in 2012. She has been with Richmond Natural Medicine since 2013, and specializes in therapeutic holistic nutrition, circadian rhythm balance and sleep physiology, digestion, and Ayurvedic nutrition. She offers individualized nutrition and herbal medicine consultations that include meal planning support, custom compounded herbal formulas, nutrition guidance and general wellness support.  Learn more about services that Lindsay offers at Richmond Natural Medicine by clicking HERE.

Written by Lindsay Kluge

Which sweetener option is right for you?

Every so often, I like to do some research on major food groups/trends and see what’s new in the literature. Recently (in the past 5-10 years), our society has had quite an infatuation with sweeteners and what the new best product on the market is. It seems like every year something “better” and “healthier” comes out that people flock towards for their touted benefits. What interests me the most is how our taste for sweet things has become so numb. Foods that were once perfect and delicious all on their own are now, to many people, just “not sweet enough”. Could this be due to the introduction of artificial sweeteners into our diets? Could it be due to the extreme excess in which foods and beverages are bombarded with added sugars and our lack of eating naturally sweet things like fruit and maple syrup? Maybe a combination of both.

Key Points To Consider When Deciding Which Sweetner Is Right For You:

• When eating foods with natural sugars (like fruit with fructose), you are also getting the vitamins, minerals and fibers to go along with that, potentially enhancing the nutritive value of the entire food.
• “Added sugars” are isolated sugars with only the sweet taste and calories (often referred to as “empty calories”) and none of the surrounding nutrients. These are also referred to as “non-nutritive sweeteners”.
• Eating sweeteners in excess (even the natural ones) has been associated with increased weight gain, tooth decay and diabetes, to name a few. There is surprisingly little definitive research available to determine the health benefits or health detriments of any sweetener, either “natural” or artificial. Both the limited research studies and also the brief time period through which the increase of sugar consumption has developed contributes to the lack of solid answers. The fact is, health data is not available, and what data is available is considered controversial.My bottom line to the consumer – our bodies are designed to eat foods, not additives. Sweeteners in any form (especially in excess) does not contribute to health in any way, and when you do eat sweeteners, eat them in as close to their natural form as possible with foods like honey, maple syrup and dates. My preferred sweetener, if I use them at all is maple syrup and honey.

Common (and not so common) Sweeteners

Minimally processed Honey (fructose, glucose and water)
• Often higher in calories and fructose content
• Very little to no processing at all, natural food form sweetener

Maple Syrup
• Naturally derived from sugar maples, red maples or black maple trees in its pure form.
• Similar calorie content as table sugar along with small amounts of naturally occurring amino acids.

Date Sugar
• Derived from dates in it’s natural form
• Cooking with whole dates is also a great way to get a sweet flavor into foods

Molasses
• Relatively high in vitamins and minerals such as calcium, magnesium, potassium and iron (with blackstrap molasses having the highest mineral content)
• A byproduct of the refining process of sugar beets, sugar cane or grapes. Processed sugars are boiled several times and the syrupy liquid left over is molasses without the sugar crystals.

Table Sugar (Sucrose)
• Usually derived from sugar cane or beet juice
• Made up of glucose and fructose
• Sometimes highly processed unless “raw” or “unrefined”

Brown Sugar (Sucrose)
• Made of refined white sugar with 3%-10% of molasses
• Has a slightly higher content of minerals due to the molasses content

Stevia
• Naturally derived from the stevia leaf and processed into sugar crystals
• Very low calorie sweetener that is significantly sweeter than table sugar.
• May have an unpleasant aftertaste to many people

Highly Processed/Sugar alcohols Agave
• Extremely high in fructose (even more so than high fructose corn syrup) which may potentially raise triglyceride levels
• Ranks very low on the glycemic index due to it’s high fructose content

Corn Syrup (glucose, maltose & dextrose sugars)
• Found in extreme excess in the standard American diet (SAD)
• Often genetically modified unless it is certified organic
• Directly linked to weight gain and obesity

Erythritol
• Sugar alcohol approximately 60%-70% as sweet as table sugar
• Found in small amounts in fruits and fermented foods
• Absorbed in the body slowly and does not raise blood sugar levels. However not all of it is absorbed by the body, sometimes leading to gas, bloating and diarrhea. However, of the sugar alcohols, erythritol seems to be the easiest to digest.

Xylitol (Sugar alcohol)
• Often found in oral care products as it has been shown to have a beneficial effect on oral bacteria.
• There is an upper safe limit to it’s use which is often much lower than one might expect
• Has been known to cause gastrointestinal upset when exceeding the upper safe limit.

Artificial Sweeteners
Much sweeter than regular sugars. Use less and fewer calories

Aspartame (NutraSweet, Equal)
• Potentially addictive substance linked to several diseases with curiously little definitive research that is not funded by big food corps.
• Breaks down into free formaldehyde molecules in the body

Sucralose (Splenda)
• Almost all “definitive” positive studies performed on Splenda were animal trials, not human trials.
• There is no long term research available about the health concerns of Sucralose in humans. The health concerns associated with the ingestion of Sucralose have never been adequately tested.

Bottom Line – our bodies are designed to eat foods, not additives. Sweeteners in any form (especially in excess) do not contribute to health in any way, and when you do eat sweeteners, eat them in as close to their natural form as possible with foods like honey, maple syrup and dates. My preferred sweetener, if I use them at all is maple syrup and honey.

Related Articles and Studies

Increase in sweetener consumption in the US

Reactions to Food Additives: Mixed results

High Fructose Corn Syrup and Obesity

Controversies around Xylitol

Probiotics are hugely beneficial in shaping who we are, how we respond to the world, and how our health is affected by these billions of tiny bacterias residing in the gut.

90% of your immune system is in your gut! Therefore probiotics are KEY in maintaining a strong immune system for several reasons:

• They form a protective layer within the intestinal lining to block harmful bacteria from forming
• They secrete IgA which prevents infection
• They assist in preventing allergies and down-regulate inflammation
• They act as the gatekeepers at the tight junctions within the intestines (along with zonulin), preventing toxins and waste products from passing through into the bloodstream

As unusual as it may sound, healthy intestinal bacteria are also linked to balanced emotions. The reason is that the gut influences and produces major mood hormones.  Mood disorders, including anxiety, insomnia, panic disorders, and addiction are a significant issue in the U.S. and have at least tripled since 1980. Since these conditions all have a pattern of imbalances of the mood hormones serotonin, GABA and taurine (which cannot be made without healthy intestinal bacteria) probiotics and mood are inextricably linked.

• Serotonin – 95% of all serotonin is made in the gut
• Taurine – A calming brain chemical that enhances GABA. If the intestinal bacteria is imbalanced, (which can happen if not enough probiotics are present), a negative bacterial overgrowth can develop, which can cause the kidneys to excrete taurine. The result is more anxiety and insomnia.
• GABA – The probiotics in the gut create this strong mood stabilizer that increases the body’s level of serotonin.

1. We eat the amino acid, tryptophan
2. Tryptophan is converted to 5-HTP in the small intestines
3. 5-HTP is converted into serotonin in the brain

An entire nervous system resides in your gut

The Enteric Nervous system is located within your gut and functions autonomously in the body. This is a “Distinct Entity – a complete network of neurons, neurotransmitters and special proteins responsible for communications, thinking, remembering and even learning”.  Ninety percent of messages that operate the gut come from the enteric nervous system, not the brain!

What are some symptoms of probiotic imbalance?

Irritable Bowel Syndrome (IBS), Small Intestinal Bacterial Overgrowth (SIBO), constant illness or susceptibility to colds, constipation, diarrhea, foggy brain, multiple food allergies, depression, to name a few.

How do things go wrong?

Diet, environment, climate, stress, illness, drugs and aging all contribute.

• Antibiotics wipe out nearly all of the good bacteria in our gut, leaving our immune system weakened and our gut vulnerable to infections and “bad” bacteria build up.
• Stress can alter gut motor function leading to sensitivity to foods (diarrhea) or hypersensitivity and leaky gut. Stress also increases cortisol which is inflammatory to the gut.
• With age, more drugs are prescribed, the diet may negatively change and the body becomes frailer.
• Within our environment, we are bombarded with toxins, pollutants & chemicals that are absorbed into our body and stored up over time, damaging our gut health and weakening out probiotics over time.

How can things be balanced?

1. Improve diet to include whole foods, fruits, vegetables, fiber & fermented foods on a DAILY basis.
2. Eliminate artificial foods, sugars, chemicals, pesticides, processed meats and Genetically Modified Foods (GMO’s) from the diet.
3. Reduce stress or seek out ways to cope with stress in a healthy way (meditation, yoga, stress management counseling).
4. Supplement with probiotics on a daily basis. My favorite is the Garden of Life Raw Probiotics for Men & Women.
5. Work with your doctor and nutritionist to decrease Rx drug use and improve diet to be as balancing and nutritious as possible. There is no one right diet for everyone!
6. Herbal support that enhances intestinal health, which can vary according to a person’s constitution.

Probiotic Foods:

Yogurt, kefir, dark chocolate (at least 70% dark), Miso soup, pickles, tempeh, kimchee, kombucha, sauerkraut, microalgae (blue-green)

In summary – your gut health is hugely important to nearly every main function in your body and can drastically contribute to or diminish your susceptibility to chronic disease. Each of us has a very unique bacterial makeup and there is no one “right” way to eat or supplement. Pay attention to the foods you eat, the environment that surrounds you and listen to your gut!

For further reading, check out the American Journal of Clinical Nutrition

Taking a moment or two to still your mind and focus on your breath is perhaps one of the most simple yet effective self-care tools that we all have in our toolbox.

Nearly every single person carries with them a heavy load of stress (whether consciously or unconsciously).  Stress affects every single part of your body from your sleep to your joints to your digestion and to your ability to focus. Each one of us holds stress differently and it presents in often subtle ways. Stress can be expressed as constant headaches or agitation, or maybe just feeling abrupt with your family or perhaps unable to handle change well. For almost everyone, however, stress is held within our nervous system and is what is referred to as our “fight or flight” response. Over time, this intense build up of stress (i.e long term or chronic stress) can lead to a tightening of our nervous system.  As a result, one might feel less flexible and adaptable and even resistant to take on new challenges. This is where breathwork is absolutely irreplaceable as a self-care technique.

When we take even 5 seconds to pause, close our eyes and take a deep full body breath, we begin to unwind tension from our central nervous system and reset our stress response. You will notice this effect immediately once you begin practicing breathwork. You will feel your shoulders loosen, your headspace lighten, your digestion improve and your mood lift.

If you’re just starting out with intentional breathwork, you may notice that about 1 minute after you’ve taken your deep, long full body breath, all of your tension and stress return immediately. This is normal. For many of us, stress is our default emotional response even when we are not in actively stressful situations. We often always feel stressed and experience these symptoms of stress as our “normal”, and this is when it’s more beneficial to incorporate breathwork into your day.

Repetition is key and setting reminders on your phone to take a long, deep, full body breath every 10 minutes is an excellent practice to start with. You can also choose landmarks to help you remember to breathe, such as taking a breath at every red light or put a reminder on your desk at work. These simple, easy practices are often the most helpful but also the first to be forgotten.

Technique:  Box Breathing

Instructions:

Sit or lay still with your eyes closed and imagine a one dimensional 4 sided box.  On the bottom line, breathe in deeply for 5 seconds. On the side, hold this breath in your body for 5 seconds. On the top line, exhale completely for 5 seconds. On the other side line, sit with empty lungs for 5 seconds. Repeat this practice at least 3 times when you have a racing mind or heart, or to ease stress and aid in sleep.

This simple 60 seconds practice will help to calm your entire body and relax your nervous system, allowing you to begin again. Do this as often as you need – any time of day or night – especially during times you know to be stressful triggers such as a work environment or sitting in traffic.

Consider scheduling a session with our Mindfulness/Meditation instructor, Lindsey Wrable for deeper practice with these techniques.

About the Author:

Lindsay Kluge is a Clinical Herbalist & Licensed Dietitian Nutritionist and received her Masters of Science degree in Herbal Medicine from the Maryland University of Integrative Health in 2012. She has been with Richmond Natural Medicine since 2013, and specializes in therapeutic holistic nutrition, circadian rhythm balance and sleep physiology, digestion, and Ayurvedic nutrition. She offers individualized nutrition and herbal medicine consultations that include meal planning support, custom compounded herbal formulas, nutrition guidance and general wellness support.  Learn more about services that Lindsay offers at Richmond Natural Medicine by clicking HERE.